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0-7 04-1723 JONES, DAVE 3241 ORO BANGOR HWY, OROVILLE Cont: OWNER G BUILDIN ((�� V i6 1 s I� FJ i � p i f 0-7 04-1723 JONES, DAVE 3241 ORO BANGOR HWY, OROVILLE Cont: OWNER G BUILDIN ((�� V i6 1 s I� FJ ,! � �. h. �5` /� .. .. s • -• �(� �L�; o 1861-81B,P,E PERMIT NO. PERMIT EXPIRES OWNER Dewey Cunefare CONTR. Bdraen"shaw Const. ray ille. ASSESSOR PARCEL 36-083-24 LOCATION 3241 Oro Bangor Hwy, Oroville 9 1 ice- �1 F-1 L /L v Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E G Temp. Gas Service Cal led PG&E JOB FINALE( Signature J o OK• 0 :t:`Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ "/ Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting: Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI ` 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equi p.- Pool. Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department -Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -Bl, Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK L+i<,1 Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date' FRAMING (Continued) >t oning requirements -Setbacks -Easements -49 -Property Line Firewall & Openings Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth .-49. Ext. Doors -One 3' -Check Garage -3rd story,t2 exits,, Garage; Soils -Steel- / /" Ftg. Depth 49" S airs; Width-Headroom-Rise-Run-Landing=Fire Protection -4,_Etg., Porches & Decks; Soils -Steel- / /" Ftg. Depth fjlo. Plywood on Root Overhang -Attic Vents- Rafter'Outrfggers %_8fg-mwalls, Main; Steel-Blockouts-Wrapped-Slab .62. Siding -Nailing -Veneer ,Lr�temwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access .41 -Piers -Fireplace Ftg.-Steel Ke W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. Glazing Area-GAaeo4a;Qtec ion .66.Shear Walls; Nailing -Bolts S -Gas Pipe; Size -Anchors t07 -Water Pipe; Test-Anchors-Regulator-Seryice Test 41r -Electric; Underground -12-.Plenums & Ducts; Clearance -Material -Support -Ins. Y3 -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ?- Date a Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date &- & Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 44 - pater Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector- , In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting Water Pipe; Test & Anchors -Nail Protection 1l/-D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 48. -Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels .10rGas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper V9+- Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ?a,-tlec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. &Mech. Equip. Listed for Location 221"-70. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 4&�2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - - .26-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No ,2.Z -Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Q@ ..Mrvice-Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet GO- Equip. Clearances; Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 7 Card -BI Date -�� 81. 82. Ventilation throughout House Glass Protection Card B -I Date / Card -BI Date ! Date MECHANICAL (Perrnit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans) OK except q's Comments at Final: se-si Proper Material & Anchors _ _ tj/ alts; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 aring Walls over Girders & Floor Nailing 36l -Draft Stop in Walls (rat proof) F're Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ -42^ Hangers -Post Caps -Anchors -Connectors 1a6. -GIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. -44. fireplace Ties or Type A Flue -Fireplace Throat 06�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - _ 96/ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions f"" Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) y Too Building Department From: Environmental Health Subject: Sanitation Clearance toner M5flon° Plan approved for: Sewage disposal �. Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance fora bedroom mobilehome a Other Note*** (--/�1-G 1 `� Dame —7— !�-�, . :. Q COUNTY OF BUTTE rDEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ! 7County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTiY ADDR 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 Inspector /� '✓+/ Date ` COUNTY OF BUTTE -DEPART NT OF PUBLIC WORKS PER 7 County Center Drivel--lrovllle, California 95965 -Telephone 916/534-45 APPLICATION AND PERMIT %, ASSESSOR PARCEL NUMBER Z NG BUi6AG PERMIT OWNER TEUEPHOtfE S(Q.. FT. OCC. BUILDI G VALUATION r OWNER'S AILI G ADDRESS CO RACT R•S NAME TELEPHONE c� I CONTRALTO •S MAI ING ADDRESS Fireplace CONSTRUCTION LENDER UNKN�o yr Total Valuation $ 1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0400 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ 3�//�`O v ,1,r'�) •"l Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ c® BUILDING ADDRESS rD `]/l _ PLUMBING PERMIT Filing Fee 10.00 Each Trap S1 2.00 6,00 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 U2 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer tOj� Lawn sprinkler system 5.00 F WORK TY;-"LUti New El Addition ,Remodellities ❑ Installation❑ Other ❑ Describe work: � C1 r6-6'✓ti� % � —2Q✓ -se Lt v i KQ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0Dv OR LESS 100 AMP OR LESS 1 5.00 6 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. (OWE CUP.y\ OR ADDNS. l ACC. G I 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): RL I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. 12 311 9 Classification 13 ❑ 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 MULTI-OUTET 2.SOea NON_RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS e NON-RESID, ISINGLE OUTLET CIR. / sD@2sc Ex• OCCUp OUTLETS OR FIXTURES BAL@100 EX. QCCUp.�pUT LETS IXED P(RESID )LNS RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 S 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 Iia 'lities, judgments, costs, and expenses which may in any way accrue agai sod Co in nsequ ce of the granting of this permit. X L'� 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 $ oc P, GROUP TYPE of CONST. PARCEL PD HD SSDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF FAJBLIC T BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS i 510Date Receipt No. y 6 57 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPI4RTMENTd OF -PUBLIC` -WORKS' BUILDING DIVISION r -*7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 r PERMIT APPLICATION DATA SHEET Permit No. OWNER r A. P. No. - c Proposed Building Use -2L Permit Fee Based Upon: Complete Contract Price !DPW Valuation Cr0 ,? ,p.l.a.i.n) -y Building Inspector Date At time of permit application, I was advi Ad the following data must be submitted prior to permit processing and/or issuance: 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 and AC Buildings. 8. Fees of $ . . . . . . . . 9: Letter of signature authorizati. n. . . . . . . . . . �0. Sanitation approval from / �Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Dote) p q Building Inspector 18. Other When you issue the permit, process as -follows -:'c ";_Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other j APPI icantff,L lU'rr L'�'G�' rc-� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of appl'cation, circle item.) 1. Index permit for above Items No. 2. Additional items required: k (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date 2-a "- Other: Copy—DPW- t' G m 00 b's Z tom: sX f1 N dAt ec"o -Y -0 C�� � i4 0 . L^ o' vv Q G m 00 b's Z tom: sX f1 N dAt ec"o -Y -0 C�� � i4 0 . / 3/0 t yq-'C6 D 00 v^ Ash rh/s set Of h'^�s The . P{ Ia hwritt°''ych Jobat s an�denper °n9e c;Pspcov/$Siofa/tesand atiahs on of at f 4�BUthe Dop©n/., • -too,'heht a b` e with to o{ p, ocit C _C f Ua ��• L^ o' vv / 3/0 t yq-'C6 D 00 v^ Ash rh/s set Of h'^�s The . P{ Ia hwritt°''ych Jobat s an�denper °n9e c;Pspcov/$Siofa/tesand atiahs on of at f 4�BUthe Dop©n/., • -too,'heht a b` e with to o{ p, ocit C _C f Ua ��• tt _._ _ _ _ , -- _ _ _ . __ . �_ _ . _. _ . • ,__ -.