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Home My WebLink About078-350-005BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (53D) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041620 Q,CgNSED CONTRACTORS DECLARATION I hereby affirm�gnder penalty of perjury that I am licensed under provisions of G',hapter 9 (commencing with Section 7000) of Division 3 of Issued Date• - 06)07/2004 APN• 036-470-005000 the Business and, Professions Code, and my license is in full force and effect. License Class(: License Number: Site Address: 3725 ORO BANGOR HWY ORO Date: Contractor: Map Index: Description: NEW H2O HEATER, GAS LINES. 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 an&Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FORD STEPHANIE* ETAL to its issuattce,•Ialso requires the applicant for such permit to file a PYjEATT JOHN M signed staterpen( Ihat he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 37L 1 5 ORO BANGOR HWY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-7125 she is exerii therefrom and the basis for the alleged exemption. Any violation of $ecQn 7031.5 by any applicant for a permit subjects the applicant to civil'penalty of not more than five hundred dollars ($500).): ❑ I, as gwner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or Offered for sale (Sec. 7044, Business and Professions Applicant: FORD STEPHANIE* ETAL Code:,;The'Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work hlmself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. ,If hoviever, the building or improvements are sold within one year of cojnplelion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.)... l 1, as.' owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professlons Code. The Contractors' State License Law does Contractor: not a6ply to'an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). r ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: Q .� J i 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 workgrs' compensation, as provided for by Section 3700 of the Labor' Coder for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: regijjred 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: ; ` Square uare Ft: q 0 S. F. 4,1 Policy #:` ' -Valuation: Census Code: $0.00 Q I celyty that In the performance of the work for which this permit is issod. I shall not employ any person in any manner so as to becpme subject to the workers' compensation laws of California, ana' agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shalt fo hwith comply with those provisions. (� Date: '-' I.•� ^ Ute{ .iT� �`� /'��„,7�� /V/ , lamt J C u Applicant;; ��I{ WARNI • Failure to secure workers' compensation coverage is unlawful,Sd shall subject an employer to criminal penalties and one hundred Ihousand dollars ($100,000), in addition to the cost of compengatIon, damages as provided for in Section 3706 of the Labor code, intefest, and attorney's fees. .: CONSTRUCTION LENDING AGENCY This permit is hereby issued u der th pp' .able provisions of the Bntte County Code anrUor I hereby.ettjrm that there is a construction lending agency for the Resol tions t do work indicated abOe forhvhich fees have been paid. performs 'ce of the work for which this permit is issued (Sec 3097 Civ.) BY %2 Date: �' - .G ,�1- Name: / �— iO ` ' ! (l. l PERMIT EXPIRES ON: Date Address: ❑ 1 hergby ce[tify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the lCalifomia Health and Safety Code, which regulate the storage, hapoe ng acid use of hazardous materials. ❑ Ngt (iGation' In accordance with Section 19827.5 of California Health & Safety Code is not applicable to � the scheduled construction of this project. ❑ Attgp::hed are copies of the required E.P.A. notification forms. I hereby certify th) t 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 stile laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of BLtte County. thereby authorize representativ'ess of Butte County to enter upon the above mentioned property for inspection purposes. �i Scl�� 'I, r[�s ct1 Signature": Print Name: ` 9 6` I 1"� Date: \ , J 1 U =Owner ❑ Contractor j] Ageni for Owner ❑ Agent for Contractor _ � - . �, � `y i Y i .� t ��y � Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. 4P041595 -L,'tLng1JP-&4(�A 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: 06/03/2004 APN: 036-470-005-000 the Business and Professions Code, and my license is in full force and effect. Z License Class: - ✓� License Number: Site Address: BANGOR N Date: 3 V Contractor: 1�nC 3725 ORO HWY ORO �' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW HVAC & ELECT. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FORD STEPHANIE* ETAL to its issuance, also requires the applicant for such permit to file a I PYEATT JOHN M signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3725 ORO BANGOR HWY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-7125 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 r applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their 1 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FORD STEPHANIE* ETAL 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.). ❑ 1, as owner of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS, CA 800-892-3556 Date: Owner: license #: 777334 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: t ❑ 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 permitDy is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insuralce carrier and poli y number are: carrier: '1F�_ N Total Square Ft: 0 S. F. n r l 9cl ��CJ _ r��0`t Policy #: Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to .become subject to the 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 C I with th s provisions. Date: /t / �/YIGUn�' eeei c� Il tJ. GU Applicant: PP WARNING: Failure t secure workers' compensati n coverage is unlawful, and shall sub ect an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the cable provisions of the Butte County Code ?nwor- -- - I hereby affirm that there is a construction lending agency for the Resol tions Yo work indicated abo for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -3 AL/{J Name: By. Date: (6 PERMIT EXPIRES ON: Date Address: ❑ 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 y official foR or document of Butte County. I hereby ounty to enter upon the above mentioned property for inspection purpos s. authorize representatives o/fButE)&L\- Print Name: 1 f '�\ Signature: J A- Date: ❑ Owner ❑ Contractor ❑ Agent for Ownergent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041620 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: 06/07/2004 APN'' 036-470-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3725 ORO BANGOR HWY ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW H2O HEATER, GAS LINES. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' FORD STEPHANIE* ETAL to its issuance, also requires the applicant for such permit to file a PYEATT JOHN M signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3725 ORO BANGOR HWY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-7125 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FORD STEPHANIE* ETAL 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.). jY7 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code ;Date, Owne,: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is issued. ' ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 M I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith those comply with provisions. Date: In04 +� � ,crV1 +we& et 'U e _ LA -1 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under th pp able provisions of the Butte County Code ?nrUor I hereby affirm that there is a construction lending agency for the Reso1 ions t do work iinnddi/c�at�ed ab a for hich flees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) sl�]n n / Name: BY�— ln/I/ �"�' l '• ,�j /+ Date: � ) `C �/i.GC�(/ I PERMIT EXPIRES ON: " / ` ( � ,S Date Address: ❑ 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 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County t,o- enter the above mentioned property for inspection purposes. -upon P�1K1� Print Name: Signature: I /�1 ��, Date: b 1 " I Owner ❑ Contractor 1 Agent for Owner ❑ Agent for Contractor � W & COUNTY i; E, E16OPMEN! i SERVICES t 6 9 f �f a7 l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP041595 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: 06/03/2004 APN• 036-470-005-000 the Business and Professions Code, and my license is in full force and effect. G (� License Class :I- 0 Licens1e_Number: J I Site Address: 3725 ORO BANGOR HWY ORO Date: 3 04 Contractor. 1 q' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW HVAC & ELECT. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FORD STEPHANIE* ETAL to its issuance, also requires the applicant for such permit to file a pYEq� JOHN M signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3725 ORO BANGOR HWY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-7125 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FORD STEPHANIE* ETAL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor-� GALLAGHER'S HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ I am Exempt under Article 3 of the Business and Professions Code LOS MOL) NAS, CA 800-892-3556 Date: Owner: License #: 777334 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pejury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for this permit is issued. My workers' compensation ncqcawhich insuraCiJ \ tner� pol(Y2 y number are: Carrier: —1 0 S. F. Total Square Ft: ^� adv' S ^ a �/ ! `( Policy #: 4 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith I withth s provisions. Date: Applicant: /�• (j(j WARNING: Failur t secure workers' compensati n coverage is unlawful, and shall sub ect an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the cable provisions of the Butte County Code anti/or — I hereby affirm that there is a construction lending agency for the Resol tions Vo work indicated abo for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , g �// /,-,7 Name: ey. Date: Address: PERMIT EXPIRES ON: KJ �� ' aS 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 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 y officiaoR or document of Butte County. I hereby authorize representatives of Bu County to enter upon the above mentioned property for inspection purpos s. Print Name:2 ` Signature: j� J Z) Date: ❑ Owner 13 Contractor ❑ Agent for Owner gent 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 OF APPLICATION OWNER Name �*EP4,okuw vor Name Address 3� aS _ � v3 O f, City 0� State Zip Phones S -;q <r-�l Fax E-mail APPLICANT NAME CONTRACTOR Name l,C,%E��06 AoCL Address c�U E City �os �1 s State Zippl�ObSS Phone -�� — ay�cy Fax E-mail State License Number U . # APPLICANT NAME ARCHITECT/ENGINEER Name City Address FZI City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State FZI Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone j Receipt #:�o�.��171—L SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ()#- /515 BP BIN # LOCATION AP# D' X70 Property Address 2 n as Cross Street J �•�c-V WORKER'S COMPENSATION Policy Number - Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 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: C-01 t� - Bldg SRA j Receipt #:�o�.��171—L Sheriff C� /, 2 S 10 SXSMIP Il.i C/1DKAC\DI III IIIAIr^_ Cr%Dh AC% MIA,Arine Dino 1 M'i Date:Date.,,,3 _GW Other l/ l Q 1 Total PP%/ d_4rLnA SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GR,4PHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. El 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GR,4PHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 aymond CUk --- 189 Edgemon r. Oroville -A ' - - Permit#2124-7 R P E family) ,M(new sing HbWART14 R°aridy -- 3 - 3198=83B 1� Permits#428-8OB(1st renewal 2ik 078 J CJ--' a0s 190 Edgemont, Oro -Ville,-, (wood burning. s tove) SF RANDY -HOWARTH-... 190 Edgemont, Oroville Permit##3198-83B (wood bur i c _ SFS stove,. _. EJAMES v WALENT DR, OROVI LEC .SERV. 4, HOWARTH -JAMES �N^+• x190-EDGEMONT DR OROV 11 t .DECK & RE 14b Li . i 05-25 1 LHAR, JAMES t MONT DR'OW ont GAS LINE- i Oq 1 . i E � 1 C � ' f � r 1 O s f � , � I I f I : IS ' I aymond CUk --- 189 Edgemon r. Oroville -A ' - - Permit#2124-7 R P E family) ,M(new sing HbWART14 R°aridy -- 3 - 3198=83B 1� Permits#428-8OB(1st renewal 2ik 078 J CJ--' a0s 190 Edgemont, Oro -Ville,-, (wood burning. s tove) SF RANDY -HOWARTH-... 