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078-010-072
h F t )VIN OLIVER F4841 Caen ri paved rd, 500'E of Powe: ANEOUS 078"010-072 Hse Hi Rd, app 300'S Ophir Rd N Fire Suppression Oroville KLERS FOR 2ND DWELLI Contr • James dwards, Oroville t ER HOUSE HILL RD • VIN OLIVER Permit # oulob-80E le meter for Pump) ContrffSu6ay Builders, .Oroville P, — ti 3059-82P(solar add 'to water - �i �h4ater)SF Y.- l - c so � .ate d7si — e��y- y MEL OLIVER J 400' S pri dr, S/S Power .House -Hill -Rd- app 400' E,Lone Tree Rd, Oroville Contr: Don George Roofing, O oville Permit#5230-79B(reroof) SF g �9�i,�. 078-010-072 -" •06-1179 -OLIVER, 4841 POWERHOUSE HILL,,OROVILLE " / Cont: ERNEST N.-DEAVOR °l - CARPORT/ADDITION ...:' 311 2£ 07 078-010-072 06-1180 OLIVER, 4841 POWERHOUSE HILL, OROVILLE Cont: ERNEST N'DEAVOR CARPORT (936 SQ FT) ' i i i' u _r, 1 J y MEL OLIVER J 400' S pri dr, S/S Power .House -Hill -Rd- app 400' E,Lone Tree Rd, Oroville Contr: Don George Roofing, O oville Permit#5230-79B(reroof) SF g �9�i,�. 078-010-072 -" •06-1179 -OLIVER, 4841 POWERHOUSE HILL,,OROVILLE " / Cont: ERNEST N.-DEAVOR °l - CARPORT/ADDITION ...:' 311 2£ 07 078-010-072 06-1180 OLIVER, 4841 POWERHOUSE HILL, OROVILLE Cont: ERNEST N'DEAVOR CARPORT (936 SQ FT) ' i i i' u _r, i� . � � �_, T .�,�. Butte County Department of Development Services NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601. j �t 6—eL A! S' CIS �t-e-1 ir ev'P&- tSS RESIDENTIAL A 4/ 211 APN:01Q)-)JD-D01 Permit No. v4 O..er. 01 \ V�Y,, Md \4n � 16WO Site Address: Zyb ZA V Atweit ftyv UL Contractor N. 'CeA�W' -)l Type of Permit: j C6L=t �V C- -j 1—PRO L, L-4 0,11 V -- OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date (0-( to -78 WtUIAL CONDI'l iONS CHECKED BY SRA Q FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS HVERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT El REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE E-1 DATE JOB FINALED: SIGNATURE: )Q - 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUND FLOOR DATE IPLUMBING ' 1/l !gSetbacks-Easements-FloodSlope Ftg Mai oils -Flet Gmd Ftg Dpth -,3.E,rage; SoitsSteel-Elec Gmd Ftg Dpth orches/Decks; Soils -Steel Ftg Dpth IIs Main; Steel -Blackouts Wrapped t6�5 emwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 SI ,- teel Wrapped rpFtgSteel V W• Fall-l-Fitting-Test=2-way CIO -Sewer Test X10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Pjetiums & Ducts; Clrnc-MaterialSupportansultn .5AAJ 1 GrdersSills-Anchr BoltsJoists Vnts-Cripples Acc & Vntltn 16 Insulation DATE 15RAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs-0lailirig Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders ,& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & Beal isS &•Bearmg- 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac TrussShthg 25 Frpic Ties or Type A FlueT* Ic Throat Cimc 26 Attic Acc; Sz tkihx Prtcl t -Draft Stop -ins Baffles 27 Bdrm Wndws or Etifting Doors -Sill Ht & Dimensions 28 Garage Fire Prtttri Framing -11C Channel 29 Prprty Line Firewall & Opngs ' 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Wails; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 tnsultn-Walls-Ceilings 39 Infiltration -Walls -W ndws 41 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires In Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ElCU or E) AL AC Wire Sz Q CU or ❑ AL 48 Range Circ W Q CU or Q AL Oven Circ ga Q CU or QAL Insulated Neutral ElYes [:1 No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet UShwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Ga Pipe; Sz & Anchrs O -Ofo_ 104-- - ire Sprinkler; Test 60 Yard Gas.Piping i DATE IMECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Draln & Ovrflw, Sz & Grade 64 Fumace-Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic & SideLt Prtctn-Landings 0;VS ke Detector Urn,ce Vnts-Cimc-Comb, Air-Cnnctr Ibge; abv-flr-Ducts-Meth Prtctn room Exiting FI & Bath Fxtrs & Tub AccSpa Arc Fault E1Trim & Subpnl, Breaker Szs & Labels 7tairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75-519C Outlets at Wood Pnl, Int & Ext J K , Fxtr & Appinc; Gmd Alr-Gap•CooldiLtg,Cimc let Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AP -Duct in Garage -Damper g8 lytr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Prtctn; LPG Appince Undr House 3' drain Plmb; Elec & Mech Eqp Listed for Loctn 82 .Elec Rcptcls in Garage (GF) Romex Prtctn 83 Insultn-Foam-looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 8AX_�Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 8 it Dscnnct, Elec-Plmb @abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec-Trim, GFl Rcptcl-Undrgmd 9 thru House 9 lass Prtctn 94 Corrections from previous 16spetns 95 fe "Test Meters Tagged, Gas -Flet • 9 & Sewer Cnnctd C!O to grade -HD Apprvl Cmpinc Cert -Other Certs ddress Posted 99 Fire Sprinkler +=OK o Net OK MANUFACTURED HOMES MISCELLANEOUS - DATE I LiPERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Solis; Special MH Support Sketch 3 Sewer; Loctn Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grad 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Gimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers ' •—DATE ID EC KS -COVE R S -C A R P O R T S •G ARA G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz43pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams4btrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpllce-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-RSrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ye