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r J 027 1,35-0`151-'t ; 93-99,8'411;kL ".' � STOCKS,* DOUGL9S ''4 '�y;; ' • t , r � ' s - V ' � r r 6 �o vq lqs IL/Iv COX AMR , sow IIYww U �F�� W NOTE: of a Q1 In the Cods 0 �Ob11► «s�1af��,, '° i, �► ��s oo SQ FT.IM OR MOBILFS U l S �� OF From 904 ,s � 3 Iorb Ave �%*z F Nowa '?vOfk,� WFMOS*t Li N rw ft This set of p7a� end specifications MMT be kept oz ae jplball times and it is unlawful to snges or alterations an same without � went o bNC�U� WT, permission from the Depast� ter. Works. Counts of Butte. ANp Of :aterisls & Workmanship Shall Be In AV- S[RUG� LBE G�pM �N� sloe with Recognized Good Practices and Ov�RNANQ ® 5..� pgopeR� Prescribed for the Speci4ied tt�® ®ACS p AFi e ,P sr- SVA! irm Building, Plumbing f9 U8��g A SE �;�Ot�a � ; ,J ,� P4 ° p � T E t� National EleetrIO1499�e �R®M orf- ES A fl. �ANS,. nUF� V E� imp iAlrR�) qlip Q� w RESIDENTIAL -. �s . 027-35-0-151 93-998 P,E y STOCKS, DOUGLAS -3 -COX LN, OROVILLE . rl M UTIL MY r � l„ I, 1 yf; t . OFFICE COPY Address I GAS -f Meter By Date ELECTRIC - ���— � Meter By Date i JOB FINALE (D e) Signature C \ ii �t ;A_ e I V=OK w I O = Not OK - = Not Applicable ' =Not Ready' MOBILE HOMES Date/Initials WRILE HOME UTILITIES Plana OK except #'a ;4,2Sning Requirements -Setbacks -Easements S9K, Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete ater; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-GrnWWAmp-Concrete >f 6. Gas; Location -Test -Wrap:./ /" L"ft. / /"Net. or/ P'L"ft./ /"LPG .ell Clearance & Disconnect e c Utility Clearance MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a- 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials MOBILE HOME INSTALLATION Plana OK except #'s 1. Zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line' __3-985 MH`Test-Demand-Valve—Connector' Date/Initials POOLS (Plans) OK except #'s �ctricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fell -Flex Connector-:... ' k_er; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval G8s end Electricity Tagged 9. Exi ap.-Sketch rt. of Occupancy R 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. ? Boxes-Enclosures-Panelboa rds-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. toning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-CrioDles 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector _Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr, ties -Pu rlin-roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection-Skylights-Plaatic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Lending -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: IIIOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobi lehome n /} Owner's name j�i�C. S 1 ��� 62 �. Owner's address Insignia or hud number 44 1 Manufacturer's name / t - L -C Serial number of V.I ear of manufacture (OffWal Ap'pro'vifigrinsta-Tla`tion) - (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. E'� COUNTY OF BUTTE BUILDING DIVISION 116EPARTMENT OF DEVELOPMENT SERVICES ri 146`9 Humboldt Road, Chico, CA - (916) 89-1-2751 7 (County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 (CORRECTION NOTICE PERMIT NO. A=wfme&mgmzfioniinfficafe-s—&1 the following violations of Butte County Ordinances exist at The d1wvz=d&e Kd i b Uldbe corrected. Please notify this office when correction of work questions pertaining to this matter, or need additional explanation, pUmm this -dffi.e iimmediately. I M I 'A A f ./: rv� i,�vr�L: /x— r-2 1� en 4- L "I I —S'erJ Peo 0&7'P"(-- 21Ao ew Date :3 Inspector swim / 9 OWNER PERMIT L " L M UT.IL.CLEARANC INSPECTOR ELECTRIC GAS Support Stzuc. Compaction Test -Reg, Service Size -,Other Load T e Pipe Size Length YES NO YESI NO / M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT O. 3 ASSESSOR PARCEL NUMBER 027-350-151 ZONING A-5 BUILDING PERMIT OWNER Douglas Stocks TELEPHONE 532-1921 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1714 Cox Lane, Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ /W"'Cox Lane Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 23 SUBDIVISION NAME 1 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 Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation EX Other ❑ Describe work: MHT ( 500 Sq.. Ft Min.) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ESS 200AOR00V OR LLESS 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification EIr 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 I000A) 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.6Q OR ADDNS. ACC. BLDGS. // sq.ft. NEW CON5TR. MULTI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS el SINGLE OUTLET CIR. / Ex. zo �e P�OUTLETS OR FIXTURES Ex. Occup. OUT ETS IXED (RESID )REA.) 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 onsent to Self -Insure. 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 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 agai t said County 'n consequence of the granting of this permit. %� of Applicant — Owner ❑�'' ❑ ContractorAgentAn OSHA is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz I DFEE IMP F100 I COF `— PARCEL PD HD Issu This permit is hereby issued under the applicable provi- sions sions of thMtte Code and/orresolutions to do work ind' f r which fees have been paid.permit OF PUBLIC WORKS By � Date6 /y PERMIT EXPIRES Date / 9 Receipt No. 140488 WHITE-D.P.W., YELLOW-ASSFSSOP. PINK -INSPECTOR, GOLDENROD -APPLICANT lK.� ti�'�"+ti�`'`'`"y"+^w�..-xti-'�1,.{�",.i'1...►L'y;R1,1�1`�.1'..C�"mow' `� r,VJ`..Iti«`{.yf�'�4fCT"'iw `,�y�.�.�--- YkT•��,-•`�`}.. ri'i`t►'v,..J►'"'' � •',e" _, .. COUNTY OF BUTTE - DEPARTMENT;OF DEVELOPMENT SERVICES - BU.I4DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 V PERMIT APPLICATION DATA SHEET OWNER S rot G A. P. No. Proposed Building Use ,/n/ /air Building Inspector '/fin Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: `— DATE RECEIVED BY 1. All items have been submitted . ......... ...............:............... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . . . . . . . . . . . . . . . . . . . . . .. 1060 bLC— W(m 8 Engineered truss details and layout in duplicate (required prior to plan check). .. 0 $2. Mobilehome data and manufacturer's installation instructions, 2 sets E j3(0 . Fees of $ ..... � 6 Impact fees as shown on attached schedule. . $Gh9�l.. ... 1..�?U.. . California Department of Forestry plan approval/fees. .................. 13. Flood elevation letter (100 year flood) by California Engineer . .................. r 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). r6.dest .o 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. .......................... Owner -Builder Verification (Given to owner ,Mail to owner�. .......... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use. . 28. Mobilehome utility clearance...........................................� Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check t. .34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone-:Sa4-,y?and hold for pickup at p¢c,(„'tci' office. Deliver with inspector. Other Parcel Creation' Acreage g, Applicant t Date Y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Otfier Date By The following data must be submitted 1. Index permit for above items No. 2. Additional items required: uance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phon ail Counter _ ate Contractor, designer, owner, was advised of above required data by _ phon _ mail Counte _ Date Plans checked by FAA) Date 9.3 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER S�-e � A. P. NO. PROPOSED BUILDING USE /' �-- DATE Zl REC. # DATE REC 1. School DistrictFees (paid at District Office) ........................ ' (D �% Sheriff Fees. (paid at Building Department) Residential .:....... X unit amt. Commercial(per sq:ft.) X sq.ft. amt. 3: Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) .... ... 6. Other 7. Other z11110A3_ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT ®,�( DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �7-35b �jr' ZON G G_S7__ BUILDING PERMIT OWNER 0 6 S TELEPHONE -53Z- 9 Zl SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /q C'6 X ZA ti . 9r5�s CONTRACTOR'S NAME �IVV� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1.55,00 Permit Fee $ Z 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS � L/ 4P,4'6/ Permit fee $ 3Soa PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Instal Iation Other ❑ Describe work: Z 5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee. 15.00 Main service 200AORLESS 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 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 I000A, 37.50 NEW CONST. ( / ACC. BLDGS. DWELLING OCCUP.d OR AODNS.\ // 3.6Q sq.ft. NEW CONSTR LLTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES�AL 20 76d EX. OCCUp. OUTLETS RESID IREA.) I 3.00 Temporary service 1 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 3100.00 (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 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 — Owner❑ Contractor ❑ Agent ❑ An OSHAwork 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 $ DCc CONST TYPE TOTAL FEES /v �= / HAz DFEES IMP I FLOOD COF I PARCEL I PO HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /7 pfS 'NNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. COLDENROO-APPLI CANT 'r y,41.