190 Edgemont, Oroville Permit##3198-83B (wood bur i c _ SFS stove,. _. EJAMES v WALENT DR, OROVI LEC .SERV. 4, HOWARTH -JAMES �N^+• x190-EDGEMONT DR OROV 11 t .DECK & RE 14b Li . i 05-25 1 LHAR, JAMES t MONT DR'OW ont GAS LINE- i Oq 1 . i E � 1 C � ' f � r 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52529 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/19/2005 APN: 036-470-052-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 190 EDGEMONT DR ORO License Class : License Number: Map Index: Date: Contractor: Description: NATURAL GAS LINE OWNER -BUILDER DECLARATION I. hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HOWARTH JAMES & ROBINSON-HOWARTH permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a STACIE signed statement that he or she is licensed pursuant to the provisions of 190 EDGEMONT DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95966-7117 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anHOWARTH Applicant:. JAMES & ROBINSON-HOWARTH owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, STACIE provided that such improvements are not intended or offered for 190 EDGEMONT DR sale. If however, the building or improvements are sold within one 'OROVILLE, CA 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 95966-7117 sale.). l2t I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPEM§ATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to 1 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated a o for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ By: Date: Name: (� / PERMIT EXPIRES ON: �1 — `"I ' l J �l Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. - ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ , Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: c'�r. P �%;. �n (� Signature: Date: Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" - APPLICANT INFORMATION OWNER INFORMATION Last Name City First Name Zip City Fax Ad` r so Zip Phone M City E-mail State„ Zip Class e Phone Fax l �4 E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page 7t # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP05 BIN # PROJECT LOCATION AN C)SG_JJ_70-0�?_ eQC,)AeC' Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation mustbe shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: AIA-TvR4-t— 6/t-5 L✓NLF 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. Received by:,Amount: �5 . Bldg /�2 SRA Receipt #: �IDJ Sheriff SMIP I I Date:- lq- 05� c � , � Other I I c� Total 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 manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site,plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 036`470 052 iO3 2360 HOWARTH, JAMES 190 MGEMONT DR, -OROVILLE_ UPGRADE ELEC.!;SERV. z 1r . '. w .� .�-. "iY . • Irl .. i i. OFFICE COPY Address GAS Meter Bq Date ELECTRIC ZW Meter By Date e �r , w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. Wev.12196) APPLICATION AND PERMIT n el(41 ASSESSOR PARCEL NUMBER • 'o-4 n_(1S'' JZONINGi 1 BUILDING PERMIT OWNER �� l w A9 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 130 ve Oroville CA 95966 CONTRACTOR'S NAME OWrier TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Igo Drique09voidliePERMIT Energy Plan Checking Fee $ FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ `+ Describe Work: umrade electrical Sere Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oA mss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason s Main Service 200A TO lOooA 46.00 NEW CONST. DWELLMIG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢x. p RESID MULTI.OUTLETTS @7,50 POWER APPARATUS 8 SMIOLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 O 1'00 BAL @ .50 Ex. Occup, DPS rIXED s Ra D.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pre -Ills ti_pn 23.0Q PERMIT FEE sbb.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI 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 issu9�N t, :, / if e ; // t, o I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ;! a MECHANICAL PERMIT Fling Fee 20.00 Hest' g Coolin Hood 6.50 Ventilation PERMIT FEE S Policy Number : (_ L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions. f X zt, , /1. ( Ll, Date ! - 3 C C.3 _ - IS gr�ature of Applicant - Owner ❑ Contract&-�tl Agent 46 An OSHA permit is re uirl4d for excavatior�er 5'0" dee and demolition or construction of structurs offer 3-s s 'n ei h . / , Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD _[7;7 EL I PD HD I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By�� PERMIT EXPIR SON the applicable provisions Resolutions to do work been paid. J Dat r euL Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ./ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Bev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL PARCEL NUMBER _<< ZONING BUILDING PERMIT 1 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADD ESS CONTRACTOR'S NAMe owner TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS J_90 Fd emo t Drio Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 electrical cal Spry Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3.5¢FT. NEIN CONST. OUTLET NDN -REBID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FaTUREs 20 (9 1•00 BAL @ .50 FIXI Ex. Occup. ouT ErsREESI6.