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Home My WebLink About073-270-019073-270-019 02-2120 SIMEROTH, PEGGY I1DL(a3 HOLIDAY DR., CLIP ER S NEW SINGLE FAMILY to 10.6 073-270-019 V03-1659 SIMEROTH, PEGGY 11263 HOLIDAY, CLIPPEVL CONT: P.S. SIMEROTH GAS FIREPLACE NZ-1663w�- `tsSLI-cel lo'a/Iz I l r �. aq 1' C13-270-019 03-1659 ' -F,JMEROTH, PEGGY 11263 HOLIDAY, CLIPPER MILLS CONT: P.S. SIMEROTH GAS FIREPLACE 1 )BUTTE 7 COUNTY AJAR 17 2008 DEVELOPMENT a SERVICES COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTELEPHONE ;L•t : ? �� I. SQ. FT. OCC. BUILDING VALUATION OWNERS.MAIUNG ADDRESS C! L �t G.. ✓ o CONTRACTOR'S NAME TELEPHONE_ CONTRACTS11ORMAlI,11NG DRES .. .� 1..L:-+L� - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 _ A u.� i �oL i. DAA ` D_11111: CLi P 11 i.1:1,L S �? s Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation a Other ❑ Describe Work: L...!, ci's a' 1 aT70 .l �C_f Gas piping sy2tem i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VMain Service .0A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is.'n; full force and effect. License Class _) Lic. No. �� a rL a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOooA 46.00 NEw CONST.DWELLNICi OCCUP. 3.5Q Fr. ORAD ams MU'rcourLEr NON REsID. @7.50 POWER APPAPATuS a sINOLE ounEr CIR. EX. Occup. OUTLET OR FIXTURES zo p I.5 BA L O .SO0 Ex. Occup. oFIx�LE�osA AoER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' /110 compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation I of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 complywiththose provisions. } X _ Date " L Signature of Applicant - ❑ Owner PContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ,V j - .. !) PERMIT FEE $ .3.5.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ.D. FEES IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. // Z, l Date Lam' PERMIT EXPIRES ON Dafe Receipt No. `� L_" { `f .�.�� %� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES f RESIDENTIAL PERMIT NO. 073-270-019 02-2120 I SIMEROTH, PEGGY 124p3 HOLIDAY DR., CLIPPER MILLS I NEW SINGLE FAMILY Z C� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 1 p Address I � C GAS 1 44A; Meter By Date j / ELECTRIC Da�J Z 1 { Meter By 1-- i ! BUTTE COUNTY MAR 17 2008 2 DEVELOPMENT JOB FINALED (Date) .'O - o 3 SERVICES Signature 64a �plak%-le jL 1` l SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 1 p Address I � C GAS 1 44A; Meter By Date j / ELECTRIC Da�J Z 1 { Meter By 1-- i ! BUTTE COUNTY MAR 17 2008 2 DEVELOPMENT JOB FINALED (Date) .'O - o 3 SERVICES Signature 64a �plak%-le jL J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ft 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY)" Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 Date 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 Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 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 Card B-1 Date Card B-1 J=OK 0 = Not - p =NotAApplicable . = Not Ready 25. Elec. Receptacles Spacing -Lights & Switches at Doors RESIDENTIAL Date UN RFLOOR (Plans) OK except #'s Date PLU G (Permit) OK except #'s An i ng -Setbacks -Easements -Flood -Slope 117—W ,31ter Htr.; Vent -Access -Combustion Air Baffle"" g., Main; Soils-Elec. d.-/ " Ftg. Depth 1 . .W.V.; Test Fittings & Anchor -Nail Protection Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 2 hower Pan; Test, First Floor -Tub Access 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. temwalls, Garage; Steel-Blockouts-Wrapped ELECTRICAL (Permit) OK except #'s Date Hold Downs and Special Anchors 7. Slab, Steel -Wrapped ,0—vent Fan, Exhaust above insulation 8. Piers -Fireplace Ftg.-Steel t ate 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 4 . Bearing Walls over Girders & Floor Nailing 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation (Single & Duplex) Date FRAMING (Continued) an ers-Post Caps -Anchors -Connectors 4 ing. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. G age Fire Protection Framing -RC Channel . Property Line Firewall & Openings 5 . xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits irs; Width -Headroom -Rise -Run -Landing -Fire Protection 559-`PFywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer h Drip Screed -Fd. Vents-Underflr. Access 5 lazing Area -Glass Protection -Skylights -Plastic i f4he2[=��Lai'ia'� Br a Int Exterio all ane 2. Insulation ei tng 63. I nfi ltration-Walls-Windows Date Card B-1 Date Card B-1 . Date Card B-1 Date Card B-1 Date FIN OK except #'s 4. Ext. Steps -Door & Sidelight Protection -Landings ,55,emake Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ,A,7 tlroom Exiting & Bath Fixtures & Tub Access -Spa §9_EfeU-.-Trim & Subpanel, Breaker Sizes &Labels j0.-6Rairs & Rails 71_9kep4ace or Stove, Clearance -Hearth ec. Outlets at Wood Panel, Int. & Ext. �Z3--*'Ir-Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 -c Outlets & Receptacles at Kit. Counter 7,%o-Elarage Fire Door; Swing -Landing -Closure X76. A -Duct in Garage -Damper tr.; Vents -Clearance -Comb. Air Connector-P.R.V. in ara e; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 7 ec. Receptacles in Garage (F.F.I.)-Romex Protection 8 sulation-Foam-Looked in Attic T $1r6'UTr�3c Rails & Deck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 8�wing Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No 84,-F4neee-Brown-Finish Unit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 07-%ater Well, Disconnect, Electrical, Plumbing 8 erior Elec. Trim, G.F.I. Receptacle -Underground 89 i ation Throughout House 9 ass Protection 91 ctions from Previous Inspections as Test -Meters Tagged, Gas -Electric Z 9 ems& Sewer Connected -C/O to Grade -HD Approval / . nergy Compliance Certificate -Other Certificates dress Posted 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: 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date Card B-1 > Date Card B-1 Date Card B-1 Date Card B-1 Date PLU G (Permit) OK except #'s 117—W ,31ter Htr.; Vent -Access -Combustion Air Baffle"" W er Pipe; Test & Anchor -Nail Protection 1 . .W.V.; Test Fittings & Anchor -Nail Protection 2 hower Pan; Test, First Floor -Tub Access 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 25. Elec. Receptacles Spacing -Lights & Switches at Doors gpe'Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. �uip. Ground made up w/Mech Fasteners -Bond Gas & Water 2_Appliance Circuits in Kitchen & Conductor Size GFI 3 ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Irlsulated Neutral O Yes O No 32—Service-Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date MECHANICAL (Permit) OK except #'s 6. A.C. Ducts Insulation & Support ,0—vent Fan, Exhaust above insulation 3 onplensate Drain & Overflow, Size & Grade t ate u ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 . Attic Access & Platform if Furnace in Attic Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 'IIs Proper Materials & Anchors fills Studs -Nailing Spacing & Braces -Plates -Sound 4 . Bearing Walls over Girders & Floor Nailing 44 raft Stop in Walls (rat proof) j i 45reyStops, Furred Ceilings -Stairs -Chasers -Tubs ` eaders & Beams -Size & Bearing c �, np COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT //-&-2120 Ab7X- 0-0J§ ZONING BUILDINGPERMIT OER Yt1E�0►iH PEGGY TELEPH1ONE 6674-9090090 SO. FT. OCC. BUILDING VALUATION • b R 125,606.60 O IUNG ADDRESS EASNIND DR. YIM CITY CA 95991 4 . " U 8,751.00 CONT__ RACTOR'S NAME TELEPHONE 3 913. � e g C v . 5.-112.64 131. opn 08.40 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1 50o. LENDER'S MAILING ADDRESS Total Valuation $ 141.886.t')4 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 16 b • _`0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 511.25 BUILDINGADD ESS HOLIDAY DR. CLIPPER MILLS G Energy Plan Checking Fee $23.0;) $ PERMIT FEE $ 1,340.75 LOTJb9 SUBDrvffiME .AM VILLAGE 3 35-74 PARCEL MAP, 37 A( PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 6-17-70 SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 5 7.00 qp Solar or heat pump water heater 23.00 Water piping 15.0015. 0 v Each gas water heater or vent 15.001 TYPE OF WORK New % Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY Gas piping system 1 - 5 outlets 15.00 . Building sewer 15.00 1 . kIn Mobile Home SG W @20.00 PERMIT FEE $ 175.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IESS 23.00 • 00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is ' full force and effect. �7 r� License Class Lic. No. / J '9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 46.00 NEW CONST. DWELLING OCUP. WEE C CU OR ADDNS. ( & ACC. UDS. SO 3.5as,. 81 41 =R.,ANCHOUTLU @7.50 FOWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL. Q" .50 FIX Ex. Occup. ount�s Aa D.GEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 147.41 WORKERS' COMPENSATION DECLARATION 1 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Split Cooling Hood 6.50 Ventilation PERMIT FEt $ 80.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. • { `. X _ . 'L' �, _� .. �• . �ti :'•-� `-'��'�" �. Date Signature of Applicant - T' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �� Mobile Home Installation Fee $ Energy Inspection Fee is 46 .00 Occ CONST. TYPE TOTAL FEE $ 1.,792.,16 ✓ IMP 1✓/ COF —OIL pp HD SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By "r'j t.14'' /j� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. f Date -r 41 (Date) Receipt No. %/ WHITE-D.D.S.