- UIREMENTS for this. building T6 minimum STATE RESIDENTIACENERGY RE d ft 2(00] ''Q° ------Degree Days, and Design mP• _sq I Glazing: Insulation: c Single -allowed; sq. ft._.. Slab edgeo - - � $ice e -actual; sq• ft: z� l Fdn. Wails - - - - - — special -allowed; sq- Rao's - - - - - - - - F_____y — Special -actual; ui• ft. O Walls - - - - - - - -apor not required Ceiling/�oof - - -7- a.dd �Wdsr'&'. ,r • cert. ;labeled AClrculaOng pipes E $r Uh b Sy; raging Doak 4': wea#ierstripped Ducts Table, -,10-D- U.W--:. . ExhausF Faw - ypbc dampered Htg. & A.C- u inta�ta ttent ` "a �X1 Gas ftgafis certi`- Type All "Appliances .. BTU Max. Othmr: Wtr. Htr. Type waIts ,�-�% rrio�u• I Z.X 1,2'� Jam# (Z i' x I V €: - �Y(ofQ'��'e+r5 tc wt5 f b}S � c.0 �c=:6fop k+c K, -1q I KSA IQ �-i a% lett"11 r R–tl ihsutresari ��, �41s � I X s{ !G�' 1r► braciwtg _ {,�tta{ g1E2e Q(CAAi, w��+l�L> a ply S'jE"-�3 'a yj vwds w! o,c . f nea tom{' s i I Q Cy to) ;,4. k% C. ey�Pose-ef Yz'xra"ate a~ AZ41-s �' ac, i '-it-a►af' G4_Nv-t,.ev-,3 splices CO UNtY ��IIbA1NS� DEPARNENf ApP)ZovED O _ '•.rFs' s a:GT '-F•.Cstir'er�r..>. r•^i'�. 3C k `.., 1. �T Vii{ , j4i- • i ' <-, ,.......ro:...w,�i:e-:...we•.^-r.-.v_- +-r-....�-.,-•a-.�.�.-.r���-..,. y�we�: �.....s-._. ._.� �.-. .,•v« .... «..-. aw >•.�.. w.-�.-......+a..rl.�." _ _ — _ _ .. _ .. .. _ .. .. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/ 7 County Center Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT -' BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION o — / IC50 O Mailing Address 3Z Telephone No. r'��P_n tier i � s%-SlS/s Contractor Mai I ing Address Telephone No. Building Address G A. P. No 4=� MECHANICAL WORKMEN'S COMPENSATION INSURANCE I 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. ❑1 have placed on file with the County of Butte a certificate of . Workmen's Compensation Insurance. N' 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. Zoning & Planning Fes IK;jL'Sanitation FireDept. Fire Zone Ventilation Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p t/ � / Bldg. Plans Recd Parcel pproval PlanTiCpproval NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ Single Family V Duplex ❑ Mobil Home EJ, Others ❑ 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: License No. Classification Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sarinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 1: Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring LnjI am exempt from the Contractors License Laws of the State of Cal ifornia. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I 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. ❑1 have placed on file with the County of Butte a certificate of . Workmen's Compensation Insurance. N' 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. PERMIT FILING FEE Heating Cooling Ventilation Hood 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. X �� D Signature of PPe/ermm�itee or Ag��t Receipt No. �yW' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant `_J @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 TOTAL PERMIT FEE I$ 8 10 C3 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 OF PUBLIC WORKS By Building permit expires Date Date ti IX; a i ' �� •-- T � ��1,t.� lC��i" moi) �( ARiN/41G The BW9: Setback shall be 5 ft. from the side property line and 50 ft. from:. the centerline of the road, permrttinc a maximum of a 2 ft. eave overhang r fhis set of plans and specifications /MUST be kept on the job at all times , W)o it is, unlawful to M*ke any changes or altersftris on same without written permisson from the Department of PE)hB, Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices ons of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Godes and the National Electrical Code. / i BUTTE COUNTY 3UILDING DEPARTMENT APPPQUED- A w aIO S.M.Lc.awa 011•e.c. le panal.¢1a anl:d ..md \Me' Ne1n .0 log straw �c ebova Fe•nelcl.ad l-aa•'usa wo\\ ^ S.M. K•awa` w:la. _ Hata 9 Fe. •Wada odd 1".a- \adga. Paalanad lec1, fob @ IT'e.4� ' a .. u aa, q" \ap •below Ing rot\ use oltachmnnt 4watban \r"o. <. a panal•e!a stud 4'wl o ^ ^ Mad en\y GENERAL t�OT ES straw• i,II aB lu+nbaa a1J: pato w1 a1aa1 . a10 Poet 'IWI'll j 4 oP '•B 9a\�` d•:\\ C N. tc♦. po• ',;? a woo straws o se c uan S.M. Ni. \,\ \neaF ti:aknas saa tab\¢. 30 PSF a10 S.M. t01•L'e.a, Cou\ki ng S'N OCY\ 1. io• \:., `\aeod, o \\ See Research Recotnmendotion 2678 8'_0. I ' 1'q.euP 7 Coarnabeard 5._0.. �._L•• 1''O•• l,.�aling Z'•eC1.a u�v.Ci a tsb\n a:a.ys - W;nd lend .a CI ad \aw�,anlW.a \a v.e\ac d w• a oC a\\ ta.a \a+nan3a (�._Ov A' -V• 9'-y' 1_(••• .O10' R'-4" \'-O" .010' 4' -''Eo' 1'-4" 4'-4` l'-6" \' -O' 0.- '-(e-O' a.Il ^QO.IYjs M, 11' __o eaa eC t sa q ;P opan e. 1e aha g.ofi o• ;Cana\orad `.tando.d I gUBSIOIARY OF Pana\ (e Coull. ng Ea\s1;nq crams ..'nb Coaue boo.d 9'-9" 1'-10' .O\0' 4'-R• 2'-9" .0\0` R•- 9" 1'- \ ` .O\0' ql- R" 1 '-lo• .o\B• y._q. \''8" .O\0' �'-(o •• 1'-4'. 4'-11" �'-b• 6'- [•' 1'- a^ 4'- 2' �,_ v^ _ _ .O,F, p .Holt B . 11 poC c\+act P.as ha\\ cenCovm ie Cotaa(cu O1'9. 7slo-7) bm.x.r. wem r4 p. wo.a wm LnpaaxaaaMn.Le. a.. w.,o. xn x,e,ma nn ro,n. Ix.'xoao, nn wL ae. ou. STANDARD PATIO COVER dw 1?l04 9- alrocla.a Y •log ac.. 1t'o.a.;n1e Q•t.. Ik'm 12 81 30 PSF ATTACHED - \arc4. q. al g.+.. a .\qn pn• c\..10 eC IR'13 UBC. •' •e y-�� �3 �r ✓. r'.:X 61/. Na..,a.a, P _Jo � e 10 . and c Awn\ny al Fo. Cestanars Caaa dwq.2elo+4 1''mai. 9'-9• 3. Foalan n+a she\\ bn qe\v.,cad pl el ad,o• ata;nla •L stool �' bolt wilh "'r'd Os ULLli. 5F69e ...oc\tnn straws ui,iax saa wel\ cern. pa„at,, nelch •.. •o C1nr. to s. v„ straws a\.eq bn p\ocnd ;n ho\aa p•ad.11lad w;Wala a0 d+;\\ w a•a Whay !tis iop C\Dago al'd 9oly. cul 51'1 ether Foem VII: woaW.a•a e1 snot Aftochn k le 1 n \ ],,,(n. ander eC Wt,a na\. G bollam. P 4 P top - � I al C.ao, 1,1 Pn• pons\ All ochmani LI•�p 01. Atm. e.oct¢k •(saa dwg.1??O-1) a dwq.7sl0 � Y4` bell, min. V.y C.om a"d oC lube IY1 5q .pool (wn dwy.7gl0 _WALL CONN. POST CONN. D• e . O h be\\ C P o E POURED FOOTING OL�wA-Uead-oneAo. belt w dpuLl, opp^evaA P • 114 •a ml\hdronel. m ,adga d:a\an ca 1•. EAI¢\;ng slob may ba uaad IC\n good condll:on d opprov¢d b thn an;\etng oCC'C.o\. Sea n.�a 4. Ea: t1n Eava\a 1 a. Conc.a as Tob\a. 1,000ai( s\anda•d<. - Pro3act;en 14'•0=...a.. cap\ Pe. 3opaP 1y ReC\ar S:a¢ L.L.•11*]O 5 Se;1 moy 6a any not u+a\ so.\ a mP h C1\\ ¢ cnpl •naw. prof. 6'-O^, OF•la•aWv 411ew. Eaiciin E¢va festa e. .yon;¢\yoaa, bee. � ngtoo, pe('. Compo,( o\\ bac\: C;\\ of 157. mo.e Wu•a cenWan 4. 2-a a'un.,elchad \3' 11" 7'. b'nelcl,ad 11• 1\• 6. Eoch •nal elloilon ah"\\ boo. on Adan W:C y�nq \ey q;.:ny 1'.b'�nnehh.d than mn 1 od ms aC MCq'. ,modal numbs. d a\'d• . e. 7.8'netca.ad 9\' 16" glen apP•ov o\ow b •. ' EX\S�1NG SAVE pE�A1L 7. W .ora a s;en caa,la a saa :1 aha\\ ba saa .aa to 1aa adga Pana1 w\WM ^\O S.M. ac•aw5 � 34"e.c v - P"'\ ALL MODELS EY.CEPT e. sl •nal e•a,WLa� \O',L2o",25 osC ePanalos�rn aha\\ be a�b.r:IM+ad .e 1a.a bu;\d'mg oPCcc'aQ Co• of p+ovo\. Enc\o ea I sPraa syn e YA'bo\! , eholl b \tm;t d 10 opan macti 1..a 4 nd/o ` aad;ly .a+.e•abla t.an bQ ¢rant e. +fon.\unant S\els - _ C1n.�b1e pla a!\c ne\ mo than 20 '.\\a !a.'.c4. ' 9. For nncloand ! add on salvo F' P .0 S.M. acra.oa a, ¢ al � • vp oP 3 S.N. aaa'ne\ ieln! ao t`uc ar !Pial• slew `• -,hi• straws b. u ti 10. S\eP Pana\i �� Pa• Qi. m n. �'or \♦Lv 4 ♦ / Y a a\abm as Pa C\. m. . (` 'SO P Q typo, oa. \5. e\ Pa P' P•p . , 'p• Lan P : m$ ' ' \b Pre;. :caPt xc .dea¢a \an \\ e� al�4 ae ♦ ¢x\i ` v . o ba Cor 90 psQ Rypa, \'.moa 4l.a Pres. . 11. \ •p-\1 $legs : 6na E.:a\inq _ , s•�T�' � P Q no4a 10 La,. \a, a n kob\a 'k-k- 1 l.uciu.a stanaa.dJ Sada' ens dwg. saa dwg.1 lylo- and nota 7. Oeee\\ ee\pm (iOp �) • c.nya pea\(11 '� Moa. \Hoof w JII ��� can +ab\a p Poet 'IWI'll Ni. \,\ \neaF ti:aknas saa tab\¢. 30 PSF `-NOTE S'N OCY\ TW,, moda\'.n See Research Recotnmendotion 2678 8'_0. 11'-O" 10'_O•, q•_o" 1 •-O' .DIB. 5._0.. �._L•• 1''O•• 9880 It PULASKI 0•_2,. 15-.. O" 20'' 0 -O• (�._Ov A' -V• 9'-y' 1_(••• .O10' R'-4" \'-O" .010' 4' -''Eo' 1'-4" 4'-4` l'-6" \' -O' 0.- '-(e-O' .032.. __o REGISTERED SIRUCTUR.L i:n GIn EER KINKEAD I gUBSIOIARY OF C; Va.1<s 1'-0' vu•,a•. b'- O" vo•;aa R'-0' vor,a•, IU' -O• vec,v- 0'-I" l' -O' L'- 1 • 5'-5• 4'_11•, 9'-9" 1'-10' .O\0' 4'-R• 2'-9" .0\0` R•- 9" 1'- \ ` .O\0' ql- R" 1 '-lo• .o\B• y._q. \''8" .O\0' �'-(o •• 1'-4'. 