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PrP—Tn-,1)L-ctJ on 23-00 PERMIT FEE $66.00 QQ 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) --:IA I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with cc ply �thovisions. X , Q�7 e _ !" S ©'f� Ig ture of Applicant - Owner ❑ Contract Agent An OSHA permit is requir d for excavatio er 5'0" deep and demolition or construction of structureso r n i MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EX IR S ON the applicable provisions Resolutions to do work been paid. Date / DAA Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ti COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 536-755.4, �E�tMIIT O. (Rev.12/96) �' ,QA�PPLLICATION AND PERMIT' PEG ASSESSOR PARCEL NUMBER /� ZCw ` –7 0 —VC ZONING BUILDING PERMIT OWNER `/ J`(/ -/ SQ. FT. OCC. BUILDING VALUATION OWNERS DRESS` y456 _ J CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAUNG ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Vdluatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGqDRESS Energy Plan Checking Fee $ • $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SFkA Duplex 13Mobilehome 13Other Water piping 15.00 to SPECT -r Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 1.5.00 New ❑ Addition ❑ Remodel ❑ UtiGlies I0 Installation ❑ Other ❑ Building sewer 15.00 Describe Work: Y Mobile Home J.S I G I W @20.00 PERMIT FEE 9 ELECTRICAL PERMIT Fling Fee 2-0.00 Main Service 2a0A OR LESS 23.00 .z3 d0 Main Service 200A TO 1000A 46.00 . O✓ NEW CONST. DWELLING ACC. IDS. ,3.50SO. _ OR CNS. a ACC. BIDS. FT. i1 N°ao' No- l.ncuE @7.50 POWER APPARATUS a SINGLE OVTI.EY CR OUTLET OR FDTTURES 20 @ 1.00 Ex. Occup.a2L @ '" .50 OMDSA I'S. OR 5.00 Ex. Occup. OUTLETS ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 O - -1111111210 Misc. Wiring 23.00 RA JAA199A�ti .v r PERMIT FEE $ •OD ` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling �+ • Q Hood 6.50 TPX.6(ed Ventilation a 5 O CA PERMIT FEt: $ Mobile Home Installation Fee $ � Energy Inspection Fee $ Okvq OCC CONST. TYPE TOTAL FEE $ . U � _` P HAL. D. FEES IMP1. FLOOD CDF PARCEL PD HD ISSUE ®vis This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work e Date ` 3 (� — indicated above for which fees have been paid. Sig ature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (DeteJ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 A�o (PERMIT APPLICATION DATA SHEET�OWNER: ASSESSOR PARCEL NUMBER 0 D � - -D S a� Proposed Building Use: esse Counter Technician:"iz Date: (a C Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r to apply. ❑ L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 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 instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views 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. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form....:.......................................................................... ❑ 13. Other _ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. ❑ 15. ❑ 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑ 21. V22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Pub 'c Works Dept. (construction approval prior to occupancy). Pre -Inspection for Qom. �_ 011 required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits.................:....................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of t e above item and requirements for obtaining a building permit. Applicant:,-41 pplicant: (j Date: 0-6-02 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: _Structural approved by: Yellow: Building, Division Plan Check Letter _Date: _Date: Date:_ Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 'CJI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9 NO ❑ I HAVE HAVE NOT ❑ signed an application for a building permit for the proposedwork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS: CITY: PH CONTRACTOR'S LICENSE NO. 4. I plan to pr 'de portions of this work, but I have a following person to coordinate, supervise, and p 'de the major work: NAME: ADDRESS: C rY: PHONE: CTOR'S LICENSE NO. 5. I wil a some of the work but I hav contracted (hired) the following persons to provide the work indicated: NAME ADDRESS ONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: _7 _ NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER D.B.- I .. I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveA•Ppiroviilllae,, CCalifo6,r�niga�19p5�965 • T�ell(ephone (530) 538-7— .�P BMIT o•. (Rev. 12/95) ATIO ASSESSOR PARCEL NUMBER /� moi%/ r' DLI ZONING BUILDINGPERMIT OWNER �! ✓� SQ. FT. OCC. BUILDING VALUATION OWNERS NG DRESS % yA /' o CONTRACTOR'S NAME TEIiFHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total VdIuation $' ARCHITECT OR ENGINEER LICENSE No, Filing Fee $ 20.00 ARCHrIECT OR ENENGIN EERSEERHARING ADDRESS Permit Fee $' Plan Checking Fee $ BUILDING L� Energy Plan Checking Fee $ & a 640 $ PERMIT FEE $ LOT NO, SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF A Duplex ❑ Mobilehome ❑ Other Water piping 15.00 Ir SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 1.5.00 New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ Building sewer 15.00 Mobile Home ISI GI W1 @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 2.0.00 Main Service zo AOR tEss 23.00 .z3 CV, Main Service 200A To I000A 46.00 NEW CONST. DWELAcc.LWG OCCUP. 3.50 OR aoDNs. a BLDs. 1Ww GONST. MULTI-OtlTL.ET Ewa FAN�RESID. a @7.50 POWER APPARATUS a SWGLE P=US, OUnzr OR FIXTURES AL @ I.SO EX. OccU aAL p .50 SIR )k FDD APPu6. OR 5.00 Ex. Occu—Temporary OUTLETS REBID. EA Tem ora Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 / -0 PERMIT FEE 6.474 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling - Hood 6.50 Ventilation e O PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ Ott � occ 1=-T'-PE -T.-PE TOTAL FEE $ . U 7 ` HAZ D. FEES I IMP 1. FLOOD CDF PARCEL I PD ND ISSUE This permit is hereby issued under the applicable provisions ,rte of the Butte County Code and/or Resolutions to do work X - Date �� 3 Com' indicated above for which fees have been paid. Sigature of Applicant -X Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'o° deep and demolition or construction of structures over 3 stories in height By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT efe S'• 36-47-52 189 Edgemo-RbQr., Oroville Permit #2124-7 �,E, (new sin amily) ,;,* /' v �- e-47-�z Permit#-80(lst renewal/21 `-79)SF 36-47-52 RANDY HOWARTH 190 Edgemont, Oroville Permit##3198-83B (wood bur irIV st SF) - J HOWMTH, Randy 36-47-52 3198-83B 190 Edgemont, Oroville' (wood burning stove)SF f' s. (.�::- .1 F- -�N f"`' �_ � ( S'i �,> '• 6� r ( E _v i d - t L' C3 •-+ �' � `! r_ '' .{[ �'. �i 3:y 1} �.f i.. t.�.('r• } ( - .�,". - .G � t, �' -� �: FL ',7 A 1`V � � � 2 }j7 t '.F. � � f . tr.4+ ; fp. #i_ a a _ `"�-s Ufa �� d:.iS q. -.a �.tr; ��q �. �`•.'