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079-120-037
` "EA","'N" " ~ -135 Loma Vista br, Oroville (new single iamilY) c ri 0" 05-1434 POTTS, KENNETH TPEWIT RENEWAL. 135 LOMA VISTA DR, OROVILLE Cont: OWNER 0 5'-1V3.e1 ADD & FIRE DAMAGE REPAI . o 7v�=l w7liFillipGv "; NOTES % RESIDENTIAL PERMIT NO. 037 ?/01:9—s� �Td.J n G( 10-037 % 05-1434 Pa i 1 POTTS, KENNETH$ ` i 135 LOMA VISTA DRN, OROVILLE 1 Cont: OWNER ADD & FIRE DAMAGE REPAIR PERMIT RENEWAL r + i DATE: ?-7 T -06 • EXPIRES: 7 -07 OFFICE COPY Address (9110U)IJ& GAS Meter By Date r ELECTRICt) 1 Meter By Date 00!j 1 74 0 SPECIAL CONDITIONS SRA _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY 01/� ir-��/? dfu-L S .ti fJOB FINALED (Date) Signature J=OK = Not OK = Not Apprrcable e = Not Ready RESIDENTIAL. (S! Date UNDER OOR (Plans) OK except #'s g,oOLoning-Setbacks-Easements-Flood-Slope r2t-Tt ., Main; Soils-Elec. Gmd.-/ IZ/" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-/ 93 /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra ed old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. • D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1Q. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test IT" Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation ngle & Duplex) Date FRA G (Continued) angers -Post Caps -Anchors -Connectors 4. ging. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49Fireplace Ties or Type AFlue-Fireplace Throat Clearance Aft is Access; Size & Romex Protection -Draft Stop -Ins. Baffes drm. Windows or Exiting Doors -Sill Ht & Dimensions 52. arage Fire Protection Framing -RC Channel j-1,17 Property Line Firewall & Openings 54. Eft: Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazi g Area -Glass Protection -Skylights -Plastic 60. S ar Walls; Nailing -Botts 62. Insulation -Walls -Ceilings 63. Infiltration -W 11 - t 'dows Date Card B-1 Date Card B-1 Date .91 -Card B-1 Date Card B-1 Date FINAL (Plans) OR except #'s 64._Fad. Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. J21ec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.-, Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Ranters 0 Yes O 210 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. jGlass Protection Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date - - 06 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date P UMBING (Permit) OK except #'s .�Vjl6fer Htr.; Vent -Access -Combustion Air Baffle W (er Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21 Test Tub & Shower, Second Floor -Tub Access 1f 19 D. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B;,1 Date Card B-1 Date ELEC ICAL (Permit) .OK except #'s 2*,`Fixtu,K & Transformer Clearance -Ins. Protection W5 . R eptacles Spacing -Lights & Switches at Doors Si oxer & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Se ice -Riser Conductors & Ground Main Disconnect 33. ui . Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Q Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date M CHANICAL (Permit) OK except #'s �(1 J . A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Aft -Return Air Vent 115 Outlet 4 Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!NG (Permit) OK except #'s Sil Proper Materials & Anchors s Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing Vb 44 Draft Stop in Walls (rat proof) 4 . Fir tops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing ngle & Duplex) Date FRA G (Continued) angers -Post Caps -Anchors -Connectors 4. ging. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49Fireplace Ties or Type AFlue-Fireplace Throat Clearance Aft is Access; Size & Romex Protection -Draft Stop -Ins. Baffes drm. Windows or Exiting Doors -Sill Ht & Dimensions 52. arage Fire Protection Framing -RC Channel j-1,17 Property Line Firewall & Openings 54. Eft: Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazi g Area -Glass Protection -Skylights -Plastic 60. S ar Walls; Nailing -Botts 62. Insulation -Walls -Ceilings 63. Infiltration -W 11 - t 'dows Date Card B-1 Date Card B-1 Date .91 -Card B-1 Date Card B-1 Date FINAL (Plans) OR except #'s 64._Fad. Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. J21ec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.-, Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Ranters 0 Yes O 210 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. jGlass Protection Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK =Not OK = Not Applicable = Not Ready MOBILE HOMES Date MCABILE HOME UTILITIES (Plans) OK except fi's • 1. Zoning Requirements -Setbacks -Easements 2. Soils', Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except fi's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. • Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF.BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 f CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 1 Date � Inspector— REV nspector REV 4/05 Phone # ✓�i S 75 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance: also requires the applicant for such permit to file a signed statement tNaChe or she is licensed pursuant tothe provisions of: the'Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of.the Business and Professions Code) or that he or she is exempt therefrom and the basis for the; alleged. exemption. Any violation of: `Section; 7031.5 by any applicant for a permit subjects the applicant too civil:perialtyof not more than five hundred dollars ($500).): I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended. of .gffered, for sale.,,(Sec;, 7044,,.Business„and ,Profession$, 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 construct4he project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of propertywho builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Busines and Fryfessions Code Oate:7`2,7-0Owrier: wOEtKERS' COM ENSATIONbECLARATION 1 hereby affirm.under penalty of perjuryone of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, .as provided for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as .required by Section. 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and.policy number are: Carrier: Policy #: 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, 1 shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and, attorney's fees.. CONSTRUCTION LENDING'AGENCY'--"^'-�^ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BPO51434 Issued Date: 07/27/2005 APN: 036-610-037-000 Site Address: 135 LOMA VISTA DR ORO Map Index: Description: multi story addition (708) repair fire damage Owner: POTTS, KENNETH AND ANGELA 135 1.35 LOMA VISTA DR OROVILLE, CA 95966 530-534-1602 Applicant: POTTS. KENNETH AND ANGELA 135 LOMA VISTA DR OROVILLE, CA 95966 530-534-1602 .Contractor: License #: Architect: Engineer: Total Square Ft: 1144 S.F. Valuation: $56,484.00 Census Code: b Ob aao IA i _ cf,1hn.R6t#.e-Counb, Coodq.anft/br . . ....... ...... :mac .......II ..- 7 :��...... _.-�. ,....e Resolutio to do coo di ed abov, for w ' fees have been paid. By Date: � 2 - PERMIT PERMIT EXPIRES ON: -7 -2- .77 ' Q (• ❑ 1 hereby edify -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 ficial to r docuant of Butte County. I hereby .authorize represents've of Butte CTto enter pon the above mentioned property for inspection purposes. / bxPrint Name: NV'r► Signature: Date: 2-7- % 0/ �j `u,F wwner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BALANCE OF FEES SB= DATE: r% - /' Q PERMYT: 0 ` -) I 00M ASSESSOR PARCEL #: OWNER'S NAME: FEES: (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL. FEES: $ REVISED PLAN CHECg: $ SHERIFF FEE: $ SRA- COPIES RACOPIES $ URBAN AREA FEES $ CSA 87 (North Chico Spec) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTIC*nowal s OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL VAL: $ (Check one) COUNTY (Check one) CITY OF BIGGS - RESIDENTIAL MaAERCLAL BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netlidds 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior: to its issuancej. also requires the applicant for such permit to file a • signed statementthat•he or she is licensed,°pursuant to the provisions of the Contractor's Sfat6 License Law (Chapter 9 commencing with Section 7000), of Division 3,oi-the Business and Professions Code) or that he' or she' is` exempt therefrom •and the basis for the alleged, exemption. Any violation o(Se'ctton'7P31.5 by any applicant -for a permit subjects the applicant to a,civil;penalty of not more than five hundred dollars ($500).): IV x� 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, o_r, gffered fo =sade (Sec 70,44Business a•,gd„ProfQssion, 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, ttie 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.,.propertyi,,am.exclusively,. contracting ,,.with. licensed contractors to construct -the project (Sec. 7044, Business and Professions- Code.: The Contractors' State License Law does not apply to an owner of property,who. builds or improves thereon, and who contracts. for. such projects with a contractor(s) licensed pursuant to the Contractors' State -License Law.). ❑ 1 am Exempt under Article 3 of the Busines and fessions Code `wO)tKERS' COMPENSATION -DECLARATION I hereby affirm under'pehalty of perjury'one of the following declarations: ❑ -.1 have and ' Will. maintain a certificate of consent to self -insure for workers' compensation as provided for. by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as .required by Section, 3700 the Labor Code, for the .performance of the work for which this permit is issued. My workers' compensation insurance carrier and.policy number are:. _ Carrier: Policy # 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: 7, 7, / '� 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 ,attomey's fees. _ CONSTRUCTION LENDING AGENCY • . I hereby affirm that there is a construction -lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO51434 Issued Date: 07/27/2005 APN: 036-610-037-000 Site Address: 135 LOMA VISTA DR ORO Map Index: Description: multi story addition (708) repair fire damage Owner: POTTS, KENNETH AND ANGELA--, r.