HomeMy WebLinkAbout078-330-033A. P. - b� . 33033 }
M.M. CHERRY "
t' 7 Inglewood Dr., Oroville
CONTR: Weir Roofing, Oroville
Permit 387-74B (reroof?y
CAN S"&/eym's A/C &.Ht.ing,Oro.
Permit_ #4783-75i.(ns;ta11,:,he:ating
i unit -replace existing/SF)
!� 03-3422 ,
i PIERCE, TOBEY
2838 ORO GARDEN RANC
OROVILLE (RLE
f Cont: B SHARP ELECTRI 03
UPGRADE ELEC SERV
=3 OcJ�
PIERCE, TOBY
2838 ORO GARDEN RANCH RD1
OROVILLE
Cont: NORTHERN CA CONS I
REROOF 15 SQ11b
US -1023
PIERCE, TOBEY L
2838 ORO GARDEN RANCH RD,
ORO VILLE
Cont: JACKSON'S GLASS CO
RETRO FIT NEW WINDOWS 513
r �
B06-2559 078-330-033
MISCELLANEOUS Water Heater C/O
WATER HEATER INSTALL. (REPLAC
2838 ORO GARDEN RANCH RD
PIERCE, TOBEY L. °
i
I I I
r
11 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B06-2559 Issued: 10/31/2006
Address: 2838 ORO GARDEN RANCH ROROVILLE
APN: 078-330-033 Permit Subtype: Water Heater C/O
Owner: PIERCE, TOBEY L
Applicant: BAKKUM CONSTRUCTION
Description: WATER HEATER INSTALL.
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801 -111
I
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
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) 53872140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site. Address:
2838 ORO GARDEN RANCH RD
Owner:
Permit No: B06-2559
APN: ,
078-330-033
PIERCE, TOBEY L
Permit type:
MISCELLANEOUS
2838 ORO GARDEN RANCH RD
Issued Date: 10/31/2006 By TMP
Subtype:
Water Heater C/O
OROVILLE, CA 95966
Expiration Date: 10/31/2007
Description:
WATER HEATER INSTALL. (REPL
(530)533 6368
Occupancy: Zoning: AR
Contractor Applicant: Square Footage:
BAKKUM CONSTRUCTION BAKKUM CONSTRUCTION Building Garage Remdl/Addn
1819 HAZEL STREET 1819 HAZEL STREET
GRIDLEY, CA 95948 GRIDLEY, CA 95948 Other Porch/Patio Total
(530)846-0612 (530)846-0612
FEE INFORMATION
Water Heater (qty) $55.00
1 otaf L nargea: 555,UU r ees Pala: $55.UU
Balance Due: $0.00 Receipt No: B705
LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION '
Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
BAKKUM CONSTRUCTION CSLB-721034 / B / 04/30/2008 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,
I HEREBY AFF I UNDER PENALTY OF PERJ RY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed
(commencing Section 7000) of Divisi 3 he Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in fZnd effect.4 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 fora permit subjects
X 10/31/2006 the applicant to a civil penalty of not more than five hundred dollars [$500];
Contractor's Signa ure Date Please check one of the following:
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: '
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
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;
Carrier: State Fund Policy Number:713-0015461 "Exp. Date:02/01/2007
(This section need not be completed if the permit is or ons a hundred dollars ($100) or less.)
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall ofemploy any person in any manner so as to become subject to the Workers'
Compensatio ws of Califomia, and agree that if jshould become subject to the workers'
compensati provisions of Section 3700 he or Code, I shall forthwith comply with those
provisio -
X 10/31/2006
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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
ATTORNEYS 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)
Lenders Address
City IState . Zip
❑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 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 not intended 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
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
IX 10/31/2006
Owners Signature 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 claims 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 acknowledge that issuance of this permit does not authorize the
use aro panty of any sidew eel, ar subsidewalk. I hereby authorize representatives of Butte
Coun enter thea e m d propertpnsmprectio. I ereby certify that I am the
pro owner or aulh to act on th o e owne e
.�
Owner Contractor OR; Agent for Owner Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFORMATION
Last Name
it am
Mailing Address rI�
City
Statee�v
Zip �ri�
Phone 33
Fax
E-mail
------APPLICANT
CONTRACTOR
Name
•� X1%0
Address
Occ:
City
7
State,,4/
Zip
Phone � �
� / �
Fax
E-mail
! G Z Fax
d
Lic. #
Class
------APPLICANT
ARCHITECT/ENGINEER
Name
Name
Address
Occ:
City
7
State
Zip
Phone
Page
fax
E-mail
! G Z Fax
d
State License Number
------APPLICANT
INFORMATION
Zoning.
Name
Yes . No
Occ:
Address
7
Subdivision Name
City
' State�T
f—"
Page
Zip
Phone
! G Z Fax
d
Date Approved:
E-mail
APPLICANTSIGIVATURE
X ,
For office use only:
AP#
Zoning.
Flood Zone SRA
Yes . No
Occ:
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO. 5
3(0-2-,
I, BIN
PROJECT LOCATION
AP#
Property Address
7 r�/o ���
Cit
i6L� Ac
�y
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING
/AGENCY
Name ���` / / �d/� Ji' •�y°�-.
AddressA%,ZO /
114111At�Z.1
Description 6r Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits.
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the -fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
cc v
Received by"iP) Amount:yJ' G Bldg
SRA
Receipt #: eB, Sheriff
SMIP
Date:��, v V a b � c Other
V �� Total
Fl 7 S- 330 -0 3:�
NOTES. ` �� ' • RESIDENTIAL
i
4PERMIT NO.
3 036-340-033 i�05-16236 j
PIERCE, TOBEY L
,r 2838 ORO GARDEN RANCH RD, . ^
ORO VILLE
Cont: JACKSON'S GLASS CO
RETRO FIT NEW WINDOWS
d,
SPECIAL CONDITIONS,.
CHECKED
BY
, SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
.i ..
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
j •
S '
:JOB FINALED (Date) U u
Signature 49=�
J
{
SPECIAL CONDITIONS,.
CHECKED
BY
, SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
.i ..
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
j •
S '
:JOB FINALED (Date) U u
Signature 49=�
= OK
=Not OK
= Not ApplicReady bye MOBILE HOMES
= Not Ready
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-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L'ft.