� 1 �.��t��j:�.r �f��r` .I. f� �-. l! rrfd1 , l+ f - ,S PRE N. SPECTIC OWNER: 4� A FOCATION: t9o. -0,,w4- A -P.# C� ZONING: PRE-INSPETION FOR: DATE TO INSPECTOR PERMIT HISTORY:( )NONE &A FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant s Electric: t Yes—/ No Electric currently On Off Condition of Electric Gas: Natural Propane Currently On Off Obvious Problems: Sanitation: / Plumbing Working Well Working—. cO 1 Potable Water__ Obvious SewageProblems aO 1A g t 4 /7 ACTION RECOMMENDED: ISSUE: Inspector. - Date Sketch buildings: on reverse and indicate location on property. COUNTY OF ECLITTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 )7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 4- a 3 (L, OWNE P-E-RWT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plea contact this office immediately. -e- u 4 Permit #3198-83 Randy 'Howarth' '0 2 LA)a c 'Ro 74 reA,\75V oil 4 Permit #3198-83 Randy 'Howarth' '0 2 LA)a c 'Ro 74 reA,\75V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,, ► 7. ZONCNG BUILDING PERMIT OWNER ' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee $ ; F: ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS . Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 } Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME L MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe work: ) ' • I r_. ti' !, }. IA j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElNON-RESID. I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &\\ ( SINGLE OUTLET CIR. 1 Ex. OCCUp(OUTLETS OR FIXTURES .200030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r -) /y - / By ' PERMIT EXPIRES tDate the applicable provi- resolutions to do fees have been paid. WORKS _ Da fe - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI(ITT/'NNO. D ASSESSOR PARCEL NUMBER r` ZONING BUILDING PERMIT OWNE TELEPHONE ,SQ, FT. OCC.1 BUILDING UATION OWNER'SAILING JDDRSS A \/V'\ rb CO TRACTOR'S E M TELEPHONE CONTRACTOR'S MAILING ADDRESS " Fireplace CONSTRUCTION LENDER UNKNOWN / Total Valuation Is 4 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,�� USE OF STRUCTURE SFU Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodeln Utilities ❑ Installation[] Other 0' Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR., MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEWCONSTR. POWER APPARATUS &' NON -RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA @30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in consequence of the ranting of this permit. X^.77 Date �� - (G� Signature of App 'cant — Owner Controc,., ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -ECT ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R OF PUBLIC WORKS BY . Date r PERMIT EXPIRES 71Date f — Receipt No. ��-� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT `K , COUNTY OF BUTTE -v-Department of Public Works 7 County Center Drive; Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please,complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ye or no) 2: I (have/have not) signed signed an application for a building permit for the proposed work. ' 3. I have contracted -with the following person (firm) to provide the proposed construction: Name Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner _A/' Social Security number �� Date 9 / �- NOTE: This Owner -Builder Verification is -sent to you as required by Sections 19831 and 19832�of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. NOTES ,F:: - RESIDENTIAL 03-2468 36-470'-052;'-- PERMIT 6 470=052PERMIT NO.._Hr OWpRTg;'JIVIES ORO LVI LE 190 EDGEMONT DR , . +' DECK 8c RE=ROOF r . r- r i - r iw Ct Nn .SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS , SUB -STANDARD HOUSING LETTER JOB FINALED (Date) fisr/&/ Signature ' V- OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/. /" L "ft./ /'LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect .12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line 8. 3. Gas; MH Test -Demand -Valve -Connector Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances 11. 5. Drain; MH Test -Fall -Flex Connector Enclosure; Fencing -Alarms 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Conriected-C/O to Grade -HD Approval . 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking . 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 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 -Panel boards- 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 o = Not - =Not AAppplicable . = Not Ready 47. RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope 51. 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 18. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 19. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 20. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 21. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 22. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Fire Sprinkler; Test 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test 78. Plb.; Elec. & Mech. Equip. Listed for Location 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 81. Guard Rails & Deck Construction -Post Caps 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 27. 15. Access & Ventilation 16. Insulation (Single & Duplex) Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 51. 17. Water Htr.; Vent -Access -Combustion Air Baffle 52. 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access 58. 