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078-050-003
03 A S w 078-050-003 06-2 0 Sl PRADLIN, CLARA,._ _ _ _ d E• J 2150 KUSEL RD, OROVILL_ E .� '•• _ NOTES N Cont: RL CASEY CONST j STOVE(PELLET)MISC WIRING RESIDENTIAL APN: Permit No. Owner. Site Address: i Contractor 1 Type of Pemtit.• c s t !i i a 1 i SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDMONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PEROAIT RE NSPECTION FEE PAID ENV HLTH CLEARANCE J i I t DATE JOB FiNAL.ED: - v� CHECKED BY � e SIGNATURE { SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDMONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PEROAIT RE NSPECTION FEE PAID ENV HLTH CLEARANCE J i I t DATE JOB FiNAL.ED: - v� CHECKED BY � e SIGNATURE 1 Setbacks -Easements _ 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnctris Thickness Dead Men-t.lning _ 4 Elec Rcptds/Lting; Distance -GR _ 5 Elec Pool lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries-Tgrminals-listed _ 7 Elec Bonding; Metal w!5'-Crcitng Egp4itr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsfs-pniboardsansultn-to Main Conduit 9 Health Dept AppM . _ 10 'Plmli; Cir Test-Wtr Supply Test _ 11 Lt Mche ; _12 Endsr, Fencing -Alam 13 Bor}ding, Diving board or Slide Drawing +=OK 0 = Not OAC MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATIONSOFTSET DATE D E C K S`C O V E R VC A R P O R T S -GA R A G E S 1 ZoningSetbacks-Easements 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 2 Figs; SoilsSz-0pthSpacing•CnnctrsSteel 3 Sewer; Lorin Test: FalUC/0-Concrete 3 Decks, Girders/Joists-0cidng-Brcing 4 Wtr, Loctn Test-Easeinent Nei ded-Regulator Stairs-CuardlHandratls 5 Elec Loctn-CImcs-Gmd • Amp -Concrete 4 Wood Awn; Posts-Beams4Mas-CnnctrsShthg. 6 Yard Gas; Loctn-Test:Wrap Nat Q or LPQ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSpiice-Decal-Encisrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors - 8 Gas; lL1H Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test -Crossovers -Breakers -Dimes- 8 Fang; Sills-AnchisStuds-Rftrs Trusses 10 Drain; MH Test -Fall -Flex Cnnctr9 Siding; Nailing VeneerStucco-Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Root, Shthg-Roafnq 12 Gas and Electricity Tagged 11 E)&, Steps -Doors -Landings 13 Tie Dowrts Q Foundation Q 12 Braced Wall pnls 14 Exits . . 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers 1 Setbacks -Easements _ 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnctris Thickness Dead Men-t.lning _ 4 Elec Rcptds/Lting; Distance -GR _ 5 Elec Pool lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries-Tgrminals-listed _ 7 Elec Bonding; Metal w!5'-Crcitng Egp4itr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsfs-pniboardsansultn-to Main Conduit 9 Health Dept AppM . _ 10 'Plmli; Cir Test-Wtr Supply Test _ 11 Lt Mche ; _12 Endsr, Fencing -Alam 13 Bor}ding, Diving board or Slide Drawing Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-FloodStope 53 Wtr Htr; Vent Acc-Dmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dptfi 55 DWV; Test Fittings $ Anchr•Naii Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth • ' 56 Shwr Pan; Test. Fust fir Tub Ace 5 Stemwalis Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Rating -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N'1 C A L 13 Plenums & Ducts; Cimc-MaterialSupport-Insufln 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr BoltsJoists Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade ' 16 insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrin if Furnace in attic DATE 15RAMING 17 Silts Proper Materials & Anchrs DATE F I N A L 18 Wilts Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & Sidel-t Prtctn-Landings 19 Bearing Walls over Girders&fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof)' 68 Furnace Vnts-Cimc-Comb, Air-Dnnctr 21 Fire Stops,-Fdrrea Ceilings -Stairs -Masers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & BeainsSi &'Bearing' 69 Bedroom Exiting 23 Hangers-PosfCaps-Anchrsirncfns 70 GFl & Bath Fxtrs & Tub Ace -Spa 24 Ceiling Jojsudr Tjes-Purrrj�-Roof Brac TnusShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flu" ' fc Throat Cimc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Act Si 8; Rmz Pitch rafi Stop -Ins Baffles 73 Stairs, GuardfHandrails 27 Bdrm Wndws or Exiting Doors -SIB "t & Dimensions 74 Frplc or Stove, Cunt -Hearth 28 Garage Fire Prt*i Framing -RC Charinid 75 Elec Outlets at Wood Pnl. Int & Ext 29 Prprty Line Fuawatl• Opngs' . 76 Ktchn Fxtr & A In GrndAir-G Appinc; ap-GGapCirnc 30 Ext Doors -One 3' -Check Gala 'e 3r S 9 d tory. 2 Exits 77 Elec Outlets & Rcptcis at Kuhn Counter 31 Stairs; Wd"drrrr-Rise-Run-1 and'mg-Fire Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Plywd on Roof OvrfmgAttic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Dampen 33 Siding -Nailing Veneer 80 Wtr Hir; Vnts-GImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Ace Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyL.ts-Plastic . 81 Plmb; Elec & Mech Eqp Listed for L.ocfn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GF) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 lnsultn-Foam-Looked in Attic 38 Insults Walls -Ceilings 84 Guard Rails & Deck Cnstrcin-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vats & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters [--]Yes No 40 #1, -or , 87 Stucco Brown -Finish 88 AC Unit Dscnnct. Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Cimc-Ins Prtctn 91 Ext Elec Trim, GFl Rcptd-Undrgmd 41 Elec Rcptcls Spacing-Dts & Switches at Doors 4V!5ioxes & No Of Cndctrs Stapled 92 Vntitn thru House 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Gmd made up w/Mech Fsbus 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Appr A 46 2 Appinc Cires in Ktchn & Cndctr Sz GH 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz'CU or�AL98 AC Wire Sz H Address Posted Q,l:U or AL 48 Range Circ OaCU or DAL 99 Fire Sprinkler Oven Circ ga CU or DAL Insulated Neutral Yes D No Apr°,s` d.• ��` 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clmcs pnis-Motors-Meth Eqp 51 Clothes Closet LI-Shwr Lt -Spa Li 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDINGPERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062104 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 08/31/2006 APN: 078-050-003-000 the Business and Professions Code, and my license is in full force and -5 ?9 Site Address: 2150 KUSEL RD ORO License Class: ,�_ License Numbed Date f -U Contractor. Map Index: Description: PELLET STOVE INSERT, MISC WIRING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SPRADLIN, CLARA B. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2150 KUSEL RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-5904 violation of Section 7031-.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: R L CASEY CONSTRUCTION Code: The Contractors' State License Law does not apply to an PO BOX 128 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BIGGS, CA. provided that such improvements are not intended or offered for 95917 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 846-3324 proving that he or she did not build or improve for the purpose of sale.). ❑ v 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 Contractor: R L CASEY CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed PO BOX 128 pursuant to the Contractors' State License Law.). BIGGS, CA. 13 1 am Exempt under Article 3 of the Business and Professions Code 95917 Dale: Owner: License #: 353979 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labbr Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 a'II 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ��%� - q� -CONSTRUCTION LENDING AGENCY This permit is h reby issued under ppllcable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicted 76ovY.for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: L Name: /1 h PERMIT, EXPIRES ON: y��- (J / Address: (Date)- ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of 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 relaling to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pulpa Print Name: E Signature: Date:' ❑ Ownerontractor ❑ Agent for Owner ❑ Agent for Contractor i - B. G. Building Permit 01 -1b -u4 pg 1 Insulation Certificate BUILDING OWNER BUnDING LOCATION: Description of installation ROOF. Brand Name Maters Thennal Resistance (R -Value) Thickness (inches) CEILING BrandName . Batt or Blanket TM Thermal Resistance -Value) ' ThicknessCmc Brand Name Loose Fill Type lb Minimum thickness Contractor's minimum instaIled weight/ft Value �� i� Manufacturers installed weight per square foot to acheive Thermal Resistance (R- ) EXTERIORVALL . Material ' . • Thickness Cinches)_ RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material, Thickness (inches) Width (inches) BrandName Thermal Resistance (R -Value) . Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Brand Name Material '"�etmalResistance (R -Value) Thickness (inches) Declaratibnlocation in w I hereby certify that the above insulation was installed i thresidential buildingbuild ial buildat ings contained in Title 4 ofanttcie with the current Building Energy ffiabove ciency Standards fo Califo License Number G o actor (B) �-n �.� Date Signature and Title License Number Sub -Contractor (Insulation installer) Date Signature and Title THIS CERTIFICATE MUST .BE PROVIDED TO -THE -BUILDING DIMNT PRIOR TO FINAL INSPECTION APPROVAL;AND A COPY SHALL BE POSTED WITHINTHEBUILDING. 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. BP062104 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/31/2006 APN: 078-050-003-000 the Business and Professions Code, and my license is in full force and ?C7 Site Address: 2150 KUSEL RD ORO License Class: Licensee Number?t53 Date �—/ V Contractor: �oC Map Index: Description:.PELLET STOVE INSERT, MISC WIRING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SPRADLI N, CLARA B. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2150 KUSEL RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-5904 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: R L CASEY CONSTRUCTION Code: The Contractors' State License Law does not apply to an PO BOX 128 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BIGGS, CA. provided that such improvements are not intended or offered for 95917 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 846-3324 proving that he or she did not build or improve for the purpose of sale.). ❑ 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 Contractor: R L CASEY CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed PO BOX 128 pursuant to the Contractors' State License Law.). BIGGS, CA. ' © 1 am Exempt under Article 3 of the Business and Professions Code 95917 Date: - Owner: License #: 353979 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: d —.3 1 - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' hf rreby issued under pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to o work indicted Pol.for which fees have been paid. 6 Name: BY Date: cX7. PERMIT EXPIRES ON: H Address: pate ❑ 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 or document of Butte County. I hereby authorize representatives of Butte County to enter upontheabove mentioned property for inspection pu Print Name: i 1 �\ �� Fl L 1 Signature:_ZZ24:��� Date: 1:�—, I r ❑ Owner V115ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS _ O a p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 iA -r o ''p`' o OFFICE #: (530) 538-7541 DA FEE WILL BE REO UIRED AT TIME OF A PPLICA TION ov Nay Website: wwrv.buttecounty.net/dds "PLEASE PRINT CLEARLY" .. f CONTRACTOR OWNER INFORMATION Last Namefirst rc Lei Name ' Address Phone 53o',5z,G 1-24 City J Lam= State A- Zi j -(6, Phone Fax " Fax E-mail State License Number CONTRACTOR Name.32 ` J Address Z r l w City Stat Zi 9 Phone 53o',5z,G 1-24 Fax E-mail- Lic. 3 S.3 :. - Class APPLICANT-. SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Book Fax " E-mail Planner State License Number APPLICANT-. SIGNATURE X For office use only: APPLICANT INFORMATION 'Name Flood Zone Address. SRA City I No State Tip Phone Book Fax E-mail Planner APPLICANT-. SIGNATURE X For office use only: Zoning Property Address(�•J i�U OSS �. 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 K-%F(]RhAC\RI III r)INr, Fr1RMR\rtWnAnnlCnhRnmtc rine Paoe 1 of 2 PERMIT NO. .06J l Y.: BIN # PROJECT LOCATION AP#D Property Address(�•J i�U OSS �. City 0�uVv� t .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 Description or Scope of Work: i^ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and 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. I Received by: _1P Amount: Bldg 1 I Receipt #: � (j` �� . (SO )A/ She(ff Other Date: �//[/ ' Total REV 8-12-05 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 sets, 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 AIC 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. 0 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Assessor Inquiry - Main Asmt: 078-050-003-000 Feeparcel: 078-050-003-000 Owner: SPRADLIN JAKE C CLARA B ---._.._...--- .... - .._...._._.. ---------- Situs Address -..__...—--...- -- _.—.... __....... . ----._........--- .. 2150 KUSEL RD OROVILLE ..........................................................................................................................................................................................................-................................ NameAddress SPRADLIN JAKE C & CLARA B 2150 KUSEL ROAD j OROVILLE CA 95966 ............................................................................................................................................................................................................................................ Status ( Date ACTIVE Taxability Code _................................................................................._................. f Descr .................................................... 