/ • P Nat or / /" L "ft1 /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
_ r ,
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-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval y
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date Cana 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 DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
_1. Zoning Requirements -Setbacks -Easements
1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg- Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg., Sills-Anchors-Studs-Rftrs-Trusses
• ` 9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. -Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not 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. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-,' /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. 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
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe: Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
Date
22. Gas Pipe; Sixe & Anchors
Date
23. Fire Sprinkler, Test
Date
FRAMING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
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 AI
31. Range Circle/ /ga Cu or Ai -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 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. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform If Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdnn. 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 Cana 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.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM, (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BOOM 623
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/22/2005 APN: 036-3407033-000
the Business and Professions Code, and my license is in full force and
effect. 72 (
License Class: �_ -License Number: 3 �^ �
Site Address: 2838 ORO GARDEN, RANCH RD ORO
-Z1' uSContractor. �wuS'-'" Ll �A a
Map Index:
Date:
Description: RETRO FIT 10 NEW WINDOWS
OWNER43UILDERDECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: PIERCE TOBEY L
permit to construct, alter, improve, demolish, or repair any structure, prior,,
,-
2838 ORO GARDEN RANCH RD.
to its issuahc'e,_also requires the applicant for such permit to file-a�
-"
signed statement,th6f he or she is licensed'pursuant t ttie.prov signs of:
a t.� : � " ' "i.;' •'
QROVILLE,�CA'
the Contractor's 8iate`,License Law (Chapter 9 commencing with Section
oe Business and Professions Code) or that he or..
7000)• of Divis"iorf 3:f-th
„ ,'i° ' - ? •' 95966
she is ;exempt therefrom and the basis for the alleged ,exemption. Any •
violation of 8ectioii 703.1.8 by any applicant fora permit.sutijects th'e-
< r .
applicant.to a civif,penaltyof not more than five hundred dollars ($5Q0)) '
❑ 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,.Businesg,an0Professions,,„Applic_ant:a
JACKSON S-,GLASS,,Cn�_„µ•„-, ,� _„••_ ,w, ,-,,, _,,,
Code: The. Contractors' State License-Law:does, not apply to an
2900 MYERS ST
.owner. of property who builds or improves thereon, and, who does
OROVILLE, CA
such work himself or herself or through his or her own employees,
provided that such improvements, are not intended or offered for
95966
sale. If howeve('the” building or improvements are sold within one
530-533-3696
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.,ofAhe„propedy,.am:exclusively-..contracting with,,
licensed contractors to construct the.project (Sec. 7044, Business
and.Professions Code., The Contractors' State license Law does
Contractor: JACKSON'S GLASS CO
-not apply to an owner of,property who builds or improves thereon,
2900 MYERS ST
and,w.ho contracts for such projects with a contractor(s) licensed
pursuant -to the Contractors' State License Law.).
p
OROVILLE, CA •'` ` ' ' ”
'
❑ I am Exempt,.0 ider Article 3 of the Business.and"Professions Code,;
95966
- `u
530=533.3696 "
Date! ' •Owner:
LIC@hSe #: 347219
Y WORKERS' COMPENSATION DECLARATION ”
I hereby affi'lhnZ' ider 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
Architect:
Labor. Code, for the performance of the work for which this permit
is issued:...
Engineer:.
❑ I have and will^maintain workers' compensation insurance, as
, ... _ .....- _
required. by Section 3700 the Labor Code, for the performance of
the work' for which this permit'is issued. My workers' compensation
insurance' carrier and policy number are:
Carrier: .S AtL
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy#: 9'7 — `7
.
❑ 1 certify that in the performance of the work for which this permit is
issued, 1 shall. -not employ any'pemon in any manner so as to
become subject to the workers' compensation laws of California,
and -agree that if. 1. should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant;-.---�;.• .,,
WARNING: - .Failure to secure workers' compensation coverage. is
unlawful; and.shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code., interest, and attomey.'s.fees.
CONSTRUCTION LENDING AGENCY
This permit is her by issuedunder the livable provisions of the Butte County Cody aUO
nrr
I hereby affirm that there is a construction lending agency for the
Resolutions to d work indicated ab e f which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
BY Date:
PERMIT EXPIRES ON:% J r 2
-
Address:
-mate
❑ 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.
Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify. that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with
all county and state laws relating to. building construction. I acknowledge it is unlawful to alter the. substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the'atiove mentioned property for inspection purpose
�j1�C/� S GI/��
Print Name:(”!-f.L Signature:
Date:
❑ Owner 2 Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT -OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER
Name .ppqv/cSov.:j G%nz tfa.
Last Name
First Name
State
Address Z�3 � r'� Ar^d Cn^
�•I°�l ��
City �v Dv�l%�.
State CZA
Zip 9S -S6 G
I
Phone �D
Fax
Fax
E-mail
Date Approved:
CONTRACTOR
Name .ppqv/cSov.:j G%nz tfa.
Address Z 700 94
City ry ��
State
Zip
Phone S G 56
Fax
E-mail
1
Lic.
25/
1, 1721-11
C ss
_1
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
O.
N�_Ge/
BP
BIN #
Description or Scope of Work:
\. ✓�.ti.0 tv S
Sq. Footage
❑ 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 by: Amount: 6C) Bldg
[/ l SRA
Receipt #: ' t" Sherd
SMTP
Other
I I Va Total I I
Page 1 of 2
REV 2-24-05
�LOCATION
A P#
Property Address
Cross Street
WORKER'S COMPENSATION
Policy Number
-- �-��73Y7-� _,
TO 2-
Carrier tt
57�10
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:
\. ✓�.ti.0 tv S
Sq. Footage
❑ 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 by: Amount: 6C) Bldg
[/ l SRA
Receipt #: ' t" Sherd
SMTP
Other
I I Va Total I I
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
RESIDENTIAL
PERMIT NO. 036-340-033 0`
PIERCE, TOBY
2838 ORO GARDEN RANCH RD,
OROV ILLE
Cont: NORTHERN CA CONST
REROOF 15 SQ
t -
N 4
r
JOB FINALED. (Date) ` Q
Signature
_ rr
J=OK
0 = Not OK
= Not Applicable
r =Not Ready MOBILE HOMES MISCELLANEOUS
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. Utilitv Clearance
Date
1.
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
1.
Card B-1 Date
Card B-1
Date
3.
Card B-1. Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
1.
Zoning Requirements -Setbacks -Easements
Electric
8.
2.
Footings; Size -Spacing -Marriage Line
Siding; Nailing -Veneer -Stucco -Mesh
10.
3:
Blocking
Ext.; Steps -Doors -Landings
.12.
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
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
.12.
Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date . Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. • Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; ;15 Volts-GFI' '
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not 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-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
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
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
57.
Card B-1 Date Card B-1
Date
58.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Glazing Area -Glass Protection -Skylights -Plastic
24.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
25. Elec. Receptacles Spacing -Lights & Switches at Doors
61.
26.
Size Boxes & No. of Conductors Stapled
62.
27.
Romex Installed Close to Edge of Stids & C.J.
63.
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
FINAL (Plans) OK except #'s
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Ext. Steps -Door & Sidelight Protection -Landings
32.
Service -Riser Conductors & Ground Main Disconnect
Smoke Detector
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
34.
Clothes Closet Light -Shower Light -Spa Light
Bedroom Exiting
35.
Smoke Detector
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
72.
36.
A.C. Ducts Insulation & Support
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing -Landing -Closure
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
A.C. Duct in Garage -Damper
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
80.
41.
Sills Proper Materials & Anchors
81.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
82.
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
83.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
84.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-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 ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes ❑ 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:
LSU I I L I:UUN I Y
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
I✓ L— KIVI 1 1 IVU.
BP050633
B. C. Building Permit 01-16-04 pp 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
Issued Date: 03/09/2005 APN: 036-340-033-000
effect.
7
License Class : License Number: 7 102 i
.110r.4 c,, -r.1 �:,
"
Site Address: 2$38 ORO GARDEN RANCH RD ORO
Date: 'U) Contractor. ( "n'? 4. '
Map Index:
-
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Description: reroof (15 sq)
Business and Professions Code: Any city or county which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior
to Its issuance, also requires the applicant for such permit to file a
Owner: PIERCE TOBEY L
signed statement that he or she Is licensed pursuant to the provisions of
2$38 ORO GARDEN RANCH RD
the Contractors Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than rive hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or Improves thereon, and who does
Applicant: NORTHERN CALIFORNIA CONSTRUCTION
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
12020 KIMBERLY RD
year of completion, the -owner -builder will have the burden of
MARYSVILLE, CA
proving that he or she did not build or Improve for the purpose of
9501
sale.).
530-743-1943
C3 1. as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Pfofessions Code. The Contractors' Slate 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' Slate License Law.).
Contractor: NORTHERN CALIFORNIA CONSTRUCTION
❑ I am Exempt under Article 3 of the Business and Professions Code
12020 KIMBERLY RD
Date: owner:
MARYSVILLE, CA
9501
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
530-743-1943
❑ 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
License M 779096
Is Issued.
,
❑ 1 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
Architect:
Insurance carrier and policy number are:
Engineer:
Carrier:
Policy ft:
I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I she
forthwith comply with those/provisions.
Dale: 0
Applicant:
WARNING: Failure to' secure workers'm coverage Is
insation
unlawful, and shall subject an employer to ural 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 Isreb slued -under the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resoluti -0 ork Indicated above for vytnch fees have been paid, <
performance of the work for which this permit is Issued (Sec 3097 Civ.)
By: Dale:
Name:
PERMIT EXPIR O .
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official for or cument tte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned properly for inspection purpose .
Loi `�'�
Print Name: CU e- %'� U Signature:
~'
Date: /
El Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pp 1
LSU I It UUUN I Y
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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:
)/1Ur�l.un-
Date: Contractor:
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, demollsh, 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 State 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 penally 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.).
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' Stale 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' Stale License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
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.
❑ 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:
Policy 9:
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: 0 -'
Applicant:
WARNING: Failure lo' secure workers'6minal
salion coverage is
unlawful, and shall subject an employer to 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.)
FJ t KIVI I I IVU.
BPO50633
Issued Date: 03/09/2005 APN: 036-340-033-000
Site Address: 2838 ORO GARDEN RANCH RD ORO
Map Index:
Description: reroof (15 sq)
Owner: PIERCE TOBEY L
2838 ORO GARDEN RANCH RD
OROVILLE, CA
95966
Applicant: NORTHERN CALIFORNIA CONSTRUCTION
12020 KIMBERLY RD
MARYSVILLE, CA
9501
530-743-1943
Contractor: NORTHERN CALIFORNIA CONSTRUCTION
12020 KIMBERLY RD
MARYSVILLE, CA
9501
530-743-1943
License #: 779096
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
4a5i(-at;�-� �10 -"
PERMIT
Is qerebylissued under the applicable provisions of the Butte County Code and/or
0 ork Indicated above for v.yMch fees have been paid. G) `�
Address: Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
1 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 th owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official for or cumenl tte County. I hereby
authorize representatives of Butte County to enter upon the a ove mentioned property for inspection purpose
Print Name: �'n GU r n 'e Signature:
Date:
O Owner Contractor C3 Agent for Owner ❑Agent for Contractor
B. C. Building Permit 01-16-04 pp 1
I'l
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT NAME
OWNER
Last Nam
Name
A 4,4,
i L' Y)
irst Name
Address $ g
City
City D l �
1
State
Slate , a Zipcl S /
l0
Phone 533^
�/ g
l0
Fax
E-mail
Page
APPLICANT NAME
CONTRACTOR
Name
i L' Y)
Address
r
City
; I ��
State
Zips 5� U
Phone 7 tl
_ M q S
Fax r,3o� i y 3-1(91 &13
E-mail
Page
Lic.# R O
Class .per I-,- ]
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
FZJP
City
Fax
State
Zip
Phone
Subdivision Name
Fax
E-mail
Page
State License Number
APPLICANT NAME
Name
Address
City
State
FZJP
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use onl :
//
AP# U 390 O_--3. 3
Zoning
City
Flood Zone
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Appioved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BIN #
LOCATION
//
AP# U 390 O_--3. 3
Property Address
City
Cross Street
WORKER'S COMPENSATION
Policy Number A)
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
Page 1 of 2
Desc i j on or Scope" f Work:
,S
Sq. Footage 5� 5
❑ 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.
Amount:
Receipt #:
SRA
Sheriff
D
Date: 3 — l I G� — Other
Total 11
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A); installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction prior to occupancy).
❑
6.
_approval
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits riot issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
s.�h;ti ��:'iK. Y✓'�yx2•.j�e�w .*:.: ^,y'r.�,�.�.. sv -�rtc.:s^ .--.r>.:'n;.�:.7°�.-xza,;o,•�'.*¢.��;,�,.�,��'"'.'•„^K::rr*f,`:'*,`r!i!r. v;v..�,;.''y”: .���.,h .,_w,�.:��, .^4 .�,.,- 3.a.,,�
t.- 03-3.422
. • 036-390-03z� c•.
PI . CE, TCBEY CH RD,
2838 ORO GARDEN RAN
OROVILLE
Clint: B SHAicp ELECTRIC,
UpGR?,DE ELEC SERV
I
OFFICE COPY
Address
` M
M -
Me Bete
ELECTRIC_
i Meter By Date
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,,California 95965 • Telephone (530) 538-7541
APPLICATION' AND PERMIT '
�EryRMIT N0.
ASSESSOR PARCEL NUMBER 036-340-033
ZONING
BUILDING PERMIT
OWNER %
OBEY PIERCE
TELEPHONE
533-6368
SO. FT, OCC. BUILDING VALUATION
OWNERi oRO SGARDEN RD OROVIME 95966
CONTRACTOR'S NAME
B. SHARP ELECTRIC
TELEPHONE
533-5218
CONTRACTORS MAILING ADDRESS
PO BOX 13909 OROVILLE 95965
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checkin Fee $
BUILDING ADDRESS
2838 ORO GARDEN RANCH RD
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
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 ❑
Describe Work: UPGRADE ELECTRIC SERVICE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G 1w
920.00
PERMIT FEE S'
ELECTRICAL PERMIT I
Fling Feel 20.00
Main Service ".0, DR.ssSS
200A OR LEI
23.00JZ-J-UV
` 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,
( 9 )
and my license is in full force and effect.
License Class /,-�C� 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUR
OR AODNS. ( a ACC. BLDS.
so
3.5¢FT.
NEW CONST. MULTI -OUTLET
NON -REBID.
97.50
POWER PARATS
U
BSINGLE OAPUTLET CIR.
EX. OCCLI OUTLET OR FDCTUREs
BAL @',50
Ex. Occup. ou�TEitDrs PRLS1o�eA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 • vu
PRE INSP
PERMIT FEE $
896
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.
C3/1 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' ce—mpensation instmance carrier and policy number are:
Carriertr
Policy Number x.
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers compensation provisions of section 3700 of the Labor Code, I shall
Ifo- hwith com yo- nfi those provisions.
/ f
X ___ Date [ �� �,,1
Z4 -r--6&
Sign Lture'of Applican - 13Own r Q ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height. �f
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE �
TOTAL FEE $ v 89.00
HA2.
D. FEES IMP I
FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/ t
By 1 '/ Date
PERMIT EXPIRES ON
Date
ReceiptNo. "I C7 / L�. (� 1, + i ?a7071vt3.c-r_�%1
WHITE-D.D.S.-B.D. CANARY-ASSESSOR/PINK-INSPECTOR OLDENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF dE`VELO'PMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
05,R q zz
ASSESSOR PARCEL NUMBER 036-340-033
ZONING
BU I LD I N G P ER M IT
OWNE'OBEY PIERCE
TE533-6368 LEPHONE
SO. FT. OCC. BUILDING VALUATION
GWNEYO0 0 0 GARDEN RD OROVILLE 95966
CONTRACTOR'S NAME
B. SHARP ELECTRIC
TELEPHONE
533-5218
cGMPXssOBO1390OROVILLE 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2838 ORO GARDEN RANCH RD
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ 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 ❑
Describe Work: UPGRADE ELECTRIC SERVICE
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
Main Service gORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and m license is i ,fU rce end effect.
Y ,{
��
License Class Lic. No. rl
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 1
46.00
NEW CONST. DWElLNG OCCUP.
DWE200ALLING U
OR ADDNS. ( a qcc. Bins.
SO
3.5QFT;
NOWREOSID. MULTI -OUTLET
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR POSTURES
SAL p I:50
Ex. Occup. ountTs PRL.1 °Ew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
3.00
PRE INSP L±=23.00
PERMIT FEE $
89.00
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' G en�sation ins)#ance �jarrier and policy number are:
Carrier 17�%% CYl f PERMIT
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
FEE $
Policy Number 'Z? X -- OCi
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
woukefs,qompensabon provisions of section 3700 of the Labor Code, I shall
orthwit , o ose provisions.
f
X _ Date C1
Sig of Applicant - ❑ Owqgr Prconiiacior ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or con tructionN
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 89.00
HAZ.
D. FEES IMP I
FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
r
yDate
PERMIT EXPIRES K. t O
provisions
to do work
paid.
4010-3
fe
Receipt No. .�. 3.
WHITE-D.D.S.-B.D. CANARY SSES OR k P K -IN PECTOR OLDEN ROD- PLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOP4ENT SERVICES -BUILDING DIVISION a
./r. 71 JI r5{h i�•i
-' 7 County Center Drive, Oroville, CA 95965 Plione (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ( CJS( �.- ASSESSOR PARCEL NUMBER
Proposed Building Use: _Counter Technician: i" Date:
Items required in order to apply for kper9. All oxes MUST be checked OR marked NA in order f a ply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. U
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 17. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in
❑ 19. City of Chico Plumbing permit.........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23:.NPDES Form.............................................................................................
❑ Encroachment Permit`f r. riveway frT m the�Pu lic Works Dept .................................
15. ' Pre -Inspection f( > required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization.....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other:
When issued Telephone ' 1 ank�0d jrV kup-
I have been intirn[ltd-6fthe)b<vve)tems and requirements for obtaining a building permit.
Applicant: �ll�(.i L'/ Date:
1. Index permit app ication for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑•r 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: Date:
Note transfer by: Date:
Yellow: Building Division
r
P11%.U-INSPECTION REPORT
OWNER -- DATE:
LOCATION:.
'C�/ ►nC�Y �. A.P. #ff%
CONTRACTOR `�Y ��' /�Q J� ` ZONING:
PRF-INSPETION FOR SC n
DATE TO ICISPECTOR: PumaHLS'I'ORY ( )NONE 4.S.FOLL
BUILDING INSPECrOR'S RKPORT
$IiildlIIg Description:
. ��LtdlrtlSdP� +
Residead" of Units:
Currently O=zpied
Abandoned/Yacant
Electric:
Yes No Electric currently On � Off
Condition of Electric
Gas: `
Nauu al ' Propane None= Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working -
WcU Working Potable Water
Obvious SewageProblems _
comments:
ACTION RECOMMENDED: ISSUE: 1 HOLD FOR �2D Cz^ yoe-�%h �
Inspector
Date a3
Sketch buildings on reverse and indicate location on proper
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COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION
NO.
7 County Center Drive Oroville, California 95965
FE4�MIT
• Telephone (530) 538-754�� L
AP P �I CATt ON AND ERM(T
(Rev. 12/95)
z
BUILD ING PERMIT
ASSESSOR PARCELNUMBER �'\/` �Z
v v J Ho
SQ. FT. OCC. BUILDING VALUATION
p 5 LIAIUNG ADORES
�C/
�, T H✓
R ADD ' , C
CONSTRUCTION LENDER
Fireplace
LENDER'S MNUNG ADDRESS
Total Valuation $
LICENSE NO.
Firing Fee $ 20.00
pRCH1fECT OR ENGINEER
$
Permit Fee.
ARuaIE= OR ENGI4E;3 *S IAARM ADDRESS
Plan Checkin Fee $
Energy Plan Checking Fee $
eUpDMIG ADDRESS I �J
j
$
PERMIT FEE $
FARDEL MAP
PLUMBING PERMIT Firing Fee 20.00
LOT ND.