ye DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4E ' lec Rcptcls/Lting; Distance-GR 5 ec Pool Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed - 7'Elec Bonding; Metal w/5'-Creftng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Boxgs-Enclsrs-pniboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide 4e 0 da tea` Pool Drawing • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE C 1� Ci �_o I 1 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date 3 Z .7Inspector t REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 2 I' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. L Ei vi. !s � \' _C� C c CLI k ;Q e- r 460!31 fg -E-- A a �l SA 4X It7 C R un r- -a e h St C IL f Date h) 16'eDi Inspector REV 4/05 Phone # — FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 �: '�.-�4`.--r+sfir:::^sYr'4+:"..'.`".tir'•�"-*"'*`•... .+.�.--wti -S. :r^.r.`,.�i.:►.s.►'`t.i.•i?-•:�,-�.�.i-.s. ":^...�-+..r...«+;., , i` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ver �7- cv r• OWNER /correection NO. A routine inspection indicates that the following violations of Butte County st at the above address and should be corrected. Please call for re -inspection of 4'v work is completed. If you have any questions pertaining to this matter,onal explanation, please contact the Building Inspector as indicated below. Date � .Z 7 - y Inspectors REV 4/05 Phone # Q_T 3 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r - , ' •'.'-COUNTY OF BUTTE ' .. . BUILDING DIVISION it DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. L L Date Inspector• / G REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 VJoo j � f 4. Aff CA A��� y McjLi insulation Certificate WILDING LOCATION , veI/,- .. 0 "tel Description of Installation r PERMIT # : ROOF/ Brand Name Material , (,, W V , i v" Thermal Resistance (R -Value) �— �Sl Thickness (inches) CEILING Brand Name . -. Batt or Blanket Tyix Thermal Resistance (R -Value) Thickness ('orches) Brand Natne Loose Fill Type lb Minimum thickness _ inches Contractor's minimum installed weight/ft Value). Manufacturer's installed weight per square foot to acheive Thermal Resistance (R - EXTERIOR -WALL ) Brand Name Material r'e' ►J TherUW Resistance Thickness (inches)_ . RAISED FLOOR / (� S Brand Name _Value) Mate Thermal Resrstan (R Thickness (inches) SLAB FLOOR Brand Name Material Thermal Resistance (R -Value) Thickness (inches) Width (inches) FOUNDATION WALL----------------- BrandName Material ^7=rnalResistance (R -Value) Thickness (inches) ' Declaration location in conformance I hereby certify that the above insulation was installedfor *i ire building at thi ab ve rained in T de 24 of -the with the current Building Energy Efficiency Standards rnlifomia Administrative Code. ,O s> License Number Date S ignarure and Tide License Number Date IDED TO THE BU�IBUILDING�MEN'P.PRIOR TO FINAL INSPECTION THIS CERTIFICATE pIUST.BE PROV WITHIN APPROVAL AND A COPY SHALL BE POSTED ANUARY 1993 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061179 B. C. Building Permit 01-16-04 pg 1 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: 06/26/2006 APN: 078-010-072-000 the Business and Professions Code, and my license is in full force and �_ Site Address: 4841 POWER HOUSE HILL RD ORO License Class : License Number: ( Date: u_"ntractor: �1^r7P. DeQ,&2 Map Index: Description: NSF 1155 SQ.FT./CARPORT TO LIVING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ADDITION 611 SQ. 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 to its issuance, also requires the applicant for such permit to file a Owner: OLIVER, MELVIN & BRIDGETT M. signed statement that he or she is licensed pursuant to the provisions of 4841 POWERHOUSE HILL RD the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the (530) 533-1211 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 Code: The Contractors' State License Law does not apply to an Applicant: ERNEST N. DEAVOR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 203 SHADY OAK DR sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder wilt have the burden of proving that he or she did not build or improve for the purpose of 530-589-5348 sale.). O 1, 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: ERNEST N. DEAVOR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 203 SHADY OAK DR O I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: Owner: 530-589-5348 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 405782 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. Architect: ❑ 1 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 and policy number are: �r�p Carrier: p ��3 ^ � Total Square Ft: 1155 S.F. Policy #: ��r� Valuation: $75,075.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I 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. f Date: Applicant - WARNING: Failure to secure workers' compensation coverage is WARNING: unlawful, and shall subject aemployer to criminal penalties and one dollars in to the of ('� ii v `7 (7 /K�J., hundred thousand (5100,000), addition .cost ( ✓�`-�/' INv!'�- compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued and the pplicable provisions of the Butte County Code and/or abov I hereby affirm that there is a construction lending agency for the Res lution do work indicated for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES ON: ' Address: Date ❑ 1 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 & 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. I acknowledge it is unlawful to alter the substance of any official form d" ument of Butte County. I hereby authorize representatives of BRutteounty to niter upon the above mentioned property for inspection purposes. �( Print Name: J vy\ 1 J )� Signature: Date: 6 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY"' OWNER INFORMATION Last Name. C) // �� First Name / Address C / ptier OL)Yo- �►` ( r'j . City O / /C Star�.. Zip 7s q6l Phone 533 /2—/ 1 Fax E-mail CONTRACTOR Name Name Address �l Address City 0/1:p, j/4 StateCJ Zip 2 f S, Phone'r- ?U S-- S` L% Fax E-mail Lic. # [Class INFORMATIONS ARCHITECT/ENGINEER Name ` Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number INFORMATIONS ,A/P_ vPL)ICAhNT Name �i`^yie s/—/�! � 1✓ 2ca,✓v f— ` ,,,� !.i � �,,� Address City State Zip Phone Fax E-mail APPLICANT GNATURE X For office use only: Zoning 14 Zi Flood Zone Cross Street U j/f SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: �+. ..--� r�r� �. ..-�ww�1-r w • r'1 rI"�. .�I'lrnnCw� � C PERMIT �e-12g BP : BT PROJECT LOCATION AP# G 2'.'- 6/0 ) Z — Property Address L1l t3v erlrovs,. �, City rcrvl Cross Street U j/f WORKER'S COMPENSATION Policy Number 17 l00 12 Yla� (,/ Carrier If hiring anyone other than license ontractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of World: I Sq FT- Living`-------`Garag'e ' Open Cov ' r ❑ 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 fee 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 che%ked and oth�.4epprMent costs are not Received by Receipt #: " l� Date: 19 rK 40 I �5-ZAI Bldg Sheriff SMIP Other /�3� 3 / Total 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: Q VT, V �' ASSESSOR PARCEL NUMBER 3_Y-0`16-672_ Proposed Building Use: /f4/► 4 ii Permit Technician: _?P Date: S V D G 69 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. ,0 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. X- 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd 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. Hazardous Material Form 10- 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico roville,papplip Iib e; ❑ 15. Fire Sprinklers..................................................................................... ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 0 18. Erosion Control Plan Required........................................................................ W 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. E"'E%23. Planning approval for (A) Use: 5- (B) Parking: C) Parcel Check:... r777� .. 09 i ut✓ C6 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................ ............. Encroachment Permit for driveway from the Public Works Dept...... f!e. .... .... ❑ 28. Contractor's license information. (Number, Name Style, Classification ' .....:............ ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization ......................................../ . 32. Recorded copy of Agricultural Acknowledgment Statement.... gip.. .. ............. 33. Existing violations and/or expired permits........................................................ ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued T I have been informed of the hold for pickup. and requirements for obtaining a building permit. G G� �C s t\t Applicant: Date: S �� V kzb 1. Index permit a p ication fo above ' s n m Plan Check Letter ' ' nal itei required Contract , designer, owner, was advise of th ab ve dat' y �tione, ❑ mail, ❑ counter, by Date: C ctor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, w dvised of the ab da b ❑ phone, ❑ mail, ❑ counter b i Date: Plans reviewed by: `l� Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION s 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 wwW.buttecountv.net/dds PHONE (530) 5 7.4 f X 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner OLIVER, MELVIN APN No: 078-010-072 Permit Type: ' V Subtype: G 1 App Date: 5/18/2006 Permit No: BP 06-1179 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,360.85 Plan Check portion of Permit Fee $1,344.34 $2,016.51 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA' Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 } - $204.98 NON-REFUNDABLE portion of fees due at application $1,344.34 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,344.34 4Sn22-�5/18/06 Tammie specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 r C?ISitnENT , o��TrF0 Depart ent ®f P �1I Works 0 C o u n t. y o f . B u t t e 0 C 7 County Center Drive Oroville, CA 95965 y� J. Michael Crump, Director (530)538-7681 OU (FAX) 538-7171 A�Crc ,15 Shawn H. O'Brien, Assistant Director Assessors Parcel Number: .7 y 66 D 72 Building permit # Owners Name: � 4!521z �/•' Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road j Existing driveway conforms to County S-31 standard �F ` Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. p�Q PFtTM ENT oc �v o ,�,T7 : ��;,,. o p % < O, � o 0 \�\\ AcOU N-yy �eC/C WOP� Department C o u n t i J. Michael Crump, Director Public f - B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge. Elimination 'System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: I, a 7 �JCn By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 9__ Less than 1 Atte NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopinellt Sez_nces , 7 County Center Drive Oroville, CA 95965 °° 0 (530) 538-7601 Telephone (530) 538-7785 Facsimile. cOUH�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES [ request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. o I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: vY� I �h b� APN: /j Building site address: Permit No.: ."9� I have read, understoo and accept the terms and co ditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: c7e---mA-rTTR 41 f1F APPT.TC.ANT DATE BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number 6 "Ib Jurisdiction: city County Property Owner Property Location Subdivision 0)-7 Lot No. .. ...... ........... I ......................................................... Residential Development :Sq. Footage_ No of Living Mobile Home itio *Supplemental to (Group R) Units Installation CoDv rsion Permit # .