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HomeMy WebLinkAbout078-360-009I • . ,....e+.�.rr�.:�. , •...;:.r-w.��;;;.ty�rti.,;;;y��-- �..::—,r`;•iF �.q ;.r;i.r..r. �" y�'�"'�,�..."'�,"`,r. �,r_ ^ "1"'.. .� -�. �'r."�� r Y �^� � +'T`." { "' - � �'ti^�'t+'R� -F �y.111r. Q� 'T" .y _ Y, �n'�. � � � �..v�..w..+ti/►a- "s� I •. JOHN GRIFFIN T (Butterfield)3(o0-009 Oak Kno Way, Oroville' 02-0913 W45WRY -I EN RY, J 2760 A { ' 0 K'KNOLL ' ►L�. 2760 OAK K AY, ORO I LLE ; ' ADDI'fION,TO EX SINGLE FA Y-'.;,,!"� �(y''/jac.le-0^1r �, r4• WALED i 02. 14791 i HE JAN '2760'OAK KN , OROVILLE' "' .REPAIR GAS LII�TE 0;4694)4&, .} <- 04-2705- HENRY'JANIE 2760 OAK KNOLL�WY'fOROV -LE' ED'' Cont:'OWNER 'w NREPLACE ROOF STRUCTU NALE Z?!.o//2=27'0 ". (09 03 1, T�3N16- Z7� D Dai /d C� ! G i t i E I • . ,....e+.�.rr�.:�. , •...;:.r-w.��;;;.ty�rti.,;;;y��-- �..::—,r`;•iF �.q ;.r;i.r..r. �" y�'�"'�,�..."'�,"`,r. �,r_ ^ "1"'.. .� -�. �'r."�� r Y �^� � +'T`." { "' - � �'ti^�'t+'R� -F �y.111r. Q� 'T" .y _ Y, �n'�. � � � �..v�..w..+ti/►a- "s� I •. JOHN GRIFFIN T (Butterfield)3(o0-009 Oak Kno Way, Oroville' 02-0913 W45WRY -I EN RY, J 2760 A { ' 0 K'KNOLL ' ►L�. 2760 OAK K AY, ORO I LLE ; ' ADDI'fION,TO EX SINGLE FA Y-'.;,,!"� �(y''/jac.le-0^1r �, r4• WALED i 02. 14791 i HE JAN '2760'OAK KN , OROVILLE' "' .REPAIR GAS LII�TE 0;4694)4&, .} <- 04-2705- HENRY'JANIE 2760 OAK KNOLL�WY'fOROV -LE' ED'' Cont:'OWNER 'w NREPLACE ROOF STRUCTU NALE Z?!.o//2=27'0 ". (09 03 1, T�3N16- Z7� D Dai /d C� ! G i t _�.M _ �_�.A� '� � ��' k 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.netWds a PERMIT NO. BP0Y003 . 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: 10/13/2004 APN: 036-460-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Sill `.e Address: 2760 OAK KNOLL WAY ORO Date: Contractor: Map Index: Description: ELE SER REPAIR 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: HENRY JAN I permit to construct, alter, improve, demolish, or repair any structure, prior E D to its issuance, also requires the applicant for,such permit to file a 1 2760 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter g corj mencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7107 she is exempt therefrom and the basis for the alleged exemption. Any •y 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 AppllCatlt: HENRY JANIE D Code: The Contractors' State License Law does not apply to an i owner of property who builds or improves thereon, and who does ' 2760 OAK KNOLL WAY such work himself or herself or through his or her own employees, j OROVILLE, CA provided that such improvements are not intended or offered for . sale. If however,.the building or improvements are sold within one 95966-7107 - 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 j sale.). j 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. 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.). ;h OFFICE COPY ❑ I am Exempt under. Article 3 of the Business and Professions Code A Address Date: r: Owne1 61 License #: GAS WORKERS' C PENSATION DECLA(ATIO I hereby affirm uniier peRalty of perjury one of the following declarations: L3 have maintain certificate of consent to self for �Meter By Date — and will a -insure workers' compensation, as provided for by Section 3700 of the ELECTRIC Da�� Labor Code, for the performance of the work for which this permit Meter By Architect: is issued. )Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i insurance carrier and policy number are: t Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: "2 00" I certify that in the performance of the work for which this permit is _ issued, 1 shall not emy any pers ploon in any manner so as to become" subject to the wor er�mpensation 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. qld-90- _ ) Date: Applicant: All � r rs' compensation coverage is VtIAR ING. Failure to secure work nt wful, 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_'- -- � _. - _ — - M � - _-------�— -t .^-, -_ r 2_w , �c .. "1" .� _ .. "te-7v- `�' CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the This permit is hereby issued under the pplic ble provisions of the Butte County Code nrl/or Resoluti n to do�wor K. in is ted ab v for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /1 1 o )13, Name: B : Date: vv Address: P IT EXPIRES ON: Dat ❑ 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 urposes Print Name: v�t:L 611 (�. �-� yr {� ✓ Signature: Date: l/ J ', Owner ❑ Contractor t ❑ Agent for Owner ' ❑•Agent for Contractor. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042981 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: 10/12/2004 APN• 036-460-008-000 the Business and Professions Code, and my license is in full force and effect. -n n, License Class: %. C�7 License Number: 234 "1 4 l—b Site Address: 2760 OAK KNOLL WAY ORO Date: \',) -17 T4 Contractor. /N175- t r P Map Index: Description: INSTALL HEAT PKG UNIT 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: HENRY JANIE D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2760 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7107 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ARTIC AIRE OF CHICO INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2350 PARK AVENUE provided that such improvements are not intended or offered for CHICO CA 95928 sale. If however, the building or improvements ere sold within one year of completion, the owner -builder will have the burden of 530-895-3330 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 Contractor: ARTIC AIRF OF CHICO INC 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.). 2350 PARK AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-3330 Date: Owner: License #: 234913 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pedury 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: issued. • Engineer: 1 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Total Square Ft: 0 S. F. Policy #: t� L �: r' _ ;�,�(� 3� 1 7 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. r and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall O forthwith comply with those provisions. Date:�0— Applicant:.e/� .C� —� L� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one .t 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 tees. L{-�� 8�3 $ Sr5 ,'— (o CONSTRUCTION LENDING AGENCY This permit is h eby issued'underthe applicable provisions of the Butte County Codp ?nd/or __ —� I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolution to work indicated above for which fess have been paid. Lug / By: ✓ �- (O� Date: (O 1 2 •0� Name: PERMIT EX RES ON: 1 • t 2' O S 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:, 1 �I 1"J Signature: 1 ------ •�,, Date: r' 7i ❑ Owner 0 Contractor 2 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042981 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: 10/12/2004 APN: 036-460-008-000 the Business and Professions Code, and my license is in full force and effect. n q License Class : � — C F7 License Number: 2 J4 (Y I --b Site Address: 2760 OAK KNOLL WAY ORO Date: Q) -I Z V44 Contractor: A1'7T t r , Map Index: Description: INSTALL HEAT PKG UNIT OWNER43UILDER 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 : OwnerHENRY JANIE D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2760 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7107 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 Applicant: ARTIC AIRE OF CHICO INC Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2350 PARK AVENUE provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-895-3330 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 Contractor; ARTIC AIRE OF CHICO INC 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.). 2350 PARK AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-3330 Date: Owner: License #: 234913 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 Architect: Engineer: 1U14issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:_ bc-1- A m LW— Total Square Ft: 0 S.F. Policy #: tom) L—Y7C' _ :V -5-p 3� 7 Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: )o— 1-2\�� Applicant:l✓J `ISS' 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 T► code, interest, and attorney's fees. $ 575 -I q9 CONSTRUCTION LENDING AGENCY This permit is h eby issued under the applicable provisions of the Butte County Code anrUor ' I hereby affirm that there is a construction lending agency for the Resolution to work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) - By: "`- Date: (O l 2 •O�i Name: IT EES ON: 1 ' 1-2 - C S PERMX R 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. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: G t 1 > I �J Signature: Date: ❑ Owner 13 Contractor 2 Agent for Owner ❑ Agent for Contractor uTrBUTTE COUNTY C o DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) G -o-• o OFFICE#: (530)538-7541 PERMIT NO. BP o.1-s-qg I DATE: APN: �3� • L{ -6Q - Od 8 ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE: `34c-4 STREET ADDRESS: 27 zoo FAX CITY, ZIP: E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT A APPLICANT NAME: / PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL• CONTRACTOR NAME: vcp PHONE _ STREET ADORESS: r\ \0,a F � CITY, ZIP: E-MAIL: .:: LICENSE NUMBER -. ^ LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP• LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK:tA ❑ 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 fees will be required. REQUEST FOR REFUNDS_ Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only Notes: Application Received by: Date: I o • • 04 Receipt number: (2853 Amount Received: -4 5 5 . — Master application 311-04 Artie Aire 2350 Park Avenue Chico, CA 95928 (530)895-3330 Fax (530)892-9930 Job Name: Job Addre; City & Zip t Phone Number: Lic. B -C20 -C2 #234913 Worker's Compensation: Lumberman Mutual #5BA165241-00 Permits To Be Pulled Permit Information Type Of Job: Change Out Cut — In Move Unit Type Of Equipment: Package Unit Heat Only Heat Pump Split System Equipment Size: cz BTU Cooling:. BTU Heating: Type Of Permit Required: =Mechanical Location: Roof Closet Notes: Split System A/C Only Heat Pump Package Unit Plumbing Electrical Attic Ground " Hall Basement r R NOTES - RESIDENTIAL PERMIT ;NO -04=2705,..,,1 036=460-008 HENRY, JANIE ' 2760 OAK KNOLL WY, OROViLLE / Cont: OWNER ^� REPLACE ROOF STRUCTURE SPECIAL CONDITIONS , r. CHECKED BY SRA - - FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. _ SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J . OK 0 Not OK NotAppli. Not Readyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect B. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 ' 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-Panelboards-Ins. to Main Conduit 9., Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access 52. 21. Test Tub & Shower, Second Floor -Tub Access 53. 22. Gas Pipe; Sixe & Anchors 54. 23. Fire Sprinkler; Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date Siding -Nailing Veneer Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 62. Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Wal Is -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al FINAL (Plans) OK except #'s 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. Bedroom Exiting 34. Clothes Closet Light -Shower Light -Spa Light G.F.I. & Bath Fixtures & Tub Access -Spa 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 78. Card B-1 Date Card B-1 Date 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 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 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 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 O 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: 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.netkdds I 2'` PERMIT NO. BP043003 01 abs 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: 10/13/2004 APN: 036-460-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2760 OAK KNOLL WAY ORO Date: Contractor: Map Index: Description: ELE SER REPAIR 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: HENRY permit to construct, alter, improve, demolish, or repair any structure, prior JAN I E D to its issuance, also requires the applicant for such permit to file a 2760 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7107 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 Applicant: HENRY JANIE D Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2760 OAK KNOLL WAY such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966-7107 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 Contractor:. 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 413 a 16A ner: License #: WORKERS' CgMOENSATION DECL ATIO I hereby affirm under ty 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. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued. I shall not er2loy any person in any manner so as to become `subject to the wor vers 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 0— forthwith comply with those provisions. Y I Date: — J �^ cant: �AR Failure to secure wor rs' compensation coverage isful, 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 heieby issued under the pylic ble provisions of the Butte County Coda nrVor, hereby I affirm that there is a construction lending agency for the Resoluti n to do work in i led ab v for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 11 ? jf Name: B Date: (� „J V O Address: P IT EXPIRES ON: Dat ❑ 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 59y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection urposes ' I Print Name::? Jam. to 1 •.P. 14-? /Signature: Date: v Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Ar 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.neAdds PERMIT NO. BP042705 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: 11/10/2004 APN: 036-460-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2760 OAK KNOLL WAY ORO Date: Contractor. Map Index: Description: REPLACE ROOF STRUCTURE 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: HENRY JANIE D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2760 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7107 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 Applicant: HENRY JANIE D Code: The Contractors' State License Law does not apply to an 2760 OAK KNOLL WAY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966-7107 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 Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: //—//, `-6wner: License #: WORKERS' COMP NSATION DECLARATI N I hereby affirmoder p ally f perjury one of the following declarations: ❑ 1 have ad yraltmaintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 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 comply with those provisions. Date: Applicant: i i• NG: Failure to secure orkers' 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 s provided for in Section 3706 of the Labor code, interest, and attorney's fees. / r'1 Q/ �Jl oLll CONSTRUCTION LENDING AGENCY This permit is hereby issued undei the applicable provisions of the Butte County Code 2nrVor I hereby affirm that there is a construction lending agency for the Resolutions to do w icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , I U . 6 Name: B y: DaatlIe: 0 Address: PERMIT EXPIRES ON: / V 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 farms. 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 purposed _ Print Name:de4 r lZ Signature: Date: v ZOwner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor I' 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 REO ULPED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Last Name Flood Zone irst Name. Address / �! City 1 State State Zp Phone <, ✓� Fax Faxes �� E-mail Lic. # APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address r City No State Zip Phone Zap G6� Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address r City No State Zp Phone Zap G6� Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name,, • Flood Zone Cross Street r Address Qlbo No CiU // /'0 v Type Const State � Zap G6� Ph e_ Lot # Fax E-mail �co e APPLICANT SIGNATURE X For office use only: Zoning PropettyXre� � . / / Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# n 11�O 7 PropettyXre� � . / / City6�/I I i Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS It KAFORMSSUILDING F0RMS1BldgAoalSubRgmts.doc Page 1 of 2 Description or ScoDg, of W rk: 11 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 b�, Amount: Bldg SRA Receipt t q I epr c-�^ Sheriff oa&Y11ql# SMIP Other / 3 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT 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 paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑. 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie,down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate; (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer., ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ .4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 merunos can oniy 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 KAFORM BUILDING FORMS0dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541'Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBS Proposed Building Use: (OCA §Tyu U_ Counter Technician: Date: U Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. -1ff.