22. Gas Pipe; Sixe & Anchors Glazing Area -Glass Protection -Skylights -Plastic 23. Fire Sprinkler; Test Brace Interior/Exterior Wall Panels 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Card B-1 Date Card B-1 Date 76. A.C. Duct in Garage -Damper Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 78. Plb.; Elec. & Mech. Equip. Listed for Location 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 81. Guard Rails & Deck Construction -Post Caps 26. Size Boxes & No. of Conductors Stapled 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 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 85. A.C. Unit Disconnect, Electrical -Plumbing 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 90. Glass Protection 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates Date 95. Address Posted Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-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 -Wal Is -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 O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 4 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6 ASSESSOR PARCEL NUMBER 036-470-052 ZONING BUILDING PERMIT OWNER James Howarth - TELEPHONE SO, FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 190 Fdgemont RD OroArille Ca 95966 20 sq 1200.00 480 0 3360.00 CONTRACTORS NAME unknown TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $4560-0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS O Energy Plan Checking Fee $ $ PERMIT FEE $92,00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe work: as built deck and reroof Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 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. JV I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADDNS. ( & ACC. BLDS. 3.5Q�, NEW CONS MULTI -OUTLET NON-RESID. @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUREiOR FIXTURES B00 AL @':50 Ex. Occup. ..ED B AM °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall /fo.1hwith comply with those visions. n ^ 6 X _ Date �/j / 7 Sig ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 92.00 HAz. I D FEES IMP I FLOOD CDF pARC0. PD HD 5SU This permit is hereby issued under Of the Butte County Code and/or indicated aboyle for which fees have PERMIT XP RES ON the applicable provisions Resolutions to do work been paid. / ) Date f� 1/ ale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMIfNT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 PERMIT WC 12/95) APPLICATION AND PERMIT % :seBUILDiNGPERMIT ssoR PARce. KJMBFR Q�) /� �\ � � \ SO. FT. OCC. BUILDING VALUATION TELEPHONE �NrpAGTDRY NAME ADDRESC NDER*S MAILING ADDRECS ND. RCHRECT OR ENMNEER ACHRECT OR ENOviEII;S MARJNG ADDRESS U LDPIG ADDRESS DT No. SUBDVMCj- 5 NAME \\,, USEOFSTRUCTURE >F d Duplex ❑ I&blehome ❑ Other TYPE OF WORK New ❑ Addilion ❑ Remodel 0 ^Ua7i6es Instaa.60�n ❑ Describe Work- VJ v l �'� —' Sikh p 4hc.-mr' AW'e.4 -,Y46 A.Y Nt� Cc"1 V� PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service 20y, oa LEN 23.00 Main Service zD" To wvoA 46.00 Ex. Occup. OVn.FT OR F1KTVRES SAL ® .yo FO= RErID )FRA Ex. Occup. 5.00 Temporary Service 23.00 Fireplace 20.D0 Msc_ Wirinn Total Valuation S FiGn Fee S 20.00 Permit Fee Plan Checking Fee S S Energy Plan Checking Fee S S PERMIT FEE S PLUMBING PERMIT Firing Fee 20.00 Eads Trap -- Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system' 1 - 5 outlets 15.00 Bund -m sewer 15.00 Moble Home I S G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service 20y, oa LEN 23.00 Main Service zD" To wvoA 46.00 Ex. Occup. OVn.FT OR F1KTVRES SAL ® .yo FO= RErID )FRA Ex. Occup. 5.00 Temporary Service 23.00 Moble Horne Facilities 20.D0 Msc_ Wirinn 23.D0 I PERMIT FEE 1 S MECHANICAL PERMIT I Firing Fee 2D -D0 Hood I I 6.5D 1 Ventilation PERMIT FEE S Mobile Horne Installation Fee S Energy Inspection Fee S 'c` `oma' -PETOTAL FEE $ -Z. 10. FEES IMP FLOOD CDF PARCEL PD _ I 65:10 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date 6' TYP. I.._ Ti G PLYWOOD CC EXT. — ! c vl w z_ 7 • FRMIU G ,E CLIP= _ �. - Lt2' 2' x 12" STAIR STRIWGER. 48'e.o. MAX. ?OP VIEW HAIJDQAILL NOT SHOWS •FDR CLARITY. DECKHJG '(ALT) -3 BOLT Log DF*2 GIRDERS -.I'/e' TAG PLYWOOD CC EXT. _ • _ 2"x4" MOBILE HOME ro J OR DECK `9 i IMX UrrE D®U1tl 48" ' MTL. FRMIJ L--- - ILDING Dl\nSI p4 MAX, CLIP (EA. DE 9'MIN. `may APPROVED 4'x4' PO517 r + GUARDRAIL "2DF. aoX 21K4" PRESSURE^ I - (2) !a TZATE/ t ,. • e MIN_ VOLTS RFDWOOD'n/.ATE of j _41i MAX. DECXIIJGGIRDER -/a - 40 W PRECAST 4x9" POST IER ADrQU4TE DIAGONAL. Irr>_e ILL. BRACING. TYPICAL RESIDrNMM sT�ps ANo/QD�cK (�• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS rf7 County Center Drive — oroviiie. Cetirornte 85985 INS 14" x I Ir MIN. FOOTING -Telephone: 538-7541 rt � a' � � e 77\ IN 'g 2124-79B,P;E,M PERMIT NO. r PERMIT EXPIRES OWNER Raymond Polk 'CONTR. owner LOCATION (A.P. 36-47-52 fi 189 Edgemont Dr., Oroville J. 1 1 5 `i Temp. Power Pole Called PG&E Temp. Elec. Serv. Tialled PG&E 7 p. Gas Serv. ( Called PG&E e�OB FINALED (Date) y (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont;d) I PLUMBING Setback Firewall V Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor. Stemwall Sidin To out 2- % 7 Slab Roof Sh thing Water PipIn " = Piers Roofin Sewer Garage Fdn. Vents 'Z Fixtures Footings Stem II Garage Vent Insulation Water Htr. Heaters Slab �-� ort Footings Provfor p lc sall ha dicappey Conformance of ex. st Appliances Gas Piping & Test t Temp. Gas Sfab Final L S S tion Patio IREPLA E Final Footings Footing 6" �.es EL CTRI L Masonry Walls Rough Reinf. Steel Fin 2 Fixtures Bond BM IRE SbRINKLFRS Motors Framing 2-08-0 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Door Closer VpRtHation In I a ent final f MOBILEHOME UTILITIES - - ---------------- Service V144151 Pedest ov Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE] REMARKS OR CORRECTIONS 7�� n S t? QAC, 4t,6 -41w -G (NOTE: must made on this form eac time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE I A"' .11a �V ��' I I V BUILDINIS OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exidt at the above address and should be corrected. Please notify this office wdhhencor ection of work is completed. If you have any question pertaining to this ma nee : additional explanation, please contact this office immediately. d 04 4V !/J4 -7 " � ... -, Ir 4r - Inspector V Date FRAMING Permit No. Y Plans + 5i11s--Proper Material and Anchors + ' Walls--60--Nailing & Spacing & Bracing --Plates B r3"ng Walls over Girders & Floor Nailing- 60 Draft Sto in Walls rat ' roof Fire Stops --Furred Ceilings--Stairs--Chases--Tub e ader &-Beam --Size '& Bearing 8-.