(No foundation inspection) I ............................... ....................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative . Date Irct.1d,entification No. 060265) JU U, 615y�- HA-chool District certifies that Z� `� .��P.yif � OI ��e.�_ (Applicant) 63 2-' 1-24 ( t Address) (Phone Number) Str0VzzV1 ILL" (City) (State) has complied with the requirements; of Resolution No. 0 S— 17 111U� square feet. School District Representative Paid by Check # Remarks: (Zip Code) - .SSS payment of $ 5 ff $ ULL MITIGATION ITTIGATION A Date Node*: You may protest the ImppaMhon of the fees Identified above by submtttl,ng a written protest -to the District, In compflance with Government Code Section 66020(a), within 90 days from th a date fees are paid. Failure to submit a timely wriftn pr~ wIll prohibit jou from challenging the ImposMon of the few In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Farm, the Schooll District is notified by the appil" Local Planning Agency that this Project Is being owlswed under the California Environmental Quaft Act (CEQA), this project may be subject to additional school tees to folly add" its Impact on the school dsbWs'schools. White (school district), Yellow (building department), Pink (applicant). feeftmift (305W= 0 K.Q ( oce, OM BUTTE COUNTY. DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) D CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Q (S ' C� U��� Building Permit Number Property Owner (s) Project Location /Address Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued T_) verified by Building Department Comments: ) (7 -(?A'( /1l) A 6 ��� b.-aG.c� Building Dep ent epr entative Date ❑ FRRPD 0 CARD 0 PRPD 0 DRPD certifies that: Applicant Name Mailing Address Phone Nuinber City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: R W,_, ;, ,nn and Park District Representative per unit for a total of $ per sq foot for a total of $ Receipt No: AND WHEN RECO.'�>-R.,'MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0032524 Recorded I RITC FEEL 10.00 Official Records I County of 1 COPIES 3.00 CAWACEutte J. GRUBBS I County Clerk-Recorderl I I JC 09:58AN 26 -Jun -2006 I Page 1 of 2 (III f�I III l IIII I II I ILII lI VIII Il 0I 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: Date State of California ) County of - ) On before me, M ,J J 1 � s, AOTA r.N 104-6 b -c ?. V-11, personally appeared J3 -Pi I th- OL [ UF2 �_� persoa.11y know n4o .f„e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name is/are subscribed to the within instrument and acknowledged to me that h she they executed the same in his er their authorized capacity(id), and that by his er their signatureKon the instrument, the personor the entity upon behalf of which the person acted, execute he instrument. WITNES an d official JUDITH M. WILLIAMS Signature Seal COMM. (1880458 NOTARY PUBUC • CAUFORNIA BUTTE COUNTY Comm. Exp. APRIL 25.2oto RKCORDINO RUOURSTQD EY OFFICIAL RECCROS 1Jl'11E COUNTY -CALIF REL';)�L` };s:aJE �TlrG BY BU BUM AND WN9N RtCORD[D MAIL TO � %'�,.''� COU�;� r E. Oliver R. s ��. HIS �� • � •=; ty • •��-. NAM[ Melvin •." ADON966 Rt #2 Box 2805 i 'IOUISE KLUENDER+ _ CITT I► Oroville, Calif. �; ' 7COUNTY RECOnDEa. ° % -. tTATe L .. �--rT•r -j,.�',,: EE ,z,.�+, , •. i Title OrderNo.__Escrow No. 43'�+'_ �� :• ,,�, �,' �t USK .•� .. tiI MAIL TAX [TAT[M[NT/ TO � (� "� t t' , .L li1�:� �,��'.'¢ + ,'TAiTI•(Al� r' �1 1•�• CU'U y,,. y,c, 1 T)'!Alli•�>f iaQ • �.tT • [.. v ;, HAM[ Same as above .... ... ;=,V.ueor �,cr.oTycoirvErco.oa Aoo[[u "" r I l..i Lii.tAl'LII:^• w'. r1"l •i,f?,J: I:SS L' !!14 .: ,ArUMiRANCE$ CITY*,sit OTATtJ RLMAIN N' , si tt fm Co. Ims COO, JOINI!JOIN TENANCY ��� 1~ R� PA L' t�► rant ��� � �►: �` 1 �p� �.. FOR VALUE RECEIVED, PERINI CORPORATION".., � �.i�lt lye. ' .5• •� •y.�;/rr7 �.. GRANTS to MELVIN E. OLIVER and BRIGITTE M.- OLIVRR htishaa5 as Joint Tenants all that real property situate in the unincorporated County of Butte to .� v* ',State of California, descrit+ed as follows r cy _Ra.4 . , N. +, All that real property situate, lying and being',ajport omtof lthe. Northeast quarter !V.: of Section 36, Towi ship 19 North, Range 3:,Eas , l+t;D?