HomeMy WebLinkAbout079-090-0063
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FRIEDA HART "'��g j�`�]a •
MART 11.. (� � V ! 1 Vq� Co a .
'7 Hunter Drive,f 0- Ville �V
s s
Permit#1560-83B,P, ,M(new 6ingle,family) [
6� •; , ` 4175-90P,EM *.
rANDOI"kTo 7 Hunter'. Ln-, Orovil'le-
(heat in"g.& cooling system/sf)'
Permit#772-_91B, E
(woodstove & garage•,rewire/sf)
82-91 �-
ANDOE',"Todd . .•� r
CONTR: Don -Geor y '3'y t - E
ge'a. � hit ' -.., -, �.� I- ',
17, Hunter Ln-, � Oroville , ,, ' ('reroof/sf)
Permit#861-91P t s'
(water heater/sf)
04-1059
MCCALLOU
17 HUNTE N V��LLE
Cont: OWN SIOI�1��
`f
GARAGE CONY j
'096" P 0:6'-..—,;.04-1904
MCCALLOUGH, TROY
17 HUNTER LANE, OROVI
Cont: OWNER
DEMO ROOM/SF •' r
0'lG
05-0829
MCCALLOUGH, TROY j
17 HUNTER LN, OROVILLE
CONT: GALLA_GHERS HEAT&AI- R
REP C/O SYSTEM(ATTIQ
- -. J .. � , _ � - -
�� � . � � � I
NOTES RESIDENTIAL `
PERMIT NO. -.036:760-006 05:0829
{ - MCCALLOUGH,TROY
- 17 HUNTER LN, OROVILLE '
CONT: GALLAGHERS HEAT&AIR -
REP C/O SYSTEM(ATTIC)
i SPECIAL CONDITIONS
,f CHECKED
BY
• X -- SRA
' FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
I i
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
r Signature
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Card B-1
1.
Zoning -Setbacks -Easements -Flood -Slope
Card B-1
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
70.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Fireplace or Stove, Clearance -Hearth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
73.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Elec. Outlets & Receptacles at Kit. Counter
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
76.
6a.
Hold Downs and Special Anchors
Date ��-��-
7.
Slab, Steel -Wrapped
Date
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
82.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Clearance Looked under Floor O Yes
11.
Water Pipe; Test -Anchors -Regulator -Service Test
84.
12.
Electric Underground
A.C. Unit Disconnect, Electrical -Plumbing
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
87.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Exterior Elec. Trim, G.F.I. Receptacle -Underground
15.
Access & Ventilation
90.
16.
Insulation
Date
92.
Card B-1 Date Card B-1
Date
Water & Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
17.
Water Htr.; Vent -Access -Combustion Air Baffle
_
18.
Water Pipe; Test & Anchor -Nail Protection
Comments at Final:
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
MECHANICAL (Permit) OK except #'s
70.
49.
C. Ducts Insulation & Support
Fireplace or Stove, Clearance -Hearth
50.
e xhaust above insulation
73.
51.
Condensate Drain & Overflow, Size & Grade
Elec. Outlets & Receptacles at Kit. Counter
52.
urnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
76.
44-'Xt_bc Access & Platform if Furnace in Attic
Property Line Firewall & Openings
Date ��-��-
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
FRAMING (Permit) OK except #'s
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
67.
47.
Hangers -Post Caps -Anchors -Connectors
G.F.I. & Bath Fixtures & Tub Access -Spa
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
70.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Fireplace or Stove, Clearance -Hearth
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
73.
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Elec. Outlets & Receptacles at Kit. Counter
52.
Garage Fire Protection Framing -RC Channel
76.
53.
Property Line Firewall & Openings
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
79.
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Insulation -Foam -Looked in Attic
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
82.
57.
Siding -Nailing Veneer
Clearance Looked under Floor O Yes
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
84.
59.
Glazing Area -Glass Protection -Skylights -Plastic
A.C. Unit Disconnect, Electrical -Plumbing
60.
Shear Walls; Nailing -Bolts
87.
61.
Brace Interior/Exterior Wall Panels
Exterior Elec. Trim, G.F.I. Receptacle -Underground
62.
Insulation -Walls -Ceilings
90.
63.
Infiltration -Walls -Windows
Date
92.
Card B-1 Date Card B-1
Date
Water & Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Address Posted
64.
Ext. Steps -Door & Sidelight Protection -Landings
Date
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks O Yes D No/Planters 0 Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
. = 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;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
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- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT .SERVICES
BUILDING PERMIT
24'HOUR INSPECTION #: (530);538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041904
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/29/2004 APN' 036-760-006-000
and
the Business and Professions Code, and my license is in full force a
'
effect.
License Class: License Number:
Site Address: 17 HUNTER LN ORO
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: DEMO (ROOM)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MCCALLOUGH TROY V & ELAINA P
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
17 HUNTER LANE
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
yu I, as owner of the properly, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MCCALLOUGH TROY V & ELAINA P
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
'
sale.).
+
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
And who contracts for such projects with a contractor(s) licensed
1
pursuant to the Contractors' State License Law.).
J
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
l
�
4I
Date: Owner:
)
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
Cl I have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work'for which this permit is issued. My workers' compensation'
Engineer:
insurance carrier and policy number are:
Cartier:.
Total Square Ft: 0 S. F.
Policy
I certify that in the performance of the work for which this permit is
' Valuation: $0.00
issued. 1 shall not employ any person in any manner so as to
I
become subject to the workers' compensation laws of California,
Census Code'
'
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: 4,/Z -?A
Applicant: �U�n
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
'
- CONSTRUCTION -LENDING AGENCY '-- '
-'This (rn t is he bt issueyl uri iar t e appli :able provisions of We Butte County Codi an r
I hereby affirm that thele 'is a construction lending agency for the
Res o do s to w ( a hi fes av been paid. ^ �J /S /�
performance of the work for which this permit is issued (Sec 3097 Civ.)
Ute/(///
&J
Name:
By: Date: (//���
PERMIT EXPIRES ON:
Date
Address:
Cl 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. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to center upon the above mentioned property for inspection purposes
�
/�`�% (/ �C�wy�'
Print Name: Signature:
Date: r<izZs�y
210'wner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING,PERMIT , � .
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO50829
B. C. Building Permit 01-16-04 pp 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued .Date: 04/01/2005 APN: 036-760-006-000
the Business and Professions Code, and my license is in full force and
effect. �='���
License lass : License Number:111 53
Site Address: 17 HUNTER LN ORO
Dal441. ®5 Contractor. _ #V
Map Index: -
Description: REPLACEMENT -CHANGE OUT SPLIT
'OWNER -BUILDER DECLARA ION
I hereby affirm under penalty of perjury that I am exempt from the
SYSTEM IN ATTIC
Contractors' Slate License Law for- the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
MCCALLOUGH TROY V & ELAI NA P
to its Issuance, also requires the applicant for such permit to file a
Owner:
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9 commencing with Section
17 HUNTER LANE
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged'exemption. Any
OROVILLE, CA
violation of Section 7031.5 by any applicant for a permit subjects the
95966
applicant to a civil penally of not more than five hundred dollars ($500).):
❑ I, as owper of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of properly who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: GALLAGHER'S HEATING & AIR
provided that such Improvements are not Intended or offered for
JENNIFER GRUBER
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
E. HWY 99
proving that he or she did not build or Improve for the purpose of
LOS MOLINAS, CA 95066
sale.).