4'-11" �'-b• 6'- [•' 1'- a^ 4'- 2' �,_ v^ _ _ 1`-1" 2'-5" 2'- 9" 2'- \" _ .022' •017" .091" .092•• bm.x.r. wem r4 p. wo.a wm LnpaaxaaaMn.Le. a.. w.,o. xn x,e,ma nn ro,n. Ix.'xoao, nn wL ae. ou. STANDARD PATIO COVER rSrladdCneLptW,1Le ^Y�I 12 81 30 PSF ATTACHED - Tni, den ,Mel i, tM -n, er Ila m ima, ens m,Y n.l M ceRKd o- nand pnadY o- in ron. mc,P m maw^r nen,.d in •' •e y-�� �3 �r ✓. r'.:X 61/. Na..,a.a, l9' -O0 vvlaa 9'-9• R'-9• 1 '-A" .091' ULLli. 5F69e 9 tie' stanaa.dJ Sada' ens dwg. saa dwg.1 lylo- and nota 7. Oeee\\ ee\pm (iOp �) • c.nya pea\(11 10. `= '^^.c: > _f,•)` ..�-•I'y� .,r LiiY_4:! T:."L yy ' L- �I'�'P.a�'� �'^a,i . BUTTE COUNTY BUILDING DEPARTMEN', It '� Moa. \Hoof w JII ��� can +ab\a p Poet 'IWI'll saa tab\¢. 30 PSF `-NOTE # TW,, moda\'.n See Research Recotnmendotion 2678 of the International Conference of Building Officials 90 poQ .,saa taxa calbaca, baan,,aazs�o•2 rmm lM oruca ol. 9880 It PULASKI ROBERT W. HAUSSLER L cfflc"GO ILL. sous REGISTERED SIRUCTUR.L i:n GIn EER KINKEAD I gUBSIOIARY OF wean. ow, evov. orw,. oer.a ae,lnm, aural d oxva",. a■ ■ V.S. GYPSUM Co. bm.x.r. wem r4 p. wo.a wm LnpaaxaaaMn.Le. a.. w.,o. xn x,e,ma nn ro,n. Ix.'xoao, nn wL ae. ou. STANDARD PATIO COVER rSrladdCneLptW,1Le ^Y�I 12 81 30 PSF ATTACHED - Tni, den ,Mel i, tM -n, er Ila m ima, ens m,Y n.l M ceRKd o- nand pnadY o- in ron. mc,P m maw^r nen,.d in •' •e y-�� �3 �r ✓. r'.:X 61/. Na..,a.a, nr mr d4cL.14n aP�na s 23•� - 1 ULLli. 5F69e 10. `= '^^.c: > _f,•)` ..�-•I'y� .,r LiiY_4:! T:."L yy ' L- �I'�'P.a�'� �'^a,i . BUTTE COUNTY BUILDING DEPARTMEN', It "Y" . i+ -` „y c}l'i±'+�2sB'r ✓'F ..5. i - _777 4' Rao" 00. L '�'_{-� � � Mola•�o\+4043T4 o\u.w. OlB I 000' U•1.•10 \S�. Nin.Y 0,•755.•• OIO JI 3JI \ n100_r: wwIIoIt{' ++.-�O°O•��¢B"' .•R� • ." -_ l� [s). =17' OIJrI ' 3B0' Mofaria1�G043T5 e\nm. T I LL -- 1 �I I ^_IO'; �� r I� r—''l UI,.•RR —•„Irol I\.1R5 T-�Nr-' a(�' I t i - �iio _ .,1 SIDE FASCIA -_ i Mata.iel (.043T4 e,u..-,. Mr, ar'a\3005 HrTB a\um. ur qq a\,.0\c ..022', 0+ 4.10' UM •30 Mai, Mln116 .•R5 ts1 Lan9\R" .011'lti,cK;U\1'3,Ke,,e,n.`l.P¢2.,'a<•, Ca•e.<•.'!.P,.7G ta• .OGZ" Typ. 15.icknaaa S¢a nein \ . Malaria\+4043TG a\„m. PANEL I I Mmta•iol'4043T 4 ¢\um' O O +I m U1t.a 30 Kc�, M:n.Y.P. • Z9 Ka: # n 2678 II OLR•' L LI'll ' U11.-10 kair Min. Y. P,: R55.ai a' .040' Typ. \ti:cknnnn R. Faaa:a a \:ca a5•a\\ 'o \rc- ••nq end a<.e\\ `ca :'n lanced :c e0 .wa Caac.a _.:\5a B 4\\P C. ,0 Sae. s ��aai v\a � q....p aC 2 el ,•,S".�'; en. .Q 1ha sp\:ea. Sp\\eaa \.n\\ ba So \ecatad it'l a a5a (aw �,a aq-+• n\',a tup Pe. la s by o\ \¢v SF Ma1.1io1: GO&IT4 o\um. .040'• lw:aK unlns n•1ad ATTACHMENT DraD�naand tia\a.. ', conn 3. Sa\loa4 bmm aP\\aa �.>k.b'-\ 1one� and cno\\ en a=ii .\lb aC baan aJ! aeC-\oaaraq" r ea> N Die\ a pn. a,DY,aa. �naata .P\',an ',\\.',n \•t"n�'atea aania. S\e .aa no maay:a• ada.a•••. . p...'.dc a1 \aast iwo ca\...n•.a Pa „Hao. aay aateaa\� baa.Y< aa9n,a..+. no\a l0 on 2-170.1 � Mottnrial' 4049, G nWm. a W,\\. o,CCaranaf eat lona .ala.\, % OA -.-. LOCK TAB -.,... GENERAL NOTES raw. Ina. Ye.m. ftv- ftr.acau r aaa•. STANDARD FASCIA SSR\P IeaE Ea.e f. e. slw ou�.Ela maal pace rnel reonll a1,M en{irax r,o mey •T b TM is IM p nP.a>r.aua.mrn.>,aa.n...cclw.n•rwn.,,r.e in aq leM gprl. Man nprn J 1nrE rrr nrp,m. . - 14" �i-1 r Y ,.590- l all ar Hol• ef.m.epoya muy b Usad o•o.',d:nq \\.ay a. u u.\VV. •5.. a.Wm. I.asoc. d \.nYa >, a. n•zcd r\,n�.>\:. c 11"' S� �� Sa na\ 2 Qe �1an0\M y:a,d a\.angV\+a aqu o\ .o o. ba\\nrotio�. .tiz upa ...z> o\\e7. T,.;c\Haas •nd:co\ad '•¢bo+a ...ala\�.-••Hunt O tO' O Mo1..ia1+ 3C Oati3G o Wm. U, \. a aR t5,,M.n. Y,P, a R S Ka\ Saa nett.. I - 14i SQ. T U6E aBS.M. Sar¢u+¢ ni•"tin• head d'w. hu "a tw.o Sat back beam C\Q bo\\ Ma\al,o\•GOG�,4 oWm. a � .•a par tuba U\t.'30 1y•R9 a �Iti'Sq. cP\nm.\✓ a .OBO'1Mct', -4- \ann nn\od � u.na•nan\a\ cF�StaCK �EP.M �� cavum POSE CONNECT\ON �' G' aw\ .300'.440' Ll C4'-9•TYD For ua• .S.\\. \O'r20�,90 pae morin\ 3'� � O , d J 01 Building OfliCI01a O O +I m # n 2678 II OLR•' L LI'll ' -J - a' /-�� _ � e• � R. Faaa:a a \:ca a5•a\\ 'o \rc- ••nq end a<.e\\ `ca :'n lanced :c e0 .wa Caac.a _.:\5a B 4\\P C. ,0 Sae. s ��aai v\a � q....p aC 2 el ,•,S".�'; en. .Q 1ha sp\:ea. Sp\\eaa \.n\\ ba So \ecatad it'l a a5a (aw �,a aq-+• n\',a tup Pe. la s by o\ \¢v SF Ma1.1io1: GO&IT4 o\um. ,.BL' Vane poatg. For Vha � Peat \y Pan p\'.ca n.n.y ba \e�atad ..i,tt.'•n. V1'aC J•a\n can\a• pea\. U\1.% 30 kat M:n.Y.P.•ZS kal MoVa.iol•G043TG aWm. U\%.• 301ca:,M'•n.Y,P.•Z9 k.. 6RACKET SPL\CE-SZ ANDARD FASO\A ', conn 3. Sa\loa4 bmm aP\\aa �.>k.b'-\ 1one� and cno\\ en a=ii .\lb aC baan aJ! aeC-\oaaraq" r ea> N Die\ a pn. a,DY,aa. �naata .P\',an ',\\.',n \•t"n�'atea aania. S\e .aa no maay:a• ada.a•••. . p...'.dc a1 \aast iwo ca\...n•.a Pa „Hao. aay aateaa\� baa.Y< aa9n,a..+. no\a l0 on 2-170.1 � Mottnrial' 4049, G nWm. a r % OA -.-. - ' -�sawl— / 1 "BUTTE COU NTY raw. Ina. Ye.m. ftv- ftr.acau r aaa•. standQ d Qas , - -C � r u �- ShcaA Bmm - Sat back beam C\Q bo\\ Ma\al,o\•GOG�,4 oWm. a � .•a par tuba U\t.'30 1y•R9 a �Iti'Sq. cP\nm.\✓ a .OBO'1Mct', -4- \ann nn\od � u.na•nan\a\ cF�StaCK �EP.M �� cavum POSE CONNECT\ON �' G' aw\ .300'.440' Ll C4'-9•TYD For ua• .S.\\. \O'r20�,90 pae morin\ 3'� � O , d J 01 Building OfliCI01a O O +I m # n 2678 � 9 � See Research Recommen0allon o San ^ata a �,; :=`�: L from IM owaa a. ROBERT W. HAUSSLER EROIREER • . .. �' ``- •-' eECISIER[a ITRUCT.-I utis.. Rw. avl. rra Elan ta..eba den a Een.a.. Mottnrial' 4049, G nWm. a r Mb w•s. e1m. mr, ar lancer. Hamm epaa. Ra R,n �. w. waw.,. Ee. aaa an Rnra, a Tal. d. 9w U\\. •30 \. 1., tI\'•^.`(.P..Ri Kat \ Lu+ ttt\ 4"..040" tt�.ak ._ 9 �� "BUTTE COU NTY raw. Ina. Ye.m. ftv- ftr.acau r aaa•. SEZ6ACK aEAM ' ' °Kr SPL\CE >: ,a :; ` - _ - . IeaE Ea.e f. e. slw ou�.Ela maal pace rnel reonll a1,M en{irax r,o mey •T b TM is IM p nP.a>r.aua.mrn.>,aa.n...cclw.n•rwn.,,r.e in aq leM gprl. Man nprn J 1nrE rrr nrp,m. �@. r Y F I0 ,e In 1prna 110noI CanlerenCe 01 Building OfliCI01a \•�^��.' q 4,- .. ��..,.�.` N. KINKEAO k sueslolARY Of � STAN540D U.S. GYPSUM CO. PATIO COVER �,; :=`�: L PARTS DETAILS ``- •-' 69e 2370-2 r "BUTTE COU NTY BUILDING-DEPARTM=ENI s Piers Underground Conduit Pre-Gunite MLEWM Underfloor Plumbin Underfloor Electrical Underfloor Mechanic Underfloor Framing Slab Scratch and Brown Plumbing Final Electrical Final t� r' COUNTY OF BUTTE OF DEV SERVICES ni _ DEPARTMENT O IOENT BUILDI DIVISION r NOTICE --- HON t Post this job card in a safe, conspicuous place. Do inspectionsare made and not remove until all recidired be building is approved for occupancy. must t available on the lob site. _ t No D MA .�. nv e F Owner Contractor '➢C��— Expires Permit No.c-7-- "SE� PERMITTEE MUST CALL " : 'FOR INSPECTIONS .1 Piers Underground Conduit Pre-Gunite MLEWM Underfloor Plumbin Underfloor Electrical Underfloor Mechanic Underfloor Framing Slab Scratch and Brown Plumbing Final Electrical Final t� r' I r i Piers Underground Conduit Pre-Gunite MLEWM Underfloor Plumbin Underfloor Electrical Underfloor Mechanic Underfloor Framing Slab Scratch and Brown Plumbing Final Electrical Final COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-083-024 Z K I r BUILDING PERMIT OWNER DAVE AND KAREN JONES532-1385 TELEPHaNE SO. FT. OCC. BUILDING VALUATION 52 TO U ' OWNERS MAILING ADDRESS PO BOX 2307, OROVILLE CA. 95965 CONTRACTOR'S NAME OWLV TELEPHONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3241 ORO 'SANG T Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ]0 Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD ROOM nN FX DECK AND UPG-A-DE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 @20.00 PERMIT FEE s 35.0 ELECTRICAL PERMIT I Fling Fee 20.00 800VR UE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I here/ffirm under penalty of perjury that I am exempt from the Contractors License Law fe following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Oe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) iff I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' ompensation provisions of section 3700 of the Labor Code, I shall fo hwi corn those provisions. 1, X Date I O - v� Signaturef A lican (ODiLner ❑ Contractor ❑ Agent An OSHA permit is required ikLpAcavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACc. Blas. 3.5¢FT; I,Gµq�IDT MULTI.OUTLET @7.50 RArus POWERGLE OUTAPPALET S 8 SIN 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. OFlxED s R p,DR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.001 23.00 PERMIT FEE s 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ Corsi. TYPE TOTAL FEE $ 136.00 HAZ. p, IMP I FLOOD CDF PARCEL Po HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees hav been By D PERMIT EXPIRES O J J011),�o_ p provisions to do work paid. e ' Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT PIS (Rev. i 2/96) APPLICATION AND PERMIT AS SESSOR PARCEL NUMBER 0__ �J (i(� V o ^ .�'� ZONING IVL`��(, BUILDING PERMIT OWNER TE NGN SO. FT. OCC. BUILDING VALUATION OWNER'S 72 ADORET / V / 0 V 0 .�. _.._. COtiTRACTOR'S NAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20 OC Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ _ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing gee 20.00 ach Trap 7.00 ~ Each SF 7 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00! TYPE OF WORK New ❑ Addition ❑ Remodel P% Utilities ❑ Installation ❑ Other ❑ Describe Work: C Cc4d YOGYY\ C%r_N 0'}� d -Q/ — VL Gas piping system i- 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S ITW I 920.001 PERMIT FEE ; ELECTRICAL PERMIT Fling Fee; 20.00 Main Service z�D.. ' LESS 23. - " PERAIT FEE PA1b ' —� SRA S�A SHERIFF 0. a g AMOUNT RECEM0 I 1 ""'Ma" �iAER w TO IN PUT � COWVTM Main Service zooA To wooA I 45.00? _ NEW CONST. DWELLOJG oCCUP. 7 SC! OR ADONS. ( 8 ACC. BLDS. 3.50 FT.. I_—_ NEW CONS .OUTLET MULTI.TS I NON-RES10. CIRCUI1— g7.50:: •_..__ _ (POWER APPARATUS 8 SINGLE. OUTLET CIR. 204 1.00 Ex. Occup. OUTLET OR FD(TURES BAL S0 Ex. Occup. OFIUTLE'TS R D.APPLIISOEA. 5.00 _ Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 — PERMIT FEE MECHANICAL PERMIT Fling Fee 20.0_C Heating _. CoolingI _ Hood 6.50 1 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occCONST. TYPE TOTAL FEE $, ;J _ ISS- Z. D. FEES IMP FLOOD COF PARCEL I PD I HD i 55. This permit is hereby issued under the applicable provision of the Butte County Code and/or Resolutions to do wort indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dale ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :. O`VNER-BUILDER VERIFICATION Anent= Property Owner: An "owner -builder" building permit has been applied for in your name and bearipg VW side. Please complete and return d2is information at your earliest opportunity to avoid in processing and issuing your building permit. No building permit will be issted uoeil ids verification is received. I . I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES I NO E3 2. I HAVE t,, HAVE NOT C3 signed an application for a building permit for the proposed W*& ;. I have contracted with the following person (firm) to provide the proposed eonstruetioo: ,\. NAME: - PHONE: 4. I plan to prov supervise, and _81. - PHONE: CONTR4CTOR'S LICENSE NO. ions of this work, but I have hired the following person to coordinate, the major work: ' 5. I will provide some of the work but I ha the work indicated: NAME ADDRESS SIGNED: PROPERTYO SOCIAL SECURITY NUKER: DATE: CITY: CTOR'S LICENSE NO. ontracted (hired) the following persons to provide ONE TYPE OF W01RX XO TE: This Owner -Builder Verification is required by Section 198.11 and 19831 oVit California Health and Safety Code This verification must be toffrleW aid returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION A.1 application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as 'owner -builder" you are the responsible party oft+eeard on such a permit. Building permits are not required to be signed by property owners unless they are persoaally per5osoi' Jisir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work. with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and ocher toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subconcractors. then you may be an employer. ♦ [fyou are an employer, you must register with the State and Federal Governments as an employer and you are subject co several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For mere scecitic information about your obligations under Federal Law, contract the Internal Revenue Service and, it you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, cer,cact he Department of Benefit Payments and the Division of Industrial Accidents. 1: the structure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or chroug`t their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contactors is to secure an "owner builder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by properly owners unless they are performing their owmwork personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 958 I4. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely. Ntie el C. Vi ira, C.B.O. ht ger, Building Inspection NOTE: T/r:r 0wrter-8uilder Information is required by Section 19830 Of the C44Prnla Xe011h and Safety Cam OVER p16 - ► • r yaoa r S ------------- ------------------ 1 ���/ s•// BUTTE COUNTY, BUILDING DEPARTMENT APPROVED n 5e 1�ed t000d Z�c � SPA •��rs ��� D F Cc) D F y x `� 13Ef3N9 f Ca) Red wvud Go 14ce) 6fhc7P: -S'd'.�y z Gor.Posafe C�> ���/ s•// BUTTE COUNTY, BUILDING DEPARTMENT APPROVED n 5e 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 r+ppttcant: btluare rootage: JONES, DAVID L Building Garage Remdl/Addn P O BOX 2307 OROVILLE, CA 95965 Other Porch/Patio Total (530)532-1385 FEE INFORMATION DBMSC Window/Sldng GIs Dr-Repl $110.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 02/26/2007 Contractor's Signature Date _ WORKERS' COMPENSATION DECLARATION - I 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑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. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or ess. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any mann o as to become subject to the Workers' Compensation laws of California, and agree t s uld become subject to the workers' compensation provision._. action 3700 L r Code, 1 shall forthwith comply with those X Signature ' Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip urged: $110.00 Fees Paid: Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION 10.00 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; -P-lleyase check one of the following: y� t I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE IBJ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Signature 02/26/2007 Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless, Butte County, its officers, agents and employees from any and all ctaims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby ack dge that issuance of this permit does not authorize the use or occupancy of any sidewalk, t, or ubsidewalk. I hereby authorize representatives of Butte County t he above menti d pro rty for inspection purposes. I hereby certify that I am the prop owner 'r am �uthori o a n the property owner's behalf. 02/26/2007 ❑ Owner 1:1 Contractor O[' j. Agent for Owner ElAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3241 ORO BANGOR HWY Owner: Permit No: B07-0368 APN: 078-260-019 JONES, DAVID L Permit type: MISCELLANEOUS P O BOX 2307 Issued Date: 02/26/2007 By GLB Subtype: Window/Glass Door OROVILLE, CA 95965 Expiration Date: 02/26/2008 Description: REPLACE 4 WINDOWS AND 1 SLD (530) 532-1385 Occupancy: Zoning: RT1 r+ppttcant: btluare rootage: JONES, DAVID L Building Garage Remdl/Addn P O BOX 2307 OROVILLE, CA 95965 Other Porch/Patio Total (530)532-1385 FEE INFORMATION DBMSC Window/Sldng GIs Dr-Repl $110.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 02/26/2007 Contractor's Signature Date _ WORKERS' COMPENSATION DECLARATION - I 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑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. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or ess. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any mann o as to become subject to the Workers' Compensation laws of California, and agree t s uld become subject to the workers' compensation provision._. action 3700 L r Code, 1 shall forthwith comply with those X Signature ' Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip urged: $110.00 Fees Paid: Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION 10.00 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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) 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; -P-lleyase check one of the following: y� t I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE IBJ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Signature 02/26/2007 Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless, Butte County, its officers, agents and employees from any and all ctaims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby ack dge that issuance of this permit does not authorize the use or occupancy of any sidewalk, t, or ubsidewalk. I hereby authorize representatives of Butte County t he above menti d pro rty for inspection purposes. I hereby certify that I am the prop owner 'r am �uthori o a n the property owner's behalf. 02/26/2007 ❑ Owner 1:1 Contractor O[' j. Agent for Owner ElAgent for Contractor FILE COPY Butte, County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P�(P'Q'O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. S R NO) 2. 10MAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY, PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE 4 WINDOWS AND 1 SLIDING GLASS DOOR Reference Number: B07-0368 Applicant Name: JONES, DAVID L Owner's Name: JONES, DA l AP # : 078-260-019 Sigfiature of Property Owner: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" NER /NFORMATI Last Namefirst Nae xfc_/ Mailing Addres 6 23� Ci Zip Phone Ptr one 2rlo', Fax E-mail CONTRACTOR Name b Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENG/NEER Name City Address Zip City Fax to Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Q Y -I YNQA Address City State Zip Phone Fax E-mail �-'6OWNACMWAM��� PROJECT LOCATION AP# CD D Lzn O l Property Address a �Yof City Cb nel PERMIT NO. BIN # ��CORKER'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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy 1 L (Note previous use): D For office use only: Zoning Flood Zone SRA I Yes No Occ. I Type Const. 3,e.b�=4�!"E Sv!!^_xNs,•��.•!y�.?caa•ernp�•v�;:��v`Y^P�w}•!yq•�s.4:•�•�tAAW'a`0&, .S54F�.vra.7Cv<<akd;'+n^ K< .+4,P Ke 4 4 �t5 S,1 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIbDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER 036-083- 024 ZONING BUILDING PERMIT OWNER DAVID AND RARE JONES TELEPHONE 532-1305 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 2307 OROVnIE CA 95%5 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 900.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS IR If". OROVIUE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF (11 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'O Describe Work: RE -ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600R UES Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00So CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BIDS. SO 3.5¢Fr. T. MOLT NONFRESID. CIRCUITS T @7,50 POWER APPARATUS a SINGLE OIJRET C'R. EX. OCCU OUTLET OR FDITURES j 20 BAL FIXED APPLNS. . OR Ex. Occup. ouTLErs RESIDE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' c mpensatt�joon laws of California, and agree that 'rf I should become subject to the rkers' s6m n on provisions of section 3700 of the Labor Code, I shall f rth c 'ly _with ose provisions. - X "�- ~` Date `-} Signat re Applicant 0 O�Jn ❑Contractor El Agent An OSHA permit is required for exeava •ons over 5'0" deep and demolition or construction of structures over 3 stories in height, - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $. 443.00I HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD SSUE v This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a_ ova for �yhich fees have been paid. r ." % . �' 4,( u" '�Date'� j - PERMIT EXPIRES ON Dale ReceiptNo. ;'J �1 fS 3 t% �f A. Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -I SPECTOR GOLDENROD -APPLICANT 1 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ,!90 `-`�� ASSESSORPARCELNUMBER 036-083-024 ZONING BUILDING PERMIT OWNER DAVID AND KAREN JONES TELEPHONE 532-1385 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 2307 OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 900.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3241 ORO BANGOR HWL OROVILLF 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF (X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YE! Describe Work: RE–ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not emplo any person in any manner so as to become subject to workers' compensa n laws of California, and agree that if I should become subject to the rkers' om n provisions of section 3700 of the ,Labor Code, I shall f rth ' ith ose provisions.C� - -? - %% X Date J J ❑ O n ❑ Contractor ❑ Agent Signal re Ap licant -110 An OSHA per ' s required fore ata 'ons over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BUDS. 3.5¢FT, NON p61p, MULTI-OUTLEr 97,50 POWER APPARATUS .11N OUTLET CIR. .00 EX. Occup. OUTLET OR FDCTURES BAL @ I.50 Ex. Occup. oFlUXnErs AES, ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or aindicatedve for h fees have PERMIT EXPIRES ON — �- the applicable provisions Resolutions to do work been paid. e v� lJ /Date ReceiptNo. O a WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: " An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ] NO[ ]. 2. I HAVE ] HAVE NOT[ ' ] signed an application for a building permit for the proposed work. 3. I have contracted with . the following person (firm) to provide the proposed - construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person-to- coordinate, erson-tocoordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK..; f, r ' SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: -1" - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health. and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. s �� OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons, professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.. . Sincarel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER NOTES I RESIDENTIAL PERMIT NO ---,-- 036-083-024 JONES, DAVID 04 3086 3241 ORO BANGOR I-IWY. OROVIL.LE Cont: OWNER NEW PRI DET GARAGE/SHOP 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE -SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J __OK 0 = Not OK = oReaa°'eNdy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date PECO, COVERS, CARPORT AR S (Plans) OK except #'s ning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel S. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date d Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit i 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10, UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle 52. 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access 58. 22. Gas Pipe; Sixe & Anchors Glazing Area -Glass Protection -Skylights -Plastic 23. Fire Sprinkler; Test 61. Brace Interior/Exterior Wall Panels 79. Date 80. Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Comments at Final: 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks ❑ Yes B No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636.(OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043086 LICENSED CONTRACTORS DECLARATION Chapter 9 (commencing with Section 7000) of Division 3 of Feffect. firm under penalty of perjury that I am licensed under Issued Date: 12/17/2004 APN: 036-083-024-000 and Professions Code, and my license is In full force and : license Number: Site Address:ss 3241 ORO BANGOR HWY ORO Map Index: Date: Contractor. OWNER -BUILDER DECLARATION Description: SHOP/STG(960) I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JONES DAVID L permit to construct, alter, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a P 0 BOX 2307 signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �I 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: JONES DAVID L Code: The Contractors' State License Law does not apply to an P 0 BOX 2307 owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply (o an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 e Business sions Code / Z 7 -/Owner. Date: WORKERS' COMPENSATION MCLARATION License #: - 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 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: PURSELL, FRANK JAMES g - O 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: 960 S.F. Policy #: Valuation: $23,040.00 Census Code: • tI 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: %- e2 o Applicant:_j� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall. subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under th app!) .able provisions of the Butte County .oda anrUor I hereby affirm that there is a construction lending agency for the Is issued (Sec 3097 Civ.) Resolulto s o dQ work in led a e fo hich fees have been paid. performance of the work for which this permit By. Q Date: t/ Name: PERMIT EXPIRES ON: Address: J Date O 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. O 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 relating to building construction. I acknowledge it is unlawful to alter the substance of an officia l form or docu a Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: �j& t/) /� �07i1 ej 'Signature: e r , -z-' / 7- Date: Owner 0 Contractor 0 Agent for Owner - 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net%dds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor. 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 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 Slate License Law (Chapter 9 commencing with Section 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 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 Code: The Contractors' State License Law does not apply to an 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner -of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article_3 e Business1-1 ofessions Code Date:/2 -17_ 0YOwner. WORKERS' COMPENSATION IEFPCLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ l.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: Policy #: 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: % z 7-- e2� 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 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.) Name: PERMIT NO. BP043086 Issued Date: 12/17/2004 APN: 036-083-024-000 Site Address: 3241 ORO BANGOR HVVY ORO Map Index: Description: SHOP/STG(960) Owner: JONES DAVID L P O BOX 2307 OROVILLE, CA 95965 Applicant: JONES DAVID L P O BOX 2307 OROVILLE, CA 95965 Contractor: License #: Architect: Engineer: PURSELL, FRANK JAMES Total Square Ft: 960 S.F. Valuation: $23,040.00 Census Code: permit is hereby issued under dutiops)o 09 work inIpted aj PERMIT EXPIRES ON: e provisions of the Butte County .ode enrVor h fees have been paid. TT V r Date: Address: I L(Datel / ❑ 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 l 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 anv official form or docu a Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: �%� vTdYly-5 Signature Date: Z - %" d Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538-7601 Telephone 30) 538-7785 Facsimile no FROM: Q SUBJECT: Z DATE: oOVTTFo o % o o �So p ': p cou N �y WILLDAN Scott Rutherford (530) 538-7160 srutherford(d)buttecountv.net Plans Transmittal For Review Per Contract 10/25/2004 Applicant: - Jones, David Permit 04-3086 Project Type: Sho /Stora a APN: 036-083-024, 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other F�t- 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ,y 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:JASSESSOR PARCEL NUMBER U b O Proposed Building Use: Counter Technician: b�j I Date: / O /,:;? �� Items required in order to apply fora permit -All boxes MUST be checked OR marked NA in order to apply. T 1. Site plan , 3 D, r 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. :Lr 3. Engineered planst 33. r 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss �etails and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings iT, 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form TAT- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required ......................................... ......... .................. 21. Fees as shown on the attached Schedule of Fees Due Sheet...�?....�?. Sh!!P Z ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: UK�(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 11- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................ . ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner,`❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above itemsrand,regdirements for obtaining a building permit. i Applicant: --- Date: 1. Index permit application for the above lgms numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by:Vv Date: Note transfer by: CAW 122 Date: larokT Yellow: Building Division E.H. USE ONLY Piot Plan Attachod Floor Plan Attzchad'*2, . Sancta B.D. ? TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal- Wate SuppI Public P-vaR Well r Clearance for dwelling. Other � L� ,,r, 2) 1 S . Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Dat O.B.-1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESIXI NO[ 1. 2. I HAVEE j)d HAVE NOT[ 1 signed an application for a building permit for the propose ork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICE;VSE NO. 4_ I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5_. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER/v E DATE: /C ` z L - c9 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified - For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project,. and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned -r C. Vieirfa, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. i Owner: 1 V -e` Scj-a 0 Phone Mailing AddressTU ��j� a�b'� 0)fN) )U--'1 9. Site Address: -2 S l 6ir-6 U Assessor's Parcel Number:,' — v��j v o� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFO%MATION: 1. Is there a primary dwelling on the property? Yes No 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 3. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No (r CONSTRUCTION 10. FEATURES: Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? YesO No 13. Will this building have a sink? Yes No 14. Will this building have a water heater? Yes ❑ —/ No Imo" 15. What type of floor covering «ill the building have? 16. What type of ivall covering will the building have? L( OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Stied — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. A Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 1. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House. ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy 2 ❑ Other— Use = 1. Deu be type orwo&hop :. bluu be approved by she Butte Courny Pluming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O«-ner's Name: Please Print Owner's Signature. t Date: Z z - d 2of2' �r 5 ECIC WORD Department C o u n t 1 J. Michael Crump, Director Public f B u 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 ACREI Project Description: SA/ �vP / S4-, Project Location and/or Parcel Number: 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 andor other permits or other sanctions provided by law. Signed: Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program ` Revised 5/24/04 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 BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININIC ❑ 1. ' Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of intent for Non-heated and A/C for Non-Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 7. Metal bidgs: (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. Detached Accessory Building Form filled out by the owner (if required). 1 12. Hazardous Material Form (for Commercial Buildings only). D 13. Sanitation and site plan approval from the Environmental Health Department. 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 Commissioners office (if required). 2. Impact Fees. 7 3. California Department of Forestry plan approval (if required). 4. NPDES Form. 7 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 7 6. Contractors license information. (Number, Name Style, Classification). 7 7. Workers Compensation Carrier and Policy Number. 7 8. Owner-Builder Verification (if required). 3 9. Letter of Signature authorization (if required). _ 7 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). F you have questions or would like additional information regarding this process, contact a Permit 1pplication Assistant at (530)538-7541. EXPIRATION OF APPLICATION pplications for which a permit has not been issued will expire one year after date of application. In order to renew action n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS efunds can only, be made upon written request by the person who paid the fee. The request must be made within two .ars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan leck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION FORMSWILDING F0RMSXBId9AivJSubRomts.doc 7 .,f) oro 0 0 549.90 w,71d�, BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES o�j 9- 1 0 BUILDING PERMIT APPLICATION 155,9") 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE RILL BE REO UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY" OWNER Last Name`'-- J Address Address Pen max a 30I City UY i 1 StateaA Z'p Phone 15�):�6 . 1 L a Fax I E -mal I ARCHITECT/ENGINEER CONTRACTOR Name��— Address Address City o rou I L* City Pip State Zip Phone State License Number Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER Name �P_I Address J City o rou I L* State ,, /1U� Pip Phone 5"3 3 _ d11 2 / Fax E-mail • IPUVSetl &s loloal�� State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail ---AP-PLICANT SIGNATURE � sir• ��--���� For office us only: Zoning Flood Zone %SRA Sheriff Yes SMTP Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP Oq BIN # LOCATION AP# G� . V� Property Address 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 ofpermit issuance. LENDING AGENCY Name �\ Address Description or Scope of Work: Sq. Footage O ❑ 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. [Received bow;-, Amount Bldg SRA /� // Receipt t `T�/ j;q& Sheriff SMTP Date: I�/ /O� 4} G% Other S l ,' ` Total N SITE PLAN REVIEW APPLICATION Date: / //.2 9/ -L% AP# 03(e -GL$3-0.)- Permit Number (if applicable) 308(0 APPLICANT INFORMATION / Parcel Size: Owners Name: a.,V7 P Owners Address: f • � 6O4 236 7 6 Lft d4 615- 95 Telephone No.: I Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ ❑ Mobile Home J@ ry Residential Accesso❑ Permanent Second Dwe6TbAf ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) I$ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site PI Stamped Approved By Date 67 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land ConservationAct Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA = (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.:b0 e_091rIndex Date: a�FJ 00 ❑ Sacramento River Reclamation District (Approval must be obtained from the Caliornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: / Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front do Side Side Street Rear i Height Waterway N/A N/A N/A E, O ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable'Deyelopnent Fees: Standard Fees Amount ;f. Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 10 Subdivision Map/Parcel Map: 5 Map Date of Recording: // d Lot: ;2- ❑F-1 Use Permit/Minor Use Permit Permit Number: Book: Page: �7 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 7 Page 4 of 5 I x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuilding Permit Site Plan Reviewl.doc Page 5 of 5 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuilding Permit Site Plan Reviewl.doc Page 5 of 5 We, A.W SYoRMes and' F4OR2NCC' K. STORMes as owners of This property do eerlily that we ore the only persons whose con- sent is necessary to pass clear fitfe to the said lands, that we caused the subdivision within the colored /ine lobe made, and parte/s are hereby orrered /br dedication /or raadpurpoaes- e / ded'eaireforpuL✓ie use Ulifily and Droinoge Eosemenls os shown. SFate of California s. s. r County or�ulfe on this 3_ da of Tiny./9So before me, w/u/RH //-y DOe19,Y,J R. a nolar44 public in ana Forn�so;& Counly,personolly appeored A.W. SroRME5 whoseEnamewe ARe subsc�bed to the foregoing insne�ument and ocknowledged5 to me that they executed the some. Aly commission expires No YeMBGR 4 igro LCL Notary Pu tic ~- 1, D.W. Cooper, Audilor for the Counly, or Butte, Stole or Ca/'/'ornia, do here- by certify that !here are no liens for State, county, or other loxes against the sub - Y. ub- 'i,I:� division herein sel forih -and tho� taxes which are alien but not yet payable, I cs- "F'" timate /o be in the amount of W/� •'/�F�,%C In w' n s whereof l have set my hand and fixed my AudPr' rrieiol seal this '•'"x•'� %Y 1 f'i ' i Au /:`.. SEAL The Tenlolive Mop ory.T0RMe5 S✓8oIVI5ION N^ 2 was approved by the Planning Commission or the County of Bulle, stole or California, on the. lo'- ddy of May 1950 and /he find/ mop was approved on the day airJune . 1950-. L'Jaex;m/ Seere ary I hereby certify that the map of STORMES $UBO/VISION N9 2 was duly submitted to the Board of Supervisors or the Counly of Bulle, Stole of California, one that said Board d;d approve the some and receipt or eatisfacloey surely in the amount of 0 2l,°--' to secure payment ol'toxes which are a lien but nol yet payoble.was ocknowledged this 10-1A, day of 4-uA, �:I • til. I;, p O � Clerh Depu y Coufffy Clerk Recorded in the office of the Recorder of the County of Bulle , Slate of Co/ifornio, Ibis //24 day or '1 G /95'b al S -T -minutes past d O'cloclrpYIq. 0 r - Recording Number `I43/- d� M. &iia eccrder SHEET I OF SHEETS 1, K. E. Soule hereby certify /hal I am a Licensed Surveyor orlhe Stole or California, /ha/ the map dCline Ofed herewith corrcclly rcpresenks ..-?•..J�f,: a survey made under my supervision in June 11950 , and lhol alt tho-::, monumenls shown Mercon-cxlsl, and !hal !heir positions ore ear- " _•.�,.,'%-.i.-: reclly shown. and ore sur'fieienf Ioenoble the survey {g eQelraced 4 .FI c •y'R;e� Licensed Surveyor No 7513 �`� +•" `-• SEAL 1, Berl N. Paxton, Counly Surveyor of the Counly of Bullc, Slale of Cal- ifornia , do hereby certiry that the subdivision shown hereon is aubatontiBl/y Me some as appeared on the Tenlallve Mop on file,ond any approved oller- ofions thereof, and all the provisions orChopter 128, Stalulcs of California. and any local Ordinances applicable a/ the time of appproval of the Tentative Mop have been complied wdh , and I am solisfied�9� nicol- ly correct. Reg�ste C%untysurveyor Butle Counly SEAL MAP OF STORMES SUBDIVISION N9 2 BEING A RESUBDIVISION OF LOT d AND A PORTION OF LOTS 3 AND 5, BLOCK 15, AND LOTS 5, 6, AND 7, BLOCK IG OF VILLA VERONA SUBDIVISION. BUTTE COUNTY CALIFORNIA SHEET 1 OF 2 SHEETS /SY- 16' Y Y / O N o oco I N ° c y Lowen WYANOOTre so-as'e Is ll. ai' 1 d R040 .—•._aw.00'—'�'J - 195 DEEDS 472 9]c.YY' we -, -.a _ = s s Sono• o JI M1y'PaJO e0.: _ ~s.�3x° ivy \ Hy/ % /'n { �•• .n ® �p ®,: a �p��p`9 r° F � O � O O ® 0 m ®•,. F;. $� ®>,.© ®•° � N ® ry•��,'p iB4L _-. NIY �.w-"' Y AO < Arc 6�< % do% L�• ^ ®•< • .� .-&-_ n, xa w aoa° - r I j �- c I• 6y t_ �o. wo _p R O Q - ° i^"• / \ ,�e f S'I , g U. S. "° GovT �o ° y ' ' TRAysvii dam• :t ,' /ROPD Lire g R/W I9/co8 y 01) C3 F .Oe�� h 9LE_ g t l a tAI J1L I 10 N',3? .�1 �" \ \✓ -ri 4 \ SCALE N I:Jryml�e ' 2 a1 \ 'S.� N 1 •� 4 17.5! D 'n 10 ,Y '• A, ^• e a I,''� 4 v• LOCATION DIAGRAM m - j Aa• J OF ,.q STORMES SUBDIVISION N? 2 h. MAP OF STORMES SUBDIVISION M92 BEING A RESUBDIVISION OF LOT 4 AND A PORTION OF LOTS 3 AND 5 OF 15 AND Am i OF LOTS 5, AND 7 OF SLBOCKKIG.VIILLA VERONIANSUBDIVISION BUTTE: COUNTY CALIFORNIA �z—� SUBDIVIDED FOR A.W. STORMES - OROVILLE �^ SECTION 21, 2B ' TISM -Ft4 E. BY gK.E.SOULE L.S. 2513, V•C RoaD _ f MAY 1950 SC ALE I'• 100 NOTE— Basis of bearin Oi'SurvC ;a the ccn{cr• /ine�ol' onep/pe ;h Lnlhgis Stog s19orners excep/ {or .101.1 cmanumen�s shown lfws 13.4 Acres Net SHEET 2 OF 2 SHEETS Po. /.�"LP. RE 24.115 d5 PER /0) f FD. 34'AP. LS QS/J �--- 50. I � QD9 0 49 PG. I o a w0 Sw CORNER i caree IW 1� I !� FD. Jd• LP a//' EASr 1 OF LINE 2Z oe o� 00 W h 0 oh b Lm FD.V LP me NISS/N6 BASIS OF BEARING Imi WEST LIN£ OF LOTS 94-26, T41YEN AS N 00-23'00'w BETWEEN Po/MTS INDICATED PER /B YAPS 24 I I SCALE /"- 20' LOCATION NAP LEGEND •— FODNO A/OAQIN£Nr AS NOTED /- SEr /4" REBAR rA6GE0 LSI20B /R)- IBY4PS24 /O) - 2095 aft. 674 RECORD OF SURVEY A PORT/ON OF LOT 22,"STORMES sus. NO.P , I8NAPS24, LYING IN rHE S.W. QUARTER, SECTION 2/,T/9N,R4E,N.D.N. UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA FOR - SHIRLEY CUNEFARE SURVEYORS CERTIFICAT — COUNTY SURVEYORS CERTIFICATE AEC RDERS CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MAD THIS MAP NAS BEEN EXAMINED FOR CONFORMANCE WITH THE FILED THIS DAY OF t98i,., ATS �M. o MV DIRECTION IN CONFORMANCE V/ffN THE REOUIREM 6MfE O`, REQUIREMENTS OF THE LAND SURVEYORSACT THIS e� DAV IN BOON { ENGINEERING SURVEYORS ACTAT THE REQUEST OF SHIRLEY ARE 19611.- -S. OF IMPS AT E A THE REQUEST OF ���•••iii SURVEYING _�•,��s OF na.•A IN FEB. 19e z . * OSERIAL NO.�S Q A.`lL.b .� D �D PLANNING A@ A /S1 ORO DAM BLVD., SU. M �• �_ - W My iNE�� -, / ` ` OROVILIE, CALIF. 95965 CLAY CASTLESMY RCE 1� 4 f--� ISIS) 533.2068 ONN O. CRRISTOFFER - B cpxnslmveroR ay— 0/7-82 x�w U'� 9L.OIl __C Z 0 i b Ife I ! Jp"/.P. /N POOR CONDITION I \ 1 REPLACED WN 1,VR£BAR LS O20B BASIS OF BEARING Imi WEST LIN£ OF LOTS 94-26, T41YEN AS N 00-23'00'w BETWEEN Po/MTS INDICATED PER /B YAPS 24 I I SCALE /"- 20' LOCATION NAP LEGEND •— FODNO A/OAQIN£Nr AS NOTED /- SEr /4" REBAR rA6GE0 LSI20B /R)- IBY4PS24 /O) - 2095 aft. 674 RECORD OF SURVEY A PORT/ON OF LOT 22,"STORMES sus. NO.P , I8NAPS24, LYING IN rHE S.W. QUARTER, SECTION 2/,T/9N,R4E,N.D.N. UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA FOR - SHIRLEY CUNEFARE SURVEYORS CERTIFICAT — COUNTY SURVEYORS CERTIFICATE AEC RDERS CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SURVEY MAD THIS MAP NAS BEEN EXAMINED FOR CONFORMANCE WITH THE FILED THIS DAY OF t98i,., ATS �M. o MV DIRECTION IN CONFORMANCE V/ffN THE REOUIREM 6MfE O`, REQUIREMENTS OF THE LAND SURVEYORSACT THIS e� DAV IN BOON { ENGINEERING SURVEYORS ACTAT THE REQUEST OF SHIRLEY ARE 19611.- -S. OF IMPS AT E A THE REQUEST OF ���•••iii SURVEYING _�•,��s OF na.•A IN FEB. 19e z . * OSERIAL NO.�S Q A.`lL.b .� D �D PLANNING A@ A /S1 ORO DAM BLVD., SU. M �• �_ - W My iNE�� -, / ` ` OROVILIE, CALIF. 95965 CLAY CASTLESMY RCE 1� 4 f--� ISIS) 533.2068 ONN O. CRRISTOFFER - B cpxnslmveroR ay— 0/7-82 x�w U'� 9L.OIl 1. 1 A WILLDAN Serving Public Agencies December 15, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1199 Jurisdiction Job No: 04-3086 Assessor's Parcel No: 036-083-024 Description: Jones Shop/Storage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies undated by Frank J. Pursell, P.E. * Structural Calculations: Two (2) copies undated by Frank J. Pursell, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Serving WI LLDA�N Public APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Type of 1" Floor 2nd Floor Occupancy Constructio Sprinklers Stories Sq Ft Sq Ft Total Sq Ft n T, — U-1 V -N No 1 960 N/A 960 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sin5p e , saac Kuster Plans Examiner CC: Alice Mefford, amefford(iDbuttecounty.net David Jones, PO Box 2307, Oroville, CA 95965 Jim Pursell, 5 Madrone Ave, Suite B, Oroville, CA 95966, FAX (530) 534-0902 Page 2 of 2 County of Butte 04-3086 Willdan .14353-1199 CLAIMANT: Karen Jones ADDRESS: P.O. Box 2307 Sq/ 1110el County of Butte Oroville, Califomia GENERAL CLAIM CITY & STATE: Oroville, CA 95965 DATF nF CI AIM- 07/30/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 036-083-024 Permit No. 04-1723 PAID RETAINED REFUND Development Services $ 109.98 $ 54.99 $ 54.99 THERM DRNG $ - $ - $ - SMIP $ - $ $ - SHR $ - $ - $ - TUA $ - $ - TOTAL $ 109.98 $ 54.99 $ 54.99 ............. ............. ............ ............. ............................... ............................... ............................... ............................... BREAKDOIVN .............. .............. .............. .............. :: BUDGET::: .............. ............. .............. ............. ACCOUNT:: .............. .............. ............. .............. AMOUNT : 101001 DVLPMNT SVC 440-001 4210500 $ 54.99 1011822 THERM DRNG 1800 280 $ - > ..... 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 1011816 TUA 18001 280 $ - TOTAL 1 $ 54.99 $ 54.99 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2004, at Calif. Sign turj of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Approph n or Specific Board Approval (Check on r the same. Dated this �l day of 2004, at Oroville C Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROD SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING July 30, 2004 Karen Jones P.O. Boa 2307 Oroville, CA 95965 RE: Permit No. 04-1723 APN#036-083-024 Owner: same On 6/14/2004, a deposit was made in the amount of $109.98, of which $54.99 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $54.99. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 04-1723.1tr CLAIMANT: Karen Jones ADDRESS: P.O. Box 2307 CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 07/14/04 APN: 036-083-024 NUMBER: DATE: ISSUED TO: CHECK AMOUNT: PERMIT M REFUNDS: DETAIL BLDG SHR REFUND PROCESS FEE 5 BUILDING TOTAL_ THFRm nqNr SMIP. SHR APPROVAL Date Reviewed Michael Vieira Building Manager 04-1723 Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 rHRM DRN( 280 1011822 AUDSUSP 1001 (SMTP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 1011811 THRMURBN 1800 (TUA) 280 1011816 PAID RETAIN REFUND 109.98 ................ ........ ................ ................ ........ ................ ................ ........ ................ .. ........ ...... ........... ................ ........ ................ ........ ................ ........ '**''* . ........ ........ ..... — ..... * . ....... ........ ........ ........ ................ ........ ................ ........ ................ ........ ........ ................ ........ — .... ........ ............... ........ . .. — .... i................ ........ ................ ........ ................ . . . . ........ ................ ........ ........ ........ ........ ........ ........ ........ ........ ........ ... ........ ....... ........ 0.00 109.98 109.98 i 109.98 1 0.001 0.00 1 0.001 0.00 0.00 0.00 0.00 0.00 54.99 -54.99 -54.99 . 109.98 54.99 54.99 54.99 UAAJ 0.00 0.001*.*.'.'. 0.00 0.001 0.06 109.98 $ 54.99 $ 54.99 $ 54.99 $ $ - $ - / 15/0 CHECK: $54.99 DIFFERENCE: $0.00 (Should be blank) e I\ o�UTrFo Butte County Department of Development Services ° o Building Division 00,.'r - 7 County Center Drive cOUNty Oroville, CA 95965 (530) 538-7541 . REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the CLAIMANT'S NAME: S MAILING ADDRESS: PHONE: - f ASSESSOR'S PARCEL NO.:. [Please use one claim form per permit.] BLDG PERMIT NO rn —..... _— Receipt No. 1 Receipt No. 2 Receipt No 3 RECEIPT NO.: ' " S. ...:. Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the Dians, you may ick them up prior to that time. I 4f Signature Date K:/Forms/Refund ApplicatiA 082203 im � � _ -_-- ' -- [ � 8 ~~TJ m'/ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. -512041-72-3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. jy}, b'Z�,X-. ZONING OWNETF- `�o(�y�! n PHONE 1 OWRV TES I CJ LOCATION OF WIL ING USE OF BUILDING �`�, SIZE OF STRUCTURE 'XSO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVIFRIN FLOOR TYPE ESTI TED COST 017 C _�NSTRUCTION $ VUv AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will c act the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirem in effect at that time and before occupancy. Date _ Signature of Owner Permit Fee - $6e� /O4j. 9 of The above described AG Building is exempt from a building permit. Receipt No 40&3r'? Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant f P I PIgEl- 1/'PD- I RO7ING I ISSUE Date I------------------------ — — — — — — — — — — — — — — -- — — — — — — — -- — — — — — — — — — — — — — — — — — — — — — I 1 8040 3640 I TYP. 4x8 #2 D.F. HDR. TYP. I A4j AA I Y0' 1 SHOP + I , GABLE TRU6S SEE'+ SECTION A GABLE TRUSS SEE SECTION A I 1 40© APPROVED ----=--------------------------------------------------------------------------------- -------------------------------- - ---- I i � Ec�v'ronmenFai gealth I j I Tigna ure e ; ' 1 4" CONC. 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