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HomeMy WebLinkAbout079-130-023TEDSAU 55 Loma Vista, Oroville I3 C F,ontr.: Ernie. Reynolds.. �` 3 Pirmit 4*2826-78B(rshuild chimney Afireplace) SF ; At Permit#2490-81P(sewer line inst) SF A OBY, Richard 2771B / 03f::.6@•025 02-0576 - - .H.Vent-2414P 2180P +/ ESAU, Theodore & Merrilee INALED Drive, Orovill 2986E 1j"Iixi 55 Loma Vista Cont: Harrel Wilson Lot 20, Copley Acres, Oroville Add Living Room/SF CONTR: New Trend Corp., Rt. 3, Box 380LFA,Oro. Wle family` 3 �3 0 NOTES i . r I RESIDENTIAL ✓' �� 036-620-023 02-0576 PERMIT NO. _ ESAU, 'liiieodore & Merrilee 55'Loma Vista Drive, 0 r o v i I I e Cont: Harrel Wilson Add Living Room/SF i< i II SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r JOB FINALED Signature CHECKED BY ./= OK 0 = Not OK = Not Applicable = Not Ready Date RESIDENTIAL (E Date Ext. Steps -Door & Sidelight Protection -Landings Underfloor (Plans) OK except #'s Smoke Detector 1�4oqing-Setbacks-Easements-Flood-Slope Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth G.F.I. & Bath Fixtures & Tub Access -Spa 3. tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 69. 4. 7. ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stemwalls, Main; Steel -Blackouts -Wrapped St walls, Garage; Steel- 8lockouts-Wrapped Hold Downs and Special Anchors Slab, Steel -Wrapped Fireplace or Stove, Clearance -Hearth 8. Piers -Fireplace Ftg.-Steel 72. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Elec. Outlets & Receptacles at Kit. Counter 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 75. 11. Water Pipe; Test -Anchors -Regulator -Service Test Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 12. Electric Underground 78. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Insulation -Foam -Looked in Attic 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 81. 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. _ Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date CHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 3 . Vent Fan, Exhaust above insulation 7. 38. 39. Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s S' Pro er aterials & Anchors 41713S,aring St s -Nailing Spacing & Braces -Plates -Sound Waveover Girders & Floor Nailing Dr n Walls (rat proof) F' Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearino jingle & Duple Date. -'/FRAMING (Continued) 6. a ers-Post Caps -Anchors -Connectors g. Joist-Rttr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. fireplace Ties or Type A Flue -Fireplace Throat Clearance Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 015 m. yvinclowsor Exiting Doors -Sill Ht. & Dimensions 1 Gar a Fire Protection Framing 2. operty Line Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits tairslWidth-Headroom-Rise-Run-Landino-Fire Protection .d5. ywood on Roof Overhang -Attic Vents -Rafter Outriggers S' ' ailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Shear Walls: Nailim Wall Panels Date 134Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes Q:/Walks ] Yes 0 No/Planters 0 Yes No ucco Brown -Finish i 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openilgs 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Correctio s fr revious Inspections ases - eters Tagged, Gas -Electric rte_ 92. Wa er & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK 0 = Not OK - =Not Applicable * = Not Ready MOBILE HOMES Date. MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION # DEPARTMENT OF DEVELOPMENT SERVICES it 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 A CORRECTION NOTICE 2— R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is cbmplele3K If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. 0 i f Date Z Z. Inspector REV 10/92 /�'' C014TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 4y10 _ (� E T ►Lo. (Rev. 12/96) - APPLICATION AND PERMIT pp[[ /(© ASSESSOR ' - DD ZONING BUILDINGPERMIT o ER PAC�O�e�P a- Er <<ee ES�u--51541-11Y TELEPHONE 7246 SO. FT. OCC. BUILDING VALUATION R8 .0 OW ERs o�Dl U fa� br ©rovdle,e# 9596G Cont. 1,000.00 CONT CTOR'S NAME A TELEPHONE Qom` .! 7 CO RACTOWS MAILING ADDRESS i/ L� 5 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $14.284. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 109,30 BUILDINGAD E� ' D 1) L e r 5 I ` G Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ 310,30 LOTNO.go I SUBDNIsIONSNAME %% / PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 US_EOFVTRUCTURE SF )q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition °til Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 7� y R610`hi Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S I G I W Ca20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 OOOV0LESS Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. Date 3-9- n z bnature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOooA 46.00 NEW CONST. OWEWNG OOCUP. s0 OR ADDNS. ( 8 ACC. S.3.50FT. 8.61 NDµgoSID. T. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FocruREs SAL @ .50 UNS Ex. Occup. OFlxurLEEDrsA a ORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 2$,61 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee 446. 00 occ CONST. TYPE TOT L FEE $454. , HAZ. D F IMP O D CDrl PAR PD HD 5 E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. to i 4- /� �� Dela ReceiptNo. oa WHITE-D.D.S.-B.D. CANA -A SESSO PINK -INSPECTOR GOLDENR D•APPLIC T r t�ipgr�v,: .;.�4 : �a:.. ... F : .. -. ..�,f+ :l:r+l�'T'. s•�;v-s- �-; r•-r--l.r ..,o,. --.i _h.*.- �. st`-_.. 1\ ",,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: AeUddre OAdt'%llee 6-5�a44. ASSESSOR PARCEL NUMBERLOJ 6 00✓ -600 Proposed Building Use: ral M PrJ-A Counter Technician: 1 Date: ✓—, o� Items required in order to a ply for a permit. All boxes MUST be checked OR marked NA in order to apply. 4*.. Plot plans( !3 or 4 sets, signed by the preparer of the plans. . Complete plansQ3 or 4 sets, signed by the preparer of the plans. • { Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. t Engineered truss details and layouts in duplicate. No faxes! 3 Energy compliance design and supporting documentation in duplicate. ( Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or - yy foundation plans, all in duplicate. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floorplags'in triplicate. All of these must be stamped and wet -sib the engineer. Itims required for initial plan review. If checked items have not been received, plan review cannot proceed. indexed and returned to the plan review line-up when required items are received. �j�\ Date Received ❑ 8. Flood Elevation Certificate,' wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....:.................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 1 ❑ 12. Hazardous Material Form............`..............:..:.................t ......................... ❑ 13. Other The permit will be ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) *4.,, s as shown on the attached Schedule of Fees Due Sheet...........67 ...'.. !.. f • ............ Statement of Intent for Non -heated and A/C Buildings...........................Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit .......................... ....................I 0 Of19�(M. California Department of Forestry (plan approval (d paid Sent by: l .....'�............ . Planning approval for (A) Use: 01. (B)Parking: / ' (C) Parcel Check: 2-sil X2.1—d2 ❑ 20. Contact Land Development about ❑,Improvements, +0 Drainage ............................... Of 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4 ❑ 24. Worker's Compensation Carrier and Policy Number .............. :........... ................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .................... ❑ 26. Letter of Signature authorization ............................................ :.......... .............. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ............................................. 3 ...........K. 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1. Other: _ ,�A4 en issued Telephone and hold for pickup. I have been infor ed of the above items and re irements for obtaining a building permit. Applican . }L , Date:/-- 3 �� d LM 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by V Aone ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve ata by ❑ p one, ❑ mail, ❑ counter -by Date: Plans reviewed by: M1 Date: -14I bZ Plans approved by: Date:01/11.6 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division School District A.P. Number Property Owner Property Location/ BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) lU l i' { Building Department No. r, Subdivision Lot No. Residential Development .............................................................:................................:................; Sq Footage 9 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ....................................................................................................... '(No foundation inspection): Commercial/Industrial Sq. Footage New Addition (Including Exterior RoofedAreas) Building Department Representative Date %river runs reviewea oy acnooi uistnct rersonneq District Identification No. ti yi[2z School District certifies that J4/t (Applicant) (Street Address) (City) has complied with the requirements of Resolution Nom representing Q square feet. School District Representative Paid by Check # Remarks: (Phone Number) (Zip Code) t by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest.to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form; the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject,to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (budding department), Pink (school district) feeform.As (10/98)dmm C.�;vlgka_ 036-620-023-0 i� SERVICE ADDRESS: 55 LOMA VISTA DR [� 01/01 03/31 0 2002 2002 U. (n cn Z Sewer- Ser -vice cn U Q Q Z 0 Total - --------> ESA0001 036-620-023-0 IESA0001 SERV;CE ADDRESS: 55 LOMA VISTA DR AMOUNT 03/21 a . • 2002 39.30 39.30 THEODORE R ESAU 55 LOMA VISTA DR OROVILLE CA 95966 �. 39.30 LAK E I OROVILLE 1960 ELGIN ST. OROVILLE, CA 95966 L.O.A. P.U.D. 1960 ELGIN ST. PRESORTED — ��vueLIC UTILITY (530) 533-2000 OROVILLE, CA 95966 PIRST CLABS 6fAIL U.S. Postage Pl-d DISTRICT TEMP RETURN SERVICE REQUESTED (530) 533-2000 ORO`ALLE.C4 Pe^`IIT N0.25o _ LARCEL NUMBER CUSTOMER NUf.1SEP PARCEL NUMBER RETURN THIS STUB CUSTO`1ER NUM3ER I 036-620-023-0 i� SERVICE ADDRESS: 55 LOMA VISTA DR [� 01/01 03/31 0 2002 2002 U. (n cn Z Sewer- Ser -vice cn U Q Q Z 0 Total - --------> ESA0001 036-620-023-0 IESA0001 SERV;CE ADDRESS: 55 LOMA VISTA DR AMOUNT 03/21 a . • 2002 39.30 39.30 THEODORE R ESAU 55 LOMA VISTA DR OROVILLE CA 95966 �. 39.30 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 0v 'fication is received.. 1. personally plan to provide the major labor and materials for construction of the proposed property improvement : YES 11 NO ❑ 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: PHONE: 4. I plan to provide portion supervise, and provide the NAINJ E: ADDRESS: PHONNE: CITY: CONTRACTOR'S LICENSE NO. this work, but I have hired the follo person to coordinate, tocwork: CO 'S LICENSE NO. 5. I will provide some of th=DRESS' ave contracted`, i the work indicated: \\ NAME PHONE the following persons to provide TYPE OF WORK SIGNED: PROPERTYOWNE SOCIAL, ECURITY NUMBER: DATE:., — NOTE. This Owner -Builder Verification is required by Section 19831. and 198.31 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. OWNER BUILDER INFORiMATION I 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-buildee, 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). -For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. / A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying,that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contactors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, �Cu�� Vi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of tine Californla Health and Safety Code. Insulation Certificate BUILDING OWNER: ESAL),_ BUILDING PERrIIT # : 02- -- S� J BUILDING LOCATION: 5 � COv� v V (L- L- A Ct- V J L"so.._I Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) c<CE1LING f Batt or Blanket Type Brand Name Thickness (inches) 1 Z Thermal Resistance. -(R -Value) Loose Fill Type Brand Name Contractor's minimum installed weighdit lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material �l-T'i Brand Name �o ��.1 iviA�rS �IELb Thickness (inches) 3 Thermal Resistance (R -Value) i2 13 RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) ;ermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Califomia dminis alive Code. 3 / �� Ge r C naactor uilderj License Number �� 2 O Z Signature and Title Date d Sub Contractor (Insulation InstaUer) License Number, Signature and Title Dace THIS CERTIFICATE MUST .BE PROVIDED TO THE .BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 �2- f ^w w f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 1 BUILDING Owner SQ. FT, OCC. BUILDING VALUATION �r.�• 1 .�I — , T e l� Mailing Address Telephone No. Contractor ,, +,•�� 1 ,�.„� ri, Mailing Address � 0 t�) � .-�- /:�G.'1f. Fireplace Total Valuation - ( / C'• r ( Lt. Telephone No. c, , d- r; Permit Fee, r^C� Building Address C ' �� ^� i% 7� _ - Plan Checking Fee&/or Penalty Permit Fee - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ Repair drainage or vent piping 1.50 _ A. P. NO. j Zoning & Planning Water piping 1.50 Each gas water heater or vent 1,50 Fees W.C. Sanitation. Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans'Rec'd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•QO � Single Family Duplex ❑ Mobil Home ❑ Others ❑ • Main service EA. ADD'L 100 AMP 2.50 ' J # ER 600V 7 0 AMP OR LESS 25.00 Main service 1 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.// DWELLING OC cup, h OR ADONS, ( ACC. BLOGS. 22sgft 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: / /��. / iL%�i���, t�.-��t, �.t �'✓-� NEW RESID, / BRANCH TLET NEW CO ID ` BRANCH CIRCUITS) 2.50ea CIRCUITS) NEW CONSTR. (POWER APPARATUS a NON-RESI D. SINGLE OUTLET CIR. Ex. OCCUQ(OUTLETS OR FIXTIIPES g L1@ APPLN S.OR Ex. Occup. (OUTLETS OUTLETS (RSI D,) EA 2.00 Temporary service 10.00 ��. Mobile Home Facilities 15.00 r,_ O License No. � Classification � +� --� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ 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. 0 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Land Development Fee $ TOTAL PERMIT FEE $ C aurnorize represenrar)ves or me uounry or tsurre ro enter upon me above-mentioned property for inspection purposes. r X -- Date ' Signature of Permitee or Agent Receipt No. J 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 which fees have been paid. DIRECTOR`OF PUBLIC WORKS gy/ �.�. - Date i 1 Building permit expires Date ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive :W OroW le, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abov m ntio d;�'erty for inspection purposes. Date Signature Permitee or Agent Receipt No. ?7 7 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 which fees have been pigid. iexpiRresDateK;_-aA PUBLICRK e Building permit BUILDING Owner v SQ. FT. OCC. BUILDING VALUATION r0© Mai I i ng Address Telephone No. Contractor Mailing Address Q L/T� Fireplace Total Valuation G Telephone No. Permit Fee p Building Address"mss o/yt �� �. Plan Checking Fee &/or Penalty Permit Fee 6,p"'- �i PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each TraD 1.50 V, Z,— Repair drainage or vent piping 1.50 A. P. No. 3 (9 �' (� a —� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fps I VV. Sa44a4GF6 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BWg-Warrr-R *d Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ OtheriW Main service EA. ADD'L 100 AMP 2.50 t r 4 ` / iiAl , OVER 600V Main service 100 AMP OR LESS 25•00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( ACCLBLOGS.LING CCUP. !) 20sgft 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: '� _ NEW T NEW CONS RES MULTI -OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. QCCUD(OUTLETS OR FIXTURES g L Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,,'/ -.C- © °Z Classification . Misc. Wiring 6.25 ❑ I. 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 W kmen's Compensation. 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 Land Development Fee $ TOTAL PERMIT FEE $ 6 authorize representatives of the County of Butte to enter upon the abov m ntio d;�'erty for inspection purposes. Date Signature Permitee or Agent Receipt No. ?7 7 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 which fees have been pigid. iexpiRresDateK;_-aA PUBLICRK e Building permit COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT PERMIT NO. ASSESSO AR9 NUMBER —foz ZONING BUILDING PERMIT OWNER T�LEpHON SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDqE5$ /�57?9 ,575 ox/ CIR CT 'S AME 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 $ BUILDI NfiA p�R ESS / ��/S,T� �,/� �j/� //�✓✓// �(� V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping Water piping 5.00 / �– QfGv `(�l//L_ 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 6.0 L9 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ nstallation❑ Other Describe work: �2-6— �A) S??7Z_&An0V Permit Fee 1,510 21) ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR OR L 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N\ OR ADDNS. ACC. BLDGS. / 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- 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 NEWCONSTR I-OULET 2,50 ea NON .RESID. BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS Q NON-RESID, (SINGLE OUTLET CIR. / EX. OCCUp OUTLETS OR FIXTURES 50 BAL01 00 IXED APPLNS, OR EX. QCCUp.�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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling 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 said Co my in ns e ce of the granting of this permit. X \ i Oyt_ Date / -' 8 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 $ Z7 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssue Thi rmit is hereby issued under si s f the Butte County Code and/or Ork is d bove for which CTOR OF PUBLIC P RMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �i Date / �Z �/ Receipt No. ✓3 / / 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE : Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan.to provide the major labor and mate ials for construction of the proposed property improvement (yes or no) < 2. I (have/have not) /W signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction,: , A Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, 'and provide the major work: Name Address Phone Contractors License No. City 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name n r Address Phone Type of Work /V r Signed: Ip Property Owner �• Social Security number ( Date . 2 - _Y 1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 10�' North Burbank Public Utility District 1960 Elgin Street OROVILLE. CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533-2000 62-81 This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit,- whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: THEODORE R. ESAU Applicant Address: 55 LOMA VISTA DRIVE, OROVILLE, CA 95965----@ Applicant Phone No.: 534-1149 Property Location (s): 55 LOMA VISTA DRIVE A. P. No. (s): Fees Paid: COPLEY ACRES - LOT 20 036-62-0-023-0 ALL FEES PAID. Application for service approved: JUNE 26, 1981 0 ' North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: Lfi