800-892-3556
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Stale License Law does
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: GALLAGHER'S HEATING & AIR
❑ I am Exempt under Article 3 of the Business and Professions Code
E. HWY 99
Date: owner:
LOS MOLINAS, CA
800-892-3556
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a certificate or consent to self -Insure for
License #: 777334
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
,Is Issued.
I have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of,
Architect:
the work for which this permit Is issued. My workers' compensation
Engineer:
insurance carrier andpolicy number are:
Carrier:lV
Policy fl.
Total Square Ft: 0 S. F.
❑ 1 certify that In the performance of the work for which this permit Is
Valuation: $0.00
issued, I shall not employ any person In any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwi hj comply with those provisions.
Date:
Applicant:
"
WARNING: allure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit Is her by Issued under the plica to provisions of the Butte County Code and/or
1 hereby affirm that there Is a construction lending agency for the
Resolu ions to d work indicated ab a for ch fees have been paid.
performance'of the work for which this permit Is issued (Sec 3097 Civ.)
gy; Dale:
Name:
PERMIT EXPIRES ON: ~
Address:
(Date)
Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safely 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 stale 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 County toenter upon the above mentioned property for inspecli n pu oses.
1Butte
�����'
Prihl Name: 6 V� �V Signature.
l
Dale:
Agent For Contractor
❑Owner ❑ Contractor ❑ Agent for Owner
B. C. Building Permit 01-16-04 pp 1
BUTTE COUNTY
DEPARTMENT—!DF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
J
OWNER
Last Name G/First
C.
Name
ban�orS
me ^
Ein
Address
1-�
L
City
r e
State !1
Zip
Phone
33 t
Fax
E-mail
Fax
E-mail
J
ARCHITECT/ENGINEER
CONTRACTOR
Name
ban�orS
City
Address
State ��T �
State
City
Phone
Fax
State
Zip
Phone
State License Number
Fax
E-mail
Lic. #. 7 3
Class
J
APPI41CANT SIGNATURE
MAIN(ief.__', !�Il.�_I I
I i�irf
Foo ice use only:
ARCHITECT/ENGINEER
Name
.L l
G r I a W
Address
City
City
State ��T �
State
Zip
Phone
Fax
Fax
E-mail
Planner
State License Number
APPI41CANT SIGNATURE
MAIN(ief.__', !�Il.�_I I
I i�irf
Foo ice use only:
APPLICANT NAME
Name
.L l
G r I a W
Address
3�
City
inol,6o(
State ��T �
=p
Phone
Subdivision Name
Fax
E-mail
Lot #
APPI41CANT SIGNATURE
MAIN(ief.__', !�Il.�_I I
I i�irf
Foo ice use only:
Zoning
Property Address
j -1 H2�m+er- L
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BIN #
LOCATION
AP# 6 0Q
Property Address
j -1 H2�m+er- L
Ci
ill
Cross Street
WORKER'S COMPENSATION
Policy Number
� n o S
Carrier ^
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
KhAlillcu- 01 1—S
Yl a.;� (L
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: 1�.55 Bldg
Receipt #:
Date:
SRA
SMIP
Other
REV 2-24-05
i
i
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent'for Non --heated and A/C for Non -Residential Buildings.
❑ . 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate. '
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag,Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541. ,
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be'made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
CLAIMANT:
ADDRESS:
CITY & STATE
MATE r1F (:I AIKA
T
County of Butte
Oroville, California
GENERAL CLAIM
Troy V. McCallough
17 Hunter Lane
Oroville, CA 95966
nR/1 i/n4
BUTTE
CO UNTV
OCT _ 7 Z004
BE VELOEEN!
SERVJCES
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
Refund Claim - See attached calculation sheet APN: 036-760-006
Permit No.
04-1059
PAID
RETAINED
REFUND
Development Services
$ 714.87
$ 340.94
$ 373.93
THERM DRNG
$
$ -
$ -
SMIP
$ -
$
$ -
SHR
$ -
$ -
$ -
TUA
$
$ -
TOTAL
$ 714.87
$ 340.94
$ 373.93
......................................
> >
..............
:BUDGET::
..............
ACCOUtV2
.............
: A1liUUiiT:
101001 DVLPMNT SVC
440-001
4210500
$ 373.93
1011822 THERM DRNG
1800
280
S -
1011430 SMIP
1001
280
$ -
1011811 SHR
1800
280
$ -
1011816 TUA
1800
280
$
TOTAL
1
$ 373.93
$ 373.93
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this day of EyG's� , 2004, at �/P�c71Calif.��✓v
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check one tc a same.
Dated thisQIV�Qay of , 2004, at Oroville I'rf.
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
UU NU 1 VVKI I t tStLUVV I HIJ LINt - AUUI I UKZZ)UJt UNLT
DEPT & SUB PROD I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE I ENCLIMB. I GROSS AMT.
0 OTrF0 Butte County Department of Development Services
o Building Division
-a=,,;'- . ° - 7 County Center Drive
O p
covNy Oroville, CA 95965 (530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued -if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
CLAIMANT'S NAME:
MAILING ADDRESS:
PHONE:
ASSESSOR'S PARCEL NO.: 4 3- 76 6 o a G
[Please use one claim form per permit.]
BLDG PERMIT NO.: S
Receipt No. 1 Recei t No. 2 Receipt No. 3
RECEIPT NO.. ✓
µ.
-4.—
RECEIPT DATE:-
Building Permit Fees
=Other (specify):
=Sheriff Fees =SRA Fees (CDF Fire Planning)
(Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may pick them up prior to that time.
Signature Date
K:/Forms/Refund Application 082203
REFUND CALCULATION SHEET
CLAIMANT:
Troy V. McCallough
'
'
ADDRESS:
17 Hunter Lane -
CITY 8 STATE:
Orville, CA 95965
DATE OF CLAIM:
07/14/04 APN:
036-760-006
RECEIPT INFORMATION
NUMBER:
395619
• DATE:
04/15/2004
'
• ISSUED TO:
Tory McCallou h
-
• - -
CHECK#:
5456
AMOUNT:
$714.87
y -
. PERMIT #:
04-1059
-
Yes' No Yes
No
Yes
No
PRIOR REFUNDS:
FEES VERIFIED
X
REFUND BREAKDOWN
•
Title
BLDG
THRM DRNG
AUD SUSP
SHER DEV FEE
THRM URSN
'
,.
Fund
0010
11001
r 1800:
'"
1800;
Dept
,440-001
-1800
rHRM DRN
, �(SMIP) -
(SHR),
! _'(TUA) 4
• -
Accnt
4210500
--280
- 280
`- -° 280 .,.,
% - 280 ..
-
Cash
i`1011822t
1011430
1011811"
(,1011816
DETAIL
PAID RETAIN
REFUND
.101001
A
'.
..'BLDG Time 109.98'
-714.87 s n;- `tp. {^.- r
Filing(from Plan Check)0.00
0.00 -0.00
iii}}}}i}}}:iii::
- '
r
Plan Check/Filing 0.25 27.50 285.95 - 285.951 0.001 0.00
}; :: }}}:
}: }}:
-
Inspection- - i
0.00 428.92 1 428.92 428.92
BLDG FEES ,
_
j -
BLDG-
- - - -
- -
IOTHER
T •.
0n00 0.00:}}
iii.....;
;
-
ISHR^�
,.
0.00 0.00-
r
-
*FUND PROCESS FEE. - -
S4.99 54.99 -54.99 -54.99
� _ . J ...