- 1. Site plans, 3 or 4 sets, signed by 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. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the.Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... :it 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑, 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. fit application for the items rsemmd-�, l Contractor, designe Plans reviewed by: _ Structural reviewed by: Note transfer by: Date: Plan Check Letter as advised of the above data by Oreone, ❑ mail, ❑ counter, by pjW Date: as advised of the.abov data yy,one, ❑ mail, ❑ counte , Date: Date: %-5 0`tl Plans approved by: Date Date: Structural approved by: Date: Yellow: Building Division K� OWNER -BUILDER VERIFICATION FICATION Attention Property Owner. An "owner-buildee' building pemut has been applied for in your name and bearing your signature. Please complete and retam this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No ' building. permit will be issued until this verification is received. �1 I personally plan to provide, th major labor anal matrials for construction of the proposed aproperty ' ovement : ZZ NO ❑ I HA"� HAVE NOT ❑ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO: � I-w�ll��de-som$..of�he�rk-but-Iiave-con������e�'o�.��per�ons��ro�d„' . the work indicated: NAllE ADDRESS PHONE TYPE OR WORK .. / , r. / E' NOTA: THS Owner-BuUder Ver0tation is required by. Section 19831 and 19831 of the California Health and Safety. Code. Ms vera cation must be completed and returned to our office before we are permitted to lrrrue the vermit OWNER BUILDER IN ORATION Dear Property Owner; QB• -I An application fDr a buMmg p=ork has been submitted in your name lisffi.g yourself as the bmlder of proPWtY Foryoirproterton, You should be aware that as aowner4naldee you are, the a P� ��g pem ft are nbt required to be signed by property owners unless they =o pezrs Pall' ofr fo= on such own work- If your work is being p by someone other than PersonaIly perfornimg thea liability if that person applies for the Yourself; you may Pmt Yourself from possible PmP�' P� in his or her name. t; e � m am by law to be licensed and bonded by &a State of Cah�+**+ra and to have a business �Y m may. They are also required by law to put their license number on all permits for which they aPP1Y If yon play to do your own woiiq with the exception of various trades that you plan to sabcontract; YOU should be aware of the R)lbwing ion for your bye and protection: a Ifyon employ or otherwise engap Emy Persons other than your imuaecSate family, and the work (mciudiag mafuiaL and other costs) is $300 or more for the entire Pm]� and such P== are not licensed as co>nractors os en You may be an employer; ♦ If you are an emploM You mast register wi$ tike State and Federal Go subject m several ob �� as as employer and you are woii= comPmsadm mss � casts, and �viyment o mal social security . ♦ There may be financial rift far yon ifyon do Wert unemployment compensat M comas. wish to workra's �Y out theme ob ons, and f me risks are especially serious bsurance, ♦ For mm specific on. about your obligadons tmdea Feder l Law, ifyou wish; the U.S. Small Business the mal Revue Service (and, State Law, gm D X For more specific mon about your obligations mid=eparftamt ofBenefit Paymints and the Division of industrial Accidenfs. If the structure is Intended Sur sale, PMPrl, owars who are not licensed Mr. allowed to perfDna their ��P. nau9 their °wa employens.es, govt a licensed contractor , only mnder limited A frequent practice of unlicensed p=oos Pmg to be yrs iso secare an Pew erroneously =Pbr that the t"ow=bualdea" buildingpermits are not required to be s owner is g his or her own labor rad mWaial per,, gig moo® about licensed owners tniless they are pwf i,,g thea own work comfy or at 1020 N Y be obtainedStake I.acenseP by cointracting The CbMtrUjM � your Please � the�� S CA. 95914. "Owar Build= Yeaificai on" on the reverse side of titin fh M so that we can conform that yon are aware of these MIO=s. The building pest WM not be issued i=l the verification b reed. -.r- .. nr .. ... u. .... 0TH• Z7ur 0ivaer BuBderltzforrrr on is required by SW on IB83D ofA1! C-WOI-tzia Heart mzzd Safety Code AMITY 1 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. �Po42®58 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING 0 OWNER PHONE NO. a OWNE 'S ADDR SS o v.� LOC ION OF BUILDING USE OF BUILDING A- �. la SIZE OF STRUCTUR 'X _ �O. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING ROOF CAVERING FLOC TYPE o"n-r2( ESTIVATECOST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ,' FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. // / Date ; y �, - Signature Permit Fee A 10- The above Receipt No. 4-«�c7o �,%0101 0�Manager (I tA "ro 6� ribed AG Building is exempt White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date ]z— =� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 ��I' I� Phone: 916-538-7541 RE: 1J9(1eUJ]J00JG u��p�in'�(�X�m(J}fon 7g�►+�� A. P. # G 3G -4&0-00S` 'BP -4L 0JY-�a5% With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm X�*T-�r DATE: ILO -7-64 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement'of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval om City of Biggs Gridley. Planning approval for � r n • DaeA Land Development (a) Improve ent (b). Drainage. Driveway permit (approval of construction required prior to occupancy) Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. _k/ -Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation.of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: Should you have any questions concerning the above, please contact of this office. 4Man very t l C. Vieira, C.B.O.MCV:ahb r, uilding Inspection 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 "PLEASE PRINT CLEARLY" APPLJCANT SIGNATURE OPINION I!o"ffice use only: OWNER Name Last NameI r6& e I/ Address irst Name I ')CL±1 L Address - K CityQ�Ot/ 42— E-mail State a ` Zip Phone_ _ b Fax d _ _ E-mail APPLJCANT SIGNATURE OPINION I!o"ffice use only: CONTRACTOR Name Type Const. Address Map Book City State State Zip Phone E-mail Fax E-mail Lic. # Class APPLJCANT SIGNATURE OPINION I!o"ffice use only: ARCHITECT/ENGINEER Name Type Const. Address Map Book City State Zip Phone Fax E-mail State License Number APPLJCANT SIGNATURE OPINION I!o"ffice use only: APPLICANT NAME Name Type Const. Addres Map Book City r D Ue Lot # State ` —[zip S P'<3D —C - 14o Fax —S —O O E-mail APPLJCANT SIGNATURE OPINION I!o"ffice use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: l PERMIT NO. BP BIN # LOCATION AP# X36.40. 008 Property Address a k l / /- / le Cityo / Cross Street tz'e-'s WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licegAecontractors, a certificate of worker's compensation must be shoat the time of permit issuance. LENDING AGENCY Name A ss UVtK t -UK 5U13MITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Descri tion or Scope of Work: Sq. Footage c2tly 17 ❑ 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: ' 4c>`? . q8 Bldg SRA Receipt #: 4 12 b Sheriff SMIP Date: 9 . 3 p . oa Other I e>::1 •RS REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.), : . ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire. one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 NOTES RESIDENTIAL /P C:4 -7c 036-460-008 . 036-460-008 ; 02-0913 " PERMIT N0...HENRY-J AN It . — 2760 OAK KNOLL WAY, OROVILLE ADDITION TO EX SINGLE FAMILY x 0 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS OFFICE COPY Addr s GAS - -W� rt,l; 1} G+�- Meter By ELECTRIC -`- Meter By Date ti GAS Meter By Date ELECTRIC Meter By D a t 0� t JOB FINALED (Date) U ' o 2 Signature V = OK 0 = Not OK - = Not Applicable = Not Ready 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 Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 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- Rttrs-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single Date Underfloor (Plans) OK except #'s Z g -Setbacks- Easements- Flood- Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth D 4. Fig., Porches & Decks; Soils -Steel-/ /" Fig. Depth ARs walls, Main; Steel-Blockouts-Wrapped St alts, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pi s -Fireplace Ftg.