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HomeMy WebLinkAbout072-540-002072-540-002 04-1232 DEEMER,GARY 1470 HURLTON SWEDES FLAT, OROVILLE CONT: OWNER E -LEC FOR WELL 072-540-002 05-1944 DEEMER, GARY 1470 HURLETON SWEDES OROVILLE ' CONT: OWNER 2 ELEC (WELL)REPLACE04- 32 072-540-002 Land Development Sheet 072-540-002 AG 01-101 DEEMER, GARY Jg7()HURLTON SWEDES FLAT ORO AG EXEMPT PERMIT NOTES i . �1i A RESIDENTIAL PERMIT NO. _. 072-540-002 05-1944 1 jp DEEMER, GARY �.�2 �hA�gr✓E t e LOCApit✓ P�P�tzZ�/ 1470 HURLETON SWEDES FLAT RD, 4 OROVILLE n(o 5_08 St -16 CArZI) O A ADDRESS ' ► CONT: OWNER ELEC (WELL)REPLACE04-1232 I - t - t t ;t - r SPECIAL CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Cc vii . fob 5 T w�R'^ ��5�•2a Lq-NG l 'CZo rblc sou T r-1 FcAT OFFICE COPY ,� Address �4'lb % F -TW QUA S t-kT UtuE GAS Meter By Date f ELECTRIC i Meter By -SLANVI6Date !JOB FINALED (Date) o~i - Z"1 ' f T i Signature �. WV\h✓ 4aOK r = Not OK . = Not Ready Not4plicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Specidl MH Support Sketch 3. Sewer, location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ]ate DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures . 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. • Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 = OK = Not OK = Not Apprxable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main, Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. W er Pipe; Test -Anchors -Regulator -Service Test Electric Underground •TgeAeC F 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Cletj S. Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 24. Fixture & Transformer Clearance -Ins. Protection Date 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground Main Disconnect Dalo-Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 74. Elec. Outlets & Receptacles at Kit. Counter Date 1 -2 -7 -Cg- Card B-1 S, Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftn Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls. Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instid"ve D Yes ❑ No/Walks D Yes O WPlanters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO51944 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/22/2005 APN: 072-540-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License.Number: Site Address: 1470 HURLETON SWEDES FLAT RD ORO Map Index: Date: Contractor. Description: ELECTRICAL TO SERVICE WELL, OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the REPLACEMENT PERMIT 04-1232 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a _ permit to construct, alter, improve, demolish, or repair any structure, prior: Owner: DEEMER GARY T to its issuance,::also requires the applicant for such permit to file a' - signed statement that he or she is licensed pursuant toP _the; provisions of: . 131: NORTH KINGSTON ST , the'Contractor's State License Law (Chapter 9 commencing with Section; SAN MATEO CA 7000). of Division 3,of the Business and Professions Code) or that he or' she is'_exempt therefromand the basis for the alleged exemption_ Any,. :• -... • .. •- 94.40l... violation, of•Sectioh'7031.5 by any applicant.fora permit•subjecis the.. (408)-568-8096` applicant to.a civil penalty of not more than five hundred dollars ($500):j:..' I,as-owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended, oG;offered for sale,(Sec: 704.4Bus ria,.,. d,Professions„ Code: The :Contractors': State* License: Law does_.not apply to an Applicant: DEEMER GARY T owner.of,propeRy who -,builds or improves. thereon, and.who does 131 NORTH KINGSTON ST such work himself or herself or through his or her.own employees, provided that such improvements are not intended or offered for SAN MATEO CA sale: If however, the building or improvements are sold within one 94401 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for -the purpose of (408)-568-8096 sale.). "01:._.I, ..as—owner-of. the..property,•.,am...exclusivel.y: contracting, -with.. licensed contractors to'constnicl.lhe:prdject.(Sec. 7044, Business ,.and Professions Code... The Contractors' State. License Law does not apply to an owner of property who builds or improves thereon, Contractor: ...,;and who contracts. for such projects with.a contractor(s) licensed pursuant to the Contraclors' State License Law.)