7.00
Each Trap
USEOFSTRUCTURE
Solar or heat pump water heater 23.00
Water piping 15.00
SF Duplex ❑ Mobilehome ❑ Other SPWVY
Each gas water heater or vent 15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets 15.00
l� ❑ Other ❑
Nay E3. Addition ❑ Remodel ❑ UtiGfies �1J InstallationE3G
Building sewer 15.00
W@20.00
Moble Home
Describe Work
PERMIT FEE $
ELECTRICAL PERRRfTFifing Fee 20.00
e,0: DR LESS 23
2eoA LFSS
Main Service R o
'
Main Service 2ooA TD IOOOA 46.00
NEw coN5T. Dtivels+G ouuv. 3.5¢sc.
OR ApON& ( a ACC. MDS.
oMUL71-ovnET @7.50
ANC
'�ESID.
FEE PAID $
`SINGLEOWEER �P�'"AI
a swGLE DunET uaOccu
.PERMIT,
. oUnzr OR FwruRES 9AL @ .50
RTTemporary
FOCEAPPL.M. OR 5.00
Occu . OLmETS ID. EAS
Seiviee 23.00
Moble Home Facilities 20.00
SHERIFF $
OTHER $
$
i"
$
AMOUNT RECEIVED $
DATE RECEIVED
PERMIT FEE $ --
,MECHANICAL PERMIT Firing Fee 20.00
Heating..
Cooling
Hood , 6.50
Ventilation
PERMIT FEE S
Moble Home Installation Fee $
Energy Inspection Fee $
=p CONST.TYPE TOTAL FEE $
HAZ D. FEES IMP FLOOD CDF I PARCEL I PO 'SUE
This permit is hereby issued under the appricable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
Y%
BUTTE -COUNTY DEPARTMENT OF PUBLI6,;MORM
SPECIAL INSPECTION REPORT
ti.
Owner:
Address:
Tenant:
Building Location:
Type of Inspection requested:
1. Housing / / 2. Financing
/ / 4. Other (specify)
A.P. #.4 //.
Date of Inspection 1/ �b
Inspectors (%
3. Change of Occupancy to
Present use of building:
A. Sanitation (Housing)
1. Water cl�set:y.
2. Lavatory:
3. Bathtub or shower_:_
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and. ventilation: '
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:.
12.. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
.1.' Piers and footings: '
2. Floor construction: '
3. Wall construction:
4. Ceiling and roof cons `ruction:
5. Fireplaces: o%rp�f 4 � �&4,e
6. Comments:
C. Electrical
1. Service -and ground:
2. Receptacles:
3. -Fusing:
4.- Comments: .t
D. Plumb in
1. Fixtures connected and vented:'
2. Gas water heater:
3. Gas heating vents:
4. Comments:
(continuer) nn hack)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection: ,
5.. Underfloor and attic ventilation:
6. Comments:
g
i
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines: _
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
T7 A. Information only - file.
/ / B. Hold for ten (10) days, then write: letter.
/ / C. Write letter.
;KD. Other: --
4�A4�
u
PERMIT NUMBER - B 387-74B
P
E
PERMIT EXPIRES 17`"-��
i
OWNER M. M. Cherry
fCONTR: Weir Roofing Co., Oro..
jLOCATION (A.P. 36-34-33
7 Inglewood Dr., Oro.
Y
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping &. Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS
7 -County Center Drive —' Oroville, California95965
Tel ephpnq,,53d-4541
.APPLICATION AND PERMIT
auuiunce representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes! -
X Date
Signature of ermitee or Agent '- '
Receipt No. 11-716
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to ¢ ated
above for which fees have been paid. f
DIRECTOR PUBLIC WORKS
B Date
'Building permit expires Date 1..._.
Z—c — v
BUILDING
Owner
SQ. FT. OCC. BUILDING VAL ATION -
Mailing Address a
'
Telephone No.
Fireplace
Contractor t
Total Valuation
Mailing Address :. {.`
Permit Fee
Plan Checking Fee &/or Penalty
♦ Telephone No..
-
Permit Fee
$
S
Building Address �' ,
'
PLUMBING
No.
@ FEE
,
PERMIT FILING FEE $2.00
Each Trap L 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater•or vent 1.50
'A. P. No. C�
Zoning & Planning.
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
Seflitatierr
Fire Dept.
Fire Zone
Use Permit'
Building sewer, 5.00
EQA
Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd`
Parcel Approval
Plans Approval
Permit Fee ,
$ ,
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@ ` FEE
PERMIT FILING FEE $3.00
f7
Mainservice incl. 1 meter
s.
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family .•Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures o
'
42002
Receps., switches &.fix outlets 20(025
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 ,
sty1 o :
D _
License No Classification
Hood, Ex Fan or F. A. Furn. Motor
1.00
_
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump -
Mobil Home Facilities 5.00
Temp. Power -Pole 5.00
Misc. wiring
' ' ❑ I am exempt from the Contractors License Laws of the State of C fomia.
Permit Fee . . •
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance. '
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
Cal i forn i a.
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
MECHANICAL
No.1
@ FEE
PERMIT FILING FEE J$3.00
Heating- }
Cooling
Ventilation
Hood2.00
Permit Fee $
$.
TOTAL PERMIT FEE
$
auuiunce representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes! -
X Date
Signature of ermitee or Agent '- '
Receipt No. 11-716
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to ¢ ated
above for which fees have been paid. f
DIRECTOR PUBLIC WORKS
B Date
'Building permit expires Date 1..._.
Z—c — v
a t ♦ \�
D�io_ 34Q_Or
Hello Toby. The Building Official, conformed that a permit and
inspectionrs are required for in electrical work: Typically the
contractor would pull the permit, but ultimately, the.owner is
responsible. In this case however, -the CDBG contract probably '
identified the contractor to, obtain permits. I would, suggest you
review that material.
would suggest you talk to the contractor -and tell him he needs to
pull the required permits,' get the required' inspections and -ultimately
have the permit "finaled", indicating all work has been approved as
completed. I would also suggest that he not be paid until you` have
• evidence of a finaled permit. The permit should be $55.00.
Please contact me if you have further questions: `The contractor (or
you) can contact our building division for information on the permit.
at)-o-va ,De 8vU4A*1P1r
Principal Analyst s
Development Services
'(530) 538-7464
-----Original Message -----
From: Vieira, Mike
Sent: Wednesday, July 21, 2004 9:311 AM
To: DeBrunner, Deborah a
Subject: RE:.Toby Pierce - CDBG Electrical,Work'
4
Loan Commitment Request Applicant: Ms. Tobey L Pierce
i'
LCR Date: 05/04/2004.
To: County of Butte Loan Committee
File Number: BUT -738
BUTTE
• 4.•O iJT17 ri dj
Primary Applicant Co-ApplicantMAY 0 7 2r
l .