-Steel ge'D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test U as Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Denums & Ducts; Clearance -Material -Support -Ins. rders-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation `Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ter tr.; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection 1,3 -D.W.V.; Test Fittings & Anchor -Nail Protection •20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fi ture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water X28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI • 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes ❑ No 31!9'ervice-Riser Conductors & Ground Main Disconnect ` 2 2. E uip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light Smoke Detector Date FRAMING (Continued) Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance MECHANICAL (Permit) OK except #'s Pc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 35. A.C. Ducts Insulation & Support 51. 36. Vent Fan, Exhaust above insulation Property Line Firewall & Openings 37. Condensate Drain & Overflow, Size & Grade 54. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Wwood on Roof Overhang -Attic Vents -Rafter Outriggers 39. Attic Access & Platform if Furnace in Attic �p 57. Skcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5e . -Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 4 aring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 41( ie Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing & Duplex) Date FRAMING (Continued) 46. H gers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Pc Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. airs; Width -Headroom -Rise -Run -Landing -Fire Protection Wwood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer �p 57. Skcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5e . -Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 3. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In arage; Above Floor -Ducts -Mach. Protection Bedroom Exiting JiSI. & Bath Fixtures & Tub Access -Spa -Elqr, Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 74 c Udgj;eaP6tove, Clearance -Hearth 7S.E4er-CVIfffs at Wood Panel, Int. & Ext. --fEi1-1 fRt-S7tppliance; Ground -Air Gap -Cooking Clearance s & Receptacles at Kit. Counter Door; Swing -Landing -Closure Rf C ct in Garage -Damper 7 tr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location eceptacles in Garage (F.F.I.)-Romex Protection is, -Foam -Looked in Attic Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle,q,rance Looked under Floor ❑ Yes ollowing Instld./Driv es ] NoMalks ] Yes ] No/Planters 0 Yes ] No $a__%l#eee-er5M - Finish nnect, Electrical -Plumbing ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 84-. Wate Well, isconnect, Electrical, Plumbing terior Elec. Trim, G.F.I. Receptacle -Underground lito,"yowation Throughout House 91'GI Protection Co tions from Previous Inspections Gas Test -Meters Tagged, Gas -Electric ewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Address Posted 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 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA 9 (530) 891-2751 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE -OWNER PERMIt NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the 1. 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, please contact this office immediately. /'�) 44—e— 1�1 . 4— C—e 0, < 0 '01 Date inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT o. (Rev. 1-2/96) APPLICATION AND PERMIT !%A -0%R ASSES OR PARCEL NUMBER X36-460-008 ZONING BUILDING PERMIT OWNER �ip,IY JAMIE TELEPHONE 5-33-3 04 SO. FT. OCC. BUILDING VALUATION 20,,736.00 . OWNER'S MAILING ADDRESS 950 P.O. BOX 1490 OROVILLE CONTRACTOR'S NAME 0 �� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 216.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 140.40 BUILDING ADDRESS 2760 OE:K KNOLL WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 91 Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION TO EXISTING SINGLE F MIT.Y Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 71,00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.POWER 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. ❑ 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 XIIIA 46.00 NEW CONST. DWE 2NG OCCUP. OR ADONS. ( a ACC. BMS.16-80 SO NOµp OSID. MULTI.OUTIFT 97.50 APPARATUS a SINGLE OLJILET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL Q 1. 0 FIXED Ex. Occup. AE=.) Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.80 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. X ���( r/l tai /f Date Signature of Applicant -,K Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" d and demolition or construction structures over 3 stories in height. _J_')pe . OZ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation Extend Ducts PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Ir, nn Occ R3 CONST. TYPE VN T TAL F $ • HAz. D. FEES MP FLOO [ P L PD HD IS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By / EXPIRES ON applicable provisions Resolutions to do work been paid. / ©02of D to 6 Date Receipt No. 3 577SPERMIT WHITE-D.D.S.-B.D. CANA V -AS ESSOR PINK-WrECTOR GOLDE ROD-APPLICA T 6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75b, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Zl.!3 ASSESSOR PARCEL NUMBER 036-460-008 ZONING BUILDING PERMIT OWNER HENRY JANIE TELEPHONE 533-3404 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS P.O. BOX 1490 OROVI=, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2760 OAK KNOLL WAY OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX 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: REPAIR GAS LINES Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 5.00 ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law.for the following reason: •1—I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi h those provisions. X % Date ' - .. sign , L re of Applicant - wrier ❑Contractor ❑ Agent �An OSHA permit is requir d excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLos. SO 3.50FT; NEW9 N014 -Co �,oT. MULTI-OUTLETCIRCUITS 97,50 a OWE.APPARATUS OurLET CIR. OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup.BAL @ .50 Ex. Occup. ouT rs AM.FIXEDGEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions Of the Butte JCounty Code and/or Resolutions to do work indicated ove for which fe ve been paid. r _ By Date PERMIT EXPIRES ON Date Receipt No. 353876/35.00 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, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSO /2 >3 L UMBER Proposed Building Use: t xl` 1 C t- Technici : rt Date: / �r!/ Items required in order to apply for a permit. All boxes ST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. i>2. Complete plans, 3 or 4 sets, signed by the p' reparer of the plans. ffEngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. N'Engineered truss details and layouts in duplicate. No faxes! 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. ,b 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. �'I 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 following items.) *. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings....................................y� ... 02. 6. Sanitation and plot plan approval from the Environmental Health Department in ❑ 11 c7. City of Chico Plumbing permit..................................................................... Wl . California Department of Forestry plan approvalaid. Sent by: ........ Planning approval for (A) Use: b (4, r ing: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0.21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier and Policy Number ..............:.............................. jtd5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization...................................................................4 ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ 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 9fthe above itemsandrequirements for obtaining %a building permit. Aimlicarit. 