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Home My WebLink About079-190-064079-190-064 06-1410 LANCASTER, BILLY 11 REGENT LOOP, OROV ILL Cont: OWNER iv DRAKE, Roger L. RE ROOF 530-67B 990-67P 079-19()-064 LANCASTER, BILLY 11 Regent Loop, Oroville' REGENT LOOP, OROVILLE CONTR: Blue Haven PoEsplanade, Chi 01) Cont: OWNER (new.swimming po W ows IND F, . .... . . .. ... } 1079-190-064:-':;a" CrO�ti �•...F 06'1410 N O T E S .� LANCASTER; §3ILLY'� 11 REGENT LOOP,,OROVILLE ; :, ��'• i Cont: OWNER RE ROOF APN: Permit No. Owner. Site Address: Contractor. Type of Permit: F SPECIAL CONDITIONS CHECKE14,13Y ❑ SRA [ ❑ FLOOD CERTIFICATE EQUIRED j ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS j ❑ VERIFY Q USE PERMIT CONDITIONS ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT i ❑ REINSPECTION FEE PAID F ❑ ENV HLTH CLEARANCE ❑ i i s DATE JOB FINALED: " SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE I Lj PERMANENT FOUNDATION Lj SOFTSET - --DATE ID E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 ZeningSetbacks-Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; SoilsSz43pthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; FalUC/O-Concrete 3 Decks, Glyders/Joists-0cking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-DuardlHandrails 5 Elec Loctn-DIrncs-Grnd ' Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. 6 Yard Gas; Loctrt Test Wrap Nat ❑ or LP❑ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 7 Bickng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -CIO to Grade 10 Roof; Shthg-Rooting 12 Gas and Electricity Tagged —I 1 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy + s' 16 HUD Label/Insignia Numbers Serial Numbers DATE JPOOLS Drawing 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Wng; Distance-GFI 5 Elec Pool Lting; IS volts-GFI 6 EIec.Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec drndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6isrs-pniboards4nsultn to Main Conduit 9 Health Dept Appiiil 10 Pimb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide dA O'°r fid` Qi'� Drawing 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Wng; Distance-GFI 5 Elec Pool Lting; IS volts-GFI 6 EIec.Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec drndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6isrs-pniboards4nsultn to Main Conduit 9 Health Dept Appiiil 10 Pimb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide 0 = Nat OK RESIDENTIAL ('SI•ngle & Duplex)j DATE JUNDERFLOOR DATE IPLUMBING f°. 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent Acc-Cmbstn Alr Baffle 2 Ftg Main; Soils -Flet Grnd Ftg DR.th 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, Fust fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts Wrapped 57 Test Tub &Shwr, 2nd fir -Tub Acc 6 Stemwalls Garage; Steel-Biockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test Ole 11 Wtr Pipe; Test Anchrs-RgltrService Test 12. Elec Undrgmd DATE IM E C H A N71 C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn61 AC Ducts Insults &Support 14 GirdersSills-Anchr Bolts-Joists-.Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent -Comb Air RtmNent 115 Outlet 65 Attic Acc & Pltfrm If Furnace in attic DATE FRAMING 17 Sills Proper Materials & Anchrs DATE [FINAL 18 Walls Studs-Nailirig Spacing & Braces-PlatesSound 66 Ext Steps -Door & SldeLt Prtctn-Landings 19 Bearing Walls over Girders 8 fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof)' 68 Furnace Vnts 1Clmc-Comb, Air-Cnnctr 21 Fire Stops,"FUrred CeilingsStairs-Chasers-Tubs In Garage; abv-fir-Ducts-Meth Prtctn 22 Headers & Beai6sSi &'Bearing' 69 Bedroom Eing xit 23 Hangers-Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fztrs & Tub Acc-Spa 24 Ceiling JOIst-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Faultl 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs &Labels 26 Attic Acc; Si & Rmx Piton -Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth - 28 Garage Fire Prtctri Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Une Firewall & Opngs' 76 Ktchn, Fxtr &,lAppinc; Gmd Nr -Gap -Cooking Clrnc 30 Ext Doors-One'V-Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run4:anding-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper. .__ 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyl-ts-Plastic . 81 Pimb; Elec & Mech Eqp Usted for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insults-Foam!Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes ❑ No v� dle ora 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd DATE ELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Rom Installed Close to Edge of Studs & CJ 94 Corrections from previous lrispctns 44 Eqp Grnd made up w/Meth Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga [::ICU or El AL 98 Address Posted AC Wire Sz 9i ❑ CU or ❑ AL 99 Fire Sprinkler - 48 Range Clic ❑ CU or ❑ AL Oven Circ ❑ CU cr ❑AL Insulated Neutral- QYes El No, 4e 49 Service -Riser Cndctrs & Grnd Maim Dscnnct I 50 Eqp Clrnes pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT•NO. BP061410 PERMITS BECOME NULL. AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/13/2006 APN: 079-190-064-000 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 Site Address: 11 REGENT LOOP ORO License Class :.