Name:. Ms. Tobey L Pierce Name:
s t�e'i%Ea�d`�it7i�.1tl A
Address: 2838 Oro Garden Ranch Road Address:. " ,SERVICES
City: Oroville City:
State & Zip: CA 95966 State & Zip:
Household Information. Property Information
Annual Income: $32,004.00 Address: 2838 Oro Garden Ranch Road.'
Household Size: 3 '
Ages: 47f, 14/17y f City: Oroville
Tenure: Owner Occupied •State & Zip: CA 95966- `
APN: 036-340-033-000 `
Units: 1
Work Needed: ;
1
Replace roof/electrical/windows/septic.
Total Project Estimate: $21,000.00.
Construction`. $18,033.00 Escrow: $800.00 'Contingency: $2,167.00
Underwriting Considerations:
The verified monthly household income of $2,667 consists of wages and child support, and is less than 80% of the median
income for Butte County. Current monthly housing expenses of.$683 are 26% of gross monthly income. Proposed
monthly housing expenses of $799 will be 30% of gross monthly income. Credit history is poor, with multiple late
payments and 2 unpaid collection accounts.. Based on comparable sales in the area of $115,000, the property will have an
after rehab, loan -to -value ratio of 82%. Proposed loan will be in 2nd position. The existing encumbrance is a 1st
mortgage with Irwin Mortgage with a balance of $73,600. Property taxes are current and are impounded with the 1 st
mortgage. Project will be funded from CDBG PI. Z
Recommendations: ,
Recommend approval of a $21,000 loan, at 3% interest, with monthly principal and interest payments of $116.47 to begin
30days after loan recordation. Any unpaid balance will be due and payable immediately upon sale, transfer of title,
change in tenure, death of the borrower, or in 20 years, whichever comes first. -
Connerly & Associates, Inc. - HOAMS Page 1 of 2
7/,�/a�
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-----------------
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Loan Commitment Request
Applicant: Ms. Tobey L Pierce •
Recommended By: �.� Date:
Member , Date
Jane Dolan Approved\Denied
R.J. Beeler Approved\Denied ¢
Ward Connerly .Approved enied'
Comments/ Basis For Denial: —
a
• HO,USING REPAIR PROGRAM
CONNERLY & ASSOCIATES, 2215 21 ST STREET, SACRAMENTO, CA 95818 (916) 456-4784
REHABILITATION WORK SPECIFICATIONS
t .
- WORK WRITE-UP -
APPLICANT: TOBEY PIERCE
PROPERTY ADDRESS: 2838 ORO GARDEN RANCH RD `
CITY, STATE, ZIP: OROVILLE, CA 95966
,MAILING ADDRESS
CITY, STATE, ZIP
PHONE NUMBER: (530) 533-6368.
DATE: April 30, 2004
The following work is to be,performed by licensed contractors and/or the homeowner for the purpose of bringing
the subject property, which has been found to be substandard, into compliance with local housing/building codes
and regulations. The contractor or owner, in the case of an owner performing his/her own work, shall be
responsible for determining the applicable code requirements and for performing work in compliance therewith.
r .
Estimates shall be based'only on the work specified in this work write-up. Contractors discovering or suspecting
an error or omission in either this write-up or plans (when applicable) shall promptly report to the. Housing
Rehabilitation Consultant (916-456-4784) so that items in question may be investigated for possible addition to
required work. '
Contractor shall specify quantity, nMe, and brand of material upon which his/her estimate is based.
Materials used should be "medium grade" quality.
Owner's preference for style and color should be followed wherever possible.
Any measurements and drawings attached hereto are to be considered approximations unless otherwise stated.
The responsibility for determining the exactness of structural measurements and other specifications shall be .
that of the contractor and shall be a condition implicit in all bid or proposal submittals.
...-� S
D.
J
r - -b&
Z? L9_5 -Z
1. PERMITS
A copy of the building permit will be required BEFORE construction begins and shall be provided by the
contractor. The contractor will secure all necessary, permits to complete the entire project and must submit to
the local entity a signed -off building permit at the completion of the project.
IT IS THE CONTRACTOR'S RESPONSIBILITY TO ASCERTAIN, OBTAIN, AND MAINTAIN RECORDS
OF ALL REQUIRED PERMITS.
$
2. DUMPSTER SERVICE
Provide dumpster service or daily removal of construction debris for duration of contract. Premises to be left in
a broom clean condition on a daily basis.
3. ROOF
Provide all labor and material to replace/repair damaged and deteriorated areas. of the roof. Complete with gutter
and downspouts.
4. ELECTRICAL
Replace the main service entry panel with 100 amp CB main service in a rain -tight entrance panel box, (Crouse -
Hinds 3C=002' -AR or any approved equal). Reuse existing weather head/periscope if appropriate or provide new
one if needed. Service feeds to meet all current local and national electrical codes for replacements. Reconnect
existing circuits to new panel. Balance loads'for existing circuits. '
New circuits: GFCI breaker of the same ampacity on circuits feeding the.bathrooms, kitchen counter outlets, one .
in garage, one in laundry, and any exterior outlets; a 20 amp circuit breaker for the laundry outlets one 30 amp
(240V) for,the water heatei; one 50 amp (240V) for the stove;_f6ur,l5 amp (120V) lights/general purpose; three
20 ANT (120V) dedicated for kitchen; one 20 amp (120V) general purpose outlet circuit; two blank spaces.
Provide and install No. 8 bare copper hard drawn ground wire from the grounding terminal of the service entrance
"box and fastened to the street side of the metallic water service•pipe and to a rod 1/2 x 8' copper ground set 1"
above grade. Use a bronze grounding clamp. Ground wire must be in conduit where exposed to any external
damage. ID all existing and new circuits at service panel/sub panel(s) in ink.
5. WINDOWS
Remove existing window units. Install All -Weather or approved equal, (bronze/satin) anodized aluminum or
vinyl replacement windows in existing window openings with (vertical/horizontal) slider, pin locks and screens.
Provide tempered glass in all windows that are within a 24 inch arc of either vertical edge'of a door in a closed
position.
NOTE: CONTRACTOR TO VERIFY ALL WINDOW SIZES
(APPROXIMATE SIZE AND QUANTITY: ,
(TYPE OF GLASS: Dual glazed)
2
1 '
t HOUSE REPAIR PROGRAM
- WORK WRITE-UP -
6. SEPTIC SYSTEM
Provide all labor and material to repair septic,system and replace the leach field. }
SUBTOTAL $
1
OVERHEAD/PROFIT $
TOTAL $
Any deviation from this bid in cost, materials,'. labor or scheduling shall be documented in a change order in
accordance with the provisions in the owner/contractor agreement. .
Prepared by Kirk Clark Date
Rehab. Specialist
The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, that
he/she agrees to abide by regulations, specifications, and niaterial'allowances as set forth in this proposal, and
that he/she has the authority to legally bind and negotiate for:
'
COMPANY NAME:
ADDRESS:
TELEPHONE: LICENSE: EXP. DATE:
- 1
GENERAL LIABILITY EXP.DATE: WORKMAN'S COMP EXP. DATE:
CONTRACTOR DATE
I ACCEPT THIS - PROPOSAL ' SUBJECT TO ,'LOAN ' APPROVAL AND EXECUTION OF
OWNER/CONTRACTOR AGREEMENT.
OWNER y DATE
3
HOUSE'REPAIR PROGRAM
- WORK WRITE-UP -
CONTRACTOR INFORMATION/QUESTIONNAIRE FORM
(Contractor must complete)
Company Name: Tax Payer, Id #
Owners) Name(s)
F
h
Company Address:
Phone Number:
License # Type. r Exp.
License Bond Company: # R
Phone Number- Amount:
Liability Insurance Company:
Phone Number: Coverage:, (Minimum $300,000) '
Workers Compensation Company:
Phone Number:
Credit References: (Suppliers with largest volume credit account);
Name _ Phone Amount
1 • •
2. '
3
Customer References: (List most recent jobs first)
Name 'Address Phone
2.
3. z
Is company owned (over 50%) by a: Minority? Yes [ ] No [ ]Ethnicity: s
Woman? Yes [ ] No [ ] Number of years iri business.
Has your licenses ever been revoked. Yes [ ] No [ ] If yes, please give detailed explanation on a separate sheet.
Has either subcontractors, suppliers, or customers sued your company within the past 18 months:
Yes'[ ] No [ ] If yes, please give detailed explanation on a separate sheet.
Will you agree to guarantee your work for one year after completion? [ ] Yes [ ] No
All the above information is true and complete to the best of my knowledge.'
Contractor Signature
04/19/2004 22:31 FAX 530 743 1999 NORTHERN CALIF CONSTR
NORTHERN CALIFORNIA CONSTRUCTIONe INC A1C# 779096
12020 Kimberly Road, Marysville CA, 95901
PH# 530.743.1943 FX9 530-743-1999
CONTRACT'OR'S ESTIMATE
TO: Housing Repair Program
ATTN: Kirk Clark
LOCATION: Home of Tobev Pierce,2838 Oro Garden Ranch Road, Oroville, Ca
PH# 530-533-6368 afternoons 530-532-7650
TOTAL MATERIAL COST 1933.00
SALE$ TAX
MARK -1UP
TOTAL, MAT. & SUBS 1933.00
IM 002/002
1296.00
1296.00
45.00
TOTAL : ABOR 2637.00
TrL MA 1933.00
&SUBS
SUBT07 a. 4570.00
PROFIT '0 1371.00
COST
PR CEI D 5941.00
QTY
MATERIAL DESCRIF50N
COST
LABOR OPERATION HITS
RATE
20 ft
Gutters
120.00
Removal of 1500 sq ft existing 24
roofing
54.00
Rolled Roofing
2
Downspouts
70.00
Install roofing 24
54.00
200.00
Roof Paper
]28.00
Re -caulk brick 1
15.00
TOTAL MATERIAL COST 1933.00
SALE$ TAX
MARK -1UP
TOTAL, MAT. & SUBS 1933.00
IM 002/002
1296.00
1296.00
45.00
TOTAL : ABOR 2637.00
TrL MA 1933.00
&SUBS
SUBT07 a. 4570.00
PROFIT '0 1371.00
COST
PR CEI D 5941.00
Metal
240.00
Rolled Roofing
80.00
Dumps
200.00
Permits
225.00
i
Smoke detectors
120.00
Rooiine
i 750.00
TOTAL MATERIAL COST 1933.00
SALE$ TAX
MARK -1UP
TOTAL, MAT. & SUBS 1933.00
IM 002/002
1296.00
1296.00
45.00
TOTAL : ABOR 2637.00
TrL MA 1933.00
&SUBS
SUBT07 a. 4570.00
PROFIT '0 1371.00
COST
PR CEI D 5941.00
t
Feb 26 04 02:31p Charlene Chang 530 532-7653 p•2
IQUUY
02112/04,i6 THU 10:20 FA -X 530
SHARP* ELECTRIC
i
TRI
�
• a SHA" 6XI
1 N C O R -
•R A, T E D ,
11-6-2003
Toby,Pierce
283 8 Oro Cmdcn Ranch Rom
Oroville, CA 95965
Re: Electrical Estimate
Toby,
Electrical estimate for above mentioned address is $3,170.00: This estimate
J .
includes, the following:
New 100A Service .
Correct wiring to swamp cooler
Troubleshoot switches and receptacles
Troubleshoot outside light, fixture
Permit
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.ELECTRICAL CONTRACTING
P.O. Box 1390.Oroville, CA 959&5 • Lic. #391993 • Ph. (530) 533-5218 � FAX (530) 534-5472 ,
Apr 29 04 02:20p Charlene Chang
jPCKSQK;
GLASS
INC.
rA t%"ztractrmc 11cense RN7219 Date
7!
530 532-7653 p.2
Proposal °R°SL - 5 ✓
2900 Myers St. 533-3696
Z17 l 01q Proposal No.
I Proposal Submitted To Work To Be Performed At
Name
state
dty-C _)n n, —VV 0 ALF
state V _ Telephone Number
Proposed Start Date
Proposed Complollon Date
MI (myevY PFOPOse EO lumisn Oil Me materials and oarform RU thA iwhnr nxac—.v Jn. IAn ..,,..,.die,:.... ..a
All material is guaranteed to be as specified. and the above work to be performed in accordance with the dtarwings and specifications submitted for above
work and completed In a substantial workmanlike manner for the sum of
with payments to be made as follows
QrC�+ Dollars (3 54 -3
is due upon written or verbal acceptance of flys proposal. $ 7S�o��� Is due upon completion.
Any altsraCm Or devlafinn from above specifications involving extra costs, will be executed only upon written orders and will become an extra charge over and
above the estimate. AN agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry Bre, tornado and other necessary rtwirenca
upon above work. Workmen's Compensation and Public liability Insurance on above work to be taken out by.
'NOTICE TO
(Section 7019 -Contractors License Lew)
Under Nye Medianbs. Lien law, any cantrador, subcontractor, laborer,
matertalman or other person who helps to Improve your property and is
not paid for his labor, services or material, has a right to enforce his claim
against yowproperly.