_676 tit -'Xid x -fie Northwest• guar ter of Section 31, Township 19 North, Range.4 East, i�l':b�B.,f;4, inthe`Coun.ty offt, �; Butte, State of California, and being mor_o particulaflY' dlezoribed as tfollows: �? �? f�CIO,F Beginning at the West quarter corner of Section s31,V;Township a19,N firth;*Range ,9 Eas1K , M.D.B. & M. said puint being the true.poinf of booihni"hb�for ;tltisfdes'e'iption; ' thence South 09042' (Vest along the Westerly`pro,j-action;•o�,''the' kastl`and',Wesi,center- lz line of said Section 31, a distance of 305,30 feet4to:the centei'lini-of.,a.60-foot. . Butte County Road, )mown as Lone Tree Road; thence along; they, centerline of the y • aforesaid Lone Tree Road, North 26120' West, 113.26 feet to a point;•'' thenceNorth 33003' West, 600.00 feet to the intersection of said.'Lone Tri+e Road Centorcline with the center line of that certain 60 feet Butte County Road, known. as Power -House Hill: Road; thence alone the center line of solid Potter House Hill Road North 7300611 East, • 276.00 feet to a point; thenco South 6911361 Enst, 175.00 feet to a point; thence.,', North 41301-41 100.00 feet to a point; then e`North',29°3,11 East 100.00 feet to a point; thence North 1059' West 28;50 foot to.a point; thence -North 12015',::.. Pest 197.:0 feet to a point; thence leaving the,,af'orosaid'Power House' Hill 'Coad, center line North 77095' East, 600.00 fee£ to a`•point iiIarked Hith`an�iron`pipe- and R.C.E. Tag No, 2135; thence South 0043'3511 West) 11.02.47 feet to a,point~ marked with an iron pipe and R.C.E. Tag No, 2435),.said �oint_.beingvin the. South, %. line of the Northwest cluarter of said Section'31; - :thanco.South, 89042'_, Nest along said South line 3120.45 feet to the, point of. 6e inning..,;•,. LCCEPTING from the above described pdrr.elof lond one=half ,of'all4il, gas:and other ! hydrocarbons and minerals now or at anY time' hereafter,.situate titer ein and, dereland and which. may be producible therefrom, together with .the,.1ieke..and,unlimited'righi mine, drill, bore, operate and remove frombeneath;th@�surface of said land' at any- {r. level of levels, 100 feet or more below'the surf o_f� said land.16r the 'purpose of 3 development or removal of ail oil; gas`ani`otiier hydr�carboris•and'minerals situdte therein or thereunder or procudible therofrom.. <:-`,4 'i- � 9 J r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2269 Issued: 10/10/2006 Address: 4841 POWER HOUSE HILL RIOROVILLE APN: 078-010-072 Permit Subtype: Fire Suppression Owner: MELVINOLIVER Applicant: FOX COMPANY Description: FIRE SPRINKLERS FOR 2ND DWELLING I MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 Zg> PERMITS BECOME NULL AND VOID 1 YEAR FRO DATE I,. /`.y COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy of N. 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 PROJECT INFORMATION Site Address: 4841 POWER HOUSE HILL RD Owner: Permit NO: B06-2269 APN: 078-010-072 MELVIN OLIVER Issued Date: 10/10/2006 By KEJ Permit type: MISCELLANEOUS 4841 POWERHOUSE HILL RD Subtype: Fire Suppression OROVILLE, CA 95966 Expiration Date: 10/10/2007 Description: FIRE SPRINKLERS FOR 2ND DWE (530) 533-1211 Occupancy: Zoning: Contractor Applicant: Square Footage: FOX COMPANY FOX COMPANY Building Garage Remdl/Addn 3995 OLIVE HIGHWAY 3995 OLIVE HIGHWAY OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)533-2730 (530)533-2730 FEE INFORMATION Fire Protection Engineer $109.98 Total Charged: $109.98 Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B225 LICENSEDCONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION ` Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FOX COMPANY CSLB-305365 / C10 C16 C20 C36 C43 / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF JURY that I am licensed under provisions of Chapter 9 (commencing win ection 7000) of Divis' 3 f the Business and Professions Code, and my license is in full force a d ffecn. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the _ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/10/2006 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date I, AS OWNER (` 1 PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATI �_?HE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FC e06 2 - -'9`,,. mess and Professions Code: The Contractor's License Law does no 269 :mss `-..,who builds or improves thereon, and who does Al the work hire /SCE - .: . �^+nloyees, provided that such improvements WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not inte F/R LC,aN ';morovement is sold within one F FO(J ``�q WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. year of cor' Sp or she did not build or improve f(' 4 & % A ,, p '�lE�/OW R ��`�S F/r ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 58.0/O`O%� ENSED ❑ I, AS OVA FO CONTRAt , __ O R 2 h r wessions Code: The Contractor's N OC/ OSF ND D p OSS10 My Workers' Compensation insurance carrier and policy number are; Lrk. ,ilds or improves thereon, and who contracts i_: vER N/4L /ZD wELL� t to the P Carrier: STATE FUND policy Number:273UN23 Exp. Date: Contractor's License Law.). —�� _ (This section need not be completed if the permit is for one hundre dollars ($100) or less.) dol ❑IAM EXEMPT under Section B. & P.%,. ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/10/2006 compensatio rovisions of Section 370 a Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/10/2006 ` I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless agents and employees from any and all and liability for personal Butte County, its officeBath, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE a, injury, including death, and property damage caused t of, o arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the atiove mentioned property for inspection purposes. I hereby certify that I am the pro a —owner or horized toopct on the propelly o efs behalf. 