-B.D. CANAR)IFA ESSOR PINK-IINSPECTOR GOLDENROD -APPLICANT Insulation Certificate BUILDING OWNER:fi,,�14 CO BUILDING LOCATION: - BUILDING PERMIT CL tODt� ivt tL� �' Description of Installation ROOF Material Brand Name Thickness (inches) f Thermal Resistance (R -Value) CEILING `J Bas or BlanketType Brand Name — C012 Thickness (inches Thermal Resistance,(R-Value) Loose Fill Type 'F1.4u2LA& Brand Name Conaactor's minimum installed weightle lb Minimum thicimess inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIORMALL Mattrial � �Q.6LAS Brand Name W - C b Thickness (inches) 'Q • l 9 Thermal Resistance (R -Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Material Thickness (inches) Declaration U Brand Name Thermal Resistance (R -Value) TL --14 Brand Name Thermal Resistance (R -Value) Brand Name 7wnnal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administradve Code. T-7. CO. eneral C n actor (Builder) License Number ,gn a and Title Date Sub -Contractor (Insulation InstaUer) Signature and Tide ' License Number Date THIS CERTIFICATE MUST.13E PROVIDED TO THE BUILDING DEPARTMENT PRIOR -To FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. S JANUARY 1993 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 - d CORRECTION NOTICE �,`Ll -%LrST QZ-Z(Z-o OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWN R vPERMIT NO. A routine inspection indicates that the following. violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office'when correction of work is completed. If you hav any uestions pertaining to this matter, or need additional explanation, : 4 please contact t ' % c rm di ly. Ly C/ tl -� Date In REV 10/92 W9F bd: a1p 7 3 a70• e/7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING IVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERMIT NO. (Rev.12/96)1 Q APPLICATION AND PERMIT o2-2120 S OR C NUMBER -l�%019 ZONING R 1 UILDING PERMIT OWNER SIMEROT'H PEGGY TELEPHONE 674-9090 FT. OCC. BUILDING VALUATION -SO. ••.o R 125606.00 OWNERS MAILING ADDRESS 1356 EASTWIND DR. YUBA CITY CA 95991 486.,, U 8,75-1.60 CONTRACTOR'S NAME OWNER TELEPHONE 3 9 3. 8 C v. 5 112.64 131. o n. 908.40 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 141,886.64 ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 511.25 BUILDINGADD ESS HOLIDAY DR. CLIPPER MILL Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1,340.75 LOT NO. 109 SUBDASI�JL\L\l EMOUNTAIN VILLAGE 3 35-7 PARCEL MAP. 37 A ��j�, PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 6-17-70 SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 - Water piping 15.00 5.00 Each gas water heater or vent 15.0015,00 TYPE OF WORK New K Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY Gas piping system 1 - 5 outlets 15.001_5_._0 0 Building sewer 15.00 5.00 Mobile Home I S I G I W I@20.00 PERMIT FEE t 178.00 ELECTRICAL PERMIT Filing Fee 20.00 600V 0Main Service 200AORLESS 23.00 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license i full force and effect. /� p� License Class Lic. No. 1 (2 Z D OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DwEl G Or -CUP. JNC OR ADDNS. ( a ACC. S. SO 3.5¢FT.41 Ip" gaID MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL 1.00 Ex. Occup.OUTFIXS p� D.OEJk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 147-41 WORKERS' COMPENSATION DECLARATION 1 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 orthwith comply with those provisio s. Date S- 13 - U � Signature A icant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. _4ate MECHANICAL PERMIT Filing Fee 20.00 Heating Split Cooling Hood 6.50 Ventilation PERMIT FEE $ 19 _00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. T TOTAL FEE $ 1 792 16 HA D.�FE IM D CDF% P EL HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By o PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. DAA t17 z, %#os ate ReceiptNo.ff WHITE-D.D.S.-B.D. CANAR ESSOR PINKIN§PICTOR GOLDEN ROD -APPLICANT Cro. 1, elf r 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: gomc,I Counter. Technician: Date: "-Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,ty tl`e preparer of the plans. Y3. 2. Complete plans, 3 0t.4(sets, signed by,tlj' preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �!4.cEngineered`6uss,detads and layouts in duplicate. No faxes! ,�915, Energy compliance ldesign and,supporting documentation in duplicate. El6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 0'7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and caItUlationg in trip Iicate;-(C) Elevation -v ewAlin triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review candl proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ( Date Received By ❑ 8. Flood Ellevation Certificate, wet -stamped and signed, in duplicate................