Under the law. you may protect yourself against such claims by aging
before commencing such work or improvement, en ori ,nal contract for
the work of hnp►ovement or a mod171aUon thereof, in Me o� of the county
recorder of the county where the property is situated and requiring that a
Contractor's payrnenf bond be recorded to such office. Said bond shaft be
In an amount not less than fitty percent (SON.) of the contract price and
sflaff, in addition to any conditions for the performance of the contract, be
conditioned for the payment in full of the claims of all persons furnishing
labor, services, equipment or materials for the work described in said
contract
arm
Submitted By
State' License No. 347219
Acceptance of Proposal
The above prices. specifications and conditions are salllfactory and
are hereby accepted. You ars authorized to do the work as 1pedried.
Payment will made as cullova.
Signature , ri,
Date
Note - This proposal may be withdrawn by us it not accepted with 10 days. PLEASE SIGN AND RETURN YELLOW COPY WITH DEPOSTr
NOTICES
Notice: - Owner or Tenant has the right to require the contractor to have a performance and payment bond. If Ownei
or Tenant elects to require them, then the contractor will submit an additional estimate of the associated cost. (The
cost of these bonds are not included In this proposal price).
Notice: - You the buyer may cancel this transaction at any time prior to midnight of the third business day after the
date of the transaction. See the Notice of Cancellation on reverse side of this form for an explanation of this night -
Notice:
- Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any
questions concerning a contractor may be referred to the Regiastrar, Contractors State License Board (3132 Bradshaw Road
Feb 2.6 04 02:31p Charlene Chang 530 532=7653 p.3.
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X pate
Signature of Plerrmitee or Agent
Receipt'No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
//
DIRECTOR /O/F PUBLIC WORKS
By /�c > c '%/.✓ �h. Date ��-
Building permit expires Date
BUILDING
Owner �� ',
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address l/_.�: •r..<< �_� : ��
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee
Building Address -, L -/�' _ter,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
�
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. - - -
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel 02 or less) (more than 12)
-
Single Family Q Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bgl Ad 5
Receps., switches & fix outlets
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 ofd i
--7 �.•v�-�� _ yi r
Hood, Ex. Fan or F. A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
r-�Z 9' D
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I 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 $3.00 7,!
Heating ,a.4 rill
Cooling
Ventilation
Hood 2.00
r•
Permit Fee $ %
$ J
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X pate
Signature of Plerrmitee or Agent
Receipt'No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
//
DIRECTOR /O/F PUBLIC WORKS
By /�c > c '%/.✓ �h. Date ��-
Building permit expires Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965 3,
Telephone: 534-4541 J
APPLICATION AND PERMIT
,.,_I
BUILDING
Owner s
SQ. FT. OCG. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor r
Total Valuation
Mailing Address �
Permit Fee
Plan Checking Fee &/or Penalty
®00, Telephone No.
�-D - 7 G
Permit Fee
Building Address 7 lie '
PLUMBING No• @ FEE
,
PERMIT FILING FEE $3.00
Each Trap 1.50
'
Repair drainage or vent piping 1.50
Water piping 1.50
t
Each gas water heater or vent 1.50
A. P. No. = 3
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
Sapitat+t3n-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
parcel Ma p
60' R/W
Im Improvements
p
Lawn sprinkler system 2.00
Bldg vi ae.•�d
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
,
Light fixtures b �2
Receps„ switches & fix outlets
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: l
�) Y✓C+CS"�%
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ I FEE
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.
5 I have placed on file with the County of Butte a certificate,of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 3y4
Heating �j I"®O
Cooling
Ventilation
Hood 2.00
Permit Fee $ 7 ®Q
$ e
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ O�
autnonze representatives or the Vounty OT tsutte to enter upon the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspe tion purposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid..
X Date DIRECTOR OF PUBLIC WORKS
At'-No.
'gnature of Per i ee or Ag/ent B ��f J /+1
Rs�s� Y Date i
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Buifdinypermit expires Date — ` �%�7100
Jul 2:9 04 07:01p Charlene Chang 530 532-7653 p.1
CHANG SMITH MEDICAL ASSOCIATES, INC
Charlene Chang -Smith, M.D.
2809 Olive Hwy, Suite 250 f
Oroville, CA 95966. I �'
Office: 530-532-7650
Fax: 530-532-7653.
Urgent F] Reply .ASAP �„.J Please eoinlill'Iit LI Please r evie' I
-J foul' War infmnatiou
Tonal pages; including cover:
WARNINGREGAIRDTNG CONFIDENTIALITY
Clic �lo�:untcnrs accum�dny chis uansn�ission conlnigiCONFIDI NT1AL'lienith inforolsriorr dier is lcgnlly privilcgcd.
;t'his inionirtrion is inreadod only for flit usa of die individual or entity named ubove: Tlie audwrizcd rtuipicnf of this
niforartrian is prohibired &0111 disclosing this infortna('011 to ouy OEhei party unless required to do so by law or
Wphi ion and is required to destroy dfe infornlnuo)l frlter its srnred need f1A3 been fidtilled.
if ; uu arc ntlr llic iniended recipient, you ;uc hereby nbfified rlrir oily disclosure coping, distribution, Ot tlCrion. fill:cn in
1704111Cccuf fllc Connors of ilrese duoumenis is strit;dy lnohibirctf. If you leave received chis informarion in error, plcrise
nmiry clic ;cn�fer nr,medictrely, and unmg6 fa• 1116 renii,i or dryn•uctian of flre::e fl 'j,
At7eiilion:
Date:
Office location:
-
Office location:
F,tx utuu r:
_ s , 77V
Phone number:
Urgent F] Reply .ASAP �„.J Please eoinlill'Iit LI Please r evie' I
-J foul' War infmnatiou
Tonal pages; including cover:
WARNINGREGAIRDTNG CONFIDENTIALITY
Clic �lo�:untcnrs accum�dny chis uansn�ission conlnigiCONFIDI NT1AL'lienith inforolsriorr dier is lcgnlly privilcgcd.
;t'his inionirtrion is inreadod only for flit usa of die individual or entity named ubove: Tlie audwrizcd rtuipicnf of this
niforartrian is prohibired &0111 disclosing this infortna('011 to ouy OEhei party unless required to do so by law or
Wphi ion and is required to destroy dfe infornlnuo)l frlter its srnred need f1A3 been fidtilled.
if ; uu arc ntlr llic iniended recipient, you ;uc hereby nbfified rlrir oily disclosure coping, distribution, Ot tlCrion. fill:cn in
1704111Cccuf fllc Connors of ilrese duoumenis is strit;dy lnohibirctf. If you leave received chis informarion in error, plcrise
nmiry clic ;cn�fer nr,medictrely, and unmg6 fa• 1116 renii,i or dryn•uctian of flre::e fl 'j,