10/10/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for e O [SIGN] Print Date 'he performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Z Contractor OR. Agent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip �f 0 �V T rF0 BUTTE COUNTY RECEIPT Printed: 09/22/2006 7 County Center Drive 9:52 am 0 Oroville, CA 75965 0 0 0 0 Department of Development Services 0 0 Phone (530) 538-7541 Fax (530) 538-2140 Receipt Number: B225 Permit Number: B06-2269 Job Address: 4841 POWER HOUSE HILL RD Contractor: FOX COMPANY 3995 OLIVE HIGHWAY OROVILLE, CA 95966 Fee Description 'Account Number Fee Amount Fire Protection Engineer 0010-440001-4210500-1010 $109.98 Total Fees Paid: $109.98 Date Paid: 09/22/2006 Paid By: ERNEST N DEAVOR Pay Method: Check 5471 Received By: AAM AUTr BUTTE COUNTY o I o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS o _ r o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o o OFFICE #: (530) 538-7541 C .t A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION OUN� Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name v( �1 J •✓-w- First Name Address 6�yLr Okd-e- 6 City �I�U( State Zip Q Phone 533 _ 1 1 Fax E-mail APPLICANT IL4FORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT IL4FORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT IL4FORMATION Name AL tTU Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Properly Address Ow��� � Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # PROJECT LOCATION. �J AP# 10 Properly Address Ow��� � City �) Cross Street WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address - Descript'on or Scope o Worlyj o,_ Sq FT- Living Garage Open Cov O Structure Built without Permits O 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 fee will be 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. Received Receipt#: Date: Amount: Bldg SRA Sheriff SMIP Other le SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sots, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or,fnd plans, all in duplicate ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑' 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew .action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION 6k,S\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 r >,,,,,,.,P.E�j4MIT NO. 5230-79B PERMIT EXPIRES 823/80 OWNER MEL OLIVER CONTR. 36-50-28 LOCATION (A.P. Don GeorgeRoofing 400'S -on pri dr, S S Power House Hill Rd' 400' E Lone Tree Rd, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB � (a 2 FINALED / J (Date) (Sign ure) COUNTY OF BUTTh — DEPARTMENT OF PUBLIC WORKe BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil aping Forms Parapets 1st loor Main Bldg Restroom Finish 2nd F oor Footin s Windows 3rd Flo r Stemwall Sidino To out Slab Roof eathin g Water Pi In Piers Roofing L Sewer Garage FdnA Ve is Fixtures Footings Stemwa l l Gara a Vents Insul Ion Water Htr. Heaters Slab Carport Footings Slab Provr ph sically handica ed Conformce of ex. structure Final A liances Gas Piping& Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTR16AL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE S RINKLERS Motors Stucco Final NSub panels Mesh MECHA CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish N Ducts Underground Interior Lath N Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------_------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEMOME INSTALLA®I- - = - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.)- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AN PERMIT authorize r entative of a Co of Butte to enter upon the / above -men d prope y f , in ) purposes. X ate Signature of P rmiQtee Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. DIRECTOR OF PUBLIC WORKS / [� By _ � natP \ / n/ 7 J V Building permit expires Date BUILDING Owner ML= SQ. FT. OCC. BUILDING VALUA Mailing Address Telephone No. Contractor N `Cjeoge F i I� Mailing Address 73ell,- AN Fireplace Total Valuation Ur l Tee h -le No. Permit Fee .� ®N It p t1 Building Address S 1 D E 5N ` Plan Checking Fee &/or Penalty Permit Fee , OU1ffR 4-005e I -1I L AAD PPeox PLUMBING No. @ FEE bar G �` ! nN�-rfJ(_� �� W �" PERMIT FILING FEE $3.00 Each TraD 1.50 �`� --11 ©Gv V f LL& Repair drainage or vent piping 1.50 A. P N0. 3� ` "� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es SenitatFon I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 -&Ww. Ran-s,�c'd Parcel Aperoyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ e PcJVIc ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESL=SS5.00 Single Family YJ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST \ ACCDWELBLDGS.LING CCUP, 4\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the StatAof California B siness & Professio Code under the na a styl/ /J q /��/tet/ NEW RESID,CONSTBRANCH CIR T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTI1RES 5L�j///•�� FIXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID,) EA)" 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � // License No. 7!, 7 z� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W rkmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. FEE @ .PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Lao relating to_building�onstruction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ai authorize r entative of a Co of Butte to enter upon the / above -men d prope y f , in ) purposes. X ate Signature of P rmiQtee Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. DIRECTOR OF PUBLIC WORKS / [� By _ � natP \ / n/ 7 J V Building permit expires Date i1w, `,.--.i�..+Wv`ti?iL+.r ;['r�'av .s,4%'.-"ti �c,:�a- •:...._re::r..�' V ;o_+x..