1. Index permit application for the abos'e items numbered: ! ' Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count,by Date: Plans reviewed by: Date: Plans approved by: Date: 2) 2-- Structural /Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 7, June 2002 On this date at 10:50 A.M. I was helping Richard Nixon at the counter check the status of a permit for Janie Henry. I told her that we were waiting on the balance of fees, school fees and sanitation clearance. She became very upset and said that she had been given her school fees form at application and she had gone to the school district and "paid" her fees and returned our copy to us. I told her that with a square footage of 384 square feet she is exempt from "paying" fees. She then stated that it was taken care of. She then became even more upset stating that if that was all that was holding up her permit, then it was our fault. I told her that we were still waiting on the sanitation clearance. She then said she was never told of this process. She became very irate and hollered that she wouldn't deal with this now, and she would return Monday. I tried to explain the process of the sanitation clearance, but she would have nothing to do with it! I also told her that it was marked on the data sheet, that she signed, and that she was to be given a white copy of that exact form at the time of the application. She then threw tossed the forms towards me and stormed out. When I was explaining this to Linda Simpson, the Plan Checker, Paula Atterberry said that she heard the commotion that occurred, from where she was. Tammy Holt Plan Application Assistant I ouo .e COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541. SCHEDULE OF FEES DUE •C &IJ21:1.7 PROPOSED BUILDING USE S� BUILDING PERMI EES. .70' Balance Due .......... Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .......... ..$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00.= $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # -`/ i7- 0 O DATE _ 0 RECEIPT # DATE REC. 4T� 3s3zyN N, n-��' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT - DA Pursu 't to ove" rnment Code Section 66 , you are ereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) 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. QI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO C3 �I HAVE)( HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: I P RO PERTYOWNER:���-��o�/%�'��:a�H.�� DATE: NOTE: Thu Owner -Builder Verification is required by Section 198.31 and 19831 of tiie California Health and Safety Code. This verification must be eompkted exd .returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOR1vIATION Dear Procemi 0-ner: 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 5300 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 1030 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. I rely, Mic el C. Vi iia, C.B.O. ht ger, Building Inspection NOTE: Tit is Owner -Builder Information is required by Section 19810 of the California Hearth and Safety Code - OVER ♦: Cr r 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESW NO O 2. I HAVE HAVE NOT O signed an application for a building permit for the proposedwo& 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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: PHONNE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECU i ER: DATE: NOTE: This Owner -Builder Verification, is required by Section 19831 and 19832 of Ike California Health and Safety Code. This verification must be eornpkkad Md returned to our office before we are permitted to issue the permit. I OWNER BUILDER INFORitiIATION 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 parry 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 5300 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 includ ing '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 1030 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. i rely, otic el C. Vi ira, C.B.O. b1 ger, Building Inspection NOTE: Tit is Owner -Builder Information is required by Section 198.10 of the California Health and Safety Cods OVER -r.�.-+..r..+.�..•--�-•...s:'-}.j-._-..�.rr.v...•r+-,r..�,ri...r:.isSf-�'s+r.e's:-."w'�-.^:4.'i4•,�'i"YP�.q''!r'fE'g�:�Y.?Rro:1:;JYrf�pil'�i'N%ls!'ret+w.f�:SSP',�"i�-.:..._.-.iK+,�.:�r'..,lr� ,,, lt...ru ; ._ .+�r r-. t P' ,' - i.ilX -t, ..n ayr :.ice V•�'� '�1: � ` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One form per Building) School District f�'�/ Building Department No. A.P. Number �'�"�%�j�-'�k Jurisdiction: 1 City County Property Owner Property Location/Address COA ."tL 42.4�L . v Subdivision Lot No. .................................................................................: ................ ayg Residential Development € Sq. Footage No of Living Mobile Home Addition/ -Supplemental to (Group R) Units Installation Conversion Permit# '(No foundation inspection): Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) u, B ildi g adm nt Repre entaJt a Date (Floor Plans reviewed by School Dis District Identification No. r: (f C4 ^School District certifies that v, (Sheet Address) has complied with the requirements of Resolution No representing 14YC square feet. School District Paid by Check # Remarks: Personnel) (Applica t) (Phone Number) nn (State) (Zip Code) OS by payment of $ /�% I r4 AB 2926. $ FULL MITIGATION $ A-1► 0516 �4_ Date 4 - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit +r._ you from challenging the imposition of the fees in any court action. ` If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), 'Yellow (building department), Pink (school district) feeform.xls.00/98)dmm 13 3 ca C: c m M:0 0 Z?��g Pao NN M PLANNING DIVISION- BUILDING RAN APPROVAL Use: Date: Li PLANNING LandsmOng: rking, g turl 6gina- > CA �nm- � 0 CD -- Cy - CD, CX - C: c m M:0 0 Z?��g Pao NN M PLANNING DIVISION- BUILDING RAN APPROVAL Use: Date: Li PLANNING LandsmOng: rking, g turl 6gina- 0 ml > CA 0 ml t6tM /I MJ 0 Z I j f 0 J t Z LL n M\ ma Cb x fila � 0 IL 1� O U-1 a Q r•. f It 0 m $ Y �16� =no cr c or J V � N3 �' 3 Q. mcpjcN FA 6 lie d 030 -- y60 X08 ',o i - --- - ------- "� s Fr Kid � /v lo, c Cap pl1wooA #j#4 f3�,4 c- �4 U14 t Q.C.. .............................................. . rl Jill jif?K4' qAJ elm CIQ O Insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation BUILDING PERMIT # : . ROOF - f Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance. (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/h ib Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL �� L Material Brand Name Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR I �,\ Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration tq Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. N r (Builder] License Number . S' arure and Title Date Sub -Contractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE MUST .BE PROVIDED TO TliE BUILDING DEPARTMENT PRIOR TO. FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Owner Address Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE_ ZONE 11 /o�lh' Permit Number. 6 913 Floor Area ,J2,9 The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included. i - - • .....+Z „ inranimvm u.sa avuvK BEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A H' -=RS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. I t PROPERTY OWNER OR CONTRATOR (6/1/01 COMPONENT <=100SQ.FT ��-419SQXT 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 4. R-38 R-38 Wall Insulation R-13 R-13 R-13 R-19 Floor Insulation R-19 -R=19 ' 1 R-19 R-19 Radiant Barrier Required Re uired { q Required iRequired Glass U -factor .75�l .75--) r .65 .65 Max.area of glass 50 sq_ft 16%-plus=removed] 16% plus removed 16% Solar heat gain .40 40% .40/1 40 NSEW: .40 ' 1 Heat, Electric Not allowed. Not allowed Not allowed Not allowed resistance l Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump -Split HSPF 6.8 HSPF 6.8 ` HSPF 6.8 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 } •HSPF 6.6 HSPF 6.6 Cooling - Split SEER 10 SEER 10 , SEER 10 SEER 10 Cooling Package SEER 9.7 SEER 9.7 �'SEER 9.7 SEER 9.7 Thermostatic Required on new Required on new Required on new Required on new expansion valve' split A/C systems split A/C systems split A/C systems split A/C systems Duct Insulation R-4.2 �R 4 2 R-4/2 R-4.2 Duct Sealing* g' Required � equired Required Required Additional water heater: Any which meets budget Any which meets ' budget lAny which meets /budget Any which meets' budget AS AN At TFRN ATIVF fel Ami kir- uuTu A RAA Vl . u� n .,. .. .• :..��_ _ _._ _ __ _ _ _-- i - - • .....+Z „ inranimvm u.sa avuvK BEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A H' -=RS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. I t PROPERTY OWNER OR CONTRATOR (6/1/01 Cy�_1IuT��i 0-60] CITY & STA COUNTY OF BUTTE Oroville, California GENERAL CLAIM DATE OF CLAIM: ff-aD D� IMPORTANT.- SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 02-1806, ]RECEIPT # 360446, DATED 7-9-02, OWNER: JANIE HENRY.) I TOTAL AMOUNT PAID $364. 30 1$ETAIN REFUND PROCESSING FEE 25. 00 RETAIN BUILDING PERMIT FILING FEE 20. 00 RETAIN ELECTRICAL PERMIT FILING FEE 20. 00 RETAIN PLAN CHECKING FEE 81. 90 RETAIN S R A PLAN CHECKING FEE 43. 00 TOTAL AMOUNT TO BE _RETAINED 189. 90 TOTAL -REFUND DUE 174. 40 TOTAL $174.. 