•...:..;.......7r' ❑ 9. Plot plan and business license approval from the City of Biggs ...........................:........ ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12.Hazardous -Material-Form( ...... ! . t . :..:.............................................................. . ❑ 13. Other ' t. %' : = i i�- - Re ing items needed to issue the permit. (May require additional plan review upon receipt of the'following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... . Statement of Intent for Non -heated and A/C Buildings................................!'..'l....... f>^ Sanitation and plot plan approval from the Environmental Health Department in - ❑ 17. City of Chico Plumbing permit ...................... ... 18. California Department of ForestryIan aPProyal/Paid. Sent -by: i ........ '62- Q_ 19. Planning approval for (A) Use: O 1< B)Parking: (C )P . . rcel Check: 8 -q 02 ' .20: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... .. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). p r • �! ; - ' ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 4.' Worker's Compensation Carrier and Policy Number ..............:.............................. Owtter-Builder Verification (g'(iven to owner, ❑ Mailed to owner) ..................... ❑ 2 Lettef4of Signature authorization.................................................................... / ., R corded copy of Agricultural Acknowledgment Statement ..................................../ _ ❑ anufactured home utility clearance..........'.................................................... ❑ 29., Existing violations and/or expired permits......................................................... ❑ - 0: ❑ Grant Deed, ❑ M.H.'Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1. Othe When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. 7� Applicant:'y.z_,��♦ Date: f `=� �F 1. Index permit application'ffor the above items numbered: ' 2. Additional items required - - Contractor, designer, owner, was advised cf the above data by ❑ hone, ❑ mail, ❑ ci Contractor, designer, owner, was advised of the above data by t�' phone, ❑ mail, ❑ ci Plans reviewed by: Date: Plans approved by: Structural reviewed Date: Structural approved by: Note transfer by— Date: Yellow: Buildine Division Plan Check Letter Environmental Health Specialist 8/96 Y--r7—Da Date E.H. USE ONLY Plot Poen Attachod Fiona Plan Attached Sento 8.0. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6, w►e rd e Siena Ow er location AP# :. ` Plan Approved for: Sewage Disposaly Water Supply: Public Private Well N Clearance for !/dwelling. Other Nit ff�j'W)¢_ [.vf' -k ra��)L- gF Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Y--r7—Da Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE BUILDING PERMIT FEES Balance Due . ......................$ 1 1 Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES l e j (paid at'District Office) (Available after Pl Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5)aid CREATIONAL DISTRICT FEES �� f Ce at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89.00 aid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER d—DATA. P. # CJ % ' v(-7d— DATE E ' RECEIPT �# DATE REC. Ov Iez1rz---1 r At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan check] 9 process. APPLICANT DATE 8 - &— 59 Z— Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT Z—,- :[� AS SESSOR PARCEL NUMBER ^ �. ' /rte r 20 ' BUILDING PERMIT OWNER r G . TllE►/gN! SO. FT. OC BUILDING VALUATION . I ml OWNEAS MAU AOORf56 _ VC ti/P / 04.b CONTRACTOR' �1ALIE ' TELJPNONE rr CONTRACTORS MAaJNO ADORES CONSTRUCnON(ENDER If c LENDER'S MARLING ADORESS Fireplace Total ValuatloS io n ARCHrTECT OR ENGINEERI LICENSE NO. Filing Fee I $ 20.00 ARCWTECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS '- IiI _ t Permit Fee $ S' C) Plan Checkin Fee S 25 - -C Energy Plan Checking Fee S 23, ^j I S PERMIT FEE $ t �fQ, -2, UDT SUBDN6gNS NAME PARCEL MAP 01 AC PLUMBING PERMIT Filing Fee 20:00- USLbFSTRUCTURE 3'S-' l0 L-17-70 SF ZDuplex ❑ Mobilehome ❑ Other SPEC" Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 /5"- 6 TYPE OF WORK New Addition ❑ Remodel ❑ ❑ InstallationGaspiping ❑ Other O Describe Work: `� Each gas water heater or vent 15.001 system 1 - 5 outlets 15.00etion Building sewer 15.00 ' Mobile Home S G W @20.00 PERMIT FEE S c ELECTRICAL PERMIT i Fling Feel 20.00 5NCP w L- A � A D - (fit j 1 �5 (3JD —� �I, ri 61 J� � 8 � V �r ;6w%l SRAr, O � �� _•�� AUC l/J1 l('� Main Service OODV OR LESS 200A OR LESS 23.00 ` ,L Main Service (ODA TO IDooA 46.00 ORR ADEW DRSS CONST: pt�&ODS. 3.5c,.NtW CONST, NON-R61D. MULT40VT1 ET I I @7.50 a POswoLE oLm.ET WER AVP=-. ' 1 cIR EX. Occup. O %TLET OR FIXTURES 20 (& 1.00 1 / Ex. OCCU .FDUEO MPLNS. OR OUTLETS ESID.I EA $.00 Temporary Service 23.00 3,1E Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 10 r]. MECHANICAL PERMIT Fling Fee 20.00 Heating 1 '- ud ,GU Cooling --S . le120-cla ` Hood II 6.5Ems 0 O Ventilation lit Ix $d tC) PERMIT FES ! Mobile Home Installation Fee $ Energy Inspection Fee E «C «�T r� TOT L FEE $ t] IWZ. D. FEES I FL D COF EL ND i ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Y' �1 /AL !Building Department No. A.P. Number / �� l ��9 Jurisdiction: City County . Property Owner Property Location/Address ��q,/ �L,�nPire /LLS �i�... Subdivision. Lot No. t ..................................................................................................................: Residential Development € Sq. Footage 23ZFj J�2g Mobile Home Addition/ *Supplemental to (Group R) ,Units Installation Conversion Permit# '(No foundation inspection;: ................................................................................................................... Commercial/Industrial F-1 F---1 Sq. Footage (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that PIP C114 fi m e r 0 (Applicant) (Street Address) (Phone Number) r CYN. 1 (City) has complied with the requirements, of Resolution No. representing 1P 3 A (, square feet. School Districfi Representative Paid by Check # / 3 9 1 Remarks: C (State) wife iyper S1 F-7' az (Zip Code) by payment of $ Y 52 7i, b q AB 2926 $ FULL MITIGATION $ 9/.2y / n 2 - Date Dat Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is. notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department),. Pink (school district) feeform.x)s (10/98)dmm 1 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 9Q 1273.03 Grade. Not to exceed 16 percent unless paved. II 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 > feet. 1273.05 Turnarounds:, If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I� feet long with a minimum 25 foot taper on each end. � ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 'I 0 3-2-7-1 �Z- 2t2a v�Mo �Y AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150. feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall..be within 50 feet of the building. 1273.11 Gates N1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parvels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including 1 chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_:ial inspection of a building permit. Page 2 of 3 1 AP # PERMIT #14AME Other Requirements If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves If Building Setback is Less Than 15 Feet Choose any 1 of the following: - Metal or no doors on side toward property line with insuffi- cient setback. - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1,0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 ob dame: CIDERS/SIMEROTH RES Truss ID: SPI 4 Drw E6G X- LCC MCI` SL2Hlifp'D -IC 2X4 LxT, 01 --(17'11=IU��74J4T1M LJ�DSD9e Joint I3pcttN - Bxild IXrigt'w siW1 Flta vride agtate 1 0- 0.17 123 1.50" 4.95" El` 2104 DFL 91 pl-ting T1�SZ�"IPl - 1995 Lia cy area and ca . 2 0 2.12 127 1.50" 1.50" hER 2x4 LFL SrAMM i1QS tl<CLC3d 79 llf C1TOaSCM RES=CIF ....BFARIT•lr MEA . 3 2-11-15 7 1.S0 1.50 R.K15 b3d.LJES PER 7C3i0 MMEARCH R l 01607. F111.TIE16 LOAD CASES. ID Erg �.ze Plin Size -er- Mn Area 4 3- 1-15 3 1.50" 4.95" M" all irte'ricr bwwiaq lao:aiions . li%w JG X15 citam are K-3 MLY 1 0- 1.- S 0- 4.1S 7.46giu Luton) inU¢ira s .tls) b:Forn a st. m the truss natetial at each beam -g. 4 u- 3- d 0- 4-1S 7.49gitt TC MICE AM IND CSI Per tramt Lracirg is ragtfzed (bl WAM-) to Qairarye Host be pza✓icbd to amid pmiirr3. UPWIFT RS-17MCT(S) 3-2 0 .00 .0.5 .OS nett rCtatirt ltgp it See 1®-9] aid fila'TtS113>r41> 04 f;t4 IJ [L'L' R VALLES. skq:p tt 1 -765 lb 1181/17?[ 1-1995; 10.3.4.5 and 10.3.4.6. Md %=timts dasigred for modal lr>a&3 only. SkppsC- 2 •750 lb EC ECRCE A10. Ifo C9I 12" ttum is devsigrad using tle Bitxaisioz abor or tenor the trutzr. profile SkQ:pLit 3 -37) )b 3.4 0 .00 .01 .01L UBC -91 00de.. (if an�/) rectim adlitieTal eamaderatical %"=,t 4 -LU 1b eldl (]rlo�ed = Yea (ls• etli3s) for Faiz. lout of Ute b1tiJ. ----------- :110D OLE q1 �`iIQJ 1117106 NE8 � C9r (dM PCIRM CSI 7Y ca taceo-lon s Not End 7me Dir L.Vlf L.Loc R.P1f R.10c IL^ 1-3 56 .02 2-4 56 .02 litrricarw1ocum Lure = Ab , E}�a C3bEg-y = C TRUSS MAY BE INSTALLED AT 90 'IC Vett: 4.00 0- 0. 