BUILDI�NG TOTAL. a •'.• -
}.
r 'J '^714.87 x:340.94 373.93 " 373.93:::
.:.:.:.:...:.:.:
:.:.:.:.:.:.:.:.
- • - , . -
,
THERM DRNG;
- .; 0.00
SMTP ,7 - .r;, z 7170
3 =` _ .,' v t - a : *0.00
=: �.
0.00
j
SHR
0.00 "r ..
-
- .0.00
-
]r
_
^0.0TUA..:4x3
4:
0.00
$ 714.87 340.94 $ 373.93 $ 373.93
$ '
$
$
$ t
z
M
r
APPROVAL-'
- CHECK: $373.93
Date Reviewed
/15/2004 DIF)FERENCE: $0.00
Michael Vieira
(Should be blank)
Building Manager.
`
i
y
ti
DevelopmentSeivices
Friday, August 13, 2004
F
, >"
. -
B ILDING' ISION M Ver'1.0 �,
- Counter Kim
' Person
Fund 10 (Bldg Permits)
$714.87 I ..
•
SRA Fees (Fire)
$0.00
Payment Date
4/15/2004 I
SHR Fees (Sheriff)
$0.00
Permit Number
BP041059
I
SMIP
$0.00
Receipt Number395619
I
Copies/Document Sales
$0.00'
_ Check Number or Cash
5456 I
CUA (Chico Urban Area)
$0.00
Parcel Number
1036-760-006
'
TUA (Therm. Urban Area)
' Applicant
TROY MCCALLOUGH
I
Water Tender Win #=
$0.00
West Chico Fire Station
$0.00
—
' �
Received From
SAME
Witness Fees
$0.00
Total Received
r )
$714.87
Recorders Fees (N.O.C)
,
$0.00
Thermalito Drainage
$0.00
Total Fees To Collect
$714':87I
Oroville Area Traffic
$0.00
Notes:
NSF (Non Sufficient Funds)
$0.00
Notice of Violation
$0.00
r NCSP Trails System.
$0.00
' —
NCSP Roads/Bridges
$0.00
NCSP Storm Drainage
$0.00
NCSP Fire Station
$0.00
NCSP Parks Type
$0.00
.
Value
$0.00
ti
PERMIT' •
LAST NAME • FIRST NAME,"TRO
' •
CONTRACTOR • CITY/CTY
STREET NO ®STREET NAMES CITY •' •
USE • TYPE REMARKS CONVERSION
25 char. max
B M P E E M -
VALUATION FLOOD —
FEES PAID RECEIPT • ' APPLIED
FEES 2 RECEIPT 2 ISSUED
FEES 3 RECEIPT 3
FEES 4 RECEIPT 47FINALED
PLAN CHECK ACTIVITY
Plan Chk-7: 7e Chkd By -7: ® Return -7: Str Chk-1:
Plan Chk-2: ;Chkd By -2: Ret'ur�n-2,�'.`S_tr Chk;2:
Plan Chk-3: Chkd By -3: _ Approved: Str Appr:
Comments: 255 char. max
Index• data 6/29/04 • deborah forrefund. for processing. • • - 14
a
C
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
O1/10S '�r
DATE:
APN: OJ ^ 1 O_ O
ZONING:
OWNER' S NAME:
MCCNIO
OWNER'S FIRST NAME:
�l
PHONE:
533
TREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
SITE ADDRESS: �L ,
CITY, ZIP:
NEAREST CROSS STREET:
TRACTILOT P.
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX
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:
`v
ST
❑ 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 Rplication. In order to renew
action on an application after expiration, a new application, plans and fees will be re uired.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request m st be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees Q,r work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by. Date:
Receipt number: 3c15�,1c9 Amount Received: 714-07
Master application 3-4-04
"r. � ...-*it,.s-..�-�.. �n G .: ._-.....-i►-' `.'v'.i'",i �, � .... ... n � .. �. �,r� :Y'!`.r[}�..� ��'r[`.. .. C _Y.� „r ,..ea
s,. 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: C 4.L aI-LG N ASSESSOR PARCEL NUMBER 63t- . 7 1� U • b a
Proposed,Building Use: CO -1 GAP -rb L V tit C �< OtD) Counter Technician: k Date: -4Vt S
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
`�, 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.
O^ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
r[jk 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.... 4• t S • 04-
0 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 ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
D 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 D ed, ❑ M.H. TtlelS atement of Facts 3 Letter from�egal er, ❑ Check to H.C.D. $
38. Other:
0 39. Other:
When issued Telephone AS 14 SG; and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: k- Date: ells15i
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
J? Contractor, design , owner as advised of the above data by P- phone, ❑ mail, ❑ counter, by Date: 3 �4
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One forin- per Building)
School District Qrz Building Department No. P 04 -7
A.P. Number 4?f>36 .-760. bbl, Jurisdiction: city County
Property Owner 14, r— At—L C>i-.Lc- P-4
Property Location/Address 17 4,'L A. I -rC- Q
Subdivision Lot No.
Residential Development
No of Living Mobile Home
Units Installation
Commercial/industrial
Now
Building Dep;irtrneht Representative
District Identification No.
Addition
... . ....... . .................................. 4 ... . ..................................
0Sq. Footage .400
Addition/ *Supplemental to
(Group R)
i Conversion Permit #
*(No foundation Inspection)
...........................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(including Exterior
Roofed Areas)
.
4-15.v4
Date
School District certifies that
(A@Iicant)
(Street Address) e 4..b (Phont Number)
P.
ITS C� 11.
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 0 by payment of $ C'
representing square feet. 2926 $
FULL MITIGATION $
School District Represeatative Date
Paid by Check # C— Remarks:
r, t4o - 00 6
R&W-VIRP"
Mcdc You may protest the Imposition of the fen Identified above by submitting a written protest to the DlsU In compliance with
Gom ti wit Code Section 66020(a), within 90 days from the dM fen are paid. Failure to submit a timely written protest vAU'prohlbft
y6u from impinging the Imposition of the fen In any court action.
9, subsequent to the Sdml District Representative signing this - Butte County Schools Impact Fee Certification Form, the School. Dhftict Is
r.
notified by the applicable Local Planning Agency that this project Is being reviewed under the Caltliorn1l& Environniental Quality Act (CEQA),
this project rosy be subject to additional school fen to fully midgete.ft Impact an the school district's schools.
White (applicant), Yellow- (building department), Pink (school district) feeform.xis 00/031drnm
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
PERMIT NO.
BP041904
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date•' 06/29/2004 APN: 036_760-006-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 17 HUNTER LN ORO
Date: Contractor:
Map Index:
Description: DEMO (ROOM)
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
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MCCALLOUGH TROY V & ELAINA P
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
17 HUNTER LANE
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1u I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MCCALLOUGH TROY V & ELAINA P
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article 3 of the Business and Professions Code
9
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
9
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code''
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: 10/24/10
Applicant: 7Ur�
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
#EE5
code, interest, and attorney's fees.
5 r14 -
CONSTRUCTION LENDING AGENCY
This rrn t is he t issue un er t e appli .able provisions of the Butte County Coda anTr
I hereby affirm that there is a construction lending agency for the
Reso do s to w a hi fes av been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Date
Address:
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
T�ov /V� e l a
Print Name: Signature:
Date:
,ZrOwner 13 Contractor O Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
•
CONTRACTOR
Name
41
1/05 MR
Address
Zip
City
APPLICAN NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
Lic. #
Class
APPLICAN NAME
AR HITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICAN NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use onI
LOCATION
Zoning
Flood Zone
(�
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Policy Number
Map Book
Page
Lot #
Planner
Date Approved:
Descri tion or f W r
Lz�
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.