-'-Hangers--Post Caps--Anchors--Connectors -9-----Ceiling Joists Rafter Ties Purlins Roof Bracin Trusses Sheathing,*Roofing' 1Fireplace Ties or Type A Flue—Fireplace Throat Attic Access --Size & Romex Protection . W-': Bedroom Windows or Exiting--Doors--Sill Hgt. & Dimensions 1(3! Garage Fire Protection Framing' - --14--I�//rea Separation Walls --1 hr. Fire --2 hr. Fire -16'-'.Ext. Doors --One 3' - Check Garage 1-6" Stairs --Width, Headroom, Rise, Run, Landing --Fire Protection 1W: Plywood on -Roof Overhang --Attic Vents --Rafter Outriggers - Siding--Nailing--Veneer lq-. Stucco Mesh, Drip Screed & Foundation Vents & Underfloor Access -2D-Grass.. Protection if required �21. Sign Job Card Signed: z /pkv ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD p Signed• Date• f -2- 1. Plans 2. Setbacks --Easements UNDERFLOOR Permit No. 3 Soils --Footings & Stemwall--/ P Fill Required--Steel--Block-outs--Elec.Ground 4 Piers --Fireplace Footing & Steel 5 Plumbing--Drain--Fall-Fittings--Wrapped iri Concrete 42" test/ / 6 Gas Pipe --Size & Test 7 Water Pipe --Test & Anchors --Regulator 8. Electrical - 9. Plenums & Ducts--Clearance--Material & Support & Insulation 10 Girders--Sills--Anchor Bolts--Joists--Vents--Cripples 11 Sign Job Card ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: ABOVE LISTED'CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: r '� -1- Valley Drywall Ser• Permit# INSULATION CERTIFICATION _-1$9 F!%emont _ Oroville Numper and Street City County Subdivision Lol Numper DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Brand Name Certainteed Thickness (inches) _ 3�'%st Thermal Resistance (R Value) 11 CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) _ Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) 611 Number of bags 27 . Weight per bag Ib Area Covered (ft 2► 1344 Thermal Resistance (R Value) 19 FLOOR,ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material _ Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) _ Thermal Resistance (R Value) _ HEATING SYSTEM Gas Furnace Make Model Description _ _ RatedBonnet-Capacity- — - DECLARATION I hereby certify that the above insulation was installed in the building at the above location ir, conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). eneral Contractor (builder) License rJumber Signature and Title Date Hawkins Insulation Co., Inc. 378407 / Sub-Conlraclur (Insulation Applicator) i License Number 2=20-80 Signature and Title Date CERTIFICATE REVIEWED BY Pate BIN -029 _(Building Inspection Oflf ice) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Ax, (location) BU ILD ING PERMIT NO . 2_ A: P. NO. 5-? THE FOLLOWING HAVE BEEN INSTALLED.AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls X Ceiling/Roof ')( Ducts Circulating Pipes " APPROVED HEATER GLS APPROVED WTR. }ITR. ' )( GLAZING: Single Glazed X Special, (Insulated) CERT. & tABELED WDS. & SLIDING DRS. x WEATHERSTRIPPED DRS._ BACK DAMPERED FANS INTERMITTENT IGNITION bEVICES CERT. APPLIANCES s I DECLARE THAT ALL REQUIRED'ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SU&MITTED. Insulation Applicator Name /¢ U& IA; % N S OLA-RONe0, Signature of (please print,)_ � Insulation Applicator State Contractors License No. General Contractor/Owner Name -/?,d Y �e4 e (pl ase print) XSignature of General Contractor/Owner RDate Sta a Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND -SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. `� r PLUMING --Above Floor Permit No. Water Heater--Veer-Access--C� ater-Pi a --Test & Anchors --Nail Protection' Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test LRY .Shower Pan--Test.-First floor --Tub Access -r--lest Tub & Shower, second floor --Tub Access .6. ®as Pipe= -Size & Anchors e 7. Sign Job Card ................_ ... _....... _.... ALL OF ABOVE COMPLETED EXCEPT Signed: -Date: Z ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. - Clearance & Insulation Protection at Flush Light Fixtures Elec. Rece tacles Spacing --Lights & Switches at Doors Size Boxes & No. of Conductors --Stapled Romex Installed Close to Edge of Studs & C.J. ui . Ground made up w/Mech. Fasteners _2 Appliance Circuits in Kitchen & Conductor Size Sub Feeders --Wire size [M ga. Cu or(Ay, Breaker Size [ Amp. -- Insulated Neutral, Yes N Range Circuit(p[4E7 ga. Cu orDl Breaker Si e L= Amp ._ ga. Cu or Al, esker Size =Z Amp.2c�w Service --Riser Conductors & Ground 1.. Bond Gas & Water Pipes 'menthes Closet Light --Shower Light 12. Sign Job Card ALL OF ABOVE COMPLETED 4—J EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date:• 2-1-9-215-0 ....... ................ ............._.............. ............. MECHANICAL --Above Floor Permit- No. .......... ...............................--.........._._............._. .... .C. Ducts --Insulation & Support Vent Fan --Exhaust Above Insulation ` -3- —.Condensate Drain & Overflow --Size & Grade -4.--Vent--Access-Comb.Air--Return Air Vent --115V Outlet -=-Attic Access & Platform if Furnace in Attic FINAL Plans • Entrance Stens. Door & Sidelight Protection Permit No. 3. Smoke Detector 4. Furnace --Vents Clearances Combustion Air :ConnectoAk Garage -Height & Mech.Protection 5. edroom Exiting .F..I. & Bath Fixtures 1 gE zlecLrlc iron a DUD ranel--Laoels :� 8. Stairs & Rails 9. Fireplace or Stove --Clearances, Hearth 10. Electric Outlets at Wood Panel --Int. & Ext. 11. Fixtures & Appliances in-Kitchen--Grounded--Air Gap --Cooking Clearance 12. Ele ical Outlets & Receptacles at Kitchen Counter 13. Gdraee Fire Door --Swine & Landine. Closer A.C. Duct in Garage --Damper Water Heater --Vent , learance Co bustio .Air,' P.R.V , Connector",fn & Me .Protection 1 6. irewalls & 0 enin s-- ea Se aration Walls Electrical Receptacles in Garage G.F.I. omex rotec :" 18. Insulation--Foam--Looked in Attic Yes 19. S s at Ext. Doors & Landings Guard Rails and Deck Construction Foundation Vents &.Crawl hole Door --Drainage �y Wood -Earth Clearances -- Looked Under Floor -%—% Yes 22. Following Installed: Drive LJ Yes L./ No, Walks 4_1 Yes L! No; Planters or Wing Walls %*'—/ Yes = No --- Creating Drainage Problems 7'7 Yes %� 7 No 23. A.C. it --Disconnect Clearances Breaker & Conductor Size --115V Outlet 24. Voifts Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings 25. ater Well -Disconnect. Electrical. Plumbing 27. Ventilation Throughout House 28. Glass Protection 29. Corrections