000 ..... .............. I NORMAL ................................................... TRA ,..................................................... ( Base Date 092-007 i 01/01/1980 .......................................................................................................................................................................................................................................... Creating Doc# f Date 1914R4353300 I .................................................................................. Current Doc# ......................... .......... f Date .......... .................... .................. ................ .............................. ---- ................. 101/01/1900 ...................... ......................--.-...... .......... .......................... ! Terminating Doc# f Date ..... ........................_................. ............................... .................. .................... .. l Neighborhood C_:_ ( Supl Cnt 036 I Asmt Description 2150 KUSEL RD ................................................................................................................................................................................................................................ Lend Use 1 _ (Land Uac 2 j Zoning 1 ( Dwell 1 M1 ! 1 .... Acres � ..... (SgFt ...................... _........................ 0 ............................. ( D f SSN1 fSSN2 i Parcel€ Section f TownShip ( Range f Description L..................................................................................................................... I TPZ (Ag Pres I Etal f Bonds ................................................................................................................... ❑ i7 ( 01,0 Multi ... (910 MH t............................................................................................................_...................... Flag 1 f Flag 2 ❑ ❑ ( ❑ ( ❑ Asmt PP ( Tax PP 1 Appeal f Split ❑ ❑ f ❑ f ❑ ......................................................................................................................................................................................................................................... Comments _ Remap from 036.850.003_000 TAXROLLICURRENT :APR DATE ............................................... _.......:..................... _........... . Land i 3,863 ............................... Structure 28,025 f I Main I- Notes i Ownership Detail I Ownership History I Exemptions I Mfg Homes I Attributes I Value History 1 Situs I Sales Ready. BCIIMPTS200010/27/200511:34:30 PM R� e gn -1q r • Sly+ - _ ;1.4ERMIT N0. PERMIT EXPIRES {OWNER Jake Spradlin ( r • II.CONTR. owner e . LLOCATION (A.P. 36-292-28 i 2150 Kusel Rd., Oroville t i "c? • V i� t N I 1 i X,bmp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback rr--17 7 y l Firewall Soil Piping Forms v r Parapets 1st Floor Main Bldg. , Restroom Finish 2nd Floor Footin s44 Windows 3rd Floor Stemwall v Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings handicael physically Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam, n FIRE SPRINKLERS Motors Framing k j/ Test Water Htr. Stucco Final Suboanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INUALL�ION - - - - • - - - - - - - - - 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 Tel ephon�: 534-4541 APPLICATION AND PERMIT autnunce represenianves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X O L ' JiA,fh.�, Date `�! U Signature of PerYnittee or Agent Receipt No. i 818"7 1-I 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 for which fees have been paid. A�RREqTOR 0 BLIC WORKS BY Date 7 Building permit expires Date BUILDING Owner J SQ. FT. OCC. BUILDING VALUATION Mailing Address OrTelephone No Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address -- uS , PI an Checking Fee &/or Penalty Permit Fee _fid dG Croy, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. L— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. SanitaFian Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel royal Plans Al rp-r_o�val Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ �.� 7 40 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMPLESS 5.00 Single Family Duplex oome Others ❑ Mbil H ❑ ❑ Main service E4. ADD'L 100 AMP 2.50 _ Main service OVER s O 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACCDWELBLDGS LING CCUP. S\ 20sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRES,., -OUTLET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L� Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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 Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Q autnunce represenianves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X O L ' JiA,fh.�, Date `�! U Signature of PerYnittee or Agent Receipt No. i 818"7 1-I 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 for which fees have been paid. A�RREqTOR 0 BLIC WORKS BY Date 7 Building permit expires Date •. •.," , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 a Telephone, 534-4541 APPLICATION AND PERMIT AN �35�1-77 - - •�r'���"•••••�� .. vvw ny u uu uc — c Lcf uNUn Ulo above-mentioned property for inspection purposes. X _1114-nId Date Signature of,P 7,!ee; or gent 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 for which fees have been paid. DIRECTQ<OW PUBLIC WORKS BYDate wilding perm=xpi�resDate'? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address _ -_2/_S__01/ Telephone No. Contractor Fireplace Total Valuation Mailing Address Permit Fee / Plan Checking. Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelParcel Declarati Ma 60' R/W Im rovem nts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcelroval Pla Approval Permit Fee $ NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORSLESS 5.00 Main service EA, ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 104 (FIXED Ex. Occu FIXED APPLNS. OR (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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 Workmen's Compensation. ©have placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. IZA I certify that in the performance of the work for which this IN 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 $ $ 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 TOTAL PERMIT FEE $ - - •�r'���"•••••�� .. vvw ny u uu uc — c Lcf uNUn Ulo above-mentioned property for inspection purposes. X _1114-nId Date Signature of,P 7,!ee; or gent 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 for which fees have been paid. DIRECTQ<OW PUBLIC WORKS BYDate wilding perm=xpi�resDate'? PERMIT NUMBER _ B 3695-73B. i' • P �I t i E - � PERMIT EXPIRES /'I OWNER Jake Spradlin T Owner CONTR: LOCATION (A.P. 36-29k28 150 Kusel Rd., Oroville IL � ♦ jam$--Q� C� i Zoning Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final f DATE COUNTY•OF BUTTE Department 'of -Public Works BUILDING INSVECTIQN' RECORD Setback 0^' 7 Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. Final Final REMARKS OR CORRECTIONS COLiNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — nroville, California 95965 (� �% Telephone: 534-4541 / APPLICAI i0NA- D PERMIT auuiorice rep esentauves of the GOunty of Butte to enter upon the Aabove entioned property for inspection purposes. / X „'� Date ignoture ofermite"eor Agent Receipt No. // j d J 762= 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 for which fees have been paid. DIRECTOR PUBLIC WORKS BY --.==,. Date/' `i - 7 3-- Building 7j=Building permit expires Date BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Address /1 S v �C Telephone No. 3 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee _ i Building Address Q PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 OlejK1LL Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "2�_ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s WG - 'reDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im Plans Declaration p provements Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION [a— UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 / m ✓ G� Main service incl. 1 meter Additional meters, each 1.00 Single Family ✓❑� Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 925 ba_ I fd_1 Receps., switches & f i x outlets 2u 2!) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring rgI am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSU 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen'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. @ FEERANCE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 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 TOTAL PERMIT FEE �'` auuiorice rep esentauves of the GOunty of Butte to enter upon the Aabove entioned property for inspection purposes. / X „'� Date ignoture ofermite"eor Agent Receipt No. // j d J 762= 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 for which fees have been paid. DIRECTOR PUBLIC WORKS BY --.==,. Date/' `i - 7 3-- Building 7j=Building permit expires Date