40 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an as stated. Dated this day of .20 at Cafif-'--- &ZZ' Signature of Claim0t ve pert ed or deli ered and that t Budget Appropriation [ ) or Specific Board Approval [ 1 (Check one) for the same. I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles%epa4rtmeniHead Dated this 26th day ofAURUSt 2002 , at OROVILLE , Cal or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 for 131.40 $ PAYABLE FROM CONSTRUCTION PERMIT Dept. Code Q1Pn Exp. Code AM 7240 for $43 On PAYABLE FROM De t Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS UNE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information.- Number: nformation:Number: Date: Issued To:y Amount: Fees Retained: Processing Fee: $ 125, s co /Bldg Filing Fee: $ � O oa Plbg Filing Fee: $ Elec Filing Fee: $ UO Mech Filing Fee: $ Energy P/C Fee: $ 5 O "Plan Check Fee: $ 2,1.`� Inspection Fee: $1 SRA Fee.- $ 143 • �� ,e Total Amount Retained $ TOTAL REFUND DUE $ CL-AIMANT'S-NAME M -AILING-ADD_R_ESS�, REFUND CLAIM APPLICATION ASS€SSOR P-ARC.EL_#: RECELP_T NUMBER(S) F Request_ a_ r_efund_of_fees_paid on the above receipt number(s) for the following reasons: Please- any -applicable fees in the following categories: (Check those categories which-you-wish--to`have-refunded.) Building Permit Fees ( ) SRA Fees (CDF.Fire Planning) Disposition of -Plans ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees t>< Please mail plans to me at above address. ( ) Please dispose of plans. PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. �ev.12196) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC APPLICATION AND PERMIT ASSESSORPARCELNU1eER 03G— O xoraeo ^' BUILDING PERMIT OWNER h c e �. r c� ` I, � 's wwE CONTRACTORS MAIUNG ADDRESS I Sul CONSTRUCTION LENDat ® LENDER'S MAILING ADDRESS ARCNRECT OR ENGINEER ARCWTECT OR ENGINEERS MALING ADDRESS BUILDING ADDRESS^(A r Y LLp V tE-CZ 0,1V F', sv f;!> LOT NO. SUBDNISIONS NAME FAAGEL MAP USEOFSTRUCTURE S°ar-x�'4 e. SF k Duplex O Mobilehome O Other BPC -CFV TYPE OF WORK New ❑ Addition k Remodel O Utilities ❑ Installation ❑ Other O Describe Work:---�-�54 J SO. FT. OCC. BUILDING VALUATION PERMIT FEE $ ELECTRICAL PERMIT j Fling Feel 20.00 Main Service 4000V OR LESS xow OR LESS 1 23.00 Main Service I00A TO I.00A I 46.00 NEW CONST: OR ADONS. O i A1=1N =,.JP. 3.5¢R. NOKRESID. MULTR•OVn.tT I BRUNCH CI RCURTB 1 @7.50 Fireplace Total Valuation $ Flin Fee I $ 20.00 Permit Fee E 1 Plan Checking Fee S Energy Plan Checking Fee E E PERMIT FEE S o PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat -pump water heater 23.00 Water piping 1 Each gas water heater or vent 15.00 Gas piping system 1 - ets 15.00 Building sews 15,00 Mobile oma I S I G I W , @20.00 Ex. Occup. oLrTLET OR FocruREs PERMIT FEE $ ELECTRICAL PERMIT j Fling Feel 20.00 Main Service 4000V OR LESS xow OR LESS 1 23.00 Main Service I00A TO I.00A I 46.00 NEW CONST: OR ADONS. O i A1=1N =,.JP. 3.5¢R. NOKRESID. MULTR•OVn.tT I BRUNCH CI RCURTB 1 @7.50 Ex. Occup. oLrTLET OR FocruREs I s i� a I S0 I FIXED APPLNS. OR Ex. Occup. ounirs ESID.) EA . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 40 MECHANICAL PERMIT Fling Fee 20.00 rC,Heatingolinod I I 6.50 PERMIT FEt: S Mobile Home Installation Fee $ En gy Inspectio Fee b `ON TO AL FEE $ Af ;.FEES n20 &REM r f No 1 sex This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. • By ate _ PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ? OWNER: r ASSESSOR PARCEL NUMB R O w ^ OT Proposed Proposed Building Use: Counter Technician:CWL-N Date: 1 9 O Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by 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. 0' 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. ❑ T. 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-si ng ed 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 .... Remain'ng items needed to issue t per it. (May re u addi ' nal [Qlanreview;up n recei tl a following i s. I�e s a oWn bt1 the attache Schedule of Fees Due et...6.................... U 15. Statement of Intent for Non -heated and A/C Buildin.................................. .'.1. W'6. Sanitation and plot plan approval from the Environmental Health Department in V ❑ City of Chico Plumbing permit ........................... 18. California Department of Forestry plan approval [9 aid. Sent by:......... y:4Parc .... ❑ 19. Planning approval for (A) Use: �_(B)Parking: (CCheck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ 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 the. a4ove items and requirements for obtaining a building permit. 1 .k6ex permit application for tW abovedtems numbered: _ 2. Additional items required 1171 -IM Contractor, designer, owner, was advised o he 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: 7 -�`,O A_ ❑ phone,,AVmail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: Date:_ Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE �/ 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .......................... :...... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ 4. URBAN AREA FEES Residential .....:..................... Sq. ft. x # Units Amt. Commercial (Sq. ft.) ............. —x—=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 4 el - (-- r 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# DATE RECEIPT # • DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE (530) 538-7541 ,.r SCHEDULE OF FEES DUE - OWNER PROPOSED BUILDING USEy d BUILDING PERMIT FEES --Balance Due ............................ ..... --Additional Fees Due .......... :.................................. $ + Additional Fees Due ............................................ $ 5 .'. x. --Revised Plan Checking Fee ................................. $ 2. SCHOOL, DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units 4# r Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. -X-=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# -:0 OF DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT r DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of, the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) COUNTY OF BUTTE a DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 $ SCHEDULE OF FEES DUE OWNER.k;;MA.P. # r �I p , PROPOSED BUILDING USE DATE RECEIPT # DATE REC. BUILDING PERMIT FEES �t } r --Balance Due ......................................:............:.... $ --Additional Fees Due—, ...................................... $ --Additi6nal Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ f 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units I l` { Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ ca / Sq. ft. Amt. (./ 5. RECREATION DISTRICT FEES J.s. 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION I I NOTICE Post this job card in a safe, conspicuous place. Do not remove until all iequired Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A. P. No. I 0�6:460'1008-02--1806 Owner Contractor �.HENRY-,JANIE 2760 OAK KNOLL WAY, OROVILLE Permit No. BEDROOM ADDITION txpm PERMITTEE MUST CA -L FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gurifte Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing ShowerPan Insulation Fi Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final Revised 7/94 NOTES RESIDENTIAL alo 036,=460-006 02=1806" HENRY; JANIL 2760 OAK•KNOLL WAY, OROVILLE I BEDROOM ADDITION-.�, SPECIAL CONDITIONS CHECKED a BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i n S JOB FINALED (Date) Signature ;= OK 0 = Not UK - = Not Applicable = Not Ready ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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- Bea ms- 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral U Yes D No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B -t Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -t Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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) 538-7541 p o• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-460-008 ZONING BUILDING PERMIT OWNER HENRY JANIE TELEPHONE 533-3404 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2760 OAK KNOLL WAY OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO, Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2760 O K KNOLL V LL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CXZ)uplex ❑ 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 R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM ADDITION Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G1 W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. MNG OCCUP. OR ADDNS. ( MNG C. BLD S. SO 3.5¢FT, No R61U MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDITURES 20@''00 BAL @ .50 LNS Ex. Occup. Dur>s�°rstRRES,6.OFR.w 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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.) 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 h comply with ose provisions. .7 Date fiQ<- Applicant - O r Contractor ❑ Agent KOSHAit is required for av Ions over 5'0" deep anddemolition or construction ver 3 stories in h ght. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ "Z. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 360446 2 7 5. 3 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a= 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0. O°2 - (Rev. 12/96) APPLICATION"AND PERMIT ASSESSOR PARCEL NUMBER 036-460-008 ZONING BUILDINGPERMIT OWNER HENRY JANIE TELEPHONE 533-3404 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2760 OAK KNOLL WAY OROVILLEo CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing -Fee $ . 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2760 OAK KNOLL WAY, O O LLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF C'vMuplex ❑ Mobilehome ❑ Other .1C SPT 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 El Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM ADDITION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVORLE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION '1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: IV 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 Service 46.00 NEW C WEE200A NG CCU000A NEW CONST. DWEWNO OCCUP. OR AAOCo� sr. ( .50SO 3.5aS0. Fr' EW cor M NON•RESID. BRANCH CIRCUITS 97.50 APPARATus 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES 20 641. Ex. Occup. DLIrLEEZosA ..'6LINIS°E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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.) 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth.Ath comply with ose provisions. // ..yy Date C%Oc� Sick ure of Applicant - 07 ' Contractor ❑Agent ,-An OSHA permit is required for x vet ons over 60" deep and demolition or construction of structures over 3 stories in h� ght. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. 360446 $275.30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,,�-,.� ,�-„...,� w.-....- ..+. ��....�,�.,.,,..may....-...�....,.........t--- ..vr",y), f.,fr,r.r� A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 RMITo. t� (Rev. 12/96) APPLICATIONAND PERMIT �4� - or ASSESSOR PARCEL NUMBER 036-460-008 ZONING BUILDING PERMIT OWNER HENRY JANIE TELEPHONE 533-3404 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2760 OAK KNOLL WAY OROVILLE CA 95966 CONTRACTOR'S NAME O`VJNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ '' r ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2760 OAK KNOLL WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 171QDuplex ❑ Mobilehome ❑ Other XX 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 O Remodel ❑ Utilities ❑ Installation ❑ Other ❑Buildin Describe Work: BEDROOM ADDITION Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 0V OR Main Service 20 A OR IESS 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Laor the following reason: 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. ❑ 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 iOOOA 46.00 NEW CONST. OWEl214 OCCUP. OR ADDNS. ( a Acc. BLDS. SO 3.5¢x; R°N,DT MULTI -OUTLET g7.50 APPARATUS 8 SINGLE OUfLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'0° BAL @ .s0 Ex. Occup. DFlx�eEDA RaDOEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 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.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f — -Date�Qc. Signafure of Applicant Owr? -1 Contractor ❑ Agent An OSHA permit is required for , I�avat ons over 5'0” deep and demolition or construction of structures over 3 stories in h�fght. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. 36U44b 4275.3U 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) 538-7541Pk_71) R IT'{No. (Rev. 12/96) APPLICATION��AND PERMIT �° 1) r: ASSESSOR PARCEL NUMBER 036'-460_008 ZONING BUILDING PERMIT OWNER HENRY J? NAE TELEPHONE 533-3404 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS KNOLL WAY OROVILLE CA 95965 RS CONTRACTOR'S OWNER E CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2760 OAR KNOLL WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 011buplex ❑ Mobilehome [IOtherOther II�� 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 Q Remodel ❑ Utilities ❑ Installation ❑ Other ❑Buildin Describe Work: EEDROOM ADDITION Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home IS I G 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 vOR Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION t I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct°the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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' k 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 Main Service 46.00 NEW AOCONS. ( DWELLING SUP. WEE200A NG CC SO 3.5¢x: ppµRESID CIROUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ourLEr OR PocruREs 20 @ 1.00 BAL o ,50 Ex. Occup. OFTx�LEED�A R ') El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not 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 provisions. /" � �y �1.t.Date yX �Signature of Applicant" *i' Ownp�r `Q Contractor ❑ Agent An OSHA permit is required for excravatlrons 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 $ HAZ. I D PEES IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da te Receipt No. .10 Q 46 At i 4.6 1J0 Ju WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE . CLIMATE ZONE 11 it Number Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included. . COMPONENT < 100SQ.FT 10 .FT 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 R-38 R-38 R-38 Wall Insulation R-13 R-1 R-13 R-19 Floor Insulation R-19 R-19 R-19 R-19 Radiant Barrier Required Require Required Required Glass U -factor 75 .75 .65 .65 Max.area of glass 50 sq.ft 16% plus removed 16% plus removed 16% Solar heat gain NSEW: .40 .40 .40 .40 Heat, Electric resistance Not allowed Not allowed Not allowed Not allowed Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump -Split HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling - Split SEER 10 SEER 10 SEER 10 SEER 10 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Thermostatic expansion valve' Required on new split A/C systems �A/Csoynstneems' Required on new split A/C systems Required on new split A/C systems Duct Insulation Duct Sealing* R-4.2 ([!Required Required 4. R-4.2 Required R-4.2 Required Additional wat heater: Any which meets budget Any which meets budget Any which meets budget Any which meets budget Qn11.. i..c, vuIrv%a vvi i n ri wumU u -1-ACTUK AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTI D FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. Q O A a, t�1 4 2 /�►� 0 Gad �,�,p K, q PLANNING DIVISION- BUILDING PLAN APPROVAL Use: Date:�� �' 2 �dr3'Auel�� �� X546 Parkilandscaping: ng: Other• Signature: m A u; t -------------- a m A u; It � c Q Q a � C4 n n kA I� It C4 n � � 0 It VNC I 6 I � � m �g/t wby LIM" %h Ir S t 0- it it e, O . - e N - R - c 4 - 4 m A P - 'Ift � O -D 1 t • � D `fl D } 1 NMI� Y_—t e -3 e, O . - e N - R - c 4 - 4 m A P - 'Ift � O -D I I � w rk a o �' E � � F t n � I a a I 0 t� u -p A' N - � s f BUTTE COUNTY.SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Dvzsui 1 IEle. Building Department No. A.P. Number -^ Jurisdiction: city County Property Owner Property Location/Address Subdivision 1 Residential Development ................................................................. Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit #� '(No foundation inspection): Commercial/Industrial A _ . New Additior Department door Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) � oa.� Date Distri ct Identification No.S -fi?�t,c_YXY School District certifies that (Applican •(Sheet Address) (City) has complied with the requirements of Resolution No: representing square feet. School Paid by Check # Remarks: (Phone Number) IZip Code r by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is .. notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm C --7 O`VNER-BUILDER VERIFICATION - Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signawree. Please complete and return this information at your earliest opportunity to avoid uane5 es mi May delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provideth major labor and materials. for construction of the proposed property im rovement : YES NO E 2. I HAVE HAVE NOT E3 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed consbucdon: 0 NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAS EE: ADDRESS: PHONE: but I have hired the following person to coordinate, CITY: CONTRACTOR'S LICENSE NO. will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO OC :�L /�� 1 DATE: ROTE: This Owner -Builder Verification is required by Section 19831 and 19832 oflit Caliifornla Health and Safety Code. This ver feation must be. -compkttd avd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORiNIATION Dear Procem, Ow':er: An applicarion 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 patty 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. Ifu 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: �� ♦ [f you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. hen 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 Feder -at Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Scale 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. I11Mrely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Secdlon 19810 of the Cafijornla Health and Safety Cods OVER BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: J6 A n (7rY-f, - Address: Tenant • IJG" �Pr _/ e Building Location: Type of Inspection requested: A. P. # -36 -- 49 Date of Inspect ionjg •-28- Inspector I -A001111 --ill 1. Housing / / 2. Financing �[ 3. Change of Occupancy to n E 4. Other (specify) e,1 ZPeo�;' rrD�G C4� Pay - Present use of building: A. Sanitation (Housing) 1. Water closet: 2 Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to,fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit:; 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1: Piers and'footings: 2. Floor construction-'' 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: ' 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: ' 4. Comments: z ID: Plumbing _ 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: -3. Safety hazards: ' 4.- Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: 77 A. Information only - file. -f-1 B. Hold for ten (10) days, then write letter. C. Write letter. 77 D. Other: /Y ,� / D i d 00(AJVd)bO4 I C."^ its mod, vt Fr- n IVISION- BUILDING PLAN APPROVAL s� 1Z Date: 68r0 u e lla� �� � Landscaping: It to W J SR 12 Z v v o � vNN "i 3 Q � v r � 1 A tier, j I apt Soow s I A 3' ! i t a .�'� ` �d ems► �i A w 1 f 1 0 1 1 1 f 1 r 10 It!�- 1 t 1 1 8 .r f 1 r 10 It!�- 1 t 1 1 8 3� a 0 3 N. N3 +� 3 tL L � r A e O► ab AY 01d td aaA 'W Ai A k �•va t/ e.v Q dt,q•cl w �+ �( d- � � N �• p+� � vin ,4/v-tw. aL1_STRUCTURES AND 3VEW IANCS SHALL BE Cl IsET BACK OF 3o— D FT. FFIMAt THE RE FT. FROM THE RO CLEAE OF STRUCTURES CORA 2 �= OVE N QUIPPIENT INCLUDING kR OF ALL EASEMENTS. . FROM THE SIDE AND � I PROPERTY LINES ANta CENTERLINE SMALL BE 4D EOt3MENT EXCEPT IEVV, 0711) BUTTE CO. FIRE CEPT. CALIF. DEPT. of FORESTRY ' ❑ approved as submitted [ZC.approved with conditions per attachird thee+ ! I OZ signature Date V 12`* 1 (. me tI aLT�� tg4,,o* e 46ow l 0d gbovi 40 a.� 1 IT rtA40"' ALL STRUCTURES AND EQUIPMENT Nk;LUurmU OVERHANGS SHALL BE CLEAR OF ALL SEMENTS. A SET BACK OF �? n FT. FROM THE SIDE AND 30 FT. FROM THE REAR PROPERTY LIMES AND FT. FROM THE ROAD CENTERLICN 'SHALE. BE CLEAR OF STRUCTURES AND EQUIPMEa cOR A 2 FT. SAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. �.� ® Oak- 44Wo I w 19 CALIF. DEPT. of FORESTRY `�� �� ❑ approved as submitted Q6i�ua � [,approved with conditions = per la"ached rt Signature Date og l�� " aF>8 7 r✓O © 3 a 1 q. tj w a �r -r?\ 3 o � Q $ 9 `a �.1 A e►ra, 1 /dpi *� � •Nok �a J s� r r • o r .r. �r a. e a .i �,r r a a r o r o .,. t� 1 t B 0 0 t t 1 ik; a 4� a �+ q r irm 1 9 , t t o e i . t � �� � o r .o e � 6 � e r • 1e r s r t 1 t 1 � � g o � 0 .► �. r� � o � s u. • v l e g ti t u ` t 1 Ak OF ® CL 13 l vw LL ? C 3 � 1 � a � } J P ,b �o , 0 goo-olb -9Eo CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability; access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artezant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [� 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�y 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Lk] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -1-, fe 3 -L(--C 108 0 2� ����,✓,� AP # PERMIT # WAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but 1 less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [� 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the ' roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. IN 3. Where a one-way road with a single traffic lane provides entrance, a.50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. AA] 1. All parcels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction -)r f•i:ial inspection of a building permit. Page 2 of 3 3L -4 -i -1e66 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed -i0* of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 AP# CDF FIRE SAFE REQUIREMENTS PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ryCl 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 [ feet. [t 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and. unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 1-, y AP # PERMIT.# NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but 11 less than 800 feet in length, shall provide a turnout near -the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�l 1. Gate entrances shall be at least two feet wider than the roadway it serves. [y�]_ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [i 3. Where a one-way road with a.single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. �] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre,'local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:tal inspection of a building permit. m Page 2 of 3 AP # PERMIT # AME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3.of the following: - Metal or no,doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic eprinkler system per NFPA 13D - Glass area not to exceed -;0%- of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials ?r (l -ate Date Signature Page 3 of 3 G August 13, 2002 Janie Henry P.O. Box 1490 Oroville, CA 95966 Department of Develd%ment Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 36-460-008 Building Permit Number: 02-0913 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. Plan check has not been done pending the items below. NON-STRUCTURAL COMMENTS: 1. The revised plans are incorrect. They show this addition in the same location as the last addition. Please provide new plans. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Linda Simpson Plans Examiner 1 of 1 August 7, 2002 Janie Henry P.O. Box 1490 Oroville, CA 95966 Department of Devel8ment Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 36-460-008 Building Permit Number: 02-0913 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. Plan check has not been done pending the items below. - NON-STRUCTURAL COMMENTS: 1. This addition must be heated. How will you be heating it? 2. The plans are incorrect.' They show this addition in the same location as the last addition. Please provide new plans. 3. Energy calculations are required for all additions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. 4Lidaimpson Plans Examiner 1 of 1 PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vz response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate y, response to each item and the location where the information can be found on the pLvWcalcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PSS ESESSORS NERS NAME DATE: PARCEL NUVR PERMIT NUMBER �6 - yds -off ba osi3 RESPONSE FOR PLAN CHECK LETTER DATED: -oi -a;t- LAN CHECK ITEM 0 RESPONSE- LOCATION ON PLANS/CALCS: 'COMM L �/ �._a' �1L��1 i.i Jam_. v / Lam_._! /..moi✓ _ /_ I..���. �' ./ ��'.. �_� _/L�Ja 'WIN PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONS BY: LOCATION ON PLANS/CALCS: ` 2, 4 PLAN CHECK ITEM 0 ,TION ON PLANS/CALCS: PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible. it may cause a delay in processing. Owner's Name: Received By:4�- Date: A.P. #: d� " —� ` Permit #:. �o� `? J Time: _U ContactPhoneNumber: j Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision by Building Inspector or Correction Notice - Inspector's Name: By Plan's Examiner- Examiner's Name: �1 ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show how ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: Call and hold for pickup at the ❑ Chico Office ❑ Oroville Office Deliver with next inspection. Revised Plan Check Fee: ❑ $46.00 Receipt#: ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: