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036-050-047 04-1152
M✓�fE�2, NEL.EI�J
505 OAKVALE AVE, OROVILLE
CONT: GRAVISON CONST
ADDITION TO PATIO COVER
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041152
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/12/2004 APN'' 036-050-047-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: LS License Number: l� 3z 8f
Site Address: 505 OAKVALE AVE ORO
Date:g .17 2a� Contractor: �h,;
Map Index:
Description: PATIO COVER ADDITION 440
Descrp -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: HELEN MEYER
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
505 OAKVALE AVE.
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA 95966
she is exempt therefrom and the basis for the alleged exemption. Any
530-589-1084
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: GRAVISON CONSTRUCTION
pP
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve, for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: GRAVISON CONSTRUCTION
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
4996 ROYAL OAKS DRIVE
❑ I am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-532-1241
Date: Owner:
acebuilt@yahoo.com
License #: 543288
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
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:
S7�--if�
Carrier:
Total Square Ft: 0 S. F.
C-7 /- 7 _
Policy #: 66 7 C
Valuation: $0.00
Census Code:
❑ 1 certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to 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.
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Date: - "_
9c:
Applicant: �`�✓/�t�_c��-�--
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars in to the cost of
, _ J
(�n
a6
($100,000), addition
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compensation, damages as provided for. in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby ssued under the applicable provisions of the Butte County Code andler
I hereby affirm that there'is a construction lending agency for the
the work for which this is issued (Sec 3097 Civ.)
Resolutions tQ o rk indicat above for which fees have been paid. ^/
/-1Q
performance of permit
By: Date: 1
Name:
PERMIT EXPIRES
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 enter upon the above mentioned property for inspection pu s.
Print Name: �G�7/J/1 &yn UI1OvN Signature:Mvl,"'Z .Nr�d-+—�
Date: '7 — (%— O
❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
4� D I I
COUNTY OF BUTTE-DE0ARTMENT OF DWMEN SERVICES -BUILDING DIVISION
5 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PE IT APPLICATION DATA SHEET
'7
OWNER: S S/R P L NUMBE �(
Propos d Building Use ,�O er ec t/`� Date:
Ile equired in order to apply for a permit. All boxes MUST be checked OR marked NA in o der to apply.
1. p" r 4 is igned by the preparer of the plans. .
2. mp6te ns, sets, signed"by the preparer of the plans.
O 3. Engineered pl n , 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4 in, u et 'Is a d layouts in duplicate. xft .
- ❑ L ttg/r fd nePrr chitect for truss design review
❑ 6. Energy'.
ner co i n d oocu n tir in duplicate.
❑ 7. Stateme nt N ed an 'AI for Noh a idential Buildings.
❑ 8. Manu f ct' e `o( at 'sheets and installation inst, (B) Marriage line info, (C).Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
Cl 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
- ❑ 3. Detached Accessory Bui ing Form filled out by the owner
41t14. Hazardous: Material orm �
1ji,
5. Sanitation and site ,Ian approval from the Environmental Health Department.in ❑Chico C�Oroville, as applicable.
6. Other � � �-, /
Remaining items needed to issu f IrAi!r(M 9dtln reewupo eceip of the. following items:)
❑ 17: Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report an&pr Engineered Foundation required ...........................................
❑ 2q. Erosion Control Plan Required........................................................................
❑ .21. Fees as shown on the attached Schedule of Fees Due Sheet ...................... I.......
❑ 22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by: .............
24. Planning approval (A) Use: 0b K(B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage :.................... r.-
❑ 26. NPDES Form.............................................................................................
O 27. Encroachment Permit for driveway from the Public Works Dept ...........................
28. Pre -Inspection for required.......
29. Contractor's license information. (Number, Name Style, Classification) ......... ........
30. Worker's Compensation Carrier and Policy Number .................................... ...
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
0 32. Letter of Signature authorization ............................ ......... :.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement ...........................:.....
❑ 34. Manufactured home utility clearance....................!...............................'........
O_ '35. Existing violations and/or expired permits.............`..;...........................:r
❑ 36.- Dee Restriction...............................................:............"'.4...} ...................
Dee)/Restriction
D ed, M.H. Title/Statement of -Facts, O Letter from Legal`'Owne�, ❑ Check to H.C.D. $_
❑ 38. `
❑ , 39. Other: !
When issued and hold forickup.
I have been i�nforme of e-ove Items and requir�forninga building permit. /
Applicant:
1. Index It application for the above items numbered:
2. A
e.c I items required
ntrac signer, owner, was advised of the above data
on ractor, designer, owner, was advised the ove-data
Plans reviewed by: -�f _
Structural reviewed b • Date• �-�
Note transfer by: Date -f2
c
Date:
Pinn r.harle I ttori'� /
lone, ❑ mail, ❑ counter, by J ate:
one, ❑ mail, ❑ coun Da e:
fans approved by: Date
tructural approved by: Date: t
Yellow: Building Division
�' - .v"-= _. .�,_...:..+ ,.;.9-.�a•-.....-.. ,�._ .. �_..�.,.,�..�...>...ar.,'�.+s"..,��"1.-•-.,-ra<..,rrp.�vw±�•.va.ar+•.�o"'.�'^,,^^�"+��."^'�^+•.vr.+°+...r�..�-r,�.r...!...+v-�r-�'�..-�tf.,.�+.�".�Yv"'�.'""`i +r,''"j,-..�..-.s
E.H. USE ONLY
Slot Plan Attached.
Floor Plan Attached
Sent to B.D. /
TO: Building Department
FROM: Environmental Health '
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved .for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well
Clearance for 6velling. Other ld:��770 'A6A Tl o r
Hold final for:
Final clearance O.K. for:
NOTE: ---
Environmental Health
8/96
National Pollutant Discharge Elimination System (NPDES) Phase .11
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 9 ACREI
Project Title:
4 " •
By signing below, L the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or`more of land requires a.Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a- Storm Water Pollution, Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs .1 acre or more of land. I, further; certify that this project will not disturb 1 acre of ,
more of land. I am aware that submittingfalse and/or inaccurate' information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed:
Title:
Date:
Owner's Name: AN:
BP#:- i 5, Received By:
Date:' Time:
Li
Contact Person & Phone Number:
PURPOSE OF RE -SUBMITTAL OR REVISION
❑ Permit Application Data Sheet Item
❑ *Engineering <.
❑ .*Plan Revision !
• ❑ *Requested by Building Inspector's Correction Notice Inspector's Name: '
O" Requested by Plan's Examiner - Plan Examiner's Name:
` ❑ Other:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his, requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved. z '
WHEN APPROVED, PROCESS AS FOLLOWS:' _
❑ 'Mail to Owner/Contractor at this address:
Q Call v� and hold for pick-up.
❑ Deliver with next inspection: e
Minimum revised plan check fee to be collected at time of''submission of revision, plans
examiner will determine if additional plan checking fees are needed: +
❑ Minimum $54.99 Receipt #: .
12/ Fee not required for revisions requested by plans examiner prior to issuance of permit. .
❑ Additional Fee Amoi.uit: Receipt #:
Revised 2/04'
i
Department of Development Services
Building Division--,
7 County Center Drive
Oroville, CA 95965,
(530) 538-7541 (530) 538-2140 FAX
June 10, 2004 '
'Tom Handley
505 Oakvale Ave.
Oroville, CA 95966
Assessor Parcel Number: 036-050-047
Building Permit Number: 04-1152
Thank you for submitting the plans for your patio cover. The plans have'been reviewed, and the
plan examiner's comments are listed below. • Your complete and clear response will expedite the
re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
1. None
ST &JCTURAL COMMENTS: y
Due to the size of this patio cover, it falls under section 2320.5.4.2 of the CBC. Please
DIL , provide a lateral analysis by an engineer or architect. 'Have him put his requirements on two
01( sets of plans and,stamp and sign them along with his calculations.
If you wish to discuss any of these requirements; please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Linda. Philo will answer your structural questions.
-Please refer to your -Data Sheet for remaining non -plan check items. (You received this form
` when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
�Tinda'Simpson Philo Hunt, P.E.
Plans Examiner r Plan Check Engineer
r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVIggS
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-28 (CHI )
OFFICE #: (530) 538-7541
PERMIT NO.
BP4ll
DATE: .4-7,,-;3,
, ✓
v
APN:
i
ZONING: -5-
OWNFR'c [ ACT KIARAF• OWNEWS FIRST NAME:
STREt i nuuntss:
PHONE:
FAX:
CITY, ZIP:
E-MAIL:
SITE ADDRESS:
CITY, ZIP:
NEAREST CROSS STREET:
TRACT/LOT A
APPLICANT NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E I
CONTRACTOR NAME: !il /i
l
ONE:
S 3Z z
STREET ID Tj:
Fy(;
3 Z Z
CITY, ZIP /�://77�� (
V 00'1 t ( \
E-MAIL:
ar--e-
LICENSE NUMBER:
<W3z 99
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS: "-
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORZ:/
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
FL 0;-� "Y ) ri < 1
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date: C'✓
Receipt number: �/�� Amount Received:
t,H
Master application 34-04
COUNTY OF BUTTE
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For I i r$7
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Received: Receive
CASH Title
CHECK By
OAVCO BUSINESS FORMS - (5301 74341511 Form 75702
395357
2011.",4)
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