�=c'4.:_�c'+�.1...*v t.'�Cti�,jl1..'�.-4 Y _ .� 2fl Permit#3059-82P Mel Oliver i 36-50-29 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL DUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS = e ,� PLUMBING PERMIT FilingFee 10.00 Each Trap_ 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFO-" Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 :r TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latjon ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR LESS5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.B) OR ADDNS. ACC, BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Ines$ and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR LIE NON-RESID BRANCH CIRCT ITS 2.50 ea NEW CONSTR (POWER APPARATUS d1 NON-RESID. SINGLE OUTLET CIR. / Ex. OCCUp OUTLETS OR FIXTURES BAL@10Q (FIXED APPLNS, OR Ex. Occup.oUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -'e'' t OCCUP. GROUP I TYPE OF CONST. PARCEL I PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By :. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS gate Receipt No � � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-421 1,'Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTIC'E y' BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 47 jr i Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 4 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME j� TELEPHONE CONTRACTOR'S MAILING ADDRESS ( CONSTRUC TION,LENOER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ��. ;.. LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 " ('- Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installationr_ Other ❑, Describe work: „ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 8.00 Main service 1101 OR LESS 100 AMP OR LESS 5•�0 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑'�I am licensed under provisions of Chapt.9, Div.3 of the Business and Professions Code and my license is in full force and effect. License No. �� ���� Classification ��'�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWC ON5TF;L ULTI-OUTLET NON-RESID. BRANCH -CIRCUITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS FIXTURES 50@� BAL@1 FIXED APPLNS. OR EX. OCCup.(O UTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 F �% Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit F Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ,Date Signature of Applicant — Owner ❑ Contractor ❑` Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC f BY = "" PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - ' 1 Ih— i� l�{ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' � e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 0 _ APPLICATION AND PERMIT ASSESSORPA CEL MBER �f9 -- # Z ZONING BUILDING PERMIT OW ER 01—/✓� TELEPHONE SO. FT. OCC.1 BUILDING VALUATION ADDRESS OWNERRR/'�S� �MAILING ACTOR Caq /VW�AME ///L���� ./ O{✓� / CONTRACTOR'S MA141NG ADDRESS :?36/,�/t/// (�- Fireplace CONSTRUCTION LENDER UNKN WN Total Valuation Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU ING DRE (J ,5�5 SS �0,0Jr�S'C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets ' USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 /'D/ 120,0(7 TYPE OF WORK New ❑ Addition ❑ ,Reemoodde1 ❑ UtiIitiies/❑ installat' n❑ Other Describe work:_ �O[�T/� ���," %a �� Penult Fee $ 50, a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 0V OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2:50 NEW CONST. DWELLING OCCUP. OR ADDNS. ( y ACC. SLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare,4 der penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessigOs9r1s, nd my license is in full f and effect. License No: Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS e\ NON.RESID. (SINGLE OUTLET CIR. / 50@25C Ex. Occup(OUTLETS OR FIXTURES BAL@t IXED S, OR EX. DCCUp.�OUT LETSTS (R(RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): _ ❑ The permit is for $100.00 (valuation) or less. �KI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, costs, and expenses which may in any wayccrue again id nt 'n consequence of the granting of this permit. XDate 0 Signature of Applicant — 0 er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��Oo OccUP, GROUP I TYPE OF CONST. PARCEL PO HD I ISSUE This permit is hereby issued under the Butte County Code and/or wor i is d bove for which I ECTOR OF PUBLIC By PERMIT EXPIRES Date—._ the applicable provi- sion resolutions to do fees have been paid. WORKS ate - ^3 �Dr �3, Receipt No. w 7- 7 WHITC-D.P.W., YELLOW -ASS! SOR, PINK -INSPECTOR, 60LDENROD-APPLICANT COUNTY OF BUTTE - DEF"ARTM�_NT OF PUBLIC WORKS E M NO '\ 7 County Center Drive - Oroville, California 95965 -Telephone 916/534 541 �U APPLICATIQN AND• PERMIT j ASS S OR CE NU BER - - ZONING BUILDING P&AIT WNjR �, / ��/VE-P_ � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C OBJ RAJ ff NAMtD���� , TELEPHONE . �c /9 �5�j2 ,,•ry, D� p //3� V' C �NZ( CT/ / GMa �AADD SS.,� V /`�/UI (/T CONSTRUCTION NDER. UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR GINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR NGINEER'S MAILING ADDRESS Permit fee $ DING ADDRESS v WP A/pat. PVC—D P -.P• /7/AOO jE PLUMBING PERMIT Filing Fee 3.00 F "' SIClL� p, !