-w"v.{"ri.r4 `•nr*,';��'�+*^.rnrm-^.+r+-� .Y.-'+.+-y�.'r."`.\.s•i-.^'s,rti..�i"'..,.,w„-c.-.rm-�y�w.•.�r,.i r-"'7#tl"+d+iiq,+"".�.he,-*N....•`r...("vti.''t`,,r rc,-r , _ J ., , ///- a9�_ ao/ t a BUTTE COUNTYSCHOOLS IMPACT FEE CERTIFICATION FORM Q (One Form Per Building) School District Gh' Building Department No. Ew e A.P. Number X35-151 Jurisdiction * 0 City County Property Owner Aa7,IA� S � Cl Property Location/Address :- ` 16 6 42 1! 6 k ��� e, Subdivison Residential Development + L •9 Commercial/Industrial n No."bf ingt Units y. 6AO, �Yt � �� <MNI t-•. New, Building Department Representative r (Floor Plans reviewed by Lot No, �q. Footagp -: _hAddition 1 ,(Group R) Footage N.,._ Addition `'' (lncluding�Exterior Roofed Areas) VC ,Date ' , �► D isEncf Identification Nod,'. ;C� T''`" ~ - Y School District certifies that0 j ' (Applicant) (Street Addres`s)1. ,.4 (Phone Number) (City) _ (State) (Zip Code) has complied with the requirements of Resolution No. f �J�' 9 by payment of $ representing square. feet. School District Rep esentative Date Paid by Check Number Remarks: Bank Number 1 I- 3 t �► Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ELECTRIC GAS Support Struc. Compaction Test Re service size Other Load Type Pipe Size Length YES! NO YES NO -OL BUTTE' COUNTY DEPARTMENT OF PUBLIC -WORKSt,•,�tirs:,4 V; 7 •County Centers Drive,, Oroville; `CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2 ' Installer's'.Name : ; ` 3. Is the site currently under permit? Yes ®. o (If yes, furnish permit number 3 ✓ •--)-OR Is the site an existing site? Yes F-1 No (If yes, furnish- two. plotplans.) , 4: Will the mobilehome- be-- located a-t-:least.5 -ft away from. septic tank. and leach fields and clear of all'setbacks, and easements? Yes No (If no, clarify t.. 5. What is the mobilehome. electrical rating? --------------- 5 Amps 6. What is,the mobilehome'site service rating? -------- -- Amps 7. What i6*the mobilehome"-site;-circuit breaker rating? ---=- Amps 8. Is there -any other electric load to be served by the mobilehome site service? -------------------------------- -- Yes' No (If yes,, identify the load and size: Nell _(Load)^ �0 (Amps) ------- / v -� 9. What is the mobilehome site gas pipe size? ------- (in.). 10. What. is' thel type .of gas -service? --------- --------- Natural E]_. -LPG El 11. What is'the gas pipe. length from meter or tank to the - mobilehome?-------------------------------------------- 12. What is"•the mobilehome gas demand? ---------------- (BTU) *(This-- information not_ required if pipe length._ less than 6 ft. on na-tural gas or less than 50 ft. on LPG.) 93 91 NEXT PAGE MUST BE COMPLEM TO PROCESS PERMIT APPLICAt1U E COUNTY BUILDING DEPARTMENT PR0VE�, MOBILEHOME SUPPORT DATA % v � 1" If other than single wide, 'j '1 Mobilehome Mfr. 1 (� ��� � furnish .Se p o. e_ Year `7 rfib v ft. Box Len'th ft'.) Tagalong or Expando-Size _ft: X tt. Width/ ( ) g ice( On all mobilehomes manufactured...after October 7.;-19.73, furnish manufacturer's installation manual and structural setup sheets (if not on file with the-.County"of Butte)': FOOTINGS (check one)1 -pressure tr ted or foundation - grade. 2. Other (specify) �. SUPPORTS (check one)�l. .Concrete block. 2." Other (specify) Pier Footing Sizes and Locations . (e�� I ilk s�o -1 SINGLE -WIDE MULTI -WIDE . Line Line 2 Main Beams Line 2 — _ _ _ — — — — � — — —— --- — � Main Beams Tag or Triple Line L... ... Line 1 Piers: Size -Min- ------------ From End a -Max-------- Line 2 Piers; Size -Min. --^-------- Spacing -Max. --s:------- From Ends -Max.------ Line 3 Roof- Loads:. . Size -Mia -------------- x „ „x „ ,k Location (From Front) �. Line .4 Piers.:...- Size -Min.------------ ,k „ Spacing -Max.--------- From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Ltoe 1 Openings: Size -Min. „ x Each' Side -of -Openings-..-. • _ - With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ k ...Spacing -Max. ---------------- From Eads -Max.' ------------- e.5- Piers:,- (Under_..Bearing. Walls Any) Size-Min.------------------ 'k Spacing -Max---------------- , o From Ends -Max.