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079-120-023
> A.P.- ROBERT ALLEN 82 B 245 Fairhill Drive, Oroville MINTON, N.V. CONTR: Waibel Inc. �� H.Vent-3124P 303E -3912E(s) Permit #5033-75 (inst. A/C & heating & ser. change) SIF �a3/7S � s 245 Fairhill Dr. (Lot 128, Copley Acres), Oro. CONTR: Harmony Builders,, P.O. Box 578, Oroville Permit ##5493=75B TrepairrEEQ Damage (new single family) to fireplace/SF) �41�r c�rf' �i ! cn �•g't ='� ti. Contr: Pryor Contracting, 0 oville parmit#2311-82B(reroof/SF)�,�. F 04-0322 TURF, DAVIDIRHILL DR, OROVILLE OWNER F A �_ M 04-0564 McINTURF, DAVID 245 FAIRHILL DR., OROVILLE PATIO COVER/SF 04-1712. MCINTURF, DAVID 245 FAIRHILL DR, OROVILLE Cont: N/A RELOCATE HVAC UNIT 04-2501 MCINTURF, DAVID 245 FAIRHILL DR, OROVILLE Cont: OWNER RE -ROOF 20 SQ ��k` B07-0403 079-120-023 4MISCELLANEOUS Wood Deck NEW DECK (637) 2:i5 FAIRHILL DR M MUNTURF, DAVID M ON 0 rte' ,t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBMSC Deck (Wood) $150.00 DBSMIP Residential $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 03/29/2007 Contractors Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section nee not be completed if the permit is or one hundred dollars ($100)_ or r:7er CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L101 -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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X g` 03/29/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM AAS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYGES'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $150.50 Fees Paid: $150. Balance Due: $0.00 Receipt No: B20 OWNER / BUILDER DECLARATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, 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 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 five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered fon sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). —]1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: IX ("2e6:�f� ��� 03/29/2007 Owner's Signature Date 1 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner o m auIthon a o t on the property owner's behalf. �� �� 03/29/2007 ila:f[Owner Contractor OR:1:1 Agent for Owner Agent for Contractcr FILE COPY PROJECT INFORMATION Site Address: 245 FAIRHILL DR Owner: Permit NO: B07-0403 APN: 079-120-023 MCINTURF, DAVID M Permit type: MISCELLANEOUS 245 FAIRHILL DR Issued Date: 03/29/2007 By KCG Subtype: Wood Deck OROVILLE, CA 95966 Expiration Date: 03/28/2008 Description: NEW DECK (637) (530) 534-0111 Occupancy: Zoning: AR Contractor Applicant: Square Footage: MCINTURF, DAVID M Building Garage Remdl/Addn 245 FAIRHILL DR OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0111 FEE INFORMATION DBMSC Deck (Wood) $150.00 DBSMIP Residential $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 03/29/2007 Contractors Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section nee not be completed if the permit is or one hundred dollars ($100)_ or r:7er CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L101 -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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X g` 03/29/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM AAS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYGES'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $150.50 Fees Paid: $150. Balance Due: $0.00 Receipt No: B20 OWNER / BUILDER DECLARATION, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, 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 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 five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered fon sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). —]1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: IX ("2e6:�f� ��� 03/29/2007 Owner's Signature Date 1 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner o m auIthon a o t on the property owner's behalf. �� �� 03/29/2007 ila:f[Owner Contractor OR:1:1 Agent for Owner Agent for Contractcr FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last am� First Name t Mailing Address .Z y S,• /�d� t r ,/ r city State zg/ 6 6 P o Fax E-mail APPLICANT INFORMATION CONTRACTOR Name i Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCH/TECTIENG/NEER Name city Address Zip city Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address city State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. GJ.b*3 BIN # PROJECT LOCATION AP# C) ) Ga Property Address Zy I'.g r'I' city I 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: V ► I 't4 �C-� A - Sq FT- Living Garage Opt Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: SRA Yes No Zoning Flood Zon�TypeConst. Occ. Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds )0) f m S National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0403 Location: 245 FAIRHELL DR Parcel Number: 079-120-023 Owner Name: MCINTURF, DAVID M Description: NEW DECK (637) Date: 03/02/2007 By: KEJ Sub Type: Wood Deck Phone: (530)534-0111 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: o FILE Date: 03/02/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0403 Location: 245 FAIRHILL DR Parcel Number: 079-120-023 Owner Name: MCINTURF, DAVID M Description: NEW DECK (637) Date: 03/02/2007 Phone: (530)534-0111 Signature of Property Owner: Date: 03/02/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT{(YES R NO) 2. I(HAV VE NOT)SIGNEDAN 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW DECK (637) Reference Number: B07-0403 Applicant Name: MCINTURF, DAVID M Owner's Name: MCINTURF, DAVID M AP # : 079-120-023 2 r -d Signature of Property Owner: �' �iliJ ,�,. /� — Date: 3 l % Assessor Parcel Number. Owner Name Dtov Address / Phone No. Site Location 7--15' Contact: Name 12— of M4 0 Z: o ,.1„r Scale: 1"= w�. Phone FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS 9 SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.00• USES: w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042501 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: 08/26/2004 APN: 036-610-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 245 FAIRHILL DR ORO Date: Contractor. Map Index: Description: RE ROOF 20 SQ. COMP p . 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 Owner: MCINTURF DAVID M to its issuance, also requires the applicant for such permit to file a 245 FAIRHILL DR signed statement that he or she is licensed pursuant to the provisions of QROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MCINTURF DAVID M Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:` &-XyOwner: C License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: E31 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: tW I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ?, — 2- 6 r 0) �( - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees."/ /.2246 CONSTRUCTION LENDING AGENCY - - This permit is hereby-issued"Suunder the applicabl rovisions of the Buns County Cods ?nwor I hereby affirm that there is a construction lending agency for the Resolutions to do work0licated above for ees ave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7c Name: BY Date: ' O Address: PERMIT EXPIRES ON: D4.) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. t Print Name: lM C Zvi �'%6fiI 4r d u! Signature: Date: �_, 6 0 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor A♦ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 ■ CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name p� irst Name , i d Address r City State s Zp Phone Y �� ` I Fax E-mail APPLICANT NAME CONTRACTOR Name Address Address CityState City Zip State Zip Phone Phone Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address Address CityState City Zip State Zip Phone Phone Fax E-mail Planner State License Number APPLICANT NAME Name . r Address Cross Street CityState Yes Zip U r •'7,1 Type Const 16 Phone Fax Lot # Planner E-mail APPLICANT SIGNATURE X % �e For office use only: Zoning Property Address Z V f f %, 4,Y Flood Zone Cross Street SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 04-22,591 BP BIN # LOCATION AP# 0w� v5 Property Address Z V f f %, 4,Y Y/ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: e Sq. Footage ❑ Structure Built vMthoulfftlrnits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS 11 KAFORMSIBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 'P, Amount: • Bldg SRA Receipt M Iq I Z Z g d Sheriff cyl� Y? ? S Dat SMIP Other cv ` ! Total REV 7-27-04 40 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunas can oniy be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 '+ ` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP041712 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pejury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 036-610-023-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 245 FAIRHILL DR ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RELOCATE HVAC UNIT Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MCINTURF DAVID M to its issuance, also requires the applicant for such permit to file a 245 FAIRHILL DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MCINTURF DAVID M Code: The Contractors' State License Law does not apply to an pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code V_ /�'� Owner: Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t� Date: �� • c v S. C-0 Applicant: �!