— License Number: Map Index: Date: Contracto . Description: RE -ROOF (25 SQ) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LANCASTER, BILLY & JENNIFER permit to construct, alter, improve, demolish, or repair any structure, prior file 11 REGENT LOOP to its Issuance, also requires the applicant for such permit to a signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or thai he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LANCASTER, BILLY & JENNIFER Code: The Contractors' State License Law does not apply to an 11 REGENT LOOP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)533-2411 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business - and Professions Code. The Contractors' State License Law does Contractor: LANCASTER, BILLY not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 11 REGENT LOOP pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95966 (530) 533-2411 License #869482 Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjuryone of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: nAl - Carrier: -e— 0 S.F. Total Square Ft: _ Policy #: 2 0511' c�-� i�CX��i� Valuation: $0.00 ❑ 1 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' C. , compensation provisions of Section 3700 of the Labor Code, I shall i forthwith comply with those provisions. Date: -) f V - (Ckt� i,G_ is L% Applicant: �AA , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution to do work indicateq above for which fees have been paid. r performance of the work for which this permit Is issued (Sec 3097 Civ.) I - y..! 1 By:( Date: (� J7 Name: r• PERMIT EXPIRES ON: Address: Date -121 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, N handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information 1s correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. n Print Name: V•�-�y r Q- Signatur Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor ts. G. uunaing rermn ui-io-uv pg i Butte County Department of Development Services uT� NOTES 7 County Center Drive, Oroviile, CA 95965 (530) 538-7601 www buttgcounty.n@UdQs • °j' 079-190-064 ' 06-1481 LANCASTER, BILLY •,t �, 11 REGENT LOOP, OROVILLE' APN: Cont: OWNER'; �Y.. WINDOWS-. Owner. i 1I Site Address: Contractor. Type of Permit: i . i SPECIAL SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: ' 0-7 SIGNATURE: i� CHECKED BY =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION SOFT-SETDATE 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clmcs-Grnd Amp -Concrete 6 Yard Gas; Loctn Test -Wrap 'Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Une 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 19 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers D E C K S•C O V E R S'C A R P O R T S'G A R A G E S 1 ZoningSethacks-Easements 2 Ftgs; SoilsSz-OpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Ocking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4Was�nnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds4btrs Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing • . , 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls y+ 41 DATE • POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Lting; Distance -GR 5 Elec Pool Lting; 15 volts -GR 6 Elec.Enclsrs; Conduit Entries Terminals4Jsted 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp /5' Crcitng Eqp-Pool Ightg Boxes-goclsrs-pnlbaardsansultn to Main Conduit 9 Health Dept Apprvl . 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing 0 = Not OK -AESID_ENTIAL (Single_& 17 Sills Proper Materials & Anchrs Dup_I.ex) _ DATE UN0ERFL'OO;R•: i 66 Ext Steps -Door & SideLt Prtctn4.andings DATE IPLUM BINfQj. 1 ZoningSetbacks-t_asements-FloodSiope 2 Ftg Main; ;Soils=Eiec Grnd Ftg Dplth 3 Fig Garage; SoilsSteel-Eiec Gmd Ftg Dpth 4 Ftg Porches/Decks;rSoilsSteel Ftg Dpth 5 $temwalls Maln; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs" RglirService Test 12 Elec Undrgrnd 13 Plenums'& Ducts; Clmc-MaterialSupportansultn 14 Girders-Sills-Anchr BoltsJoists-Vats-Cripples 15 Ace & VnUtn 16 Insulation DATE IFRAMING 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test 8 Anchr-Nail Prtctn 55 DWV; Nest F'dtings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz: 1& Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping �4� DATE -IME C H A N1 C A L 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pith m If Furnace in attic o's lip 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs-Naillrig Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn4.andings 19 Bearing Walls over'Girders 8 fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat proof) 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops,16rred Ceiling'sStairs-Chasers-Tubs In Garage; ativ-flr-Ducts-Meth Prtctn 22 Headers &Beams -Si & Bearing 69 Bedroom Exiting 23 Hangers-Posf'Caps-Anchrs,Cnnctns 70 GFI & Bath Fztrs & Tub AccSpa 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg 71 GFI Are Fault 25 Frpic Ties or Type AFlue=Frp c Throat Clmc 72 Elec Trim & Subpni, Breaker Szs & Labels 26 Attic Ace;* Si & Rmx Prtctii-Draft Stop -Ins Baffles 73 Stairs, Guard/Handralls 27 Bdrm Wndws or Exiting Doars-Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtcth Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs ' 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc 30 Ext Doors=One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets i& Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-landing-Fire Prtctn 78 Garage Fire Door; Swing4anding-Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper. 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 81 Plmb; Elec 8 Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls1 in Garage (GFI) Ramex Prtctn 37 Brace IntiExt Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails �& Deck Cnstrctn-Post Caps 39 infiltration-Walls-Wndws 85 Fndn Vnts &I Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No �� ° �� 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb P 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass PrtctA 43 Romex Installed Close to Edge of Studs & CJ 94 Correctionslfrom previous Ihspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer' Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndetr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ea QCU or ❑AL .98 Address Posted AC Wire Sz p [:ICU or ❑ AL 99 Fire Sprinkler 48 Range Clic oa Q CU or ❑AL Oven Circ ga [:ICU or ❑AL Insulated Neutral El Yes 0 N °a° 0s`s` o � 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector oe i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT'NO. BP061481 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/21/2006 APN: 079-190-064-000 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. C Site Address: 11 REGENT LOOP ORO License Class : License Number: Map Index: Date: W2�_u Contractor: 1 - Description: RETROFIT 8 WINDOWS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LANCASTER, BILLY A. & JENNIFER 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 11 REGENT LOOP the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any 95966. violation of Section 7031.5 by any applicant for a permit subjects the 530 533- 2411 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law. does not apply to an Applicant: LANCASTER, BILLY A. &JENNIFER 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 11 REGENT LOOP sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966 sale.). 530-533-2411 C31, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 License #: Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: 12 Total Square Ft: 0 S. F. ❑ 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code' and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 4 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �IssrXl�tr,I , 9 6 r CONSTRUCTION LENDING AGENCY This permit is hereby issued under a applicable provisions of -the Butte County Code and/or Resolutions do work indicated�abo for which fees have been paid. I hereby affirm that there is a construction lending agency for the the for which this is issued (Sec 3097 Civ.) E h > •• performance of work permit By. Date: 1" Name: r r PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enteer' upon the above mentioned property for inspection purposes. wl • ' Print Name: r"` Y i l— Signatur lioc, Date: ❑ Owner ❑ Contractor Agent for Owner gent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061481 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that.I am licensed under Issued Date: 06/21/2006 APN• 0%9-190-064-000 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. Site Address: 11 REGENT LOOP ORO License Class : License Number: /� W n ` Dale: V Contractor: 1 1 .Map Index: Description: RETROFIT 8 WINDOWS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LANCASTER, BILLY A. & JENNIFER 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 11 REGENT LOOP the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any 95966 - - violation of Section 7031.5 by any applicant for a permit subjects the 530 533- 2411 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LANCASTER, BILLY A. &JENNIFER 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 11 REGENT LOOP sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95966 sale.). 530-533-2411 ❑ 1, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). Contractor' ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 License #: Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #:,�2 o Total Square Ft: 0 S. F. ❑ 1 that in the of the work for which this permit is certify performance issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code' and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:=_a4" a�-Z WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 142aw c7) � CONSTRUCTION LENDING AGENCY This permit is hereby issued undea a applicable provisions of the Butte County Code and/or Sabo I hereby affirm that there is a construction lending agency for the Resolutions do work indicate for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ By: Date: Name: 1 PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purposes. 1enter Print Name: Signatur.�) Date: Agent for Owner gent for Contractor ❑ Owner ❑ Contractor e. c. burning verma ui-io-uv pg I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ' BUILDING PERMIT APPLICATION \ AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 1 Q iC �i OFFICE #:(530)AT538-7541 AT J A FEE WILL BE REQUIRED TIME OFAPPLICATI N Website: www.buttecounty.net/do-s "PLEASE PT CLEARLY" OWNER INFORMATION Last Name irst Nam DY Address ! City tate Zip Phones 3,*,,_ -),L4 � l Fax s--3 3 t! E-mail CONTRACTOR Name �CQS Address City O City V6V i 1 /� Stater+ ,a c� Zip CO j5— _ II Phone 4 l Fax � q ( E-mail Lic # q Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City O Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name LIK n�� Address , e,n b O City O State Zip Phone `33 �rl ` 1 Fax E-mail APPLICANT SIGNATURE ix— For office use only: AP#D Zoning' . I' CityWOAXP row Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc M PERMIT 'NO. 4,2 rB.' 1 BIN # ' PROJEtt LOCATION AP#D P� ie Address_ 'lb D . I' CityWOAXP row Cross Street � "VIste- WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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-7PCC)Amount: Bldg SRA Receipt #: non 1 Sheriff Cl SMIP I I Date:J r"2 3'6 / I I f (� (.0 (� 0 Total Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a V _1 permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. -ALL PLANS MUST BE LI EGIBLE 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 NonYResidential Buildings. ' ❑ 6. Manufactured homes: (A)Installation manual, (B) Marriage line info, (C) Floor Plan., (D) Tie down orfnd plans, all•in duplicate ,k-. t ❑ 7. Metal bldgs: (A) Metal.Bldg Plans,. (B) _Fnd plans and calcs in triplicate, (.C) Elevations in O . . tri licateD =Floor° P 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. Building Permit Application Without Required Clearances Form ❑ 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 approi al 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M:H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the'Environmental Health Department. If you have questions or would like additional information regarding this p 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 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 requ( years from the date of fee payment on permits not issued, and two years from the date of issued; however, on issued permitsrefunds can -only be made if no construction work has t check fees for work plan checked and. ether department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION please contact a In order to renew action must be made within two rmit issuance for permits n done. Filing fees, plan KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 1 REV'8-1,2-05'- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061410 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/13/2006 APN•' 079-190-064-000 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.Site Address: 11 REGENT LOOP ORO License Class :_ License Number: Map Index: Date: Contracto . Description: RE -ROOF (25 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any city or county which requires a Owner: LANCASTER, BILLY &JENNIFER permit to construct, alter, improve, demolish, or repair any structure, prior to file 11 REGENT LOOP to Its issuance, also requires the applicant for such permit a signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant- LANCASTER, BILLY & JENNIFER Code: The Contractors' State License Law does not apply to an 11 REGENT LOOP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)533-2411 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: LANCASTER, BILLY not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 11 REGENT LOOP pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95966 (530) 533-2411 License #869482 Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �-e Total Square Ft: 0 S. F. Policy #: 0Z is - (Sl C-7 Valuation: $0.00 ❑ 1 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 37, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 1 7 V Applicant:` WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso�fitdo work indicate above for which fees have been paid. /performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: l/�_10-06 Name: PERMIT EXPIRES ON: (� Address: I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, j� handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ t Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: S ` ��'� Signalur Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 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 TIMtOFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name L rT i Name Address City ®� O v t State Zip Phone E-mail APPLICANT INFORMATION CONTRACTOR Name -l&V\'_'\ 1 Address � ` L City O vl Fax �3 3 State Zi S Phonea Map Book Fax 'iS73�_d, l ( 1 `-i E-mail Planner Class Lic. # Q �qq APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityJ Address Zip -?G City Fax �3 3 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name �1 Address l �' CityJ Stag Zip -?G Phones 3; j Fax �3 3 E-mail APPLICANT SIGNATURE X For office use only: Zoning AP# Flood Zone Property Address 1 e SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS1BIdgApplSubRgmts.doc PERMIT NO. Bl"W11 i 10 BIN # Description or Scope of Work: a5 Sq FT- Living I Garage Open Cov ❑ 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. I I Received by: K.6- Amount: $ 137, Bldg I I Page 1 of 2 Receipt #: co J 34 *283 SRA Sheriff SMIP ti 1 5 _ Other Date• ` '��f `.-93 Total REV 8-12-05 PROJECT LOCATION AP# 0,,7 Property Address 1 e + co City Or 1 Cross Street v,s�� WORKER'S COMPENSATION Policy Number CarrierS1aL� 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: a5 Sq FT- Living I Garage Open Cov ❑ 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. I I Received by: K.6- Amount: $ 137, Bldg I I Page 1 of 2 Receipt #: co J 34 *283 SRA Sheriff SMIP ti 1 5 _ Other Date• ` '��f `.-93 Total REV 8-12-05 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 plains No rah paper i1 OR P ( graph ) 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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 iffice(if uired re . 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 authofization (if required). ❑ 10. Recorded copy of AgricultuiFal Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. I If you have questions or would like additional information regarding thisprocess, 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 years from the date of fee payment on permits not issued, and two years from the d issued; however, on issued permits refunds can only be made if no construction work check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION luest must be made within two of permit issuance for permits s been done. Filing fees, plan KAFORMSMILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05