------------- '- COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 • APPLICATION AND PERMIT PERMIT O ASSESSOR PARCEL NUMBER 027-350-151 ZONING A-5 BUILDING PERMIT OWNER Stocks TELEPHONE 532-1921 SQ.FT. OCC.1 BUILDING VALUATION OWNER'S AILING ADDRESS 1714 Lane Oroville 95966 CONTRACTOR'S NAM E Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $� Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 IP, nroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 23 NAME Valencia Tract PARCEL MAP 7- 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 S I G I W 2 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: MHU Permit Fee $45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 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/POWER and Professions Code and my license is in full force and effect. "cense No. Classification 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 200ATO1000AI 1. 37.50 NEW CONST. / DWELLING OCCUP.e) OR ADDNS. \ ACC. BLDGS. 3.64sq.ft. NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS e (SINGLE OUTLET CIR. Ex. p(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID.)FIXED APPLNS.REAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.00 15.00 Permit Fee $ : 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I haveplaced on file with the County of Butte Building Department a rtificate of Workmen's Compensation Insurance or a Certificate 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 penult 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, and expenses which may in any way accrue again " County ' conse a ranting of this permit. X ' 6•' ate &- �� signarure of Ap cant - owner ❑ Contractor ❑ Agent An OSHA ion of structures toverr39stories ain excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $113.50 HAz DFEES IMP FLOOD cDF PARCEL PD HD ISSUE �- �— _ This permit is hereby issued under the applicable prov"- sions of the B County ode and/or resolutions to do work indic a ab a which fees have been paid. IR OF PUBLIC WORKS By Date S /� 9 P �WflEXPIRES Date ,j �� Receipt No. 140488 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (� ZONING �¢ BUILDING PERMIT OWNERTELEPHONE Toes SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAIL1. G ADDRESS CONTR C UH*5;; ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS C'� Le Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.001 Solar or heat pump water heater 1 20.00 LOT NO. � SUBDIVISION NAME __rPARCEL MAP l%f I2N Water piping 1 7.00 Each qas water heater or vent 7.00 Li �rf{G Z %" z4 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome�&Other Building sewer 15.00 0.0-0 Mobile Home G 160 615.00 SPECIFY TYPE OF WORK New❑ Addition El Remodel[] Utilities Other[]Permit Fee $ Jr.b Describe work: 10 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): OCCUP.ei\ NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. II 3.6Qsq.ft. I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEWCONSTR ULTI.OUTLET NON•R ESBRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS &) (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76d F -1I, as the owner, or my employees with wages as their sole compen- FIXED EX. OCCup. OUTLETS P(RESID )REA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 �`pa ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee$ L O WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyoT Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to indemnify OCC CONST TYPE TOTAL FEES save, and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in a way accrue HAz DFEES IMP FLOOD CDF PA E PD )iD ISSUE against said County in consequence of the granting of this p r --� --� X Date S3 This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA over 5'Q" deep and demolition or construct. tover work indicated above for which fees have been paid. ion of structures 3q stories ineheigfattions DIRECTOR OF PUBLIC WORKS By DatePERMIT Receipt No. EXPIRES Date WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT lc� wt i Q- � ' ,1 ' r �.� l I �. � • � � � � + x 4 � .• � - - - - � � -_ � + y � '. ' ' �.� l x 4 � .• � -_ � + � � ' ., s _ ' ' l -_ � + EASEMENT. LOTS 19 and 18 Valencia Tract; Butte County, Ca. April 16, 1993 An easement is granted this date across lots 19 and 18 , Valencia Tract, for access to lot 23 Valencia Tract, in the following manner, Beginning at the.North East Corner of'lot 19 a 50 ft. (Fifty Foot) easement is granted from this corner fifty foot West amd South to the end of lot,19 a distance of 616.5 ft: then. an easement is granted from the South West corner of Lot 18, Valencia Tract, Butte Co Ca. for a Triangle parcel of.property that measures 50 ft.to the North and 50 ft.to the East from the South West Corner of that parcel. This easement does not grant any easements by useage of any other part of this or any other parcel of property by any person. These easements are null and void upon completion of the now legal easement to this property., by grading and applying gravel and by providing entrance'to the property from Palermo Honcut Highway, that may now or hereafter own or have an interest in the property. The Property.upon which the easements are granted are described as follows; Lots 19 and 1.8 , according to that certain map,entitled (Official map of the Valaencia Tract,.Subdivisiori No. 1, Butte County , California,'which map was filed in office of.County Recorder of•County of Butte,. State of California, Aug..11, 1913 in Book 7 of maps at page 58. 'Signed Signed Signed �-�3 ,� P 1,7 3s I E-1 ; psi s✓ �, �v�('�,,,� oo/ fy-*-v (\,�y v LZ X66` 5 � �tiW ddb lcin1a Return t�;o DPW Section requires prior to AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT. FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code this acknowledgement be recorded issuance of a building permit. The.. property described herein is adjacent I to land or included within an area zoned 93-01762T for agricultural purposes, and residents of satisfactory of this property may be subject to incon= Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs l of agricultural operations including, Recorder I but not limited to cultivation, plowing, spraying, pruning, and harvesting which g;47am 4 -nay -93 I COUNry or BUILDING pSpTrre Rec Fee 5.00' Cash 5.00 PUBL XX 1 occas-onally 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 23, according to that certain map entitled, "Official map of the valencies tract, subdivision no. 1, Butte co. Cafifornia,_ which map was filed in office of County Recorder of County of Butte, State of California, Aug. 11, 1913 in Book 7 of Maps at page 58.. Date: �1 ^ 7--1` Y3 PROPER dNERS: State of�/4��yT On this the &A/ day of /7r/K - , 19`73 before me, the SS. undersigned votary Public, personally appeared County "PO. 1 ( A / -ST-D 6444 - 0FEIC3AL 9EAI. Personally known Prove ; SK Edwin Edwin Hunt Peterson to me . to me on the basis NOTARY PUSLIC•CALIfORNIA of satisfactory evidence. SACRAMENTO COUNTY to be theiP o ( s ) whose name(s ) 65 My Comm. ExpirmJrly29.1994 subscribed to the within i strument and acknowledged that executed the same for the purposes therein contai ed. IY :vIT;!ESS IYHEREOF, I hereunto set my hand and official seal. r� I ( S ' Present A.P. No. Votary ,ublic -1 r. a ------------------- ..... ..... 93-017627 93-01762.7 93-M7627 de OF 93-0176;27, P-ec Fee I Cash 5.O© Recorded Official Recorder I County of butte Candace J. Grubbs Recorde'r 9:47am 4 -May -9.3 i PUS L xx 1 arX, 0 v I ` •-�'M DONNA S. CROSBY 0COMM. #973601 ® NOTARY PUBLIC -CALIFORNIA Q BUTTE COUNTY .-► 0 My Comm. Expires Sept. 23,1996' State of California County of� On before me,�7o,,., «S • �o personal ppeared l-ke.\,a.1, E Gea- E. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and by his/her/their signature(s) on the instrument.. -the person(s), or the entity upon behalf of;vhich the person(s), acted, executed the instrument,. WITNESS my hand and official seal. Notary Public r*� (Single Form) ,Effective 1/ 1/91 C� STATE OF CA IFORNIA SS. COUNTY O v, On —2� before me, the undersigned, a Notary Public in and for said State, personally appeared �S a ,S personally known to me (or proved to me on the basis of satisfactory evidence) to be the Pa(s) whose name(s) is are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in A/ her/their authorized SU�jty(ies), and that by his/her/their signature(s) on the instrument the`person(s) or the entity upon behalf of which thee�r`op(s) acted, executed the instrument^ OFFICIAL SEAL Edwin Hunt Peterson WITNESS and andjociZal. NOTARY PUBLIC - CALIFORNIA SACRAMENTO COUNTY Sianahrr My Comm. Expiree July 28,1994 •Name (typed or printed) y FTG -3197 (This area for official notarial seal) EASEMENT..LOTS 19 and 18 Valencia Tract; Butte County, Ca. April 16, 1993• An easement is granted this date across lots 19 and 18 , Valencia Tract, for access to lot 23 Valencia Tract, "in the following manner, Beginning at the North East Corner'of lot 19 a 50 ft. (Fifty Foot) easement is granted from this corner fifty foot West amd South to the end of lot 19 a distance of 616.5 ft. then an easement is granted from the South West corner of Lot 18, Valencia Tract, Butte Co.Ca. fora Triangle parcel of property that measures 50 ft.to the North and 50 ft.to the East from the South.West Corner of that parcel. This easement does not grant any easements by useage of any other part of this or any other parcel of property by any person. These easements are null and void upon completion of the now legal easement to this property , by grading and applying gravel and by providing entrance to the property from Palermo Honcut Highway, that may now or hereafter own or have an interest in the property. The Property upon which the easements are granted are described as follows; Lots 19 and 1.8 , according to that certain map entitled (Official map of the. Val aencia Tract, Subdivision No. 1, Butte County California, which map was filed in office of County Recorder of County of Butte, State of California, Aug. 11, 1913 in Book 7 of maps at page 58. Signed Signed oe Signed 4 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 (yeses" S 2. I (have/h.. erv)' 1�. � 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: lid., i `gyp ^ Y�- Name JI A-VJ6 �.�► N�fr19C e0�`U �' % �.�� .�. u, l Address TA U. w 77TW% ?tlWE 7RE Phone PIA Ie_,o Contractors License No. 4. -I plan to -provide portions of this- work,' -but I have hired the following person to coordinate, nsupprvise, and provide the major work,:. Name k �Na �'Yl<ohl L . Q .. -{ Tu 0/� 1 S 0-0nv tel/ Address(;. S Phone t'e. �C t actors License No. �g11a t� leil ' N b'e, 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: 4",Property Owner Social Securitv Number - 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 per- mitted to issue the permit. ~��!`Try.,'^r�"'y`.v*ti,...,►y�i;+i�+ilc�'`-'iu.tT""'`a..f;'�1T1,.-ir'v=►'�'���", ti's ,� r -r'.' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES, BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Ad ASS A. P. No. QZ% Proposed Building Use --rIV57.411 z*11— / Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items h, a been submitted . ............................. 2. Plot plans4 sets, signed by preparer of plans . ........................ 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. J. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... - 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ _ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval 4J0( //6r Health Department . ............ City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . Contact Land Development about (A) Improvements (B) Drainage. .......... . riveway permit (construction approval required prior to occupancy). ..l-�3 Frednspect6 r6g1 !Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. ...... . Owner -Builder Verification (Given to owner , Mail to owner . ........... Recorded copy of Agricultural Acknowledgement Statement . ..................5 Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan che4 list. _ ._.;................................................ . -34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone $?Z' /hZ/ and hold for pickup at _---office-.- Deliver with inspector-.' Other Parcel Crea 'on Acreage C ApplicantWLc�*CZO� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ' toper, ' s : (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Bossed a�Pa ziden+a.11 Contractor, designer,ow r, was advised of above required data by _ phoneme d Counter�Bate GU`` Contractor, designer, owner was advised of above required data by phone _ mail CCo_unter by _ Date 2 Plans checked by Da a Plans approved by Dat — Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a TO: Building Department �� FROM: Environmental Health ®Ak SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal _� Water Supply: Public Clearance for 2bedroom mobile home: Other Hold final for: Final clearance O.K. for: NOTE: Environmen 8/92 lth Specialist F.H. riou Plan nuach.d 11mr Phn Awwhrd. AP# Private Well c� .x �,3 -..- rate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 qr_rro-) S 2. I (have /ha4s-- bt) A --V— signed an application for a building permit for the proposed work. 3. I have contracted with -the following person (firm) to provide the proposed construction:, a . Name ,q r sal ��t P vii! �. Serr`)T ,�-oTiQ4 V—P4o icr •' address VVL_ t`}l/ ✓�F� '� E-�` 2�. �Cy„_lroaco Phone C ntt o i ense No. , T r 4. --I plan to provide portions of this work, but -I have .hired- -the . following ..person'--- _ to coordinate,supervise, and provide the major work: ° Name !� o L t S csba (4 AddressCe59✓L fMevCLi&pp .y,7w Do50-U K) 4-S g!;� 'ettio • e Phone-�j^``� Con cto s i nse No. Q 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: f-Work- Signed: Property Owner Social Security Number Date No 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 per- mitted to issue the permit. Sna 1970 Xk- * 06288 'Davis Coon Co. Conirading & of mens 9,enW • Clearing / Excavating / Blasting • Underground utilities • Sewer & Septic systems • Grading & Paving / Patching • Concrete work • Concrete & Asphalt sawing • Send blasting • Hole Auger / to 12 deep • Trencher / to 8' deep • Dumptruck hauling Steve Davis 6391 Carmel Ave. Ph. 916-534-7951 Oroville. CA 95966