0 4.00 3- 2-11 .50 2-3 0 .00 eld7larith - 45.00 ft, 131ct3 LJLt3:h 64.00 ft Di GREES TO WHA715 SHOWN. ALL ec Hext 2.00 0- s- a 2.00 3- 0-11 .00 Mean rra000tf he.ijt = [7.93 ft, Ifph = 75 THE APPLIED LOADS WILL ALSO BE ' "�tJe"' 3.0 X.3-1 JI..00 MX T>:II&MCM (upwo UEC Stanclard C1a¢wty, Dad Loma 2.0 1*,t TC t ))e 12] .0 D ]-12 1.00 V999 IN 1434 3-4 (Lrs) ROTATED 90 DEGREES. 'CC Vert -1.23.a 3- o-']5 1.oa 1P .00" D= .00" 76 -00" 3.2.11Uc tc3t 1.23.0 0• ]a2 1.00 --- + LC tart -121.0 3- o -AS 1.00 = Jodi I-Atiom - 3.2-11 1 0-0-0 3 0 -o -a 0 2 2-10:11 4 2-10-11 1 2 121# S 1211 BUTTE E COUNT i L J BUILDING DEPARTME A VED I.10 -F 1-i U-6 9P 04 c_5S)O/tgI O 'y ua i F] cr r fi. 2.5 .6 1/2" GAP MAX 'f- P, C;� 3 4 3.2-11 OVER 4 SUPPORTS 3-2-19 Truswal Systems plates are 20 ga. Curless allown by '113"(36 ga.) or 10/17/2002 "H"(16 get.), positioned per Joint Report. Circled plated and false frame later are ositioned as sho:m above Scale: 15/16" - 1' Job Name: CIDERS/SIMERBTH RES Truss ID: SP I Qty: 4 Drwg: C002290136-002 ® -1-VARNJNC Rend allnotes on this sheet and give n copy of rt to the Erecting Cmittrnctor. THF: 10.7 moo: boas 'flirt dexiin s (arnn md-n'idto l building cutnputmi out in" Stumm. h 1w two, bored txl spLtrilk- n,rtr p1UVtded bt' the emnpatcm m7mifimuer:md dale Chk: BW CUstainer Nave; at w•c ntd:ox aiN the wn'uw veni,en of TPI and APVA Je�nt a: nQanll. No azputKibilip' is :nwmcJ (or dimcminnal :x�ulxy. Dimttailw an.lu b< 'rbc Ds 7P1 @LIC = 19 R];Q( CII7E&S %uifud by the eomptrtenl m2nnheeuec aud/ot buildmg design er prim w t:,bnntion. Du) ling Ju gna' mLLc1 asecnubt tlw Ne tools ntirUcJ an Nis IV Live 1 . DO ps f Dt1rPace L-1.33 P-1.33 dayyt roan or e>,wrA the t®d'utg imprxzd Ey the local buiWit� uxle :Ind dm panirw6r appliratim. 11,e &-,ign aao,nta that the top elm,d it hrera[4, ht,«d by the tout or floor sltealhing attd dw bobunt ehot'd : becadll' brAud b1' a rigid sb atbbtg nruer al dilOCdy Attained, uukaC udttrw•ite noel. TRUSS Urcig skmrt u rnr latera) Iuppwl of cumlonnenU toembela only to «due bme klieg length. ANN wmpooem shill net bt placed in nny enrironmem teas PC Dead 1.00 pe f Rep Mr Bad 1.00 wiU cautc dle mtYnout ootaenl of Ilse w,xA to exceed 1951, 2111Uw• cytst nvm:raa' Plate UUMMiutt. FabfE�te, hmtdk, bttMll And btloe Chu tna in SC Live .00 pe f 0. C. Spaeiug 2- 0- D 4443 Mf srp,& -ou;Mo S 4113 Nonf PIk or.. cob SPriort. co 97fg7 =oidenCt. u'iAt the tollmir� 1lawhrds: 'JOINT r) raIIS', by Ttim-A, 'ANSL-Th 1', ' WIC,\ 1' - Wot Tilim C:ouneil of Am Crt Scui litd llC'.gn Rerywuiniliis, 'JAM)LINGNAM) Ut\CIN; MRrAL iLCIG CUN*Cr(1 tt>VD TKlrSS1iS' - (HIO91) mol1111.1-9j 8C Dead 1.00 pat Dsmf� Spec DHC -97 SLRit NARY .5llE 'P by'TPI. 'I'he'11uo Ptwe etclione ('I'pr) i.c 1."*r I ar :21 U'Oeotiw Utiee, bl:diecm, LYis;otnlu }3719. TJte Atnuiem 1'-uau and Mn Fauna: I, Z40 .TC: 1/240 Tp5 .0 Vers ion T6.3 .7 Paper Alw Liliw (AFPA) i% looted v l l l l 1510, Street, Ntt•, 11e fW. tr„bincwn. rte 1MO, TarAL 3.00 pe f job Name: CIDERS/SiWkijill RES Bra; x -LCC Race]• STZ9 fap'n Ic 206 rxi fn 1 0.1-12 1713 3.50 3.50" jr NO TFL #1 2 8- 4- 4 880 3.50" 1.50" i"- 2x4 EFL SIT+CGAM with the mixtt YTf9iLvA uf'ITI ihd AFPA Jaien sun,Lnk, no realrmaibiliq la :arYNed I"I' ditnrnsinrnl a.:cur.+q•. Uimtnslene roe iuDDd PLA18 Wit LES PFR ICBD R69F9+%H iOUC 41607 'LC FCF4X Am Bim 61 Laird -d r -;a -'It) k8P t>Q\-mturr®t BaL. 1-2 -1066 .01 .60 .61 dmigmd fir -dal loads o%31- ily2-3 2-3 -1.73 rb .56 .S6 Es:casicrw above or bel.a.r dlz tnisa ptufile a �� additicnal =sitltition BC FQ>:£ AM 30 CST (i ) Eel horiz. loads at the Ndj. 4-5 907 .15 .29 .44 BC Live .00 Pe f KB FCF4M CS1 iaz FIId® CST ''eb(te8 uidr Ih.• fi81nu akwtkudt:'101N'I' D6fAll S', by Tu Isar, -ANSI: 1'Pl I', Aoll'Q\ )' • U'oud Tttat Council d A,miica Skuidald Design 2-5 -LL56 .23 3-S -92 .07 $%X CEFI.B=CN (6p3n) ' Tle Dead 8.00 e£ P t^9 DJ Mill 4-5 (1,1VE) LK -.13" ID -.Ul" T. -.16" De.LI R31tio: Ls/290 7C: W240 - 61 .Tont¢ To= j,; to - 0- 0- 0 4 0- 0- 0 1DTAL 92.00 POE 2 6- 0- 0 5 8- 6- 0 Truss ID: MS Q Niawg : r-lalprm - 1995 'uus LisI IS 'HE (MIX CIF IRCIA3' CIF 14WIPLE LOAD M.W. WRR13 W m@ 040 4moon, am based MY 01 de L•nus nv-trria] aL ®d\ Leacirg. Li.'4i DL' WED ad M-01 LI EM VA11E4 . 6-0-0 2-6-0 6-0-I) 8.6-U 2 F-4 . 00 4 5 :t -6•o i., 1 I.1TUFT nr-ACrfaa(S) . Stat 1 -43 lb StEixa(: 2 -56 w Thio tttbtA izi dead ttsis13 the II112-97 LI&a. Blea Dr3rfcm - tau MUSS l;s:al:iat ='RA'. Ehd Tale Htmc:x'i;Yirnr I;itw _ P1t , Mot = C B18J lar It = 4S.ttu ft, Bldg W'cl:h = 64.00 Et Nl!t t ' ITeicjt = 18.42 ft, tl}5h = 75 UBC 9tmldatrt Rztgwcjr, Dead iced = 17.0 Paf 3.3-15 BUTTEEr VE'O I BUILDING AP 9'rtaswal Systems Plates are 20 ga. unless shown by •38"08 ga.) ox ®/ ,9002 H'- (16 ga.), positioned per Joint Report. Circled plates and false ` Irlater are ositioned as shotnt above. Scale. 71161 a 1' e. CIDERS/SIMER®TN RES Truss ID: MS Qty: 2 Drwg: C002290136-001 ® ING Read W motes on this sheet and give a copy of it to (he Electing Contractor. TLE: 24.0 WO; ea38s ar cath; BW Cuetmter TBame: with the mixtt YTf9iLvA uf'ITI ihd AFPA Jaien sun,Lnk, no realrmaibiliq la :arYNed I"I' ditnrnsinrnl a.:cur.+q•. Uimtnslene roe iuDDd �' flIR = 19 RICK CID1;B9`,j®®®� HtkslFt. coinpminu m�NdarLuer and•'ur huildi+g tk.�ucr prwr w Ghrr ;nim 1'hc Gtih4rg daiWi mus asxttain dor dm loads Niliuq ur thi+ TC Live 75.00 pat; DwFaa0 1w1.1S P-1.15 mere w exceed Jte loadma inilimeed b)• tht bet 1 betiWing ends and du pnrricuLw jppfi:atiun. The. duipu ustavrs tivn the lop ehad is Idu:nlH IUMPRIL"A bixrd br the rouf or flwt sh.-tthing and dtt hulan dwtd is liQrally braced unlet otheta4te ualed TRUSS 0tacitt, Ch,AtN c for lstcl7l support of cntnpwirtw members aelr 10 reJuce buckling lergih. Tltis cumyeuaV tlwll nul be phcetl in Say eaciinumtnt 001 TC Dead 9.00 pet: Rep PIlrr Rod1.00 Tnuual Sr)hron-Cobrsdo will citta 'it woiscnre curucasr of The wood to aucwd 195E and/of cone ceuttecmr pt"e rarrmimt. RAricaie.• handle, iatmtl and bract the trvss Lit BC Live .00 Pe f O.C.SpaaL.rtg 2- 3- 0 111 Nnribprrk or.. Cook Spriop, CO UAO'1 ''eb(te8 uidr Ih.• fi81nu akwtkudt:'101N'I' D6fAll S', by Tu Isar, -ANSI: 1'Pl I', Aoll'Q\ )' • U'oud Tttat Council d A,miica Skuidald Design r Baparuailiria, ')fiNULI1rC IN!4'I'ALLIYL;g7tU UNAC9T<U!vlRl-.+I. PL.�I'liCOIVhEi'I'ED lA'OOD'I'RLSSkS' (lTlll-9ll sad 'NIIS•91 Tle Dead 8.00 e£ P Desi TIBC -97 9= �c SL•IONIARY SIME'I" by TP1. 'tUt'fnus Platt Insiimm O'Fl) is b+:umd :1l J7L) D'Onolrin Dtisz, Alud►mi, \l G; nncin 51'19. 'flit Atocncan Fw'cst atd '.. ` .�.--_ -.- De.LI R31tio: Ls/290 7C: W240 TV5, 0 Version T6.3.7 N:prr AlNnci:rr)on (AFPA) u IOC21ed td It 11 )9111 S(Irel, f\lY, So? W), 1V:491ahcr, Ola 10)•'t6. 1DTAL 92.00 POE c � - APPROVED U�LIiJ�`a Butte Counttyyv Environmental Health ate Signature Lb`s lock A -P IM��fLCZ 1N10vu-rpr' ►J sv aDiv so+J C� �YL IM 11,1,5 CA �P /t / SITE PLAN REVIEW APPLICATION Date: 8- 6- 0 2 AP# 0! 3— 27 o—(3 19 Permit Number (if auulicable) 0 c2--2-1 `2-0 APPLICANT INFORMATION Parcel Size: 37 A C_ Owners Name: 1 C 1Z C>T H , �' l; bof Ls Owners Address: 3 S EAST k)I JV f> 2. y U BA U 'j'� 5911 Telephone No.: 62 H " C) d 9 Situs Address: Proposed Use: Residential is New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporaryy Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date (3—c)—O2- -T Page 1 of 5 i ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 2 Snow Load Area: 3�'�0 7-0 -�PT ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 9 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: • Flood Panel No.: O 75 G Index Date: r 8 9 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Var ance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: r� — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front so G TL:--- LSide Side JF Side Street Rear 15 (� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with �hool district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No. ❑ No ❑ Yes, Road Name:_ ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 11 Subdivision Map/Parcel Map: 3- 6VZZ-j I TN - V t Lt -A6'& 4_� Map Date of Recording: Lot 6-)7- 70 0 19 Book: 3S ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: 7 b 7 7 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for 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 the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission r2quirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 e ratio, utilizing existing oak trestock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 0 0 x Summary of Specific Requirements: a This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy DocumentABuilding Permit Site Plan Reviewl.doc Page 5 of 5 WEN A,r RECORDED A1AIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 t, COPY of Document Recorded 18 -Oct -2002 2002-0055273 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S 'e e 3 -\-i a Lk"e 4 Date S C- }(1 'C- C.l`' U \ .