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HomeMy WebLinkAbout079-140-007t.. l TOM ROGERS Gh�� �/ , � �� 60 Fairhii br,(lot 40 Co lie_ J � Oroville ° P Y Acres, , Permit##792-83B,P;E,M(new single `92-2848B .' BUMGARDNER,'Frank 60 Fairhill Dr, Oroville. contr: L & M Const vinyl .siding/sf S / �f7 g3 PERM#95-0338 BUMGARDNER, Frank & Rose,Mary h 60 Fairhill Dr., Oroville l Lawn sprinklers/SF I�� 197 l r -- .. 05-0973 t BUMGARDNER, ROSE 60 FAIRHILL DR; OROVILLE CONT: ALLADiN ROOFING REROOF 22 SQ �® I o -ti PERMIT NO. 1792-83B.P_E M PERMIT EXPIRES OWNER TOM ROGERS CONTR. owner ASSESSOR PARCEL 36-63-07 LOCATION 60 Fairhill Dr, lot 40, Copley _ Acres, ORoville OFFICE COPY Address Zoo GAS �� Ak' , Meter-By'<��2`'-�^�- Dat r. ELECTRIC Meter By Date � Temp. rower roie Called PG&E Temp. Elec. Service U _ �- - k� Called PG&E bi Temp. Gas Service Called PG&E JOB FINALED (Date)-,//- Signature Date)I/-Signature j) V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING Continued 1. oning requirements -Setback -Easements P operty Line Firewall & Openings 1P!Ftg., Main; Soils -S - d.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg. arage; Soils- aA /" Ftg. Depth 5Gr-TB rT-, Width-"eadroom-Rise-Run-Landing-Fire Protection 4 g., -Steel- / /" Ftg. PH th wood on Roof Overhang -Attic Vents -Rafter Outriggers mwalls,-Main; Steel-Blockouts-WrappediREE Siding -Nailing -Veneer V,&ttmwalls, Garage; Steel-Blockouts-Wrapped a. sh-Drip Screed-Fdn. Vents-Underflr. Access 7 iers-Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -T t-2 way C/0 -Sewer Test tis -Nailing -Bolts 9. as Pipe; Size -Anchors 10 Water Pipe; Test -Anchors -Regulator -Service Test 11.14Electric; Underground 12.nPlenums & Ducts; Clearance -Material -Support -Ins. 13.,eGirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI , Date Card -BI Date Date FINAL P - OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s xt. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air urnace; Vents -Clearance -Com - onnector- �;. bove Floor -Ducts -Meth. Protection W Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs &Anchors -Nail Protection . Bedroom Exiting 1 er Pan; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access s ub Shower, 2nd Floor -Tub Access qi,Trim & Subpanel; Breaker Sizes -Labels - 1 Gas Pipe; Size &Anchors 62 c...:-_ a r._ _ _ — 3. Fireplace or Stove; Clearances -Hearth SID01L c. Outat Wood Panel; Int. &Ext. Card -BI Daten*�Card-81 Date.06 fiance;Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s age Fire Door; Swing -Landing -Closer , - --- �rzture & Transformer Clearance -Ins. Protection tr. Htr.; oveClearance-Co itCon c .R.V.- in Len Floor-Meth. Protection _ E c. Receptacles Spacing -Lights & Switches at Doors 70-,'15-1b., Elec. & Mech. Equip. Listed for Location ze Boxes & No. of Conductors -Stapled 7eceptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 anon -Foam -Looked in Attic - 2 Appliance Circuits in Kitchen & Conductor Size 7Z. r_ur„t Rails 4 Qa k Construction -Post Caps _ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 1 ulated Neutral ❑Yes []No 75. Following instld.: Drive E3 No; Walks s ❑ No; Planters El Yes _ _ S vice -Riser Conductors & Ground -Main Disconnect 76 Sttleee, Brea+nom' - W Equip. Clearances; Panels-Motors-Mech. Equip. 7 nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - _ es ose Light -Shower Light _ s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- Card B -I Card B -I --- -----. Date -BI Date Date t/-- Card BI Date 79. Weltv ct, Electrical, Plumbing xterior lec. Trim; G.F.I. Receptacle -Underground ntila ' -throughout House 821GTss Pr ction Date MEC ICAL (Permit) OK except #'s 83 _ orrectioi, from Previous Inspections 8 s Test -Meters Tagged; Gas -Electric _ A. Ducts; Insulation & Support ..3i -Vent __F_an; Exhaust above Insulation _ er & Connected -C/O to Grade -HD Approval iance CeIrktifNica�te-Othe5r Certificates rtificat rgY compliance - — —3 on ensa a ain & Overilow; Size & Grade?W-c.34 Zes .� nt;Access-Comb. Air -Return Air Vent -115V outlet 3cess & Platform if Furnace in Attic Card -BI Card -BI Date _ Date �r ---- `-� _ �_ r _Card -B I_ Date Date Card -BI Date FR G(Plans) OK except #'s C = and -BI Date I to Card -BI Date Card -BI Date Card -BI Date Comments at Final: _ ills; Proper Material & Anchors _ _ Plates -Sound Studs -Nailing, Spacing & Bracing-_ Walls over Girders &Floor Nailing_- - 3 top .in Walls (rat proof) 40. Fire Stops; Furred Ceilings. 6aoeS--Twb— eader & Beam -Size & Bearing Uaygers-Post Caps -Anchors -Connectors -- - 44 . Joist-Rftr. Ties-Purli oof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type Iue-Fireplace Throat le tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles m. Windows or Exiting Doors -Sill Hgt. & Dimensions-- Garage Fire Protection Framing _-- (NOTE: An entry must be made each time youvisit jobsite) A.1 J, = O K �r 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date ' DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiorr-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Garage J BESS IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTIQN COMPLIANCE CERTIFICATE THIS IS TO CERTIFY -THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT ..hisl� n —m-Pn^ , Oroville (location) BUII.DINC PERMIT N0. / ��� ✓Q31 A. P. N0. l THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: CLAZING: Slab Edge. 6C-& Single Glazed 11,q-IdX l � CT FG 3iz ' R-1 ]Special ( Insulated)_ Floorsfoam 1" R-4 CERT. & LABELED WDS. �. ExtWalls CT/FG 31-2" R-11 & SLIDING DRS. �f Ceiling/RoorT FG 6" i`EATIIL•'RSTRIPPED DRS. _ Ducts -19 BACK DAMPERLD FANS Circulating Pipes- ' INTERMITTENT IGNITION DICES APPROVED HEATER CERT. APPLIANCES J APPROVED IJTRjrfR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. ' Insulation Applicator Name ZpAina Insulation Co Inc. Signature of (please Dri Insulation Applicatoz,,Q2 C * State LuntraCL'urb License No. 378407 General Contractor/Owner Name (please print) Signature of General Contractor/OwnerV���..494mtDate���%�'Z to Contractors License No.2- 37G� THIS CERTIFICATE M1MT`4$ . ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SIiALL BE POSTED IN A CONSPICUOUS LOCATION WrrH1N Tllr L44ELLINC. COUNTY 0V BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. � 1L�vi i 2t6 4'0 -di � G l ou � r�•t � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California195965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. _ f`1 O�/ ASS OR P EL NUMBER �p—� .-Q ZONING BUILDING PERMIT o UFJ3TELEPHONE SQ. FT OCC. BUILDING ALUAT N 5 *V'00 OWNER'S M/AILING ADDRESS as //r^ Q CQ,g1.Z�p OR'S N E l~ ^r7 //C 'lJ��� ✓ O do te11 C TRAC/ATORe'�tM-AILI/NG ADDRESS_ / 11/6 P��V G///7 l �[ - �V �C.(�(� (/`-/- Fireplace OC�U� Ov C NSTRUCT r Total Valuation $� r�0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ILf �® �' Permit Fee $ - r ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ /2,3;7 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3XI, 7 (II# '[/1. /C/- U e i,/ B U I IR D N G A D D �,S/ ^ Pei PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 // . c O Solar Water Heater 20.00 p� OC -PJ /Lt Water piping 5.00j -I Op LOT O. I SUBDIVISION NAME /� �%�GC_ A(- PARCEL MAP 7%S Each qas water heater or .vent 5.00 5, 00 Gas piping system 1 - 5 outlets 5.00 SrdO �/ USE OF STRUCTURE SF L✓J Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 S,pi> Mobile Home S G W H!! TYPE OF WORK New �ddition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ SBU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.0'" Main service EA. ADD'L 100 AMP 2:50 NEW OR ADDNST ACCLBLDGS.0 21/20sgft _O CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in full f e and effect. � � 6 � License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.. TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC IT " NEW CONSTR POWER APPARATUS @) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20®SOS A. P�o OR FIXTURES BAL®30 IXEDTs Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANI AL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T e permit is for $100.00 (valuation) or less. II 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 '000 --DUAL PAK- Cooling Z� •00 Hood 3.00 �cu'O Ventilation permit Fee $ 25 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ' County in nsequence of the granting of this permits p� X Date /'gyp � Signature of Applicant — 2 .r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP '� TYPE DF CONST. 'v�� JF� PARC PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECIPR OF PUBLIC BY P - IT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS pJ I- Receipt No. �t�D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT OFFICIAL. 4Et:4f.{::' Section 26-8.i of the Butte County Code requires this acknowledgement � F tJC}tiCS Pf.00I `•BTU... be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included - IN 15-1i)s AM 19B3 within an area zoned for agricultural purposes, and residents of L E 49UR M Vic. L t=•. -� this property may be subject to inconveniences or discomfort arising CLERK `RE OROC�i from the use of agricultural chemicals, including, but not limited to herbicides, `FEE` pesticides, and fertilizers; and from the pursuit of agricultural operat-ions including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally 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 within 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 40, 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. Date:June 13, 1983 State of California County of Butte PROPERTY OWNERS: omas J. Rog rs On this the 13th day of June , 19 83 SS. before me, the undersigned Notary Public, personally appeared Thomas J. Rogers Present A.P. NO. known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the'same for the purposes therein contained. IN WITNESS [dl�REOF reunto my d and official seal. Notary,Public I' OFFICIAL SEAL JOYCE A. LONG W 3�`' NOTARY PU?1_IC - CALIFORNIA NRINCIFAL OFFICE IN "�'�'�� • MY COMM:SS:CN BUTTE COUNTY EXPIRES MARCH 6, 1985 Present A.P. NO. known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the'same for the purposes therein contained. IN WITNESS [dl�REOF reunto my d and official seal. Notary,Public u Lc v.J u`�j S LCJ I � Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 71-82 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 North Burbank Public Utility District, must be submitted to Butte County. Applicant: TOM ROGERS Applicant Address: 90 Pinedale Court, Oroville, CA 95965 Applicant Phone No.: 533-6088 Property Location (s): rhill Drive Copley Acres - Lot 40 A. P. No. (s): 036-63-0-007-0 Fees Paid: $200.00 Annexation Fee, $35.00 Connection Fee and $900.00 SC -OR Rcility Charge unpaid as of 11/30/82. Application for service approved: November 30, 1982 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank'Public Utility District release to close permit: Date: By: RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX,•& MISC. ONLY) Bldg. A.P. A. GENERAL Zoning requirements (sideyards and parking). luation. gnature by R.C.E. or Architect (if required). B:. PLOT PLAN 1/ Complete parcel size and dimensions. Setbacks, sideyards, easements; etc. 15� Other buildings or structures. Grading, fills, drainage. Permit # /712-83 # 3U - A R C. FLOOR PLAN ,O::" Romp lete to scale plan with dimensions. �7! equired windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). -Allowable glazing for energy requirements (20% max. per State law). Human. impact glass (Sec. 5406). ,Required room sizes, ceiling heights (Sec. 1407). J/ G.F.C.I.'s 'in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. . Locations of water heater, heating & cooling equipment, other electrical or gas ` , equipment, and plumbing 'fixtures. 1 Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). .replace location. l Smoke detectors (Sec. 1413). 'D; .'ST CTURAL DETAILS . Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Vol Elevations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. Su construction details and calcs if over one-story in height. 6 / Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). 0"guardrail details (Sec. 1716). G� rick or stone veneer (Chapter 30). terior plaster - weep screeds (Sea. 4706 & 4708). 6 Proper roof pitch for roof covering (Chapter 32). �.�iG after ties or bearing ridge beam. rage door or porch header sizes. dequate bracing. • ''ving area over garage.- complete l -hour separation required including supporting walls and posts; etc. 1 Two (2) exits on three-story dwellings (Sec. 3302). BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 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 t� a -. Llcense Class : 3 ! License Numb er:.) - � Dale: Contractor: VCLin, 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees wllh wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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 I have and will maintain workers' compensation Insurance, as / requtred.by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurancecarrierand policy number are: I Carrier: 1 Xe Policy It: / 12 / 7— r PERMIT NO. BPOS0973 Issued Date: 04/15/2005 APN: 036-630-007-000 Site Address: 60 FAIRHILL DR ORO Map Index: Description: REROOF W/COMP& TORCHDOWN (22) Owner: BUMGARDNER ROSE MARY LIVING TRUST BUMGARDNER ROSE MARY TRUSTEE 60 FAIRHILL DRIVE OROVILLE, CA 95966 Applicant: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 Contractor: ALLADIN ROOFING P O BOX 4262 OROVILLE, CA 95965 (530) 533-2934 License #: 532834 Architect: Engineer: Total Square Ft: 0 S.F Valuation: $0.00 I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. 1210 1 -i7;1 ' 'E�v CONSTRUCTION LENDING AGENCY This permit Is he by Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolulio d work Indicated above for vyMch fees have been paid. JS performance of the work for which this permit Is issued (Sec 3097 Civ.) By: Dater Name: PERMIT EXPIRES Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to, the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the' above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represenlatl as of Butte County to enteruponthe above mentioned property for inspection purpose . Print Name:—L� �^ Signature: Date: .. ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor 19( B. C. Building Permit 01-16-04 on 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name I fi nrst Nam rd yryi /� C yr u Address i . 0 r r City (� Fax State 554 Phone Map Book Fax E-mail Planner CONTRACTOR Name Gln. RdD�r >n Address City �`/ State Zip �S%(P S Phone S� 3 3 _ ZS 3 Fax E-mail 554 1 ce5 APPLICANT NAME ARCHITECT/ENGINEER Name Cityt1 f ti 1 Address Zip � � _ City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name e 4 )/I(AS 6 // Address ` t ���Z (o Z Cityt1 f ti 1 State Zip � � _ Phone �- 33 _ -2-9 3 Fax E-mail APPLICANT SIGNATURE X For offic use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# 03G-(36 -007 Property Address City Cross Street WORKER'S COMPENSATION Policy Number ?/-5— Carrier �[ /mac' If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: e Sq. Footage Z7 v ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: V Bldg SRA Receipt #:: I lJ( I S Sheriff SMIP Date:`` � Other ^+ai Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in'duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 036-630-007 PERMIT#95-0338 BUMGARDNER, Frank & Rose Mary 60 Fairhill Dr., Oroville Lawn sprinklers/SF �i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Colifornia 95965 - Telephone (916) 538-754 PERMIT O. APPLICATION AND PERMIT' ASSEU%fg`Nu=07 (J�ROSE ZONINGARBUIL G PERMIT '"'FRANK AND MARY BUMGARDNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWN P AIMLL DR . , OROVILLE CA 95966 CONiEiS&NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHREOCI OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 60 FAIR11ILL DR . , OROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF TUC Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U ilites X7 Installation ❑ Other ❑ Describe Work: LA14N SPRINKLERS Mobile Home I S I GI W @20.00 AN 17—SYPHUN 115.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT FilinQ Fee 20.00 Main Service eOOV OR LESS ( 2O0A OR LESS ) 23.00 Main Service ( ..OA TO IOO.A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,d 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 NEW CONST. DWELLING OCCUR SO. OR ADONS. ( & ACI-. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.Oo BAL .50 IXP. OR 5.00 EX. Occup. (oFR NESE I OUTLETS Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 MECHANICAL PERMIT Filing 9 Fee 20.00 Heating I Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X- _1_,. r,LA-- Date- _41 f ; 1 ) p y _ Signature of Applicant Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ IcoNsr. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE t This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for which fees have beep paid. B �/ / ate J �� y r PERMITEXPIRESON X19, � /9/" (Date) Receipt No. 53 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING XPERMIT—NO. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 APPLICATION AND PERMIT ASSTKfn167U07 ZONING AR BU5PINGPERMIT IN PRANK AND ROSE MARY BUMGARDNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 60 FAIRHILL DR., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 60 FAIRHILL DR., OROVILLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )C] Installation ❑ Other ❑ Describe Work: LAWN SPRINKLERS Mobile Home I S I GI W I @20.00 ANTI—SMON PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: -0 I, as owner of the property, or my employees with wages astheir 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) So. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( SIPOWER APPARATUS ) 8 NGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL SO Ex. Occup. OUTLEETS RESID.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X D �,c� Date _,F, ) ���_ Signature of Applicant - Owner ❑ Contractor ❑ A ent— An OSHA permit is requir for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 35.00 HAZ 1 D. FEES I IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for which fees have be paid. L By ate c� PERMITEXPIRESON�/,qP (Date) ReceiptNo. 175373 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services BAding Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor.and materials for construction of the proposed property improvement (yes or no) 2. I (hav /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the followipg person to coordinate, supervise, and provide the major work: Name Address City 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 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovllle, Callfornla 96986 - Telephone: 916/638.7541 Q Z APPLICATION AND PERMIT —L ASSESSASSES30FR PARCEL NU 036-630-007 ZONING A R j BUILDING PERMIT OWNER FRANK BUMG TELEPHONE - '' 533-8250 SQ, FT. OCC. BUILDING VALUATION �y���ryt ��r Wl�l FL ~ �' 81000 OWNER'S MAILING ADDRESS 60 FAIRHILL DRIVE OROVILLE CONTRACTOR'S NAME L & M CONSTRUCTION TELEPHONE 362-2124 - CONTRACTOR'S MAILING ADDRESS 9640 KIEFER BLVD SUITE G SACRAME M 95$27 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 82.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 60 FAIRHILL DROROVILLE 95966 DRESS IVE permit tee $ 97,50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE i� SF [N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1OooA) _ 37.50 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. 1 --Classification 'Jo. ��0��/ "�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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CON ST.DWELLING OCCUP. OR ADDNS. ( 9 ACC. BLDGS. f 3.64sq.ft. NEw CONST FL ULTI-OUTLET NON -R ES,D BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS EX. Occup. OUTLETS IRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r I have placed on file with the County of Butte Building Department u a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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 a'd County in%c�sequence of the granting of this permit. X+ Date ,► Signature of Applicant —, Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE ,S 97.50 HAz I DFEES IMP I FLOOD I CDF PARCEL I Po I HD lesu This permit is hereby issued under the Bions of the Butte County Code and/or work i tic ted abogeo,/Fhich fe DIR BLI By A PE PIKE Dat applicable provi- resolutions to do h�ve been paid. Q KS Dat t\� Receipt No 22536 WHITE-D.P.W.. YELLOW-ASSE990R. PINK -INSPECTOR. 60LDEHR0D-APP1ICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO C ASSESSOR PARCEL NUMBER 036-630-007 ZONING t R BUILDING PERMIT OWNER FRANK BUMGARDNER TELEPHONE 533-8250 SO. FT. OCC. BUILDING VALUATION CONT EST 8 000 OWNER'S MAILING ADDRESS 60 FAIRHILL DRIVE OROVILLE CONTRACTOR'S NAME L & M CONSTRUCTION TELEPHONE 362-2124 CONTRACTOR'S MAILING ADDRESS 9640 KIEFER BLVD SUITE G SACRAMENTO 95827 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 8, LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 82,50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 60 FAIRHILL DRIVE OROVILLE 95966 Permit fee $ 97.50 PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: VTNYT. SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): EI 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 ;Jo.�O/�73 Classification / EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1oo0AI 37.50 OCCUP.✓) NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. // 3.64sq.ft. NEWCONSTR ULT] -OUTLET NON -R ESID BRANCH CIRC ITS 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES - 76 200 46 FIXED Ex. Occup. OUTLETS P(RESID )LINIS REA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �i shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in sequence of the granting of this permit. X y Date _ $ignoture 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 97.50 I HAz I DFEES I IMP FLOOD CDF PARCEL I Po I RD ISSu This permit is hereby issued under the sions of the Butte County Code and/or hich fe Wo i is ted WPBLI DIR BY PE XPIRE Date applicable provi- re lutions to do a been paid. KS Dat Receipt No.122536 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.538-7541 APPLICATN AND PERMIT ASSESSOR A CEL NUMB R _ Ov - ZONIN • BUILDING PERMIT OWNER NIS 6/'� �E �E�Z�b OCC. BUILDING VALUATION ,, ��SO,,...{{FT. WYII- Q ,54 WAR W OWr R'S MAILING ADDRESS /q 1PH/L L 2 . 0320 , O /- CONTRACTOR'S NAMcrosfruc*o TELEPHONE 6 -2 17 CONTRACTOR'S MAILING ADDRESS !% 1 SuilTEC 6, S 2 Fireplace CO ST CTION LENDER UNKNOWN c Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ Z, O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRE s Permit fee - PLUMBING PERMIT Filing Fee 15.00 CIA Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF§�, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Addition �:j Remodel ❑ I ltiiitiac n Installation❑ Other Describe Nork: _ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 V LE Main service 200 600A 18.50 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 _ LJ 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 200A TO IOOOA1 37.50 DWELLING OCCUPM NEW CONST.( 3.6Qsa.h. OR ADDNS. ACC. BLDGS. // NEW CONSTR ULTI.OUTLET NON -REST BRANCH CIRC ITS 00 /POWER APPARATUS 61 l `SINC+LE OUTLET cIR. / tA Ex. OCCUp(OUTLETS OR FIXTURES76d Ex. OCCup. OUTLETS PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee § Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerContractor ❑ ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES �a HAZ 0FEES I IMP I FLOOD I COF PARCEL' I PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 1 ZZ 517 WHITE-D.P.W., TELLOW-ASSC330R, PINK -INSPECTOR, GOLD EN ROO-APPL I CANT TO WHOM IT MAY CONCERN THIS LETTER AUTHORIZES BILL HARRIS TO SIGN THE BUILDING PERMIT FOR THE BUMGARDNER CONTRACT CO TRUCTI Larry 1 ckrem (owner) COUNTY OF BUTT11 ` BUILDING DEPT �+ AUG 1 1 1501 4 �5