from Previous Inspections 30. Gas Test --Meters Tagged -Gas & Electric ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: - IKU SIGN JOB CARD Signed: Date 77 Jf COUNTY OFr„BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO�� ASSESSO�rirPARC EL Ni,I.sA� 66 t ZON1;;N;�� 5 BUILDING P RMIT v O R TELEPHONE SQ. FT. OCC. BU LLDI VALUATION W N - �; I L GQ , ADDRESS � �r r CONTRACTOR'S NAME_777 mcc u �e TELEPHONE CONTRACTOR'S MAILING ADDRESS / CONSTRUCTION LENDER`— IV CA f/� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS ^— Permit Fee $ d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Permit fee $ �) BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 T_ TYPE OF WORK New, Addition ❑ Rejpodel ❑ Utilities ❑ 4stailation Other ❑ Describe work: �_- �Ql�P — 24 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L 1,00 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 2¢ sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): r_1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID BRANCH CIRCUITS) CONSTR. MULTI -OUTLET 2.50 ea NON•RESID R (POWER OUTLET CUR.&1 Ex. Occup(OUTLETS OR FIXTURES 50@•25o BAL@10¢ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. - I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa' C unty in copse nce of g nting of this permit. ^ Dat %S Ignature of Appli ant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC b BY the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ,� l 7i� PERMIT EXPIRES Date__ 61,- —.10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' Z�-e ee6E�o.�� e. 7�•e. f ose 14 * �9y1 I • I•i 1 i1 1 1 1 1. Oj_161 g g�Ztt1� i � l_771) I 1 t y 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oro011e, California 95965 p y Telephone: 534-4541 APPLICATION AND PERMIT aumonze represeniaxives or me county or tiulle io enter upon me above -men Toned property for ins ectio purposes. X Date - 3— Sign ure of Permitee or Agent Receipt No. drd`9lo Z White-D.P.W.- Y6Xo3t�sl6�- X3 Z/ .3Y6 o c> 12d&& Gojdenrod-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 OF P LIC WORKS By Date7�� 7 Building permit expires Date _ .S—y BUILDING 7 Owner SO. FT. OCC. BUILDING VALUATION 41 Mailing Addre -� Z Telephone No. a7z C? Contractor ,¢1_ Mailing Address Fireplace '`S7�d• Total Valuation Telephone No. Permit Fee Building Address eg Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 ab Each Trap 1.50 Repair. drainage or vent piping 1.50 h A. P. No. (p — %�S o2 Zoning & Pins Water piping 1.50 Each gas water heater or vent 1.50 F s n Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 —t3 EQA Parking '-Parcel.4 Plans Declaration Par el p 60' R/W Improvem crts L Each additional outlet .30 Building sewer 5.00 ,pp Pafd"g, Plans Rec'd Parcel A22frov Pla Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 21f'19-W$,Z Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �dc> OR L Main service 10000 AMP ORSLESS ... 5.00 Single FamilyDuplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING O C OR ADDNS. ACC, SLOGS 20sgft 0' 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 of: NEW RESID, RANCHU L T NON•RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CR. Ex. OCCUD{OUTLETS OR FIXTIiRES 50@25, FIXED APLNS.style Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ el -3.30$4 9139 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. ❑ 1 have placed on file with the County of Butte a certificate of. Workmen's Compensation Insurance. EI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Heating 4pi(,l g ,60 •g Cooling F)A Ven ilation LJ2.00 Hood pp Permit Fee $ pv $ Q 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 Land Development Fee $Soj; TOTAL PERMIT.90 FEE $ aumonze represeniaxives or me county or tiulle io enter upon me above -men Toned property for ins ectio purposes. X Date - 3— Sign ure of Permitee or Agent Receipt No. drd`9lo Z White-D.P.W.- Y6Xo3t�sl6�- X3 Z/ .3Y6 o c> 12d&& Gojdenrod-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 OF P LIC WORKS By Date7�� 7 Building permit expires Date _ .S—y OWNER L A. GE URAL Zoning requirements Valuation. 9 by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPEERX,' & MISC. ONLY) Bldg.' .A.P.. (sideyards and parking). or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. &.00' Setback*, sideyards, easements, etc. ^• 5 ` "r-'Mt1dings or structures. 47. Gino; r_'_ls, drainage. C. FLOOR PLAN F, Permit # x Complete to scale plan with dimensions. 1i Required windows for light and ventilation (Sec. _1405). Required windows for second exit (Sec. 1404). Allowable glazing.for energy requirements (20% max. per:State law). Human impact glass (Sec. 5406). y Required room sizes, ceiling heights. (Sec. 1407). C/G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches; receptacles,and exterior receptacles for maintenance of mechanical equipment. .Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. i ewall, door size,, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). it..�Smoke Fireplace location. detectors (Sec. 1413).' D. STRUCTURAL DETAILS T. Foundation plan complete enough to construct building. !fes/ Floor construction details complete enough to construct building. / Elevations and wall construction details complete enough to construct building.. ►f�. Roof construction details complete enough to construct building. ce construction details and calcs if over one-story in height. dr.Sufficient data and details to satisfy energy -insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 2 -way details (Sec. 3305). 3. --Guardrail detail's (Sec. -17.16) . 4.—ih-tuk7or stone veneer (Chapter 30). etertUr-plaster - weep screeds (Sec: -4706 & 4708). Proper roof pitch for roof covering (Chapter 32). ri-�-RBf-tele ties or bearing ridge beam.-rV4sSf_ -i- Garage door;or porch header sizes. 61."' Adequate bracing. 1'0r.7 - Ewing area over garage - complete 1 -hour -separation required including supporting walls and posts, etc: exits on three-story dwellings (Sec. 3302). s �� P?' i, I -iv i 1 ss ij s � `� � s�..a. r• i, +�� " � i '� i�1 �rud441 a.w�c>M.. � I i s I I 1p If 11111 11 W. 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