*--- C State of California ) Countyof ) On 0�� I l7� before me, personally appeared�: '��r�, personally known to me (or proved to me oki Ie sis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature C 0 Seal: ASHLEY DASILVA COMM. 81282335 t `� 2-7o �j NOTARY VUSUC s CALIFORNIA A.P. # :/ 1 BUTTE CouNTY Comm. Exp. OCT. 29, 2004 SCHEDULE C ORDER NO.: 00203867-099 - DRK THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 109, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17,1970, IN BOOK 35 OF MAPS, AT PAGE(S) 76 AND 77. AP NO. 073-270-019 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES, 60 FEET IN WIDTH, OVER HOLIDAY DRIVE, BREEZY BOULEVARD, WINDING WAY, SIESTA CIRCLE, AND MERRY WAY AS SHOWN ON THE FOLLOWING MAPS: MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO. 1, RECORDED IN BOOK 34 OF MAPS, AT PAGE 17. MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO. 2, RECORDED IN BOOK 35 OF MAPS, AT PAGE 32. MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO. 3, RECORDED IN BOOK 35 OF MAPS, AT PAGE 76. MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO. 4, RECORDED IN BOOK 38 OF MAPS, AT PAGE 95. PRELIM + COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -)BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephon (530) 538-75 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT- -� 61ST11 NUMBER 3-b-019 ZONING -1 BUILDING PERMIT OWNER SIMEROTH PEGGY TELEPHONE 74-9090 SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1356 EASTWIND DR. YUBA CITY CA 95991 CONTRACTOR'S NAME P.S. SIMEROTH CONST. TELEPHONE 71-4790 CONTRACTORS MAILING ADDRESS 655 COLUSA AVE. YUBA CITY CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS 1 lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11263 HOLIDAY DRIVE CLIPPER MILLS CA Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation lX Other ❑ Describe Work: NEW GAS FIREPLACE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 RUE Main Service z*OA OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license i§gfull force and effect. License Class Lic. No. � 22$3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a Ate. s�5. 3.5¢FT: 1pµpOSID MULTI.14 OU CULT 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 p 1.00 BAL 9 .SO Ex. Occu . QF"LL,TLEE°,5A .ajp °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under 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 this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compens n provisions of section 3700 of the Labor Code, I shall w' com IY it those provisions. X '_ Date — S� 03 Signature of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation GAS FIREPLACE 1 15.001 15.0 PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCELPD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. !� %CV-1111.11 1 3 (�j f17 �T Date tlJ PERMIT EXPIRES ON 7 (Date Receipt No. -00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ... mina\ ►COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO APPLICATION AND PERMIT -� - / 6.. ASSESSDRPMCEINJMBER �D- ZOtRN° BUILDING PERMIT OWNER f�11D� TjL�"'" - O7 SQ. FT. OCC. BUILDING VALUATION 7OWMM-s ND D S c / NOME ,vv X�- 7EIFPNDNE D C% L�,QLi°l MwND D �� r / a CDNSTRu=N LENDER Fire lace LENDERS MARJNG ADDRESS • Total Valuation S ARCNRECT OR ENG1NEER UCENSE NO. Filing Fee S 2D.00 Permit Fee S ARCMTECT bR EMOwEFRS WILIM ADDRESS . Plan Checking Fee S' euaDw AfR r& 3 Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. rummISIONS NOME PARCEL MAP PLUMBING PERMIT Fling Fee 20.Do Each Trap--- USEOFSTRUCTURE SF)4 Duplex ❑ Mobilehome ❑ Other sir Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Wriibes ❑ Installation ❑ Other b Describe Work: �•1 �--0 � r - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home S G W @2D.00 PERMIT FEE t ELECTRICAL PERMIT Firing Fee 20.00 Main Service = oa t�ESss 23.OD ' o • 3 S� ! • S,tr 044-mw- -/ '� S O AmaaaA �i / / 7 ��r/ • Main Service 20" TO 1000► 46.00 NM CONST: DArEll>rio DCYXlP. 3.5CF° OR ADONS. i ACC. BLDS. N]N•RESID. MULTFOUTI.ET @7.SO a siN%VM APUD; ff S OLE o Ovnzr OR FWrURFS ALG' x.50 Ex. Occup.SAL ® .so . Ex. Occup. Ov�is ro OFJL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.OD Misc. Wiring 23.D0 P1 PERMIT FEE S MECHANICAL PERMIT Firing Fee 20.00 Heating Coorin Hood ' 1 16.50 Ventilation PERMIT FEt S� Moble Home Installation Fee S Energy Inspection Fee S oee =MST. TYPE TOTAL FEE $ 3 4-• D �• D. FEES IMP FLOOD COF PARCEL PO ND i ESh This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pa 10) OQ r� r.f� '[? 7>�• s••."'�rK�rt�'•.. i}t.�;tir1+�KaS,; attWWY.. 3 rr:Tili T ` - ,i .bpi `. •1rt �13Y1S- 7Js.7 :d yt,. J `"+y -x +.J;pr �. , - r. '}fir •"r .et"' Y! `t „eJ '�,,a 7,tf j,f }t�r�±t •�". ,{..�,`+''�r"'`,� [+rd,i ix l fYr t'' t 1 , - • . �y17 7r. r- .► i°d � i �1-a v ts•\ c t t 1 • r •, yt ' •1"`!' rrj 7 t, t►�a.jrsar )j..tr((.t7�j} t)'.r� �5'1:. i:.. L•• �i, r 'x ._ivt • a.' ,` •i i ?�•' t ', •`•, ). 'Y�e a YY Jt' '�itJ,' ,. i � {^'Y ra• J 1f� ' e � r I -( f .v y 1•f i •i t'•'•t. </ •t .3J . . ve ., 7� .t t 1 M r i.t. � wirr7 Y Y. 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