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HomeMy WebLinkAbout079-090-0110 ' RIEDA.- HART -MARTEN.. ureter_ Dr, Lot 11, Copley Acres -#2, Orovi� 1 Contr: Fr da Hart-Martin;'Oroville Permit #25-'83B, E,M (New single family) Fermi tg _;1f='83B 9 E $M(upsta3rs==c ocivers�ion� • &tea age/SF) f;yj11 �!! S/.�/�g AT-HAYES: 55 Hunter Dr, Oroville Permit#3232-83P,E(yard light & lawn sprinklers/SF) �• j 9/a3�3 MXMW�v—V_= I v-)—ij! HAYES 55 HUNTER DR, OROVILLE Cont: OLMSTED PLASTERING_ NEW STUCCO SIDING • r Q % f 7q O •- BC) ©11 qq++ r f e ` ,.r �1 i f MXMW�v—V_= I v-)—ij! HAYES 55 HUNTER DR, OROVILLE Cont: OLMSTED PLASTERING_ NEW STUCCO SIDING • r Q % f 7q O •- BC) ©11 qq++ r f e ` � a i f i - i NOTES RESIDENTIAL PERMIT NO. 05 l 3 4 / SPECIAL CONDITIONS y CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER 'I(9 C7 -i JOB FI NAILED (Date) ` l3 -oS c Signature k - J=OK 0= Not OK _ = Not Ralicable MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3'. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-ConnectoP 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking . 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext -;Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3.' Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Appriable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. iding-Nailing Veneer . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date r 0i- Card B-1Date Card B-1 Date 6j -,30-05_Card B- To �:; , Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Au -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 -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle ance Looked under Floor 0 Yes 83Ilowin InstldJDrive D Yes D No/WOKs D Yes D No/Planters 0 Yes O No 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 -1 (3'0..5 -Card B-1 Z. b S- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 -6-1 Date Card B-1 Date Card Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card Date -B-1 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 -AC. Wire Sizei /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / !ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. iding-Nailing Veneer . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date r 0i- Card B-1Date Card B-1 Date 6j -,30-05_Card B- To �:; , Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Au -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 -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle ance Looked under Floor 0 Yes 83Ilowin InstldJDrive D Yes D No/WOKs D Yes D No/Planters 0 Yes O No 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 -1 (3'0..5 -Card B-1 Z. b S- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES I BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. PO51361 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 05/24/2005 APN: 036-760-011-000 the Business and Professions Code, and my license is In full force and effect. License class : T License Number: Site Address: 55 HUNTER DR ORO Date: • Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale:). I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with' a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Busineps and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy X3--4ertify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure worke " compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand. dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087 Clv.) Map Index: Description: NEW STUCCO -SIDING 16 SQ'S Owner: PATRICK & PATRICIA HAYES 55 HUNTER DRIVE OROVILLE CA 95966 (530) 532-9333 Applicant: PATRICK & PATRICIA HAYES 55 HUNTER DRIVE OROVILLE CA 95966 (530) 532-9333 Contractor: OLMSTED PLASTERING,. PAUL P O BOX 5432 OROVILLE, CA 95966 (530) 589-5903 License #: 664134 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: Is hereby Issued under t do work indicated al Ci O sions of the Butte County Code and/or _ have been paid. Dale:^�"✓ �� Address: PERMIT EXPIRES ON: (Date ❑ 1 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. GI Notification In accordance with Section 18627.5 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 slate 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 purpos�. Print Name: >��/t S Signature: Date: < / © C Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor 4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES L BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 51361 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. I LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Date: • Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and -policy number are: Policy AD-4.Fertify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: OL L/ S Applicant: WARNING: Failure to secure worke compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Clv.) Name: I o- i Address: Issued Date: 05/24/2005 APN: 036-760-011-000 Site Address: 55 HUNTER DR ORO Map Index: Description: NEW STUCCO -SIDING 16 SQ'S Owner: PATRICK & PATRICIA HAYES 55 HUNTER DRIVE OROVILLE CA 95966 (530) 532-9333 Applicant: PATRICK & PATRICIA HAYES 55 HUNTER DRIVE OROVILLE CA 95966 (530) 532-9333 Contractor: OLMSTED PLASTERING, PAUL P O BOX 5432 OROVILLE, CA 95966 (530) 589-5903 License #: 664134 Architect: Engineer: otal Square Ft: 0 S.F Valuation: $0.00 Census Code: :by issued under work indicated at PERMIT EXPIRES Ga provisions of the Butte County Code and/or fees have been paid.. Dale: ❑ 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. G]" Notification in accordance with Section 18627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with ;all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby -authorize representatives of Butte County to enter upon theabovementioned' property for inspection purpos Print Name: � � y'A 7 Signature: �� Date: . '. / Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor IINBU'TTE COUNTY ,,^* DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#:,OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last m C FPs lam Address 5 w f1 ` f P l, d v' v P City OQ O p State Zip Phone 3 3 3 Fax I E-mail APPLICANT SIGNATURE X 9—C) 6 �' For office use only: CONTRACTOR Name i Address 6 5 City n v U t LIP St e' Zip Phone 5g S 03 7 Fax E-mail Planner 'c. 3 Class APPLICANT SIGNATURE X 9—C) 6 �' For office use only: ARCHITECT/ENGINEER Name a Address SRANo City D ((� State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X 9—C) 6 �' For office use only: APPLICANT NAME Name a Address SRANo City D ((� �24 Type Const. Phone Book Fax E-mail Planner APPLICANT SIGNATURE X 9—C) 6 �' For office use only: Zoning AP# Flood Zone Pro dress SRANo City J 09 ( (9 `///1 Cross Street Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL RLQUIKLMLN I b KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT /°S._ BIN # Description or Scope of Work: 5j 15�Sa Sq. Footage O Structure Built without Permits El 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I Received by. --FP- Amount: t 60 Bldg I I Page 1 of 2 Receipt #:cam"' Date: S_�;( SRA Sheriff SMIP Other Total REV 2-24-05 AP# /LOCATION �- 761() ``O11r0VO Pro dress ✓ City J 09 ( (9 `///1 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 Description or Scope of Work: 5j 15�Sa Sq. Footage O Structure Built without Permits El 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I Received by. --FP- Amount: t 60 Bldg I I Page 1 of 2 Receipt #:cam"' Date: S_�;( SRA Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department, If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 f NOTES - RESIDENTIAL 05-1361 036-760-011 PERMIT NO_HAYES, ,„_ _ ____.: 55 HUNTER DR, OROVILLE 4,• - Cont: OLMSTED PLASTERING ` NEW STUCCO SIDING SPECIAL CONDITIONS �$ CHECKED - BY SRA ~ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ` -USE PERMIT CONDITIONS' SUB -STANDARD HOUSING LETTER J=OK D =Not OK = NotReadyApplicable MOBILE HOMES. =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" LTJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged -- 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana 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-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. 