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Rived by:
k
;ipt #: vD,44---
Amount:
SRA
Sheriff
SMIP
Other
Total
REV 6-16-04
a
LOCATION
Pro rty ress
(�
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
Descri tion or f W r
Lz�
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.
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Rived by:
k
;ipt #: vD,44---
Amount:
SRA
Sheriff
SMIP
Other
Total
REV 6-16-04
a
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
❑ 3.
OR
3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
Letter from Engineer or Architect for truss design review.
❑ 5.
calculations.
o
3.
2 Engineered truss details and layouts (if required). VO._FAXES!).'�.'
'❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation. (Note: Not required for -additions to
Letter of intent.
❑ 10.
mobile or modular homes.)
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Detached Accessory Building Form, filled out by the property owner (if required).
❑
8.
Sanitation and site plan approval from the Environmental Health Department.
❑
9.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ •4.: 2.Floor"plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4.
Letter from Engineer or Architect for truss design review.
❑ 5.
2 Energy compliance design and supporting documentation (if required).
❑ 6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7.
Statement of Intent for Non -heated and A/C (if required).
❑ 8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9.
Letter of intent.
❑ 10.
Hazardous Material Form.
❑ 11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
O.B. -1
IL 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 infomnation at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building pennit. No building permit will be issued until this
verification is received.
QT personally plan to providemajor labor and materials for construction of the proposed
property ' ovement : YES b NO ❑
I HAVE 69 HAVE NOT Osigned an application for a building permit for the proposed work.
( I have contracted with the folio person wing P (firm) to Provide the proposed construction:
NAME; '
ADDRESS;
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: may:
PHONE: CONTRACTOR'S LICENSE NO.
$. I will provide some of the work but I have contrasted (hired) the following persons to provide
the work indicated: ,
NAME ADDRESS PHONE TYPE OF WORK
NOTA: This Owner -Builder Verrication is required by Section 19831 and 19832 of the
California Health and Safety Coda This ver#uation must be completed and
returned to our office before we are permitted to "issue the permit
OWNER BUILDER ]FORMATION
Dear Property Owner.
An application for a btnlding pew has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner der" you are the responsible party ofrecord on such
a Pennit Building ng pmm2ib ate not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself You may protect yourself from possible
liability if that person applies for the proper pew in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and in have a business
license_ fmm' tie city or wanly. They are also require$ by law to put their license number on all permits for which trey
apply.
the With `
If yon plan to do your own work wit
be aware of the foIlo exception of various trades that You plan m subcontract you should
wing information far your benefit and protection:
a Ifyon employ or otherwise engage any persons other than your immediate family, and the wcdc (Including materials
and other costs) is $300 or more for the entire project
subconftwi m, then You may be an employer. ; and such persons are not licensed as contractors or
♦ If you are an employer, you must register W'& 'he State and Federal Governments as an employer and you are
subject to several obligations including state and fedaW income tax withholding, fi drral social security taxes,
wouibem sensation iasuaance, disability ms mance costs, and unemployment compensation contributions.
♦ There may be financial risks for you ifyou do not carry Curt these
with respect to worlur s obligations, and these risks are especiraIly serious
♦ For more specific mon about your obligations under Federal law, ca &act to Intel Revenue Service (and,
WYOU
State wish� lffie U.S. Small Business i ). For more specific fi&nnation about your obligations under
apartment of Benefit Payments and the Division of Industrial A aidents.
If the struchae 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 conttactnr or subfactor, only under limited
condftions.
A frequent practice of unlicensed persons Professing to be co>xtractors is to secure an "owner builder" building
Pew envneouisly =P� that the Property owner n Xvwdmg his or her own labor and material
permiL� are not requmed to be signed by property owners unless they are perfo»g their own work Building
aboutiiceased contractors may be obtained ''� PO>'�Y
community or at 1020 N Streak Sammneni� CA. 95814. Co�acroors State I�cease Board in your
Please Complete the "Ow= BmIder Verification" on the reverse side of this fame so the we can confirm that you
are aware of these matters. The burg parr= wM not be issued until the verification is returned.
NOTA T Isis 0tvrrer-Brr'der1ftf0rma60n fs required yy Serxion 18830 of dhe CaBforn& Health and Safety Codes
PERMIT NO. '/`°` 1560-83BS 3 S
PERMIT EXPIRES
OWNER FRIEDA HART MARTIN
CONTR. owner
ASSESSOR PARCEL 3676-06
LOCATION 17 Hunter Drive, Oroville _
ti
Y
I
j.
vt
A
Temp. Power
Called P
Temp. Elec.
Called P
Temp. Gas Si
4 Called P
tt
sJOB FINALE[
Signature
'OFFICE COPY
Address
i
GAS
Me. Dae � -
ELECTRIC
Meter By Date/
i
V = OK
d = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors.
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
_
POOLS (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater ^
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI - Date
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
= Not Applicable = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDE LOOK Plans OKexcept #'s
Date FRAMING (Continued)
Zoning requirements -Setbacks -Easements
. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4a_�CxT:
rop y ine irewall & Openings
Q6drs-One 3' -Check Garag 3rd story, 2 is
g., Garage; Soils -Steel- / /" Ftg. Depthtrs-.Width-Headroom-
-R an rotection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
lyw on Roof Overhang -Attic Vents -Rafter Outriggers
tding-Nailing-Veneer
d-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ft .-Steel
zing Area Protection -Skylights -Plastic
&.11 D.W.V.:-Glass
II -Fits -Test -2 way C ewer Test
5
-Bolts
9. Gas Pipe; Size -Anchors
_
10: Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
C I
ate Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL ns) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
W;
-E' x s -Door & Sidelight Protection -Landings
�moke
Detector
_ ent-Access-Combustion Air
ents-Cle ranee -Comb. Air -Connector -
In GgraiM, Above Floor-Ducts-Mech. Protection
Cm -fa -ter Pipe; Test & Anchors -Nail Protection
16yB'9r.V.; Test-Fttngs & Anchors -Nail Protection
e�ceem Exiting
17--9hoav9r-PMrTest, First Floor -Tub Access
•F. Bath Fixtures & Tub Access
_____
Shower, 2nd Floor -Tub Access
lecJJu'rn & Subpanel; Breaker Sizes-Ldbeff-
& Anchors
tairs & Rails
, Clearances -Hearth
rd -BI
T to and -BI Date
- -` Wood Panel; Int. & Ext.
,65.
Kit i�et: &Appliance; Grnd.-Air p-Cookingpl e '
Card -BI
Date Card -BI Date
a
ec. Outlets & Receptacles at Kit. Counter
Date
ELECTR��L Peroexcept q's
6T-.'ftrmjur
ire Door: Swing -Landing -C loser
68.
-Damper
r; ents�mar -e-Comb. Air -Connector -Pi;;
I .'
-- fixture Transfsforrmerer Clearance -Ins. Protection
2eceptacles Spacing -Lights & Switches at Doors
Elec Mech. Equip. Listed for Location
eo a No. of Conductors -Stapled
71
c. R c es to Garage; (G. F.I.)-Rome
Installed Close to Edge of Studs & C.J.