•:�•:,.•:...,....�.: 7 .1.35 LOMA VISTA DR r OROVILLE, CA 95966 : w 530-534-1602 - Applicant: POTTS, KENNETH AND ANGELA 135 LOMA VISTA DR OROVILLE, CA 95966 530-534-1602 Contractor: ......,,_ , . . License #: ,,..... -..a, Architect:'.... ..._�.._� ..,,. , . ............. . _ .._ Engineer: Total Square Ft: 1144 S.F. Valuation: $56,484.00 Census Code: �UL12 ~ • tri' l �� i ms permit i ? ereny issu u er the applicable provisions of the Butte County Code nNor Resolutioito do wo di ed abov for w fees have been paid. `% By Date: �^ Z PERMIT EXPIRES ON: �% 2 % D ❑• 1 hereby ceZy'-'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 ficial form r docu ent of Butte County. I hereby authorize representa)ive�of Butte Cour)fgtto enter the above mentioned property for inspection purposes./ / 7 Print Name NGA..MK Signature: .4✓ / // !/ Date: tftwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor U V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 %7 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION. 1 • �� Website: www.buttecounty.net/dds (� "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name �Ol City 0,P4 yr( -cc First Name `O � GM1 V"'" Address 3 S- LOMA V(6PP, City DAO V(&66- F'aaxx7^5 3g — F00/ Slate G�q I Zip S-,766 Phon3 y_16()2 e Fax S 3g d o E-mail / V S 6 LD i,&-77-&Xd , /UEr APPLICANT NAME CONTRACTOR Name City 0,P4 yr( -cc Address Zip 9576 City F'aaxx7^5 3g — F00/ State Flip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City 0,P4 yr( -cc Address Zip 9576 City F'aaxx7^5 3g — F00/ State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Kouv EL, ©4 U( 0'�1I� Address, 3S Lom4 (/l v --A v City 0,P4 yr( -cc State CA Zip 9576 Phone '3 �0 Jt 7 ? �5— F'aaxx7^5 3g — F00/ E-mail 0 /VZOW r AA— /,Lr APPLICANT SIGNATURE X For office use only: AP# (936--6 r 0-5-7 Zoning I A—f-2-1 2 Flood Zone I K I SRA res No_ Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. obi y 3 LOCATION AP# (936--6 r 0-5-7 Property Address 13s— Gd -A vc S Y-12)- City C;eo vgL Cross Street F,91 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 Page 1 of 2 Description or Scope of Work: Sq. Footage 7-- ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: C Receipt #: D $ D 6 2, ttll Date: (��� 7 Amount: � (9 gSRA Sheriff SMIP Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a ermit. INCOMPLETESUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Id 1. Site plan 3 or 4ets, signed by the preparer of the plans. No graph paper! 2. Complete plans,n3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR LTA 140197_P. �OT orFo 0 0 0 0 O- o c0u N'�y Scott Rutherford (530) 538-7160 srutherford(Dbuttecou ntv. net Plans Transmittal For Review Per Contract 6/3/2005 Applicant: I Potts, Kenneth Permit No: 05-1434 Project Type: Multi Story Addn APN: 036-610-037 100% 70% Plan Check Fees $ 461.92 $ 323.34 $ 461.92 $ 323.34 WILLDAN Fee $ 323.34 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile TO: ' FROM: L� ~ 1 SUBJECT: O � DATE: LTA 140197_P. �OT orFo 0 0 0 0 O- o c0u N'�y Scott Rutherford (530) 538-7160 srutherford(Dbuttecou ntv. net Plans Transmittal For Review Per Contract 6/3/2005 Applicant: I Potts, Kenneth Permit No: 05-1434 Project Type: Multi Story Addn APN: 036-610-037 100% 70% Plan Check Fees $ 461.92 $ 323.34 $ 461.92 $ 323.34 WILLDAN Fee $ 323.34 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 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: PC) T7_5 k y� ,� 1 i, ASSESSOR PARCEL NUMBER Proposed Building Use:A DD/77& v 708 V �� SPermit Technician: �C Date: \\ Items required in order to apply for a permit. All boles MUST be checked OR marked NA in order to apply. \J /jV 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. r i 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. /tJ 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) Installation manual, including 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) /VP t6018. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet......................... ..... - ❑ Z1. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Diggs .............................. _p \�California Department of Forestrypan approval aid. Sentjiy:- ?........C -P -�3-� �E7 Planning approval for (A) Use:(B)Parking: (C) Parcel Check:....1.. _ '� �i ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... \ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... �9J/1 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone / CG �/ V- /k 2 and hold for pickst�p -3 n - / 7 7 ��'c--uI have been informed of the above it ms and re uir6mts for obtaining a budding permi !Applicant: ZDate: r 0 T: Index permit application for the abo a items numbered: Plan Check Letter 2'Additional items re uir, :. , ;. ' Contractor, design ,owner as advised of the above data by phone, ❑ mail, ❑ counter, b Date: QS `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 b : Date: tructural approved by: Date: Note transfer by: _Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES – BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER P077' A.P. # PROPROSED BUILDING USE /'r►ll- 1. BUILDING PERMIT FEES --- Balance Due ..................... /7761--)( %V 0 ) m U. br/ If DATE 6'__1 —0 5— $ 1 6 92 'J- 'J - RECEIPT ## DATE REC. --- FEMA Flood elevation review ... $ -- fio al plan checking Fee.... $ 2 SC DISTRICT FEES O/Z'S61� VI�i1��5��� �•C� (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units C mercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. _*4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ H CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE @b6 6,1.05 $204.98 (paid at Building Division) U 7. WATER TENDER FEES BATTALION # 200.00 (paid at Building Division) S6S' 8. SMIP 9. OTHER7�7?s �S 10. OTHER 11. 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 tie p}an checkipprocess. APPLICANT 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. 3/05) ,tzt'.v-•dt�;•:: :,•. F ',ry: Y•�Tt•^`�.: _ .`'X � .i — .. ,•. _ 4 �:...',Y R� a`•' i t="e�;.".._. �:�+n�'ss'4�s�".. -'���i= �.�r:a:_ �i—_, .�',w°stn ref. 2• . uti:r: 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. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ N'] NO [ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit'for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S 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: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: In -- / n< -- NOTE: <-- 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. Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own_ labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. It C. Vieirl C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. TKA BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM _ O V (One form per Building) School District OroviIIP ieai n4apki Building Department No. g� 051y A.P. Number o3ttco -o'D-7 Jurisdiction: ( City County Property Owner Poi s ' v±n m i l l Property Location/Address 135 lnmn,, Vis Subdivision Lot No. Residential Development ® Q © Q Sq. Footage No of Living Mobile Home Addition/ 'Supplerriental to (Group R) Units Installation Conversion Permit _# .'(No fou�rxiation inspedion) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) VJ� ,B ilding Department Representatii Date District Identification, No. O Wy. p E (e - y- , School District certifies that Y (Applicant) (Street Address) (Phone Number) q 501 L. is (City) (State) (Zip Code) has complied with the requirements of Resolution No. 8 3 c�`E--� by payment of $ t SSS representing -1 D o square feet. JAB 2926 i FULL rYImGATION s School District Repre4tative Date Paid by Check #r Remarks: 10 O t7 3 -7 ir a_z4 Notics: You may protest the Imposition of the teas iderrtifled above by submitting a wrlten protest to the District. in compliance with Government coda Section 66020(a), within 90 days from the date fans are paid. Fallura to submita timely written protist wlti'prohiblt you from cheilanhging the imposition of the fees In any court action. K, subsequent to the school District Representative signing this Butte County schools Impact Fee CoMfiuttion Form, the school District is rho 1111 by the applicable Local Planning Agency that this project Is being raw' , l under the Cailfomla Envirorimmtal Quality Act (CEQAh this proj.r t may be subject to adds kmW school fees to fully mltgals.Its Impact on the school distrleft schools. White (applicant), Yellow (building department), Pink (school district) feetomn.xis (10/03)dmm A WILLDAN Serving Public Agencies July 1, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1434 Assessor's Parcel No: 036-610-037 Description: Potts, Multi Story Addn Willdan Project No: 14353-1716 Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, Sheets 1 through 4 dated 5/19/05 by Cash Colby * Truss Calculations: Two (2) copies dated 5/31/05 by Endeavor Homes * Energy Calculations: Two (2) copies of existing plus addition, Two (2) copies of existing residence dated 5/26/05 by Barry Rubanoff The plans have been stamped with the Willdan approval stamp and dated. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. �WILLDAN , Serving Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Type of Type of Stories 19` Floor Sq 2 "d Floor Sq Total Sq Ft Use Occupancy Construction Ft Ft Dwelling R-3 V -N 2 124 584 708 Addition Fire Damage Repair to Existing Dwelling, R-3 & U-1 V -N 1 N/A N/A N/A Garage & Covered Porches CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -tined on the plans. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals required. Sincerely, Richard Essenwanger Plans Examiner H Cc: Alice Mefford amefford@buttecounty.net Cash Colby, PO Box 915, Oroville, CA 95965, Phone (530) 533-1510 Kenneth Potts, 135 Loma Vista Dr, Oroville, CA 95966, Fax: (530) 538-8009 Page 2 of 2 Butte County 05-1434 Willdan 14353-1716.13CIF 0 34 ,6w -037 lCORBUTTE COUNTY EIRE INCIDENT INCIDENT NUMBER 1636 DATE 2/13/2005 EVENT NUMBE 1644 LOGGED B CF REPORT TIM 14:45 LOCAL FIRE NUMBE _� r?ar „�a� F .a.: RO BERGSTRA STATE FIRE NUMBER 54 Aat ct.'r..... Fires' nff BI CASE NUMBER atCasw.e =! MEDICS LOCATION 1135 LOMA VISTA DR PRA L51 ECC ❑ RP BCSO PHONE NUMBER REPORT METHO �BCSO LINE WILDLAND FIRES ❑ ESTIMATED ACRES 0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO EMAIL j BY 1 CF TO FS64 OTHER FIRE 7 -DAY LOGGED INITIALS TB MEDICAL AIDS INCIDENT NAM VISTA j PSA/OTHER , �� START DATE 2/13/2005 START TIME 14:40 HAZ MAT DIAMOND # 2.0 COMMENTS CAUSE VEHICLE j LAND USE DOMESTIC j ACRES 0 TYPE OF ACRE ° DIAMOND 5 ONLY $ DAMAGE TYP DOLLAR DAMAGE 60000.00 SAVE 200000.00 INJURIES/FATALITIE ❑ # CIVILIAN INJURIES .. 0 # CIVILIAN FATALITIES 0 EMD ❑ OES El# FF INJURIE - # FF FATALITIES �0 FC -40 INFORMATION ♦ ♦ New Incident- FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE r FC -40 COMP BY� � County Notifications EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ RESIDENTIAL 36-61-37 1383-90B,P,E,M DEADMOND, G.W. 135 Loma Vista Dr, Oroville Contr: Western Sierra Construction (new single family) AA A7 C I OFFICE COPY Address/�5����4if� GAS Meter By DaZ--I % i ELECTRIC I Meter By Date OFFICE COPY Lava' i Address,, GAS Date { Meter By f)^ t - JOB FINALI Signature 'J OK O = Not OK - = Not Applicable = Not heady RESIDENTIAL (Single & Duplex) Date UNDERFLOOR Plans OK except #'s Zon i ng-Setbac ks-Ease men is -Fl ood-Slope 11-11-g., Main; Soils-Elec. Grnd.)V" Fig. Depth L.1 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-41j" Ftg. Depth 4.Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5.Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi s -Fireplace Ftg.-Steel D001D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s ater r.; Vent -Access -Combustion Air -Baffle 1 titer Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection v T ower Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access (53 Gas Pipe; Size & Anchors Date— 11 Card B-1 Date Card B-1 Date r Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors tie Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 26-lrquip. Ground made up w/Mech. Fastners-Bond Gas & Water pliance Circuts in Kitchen & Conductor Size/GFI / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al a. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No rvice-Riser Conductors & Ground -Main Disconnect ip. arances Panels-Motors-Mech. Equip. othes oset Light -Shower Light -Spa Light oke Detector 42 Date ji% / Card B- Date Card B-1 Datel Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s nsulation & Support en ;'Exhaust above insulation Condensate Drain & Overflow; Size & Grade 3 urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date • ,- �% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING Plans OK except #'s ils, Proper Material & Anchors tills ds -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing 4 raft top in Walls (rat proof) u tops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 4 Jost-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat clearance Access, Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6a.—Ge—rage,' otection Framing r y Line Firewall & Openings Atr_Fxt Doors -One 3' -Check Garage -3rd Story, 2 Exits -Headroom-Rise-Run-Landing-Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers A.S�-RSlting Veneer 5 - cess azi rea-Glass Protection -Skylights -Plastic, Walls; Nailing -Bolts . nsulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date - Card B-1 Date Card B-1 Date%✓J-`j/ Card B-1 r Date Card B-1 Date' FINAL ans OK exce t #'s Apr�Ext. ps-Door & Sidelight Protection -Landings ,6211m -oke Detector $3-surriaoe; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ` .p� edroom Exiting F.1. & Bath Fixtures & Tub Access -Spa ObAlec. Trim & Subpanel; Breaker Sizes & Labels AB-'rireplace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. . ixt. Appliance; Grnd.-Air Gap -Cooking Clearance ec. O & Receptacles at Kit. Counter 7 . arage Fire Door; Swing -Landing -Closer n Garage -Damper A. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Gar ge; Above Floor-Mech. Protection Ib. ec. & Mech. Equip. Listed for Location lec. eceptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic I] Yes r Reils & Deck Construction -Post Caps 7g Frin V r ° ''rawl Hole Door -Drainage & Wood -Earth CleaEa.aee Looked under Floor 0 Yes Following instld.; Drive es 0 No; Walks es ❑ No; Planters ❑ Yes ❑ No 84- Stucco-. Finish Unit; Disconnect, Electrical, Plumbing nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Wat connect, Electrical, Plumbing x erior Elec. Trim; G.F.I. Receptacle -Underground tilation Throughout House $7__GIassP otection orrections from Previous Inspections . as Test -Meters Tagged; Gas -Electric a er &Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK • = NotAReeaadyable MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearences 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Hoofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except fes 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 itanor Permit No. A. P. N0 1:1 CER tai. BRAND NAME THICKNESS f!!I:RM.\L RES. ENTER [OR hA!.L ?!ATEP,I:1L F[3ERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES.. 3 CEILING BATT OR P.'::ANK—;- F TYPE BRAND' NAME. .CERTAINTEE:D THICKNESS THERMAL RES. LOOS FILLT'iPE ?lSUL-SAFE II:IBRAND NAME CERTAINTEED.. THICKYESS IZ0I-� THERMAL RES. Q FLOOR,ELEVATED MATERIAL. FI.BE.RGLASS BRAND NAME CERTAINTEED . THICKNESS THERMAL R.ES. a j FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES.--. i HEREBY CERT FY-14AT THE ABOVE INSULATION WAS .INSTALLED IN THE ABOVE BUIL�ING 1N CONFGR`!ANIC WITH THE STATE OF CALIF. ENERGY. REQUIREMENTS. SHASTA I'dSULAT ION INC. #530235 FIR`I N:1' 14NIER STATE CORTR. LICENSE NO. ?- I ereby ce.tifv the.ahove insu at ion and all required•items as shown ur, the Bu:1din; ! pact. approved plans and attachments have been installed as required bpi the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or. a.re specifically approved by the -State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file .with the BUILDING DEPARTMENT prior to final inspection approval and.a copy shall be posted within .the building. JANUARY 1984 • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 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 e4 additional ex lanation, please contact this office immediately. r2ecL T Date ('9 [ _ �z Inspector, y --...�. ,a a`- r:.: :':-jii.rt7na�"�Wc•srasf'a ';SF �x-+-i,µ- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 • 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Y' OWNER PERMIT -N 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, joorr nneed additional explanatio ,please contact this office immediaattely. Date/—/ ' ( Inspector—, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • %APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-61-37 ZONING AR BUILDING PERMI OWNER G.W. Deadmond TELEPHONE 343-8384 SO. FT.OCC. BUILDING V DATION 1 30 R 57 200 OWNER'S MAILING ADDRESS 3311 Nord Ave. Chico 520 M 7,280 CONTRACTOR'S NAME Western Sierra Const.1343-8384 TELEPHONE 118 COV 1 1,0 18 O CONTRACTOR'S MAILING ADDRESS Fireplace 1 1,000 CONSTRUCTION LENDER Sac. Savin & Loan UNKNOWN Total Valuation $ 66,660 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 334.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.-)0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 Loma Vista Dr. Permit fee $ 374.1)0 PLUMBING PERMIT Filing Fee 10.0) Each Trap 8 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO.SUBDIVISIONNrNAME LL0 12J PARCEL MAP �3 Water piping 5.00 5.00 1 Each qas water heater or vent 5.00 USE dF STRUCTURE SF ET Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New[�X Addition Remodel❑ Utilitie Installation❑ Other ❑ Describe work: Master#� � — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 IQ 00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full ice and effect. License No. lG12'25'� Classification �s �� ❑ 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 oa ADDNST (DACCELING LBLDGOCS. P') 2'/2¢sgft48.75.I NEW CONSTR ULT' -OUTLET NON-. BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 0050C - 2AL930 aAL®30 EX. DCCUp. OUTLETS FIXED P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ he permit is for $100.00 (valuation) or less. IRr I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 50,000 6.00 DUAL PACK Cooling 2T 6. OC Hood 3.00 3.00 Ventilation 2 3.00 6.00 permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, cosV, and expenses which may in any way accrue against aid C my in c nse ence of the granting of this permit. A14_3, .�� X Date Signature of Applicant — wner Contractor ❑ Agent ❑ An OSHA permit is required for excavation v and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 c cgNST TY E U A TOTAL $ 549.75 L FEE HAz CUA r PARK FE PAR / i/ HD su This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERM XPIRES Date the applicable provi- resolutions to do have been paid.. WORKS Date Receipt No. 70.00-64288// WNITE•D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s.i:�P,. . r v♦v-.�+' ,,.•Y7.`U .rl .'id'y ••--r.'ti'..s-+"nwY.-.r h.,i,l�.� ,'a- r COUNTY OF BUTTE - DEPARTMENT DF.P BLIC WORKS - BUILDING DIVISION , Ii. - ° t 7 COUNTY CENTER R IVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER L�rA. P. No. 36-61- /1-' Proposed Building Use Zt*40 S - Building Inspector .dw Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .. ✓>,.�.-,� Fees of $ . .................._-�k I 11. Chico Urban Area e6 - paid ....................................... -12. Park fees paid ............................................... . ....... t,L.Schof D' trict fees paid ............. . 4. Sanitation approval from LHealth Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ; 8 Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.requ stt Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . . Wps 4. Recorded copy of Agricultural Acknowledgment Statement ......... .,�5. Letter of signature authorj�,ation .,.. ... _ _ _ ............... . 27. When you issue the permit, process as follows: Mail to owner. - Telephone Z— and hold for pigkup at office. Other Mail to contractor. _Deliver w/inspector. Applicant Date SFII� Copy of Haz-Mat fo/rr/h scent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit is u ce: (Circlew ite t checked ov ). 1, Index permit for above items No. A0AX 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date I Plans approved by �-S Date o23 Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP Driveway permit 1715—%J E si ature has been issued for the above property. date I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro4ille, California 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT PERMIT NO. - ASSESSOR PARCEL NUMBE ' ltJ I ZONING 4K BUILDING PERMIT OWNER TELEP ONE S0. FT. OCC. BUILDING VALUATION OWNER's MAILING ADDRESS ,/ CON TR CTOR'S NAME A TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUGTION LEND oC >.�•v(J L'��1 U UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee S Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S Ire Penalty $ BUILDING ADDRESS (/�, G/► y01 / �� Permit tee 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ® Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each aas water heater or vent 5,00 USE OF STRUCTURE SFP Duplex❑ Mobilehomel❑ - Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G w 0.00 ea TYPE OF WORK NewAl Addition FJ Remo el ❑ Utilities ❑ Inst Ilation❑ Other ❑ Descri a work• S%� / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 600v OR LfsS 100 AMP OR LESS 1 10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de and my license is in full t e 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 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLINGoCCUP.p, OR ADDNS. ( ACC. BLOGS. , h2Sg ft NEW CONSTR. UL LOUT LET NO11412– 1D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS oR FIXTURES Izo@,oe e AL@ 30c FIXED APLNS Ex. Oddup. OU LETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for S100.00 (valuation) or less. 1- i have placed on file with the County of Butte Building Department �o fI[[a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. taws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee S 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 sat Court lirrconsequence the granting of this permit. (� X Date '7i^ �7© Signature of Applicant - Owner ` Contractor J Agent Cj An OSHA permit is reouired for ezc 'a tions over S'0" deep and demolltlon or construct. .on of structures over 3 stories 1n h ght. Mobile Home Installation Fee S Energy Inspection Fee S occ cogs= Tv°=_---�—/' =7-- (TOTAL FEE S X77 HAz CUA PARK SCHL i FLO I F -A I FD 1 HD , ISSUE T� c permit Is hereby Issueo unaer sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date _-J f '� Receipt No. 20 - WHITE-D.•.W.. YELLOW-ASSESSo• .. NSPEc-o•, G0LDE)0-ACPL1CAvT PERMIT NO: 102-90 Lake Oroville .Area Public Utility District 1960 Elfin Stre.t OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION, BUILDING SEWERS This. verification. form must be submitted to the. Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, Whichever is applicable. Prior to final approval by Butte County of -a Building or an Occupancy Permit, a copy . of this verification form, signed off by Lake OToville Area Public Utility District, must be submitted to Butte County. Date: August 9, 1990 Applicant: G. W. Deadmond (Western . Sierra Constr. ) Applicant Address: 1314 Sunset Avenue, Chico, CA 95926 Applicant Phone No.. 345-9917 Property Location (s): Loma Vista Copley Acres Subd. I, Lot 10 A. P. No. (s): Fees due: 36-61-37 $300.00 LOAPUD Connection.Fee.& $900-.00 SC-P�eional Facility C Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: Lake Oroville Area Public- Utility District release to close permit: Date: By: r A. P. BUTTE COUNTY SCHOOLS'DtVEL'OPMENT FEE CERTIFICATION FORM (One Form per Building) Number - l •-7� .7 Building Department No. School District - E — City County "� � Jurisdiction Property -Owner Project Location/Addresses Subdivision��%j�y . ,n(' (�cS �Lot Number fn Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Iridustriall•: a Sq. Footage +'�✓�• New. . - , Addition , ( Including Exterior f' f,0`/Roofed A' ,e S) zi, /% �/, 4 Buildi • Departme presentative D to ******************************************************************* (Floor Plans reviewed by School District�Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number) (Street Address) bOc4WIGCa_ 9� We (City) (State) (Zip Code) has complied with ' the requirements of Resolution N674) o.7 -%O -Olo by the payment of$ 2�`9,i�� representing square feet. School District Rdpresentative Date PAID BY CHECK NO. BANK ' NO 9D PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 5/89 RESIDENTIAL PLAN CHECKING GUIDE S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER DP/ G� A.P. # �'„ 3 ' Ore GENERAL 4- Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans.signed by designer. 4. Energy Design,and Compliance. Existing violations on property. 611 Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage.,. Flood hazard. • Special conditions on. creation map or compliance document.. 1-7FAU & FAS road setback. INKATA&MP21n111 Complete to scale plan with dimensions. , equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). /�&equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. !Locations of water heater, cooling equipme other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. P. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS PF oundation plan complete enough to construct building. loor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). 3�Brick or stone veneer (Ghapter.30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE" MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) R.nderfloor terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). of covering type - (fire hazard). fter ties or bearing ridge beam. rage door or porch header sizes. equate bracing. ving area over garage - complete 1 -hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation .(Sec. 3205). access and ventilation (Sec. 2516). Z.�_Combustion air for fuel burning appliances. . Noise requirements on duplexes. Adobe soils - special foundation design. . Retaining walls requiring design. 1usual shape, size, or split level house requiring lateral design. . Flashing at all exterior openings. 6.0 itris set of plans and spectficaticins'AALIST 44�- mot nn the job at all timas and it"is unlawful .to tap ;J oration&-Qa—wrn.e without! ov.:miiisson from the Department of Mok II ..o V. r .ks, County of bull®. II S" UMU Proc.-Nicesash Cox � P - L" "ge I a % U1,60,r". Nuvn�lira:g & (�&" MW q�hoaclMe-ah""i Qsakiw CM6. RN. Wdam -eock r6c Ok5 B'(1 '8'66 9015 res �O I O'k $S�ONW A��e \ea IV -A ,,Oge k�0,1\ \\\Oe e ' 9 �N - Sha Ge -I\ vp �P Ok 'w\e eo�' Ne 01 i!!J OA e -I\ e'- ,\36 0"0 L IA Ik Lt--) LIV�- WAj I A/ c2o 35 L) ,qO 3-21 AU{ A 07F&F- 0-2r, See FAcister I)IGn --oans. —*93 'H 9a-52419 Return to DPW (� l 3 2--2-9 AGRICULTURAL," STATE11,04T OF ACKNOWLEDGENT FOR ' ESIDENTIAL DEVELOPH&NT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior. to..issuance .of a building permit..___ The property described herein is adjacent 90-052419 Rec -Fee to. land or included within an area zoned I Check for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 9 ;lam-Uec-90 I S.00 S.00 XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents withi`h said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property 'situate in the County of Butte, State of California, described as follows: Lot 10, as shown on that certain Map entitled, "COPLEY ACRES SUBDIVISION", which•Map was recorded in the Office of the Recorder of the County of Butte, State.of California, on August 1, 1963,.in Book 30 of Maps, at pages 38, 39 and '40. 036-61-37 Date: Dec. 5, 1990 PROPERTY OWNI ERS : G. W. Deadmond State of Calif. ) On this the 5th day of December 1990 , before me, the ) SS. undersigned Votary Public, personally appeared County of Butte ) G. W. Deadmond ........................ e e°•°v-� ,, OFFICIAL SEAL - -- - ? W. J. GOLLING Personally known to me. �Proved to me on ° m NOTARY PUBLIC — CALIFORNIA ° PRINCIPAL OFFICE IN : Of satisfactory BUTTE COUNTY ;to be the person(s) whose name(s) is 28 1992 the basis evidence. My Commission Expires August_.....subscribed to the within instrument and cknowledged that he �"'°'°'°"'°"" °"""'°°°`.°.°.°° executed the same for the purposes t r n contained. IN WITNESS WHEREOF, I hereunto set my hand and f tial seal. Present A.P. No-1 Fz .r -- "Notary Public EN® OF DOCUMENT �E FuB�aUry�R�s o � yb� ®E