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 0 Yes 83. Following InstldA)Hve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water HV.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 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 -AC. Wire Size( /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip, 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. AC. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 4 Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. 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 0 Yes 83. Following InstldA)Hve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: File No. BUTTE COUNTY i*or Acttbn 1, 2,3) Public Works Dept. (For 1 or ation �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg, Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 4 i April 20 1985 Pat Hayes R8: Recent Correspondence_ ' 55 Hunter.Dr. AP #36-76-11 Oroville, CA '95965 Dear Mr. Hayes: With reference to the above subject and your letter dated February 25, 1985, I have been unable to reach you by telephone.. I have reviewed your seven complaints and make the following comments:. ? (1) Driveway problem - resolved per your letter.' (2) Siding pulling away and buckled - unresolved,+unknown cause. (3) Possible structural problems with trusses.- unresolved, problem not specified. (4) Drywall repair - not Building Department responsibility. (5) Appliance.warranties - not Building Department responsibility. (6) Basement for french drain - not Building Department responsibility. (7) Solar system problems - these items were not regulated under State energy requirements in effect when the house was constructed. Roof jacks are'not required .by code, but pipes penetrating roof should not allow water to enter the building - If you would contact me, we could meet on the job.at a mutually convenient time to review items,2 and 3. Should you have any.questions, please contact me. Yours very truly, William Cheff Director of Public Works Odq' ina) signed y► J.F. Glander JFG:aj Chief Building Inspector File No BUTTE COUNTY Public Works Dept. (FA4ction 1, 2,3) (F Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys 5 Mapping Transp. Land Dev. ok Drng. /S.I. U" Sub. & Pcl. Maps Permits Addr. �?7 /�0 / r� � �► �o .may e i iii o �6 L -o c� CALHO '83 �olifernto B ulld�ing 0 f f 41015 '0,4 /V4- '00oliA Compliments of • ADPRINT SPECIALTIES 2811 De La Vina • Santa Barbara, CA 93105 (805) 682-2616 l PAT HAYES t -• 55 Hunter Drive Oroville, California 95965 Telephone: 534-3462 February 25, 1985 Mr. William Cheff _ l 7 County Center Drive Oroville, California 95965 Dear Mr. Cheff: In accordance with our telephone conversation the other day, I enclose a copy of my Complaint filed with the Contractors License Board in August of 1984. In addition to the listing of the Nature of Complaint at the bottom of the form, Item'No. 1 has been.'corrected •For, Item No. 2, we have been advised by.Dennis*`Stroud ofthe Weyerhaeuser Company that the siding may have buckled because of.water in the walls and improper location of nails. Items No. 4, 5 and 6 have still not been corrected. Also;•,we would have to add an Item No. 7. The solar system ., is also a.,big problem" 'here". ' According to my owner's manual, the warranty is void because the contractor did not use distilled water as directed. Aslo,tthe solar panels are not oriented correctly, and roof jacks were•not used•'on pipes entering the roof. 11 We need to have our home re -inspected so that we can get these problems resolved. -We have lived in our home since June 1, 1983, and the problems need resolving now. The contractor has made no effort to correct the problems. If I am directing my plea to the wrong office, please direct me in the right direction so that I can get some action on this. Please telephone me at your earliest convenience. Yours truly, PAT HAYES s• � ('..,-NTRACTORS STATE LICENSE BOARD DI ���Y1M(N7 Gl ••' :)nsumer —R�o CONTRACTORS LICENSE RDARD 429 Redcliff Redding, California 0$Uu2 CONSUMER COMPLAINT FORM FOR OFFICE USE ONLY R D F SECTION TYPE' I I O I DATE G T Y NUMBER VIOLATED CONST N R RECEIVED DATE DATE SAVINGS 'EP' ASSIGNED I ^COLOSEDR I IC I DISP TO PUBL INI. MO YR !. Please fill in this form as accurately as possible; giving pertinent dotes, monies paid, balances owed, amounts claimed by third RESPONDENT: parties, if any, and who such third parties are. --------------------- !. Please make this report legible and understandable. Print or ADDRESS OF RECORD: type. L Please attach copies of contracts, cancelled checks, and other CITE' pertinent materials. Do not send originals. :. Please return this completed form to the address given above. PERSONNEL !TICE: INCOMPLETE FORMS WILL BE RETURNED TO SENDER! PERSON MAKING COMPLAINT . . . NAME: Patrick S. Patricia A. Hayes ADDRESS: STRt_ r ANO NUMBER __ 55 Hunter Drive - - - - --------------------- ------------- CITY: Oroville , Calf iron;.;,ffi 957965 NEAREST CROSSROAD: Hunter Lane PHONE(S) RESIDENCE: 5 --- ---------------------------- STREET AND NUMBER CLASS LICENSE NO. 2. COMPLAINT AGAINST . License No. 31936___ NAME: Frieda Hart Martin COMPANY: Butte Land Development ADDRESS: STREET AND NUMBER ---- 91 Canyon Drive -------------- ---------------------- ----- CITY: ZIP Oroville, ;.California 95965 —3 2 PHONE(S): 589-3759 1. PROJECT INFORMATION . . . [JOB ADDRESS: STREET AND NUMBER OWNER OF JOB: ------55-Hunter )rive _ __________ Patrick S. & Patricia A. CITY: �+ E: --------- Oroville PHO ADDRESS: PHONE: 53-3462 .55 Hunter Drive 534_3462 CONTRACT DATE: AMOUNT: TYPE OF CONTRACT February 7, 1983 s62 , 500.00 ❑ NONE ❑ ORAL AMOUNT PAID ON CONTRACT: DATE WORK STARTED: DATE WORK CEASED Mo $62,500.00 February 7, 1983 116 I BRIEF DESCRIPTION OF CONTRACT OR AGREEMENT. 1,----- To build a new hoire based on the following attachments --------------------------------------- Hayes WRITTEN DAY YR Il 813 Exhibit s A & -B ------------------------- BRIEFLY LIST ITEMS OF COMPLAINT BY NUMBER . . (PLEASE ATTACH ADDITIONAL SHEETS IF MORE SPACE IS REQUIRED) [Z_7 ' NATURE OF COMPLAINT r veway pu es o excess. naccep a e to Ear Pat erson, Inspec or -RDx_-Bu(;D=tY__R-Qad-De pant.msnt ------------------- --------------------------------------- __4s�n_of_�lamnnci2, opulling away from house and in some areas badly buckled per _-- __Lumbex------------ - -------------------------------------------- 3. Possible structural problems with trusses. HAVE YOU DISCUSSED THESE ITEMS WITH YOUR CONTRACTOR? +... YES 29 ' NO ❑ s signature - ----` 1.--�� 8/1/84 - -�-- - Date 5 (Rev. 5.81) �� �w _'---------- --------------------=- PATRICK S. &. PATRICIA A .. HAYES. CONSUMER COMPLAINT :FORM ATTACHMENT TO QUESTION NO. 4,. 4. Dry wall needs to be fixed in master bedroom closet where h was made to fix plumbing problemole . 5. Some appliance warranties state ,only. 1 year, whereas ad f or building of home states more. See attached Exhibit B. The home -was purchased because of the advertisements. 6. There appears to be no easement for a french drain on our .property and the adjoining property. :ots & Acreage , j 34 (Lots b Acreage Oak Studded Estate Sites on H:unte.r Lane - Phase I of Copley Acres Unit Il.at Affordable Prices LOTS 15; 900 to 18,900 -No Bonds To Pay For - Lots, Graded s -Paved Streets -Sewer -Water -Cable T.V. & Under Ground Utilities Wardrobe Hai t Your Heritage Bed..' Bed. A Piece of land 12x14 clo. to xt4 A Home And Peace of Mind . Second Flodr, 1` , paiio. uvinBedroom Room Dine 1407 .1004 TZ4CD CIO Stairs Garage ,i. Hpll.. Sar or O' Entry.Kitche Carport Bath.. W: O. PNS C tMpN" Walk. ' N ° Driveway (Wbt¢♦i;for. next*.3 weeks plan)s43,000;''PI'us'1"6;900 Bed.; J. Bath,, Story 8.o half ` Lot. ,Totol'S9; 00 BUTTS OR Save $9,000 .with completely livable 1st later. floor and finish upper floor_ �$�.�.. 2nd floor will have ply floor, rough.plumbing, 8 insulation. windows,.2 electric circuits All homes include.solor.w/ heater, twin glass, t range/oven, DW.;`G.D., w/w carpet, heat 5099759-ump i f pormica"fops, gr '• 'fit �. q.. ` 533-365 :: 90% FHA FlNANAING AVAILABLE EXHI IT A l BUTTE f , LAND \op DEVELOPMENT BUTTE LAND DEVELOPMENT HOMES COPLEY ACRES UNIT II All our homes are covered by the standard builder's warranty plus the following items carry a manufacturers' warranty: ­ Wall to Wall Carpet min. 5 year wear warranty Solar Water Heater 10 year on solar panels 5 year on water heater General Electric Range & Oven 5 year Dishwasher 10 year Garbage Disposal 5 year Ven less Hood 5 year Her,; Pump 5 year Fibre Glass Shingles Fire Resistant 20 year STANDARD ITEMS' IN ALL OF.'OUR HOMES Windows - twin glass Energy-saving Steel Entrance Doors Insulation - Rll,R19,R34 w/Poly urathane core Water --:saver Toilets Vinyl -clad Interior Doors Stainless Kitchen Sink . Vinyl & Formica -clad Cabinets Smoke Alarms Formica Counter Tops in Kitchen No-fault 'Plugs -in'' -Baths Synthetic Marble with Built-in and Outside areas Sink Counter Tops in Baths Kwick-Set Door Locks Fibre Glass Tub & Showers All Homes are Priced with Base Rock Driveways, Concrete Patios and front walks only. Extra concrete available @ $1.35 sq.ft. 19 CANYON DRIVE OROVILLE, CALIFORNIA 95965. (916S8g ) lk2azl73 EXHIBIT B S33'-3675 .1 CALIFORNIA ASSOCIATION OF REALTORS® 9TM 40ARO FORM (�� �J `+ ,� . -REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT THIS IS MORE THAN A RECEIPT FOR MONEY. IT IS INTENDED TO BEA LEGALLY BINDING CONTRACT. READ IT CAREFULLY. Oroville , California. February 719 83 , Received from Hayes. Patrick and Patricia herein called Buyer, the sum of_ Dive hundred and 0( evidenced by cash 0. cashier's check 0, or Title Cnmgany l . , to be held uncashed w O0 ' Dollars $ 500.00 _CK personal check 0 payable to Mid Valley I acceptance of this offer, as deposit on account of urchase price of 00 Dollars $ 62, 00.00 for the purchase of property, situated in, County of Butte California, described as follows: Lot 11 Copiey Acres Un t 2 1. Buyer will deposit in escrow with Mid Valley Title Company the balance of purchase price as follows: S Bunce o*�uchA,i�e�be G:'3_toaa3. Eed bi. buyer .c>t cask Set fortk above any terom and conditions of a factual nature applicable to this sale, such as financing, prior sale of other property, the matter of structural pest eoepol inspection, repairs and personal property to be included in the sale. 2. Ue;,osit will 0 will n=E h� b -increased Gy. $-_ ._ w _..to $_ of 3. Buyer does M does not 0 intend to occupy subject property as his residence. 4. The supplements initialed below are incorporated as part of this agreement. Other - Structural Pest Control Certification Agreement Occupancy Agreement - Special Studies Zone Disclosure VA Amendment Flood Insurance Disclosure FHA Amendment 5. Buyer and Seller acknowledge receipt of a copy of this page, which cons 'tutes Page 1 of _2_Pa X X - / •ure _ sesle.Tr X eurew X siu.ew A REAL ESTATE BROKER IS THE PERSON OU IED TO ADVISE ON REAL ESTATE. IF YOU DESIRE LEGAL ADVICE CONSULT YOUR ATTORNEY. THIS STANDARDIZED DOCUMENT FOR USE IN SIMPLE TRANSACTIONS HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS" IN FORM ONLY. NO REPRESENTATION IS MADE AS TO THE APPROVAL OF THE FORM OF SUPPLEMENTS, THE LEGAL VALIDITY OF ANY PROVISION, OR THE ADEQUACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. IT SHOULD NOT BE USED IN COMPLEX TRANSACTIONS OR WITH EXTENSIVE RIDERS OR ADDITIONS. For these forms, address California Association of Realtors©f2t s Virgil Ave., los Angeles, California 90020 D-11-1 NCR SETS (Revised 1981) wv�.wn� _R1 EAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT .i " The following terms and conditions are hereby incorporated in and made a part of Buyer's Offer 6. . Buyer and Seller shall deliver signed instructions to the escrow holder within 3 days from Seller's acceptance which shall provide for closing within 30 days from Seller's acceptance. Escrow fees to be paid as follows: 7. Title is to be free of liens, encumbrances, easements, restrictions, rights and conditions of record or known to Seller, other than the following: (1) Current property taxes, (2) covenants, conditions, restrictions, and public utility easements of record, if any, provided the same do not adversely affect the continued use of the property for the purposes for which it is presently being used, unless reasonably disapproved by Buyer in wilting within 5 days of receipt of a current preliminary title report furnished at and (3) expense, Seller shall furnish Buyer at Z a e ense a standard California Land Title Association policy issued by Company, showing title vested in Buyer subject only to the above. If Seller (1 ) is unwilling or unable to eliminate any title matter disapproved by buyer as above, Seller may terminate this agreement, or (2) fails to deliver title as above, Buyer may terminate this agreement; in either case, the deposit shall be returned to Buyer. 8. Property taxes, premiums on insurance acceptable to Buyer, rents, interest, and shall be pro -rated as of (a) the date of recordation of deed; or Any bond or assessment which is a lien shall be )MC= by Buyer Seller shall pay cost of transfer taxes, if any. assumed 9. Possession shall be delivered to Buver (a) on close of escrotq, 3r or (c) 10. Unless otherwise desiqnated i escrow instructions of Buyer, title shall vest as follows: (The manner of taking title may have significant legal and tax consequences. Therefore, give this matter serious consideration.) 11. If Broker is a participant of a Board multiple listing service ("MLS"), the Broker is authorized to report the sale, its price, terms, and financing for the information, publication, dissemination, and use of the authorized Board members. 12. If Buyer fails to complete said purchase as herein provided by reason of any default of Buyer, Seller shall be released from Ahis obligation to sell the property to Buyer and may proceed against Buyer upon any claim or remedy which he may have in law or equity; provided, however, that by placing their initials here Buyer: ( ) Seller: ( ) agree that Seller shall retain the deposit as his liquidated damages. If the described property is a dwelling with no more than four units, one of which the Buyer intends to occupy as his residence, Seller shall retain as liquidated damages the depot; actually paid, or an amount ti:erefrocn, not more than 3% of the purchase price and promptly return any excess to Buyer. 13. If the only controversy or claim between the parties arises out of or relates to the disposition of the Buyer's deposit, such controversy or claim shall at the election of the parties be decided by arbitration. Such arbitration shall be determined in accordance with the Ru'2s of the American Arbitration Association, and judgment upon the award rendered by the Arbitrator(s) may be entered in any court having jurisdiction thereof. The provisions of Code of Civil Procedure Section 1283.05 shall be applicable to such arbitration. 14. In any action or proceeding arising out of this agreement, the prevailing party shall be esti tied to reasonable attorney's fees and costs. 15. Time is of the essence. All modifications or extensions shall be in writing signed by the parties. 16. This constitutes an offer to purchase the desoribed property. Unless acceptance is signed by Seller and the signed copy delivered to Buyer, in person or by mail to the address below, within_ 5 days, this offer shall be deemed revoked and the deposit shall be returned. Buyer acknowledges receipt of a copy hereof. n Real Estate Broker NLA Bt: er.�L�_CL- Address Telephon Address Telephone ACCEPTANCE The undersigned Seller accepts and agrees to sell the property on the above terms and conditions. Seller has employed N/A as Broker(s) and agrees to pay for services the sum of Dollars IS ), payable as follows: (a) On recordation of the deed or other evidence of title, or (b) if completion of sale is prevented by default of Seller, upon Seller's default or (c) if completion of sale is prevented by default of Buyer, only if and when Seller collects damages from Buyer,bysuit or otherwiseand ther, w an amount not less than one-half of the damages recovered, but not to exceed the above fee, after first deducting title and escrow expenses and the expenses of collection, if any. In any action between Broker and Seller arising out of this agreement, the prevailing party shall be entitled to reasonable attorney's fees and costs. The undersigned acknowledges receipt of a copy arld authorizes Brokers to deliver a sign dcopy to Buyer. Dated: Telephone Seller Address Seller Broker(s) agree to the foregoing. Broker Broker_ Dated: By Dated • For these forms, address California Association of Realtors© BY 525 S. Virgil Ave., Los Angeles, California 90020 (Revised 1978) D-11-2 NCR SETS N, .tz1 Qw, IOAV Oo$ 4`. PERMIT NO. —Z5-83B,P,E,M PERMIT EXPIRES Nn u OWNER Frieda Hart Martin CONTR. Frieda Hart Martin, Oroville ' et k ASSESSOR PARCEL 36-54-20 & 21 (Port). 55 Hunter Dr Lot 11,-CopleyAcres LOCATION > _ #2 Ordville �i n/� `b c4; Temp. Power Pole i_ Called PG&E Temp. Elec. Servi Called PG&E t t. Temp. Gas Servi v Called PG&E ,. a: JOB FINALED (D Signature _� p' } n/� OK " 0 = -Not OR = Not Applicable MOBILEHOMES * = Not Ready e MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ` 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg.-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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line- 2. -Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector + 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade-HD'Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ihs. to Main in Conduit 9. Exits; Insp..-Sketch' =` - 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -Bl Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date P V=OK 0 = Not OK f - = Not Applicable RESIDENTIAL (Single" and Duplex) * = Not Ready Date UNDER OOR PI OK except N's Date FRAMING (Continued) oning requirements-Setbacks-Easements -4&--TT3`perty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 9--'Ftg., Garage; Soils -Steel- / /" Ftg. Depth Stai- n -landing -Fire Protection A—FT9--, Porches & Decks; Soils -Steel- / /" Ftg. Depth wood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Ste walls, Main; Steel-Blockouts-Wrapped-Slab tem alls, Garage; Steel-Blockouts-Wrapped-Slab ii �-Fireplace Ftg.-Steel 5 5 ing-Na iling-Veneer Drip Screed-Fdn. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test ing-Bolts K9. Gas Pipe; Size -Anchors 0. Water Pipe; Test -Anchors -Regulator -Service Test _ 1. Electric; Underground K12. Plenums & Ducts; Clearance -Material -Support -Ins. X;5. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C I Date -) - Card -BI Date Card -Bl - Date Card -BI Date Card -BI Date Card -BI Date CAetl Date Card -BI Date Date FINAL (PI s) OK except H's Card -BI Date Card -BI Date Date PLUMBJUG (Permit) OK except q's xt. Steps -Door & Sidelight Protection -Landings o e Detector ate .; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. In ge; Above Floor -Ducts -Meth. Protection ljo-Ilater Pipe; Test &Anchors -Nail Protection .V - Test-Fttngs & Anchors -Nail Protection edroom Exiting ower Pan; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access —__ 1 st Tub & Shower, 2nd Floor -Tub Access 6 . rim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. -Stairs & Rails $',49Z -- - 63+-Fireple w-er,6tove; Clearances -Hearth Ca�d'BI �r v�Date Card -BI Date 64. anel; Int. & Ext. it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date c_QMtets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 6L--Ta-rage Fire Door; Swing -Landing -Closer 6 aro e -Damper �b�Gf7iture & Transformer Clearance -Ins. Protection 9• r. Htr.; Vents -Clearance- omb. Air -Connector -P - In Garage; Above Floor -Meth. Protection ec. Receptacles Spacing -Lights &Switches at Doors 70. Plb. c. & Mech. Equip. Listed for Location 2. oxes & No. of Conductors -Stapled ec. RScles in Garage; (G.F.I.)-Romex tec. Installed Close to Edge of Studs & C.J. 7 anon -Foam -Looked in Attic es 2 Ground made up w/Mech. Fasteners -Bond Gas & Water j ar ck Construction -Post Caps lance Circuit in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / ga. r AI-A.C. Wire Size 1791 ga. Cu or At 27. Range Circ. ! / g_a. Cuuor AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral s ]No _ vice -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive es ElNo; Walks ' ' es ❑ No; Planters ❑Yes o 78 Clearances; Panels-Motors-Mech. Equip. 77• A.C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30 - es Closet Light -Shower Light _ 7 e-nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. rd BI Date 6 —_--__ Card B -I Date Card -BI Date 79.ect, Electrical, Plumbing 80. Fxtarjpr�lserY9im; G.F.I. Receptacle -Underground 81. ut House 82 Date MECHANICAL (Permit) OK except q's _ rrectio Inspections 84. ed; Gas -Electric -—---31-.- A.C. Ducts; Insulation & Support _ _ 32. Vent Fan; Exhaust above Insulation _ 33. _Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -. -- ---------- - --------------- -- Card -BI Date Card -BI Date .Card EI Date Card -BI Date 85. & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates C I Date Card -BI Date Card -M Date Card -BI Date Card -BI Date Card -BI Date Date F B&MI Wf lans) OK exce Comments at Final: _ 11s- roper Material nc— aa u�ds-Nailing, Spacing & Bracing -Plates -Sound W. . -Bear' alls over Girders & Floor Nailin _ Stop in Walls (rat proof) Fire Stops; Furred CeilingsCst = hases-Tub eader & Beam -Size & Bearing �L Hangers --Post Caps-Anchors-Cor",v rs v _ - In!. ist-Rftr. Ties-Purlin-Roof Brac.-T Sh g.-Rfng. 44 _ or Type A Flue -Fireplace Throat 64 At ' ss: Size& Romex Protect ion-Ora It_Stop-Ins. Baffles 4 Bdr Bows _ or Exiling Doors-_Sill_Hgt. & Dimensio_n_s 47 arage Fire Protection Framing _ - - (NOTE: Anentrymust be made each time yeuvisit jobsite) COUNTY OF BUTTE DEPARTMENVOF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. "' ) t-/fZ-I-r b .©Cl,(- 597-41/2-5 5 /k -S. /yrt.i S'7 C'9x�w GnC w/ �'f Inspector A —17 ;:„ INSULATION FORAEATING, COOL NG,?pND*SOUND _ M Q V.Rmc;v q r. 440 FACT SHEET (P . WOOD FIBER -INSULATION BLOWING COVERAGE CHART BASED ON SETTLED DENSITY 20 LB. BAG THERMAL RESISTANCE R -VALUE AT MINIMUM MAXIMUM NET MINIMUM 75e MEAN TEMP THICKNESS COVERAGE WEIGHT FUEL CONTRIBUTED..............................25 PER SO. FT. See U.L. Classified Building Materials Directory WEIGHT PER SO. FT. TO OBTAIN AN INSTALLED MAXIMUM SO. FT. BAGS PER OF INSTALLED INSULATION INSULATION SHOULD COVERAGE PER 1000 SO. FT. INSULATION SHOULD RESISTANCE "R" OF: NOT BE LESS THAN: BAG (GROSS) NOT BE LESS THAN: - R-40 10 1/4 INCHES THICK 11 SO. FT. 91 BAGS/MSF 1.64 LBS./SO. FT. R-32 8 1/4 INCHES THICK 14 SO. FT. 71 BAGS/MSF 1.29 LBS./S0. FT. a i R-24 _ 6,1/4 INCHES THICK 18 S0. FT. 55 BAGS/MSF 1.00 LBS./SO. FT. R-19 5 INCHES THICK 24 SO. FT. 42 BAGS/MSF .75 LBS./SO. FT. - I al -r-.3 C-,,310 s4 rT. J R-14 3 5/8 INCHES THICK 24 SO. FT. 42 BAGS/MSF .75 LBS./SQ. FT. " ' " 3 R-21 5 5/8 INCHES THICK 15 SO. FT. 67 BAGS/MSF 1.20 LBS./S0. FT. R-29 7 5/8 INCHES THICK 10 SO. FT. 100 BAGS/MSF 1.80 LBS./S0. FT. THE HIGHER THE R -VALUE FOR A GIVEN AREA,nTHE MORE YOU SAVE ON FUEL. UNDERWRITERS LABORATORIES INC.0 CLASSIFIED LOOSE FILL MATERIAL ISSUE N0. 2711 CONTENTS NOT OVER 20 LBS. FIRE HAZARD CLASSIFICATION (BASED ON 100 FOR UNTREATED RED OAK) 2.6 PCF Density FLAME SPREAD..................................25 FUEL CONTRIBUTED..............................25 SMOKE DEVELOPED...............................0 See U.L. Classified Building Materials Directory THIS PRODUCT MEETS THE AMENDED CPSC STANDARD FOR FLAME RESISTANCE & CORROSIVENESS OF CELLULOSE INSULATION. A CAUTION TO HELP AVOID FIRE: Keep insulation at least three Inches away from the sides of recessed light fixtures. Do not place Insulation over such fixtures so as to entrap heat. Also keep insulation away from exhaust flues of furnaces, water heaters, space heaters, or other heat -producing devices. To be sure that insulation is kept away from light fixtures and flues, use a barrier to permanently maintain clearance around these items. Check with local building or fire officials for guidance on installation and barrier requirements. REQUEST TO INSTALLER: Remove this label and give it to the consumer at completion of job. ATTENTION THIS MATERIAL MEETS THE APPLICABLE MINIMUM FEDERAL FLAMMABILITY STANDARDS. THIS STANDARD IS BASED UPON LABORATORY TESTS ONLY, WHICH DO NOT REPRESENT AC- TUAL CONDITIONS WHICH MAY OCCUR IN THE HOME. PRODUCT CM TYPE I FIRE RATING MFG • B Y .T ■ A ■ G . ] N D U ST R I ES INC. • GSA -HH 10515 D S WITH: NON-IRRITANON-TOXIC TING 1 053 SINCLAIR -FRONTAGE RD. 9 FHA STANDARDS HUD STANDARDS INSECT RESISTANT •FTC STANDARDS VERMIN RESISTANT 9 CPSC REGULATIONS RESISTS SETTLING M I LPITAS, CAL. 95035 • ASTM C-739 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 5ET - /. a ?"ice €aIZ, BUILDING OR PROPERTY ADDRESS 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. AI— r / �. T //;,� In8'pector �� . Date CONTRACTORS INSULATION COMPLIANCE CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulations, California Administrative Code, Title 25, State of California, in the building located ate, / Address r : orf . �✓i��� (/ CITY Homeowner N '� STATE [ /?� ZIP ate V EXTERIOR WALLS / Manufacturer rY Thickness/Type R Value t< y Sq. Ft. Covered & t)o R Value — CEILINGS yy�� Blown: Manufacturer i''1'"// — .. Thickness No Bags f21� Wt/Bag Sq.Ft. Covered ! &©© R Value r INSULATION CONTRACTOF(&jI/InIQ C� �C19 LICENSE NUMBER 4 7l � BYk1W0V4AZU TITLE.CCt'�i(, DATE 3 /'—f' CELLULOSE INSULATION MFG. by T A G INDUSTRIES INC. \ 1053 SINCLAIR FRONTAGE RD. MILPITAS, CA. 95035 1 COUNTY OF BUTTE - vF PUBLIC WORKS 7 County Center Drive - Orov. :.0565 - Telephone 916/534-4541 - APPLIC . ., W14D PERMIT PERMIT NO. -83 ASSEjii PAR NsUMBER ^O 6 `{�J !Y/ ZONIJ�I G„ BUILDING PERMIT OWNER,� TELEPHONE 'SO. FT. OCC, BUILDI G VALUATION ^p /D IV �� ' 0 OWNS//ij((�SJMAI I G S D ev e �� G/fr/ VVV /Tf/v� � "' a 0<Do CONjG1! CTO�'.5 NAME 79,e7 T LEPHONE CONNLRTTOR'S M ILING RE,S S' ` ^�, & /'�-•_ /�� V .. Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation Is 7 Z76 , 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ OD ARCHITECT OR ENGINEER LICENSE NO. Plan•Checking Fee $ 5Z. t -Q Penalty $ ARCHITECT OR ENGINEER'S MAILI G ADDRESS ' Permit fee $ t ,j77 BUILD�SDRESS ��� Tn/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 4e,61 6/411 G Water piping 5.00 LOT NO. SUBDIVISION NAME� �/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,— USE OF STRUCTURE 'SF ,L_y� Uuplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition[:]' R�e/model ❑ Utilities ❑_ Install on ❑ Other Describe work: �L/� 7/� G✓-� U[ ,40?Jl �2S dev,19705/0 /k/,�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service FA. ADO'L 100 AMP 2.50NEW CONSDWELLING 0 OR ADDNST ACC. LDG,cc 21/4sgft ✓j� 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 ProfessionsQ Code and my license is in full force and effect. License No. •� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. � SINGLE OUTLET CIR. RESID. Ex. ouTNGLE OR FIXTURES 20@50t 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 $ 3rZ 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 �p REA-r illvlp Cooling 6'Do Hood 3.00 Ventilation permit Fee $ Z2,C70 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 ount in consequence off the granting of this permit. X d✓i�� w^- �—L -f.3 Date Signature of Applicant — Owner [I Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE Z - OccuP. GROUP D_Z) F— TrPOF 4ON5T. ARS ✓ PD HD 155 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r/ 4_ Receipt No._763 63 7 96 - aD ,3 / '7 iZ �i� �� n 386 OR, PINK -IN ECTOR, GOR -APPLICANT WHITE-D.P.W., YELLOW-ASSE LDS OWNER KKIr-4 -MFVK,1 1 N Zoning Use Proposed Permit No. A.P. No. -bZf0J ._W Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. ------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. =---------------- 1 4. Complete eng red plans and calcs.-------=---==---=-=- 5. Fees of $ 1.O0 • 6. Letter of -signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for'.. -- Improvements - plans required & DPW approval. ----------- Other ------ By Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition t e following: 2. Applicant advi 3. Plans checked byl 4. Plans approved by. elephone Date Date - When permit is issued, process as followsz 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection.. 4. Telephone and hold., for pickup @ office. 5. Other Date 1- (0 -Is Z Before permit issuance, -a-1-1 of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent / A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C: Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaRTfornia X5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i1 ASSE O PARCE UMBER –5 0 ZONING a� BUILDING PERMIT kJ V OW yFg �^ A RW , / /v//T /`/ TELEPHONE • SQ. FT.VBUILDING VALUATION —lu/ S• 00 OWNER'S MAILING ADDRESS 531 COyI.r��CONA,�/✓�E7 / T{�$ GAO ✓�� COYYT/'(/`f✓FC,TOR'S j.AAIL NG AD RED���E ^ _V/ Fire I ace p CONSTRUCTION LENDERUNKNOWN Total Valuation $ i 00 Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ 2/Z.tvv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /J- ev Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ , p BUIL DJ„DI G= ADDR� t ,��EU/I^ ,/T/AVr/ PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 6,00 Solar Water Heater 20.00 Zo •oo Water piping 5.00 5� LOT NO. SUBDIVISION NAMEPARCEL /I MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,— USE OF STRUCTURE SF L� � Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New �ddition ❑ Remod I ❑ [/i) Uti 'ties [:11 stat latio El Other ❑ Describe work: pG /�s — Permit Fee $ Cn) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q, Main Service EA. ADO'L 100 AMP 2.50 Z"JD NEW CONST. OR ACDNS. ( DWEACCLBLDGS.LING CC 21h¢SQft ZS3a 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. * f "7 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID. BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES eA ®g OQ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , 90 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling .(9 Hood 3.00 ,51,0 U Ventilation permit Fee $ LC9t) Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C un y in oprisequence of the ranting of this permit. X w //N�� y� 7 Date Signature of Applicant — Owner ❑ Contractor K Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 storie in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP �,� TTP DF CON T. J PAR L PD H Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above f which DIRE O O PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS — Receipt No. 1537/ -46S-4o WHITE-D.P.W.. YELLOW -ASS ssaR. PINK -INSPECTOR, GOLDENROD -APPLICANT -11;�ri�+r+v-'fprar+=:w.•y�"-•--•w..-per:.�r.-...^rTa..�awnm+�cw.�`---n+.M.rs+w'�.-+�.:�-���..'st a^R�,Lr-++r�.-"-'� �.... �,...,...,-..,r,.,,afw;iJ�f;,�,�,,,T�,,.�j,a COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 t PERMIT APPLICATION- DATA SHEET a Permit No. J OWNER A. P. No.3�r�4� Proposed Building Use _S;� ` Permit Fee Based Upon: Comp,ete,Contract Price DPW Valuation t ' Ex Iain) Building Inspector Date At time of permit application, I was advis d the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . , , . . , . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to (Date) . 17. Pre -Inspection for Required. Building Inspector 18. Other When you.. issue the permit, process as follows: -Mai l to owner. Mail to t and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For.'required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Design ,Owner) w -s advised of above required data by Telephone Mail Other By Date Plans checked y Date Plans approved Date Other: 1 Copy—DPW North Burbank. Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533-2000 1-83 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, CA 95965 Applicant Phone No.: 589-3759 Property Location(s): Hunter Drive Copley Acres Unit 2 Phase 1 - Lot 11 A. P. No.(s): 036-54-0-020-0 Fees Paid: $250:00 N.B.P.U.'D. Connection Fee and $900.00 SC -OR -Facility Cjharge un aid as of 1/4/83. Application for service approved: January 4, 198,3 North Burbank, 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: ._ .. COUNTY OF BUTTE - DEPARTMENT O'P PUBLIC WORKS 7 County Center Drive - Oroville, Catifornia 95965 - Telephone 916/534-4541 \ APPLICATION AND PERMIT. ASSESSOR P RCEL NUMBE or ZON G _ -BUILDING PERMIT OWNE-r . r - T PHONE SQ. OCC. BUILDING VAUA ION L OWNER'S MAILING ADDR SS - C RACT R'S NA TELEPHONE , _y V C TR CTOR'M AILIN ADDRESS ' Fireplace �– CONST UCTION L NDE UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking -Fee $ 'Penalty $ ARCHITECT OR ENGINEER'S MAILIN ADDRESS Iq Permit fee - $ Q BUILDING ADDRESS I'ex PLUMBING PJ6RMIT9 FiIin Fee 10.00 Each Trap 2.00 1600 olar W e to 20.00 at pip ng 5.00 s LOT -N O. 1Gas SUBDIVISION AITE PARCEL MAP Each qas wat r heater or vent 5.00 piping stem 1 - 5_outlets 5.00 USE OF ST RE SF Duplex ❑ Mob Iehome ❑ • Oth7 O SP Building ewer 5.00 J! i le olne _ S G W 10-00ea TYPE OF WORK New Addition Remodel❑ UYI•tis❑ Insta ation❑ Other El Describe work: — Pe it Fee $ ntractor Efs Mai rvide t00 AMP ORSLESS i e 10.00 10.00 Main service EA 2.50NEW CONS. I OR ADDNST A ACC. BLDGS.DWELLING 0C 2'�2Qsgft CONTRACTORS LICENSE L I declare under penalty of perjury (check one INIA I am licensed under provisions of ap . 9, Div.,3 of/ndss and Professions Code and m I else s in full fo c° yFIXED License No. Cla If catlOn ❑ I, as the owner, or my emp oyees with wages as th •r sole compe - sation, will do the work, and the structure is not i ended or offere • .for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting wi licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. Busines and Professions Code• for this reason NEW CON TR ULT I.OUTL T NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex.Occup(ouTLErs OR FIXTURES zo�goa BAL0300 APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service" 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00. , Pe it Fee $ Cont ctor .M HANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION I SURANCE I declare under penalty of perjury (check one):. The permit is for $100.00 (valuation) less. I have placed on file with the Co ty of Butte Building Department a Certificate of Workmen's Comp sation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person any manner so as to become subject to the W. C. laws of Californi . Notice to Applicant: If after making is statement, should you become subject to the W. C. provisions of the Labor ode, you must forthwith comply with such provisions or this permit shall be emed revoked. Heating IQ Cooling r�17 Hood 3.00 ® Q] Ventilation permit Fee $ QD Contractor I certify that I have read this plication and state that the above information is correct. I agree to comply t all County Ordinances and State Laws relating to building construction, and ereby authorize representatives of the Countyot Butte to enter upon the abo mentioned property for inspection purposes. I also agree to save, inde nify and keep harmless the County of Butte against all liabilities, judgment costs, and expenses which may in any way accrue against id Coun y in onse uen of the granting of this per 't. / X Date ` Signa Ure of Applic t — Owner Contractor Agent An OSHA permit i required for excavations over 5'0" deep and demolition or Construct- ion of structures ower ren stories in height. Mobile Home Installation ee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. • PARCEL PD �/. HD ISSUE This permit is hereby issued unde sions of the Butte County Code and work' indicated, above for which DIRECTOR OF PUBLIC t By PERMIT EXPIRES Date the applicable provi- or resolutions to do fee have been paid. W KS Date Receipt No. /7/ r WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPY1'R-TMENT 0* PUBLIC WORKS PERMIT NO., 7 County Center Drive - Oro Ville, Ei i4ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT' ASSESSOR P RCEL NUMBERZONI �- (� —o��� �� O C _ G �. BUILDING PERMIT OWN: TBIL PHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS CC rlAT I , TELEPHONE V O ESS CO RACTOMAILIN D 0 j /f Fireplace __ CONSTRUCTION L NDE j UNKNOWTotal Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 1 Permit Fee $ , ARCHITECT OR ENGINEER .{--.. ' LIrC:ENSE NO. Cf Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILI ADDRESS t j{ �� \� t Permit fee $ (� BUILDING ADDRESS -l}- ^\ X PLUMBING P RMIT Fi lin 9 Fee 10.00 r Each Trap 2.00 �D Solar Waer.Heate 20.00 _ �- C �~ rp �,/j ,Water pip ng 5.00 LOT NO. SUBDIVISION N ME _jj_ 'TTfI PARCEL MAP Each Qas wat r heater or vent 5.00 Gas piping stem 1 -5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other ?rf r I 4.-•+ SPgCLF. - t •yr s Building ewer 5.00 ' Mdbi le ome S GW 10.00 e .� TYPE OF WORK New Addition Remodel❑ Utilities❑ Insta ation❑ Other El Describe work: / � — Petit Fee $ , 96ntractor ELECTR,I P AL PE , MIT Fi1ingF,e 10.00 Main service` sou oR LESS 10.00 100 AMP OR LESS �.., Main service EA�!A D"�t00�b,�B 2.50 NST OR ADDNS. ( ACCLBLDGS.LING C 2;�0s(j ft C CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one)!,*\ 1 (r. I am 'licensed under provisions of/Chapt. 9, Div. 3 of th B iness and Professions Code and my li ense his in full fo ce and a ect. License No. CITSSIfiCatl I El 1, as the owner, or my emp oyees with wages as th r sole compe - sation, will do the work,and the structure is riot i ended or offere for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting wi licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Busines and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CON ST FL POWER APPARATUS & NON -RES ID. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pe it Fee $ Conkactor M HANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION I SURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) less. y of Butte Building Department a Certificate of Workmen's ation Insurance or a Certificate I have placed on file with t/Jany of Consent to Self -Insure. ❑ I shall not employ any persomanner so as to become subject to the W. C. laws of Californ Notice to Applicant: If after making is statement, should you become subject to the W. C. provisions of the Labor ode, you must forthwith comply with such provisions or this permit shall be eemed revoked. Heating Q P Cooling ,00 Hood 3.00 d Venti lation permit Fee $ Q Contractor I certify that I have read this plication and state that the above information is correct. I agree to comply all County Ordinances and State Laws relating to building construction, and ereby authorize representatives of the Countyot Butte to enter upon the abo e -mentioned property for inspection purposes. I also agree to save, ind inify and keep harmless the County of Butte against all liabilities, judgment , costs, and expenses which may in any way accrue id Coun y in onse uen of the granting of this per 't. agaiX64�,, X Date Signa ure of Applic9 f — Owner Contractor 'F" Agent ❑r An OSHA permit i4 required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation ee $ I ,` TOTAL PERMIT FEE $ U OCCUP. GROUP I TYPE OF CONST. I PARCEL ;Df ND I/ I ISSUE This permit is hereby issued unde sions of the Butte County Code an work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- or resolutions to do fe have been paid. W , (S Date Receipt No. / 4-3"Z1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviille,`Cai'i'fornia 95965 -'Telephone 916/534-4541 \ APPLICATION AND PERMIT PERMIT NO. ASSESSOR4 PARCEL NUMBER, C4 O ) (,(J� t` zOX1 BUILDING PERMIT OWNE V_ Ie 45 TE9L PHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS W/J 4t 0g C ONT RACTOR•S NA r l .G( f 1, TELEPHONE i fo y0 D o CO TRA CTOR' MAILING ADDRESS—S' Fireplace CONSTRUCTION L'ENDEP [� Total Valuation $ 3 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE No. fj(t \i Plan Checking Fee $ I Penalty $ ARCHITECT OR ENGINEER'S MAll.l tADDRESS',., �+ ( Permit fee $ Q , BUILDING ADDRESS %4t �PY Y" PLUMBING P RMIT Filing Fee 10.00 Each Trap 2.00 ® Solar Water Heete 20.00 Wateipipjng5.00 LOT NO. SUBDIVISION N MEPARCEL MAP Each qas water heater or vent 5.00 Gas piping ystem 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other r -' — ,«--4 j; , f Building ewer 5.00 "Mobile ome S G W 10.00 e TYPE OF WORK New [e" Utiliti.s❑ Insta ation❑ Other f_1 Describe work:5�1 t c,✓ ' Pe it Fee $ ntractor ELECTRICAL PERMIT 1 tFilingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD•L 100 AtjP 2.50NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.0 % 2'/20sq it U.6 CONTRACTORS LICENSE LAWNEW I declare under penalty of perjury (check one): I am licensed under provisions ofjChapt. 9, Div. 3 of th Bu iness and Professions Code and my license is in full force and a ect. License No. / Classification F-1 1, as the owner, or my emp oyees with wages as th 1r sole compe sation, will do the work,and the structure is not i tended or offered\ for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting wi licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Busine and Professions Code for this reason CONSTR ULT' -OUTLET 2,50 ea NON•RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS .&) NON RES D. (SINGLE OUTLET CIR. S OR FI Ex. Occup(ouTLETs OR FIXTURES BA ®30Q FIXED OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pe% it Fee $ + Contt ctor M HANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): f The permit is for $100.00 (valuation)pr less. 1 have placed on file with the Coynty of Butte Building Department a Certificate of Workmen's Comp nsation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person any manner so as to become subject to the W. C. laws of Californ 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 Joeemed revoked. Heating Q V+o^ryK.,fN1 Cooling Hood 3.00 ,� d Ventilation permit Fee $ Q Contractor I certify that I have read this plication and state that the above information is correct. I agree to comply tall County Ordinances and State Laws relating to building construction, and ereby authorize representatives of the Countyot Butte to enter upon the abov -mentioned property for inspection purposes. 1 also agree to save, indminify and keep harmless the County of Butte against all liabilities, judgment2 costs, and expenses which may in any way accrue against laid County in Consequence X ��/li Date of the granting of this per Signature of Applio9 r - Owner Contractor® Agent [I 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 ee $ TOTAL PERMIT FEE $, OCCUP. GROUP TYPE of CONST. PARCEL l•�/ PD 8/� , HD ISSUE This permit is hereby issued unde1�t�"he sions of the Butte County Code andXor work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do fe have been paid. W ARKS \ Date Receipt No. IS3/ WHITE-D.P.W.. YELLOW-ASSF.SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caji-fornia 95965 -'Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Std _ a 0`1� _' tlo _ ZONING BUILDING PERMIT OWNS TELEPHONE SQ. FT. OCC. BUILDING VALUAIyION OWNER'S MAILING\\ADDRESS -L�(� CON `TRACT�O{yR'S NAME^ TELEPHONE qP0 O CONTRACTOR'S MAILING ADDRESS t n L Fireplace _.. CONSTRUCTION LENDER ` UNKNO N-„ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 4 � Permit Fee $ ",oo ARCHITECT OR ENGINEER j, LICENSE NO. Plan Checking Fee $ JIM. Penalty $ ARCHITECT OR ENGINEER'S MAILING_ ADDRESS - _ \\ Permit fee $,�() BUILDING DRESS' 1APr �1_�\) PLUMBING P RMIT Filing Fee 10.00 Each Trap 2.00 /r, OQ'I Solar Water Heate 20.00 f D Water piping., 5.00 j LOT NO. SUBDIVISION N ME ..,t�, { � 6.1 /.�, IC e-� t{ r. PARCEL MAP Each qas wat,�r heater or vent 5.00 Gas piping s stem 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other I SPE•CI FY Building ,(ewer 5.00 Mobi le )tome S I G I W 10.00 e TYPE OF WORK New ❑Addition ❑j }Remodel ❑ Utilities ❑ Insta�J.ation❑ Other ❑ Describe work: b-st.'S 5. j. J'" PejAlt Fee $ ntractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 2.50,, QA`M�P NEW CONST LBLDGS.C/ "� & OR ADDNS. ( ACC 21/2¢Sq ft ,(j CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): LrJ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full fgrceAnd of ect. y • (^ j '�•": License No. � �" �%�� � Classification k \\ El 1, as the owner, or my employees with wages as th5i-r sole comperiC sation, will do the work,and the structure is not intended or offere for sale. (Sec. 7044) // ❑ I, as the owner, am exclusively contracting wl h licensed contract- ors. (Sec. 7044) F -1I am exempt under Sec. , Busines7and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. 20050e Ex. Occup(o Ts OR FIXTURES 9ALO 30C FIXED TS (RES. OR FIXED EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pe,mit Fee $ Cont5ctor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): / ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person�� any manner so as to become subject to the W. C. laws of Californ�. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the LaboCode, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating -0 i•1 arm }� IM Cooling �r 4, ulJ Hood 3.00 '�•� U Ventilation J I 1 -1.0, permit Fee $ 'a Q Contractor I certify that I have read this a plication and state that the above information is correct. I agree to comply tall 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, Inde pnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue aid County in,Eonsequence of the granting of this permit. X i/•"�,� /. 'f--a�+f+r•+ Date f l�/ %' v Signature of Applicq it - owner❑ Contractor] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation ee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. ,PARCEL 100,against PD HD I ISSUE This permit is hereby issued unde Bions of the Butte County Code and work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- or resolutions to do fe $ have been paid. W RKS Date Receipt No. -7.-S3 �i/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT SM g5-qo PC4 # NOTE:—All Materials & Workmanship Shall Be in 'Accordance with Recognized Good Practices and This set of plans and: specifications MUST be of a quality prescribed f,S,necifi .d u in the —p-fi e. 1515 at all times and it is unlawful to Uniform Building, Plural ing & Mechanical Codes. 7S� make any changes or alterations o' same with- J and the National. Electrice 1 Code. out written. permission from the Department of. Public Works, County of Butte. Ii Aq el A setback df 5 ft. from the property !i "es and a setback bf 50ft. fro the road wMerline st hallbe'clear of . - _.... _ n N 7?L_aa (C) SS Maste MeN n file for building plans. t-1 N[' j I AILTi BUTTE C oUNd y gUIL.DING DEP TMENt I .. A- P P E` 1 `)(.7 �'&"T+* ..�-r -p"'i Z.rlpti�q`� � �•g7xr�+""!•ivC'!:"`fid•A `;�.'�rWM• .r'•.^ ry,,,- v..t> T- �.�.rr� ,T�.... ...y.,���y�" j4 Permit#3232-83 Pat • Hayes �t f 1 ' E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING '. BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION W R'S MAILING ADDRESS r V CONTRACTOR'S NAME ` r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER L UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAI=ING ADDRESS• Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1,4 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFE] Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI ISM ed '�'. �_ �" ' L r —10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal Iation ❑ Other `t Describe work: t' / ` — (( , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 01 OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 27/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification \❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. A ULTLET NO N.RESID BRNCTH I.OUCIRC ITS 2,50 ea NEWCONSTRL POWER APPARATUS &' NON .RESID. SINGLE OUTLET CIR. 20050t Ex. Occup(O OR FIXTURES aALeaoQ IXEDTS Ex. OCCUp. OUTLETS P(RESID )REA.) 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 e. f❑ of Consent to Self -Insure. shall not employ any person in any manner so as to become subject r to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I X -,/This Date Signature of Applicant — Owner,❑ Contractor ❑ Agent ❑ An OSHA permit is required for ei co 1% over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ S OCCUP. GROUP I TYPE OF CONST, [--]PARCELI PD I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ��- COUNTY OF BUTTE - DEIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCE MBER �- -- _ ,ZONING BUILDING PERMIT OWNEjw7— /#1YEES %•S `r' SQ. FT. OCC. BUILDING VALUAT116N W. R'S�AAILING ADDR SS 5, /1W ItW AelvE: OWI//Z,&6_7 COZY R ;CTOR'S NAM�I TELEPHONE CONTRACTOR'S MAILING ADDRES Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A15DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEEIVS MAILING ADDRESS Permit fee $ BUILDING AD - SS - / (/ ,� ^ 1 /� S5 �(TfI/VU U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LDT �; su/e�DlvlsloN/NAME wYLG �tii ?/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Pt Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 TIE[ Mobile Ho e 10.00 e S J1 TYPE OF WORK New ❑ Addition ❑ � TI ❑ LUt�iitie I� �atLlo �� Other Describe work: l/�,p/ �/ �rJ�v Stop/ 01—.1 -��S Permit Fee $ /S5 .d Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. 2t/20Sq ft 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- ration, 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. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CON ST R. POWER APPARATUS .&') NON.RES ID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES aALG 90 FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 25.ozJ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject rye=D the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot`� 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, judgments, costs, and expenses which may in any way accrue against Fid Cou ty in co sequence of t e granting of this permit. Q� �3 X Date O Signature of Applicant — 0 er Contractor ❑ Agent An OSHA permit is required for excavo ions over 5'0" deep and demolition or construct-P ion of structures over 3 stories in eight.(a Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND Iss1E This permit is hereby issued under sions the Butte ounty Code and/or wor in ica ab ve for which UBLICPUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 9 ZO^ 8,-3 ' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center -"Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or,no)P 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 Owner Social Security number Date d — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety, Code. This verification must be completed and returned to our office before we are permitted to issue the permit.