---omex
--
7%r
7
Construction -Post Caps
pliaWirnce Cir Kitchen &Conductor Size
eg
26. Subfeed Wire Size / g Cu r AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents 8 or -Drainage & Wood -Earth Clearance
<e under Floor ❑ Yes
—
27. Fange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Driver Walks es o;
Planters ❑Yes o
_service-
Conductors & Ground -Main Disconnect
7
- Inls
-
2 p. Clearances; Panels-Motors-Mech. Equip.
C. Unjj,�. s nect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
3 ----_i g-M1i, Shower Light —
7
nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
----��-------------
79
8
lectrical, Plumbing
ner Fl�ar __Tstm; G.F.I. Receptacle -Underground
C.B-I
--- -
_ ate_-�and-BI - Date
ntilatlon throughout House
Card B -I
Date Card -BI Date
82.ro
ec i
ctions from Previous Inspections
Date
MECHANICAL (Permit) OK except Y's
8
-Electric
34 -G- DjActs: Insulation & Support
--
8
ter r CoQneee r0700 I de -HD al
_
_ ----- _
3 xh above Insulation _
_33. Condensate Drain _& Overilow; Size & Grade
ergy Compliance Certificate -Other Certificates
-
---
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
ttic Access & Platform if Furnace in Attic
----- -----
Card -BI
Card -BI
--
- Date _ - Card -BI Date
Date Card -BI Date
and -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING P s) OK except q's
Comments at Final:
IIs; Proper Material & Anchors
------
-
a2-lMett'S; Studs -Nailing, Spacing & Bracing -Plates -Sound_
_Sing Walls over Girders & Floor Nailing
3a,Drefr3TUjrin Walls (rat proof) /
4-_-- tops;-Fat•re�6ei+irtEte-Staise�-G{aases TAIf
er & Beam -Size &'ing
42. a�gs��
HPost -Ane -Connectors -
Ent+ C/Ing. Joist-Rftr. Ties-Purlin-Ro roc.-Tri-Sht _-Rf ,
,tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
4 rm. ws or Exiting Doors -Sill Hgt. & Dimensions
4 rage Fire Protection Framing
_
-
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DER—ARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASS R PAROEL NUMB R
— �
Z O
BUILDING PERMIT
E
rtr 02
TELEPHONE
SQ.FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
I7
CO RACT R'S NA)q
TELEPHONE
3
ON A OR'S MAILING A DRESS
Fireplace
C N TRUCTION LEN ER
UNKNOW
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ / , QD
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
r.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 '
Solar Water Heater
20.00
Water piping
5.00 .g}
LOT o.
su IVI31oN NA E ,
�LE _/T
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
�� USE OF STRUCTURE
SF PJ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 .0
Mobile Home FS G W
10-00e
TYPE OF WORK
New Addition ❑ emod I ❑ Ut' li (es ❑ Installation ❑ Other E]
Describe work: c'iS may- 4919 ~�7TF"
Permit Fee
$ naloo
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ACC. BLDG .
2�2�3gft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p f y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0e
and Professions Cod nd m license is in full force and effect.
936 Y 3
License No. 3!Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUT LET 2,50 ea
NON .R BRANCH CIRC IS
NEW CONSTR % POWER APPARATUS &�
0NS
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(o TS OR FIXTURES BAL®3O
FIXED PR
EX. OCCUp. OUTLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
A, VV
Cooling
r�
Hood
3.00
Ventilation
permit Fee
$ '
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in onsequence of the granting of this permit.
X %.I Date
Signature of Applicant — Owner ❑ Contractor & Agent KK
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP.caouP
T€oF COpST.
PARCE��
PD
ND
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R F PUBLIC
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �
��—��
Receipt No. t � ��c� !?BY
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT'OF•PUBLIC WORKS - BUILDING DIVISION
--� 7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 /
PERMIT APPLICATION DATA SHEET �
Permit No.
OWNER w A. P. No.
Proposed Building Use S `
r
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Ot t (Explain)
Building Inspector _ _ Date
At time of permit application, I was advi ed the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . , , . , , , ,
9. Letter of signature authorization. . . . . . ., . .
10. Sanitation approval from Health Dept. . .
tanning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑•)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
,Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dote)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 37 rand hold for pickup at office. Deliver w/inspector.
Other
Applicant --3k ate Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above f application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
f
Designer, Owner) was advised of above required data�b T/e�leph�onre� Mail Other
BY Date 5 z -F-3
PTs checked by t 14M i Date
Plans approved by TIVV Date
Other:
Copy—DPW
Telephone
533-2000
J
North -Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND, 56-83
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance,of a building or, occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form,'signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: FRIEDA E. HART MARTIN
Applicant Address: 91 Canyon Drive, Oroville
Applicant Phone No.: 589-3759
Property Location(s): 17 Hunter Drive, Oroville
A.P. No. (s): 36-76-06
Fees Paid: $250.00 Y.B.P.-U.D. Connection Fee and
$900.00 SC-OR.Regional.Facility Charge Due
Application for service approved:
` North Burbank
May 23; 1983 Public Utility District
Inspection(s) made and successful test(s) observed:,
Location: Date:
By:
North Burbank Public Utility District release'to close permit:
Date: By:
i
Y - This s ' of plans an dispecifications MUST. ;
kept on tie job at all tires and it is unlawful to
make'any changes or alite'r`tions on same with-
out writtn permission Irom-the Depar'fiment of
Public_W,Trks',-County-of-Butter---�
I +-
A setback of 5 ft. from the ;
--
i 1 {!I
}
NOTE—All -Materials & Workmanship- $hall- ad
in '" #
'Accordance with Recognized Good Praktices and '
of a quali' prescribed for the Specified'iuse-.in the
__
'Uniform Building, Plumbing & Mechanical Codes
and the National Electrical; Code.
j
properly Ines an i
! of 50ftt from the -road
}-ceriterline shall be,cleLr of
structures or equipment except
for a 2' . eave overhang. '
-- i - -
,P«N C F
See Master Plan on file for building
ne plans_ I --
i
F91E A, RAX r .MI`s►
!1%0
_...._�._p. .� �" Oce jr%. ''o,'lJ ��NT
N�-_.
ARTM :N7 I
i
4PP�RO
LAW OFFICES OF
STEVEN J. HOWELL HOWELL AND. HOWELL TELEPHONE
M. MELANIE HOWELL A PROFESSIONAL CORPORATION AREA CODE 916
S34-9011
1639 BIRD STREET ,
OROVILLE, CALIFORNIA 95965
May 23, 198.3
Butte County.Department of Public Works
#7 gQunty.Center DriV'e
Oroville, California 95965
ATTENTION: Jim Glander
RE: Robert Martin / Fireda Hart Martin Homes
Dear Mr. Glander:
This letter is simply to make you aware that the reason
Mr. Martin is seeking to change his plans, by extending
the -house approximately one foot, is to eliminate the
problem of your Department not passing his stairs, as was
done on the first two models.
Mr. Martin has sold approximately 17 of these houses, to
date, based on the customers looking at his models. They
do not wish to have their dining room or the upstairs
area diminished, which are the only other methods of comply-
ing with your Department's requirement.
Very truyours,.
rV
N J. HOWELL
SJH/dcj
cc: Mr. and Mrs. Robert Martin
�V
1
RRRTT)VMTTAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS•IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITI CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location) //
BUILDING PERMIT NO. /�'�Q t A.P. NO. 9� -7t,' —159
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PIANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge n/a Single Glazed n/a
Fdn. Walls n/ a 7 Special (Insulated) n/a
Floors Allq -hti. CERT. & LABELED WDS.
Walls & SLIDING DRS. n/a
Ceiling/Roof WEATHERSTRIPPED DRS. n/a
Ducts n/a `14f- BACK DAMPERED FANS t*i/a j1 -
Circulating
Circulating Pipes n/ a INTERMITTENT IGNITION".DEVICES n/ a ?�
APPROVED HEATER n/a CERT. APPPLIANCES n/a
APPROVED WATER HEATER n/a. —
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVA'T'ION REQUIREMENTS,AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.''
Insulation Applicator Name NIL':-IO.LSON IHSULATICTI.g INC
(please print)
Signature of
Insulation Applicator.
State Contractors
License No. 398551
General Contractor/Owner Name �E
(please print)
Signature of
General Contractor/Owner /--ate
State Contractors
License No. 2123 6,1
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING .DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
4��r TMr,�,j� •''A• �L t..;;Gc: �' `�' Y 7F.v+'�"oij �.a.y; y'•�t5,r n� F •3 7�! rt1^•' F
` "'i;ti'OtJi'`'�1� - °'',,•»" _,, i s' .'•'4;�C.'t�,( t`t\, `� `�' '7'' +.+,'�}y' M''t:i:� `:X'r :'
rvw s1"•«•`N.:..r-+r
36-76-06 82-91B
f ANDOE, Todd -
r 17 Hunter L;n, Oroville-
Contr: Don George
(reroof/sf)
'� ' "• OVA-
. • - I �.. �. .r .y.
1 i-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
iA
{
PERMIT N
ASS E
S -
ZONIN
BUILDING PERMIT
OWNER
TODD ANDOE
TELEPHONrL
511-4127
SQ. FT. OCC. BUILDING VALUATION
22 comp
1260.00
OWNER'S MAILING ADDRESS
# 17 HUNTER LANE OROVIT.I.E. CA -99c9) 1;
CONTRACTOR'S NAME
DON C r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
QUNKN
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation I $
1260.00
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ 22.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING. ADDRESS. - o
17 H NTFR LANE OROVVLLE
Permit fee
$ 32.00
PLUMBING PERMIT'
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SJBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.006
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work: ! _
RE—ROOF WITH COMPOSITION SHINGLES
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW !
I declare under penalty of perjury check one):
P Y P 1 Y ( )
[ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code a d my license is in full %(nor and effect.
45226 C-391
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended !or offered
for sale. (Sec. 7044) I
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. I. Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ACDNS. (ACC. BLDGS. I
,
2/2¢sgft
NEW CONSTR. OUTLET
NO N•R ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES
ZO@SO¢
I L@30
Ex. Occup. OUED P
TLETS (RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde• penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
ofof Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or .his permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against saidCount in co guence of the granting of this permit.
X "Z ) f --- 1/4/91
_ Date
°
Signature 'of Applicant -,, Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL $
AL E
FEE
3 2.00
HAZ
CUA
PARK
PAR
PD
Ho
I0
VSU
This permit is nereby issued under
sions of the Butte County Code and/or
work �Indicated above for which fees
`,'`• r r
/ DI- OT R OF PUBL�ICOWORKS
!]
By /r// w, it f o�"t!,!�3'14/��
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
AA P
/ Q
ate f 1
9
Receipt No. 0°
WHITE-D.P.W., YELLOW-ASS[SBO . PINK -INSPECTOR. 60LDENR0.-AP1LICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi•IFe, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
- PERIAd T NO
N,
ASSE PA l.'N,? IBER
ZONIN
BUILDING PERMIT
OWNER
TODD ANDOR
TELE0HON
511-4127
SQ. FT. OCC. BUILDING VALUATION
22 comp.
1260.00
OWNER'S MAILING ADDRESS
# 17 HUNTER LANE OROVILLE CA 5966
CONTRACTOR'S NAME
DON
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
95965 -
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation is
1260.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 22.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
` 17 HUNTER LANE OROVILLE
Permit fee
$ 32.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other
Describe work: _
RE—ROOF WITH COMPOSITION SHINGLES
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
E3 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
452266 C-39
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ai
OR ADONS. ( ACC. SLOGS.
,
2/:dsgft
NEW CONSTR. ULT'.OUTLET
NON-RESI'D BRANCH CIRCUITS
2.50 ea
POWER APPARATUS\
( ,' SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20®50S
eAL030
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. bVirin 9
15.00
L_
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Con 'nco �theing of this permit.
1/4/9 1
X` Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
E
32.00
HAz
CUA
PARK
SCH L
PAR
PD
HD
I,
This permit is nereby issued under
sions of the Butte County Code and/or
work 'cated above for which fees
D OF PUB
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
ORKS
Date /9 N
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
'6.,r-,+r''t"°•'�,zi""�l'%d'�'�eC�j++.Jv�3:c'!?...'.e.'^i;e`�i'y'wi''.}`.�;�:F'Cv=,'15-�"'r�"`•x �i ,r�'+ca`�,•,%.r'. iriJi4:l..'�`�:/ti=�i�-*�,.,i+:'�ri ,f.. ,., ��b'fiti�+r'.1�aM�,tj;,,�Y•'.�:?='�'dr,.rF"+w+..�='a'�Y
ni�, .,. �y.•a r `�. ti. '36-76-06..x,;. 4175-90P;'E,M;s't
'. ANDOE, Todd g 4
17 'Hunter Ln, Orovilie�`
(heating,& cooling-system/sf)
• � Y .. -. �. •.. h �'..ta• ry ilex w.. ..
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS_ pE�T NO.
7 County Center Drive - Oroville, California -95965 - Telephone: 916/538-7541 �. !��
APPLICATION AND PERMIT - »
ASSESSOR PAR -:EL NUMBER
6-76-06
ZONING
AR
BUILDING PERMIT
OVMER
Todd Andoe
TELEPHONE
593-4127
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
17 Hunter Lane, Oroville, CA 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS TRUC TIO -4 LENDER
ne
UNKNOWN
Total Valuation Is
LENR'S MAI_ING ADDRESS
Filin F
g Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADCRESS
17 Hunter Lane
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Oroville
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF P9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities A Installation❑ Other ❑
Describe wor<: heating rind enn7 ing mystem _
Permit Fee
$ 15.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I ars licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license IS In full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I arr exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO'L 100 AMP
2.50
oR ADDNSCONSTDWEACCLL IN GOCCUPS. EI)
2'/2¢sgft
NEWCONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS s
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50C
eAL@30
FIXED APPLNS, OR
Ex. Occup. OUTLETS IRESID .) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Virin g
15.00
Permit Fee
$ 12.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The' permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
(� 1 stall not employ any person in any manner so as to become subject
i� to tie W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. orovisions of the Labor Code, you must forthwith comply with such
provisions Or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6.00
gas forced air
Cooling 3T
6.00
Hood
3,00
Ventilation
Permit Fee
$ 2,
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said 'County in cons�equeecce of the granting of this permit.
X---- �-'�(-�= Date % Z �j (j
Signature of Applicant — Owner 1� Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 49.00I
E
Hq2
CUA
PARK
SCHL
PAR
I PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work in ica ed above for which fees
/ IRE�1' 'R � PUB
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
AWORKS
^
Receipt No. 'T'4 i.
WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orqvilfe, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 1'
36-76-06
ZONING
AR
BUILDING PERMIT J
OWNER
Todd Andoe
TELEPHONE
533-4127
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
17 Hunter Lane, Oroville CA 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Ener Plan Checking Fee
Energy g
$
Penalty
$
BUILDING ADDRESS
17 Hunter Lane
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Oroville
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ZX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [n Installation❑ Other ❑
Describe work: haat;., and cooling system _
Permit Fee
$ 15.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100VAMP OROR SLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I,
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.tk
OR ADONIS. ACC. BLDGS. I
�Z Qsq ft
NEW CON5TR ULTI.OUT LET
NON-RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS &)
(POWOUTLET CIR.
Ex. p o UTLETS OR FIXTURES
20050t
0AL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6.00
as forced air
Cooling 3T
6.00
Hood
3,00
Ventilation
Permit Fee
$ 22.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilitie , judgments,c sts, and expenses which may in any way accrueagainst ounty in c s que ce of the granting of this permit.
%� DateA G0
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3))sttories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 49.00
E
HAZ
CUA -1
PARK
SCHL
PAR
PD
HAISIUE
This permit is nereby issued under
siins of the Butte County Code and/or
work in ted above for which fee
IRE PUB
By
PERMIT EXPIRES Date
the applicabe provi-
resolutions to do
have been paid.
ORKS
Date
Receipt No. q*Of
WNITE•O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF B6TTE —DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
IZONIN
OW J TELE HONE
16 QC �� J`a _ a
OW ER'S ILING ADDRESS JJ _
rIT C- r A vt C. Qs 96
BUILDING PERMIT
S0. FT. OCC. BUILDING VALUATION
C TRACTOR'S^NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS I
CO S RUCTION LENDER UNKNOWN
C—
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10,00
AR HI ECT OR ENGINEER
Permit Fee
$
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADORES S
Energy Plan Checking Fee
$
BUILDING ADDRESS
Penalty
$
UPI r %
�+
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
VQ V j e-
LOT NO. SU BOI VISION NAME PARCEL MAP
Each Trap
2.00
Solar or heat pump water heater
Water piping
20.00
5.00
Each qas water heater or vent
Gas piping system 1 - 5 outlets
5,00
5.00
USE OF STRUCTURE
SF P Duplex❑ Mobilehome❑ Other
/
Building sewer
5.00
SPECIFY
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Util'ti sx In Ilation Other ❑
Permit Fee
$ �s
Describe work: E
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR LE 000 AMP ORLESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Main service EA. AOO'L 100 AMP
2,50
NEW CONST. DWELLING OCCUP.pI
OR ADONS. ( ACC. BLOCS. )
'/z¢sgft
CONSTR BRANCH CIRCTITS
2.50 ea
POWER APPARATUS
( SINGLE OUTLET CIR.
Ex, Occup(OUTLETS OR FIXTURES
20 F50
Q
APP LNS, (RESIDOR.) EA.�
EX. Occup. OUTLETS'
2,QQ
Temporary service
10.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
Mobile Home Facilities
15.00
Misc. Wiring
15.00
for this reason
Permit f=ee
$ O 1
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
�O
Q
Cooling
Hood
300
Ventilation
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Provisions or this permit shall be deemed revoked.
Permit Fee
Contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Mobile Home Installation Fee
Energy Inspection Fee
$
$
occ
CONST TYPE
TOTAL FEE $
HAZ
CUA
PARK
SCHL
FLD
PAR
PD
HD
IssuE
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
This permit is hereby issuea unaer
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINSPr.[Tne
01=04117 Cvnfnr_c R...
COUNTY OF BUTTE - Department of Public Works
7 County Center.,-Dr'ive, Oroville, CA 95965 Phone: 916=538-7541
aiNER-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 (yes or no) e
2. I (have/have not) w� ✓(; signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. -I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone __ Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons 'to provide the work. indicated:
Name Address . Phone Type of Work
Signed:
Property Owner�yG
Social Security Nu(„
Date % Z /.P7_30
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California -Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541
s
APPLICATION ANDTRERMIT
O.
77Z-- l
ASSESSOR PARCEL NUMBER
36_7646
ZONI
BUILDING PERMIT
OWNER
TODD ANDRE
T LEP.HONE
533-4127
SO. FT. OCC.1 BUILDING VALUATION
_
OWNER'S MAILING ADDRESS
17 Hunter Lane Oroville
CO RACTOR''S NAME
1
TELEPHONE
C TRJCTO- \M\110G ADDRESS
Fireplace i 1 1 000
CONSTRUCTION LENDERUNKNOWN
None
Total Valuation $ 1,000
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR .N ;INFER
LICENSE NO.
l
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
None }
Penalty
$
BUILDING ADDR_SS ?
TT-
Permit fee
$ 27.50
PLUMBING PERMIT
Filing Fee 10.00
Al Alunter Lane, e
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SU6DIVISION
NAME
PARCELI MAP
{
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF N( Duple.--] Mobilehome❑ Other
SPECIFY
Gas piping 'system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New F] Addit on Remodel❑ Utilities❑ Installation❑ 0 her f]
Describe work: woodburnlng stove and ydre S rape
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
/
Main service eoov OR LESS 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under {'anally of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force andieffect.
License No. Classification. a
1, as tie owner, Or my employees with wages as their sole gompen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as vie owner, am exclusively contracting with licensed cntract-
ors. (Sec. 7044)
❑ I am el.empt under Sec. , Business and Professior s Code
for this reason
NEW CONST. // DWELLING Ocy8b eI
OR ADDNS. l ACC. BLDGS. 4
,
�4sgft 1200
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
APPARATUS &)
(SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
e20050.
ALO 30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ R 00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Dep rtment
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become Lubject
to the W. C. laws of California.
Notice to Applicant: If after making this state ent, should you becomeubject
to the W. C. provisions of the Labor Code, yo must forthwith comply w such
provisions or this permit shall be deemed rev ked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application an state that the above infomation
is correct. I agree to comply to all County Cfrdinances and State Laws elating
to building construction, and hereby authori a representatives of the County of
Butte to enter upon the above-mentioned pro•
erty for inspection purposes.
� :
1 also agree to save, indemnify and keep harmless the County of Butte against
ail Iia s, judgments,.� _costs, and expenses which may in any way accrue
against s County in,conse uuence of the granting of this permit.
C. ✓4SG.3 _ ? V —?Ii i
-2 Date
Signature of Applicant — Owne / Contrgc ..+� [%-A� t ❑ !
An OSHA permit is regp.i{eZf tions ove 5'Or' deep and demolition or construct-
ion of structures o-er 3 rT s In ell"�ffiit.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL,FEE $ 49 50
HAz
I CUA
I PARK
I SCHL
I FLD
I CDF
I PAR
PD
1 HD.
ISSU
This permit is hereby issued under the applicable provi-
sions or the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR TOp OF PU WORKS
3/20/91
By Date
PERMIT EXPIRES Date i/20102
Receipt No. 83786/49.50
WHITE-D.P.W., TELL:IW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No. {
7 County Center Dr►ve - Orovlller Californla 95986 - Telephone: 910/538.7541
s
APPLICATION AND PERMIT
ZONING
BUILDING PERMIT
WNER -
T a H N6
S0. FT, OCC. BUILDING VALUATION
'
OWNER'S MAI ING ADDRESS
95965
-Oroville
CONTRACTOR'S NAME
Owniar
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.003,00
USE OF STRUCTURE
SF [2X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
.00
P00
Mobile Home S G W
ea
TYPE OF WORK
New ❑ Additicn ❑ Remodel ❑ Uti lities g Installation❑ Other ❑
Describe work: water heater
Permit Fee
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of p l y (Check One):
I declare under penaltyperjury
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
I031[,If 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
"for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.m)
OR ACDNS. 1 ACC. BLDGS.
y2¢sgft
NEW CONST R. MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex. Occu p OUTLETS OR FIXTURES
200030
SAL930
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under peialty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state.that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, jucgmts, costs, and expenses which may in any way accrue
against -s County in, of the granting of this permit.
3 2 5 t l
X �/� Date `
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
-
25.00
HAz.
can
PARK SCHL
FLD
cDF
PAR
PD
) HD.
ISSUE
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR. , TOR OF PUBLIC WORKS
fi
By ✓( �i Date —/—
I G
PERMIT EXPIRE Date 14—• `C
88422/25.00
Receipt No.
WHITE-D.P.W.. YELLOW-ASBESSOR. PINK-IN9P EC TOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
i o r) ! 7�� �� 1-7 4�
OWNER — PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date_ : 2' - �/ Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
77
ASSESSOR PARCEL NUMBER
36-76-06
ZONI
j
BUILDING PERMIT
OWNER
TODD ANDOE
TELEPHONE
533-4127
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
7 Hunter Lane Oroville
CO RACTOR'S NAME
w >^
TELEPHONE
C TRAC DR'S MAILING ADDRESS
Fireolace 1 1,000
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $ 1,000
Filin Fee 10.00
g $
LENDER'S MAILING ADDRESS
Permit Fee
$ 17 rin
ARCHITECT OR ENJINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
None
Penalty
$
BUILDING ADDRESS
Permit fee
$ 27.50
PLUMBING PERMIT Filing Fee 10.00
17 Mantel taire, Ehavttte
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF MK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G 1W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other j]
Describe work: woodbtu'n_ i ng etnvP and wi rP garage
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (Check one):
E:1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING Oc P.&)
OR AODNS, l ACC. BLDGS.12.00
y2¢sgft
NEW CONSTR.LET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eA 0 0
FIXED APPLES. OR
EX. OCCUp. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
No Ice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this perroit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
__
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all Iia' s, judgments, costs, and expenses which may in any way accrue
against sa' County in ns uence of the granting of this permit.
0Q
Date . ' 2 J 1
Signature of Applicant — Owner Contractor E]Agent E!
An OSHA permit is required for .ovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 49.50
HAz.
I CUA PARK SCHL
FLD
I CDF
I PAR
PD
1 HD,
ISSU
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR. T R OF PU WORKS
320/91
By Date
PERMIT EXPIRES Date
Receipt No. 83786/49.50
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
WN
AD
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
tie- C
ft/C i
TELEPHONE
55-3-1112
g5g2 (�q
PERMIT NO.
BUILDING PERMIT
SO. FT. I OCC. I BUILDING VALUATION
CONTRACTOR'S MAILING ADDRE53
Fireplace I 1 1 10 0
CON TRUCTION LENDER
UNKNOWN
Total Valuation g 000
Filing Fee S
LENGES MAILING BOOR ESS
Pef-ii, Fa $ 1 ..50
ARCHITECT OR L. ,I.NEER
LICENSE NO.
Plan Che:.iung Fee $
Energy Plan Checking Fee $
ITE' OR ENGINEER'S MAILING ADDRESS
ARCHITECT
Penalty $
SUILCINDRESS
-7G/V rL N
Permit fee $ '0.1/71 50
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
d 2�
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF F-1Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G W 10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other.R
Describe work: w004 ST -Cue—_ % Luio'g �e-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with suct
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Iia s, judgment c sts, and expenses which may in any way accrue
against Zzz
my i on uence of the granting of this permit.
QA
Date 3—
Signature of Applicant - Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height. QQ
Receipt No��U 60 / i 5_(m / i 5_0
WNITC-D.P.W.. YELLOW-A3eE330R. PINK -INSPECTOR. GOLD ENROO-APPL I CANT
I D.—It Fop $ A
Contractor
ELECTRICAL PERMIT
Filing Fee
10.00
Main service 6,'000'A MP OR LESS
OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
`
NEW CONSOR AOONST ( DACCLBLOGSLING CC P ly\
/
1/2Csgft
NEW CONSTR. U TI -OUTLET
NON-RESIO BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS.&)1
SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES
0 �Ot
e20wL(930
EX. DCCUp. OUTLETS PIRESIOIKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
DD
' Contractor
MECHANICAL PERMIT
Filing Fee
10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$ L
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee $ _
occ I coNST Type II II Q
TOTAL FEE S 50
HAZ I CUA I PARK I SCHL FLD I CDF I PAR i PD I i HO • I 15SUI
This permit is hereby issued urger the appncaole provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
RV
PERMIT EXPIRES Date
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive; Oroyille, CA 95965 Phone: 916-538-7541
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 m abor and materials for construction of
the proposed property improvemen (yes o no) S
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed
Property Own
Social Security Number �
Date 73 - a - 9 1
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTES DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIIIat California 95985 - Telephone: 918/538.7541
APPLICATION AND PERMIT
PERMIT NO.
ASSE53OR PARCKL NUMOMR
_
ZONING
BUILDING PERMIT
owNeR
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
0r,)yJ11P 95965
CONTRACTOR'S NAME
nwninr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuationblone $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHI CT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping ,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF E2X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities g Installation[--] Other ❑
Describe work: water heater
n nn
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 500V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
1, as the owner, Or my employees with wages as their SOIe COmpen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.yd)
OR ADDNS. ACC. BLDGS.
, /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
2AL1
°Lv30so
FIXED S. OR
EX. Occup. OUTLETS TS (R(RESID.) EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subjectpermit
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgm9i4s, costs, and expenses which may in any way accrue
agains County �no sequence of the granting of this permit.
X Date s—? c) _ 9 I
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE $ 25.00
HAz.
I CUA PARK
SCHL
FLD
CDF
I PAR
PD
) HD.
ISSUE.
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
IR. TOR OF PUBLIC WORKS
BYN. -/ GDate
V ` ` /�
PERMIT EXPIRE Date L /
Receipt No. 88422/25.00
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
'"�r��.;�: - ', rrr ,r • ..� r u ,:: � ��„� 6,k.
COUNTY OF BUTTE - DEPA IIT-.OF,'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OFSOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
j PERMIT APPLICATION DATA SHEET
OWNER v
Proposed Building Use WAfe1Z HT/z Building Inspector_
A
Permit No.
7
A. P:.No. 36 Ko` d ro
P O Date 3
At time of permit application, I was advised the following data must be submitted_ prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.' ........................ ........ .
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ....................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required.priorto plan check)
-9. Mobilehome installation data including manufacturer's installation -
instructions . s�
C5 10. Fees of aL�.®....................................... .
11. Chico Urban Area fees paid ............:..........................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements) ,
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit,,process ;as follows: Mail to owner. Mai to contractor.
Telephone %" and hold for pickup at office. Deliver w./inspector.
Other
Applicant /�Q -- Date Z�
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health. Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 (yes or no) 1L
/ 2. I (have/have not) 14A vim.— signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S ig n ed :
Property Owner�,4,bl
Social Security Number
Date Z C 4 1
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.