/ C r�/(J%�e��(J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the ap ble provisions of the Butte County Code anrVor I hereby affirm that there is a construction lending agency for the Resolu 'ons toork indicated abovelfor w ich fees have been paid. VV k performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: D e Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 4, ,-/ G� ,.tom �Tl�f+�t J %� Signature: Date:�6 weer 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name Address `L f Address -7,14 5- rr City City ^ p %C State 4 Zip f Phone �'�.l Fax E-mail Lic. # Class APPLICANT NAME CONTRACTOR Name Address `L f Address City` City State State Zip Phone Type Const. Fax - E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address `L f Address City` City State State . Zip Phone Type Const. Fax E-mail State License Number APPLICANT NAME Name r rn-v ! Address `L f Flood Zone City` State Zips /, Type Const. r� Phone S^3 t r Fax E-mail Planner APPLICANT SIGNATURE X -„ For office use only: Zoning Flood Zone ---T—SRA7 Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS t PERMIT NO 04 - BP BIN # LOCATION Property Address 10( Cross Street !I ?i�Cr•�cr �� 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 Scppe of Work: e? %t"c in Z;4 - Sq. Sq. Footage ' ❑ Structure Built without Permits ❑ Proposed Chang6ofC',xupancy (Note previous usej:f' 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. Received by: 7P- Amount: c5.5 c`�) Bldg SRA Receipt #: .p jg'� Sheriff / SMIP Date: / .( ��-� c-' Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: o 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans,;. signed by, the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ` ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). 0 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans.' ' ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions aid Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement -of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 53.8-7541. + OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040564 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: 03/26/2004 APN: 036-610-023-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 245 FAIRHILL DR ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: new awning over existing slab (12x20) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MCINTURF DAVID M to its issuance, also requires the applicant for such permit to file a 245 FAIRHILL DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCINTURF DAVID M pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: 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 an,Professions od t P � Date: 3 _ZB1�yOwner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 VC I certify that in the performance of the work for which this permit is Census Code: ; issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: —2 G - (>Y �'I'Ytl.CJvf 1�- (°�f�etveel `�l�� . CO c Q100' Applicant:_ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This ermit' b 'ss ed un e e a linable provisions of the Butte County odea d/or I hereby affirm that there is a construction lending agency for the Res ution 0rl dicat o e r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ��(/� i Z(p 6 Name: By: Date: u d Address: PERMIT EqPES ON: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 1 � Print Name: 8���.8` �A % A t i �.4es.4 s1�04 Signature: Date: 13 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 W_ 7T: x4utwC ERMIT NO. DATE: Z-�- —Q APN: b /®� o ZONING: _ NEAREST CROSS STREET: �� dr,/ �TRACT/LOT# 1 SITE ADDRESS: r CITY, ZIP: r , -M- a OWNER NAME: PHONE: STREET ADDRESS: FAX 0 CITY, ZIP: E-MAIL' APPLICANT NAME: PHONE 11 STREET ADDRESS: P FAX r L i' CITY, ZIP: E-MAIL:* CONTRACTOR NAME: PHONE STREET ADDRESS: FAX CRY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CRY. ZIP: LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: de=t4 9 Ll 14 v ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) 5L06t>; x oG) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: *- 5'� S� 3 Notes: (2eul)e+ Application Received by. IV(0 Date: o! Receipt number: �76-�o Amount Received: /���� 4J�JF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION unry Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PPERMIT APPLICATION DATA SHEET �'�f ) OWNER:' V Ci `l \ ASSESSOR PARCEL NUMBER J`F� ' tX v ' 06? '3 Proposed Building Use: WD.Counter Technici Dater 7, G Items required in order to apply for a permit. All b5et MUST be checked OR marked NA in or e� to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. �❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner o 14. Hazardous Material Form le 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) User ie- (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits................................................*........ ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 2 - 2 -71'V 1. Index permit application for the above items numbd!� Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Dat Note transfer by: Date: Yellow: Building Division 0 Ll COUNTY OF BUTTE- DEPARTMENT O DEVE ENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75.41 P MIo• (Rev. 12/96) APPLICATION AND PERMIT =-� ASSESSOR PARCEL NUMBER 036-6107,023 ZONING -- BUILDING PERMIT OWNER r-'� DAVID TELEPHONE SO. FT. OCC. BUILDING VALUATION 576 R 31 104.00 . OWNERS MAILING ADDRESS 245 FAIR HIT I DRIVE ORMIJE EST 19000.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ 32 104.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 197.0 BUY N5 nYRHII.L DRIVE OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 28.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:R r 2 BFP�.99I�-�-=1�RzAT� 11��--•IV .,�� EX BEDROOM AND DEN Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 1 9 -no Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO I000A 46.00 NEW CONST. DW ELLNo pccuP. sG OR ADDNS. ( a ACC. BLDS. 3.50F . NO p�IDT' MULTI.OUTLET 97,50 PowER APPARATUS a SWGLE OUTLET CIR. 20 o 1.00 EX. Occup. OUTLET OR FIXTURES SAL @ .50 FIXED Ex. Occup. OuT Ts RAID °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Rling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) AW I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 � Date / ^'S c7 r 1U � Dgnature of Applicant - Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures ova 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46,00 Occ CONST. TYPE TOTAL FEE $ 743.76 HAz. D FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for w ch fees have been paid. By Date 1A04 PERMIT EXPIRES ON Dete rReceiptNo. HITE•D.D.S.•B.D. CA ARY• S NK -INS ECTOR G D NROD•APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form Per.BuIlding) HN f School DDli 6 ty I Building Departinent No. A.P. Nurfiber -6�judCountysdicfion: city Property Owner Property Location/A Subdivision Lot No. Residential Development ................. ...................................... F7__D-Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # -(No foundation inspection) ........................................................ ; ............... i ....................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial Q Q Sq. Footage Now Addition (including Exterior Roofed Areas) Building Department Representative Date District Identification* No. 6,44 A- Schc4l'b'istrict certifies that (Applicant) V (Street Address) (Phone Number) L L (City) has complied with the requirements of Resolution No. representing 511 to square feet. School (State) (Zip Code) 0 k --a a by payment of $ . 1 12. 12. - %0 1 _( 2926 $ IFULL MMGATION $ El Paid by Check # k Remarks: t7 7? to — to py >-3 Date Notice: You may protest the Imposition of the fees klerittilled above by subnMrig a written protest to the District. In compliance wtth Gomninent Code SeWon 66020(a), within 90 days from the date tees are paid. Failure to submit a timely written protist you from challenging the Imposition of the fess In any court actlon. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local planning Agency that this project ls balng eview under the Cdftnds Environmental Quality Act (CEQ4 this project may be subject to additional school fen to " nttlpale, its Impact on the school dIstrIcft schools. White (applicant), Yellow (building department), Pink (school dis1trict) feeform.xis 410103kimm O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES R NO 13r 2 I HAVE.V HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: may. PHONE: CONTRACTOR'S LICENSE NO. ` 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK IG D: PROPERTYOWNER:' SOCIAL SECURI'T'Y NUMBER. - DATE: /-1 0 ©tel NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INF'ORMAT'ION 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a Permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply- If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously impiying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification's on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IY. I U� I I C. Vi ira, C.B.O. er, Building Inspection NOTE: This Owner Builder Informadon is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES / OWNER Y"nC-:Fh4LkY_A.P. # PROPROSED BUILDING USE J I DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 4 PatoSch LDISTRICT FEES0 ool District Office) (form available after 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. T. APPLICANT C DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) In.. ... ...... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive,,'Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:` G Vi� t� M ASSESSOR PARCEL NUMBER v V �. Proposed Building Use: JCounter Technician: Date: Items required in order to apply for a hermit. All boxes MUST be checked OR marked NA in 6rdir to apply. B� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. pr 2. Complete plans, 3 or 4 sets, signed,by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ -4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and'supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings: ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs , ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable, ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklersffer ......... site ........pr fr ....................... ssio ............................ l 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by '0❑ 1 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ V 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑• 22. City of Chico Plumbing permit................................-.............................. ........ p� 23. California Department of Forestry plan approval laid. Sent by: J5........2< -y--d L- ❑ 24. Planning approval (A) Use:ok (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... . ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ • 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining building permit. Ale Applicant: 041- P e Date: 1. Index permit application for the above items number : Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by phone, mai , ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed b Date: Structural approved by: Note transfer by: Date: Yellow: Building Division rJ` ej ` , s N COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RyQT NO. ev.12 6) APPLICATION AND PERMIT of AS PARCEL NUMBER zDWNG _ BUILDING PERMIT '* OWNEC _ T _ , . TELEP " SO. FT. I OCC. BUILDING VALUATION CONTRACTOR'S NAME IBz a**;; Ex. Occup. GU D� SID) E 5.00 �NTRACTOWS MAILING ADDRESS 23.00 CONSTRUCTION LENDER 20.00 Fireplace NDER'S MAIUNG ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHRECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ BUILDINGADDRESS C Energy Plan Checking Fee $ ` PERMIT FEE S LOTNO.12_61SUBDIVISIONS NAME ) �O ���_� PARCEL PLUMBING PERMIT Each Trap USEOFSTRUCTURE I 3 A I - F Duplex ❑ Mobilehome ❑ Other SFX SIS Solar or heat pump water heater Water piping Each gas water heater or vent TYPE OF WORK New ❑ Addition Remodel ❑ riies ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W x/, o� S2A .PERMIT FEE PAID SRA SHERIFF OTHER $ 37 s �R.6D AMOUNT RECEIVED $ DATE RECEIVED �. RECEIPT # PERMIT FEE S ELECTRICAL PERMIT 000V OR LESS Main Service zo.A OR LESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. 20.00 3. 0.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ig Fee 20.00 23.00 46.00 3.5,s,o @7.50 EX. OCCU . OUTLET OR FOnURES IBz a**;; Ex. Occup. GU D� SID) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ u- t t e F MECHANICAL PERMIT Filing Fee 1 20.00 1 Hood . 1 1 6.501 1 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Dl --f I �C',il"I ITOTAL FEE $ —7W2,K-7 ._'% HA2- I D. FEES I IMij/ I FLT6 CDF )Ut Fd MD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Data /tlo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIrON AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00F_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other[] Describe work: 4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR OR L 100 AMP ,OR LESS 5.00 k Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC: BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 TI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. 9 NON-RESID, SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES a � ZW I OT IXED APPLNS, OR Ex. OCCup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 Stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated abovefor 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 - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - • APPLICATIQN'AND PERMIT 3L-4.1 _zs PERMIT s -- ASSESSOR PARCE UMB R -6/-23 ZONING BUIL PERM OWNER - / TELEPHONE SO. FT. OCC. BUILDING VALUATION M OWNER'S AILING ADDRESS ��Jd , (• yaV I,7..i CONT.JR--ACTOR'S NAME • 7 ✓y (.iY �1 A C LTELEPHONE Jw �OQ CONTR TOR'S MAILING ADDRESS I W-POW14 4 jqr/ v VOV '! -G Fireplace CONSTRUCTION LE DER h UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , dQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Dfl Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ AdditionRemodel ❑ Utilities ❑ Installation ❑ Other � Describe work: Ipo'✓ae.0 Ly17k Matsytt stow 0 .�� I ✓1 '� S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA- ADO'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.61) OR ADONS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑NON-RESID. I am licen ed under provisions of Chapt. 9, Div. 3 of the Business and Profen ions Codeandmy' license is in full force and effect. License No. 172 140 r _ Classification G � q ❑ 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 I.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) SINGLE OUTLET CIR. / s0 @ zea Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. Occup. �O UTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidonto iconsequence of the granting of this permit. X / Date 2.0 �0 �'�>� // Signature o Applicant — // Owner ❑ Contractor ❑ Agent ❑ An OSHA a it is require for excavations over S'0" deep and demolition or construct- ion of strut ures o o s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r— OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD IssuE Thi rmit is hereby issued under si s f the Butte Cou Cod and/or w rk ted ov f which I CT F U191 PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % WHITE-D.P.W., YELLOW AS ESSOR. PINK -INSPECTOR, OLDENROD-APPLICANT PERKIT APPLICATION WORK SHEET OWNER Zoning Permit fee based Permit No. �� A.P. No. Use Proposed Approved Not approved 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. ----------------- Complete engineered plana and calcs. ----------------=--- ✓ 5. Fees of $ �� � � 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. Autht Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------- Pre-inspection request for a -- 18. Improvements - plans required & DPW approval. ----------- 0th ---- - B Date 4 Bldg. InVector 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 the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by 4. Plans approved by. Date Date Men permit is issued, process as follows:.. 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold., for pickup @ office. 5. Other Before permit issuance, all 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 PERMIT ERMIT NO. 54yB /5R P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Robert E. Allen CON TR. owner LOCATION (A.P. 36-61-23 245 F' airhill Drive, Oroville if Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED—.M (Dgte)— (Signal tfre) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets. 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows• 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing s ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final 7 Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior -Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ILI W _ , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �,�--- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ignature of Permitee or ^Avgent White -D I.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By ?�a �!— ` Date 1917-7 7 ilding permit expires Date —/y.? % /% BUILDI G Owner i SQ. FT. OCC. BUILDING VALUATION Mailing Address s— 153` Telephone No. _ 1azavt& 7J Fireplace Contractor Toial Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address * adi lr �' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 %— / 2 A. P. No. 1� CQ J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 •-Fees Sartfrtation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Permit Fee $ ftdg-Plan. REc'd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER rV ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 — Single Family Duplex ❑ Mobil Home ❑ Others LJRange, Sub -panel (12 or less) (more than 12) Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bo�al d2 Receps.., switches & fix outlets 20 P25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring UI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ignature of Permitee or ^Avgent White -D I.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By ?�a �!— ` Date 1917-7 7 ilding permit expires Date —/y.? % /% Ay S FILE MEMO AP NO. � �e / J At time of permit application, the applicart't was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate.. 4. Complete engineered plans and calcs. 5: Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17., Pre -inspection request for 18. Other By. Date Bldg. Inspector aasaaaoaaaoa�oaaaaaaaoaaaoaaaaaaaaa noon aaaaaNo= aoaaaoaeaaaaanoaasoaaaaaNo= aoaasaaoaoaoaosnun aaoo. When permit is issued, process as follows: (/ 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other saaaaoaaaanaaaaaaaomaaaa=oo�aanoeeaoa0000�ea�eoaoaoaao�o�e�a00000ae�c�a�aeoaaoa �_sc� o During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. ,Send letter to applicant. We need 4. 5. Pre -inspection for Other NOT verified. (Index) 6. Plans checked and/or approved by Date "--'---"------======a_ncaa=a=oeaa=aoeaaaaaa=aaaaoaaaaaaaaaaaaaaaaaaoaaaaaaaasaaaaaoasaoasaaaoseoei Additional Processing or Notes: REQUEST FOR EARTJ'QIJAKE INST ``BION A Date Name (last name) (first n e) Address._�� Directions IT111S OF CONCERN: DEPT. Telephone,5-32- INSPECTION Date NATURE OF DAMAGE: 4:7, Z' 0 4L Qxcl U C1 T It o �'L c� cam/° / '` - f �° 401D E Danger: Action:�- A II1SpEC.tOr County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave. Chico — 343-4211, Ext. 70 7 Count Center Dr., Oroville —534-45 Skyway and Elliott Rd., ar - ................!......5 ........................ 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. " Date.. ............................ In /d -V2-07"lko7 (400_4) n :w -:r'�� - r � __: � � __ �: _..F v .i -� � -J �_, .r.. __ _ ..V .y,. - .. ... w-, ..W _.J.c ��—� r��•..�v-. .. _..� .. .r...�.w..w.u,. i - , - a L y. .�� +.•n�.•w .ten � . • 4`t�1 q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,r/ �J✓ j, �� 7 County Center Drive — Orovi Ile, California 95965 Telephon&: 534,-4541 APPLICATION AND PERMIT BUILDING / SQ. FT. OCC. BUILDING VALUATION caner I failing Address I Telephone No. CAntractor r/;iC r .t.: .-C_ — M iling Address 740, rTelephone No. t-=1 B-ilding Address 7 11 '/ A. P. No. Zoning & Planning F es b- C. Sani-tatmrr FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ovements Bldg:-P..l.oa-"ee:.d Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ((6 4 Single Family Q I -a— ( 1. 1r/'&-1, Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or Igss) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar, disp. or D.W. Air coryditt oner or heat pump Water pump r i- Mobil Home Facilities Temp. Power Pole { r^ Misc. wiring License No. �' Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating ! /,s Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r Date Signature of Permitee or Agent receipt No. 51� 7-7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant @ FEE $3.00 -S,e �J 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $ Z/ISL' $ C @ FEE $3.00 -5,00 ~r� C 1.00 $ "/,c ' $ @ FEE $3.00 Cooling j, - t I I I y. Ventilation Hood Permit Fee 2.00 TOTAL PERMIT FEE is LL/5(j This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /DJRECTOR OF PUBLIC WORKS �, Bye ��% Date / Bild,ing permit expires Date �/ r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephQ,•;:;:- 3S4=4541 APPLICATION AND PERMIT X033 - 4 41 4,41 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor — Total Valuation Mailing Address i v o �' r W&AP7C�b ��C ItZ/L Permit Fee Plan Checking Fee&/or Penalty TelephoneN 33-8/;y Permit Fee Building Address 'L — ,j �7� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 joU Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ / �' �� A. P. No. (9 ((J Zoning &Planning Gas piping system 1 - 5 outlets 1.50 J' O Each additional outlet .30 F Sani4i# Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 BWVParcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 /; "- u.(/t, Main service incl. 1 meter 18"06 ' a ��„ Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or 19Z) (more than 12) hso. Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 'b %2 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & ProfessiorCd under the name Syl 90f: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air cc53dit oner or heat pump Water pump Mobil Home Facilities 5.00 / Temp. Power Pole 5.00 License No.� `% (2, _ a 0 Classification Misc. wiring —I— DI am exempt from the Contractors License Laws of the State of California. Permit Fee $ q e0U $ tai WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E&lWhave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. iecertify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling®U Ventilation Hood 2.00 Permit Fee $ J— $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $� auutunce representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Date d S Signature of Permitee or Agent Receipt No. L_22/ // White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for wh' h fees have been paid. ECTO� PUBLIC WORKS BY Date J/ permit expires Date �UTr� O ',i;;.,. O -Department of Development Services .,.;; ° ``" `- ° Building Division 0 7 County Center Drive ... s. o Oroville, CA 95965 (530) 53E-7541 (530) 53l-2140 FAX. GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. *2).. Minimum concrete compressive strength shalt be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) 4- Max. 4' Max. 36" Min. 2 U) Top.t Deck SIDE VIEW De 1�y_ Min. 2x pressure treated ledger Min. 2 — 3/i" x--" las bolts or screws. TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing ouiil _W" r I- Min. 4 x 4 post @ 5'- 0" O.C. Intermediate rails spacing shall prevent the Passage of a 4" diameter sphere. 3/4" clearance to the edge of the wood member joist Min. 2- 1/2" dia. thru bolts required An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 12" x 12" Footing I W'Min. embedment TYPICAL PIER FOOTING Guardrail 1997 UBC.xls I l I I Y i xt wTfN.wnlVAP4 ilkd *di4M NO. ist•6f RC , I I ; f II I f l , i I I � I Assessor Parcel Number: U, ® — ut�gI Owner Name /7t4yI f JM z 0 )-L/r Address / Phone No. N A 'r I Site Location z`/ )r Contact: Name !4 ° 4: r r - ti U1 z — Scale: 1" _ 'Y.,, •11 Phone C-1-0 ( 5-10 S' 3 L/ -O// 1 - od.bmr23;XM :...... ... . FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.00r USES: GIRDER OR HEADER 'C ATTACHED TO GIRDER )R BEAM POST PB ATTACHED TO POST ANCHORED IN CONC. CONC. PAD POST CAP ® POST BASE f ���osGy BUTTE tCiUN T Y BUILDING"DIVISION APPROVED W AD" 21 GIRDER OR HEADER TO GIRDER D TO POST N CONC. POST CAP ® POST" BASE 04 , _... ... .. ... . .. ., ... ... Vit.. .... .� _S .. _...... - � - RMMING DEPAMM' 0r OVED IN 6 dZ 3 p