_ ❑ ., I""amm Exempt under Article 3 -of the Business:and Professions Code LICenSe #: WORKERS'COMPENSATiON DECLARATION I hereby,affirm'urider penalty of perjury one of the following declarations:. ❑ I have and will maintain a certificate of consent to self -insure for workers' ;compensation, .as provided for by Section 3700 of the Labor Code, for, the performance of the work for which'Ahis permit is issued.. Architect: ❑ I have and will. maintain, workers'. -compensation • insurance, as Engineer: required. by Section. 3700 the Labor Code, for. the performance. of the work for which this permit is issued. My workers' compensation insurance carrier and policy.number are: ' Carrier; Total Square Ft: 0 S. F. Policy #:. Valuation: $0.00 1 certify that in.the-performance ofahe work for'which this permit is Census Code: issued, ;I shall:not=employ any person in any manner so as -to become. subject.lo'.lhe workers': compensation laws of -California. and .agree that. if I should become`subject.to. .the workers' compensation provisions of Section 3700 of the Labor.Code, I shall forthwith comply with those provisions. Date' Applicant:...._ :,�.;',. •: :: . WARNING:' `.Failure"to secure workers' 'compensation'cove'rage is unlawful,.and • shall subject, an employer to criminal penalties and one hundred 'ttiousand dollars ($100,000),: i6 additiori'to the cost of compensation; damages as provided for in Section 3706•of'the Labor ' code, interest; and attorney's fees., „ ... ,• •act CONSTRUCTION LENDING AGENCY: This permit hereby issued u e he applicable provisions of the ButtR County Cods anrl/or I hereby -affirm -that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutiuq tordo work indi od ad of for hich fees have been paid. ' ((�� _ _ c\ - ' Name: B><•�7 lW12Y16 Date: J Address: PERMIT EXPIRES ON: ate ❑ I hereby cerfify,•that.the use.of;this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous :materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of (he'required E.P.A. noti4ication'forms. I hereby certify that I .have% read this.application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name,Signature: LrJ Owner:. , 13 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netlidds PERMIT NO. BPO51944 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty ' of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/22/2005 APN: 072-540-002-000 the Business and Professions Code, and my license is in full force and effect. ' Site Address: 1470 HURLETON SWEDES FLAT RD ORO License Class: License Number: Map Index: Date: Contractor: Description: ELECTRICAL TO SERVICE WELL, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the REPLACEMENT PERMIT 04-1232 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a ,-,•,,,� _, „,„,, ,•,• permit to construct, alter, improve, demolish, or repair any structure, prior •--- . ;' `•0vV66r: DEEMER GARY T :�� '; to its issuange;Malso requires the applicant for such permit to file^a' signed'sttatement that he or she is licensed pursuant to*the rovtsions of; -. x ts•� ' ;_s r,. ;srN t : + =t*,, a :~:131'=NORTH KINGSTON ST Y the`Contractor s State' License Law (Chapter 9 commencing with Section 'Business + s- i ^ MATED CA } 7000) of'Drvtsion 3. oC-the and Professions Code) or that he or ,SAN she is".exempt therefrori'and the basis.for the -alleged. exefnption� Any : ; 94401-, . •,,..re ri -1j,. -., . , ' :;i.0„,iy, 9 violation, of Sentlon',7031.5 by any applicant fora pemit,sdtijects the(408)7568-6096 r:, (408)-568-8096 ) applicant to a ciwl:penaltybf not more than five hundred dollars ($500)) 7 , I, a"s^owner-of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intendedor.;offeredfor,saje,(5ec;,704,4,,.Business-andJProfessions,. _.,..,„.,, • ..p -,........,x. ,,..•,,.., . ^�<....,..,,,-,. .:....,._.., ,,..,,.,.,,,,,::., - w,.,,• ,.,,:r,.._ „1 Code: The.,Qontractors-State, License- Law does_not apply to an Applicant: DEEMER GARY T t r,_,,.,owner;of;propertywho„buildsor,improves.thereon,and,whodoes 131 NORTH KINGSTON ST ..such.work.himself or, herself or through his orher,own employees, that such improvements are not untended or, offered: for SAN MATEO CA fprovided sale. " If however, the building or improvements -are sold within one year of completion, the owner -builder will have the burden of 94401 proving that he or she did -not buil`d'or'improve for -the purpose of (408)-568-8096 sale.). a.—I. ..as -owner -of, theproperty, .,,am,>,exdusively,. contracting.,.with. licensed contractors- td'coristruct.the;pr6ject:(Sec. 7044, Business :..and -Professions Code.:i The Contractors' State, License Law does • ,not-apply,to an owner of,propertywho builds or,improves thereon, Contractor: and, Who: contracts,for;such projects,with a contractors) licensed pursuant to the Contractors State License Law) ,, r • , t, „' } ❑ , { am Exempt under Article 3 -of the Business and Professions Code +” r ' f Vi; -1, r?� ` (` i,l'•'t f,�.r• WORKERS': COMPENSATION DECLARATION'_ I hereby ,affirtn under, penalty of perjury one of the followirtg dedarations :. `License 4 ❑ •aihave:and will miiintain a certificate of consent to self-iniure for r-,..-�- ••-.•-_-..-_-,.-.., : ,: , �.' workers:r compensation,,as providedJo.r, by, Section 3700 of:the Labor Code,;for the performance of the work for which this permit is issued.,- • M �N 'as Architect: VEngineer: ❑ ,have -and: wlll,maintaini,workers',lcompensation - insurance, . require d'by�Section>3700 the Labor Code;'for,the performance of �. -.the•work' for which this permit•isissued:,Myworkers'.compensation 1,!nsurance carrier and policy number are -.-.j' , rr:c Carrier:' ­'r - ;•y -, Total Square Ft: 0 S. F. Policy #:' Valuation: 0.00 $ I certify that in' theperformance of the work for which this permit is Census Code: r`issued, ,'Irshallnot=employ•any-person.,ir 'any manner so as -to :, •; become_subject;ta:the workers': compensation -laws 'of. California, and agree • that i, ,f : 1-; ;should> become:, subject to i the ., workers' compensation provisions,of Section 3700 of the Labor Code, I shall forthwithcomply those provisions.,l - „L•„ j I:!. r'•: j .•i p<.- ,auf�1 , { ` lwith it f1 1 ` AY, 1p,.•.�4 a• r'•- oaf �LY'i.•.i,t'iw 'Vw,C r 'Date � s , ;� -V .. ..... .,. ' .., A - - 1' oti6: F WARNING to secure"workers'''compensation-coverage is, + {. •_� 4,, , „Failure unlawful, "andshall'subjecYan'empfoyer to -'criminal penalties and one ,f,. �,+L..�� ,r,•. - . , hundred" thousand"`dollars'�($100:000);:^+in-'raddition• to'.:the',cost of compensatiorfdamages'as'piovid'ed`for in'Section 3706,6f'the•Labor ,code,, ir1tei6sti and attomey s fees 4 k _ ,, . CONSTRUCTION , LENDING* AGENCY «r �,. -This permit i hereby issued ude-he applicable provisions of the Butte County Coda anrUor .I hereby'affirm 1hat:there is a'construction lending agency for the, t-; • ' Resolution to do work indic ed a ove for hich fees have been paid. performance of the work forwhich'this pernif is'issued (Sec 3097 Civ.) Name:. :. g� Date: �J ` l PERMIT EXPIRES ON: Address:! ate hereby certify that,the use of,this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, ,,,,handling and use of hazardous.,materials: ,,. , ,-; ; •�.;, .. �, ,, ❑'' '•Notifcation-in-accordance with Section=19827:5 of California'Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑"''Attached'are copies of the required E.PA' notifcalion'forms:' • - •--K •.�-••.�.-,.r:_.,,,_,„,.... I hereby,certify that'I have read this application that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating t6 build,ng construction:. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorie represen+++.tatrves of Butte County to enter upon the above ineri�stioned property for inspection purposes. '•” i � 7 PnntName �:WZTe/�- S Signature: ✓\�1%/[/\ NJ i Y , , ,. r ; Date �'� i� �� r . ., , • -- '; %I a,r Owner • ,�'.. !: _ ❑ Contractor ❑ Agent for Owner CI Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROV,ILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041232 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 05/06/2004 APN: 072-540-002-000 ' the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1470 HURLETON SWEDES FLAT RD ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELECTRICAL FOR WELL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior , Owner' DEEMER GARY T to its issuance, also requires the applicant for such permit to file a 58 PORT ROYAL signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section FOSTER CITY, CA 7000) of Division 3 of the Business and Professions Code) or that he or 94404 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not 'intended or offered for sale (Sec. 7044, Business and Professions Applicant: DEEMER Code: The Contractors' State License Law does not apply to an GARY T owner of property who builds or improves thereon, and who does 58 PORT ROYAL such work himself or herself or through his or her own employees, FOSTER CITY, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 94404 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: S:2 -0y Owner: —142 J&L� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4- *- G 5c, So Date: '� - e�ei (0 Applicant: e�elV `C� �X od . � WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) t sw Name: By: �- Date: PER EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: j�s'>�-I �Jt �i2'l e a Signature: Date: Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO). OFFICE #: (530) 538-7541.; PERMIT NO. BPo41232. DATE:APN: ZONING: OWNER'S LAST NAME: � G OWNER'S FIRST NAME: PHONE: q6 ` 4S S ADORESS; '�----- =�. j e: w F -4A OZ FAX CITY, ZIP: E-MAIL: SITE ADDRESS: CITY. ZIP: �n NEAREST CROSS STREET: TRACTILOT P. APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME:PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL- LICENSE NUMBER: LICENSE TYPE-- YPEARCHITECT/ENGINEER ARCHITECT/ENGINEERNAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: Ueo44 L ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew. action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: 4.3-o Receipt number: �}a5� Amount Received: (Ip "- Master application 3-4-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date:/3Q Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Lefler of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as -shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit ........................ ❑ 23. California Department of Forestry plan approval D paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... Er- 28. Pre -Inspection for E� LE C -F�cP V--JC-L4- required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance..............................:................................ ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone A08. 5t e • eoq Co and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:�� 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑, phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: Yellow: Building Division . U_01-` Plan Check Letter Date: Date: Date Date: O.B.-T OWNER -]BUILDER VERIFICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. RM _2. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES 0 NO ❑ - . I HAVE ❑ HAVE NOT J4 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide theproposed construction: PHONE:_' ,� (� CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: - NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: i DATE:_ _ �J NOTE: This Owner -Builder Verification is required by Section 11831 and 19832 of. the California Health and Safety Code. This ver�ication must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a PenniL Building Pew are not required to fie signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for time proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from time city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own worm with the exception of various trades that,you plan to subcontract; you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (mchuling materials and other costs) is $300 or more for the entire project, 'and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, You mast register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income talc withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner budder" building Pew erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your commtmity or at 102014 Street, Sacramento, CA. 95814. Please complete the "Owner Budder Verification" on time reverse side of this force so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. lvfi 1 C. Vi fra, CB.O. , Budding Inspection NOM 11, Owner -Builder l omudon is required by Section 19930 of the Califon da Health atzd Safety Code OVER .s' 4 'PRE -INSPECTION REPORT OWNER: �s�Qy 1�EE.•� 62 LOCATION: l `} 7 o Nua2L-rc•� �wEo Fc A,- X20 prza CONTRACTOR: DATE: 4 •30.04 A.P. # a 72. 54-0 ��- ZONING: REASON FOR PRE -INSPECTION 5.3.04 Gt1.7� GoN(8 0 DATE TO INSPECTOR: PERMIT HISTORY ( )NONE (v)'S�EE ATTACHED o 0o • 3 D '� Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied Abandoned/Vacant: Electric: Gas: BUILDING INSPECTOR'S REPORT ( ) Yes.' ( ) No Electric Currently ( ) On(01 Off Condition of Electric Currently ( ) On ( Condition 0%.001'� Sanitation: Plumbing Worldng ( ) Yes ( g Obvious Sewage Problems ( ) Yes (� ACTION RECOMMENDED: Hold for permits or verify: Inspector: Mobile home # of Units: ISSUE (es ( ) No Date, 072-540-002 c 0 Land Development Sheet 072-540-002 AG 01-101 DEEMER, GARY /q 7OHURLTON SWEDES FLAT ORO AG EXEMPT PERMIT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPo4l232- DATE: -30,o ` APN: ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE STff ADDRESS: _ Q: FAX CITY, ZIP: E-MAIL SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL• CONTRACTOR NAME:PHONE STREET ADDRESS: FAX CITY, ZIP: EMAIL UCENSE NUMBER UCENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE. STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E -MAIL - DESCRIPTION OR SCOPE OF WORK: �� C ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: ke,11 Date: 4.3o•04-. Receipt number: Amount Received: $ (Ip "- Master application 3-4-04 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT NO C) /- 14) j Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.012,� L,� D� �7� ZONING OWNER PHONE NO./ , j OWNER' RE / 2-0e, 1 / Ll LOCATION OF B IL /;?,/� USE OF BUILDING —iC �� S �� Iq ,:j -r -%o SIZE OF STRUCTURE ' X =� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDI G ROOF COVERING FLOOR TYPE J ESTIM OSTRUCTION __,?�� AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: � - [/r� � /[v FRONT 1 �O 5 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. i� I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date g-- 5 —0 Signature of Owner Permit Fee - $60.00The above described AG Building is exempt from a building permit. , R ipt Noy 5z492S rE F7 I PAR I PV I ROOF G I ISS Manager Building Division By A� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH = PERMIT CLEARANCE Bonding Permit No. Ig .Ptn ?4V vh ✓bei rnoeSN' T Ex I sr OWNERS _ A.P. '? NAME: r NUMBER: PRINT LAST NAME FIRST COUNTY ZONING 1 I / ` I DESIGNATION: U S �1 FLOOD ZONE: FLOOD MAP' 3 7 S APPROVED: CONDITIONALLY APPROVED:_ RESOLVE PR08LEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP • 7 7 s -c DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED:' YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING ( i 2 Z LOT 43 BOOK BE; PAGES 3 Z COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES '>,�� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. Z1. Maintain a 50 ft. building setback from centerline of road. R1.) y2 -L -4E -T -b TJ- rZO. j J-kUv L Ta KI �VQ I]OES _X2. Maintain a -2-0 ft.building setback from right-of-way/seAterline of 3. Maintain a 100 ft. Ieachfield setback from all existing wells. - W t--(E12CovVi5ES 4. Maintain a '5-0 ft. Ieachfield setback from A U- 6-P0EAA4EK,#,L brZAI N ft�&I=S —5. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. — 7. Connect to a public water supply. — 8. Connect to a public sewer system. Oroville. California _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. — 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) — 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Psymant to be mads to the PI►sr nkg DAnW&L _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the -Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. �� Nn 6 rL �r�n-►� or Sol rA-at rc s�ar� iJ G Y 21. o L tErVC t -t -I NJ-(. W(1 -t+ l N -111 0 e T[ G N ►�A- S 51ET3 BI LA 012 A-5 [ G I=- w �`t S r Ni- 22. 23. - 24. 25. AIG lj 31Nd013A3a dNd1 P1n00 AI41N=.-^Jd0l3A3a (INdl ul,00 ­) A i woo 966ti f t �; n U31 11233H LD 9196 . CAWP61\FORMS.K\BLDOPERM.CLA