+v // • , Each Trap 2.00 Repair drainage or vent piping 2.00 S e OFD�lt%� '��, O,J(/�lJ.,c Water piping LOT NO. SUBDIVISION NAME _7PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets j USE OF STRUCTURE SF [P' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF -WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describ work: ���• /��V+ %Z✓ /COR— �POA4,P• 5�)Ri9_ �'• L pf0 • //-56 6,5 - 1C(', Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee /&oo Main service 8000 AMP ORSLESS 5.00 „p(j ' Main service EA. ADD'L too AMP 2.50 NEW CONST.LING OR ADDNS. IDACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. /G+ License No. Classification s-`�� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F1 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON EW CO IDR R BRANCH C.IRCTITS 2.50 ea NEw CONSTPOWER APPARATUS 8\ NON.RESID, (SINGLE OUTLET CIR, 1 Ex. Occup(ouTLETs OR FIXTURES 50 @250 BAL@101 FIXED APPLNS. OR Ex. (FIXED (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 —` .00 Permit Fee $ -00 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of -Consent to Self -Insure. shall not employ any person in any manner so as to become subject LAO to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ to �� _6 _�� Si ature of Applicant - Owner❑ Contractor eAgent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ occUP, GROUP I TYPE OF CONST. PARCEL PD Ho I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date fr Receipt No. 4iL3 71 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT GFP`U6L`IC''WORKS — BUILDING DIVISION yh �. tai 7 County Center Drive — 0roville, California 9 596 5 — Telephone 534 -4 54 1 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use L Permit fee based upon: Building Inspector At time issuance i. Permit No. _ A. P. No. 3 —i5D—Z9 me L Complete Contract Price DPW Valuation ain) Date /Ori `R-6 permit application, I was advised the following data must be submitted prior to permit processing and, DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for 12. Certificate of Work(nen's Compensation Insurance 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see address below)........................y.............. .....,............................................ ....... 15. Pre -inspection for�C—(4j SE2[�iU required. 9 � � St t° /o - (v • go date 16. Other When y6u issue the permit, process as follows: Mail to owner Mail to contractor. Telephone?F7 3"�tel' %/ andr-Id-Tpr pick-up at z0'"k�) office. Deliver w/inspection. Other /0/0 a� Applicant Date ^�fJ -/� , ,R_n Copy of plans sent Health Dept., ./ Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: I - (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copv/DPW COUNTY OF BUTTE - DEPNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASS S OR PA CE NU BER (e�—�' ZONING BUILDING PERMIT OWNER M�'L1�>� DL/ V� TELEPHONE SO. FT. OCC. BUILDI ALUATION OWNER'S MAILING ADDRESS C i 1 A�� S N AMtD LtJI , R✓DF' C �NZ, C T4G MAILING�A A O D R t:55, .t O/"�V �// 6�•�(/T ��t✓ C CONSTRUCTION NDER t� UNKNOWN Fireplac LENDER'S MAILING ADDRESS TOtal V&I atio $ Permit Fe $ ARCHITECT OR E GINE.EER--`~/ LICENSE NO. ng Chef; ng Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ B GIN''Grr ADDRESS �1 CN� D� P�/• Pa✓&n ,gyp.. AP Ela 1 P! UMBIN4 PERMIT FilirgFee 3.00 r ����� �,,!!/�ppSE• i��LL • / EactI Trap 2.00 Repair drainage or vent piping _ 2.00 — Water piping LOT NO. SUBDIVISION NAME ARC EL MAP Each gas water heater or ven 2.00 Gas piping system i - 5 outlebs ,— USE S UC SF(—r►!' Duplex❑ th r Mobilehome O SPECIFY Building sewer Lawn sprinkle systerif" 2.00 YPE O WORK New❑ Addition Remodel tilities❑ Installati AA' they Describ,work: E�u• A11�e_ "iP.LECT r S Com`/ P.armi Fee Co ctor $ 1 L PERMIT Filing Fee /6.00 servl Ov OF LESS O A?AP OR LESS S.00 'O`, I s v Ce EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE L ! I declare der penalty of perjury (the ne C y1am licensed under provi io o Ch 1. 91 Div. 3 of the u es and Professions Code an I' ens e is in ful fort a : e ect. License No. ^� lassi ion ❑ 1, as the owner, or my a loyees wit wa s as t sole compen- sation, will do the work, d the stru re i t i ended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively cont c 'ng it licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , B n s and Professions Code for this reason N C NST. I DWELLING OCCUP.& O .. _ NS. ` ACC. BLDGS. 20 sq ft hor' P Nlo R sRarTic° c RCTITS 2.50 ea NEW Co TR. (POWER APPARATUS a) NON-RESID. 1 SINGLE OUTLET CIR. Ex. OCCUp(oUT:_ETS OR FIXTURES 50 ig zx SAL eto. TS (RE S. OR Ex. Occup. OUTLETS p•(GUTLETs !P.'cSID.) EA.) 2.00 emporary service 10.00 Mobile Home Facilities 15.00 Mist. Wiring 6.25 —W �Dp Permit Fee $ SOU Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. hall not employ any person in any manner so as to become subjectation to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating ling CrH 2.00 -- — -- --- --- -- Permit Fee Contractor — $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatingLand to building construction, and hereby authorize representatives of the Countynt Butte to enter upon the above-mentioned property for inspection purposes. ' I also agree to save, indemnify and keep harmless the County of Butte against all I.iabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ���,/��to �j� �y ��0 �� Si ature of Applicant — Owner❑ Contractor EV Agent ❑ Alm OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Development Fee $ � TOTAL PERMIT FEE $ 16.04 occur. c OUP l TYP= Oc CONST.P,RCEL PD Ro ISSl/E This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Data the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 3 71 WNITE-O.P.'N., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT