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Home My WebLink About058-170-05858-17-58— ED & KATHY n ,V_ANDrTE OHNSON , did? : /(Tarbo Gap, ncow ` Permi #2615-89P,E(util, ELEC . c20 i9 GAS SUPPORT STR CTURE REQ. COMPACTION•TEST REQ. (;,%.e) I _�.�Q .58-17-58 Permit#26_16-8 -- HI IssueD �l 058-17-0-058 00- 3 JOHNSON, EDW KATHY 112195 ANDY AIN RD., OPjffLLE.' CON UNKNOWN nC r ON PERM FND ON EX SITE 058-17-0-058 00-1844 JOHNSON, EDWARD & KATHY 12195 ANDY MOUNTAIN Rb., OROVILLE CONTRa • UNKNOWN COVERED DECK i I { NOTES RESIDENTIAL -------------------- 058-17-0-058 00-1844 PERMIT No. � JOHNSON, -EDWARDA KATHY -- 12195 ANDY MOUNTAIN RD., OROVILLE ' CONTR: UNKNOWN i COVERED DECK SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ✓ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready, Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. L 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground 35. A.C. Ducts Insulation & Support Ventilation Throughout House 36. Vent Fan, Exhaust above insulation Glass Protection 37. Condensate Drain & Overflow, Size & Grade Corrections from Previous Inspections 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Gas Test -Meters Tagged, Gas -Electric 39. Attic Access & Platform if Furnace in Attic Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) . Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Insild./Drive J Yes 7 No/Walks :1 Yes J No/Planters Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i I C .. �.:F.�„ti.,,,�Y�i,r•�,,,....,�_.....-�r..,y`�_---�'.rr-�..�..rV'�.+'ufw?•vv"Y�4rr.�-1�.,..;-...tt..�,c-...w..rsh.w.�y..lr-..fl..d-.'Y-r^'gww�ir.-.Y-"--+a...rek�,w.,.7s*�ar"�ry .. .�.-.. _, M `PC OUNTY OF BUTTE - DEPARTMENT OF DEVEL P_,AAENT SERVICES - BUILDING DIVISION. , _ 7 County Center Drive • Oroville, California 95965 ® Telephone (530) 538-7541 PERMIT%NO. APPLICATION ANQPERMIT ASSESSOR PARCEL NUMBER -,--- 0 - N0 t BUILDINGPERMIT" OWNER ' 4 `EDWARD & KAM JOHNSON TELEPHONE , 533-0403 ,.? SO. FT. OCC. BUILDING VALUATION 128 1664 . OWNER'S MAILING ADDRESS ` 12195 ANDY MT., OROVILLE 95965-9001 CONTRACTOR'S -NAME TELEPHONE ' UNKNOWN CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER RICAN GENERAL FINANCE INC. 532--9561 LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 'Permit Fee $ 3g ..Op ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ q BUILDING ADDRESS 12195 ANDY MT. ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ $4.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O UBlities O Installation O Other O Describe Work: COVERED DECK WITH AWNING #88-60 SPA ,'Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oa u ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law forothe following reason: Mel, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith=co ply with those provisions. X) "'� Date ,Signature 'f'Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sLDs. 3.5¢Fr: ==.T' MULTI.OUTLET @7,50 8 OWER UTLET COWER APPARATUS OIR. Ex. OCCu OUTLET ORFDMRES �a'.50 BAL a .SO FIXEI Ex. Occup. OUTLETS R� °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 84.35 ^ �,, ,�� rH _D. FEES IMPS — — . FLOOD �s CDF. , PARCEL V PD r1 ND .� ISSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ �r�� By Date Allri K PERMIT EXPIRES ON — r Date Receipt No. S1yC J0`!ti�1. J5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i`:i County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT 41)-zk ASSESSOR PARCEL NUMBER 058-17-0-058 ZDNIN-L /v BUILDING PERMIT OWNER EDWARD & KATHY JOHNSON TELEPHONE 533-0403 SO, . FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 12195 ANDY MT., OROVILLE 95965-9001 128 1664 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER AMERICAN GENERAL FINANCE INC. 532-956 Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 664 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHfTECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 2-5-23 BUILDING ADDRESS 12195 ANDY MT. ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 84-35 IDT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ COVERED DECK WITH AWNING Describe Work: #88-60 SPA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W PA2�-00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'OvA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWFA License Class LIC. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f9P1he following reason: 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service Ta 1000A 46.00 NEW CONST. DWEWNG OCCUP. WEE OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. I. R ID MUL,C. T Ur @7.50 APPARATUS 8 SINGLE OUTLET C IR. Ex. Occu OUTLET OR FD=RES 20 1'00 eAL .50 APPI Ex. Occu . DunF°. (RR=°eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) W11110certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ply ith those provisions. X Date Ignature 4rApplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT FEE $ B4.35, D FSEs IMP FLOOD CDP Pp/&] PD HD SUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date G ///! PERMIT EXPIRES ONS/�/�� provisions to do work paid. (�� fe Receipt No. 302359 / $84.35 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..�,,, . �v� Z � �'p` ..'"rye- J " �p�"'r'�• `r�r Ts.- ` COUNTY, OF BUTTE - DEPART�IVIE R>OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: lok rl ASSESSOR PARWsuitted ER: Proposed Building Use: uilding Inspector:Date: Q� At time of permit application, I was adv�theowing data must prior to permit easing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- is%.� ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------;7-----=---------------------------- nrt 03; Complete plans, 3/4 sets, signed b�the preparer of plans. --------------=-------------------------------------- t! ' 04. Engineered plans, 3/4 sets,- iw th-wet signature on plans. All engineering must be shown on plans. -------- El 5. ------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ' El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 1:17. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. --------------------------------------------------------❑8. Hazardous Material Form. --------- - 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ----- --------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ---------------------------------- 3 ------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Flood elevation certificate. --------------------------------------------- anitation and plot plan approvalWealth Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----_ ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------- El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑ 26. Letter of intent on building use. ----------------------------------------------. ❑ 27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: 11 (Date), you issue the permit, process as follows ❑ Mail to owner, []Mail to ntractor. ep s33 -o4 03 p Tel hone and hold for pickup at yV 1VPollub . ❑Deliver with inspector. � Applicant: •Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ AiDate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin ivis' n counter, by AD:Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 11A.P. folder. Note transfer by: Date:. Yellow Copy - Department of Development Services, Building Division. n I 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 buUding permit mill . be issued until this verification is received. n I personally plan to provide the major1 and materials for construction of the proposed propertyimprovement : YES[ NO[ ]. (J2 I HAVE[Li-f HAVE NOT[ , ] signed_ an application' foc --a' budding permit for the proposed work . .. ,.: 3. I have contracted with the following person (firm) to provide 'the proposed . construction: NAME: ADDRESS: :. CITY:. :.... PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have_ hired_ the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: B �� PROPERTY OWNER: - i t SOCIAL SECURITY NUivIBER: - r DATE:_ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 O.B.- I N . ...'l/+%L• Ll Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as_ the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of aoid on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with_ the exception of various trades that you plan 'to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any*persons other than your immediate family, and the work -(including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to.several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial riskifor you if you do not carry out these obligations, these these risks are.especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their owii work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, ivlichael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This &Nner •Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California .95965 • Telephone (530) 538-7541 PERMIT N0. (Rev.12/96) APPLICATION AND PERMIT �8 ASSESSOR P ELL NUMBER - 0 p �I ZONING BUILDING PERMIT OWNER s - TELEPHONE 5 SO FT OCC. BUILDING VALUATION OWNER'S MAIUNO ADDRESS t YNAIN(LI, CA 5765 - ao CQ1JtMCT R'S NAME IVIVIVp� TELEPHONE CONTRACTOR'S MARINO ADDRESS NSTRUCTION LENDER • 77 q EFirIce LENDER'S MAILING ADDRESS S Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. FlIr1 Fee $ ; 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ ATc Plan Checking Fee $ S BUILDING ADDRESS a, t Energy Plan Checking Fee S $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF,O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap i 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Instal ❑ DescribeWork: r13 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 - '-- _ o �\ q') 1 lVV / \\\\ Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. . OR ADDNS. ( & ACC. Bws. 3.5¢So FT. NEW CONS MULTI -OUTLET NON•RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. OUTLET OR FORURES 20 EX. OCCU gAL � yo EX. Occup. OFU iEETS REFS DEKA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNEljjE EE $ 3 HAZ. CDF PARCEL JIPOHD SSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ete a s S� j • > t APPROVED Butte County --9 Environmental eal* 4te _ ---- si re %1 G O` �y �,1 ., -0 � ..fn ' VARIES 0 7 N , s 0 D 3G' MIN. LJ 0 W- N lu T 7q UK -v *-n rn �A N Y` `' MAX '' oSS `cS y s ODM 0 � � A May 1995 03 70 CIm vF m m X 7� v 3 4° RAIL uEI GHT %3�HfW� "-i 0. b C z a W -4 0 cc � n N am m O � � r`► 11 N I 0 X Z m - o i m o •N n v a A W I DTI+ �v N 3G' MIN. LJ 0 W- N lu T 7q UK -v *-n rn �A N Y` `' MAX '' oSS `cS y s ODM 0 � � A May 1995 03 70 CIm vF m m X 7� v 3 4° RAIL uEI GHT %3�HfW� m W s� �✓, � MAX. �� W �✓, � MAX. �� W � Z N � � m 11 N II i • �v o v 34o"MIN. STAIR A W I DTI+ �v �) C9 O Ln X 6.5 r Y • NOTES RESIDENTIAL F058-17-0_058 PERMITNO. TOHNSON— _ 00_1843_ EDWARD & KATHY 12195 ANDY MOUNTAIN RD., 'OROVILLE ! CONTR: UNKNOWN MH ON PERM FND ON EX SITE THE HCD FORM 433A FOR THIS MH CANNOT�� BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE) t (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL#'S SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t OFFICE COPY r + 1 Address 1 GAS 1 Meter By Date - E IC Mate e i - JOB FINALED (Date) Signature .i = OK Y 0 = Not OK - = NotAppli°able MOBILE HOMES '�'' = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Carports; Windows -Doors 5. E ncity; Location-Clearances-Grnd-/ /Amp -Concrete 7. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK exceW #'s !iY Zonin quirements-Setbacks-Easements s; Size -Spacing -Marriage Line as: MH Test -Demand -Valve -Connector LFfbraiDiMH Test -Fall -Flex Connector meter and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged owns- ype- ns a a ion e . xits; Ins p..Sketch- 11. C t. of Occupancy ermanent Foundation nly; License Deca Date Card B-1 Date Card B-1 Dat 0 Card 8-1 Date Card B-1 C�-L_ N 353 J 1i MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels I Date Card B-1 Date Card B-1 [[ Date Card 11-1 Date Card 11-1 f Date FINAL (Plans) OK except #'s f} 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability ` 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GF] 5. Elec.; Pool Lighting; 15 Volts-GFI r 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater f 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J ='OK 0 = Not OK = Not o Rot eaApplicable RESIDENTIAL (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning-Setbacks-Easements-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel- Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel-Wrapped 54. 8. Piers-Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test-Anchors-Regulator-Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance-Material-Support-Ins. 60. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent-Access-Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor-Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor-Nail Protection 66. 20. Shower Pan; Test, First Floor-Tub Access 67. 21. Test Tub & Shower, Second Floor-Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance-Ins. Protection 74. 24. Elec. Receptacles Spacing-Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 80. 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 81. 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light-Shower Light-Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground 35. A.C. Ducts Insulation & Support Ventilation Throughout House 36. Vent Fan, Exhaust above insulation Glass Protection 37. Condensate Drain & Overflow, Size & Grade Corrections from Previous Inspections 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Gas Test -Meters Tagged, Gas -Electric 39. Attic Access & Platform if Furnace in Attic Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing Tingle & Duplex) , Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Cate Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ❑ Yes ] No/Walks J Yes 3 No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE 'BUILDING DIVISION r�. . DEPARTMENT OF DEVELOPMENT SERVICES F 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE 1-1 OWNER -/59C/.3 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above adVIfd should be corrected. Please notice this office when correction of work is completehave any questions pertaining to this matter, or need additional explanation, please cos office immediately. 7 Date / Inspector'?' REV tO/92 00 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` - 7 County Center Drive Oroville, California X5965 Telephone (530) 538-7541 PERM11 NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-17-0-058 ZONING 10 BUILDINGPERMIT OWNER EDW TE HONE 533-0403 SO. FT. OCC. BUILDING VALUATION .OWNER'S MARINO ADDRESS 12195 ANDY MT., ROAD OROLVILLE 95965 816 R 44,064 CONTRACTOR'S NAME L UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER AMERICAN GENERAL FINANCE INC. 532-9561 LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 191 -nn ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 12195 ANDY MT., ROAD, OROVILLE Ener Plan Checking Energy g Fee $ 00 ' PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: MH ON PERM FND ON EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service '.on oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) Vv�'l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit co ly with those provisions. X Date _ Ignature of plicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWa Acc, IJIO 000UP. s0 OR ADDNS. ( gLpS. 3.5QFT: No ... MULTI.OU 0 97,50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL Q 1.00 Ex. Occup. .71) R� .1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TVPE TOTL FEE $ 284.00 HA2. p. FEES IMP FI�OD CDF , P PD / MD ISSUE This permit is hereby issued under the applicable provisions of the Butte County/Code and/or Resolutions to do work indicated above for which fees have been paid. ' By _ .--.x Date �( PERMIT EXPIRES ON Date Receipt No. 302359 $284.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .'-Q^' A r WxjQ�{j�� COUNTY- OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLEA 'IF��RNIA 95965 - TELEPHONE (530) 538-7541 r,� w PERMIT APPLICATION DATA SHEET OWNER: Y 1 ASSESSOR PARCEL NUMBER: (.JS U I0,JV Proposed Building Use: ( Building Inspector: Date: At time of permit application, I was Advised khe following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ----------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ . Fees of $------------------------------------------ ----------------------------------------- Impact fees as shown on the attached schedule.` --9- 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1 . Flood elevation certificate.------- anitation and plot plan approval ❑ 15. City of Chico plumbing permit. -- Department. - ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: _ (B) Parking: ------------------- a ❑ Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- Encroachment Permit for driveway (constructi i appy al prior to occupancy). --------------------- re-inspection for 1'1` required. Request to Building Inspector on ❑21. Contractor's license information. (Number, &ne Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. -------------------- 023. Owner-Builder -------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utdityrclearance- --------------------------------------------------------------------------- ,I'8. Existing Vi ons and/ it permi -------------------------------------------------------------------- u"ly. ❑433 Alit Deed, Title, eck to H.C.D $ a o� e --------------- 1130. Other: ------- you issue Suit, �rocg follows ❑ Mail to owner, ❑ ail to contractor. Telephone 55 (� and hold for pickup at fWPollion Z13Deliver with.,inspector. Applicant: r Date: Copy of Haz-Mat form sent ❑Health Department, ❑Fire Department, ❑AiDate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division i Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division i Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil' ivisi d Plans reviewed by: Date: Plans approved by: i Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Yellow Copy - Department of Development Services, Building Division. (Date) Check List {>;y Date: by Date: by Date: by _ Date: Date: Date: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6" H. U NLY Plot Plan Ap�ehed Floor Plan Attac ad Sant to S.D. AwQ�,A �AVk 56V\ G Y5 AVLJII ki J. , 05?- 170-0 58' Owner . Locatio AP# Plan Approved for: Sewage Disposal Water Supply: P blic / Private Well Clearance for a g. Other —,;,16 Hold final for: Final clearance O.K. for: NOTE: Environme �. ealth Specialist // Date 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 budding permit W6 . be issued until this verification is received. 1. I personally plan to provide the major 1 and materials for construction of the proposed pro improvement: YES[o'1 NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed ari application for' a bufidin' permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide - the proposed .construction: NAME: ADDRESS: CITY: PHONE: CONT'RACTOR'S LICENSE NO. 4. I plan to provide portions of this work,, but I have. hired the following person to .coordinate, supervise, and provide the major work: '. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to "provide the work indicated: . NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 6-D NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be. completed and returned to our office before we are permitted to issue the permit. ..a.: y��> .,.�.,,�y.iv'.� :;,`'p.,� :y,y. L �'"i°`.^'�,..-�.•c.' �ci'. �. �"?f',� :>'4N+ •��/�P��:;v, C?' :.�S .i �.{4:<<.�.:�� -.3S.a..��er5��.•d':?��52�,-.,�.�,�S�.i1p. ':CS�'S��:.^";T�. v'S�'t^zi��l::.r.+�:.::,:.o::::w.s:N:..•..:..,..L/::;a..,•5::�.c::'.o.4:.ur...,.......:..:..........,....:....:.:.::.:. :.vi Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of iecoid . on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that• person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, witik the exception of various trades that t you plan 'to subcontract, you .' should be aware of the following information for your benefit and protection: ` = 0 If you employ or otherwise engage any•persons other than your immediate family, and the work -('including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and yoitk are subject to several obligations including state and federal_income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ,. 0 There may be financial risks'for you if you do not carry out these obligations,"and these risks are.especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Inteinal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors -are. allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ocvn work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned . Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. NJ— inn; 2.27 BUTTE_ COUNTY; SCHOOLS -1 MPACT FEE`CERTIFICATION FORM (One form per Building) School District 1( Building Department No. A.P. Number _�o - 05 Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. Residential Development No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # ............................................................................................................... '(No foundation inspection) Commercial/Industrial New Add�,on t r. �• - A BuildiNg-Department Representative 1\1\ Sq. Footage (Group R) Sq. Footage V (Including Exterior. Roofed Areas) g Date , U(Floor Plans reviewed by School District Personnel) District Identfication No. 010013._ mil I tz WW1 D (% School District certifies that (Applicant) -..,j ...aaAl has complied with the requirements of Resolution No. representing square feet. School Paid by Check # Remarks: �Jla lcl IL117 1,0061 by payment of $ AB 2926 $ FULL MITIGATION $ ��-•tea Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, incompliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), 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) feeform.xls (10/98)dmm pZ S D O �f V 1 ALL STRUCTURES AND EQUIPMENT INCL DING (� /� OVERHANGS SHALL SEC EAI OF ALL EASE ENTS. ` ` s�' A SET CIC OP,/S�FT. FROM THE SID AND s FTh FROM THE REAM PROPERTY LIFE AND. F'i'. FROM THE ROAD CENTERLINE SH LL BE CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT FOR A2 FT. EAVE OVERHANG. 00 GE& l 01 4� SPKIMG t PA R ED APPle/w/ , w 6„ <1 28' I— • 3/8" PLATE v. Mott GAPER BASE owcow � I _MATI 1 O SAV V CiR1PPE1tRA7E norm. m Wx4"b0hs 0 0 0 Typ of 4 2-xrz2/IrL . TIT OF 2 GRIPPER BASE GRIPPER PLATE TOP VIEW - MGP - PAD i . TUF-,mc ai hi • l s•=i.riOL.OIn orgm'ffu"` o' 1-1/2" SCR 40 PIPE W GRADE s PM OR EQw,t I r- S;IFR HOLES MOREm LOCK WITH iS' COCXIIVG� � . N rr OR Pot 2" SCH 40 PIPE T 1 ♦ W12 ADJUSTER HOLES vzz'SIDE VIEW - MGP - PAD 1p i `✓� 2' SCH 40 PIPE WELDED TO 114" BASE PLATE. YiG' x 2' BRACE 2' X 2' X 3/1 d" BAR wi nm+ 3116• AN G1 IR x 3N-Fulm WEA. 28' LONG / TYP OF 4 IK pLm • >A:suo.nam� f �C/ yr "m SOLM f I u; 1 _ +nr 1 24' END VIEW - MGP - PAD VGP – UNOERLIYMENT GRADE FLYWD. P d S CCA PRESSURE JREATED p s fS-l7o -oSFS DESIGN LISTED AND TESTED BY: BSK ASSOCIATES WAYNE T. POLVADO, PE - UST1NG NO. F94249 ES EAVL ClUmi ti-. iz �, ;" HUM AND TYCO S'�7�'•-PACIFIC CoNEGLTING ENGINEERS 213O6NA++ewff46 Pb:t1&4"- 9 APPRO % BD m,na,w, CA UM Fax: 91"64• M SUR11= TO COERB=no a NUM. . °F"°V"'°="°I""'"°`W@""W°"`AXTTUF-1 PERMANENT abos=" ca DEV AnON Imw.eouomeln Q A"`rA"A � ceaa�," " FOUNDATION SYSTEM D-Pwb= "del ad C- I, 0asbIMWP,evy X Ce °0OaAXD °`t ABESCO -GUS GUARD COMPANY P.O.BOX 126 CATEMYS VALLEY, CA. 95306 399jfdd35 0, FAX 219-96013"r �ti►x ��- 3S'3 -s'207 GENERAL NO. ICS GUS GUARD TUFA 1. DESIGN LOADS: LIVE LOAD -.101-1). FLOOR 11VE LOAD - 40 PSQ WAND LOAD - E0 MPH EXPOSURE (- SEISMIC ZONE `4" • SNOW LOAD 100 PSF 2.. THIS FOUNDATION SYSTEM IS DESIGNEQ 7U BE CgYS•ITtUCT1 D ON A FAIRLY LEVEL SfTE WAii NO DUSTING SOIL PROBLEMS. J. CHASMS BEAM SUPPORT SHALL- BE LOCATED AND 5>Zm FOR THE LOADS AS SWWN IN THE AIOBRE HONIE INSTALLAT70N D3STRUL77ON. 4. IN AREAS WHERE DIFFEREMTTAL- SETTLEMENT MENT (DS.I CAN OCCUR MANUFACTTRRED • RONM SHALL W7E►D.S. EXCEEDS Ig- OR WBAfN IT WILL BE ADVERSE7.Y AFFECT MANUFACTURED HOME UNIT. S. CARRY ALL FOanNW DOW TO FIRM. UNDLST uRBl D SOI.. FOOTINGS ARE DESIGN M FOR IMI, PSF TOTAL LOAD SM PRESSUM AND SHALL BE COMPATIBLE PATIBL.E WTM LOCAL SOIL CONDTfK*a COMPACTED SAND MAY BE USED TO FUI• LOCAL VOIDS UNDER PADS. 6. STRUCTVRALSTEEL FABRICATE ACCORDING TO ASfC SPECMCATIONS WELD ACCORDING TO AWS SPECLkCATTONS: ELECTRODES - 370 PLATES _ASTM AI6 BOLLS - 1 SAE GR 5 -ASTM A319 - ASTM A3725. a + 7. IMCUS GUARD ASSENOLIES SHOWN BL:LOW. SHALL BE LLSTED Atm LABELED BY M AND ASSOCIATES FOR TIM F LLOWI IG LOADS: ALLOWABLE LOADS HORLZOtMAL VE3MCAL GUS GUARDTUF-f :3mg. 60009 GUS GUARD MGP PAD 22001 600DO M GUS GUARD E -Z TIE PAD 221101✓ 60000 S. DURING PREL04NARY DMIECTIOR THE ESTIMATOR SHALL ENSURE THATMOBILE HOMIE CHASSIS BEAMS ARE OF STANDARD SEICTION. 9. EMSTTMG COACHES MAY BE RE7ROFIf TEED TO RESEST SELSAIIC FORCES RY INSTALLING GEIS GUARD TUF-t UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 101 TIE GUS GUARD TLr-) SYSTEMS ARE SAFE FOR tNsTALLAITON IPI FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE MGHT OF TEMEE FLET. 11. MULTIPLE MIT DJSTALLATTON IS ACCEPTABLE PROVIDED M NUMBER GF TUF-1 UNITS UNDER EACH UNTI' IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADOITTONAL RESTRAINT. • (SEE SifF1 T 13) 11. ALL METAL COMPOPMNIS AND ATTACWNENTS nEAtS SHALL BE PROTECTIVE COATED. 16. FOR MGP PADS USE 1 L/S EXTERK)R PLYWOOD WITH WOLMANUED TREATAD?W TO 0.40 MIAX PCF RETENTION WITH DRYING AFTER TREATMENT. RS. LIGHT HEAVY -WEIGHT PLASTIC AND STEEL PADS MAY BE USED IN PLACE OF WOLMAN ZED PADS. Ii E -Z TIE DOWN USED ON SINGLE -WIDE, ROUND STAKES (?J4 X 131 MAY BE USED IN PLACE OF THE I"X 1/S' FLAT BAR WHEN SOIL IS EXTREMELY HARD OR IN ROCTL HOLES ALAI' BE PRE-DRIII.ID WHEN NECESSARY. 17. WS GUARD TUFI FOUNDATION S T-lEM PROVIDES ALLOWABLE SNOW LOAD TO l00 PSF WHEN INSTALLED WITH 170STWG STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE TrMJ ON A ONE TOONE BASIS. IS. FouNDAT)0N BL= I6- x 16• x 1-2• poLmm IN PLANE AT GROUND L EvEL MAYBE USED. AT DISTAUJMS DISCRETION. AS ALTERNATIVE TO PADS. I _ I - 7d 3a Tau o4 3N,(rra : [T-7[YooL- r- z 3EM .SWPGT AS Ri 73 IIT IfA`& ACTRw'IZ _ TTP. 1 n' I ^ a ^U u❑ L I / Z' Mi 1 'PADS IIT ANYPADRMAY STANDARD w FOUHMATX K PIERS BE ROATED 9D DL'. R= AS RFJOO&0 D R)ED B Y TW M IhNUFACE(/RFA OR CFF•SET TO anmp- IDE - OR TETE ENGINEER TYPICAL THROUGHOn TO AVOID CLEARANCE E PROBLEMS. SINGLE WIDE UMITS E• t MM I e' MAX S= 6 MINY TB MAX DOUBLE WIDE UNITS ABESCO - GUS GUARD COMPANY E- 2• / t f' P.O.BOX 12S sr V/ z2 CA l Um ra VALLEY, CA. 9S306 2639PAX d" Yaw FW, 9,16 -Jo -3-6--107 kMMEA0W FOUNDAY7@I IY=U R>!MIB AMD SAMY OJDC.MX-r tt ilk APPROVED . RM76CT ID CORRECTIONS NOM AmwXreALb=M "AU VCRatC1yApK,. uAEMaCIL DCNCx7yF&Wj8QLwjm4 Ra A"LWA8L2 Sri tAY7 AND M39UL„cmM S1mafoahuy 09 -°lm sfvg wc..=.kD *ftw- W=911 OP CODES AND STAIQIAM /S oz H - IdI� oeevcs»�a ! SUPPORT PAD TYR TM -1 PERMAi ENT FOUNDATION SYS•ITM SHETE2OF3' awackla w/ w c Q E 21-1 W, ASPHALT SET wrai coNatum PAD _ 7iIINSET MORTAR, W MAX TMCiCNM f - 0.6 CONCRETE SEI WTTH CONCREM PAD K. RID HEAD OR EQUAL 2' FROM CORNER TVTAL4 C()T(CRM SET WrtM MOP PAD � .ail a .Irw IN, • SINGLE NIDE UNITS REQUIRE GUS GUARD E -Z TX PADS /bAr bus 6 -rd 71F f rrrs are to bie plaW d Wpra dwleb asal 6atar ar.,V a3dr fire rod n •r. _ .• u . «sires r• 0 INMIA E. - Z TIE DOWN SYSTEM TAT !SR i � � i�G ao �fS:GN MCeaatrnm;Cw.'fD,4rM srsyW e&vxum 1.1-" cooe.amm im, APPROVED averncr 7o o0esw- Rohs hoM A+PW�6+LDMX rvrA VTa)LCMQWMWMC aA�c eA+vr tasSSMTBLA so CGWAncm Sbrdo�i . DVKUMZtdM.Lin dC-4Ombrom DMJ OF CDBS AND SDNCARM aa".a . Iklo AL3 as SmNa �-GF M AoAfpm,I gam, �v TUF 1 PERMANENT FOUNDATION SYSITM ABESCO -GUS GUARD COMPANY P.O.BOX 129 : CATEC YS VALLEY, G. 95306 SAX 29*060"69 T-s�x 9/6 -38.3 -S2-o 7 . SHEET 3 OF 3 Mobilehome Manufacturer: ufacture Year. If other than single wide, furnish Setup Model umber: Width: 1 (ft.) Length: -CAB Tagalong or Expando Size�_(ft.) x _3.(fi.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradew] Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: .TLA e — I f'c rZ 4, 4 Z.r (- Pier -Footings Sizes and Location SINGLE VIDE MULTI NIDE Line l line 1 Line 2'in Z ................................................................................................ Main Beawa Line2................................................................................................ 1 Line 1 ' Lino 3 i Line 2 ............................................................................................... Main Beams , .............................................................................................. Line 2 . Liao 1 .................................................'�i.ine S i Tag or Triple iae 4 el Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: Spacing maximum: 5 ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: x Spacing maximum: ` From ends -maximum ` 1. Owner's Name: t— pL►1 t}iZ b G- M k nosa ad W dF1 tf q b. To k nt5 0:d 2. Assessor's Parcel Number:: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yespq No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 1` Amperes. - 7. What is the mobilehome site circuit breaker rating? JLa-o Amperes: " 8. What is the electrical rating of the mobilehome site? a a o Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No IX ] If it is, what is the rating? Amperes. :s 10. Is there any other electric load to be served by the mobilehome site _electric service (i.e. well, garage etc.)? Yes[ ✓j No[ ] If yes, please identify the load and size: a) The mobile home site: ; Load- l,�%,,� �, Amperes- n b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[K] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?(fQ. 14. What is the mobilehome gas demand? w h--rfk a , e na B.T.U. * " *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 "CORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 10 -Oct -2000 2000-0039145 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KATHY D. VANDIVER REAL PROPERTY OWNEMESSOR 9596 FORBESTOWN ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 12195 ANDY MOUNTAIN ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP LEAMON BISBY & GUSTIE BISBY UNIT OWNER (if also property owner, write 'SAME') 703 WEST ORO -DAM BLVD SP 108 MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE LP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PEILMrr and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1843 (530)538-7541 B D G PERMTELEPHONE NUMBER 4dVId10/09/00 IG ATURE OF LOCAL IrNJOFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write *NONE') DEALER LICENSE NO. FLEETWOOD 1979 CLARE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME1NUMBER CAFLIX910670387 60'X 12' CAL143753 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 050-170-050 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. � •, `Y+ � � � ;` r ., a. T / .ff a � e t�{i t,i s.ir �'`irwin i`' �a �1f6��'�+� �'.� �� +,�r�'i��«r� ,� f� s� w 07 POW,; CERTIF�CAEV UVOCG ,. P ANCYy; . 3 BUILDING PERMIT NUMBER: 00-1843 Address or location of unit: 12195 ANDY MOUNTAIN RD., OROVILLE, CA 95965 Legal Description of Real Property: A.P. #058-170-058 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LEAMON & GUSTIE BISBY Owner's address: 703 WEST ORO -DAM BLVD. SPACE 108, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: CAL143753 SERIAL NUMBER OR V.I.N.: CAFLX910670387 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: 10/09/00 PHONE: (530) 538-7541 H.C.D. 513C 11 LEGAL DESCRIPTION A.P. #058-170-058 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FOSTER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON -MARCH 18, 1987, IN BOOK 104 OF MAPS, AT PAGE(S) 88, 89 AND 90. f I 20•d -10101 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT— DIvI31on of Godes and 3tandarda 4��Ext of Title Search ' Date Printed : -07/20/2000`n'r>E�� Decal #: ABG8807 Manufacturer: Tradename: CLARE Model: Manufactured Date: 00/00/1979 Registration Exp:. 11/30/2000 First Sold On: 00/00/1979" Serial Number CAFL 1 X910670387 Registered Owner: Use Code: SFD Original Price Code: ADK Rating Year: 1979 Tax Type: ILT Last ILT Amount: $33.00 Date ILT Fee Paid: 10/12/1999 ILT Exemption: NONE HUD Label / Insignia Length CAL 143753 60' LEAMON HARVEY BISBY GUSTIE OCIE BISBY Trusiees 703 W ORO DAM SP 108 OROVILLE, CA 95965 ' Last Title Date: 06/27/1996 Last Reg Card: 10/13/1999 Sale/Transfer Info: Unknown Situs Address: 703 W ORO DAM SP 108 OROVILLE, CA •95965 Situs County: BUTTE Inactive Decal/DMV: DMV SS4070 END OF TITLE SEARCH Width 12' ?SID VALLEY TITLE AND ESCROW �Order No. :. E.crowNo. 103365-3 Loan No. API 058-17-0-058-0 WHEN RECOROED MAIL TO: 9sCi e>:��L, t� `; ORov iuE, CJA a�Ey6 09-05607 @9-003607 ! Roo Fee 5.00 DOC 35.75 Recorded I Total 40.75 Official Records Covnty of Butte Candace 1. Grubbs ; MIDVALLEY TITLE CO. Recorder , BtOO&a 22 -Feb -89 BG 1 SPACE ABOVE THIS LINE FOR wECOrtOEa•S VSE MAIL TAX STATEWENTS TO: 35.75 i OoMpA MTAFTy TRANSFER TAX t 1 C ,VV t.d on the ca+4r4uon or.of w0wry ewwwreet OR GanOVted an dq c*r*Ioww w or •�1,. W" -&nor MCuffbIErleB, Same As Above Vp Et time of so v 1 i o�.t�r. a " I....,* a Aw't e.r.I..arwq t,. _ r I,lw Npw. 1 ?4ID PALL TITLE AND ESCROW I GRANT DEED r p,� � FOR A VALUABLE CONSIDERATION, receipt of which is hates alticrloYvtedged, ? ELLIS S. FOSTER and VERONICA J. FOSTER, husband and wife hereby GRANlT0 no 11 KATHY D. VANDIVER, an unmarried woman the rest rxom., :t, u+e=KXMX unincorporated area Courtry of Butte . Stm of Califomik desrnbed n LOT 4, AS SHOWN ON THAT CERTAIN HAP E!77ITLED, `FOSTER SUBDIVISION', WHICH HAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 18, 1987, IN BOOK 104 OF MAPS, AT P=E(S) 88,89 AND 90. Dasa January 10. 1989 _ ./T IS S.�FOSTE� STATE OF CALIfOiAY COUNTY OF %Ertte_— _� VERONICA J POSTER . C„ JANUPM 11, 1989 bOW9 III& OW W *P*Qe d • NOUIy PWIC w We &W Ord S1411% OM• dOn.Ey Eo "mdl _f1LIS._ S _ TIOSM and VERONICA J. POSTER f -- ■a••aaa•aa•••aa•aa•anwas an prwluoy Wlowll to ml. - I BANDY A. STACK • NOTARY-ftC_CALff*P"A • DIiY,ro be tlMt oaognlEl Who" tiln.ewo EVAerbd to IM a I.iftll n,VWnAM 6-0BH VmI I • �lcno.boped ro ay tNr tE000Rlry •soewa � UP C--060- ttpns -,. s. 1 � Gas manage WITNESS 0"tyz"Cull"&L_^^�l _kms ��GGGJJY//"-""��•CIC.L � �y0 / MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMEN 1 Z I6/B21 8 Q PERMIT NO. PERMIT EXPIRES { OWNER KATHY VANDEVER JOHNSON I , CONTR. owner w ASSESSOR PARCEL 58--17-58 LOCATION ___ Jarbo Gap, Yankee Hill ig c F t i Temp. Power Pole I Called PG&E ' Temp. Elec. Service r Called PG&E r Temp. Gas Service. Called PG&E or - JOB FINALED (Date) —/ Signature = OK 0=Not OK = Not Readyable. MOBILE HOMES MISCELLANEOUS Date MCOLE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGESI (Plans)OK except #'s Zo g Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 41fojpecial MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel wer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. W r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing te I tricity; Location-Clearances-Grnd.-/ / Amp -Concrete Age�/ Gas; location-Test-Wra / /"L"ft. /"Nat. o /"L"ft./� "LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date — rd -B1 Date 10. Roof; Shthg-Roofing Card -B fA042 Dat Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOPCEHOME I STALLATION (Plans) OK except #'s Z,wYrng Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date Fo gs;. Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date H. Test -Demand -Valve -Connector ArfIgoKicity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r ' H Test -Fall -Flex Connector 1. Setbacks -Easements ate • H Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Z,Wa-t_V,Efnd'Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining pt as d Electricity Tagged xit nsp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI i ert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-B1Date and -Bi Date Card -B1 Date Card -131 Date 6 9. Health Department Approval , 10. Plumb.; Cir. Test -Water Supply Test Card-B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = UK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready . - Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date 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/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Ai 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-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 -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date 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-Mech. 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 -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) .�..-"w....v..,,i,�t .•w-, �3.+--. �....-�,....v. �.-r.-..-t..-......r-•«--:O+�4•y-7�r-rx�vi.�-..�.-r....� -,-•,ate.. �.,.-.....,.,.-.�.. �� , COUNTY OF BUTTE 'r DEPARTMENT OF PUBLIC WORKS'' 196 Memorial Way, COco — Phonefi891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. // Date �A MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVIL•LE, CALIFORNIA — 534-4541 PERMIT NO. YAddress or location of mobi lehome Owner's name Owner's address Insignia or hud number ; Manufacturer's name Serial number of V.I.N. �� Year of manufacture Official Approving Installation) (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. 513B White - Owner, Yellow - Installer, Pink - D.P.W. -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL NUMBER G BUILDING PERMIT OWNER OC r V T�EPHONE ,SQ, FT. OCC. BUILDING VALUATION OWN R'S MAILING A //D1qRESS .� fk V ®tel! CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PE MIT Filing Fee 10.00 Each Trap 1 1 2,00 Solar or heat pump water heater 20.00 LOTNO. SUBDIVISION NAME ) �,6 PARCEL MAP Water piping 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 o tlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition❑ Remodel ❑ %t(lities ❑ Installation] Other ❑ Describe work: 1 ,- ~— Z6 / '—�/� i Permit Fee $ Contractor ELECTRICAL PE MIT Filing Fee 10.00 Main service 50ov OR LESS 100 AMP OR L SS 10.00 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 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) ElHoI, as the owner, am exclusively contracting with licensed contract-Mobile on ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC UP.y ,h2SQft OR ADDNS. ACC. SLOGS. NEW CONSTR. TI.OUTL T NON.RESID .BRA CH CIRC ITS 2.50 ea (POWER APPARA Us e) `SINGLE OUTLET ICIR. P 20050* eAL030 FIXED APP LHS. R EX. OCCUp. OUTLETS (RESID I EA.) 2.00 Temporary service 10.00 Mobileome Facilities 15.00 Htract- Misc . g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PER T Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation penult Fee -4 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstOCGUP, all liabilitie', judgments, costs, and expenses which may in any way accrue against sa' County in consequence of the granting of this per t. - /�J�/ Sign re of Apt antt Owner El Contractor ElAgen An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ TOTAL PERMIT FEE '—' co", SCHOOL -- FLOOD �- PARCEL PD ND 9 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY s PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -I'z Receipt No. 7 WHITE-O.P.W., TELLOW-AseCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I, COUNTY OF BUTTE -,Department of Public Works 7 County Center Drive, broville, 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 i rovement (yes or no) 2_. I (have/have not) AAsigned an application for a building permit for the proposed w k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. :I plan to provide portions of this work, but I have hired the following person to coefdinate, superv'se, a94 provi e t e major -work: 1 Name Address City Phone Contractors License No. .5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name /% Address Phone Type of Work Signed: Property Owner Social Security 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. As,. f 3 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use 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 APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. S tern nt of Intent for Non -Heated and AC Buildings .............. 7 ngineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation //,//X16 instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for - required ..... Pre-Insto • Buildingg Inn. requestspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. J When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other. Copy of plans sent - Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permit iss nce4,ircle ne item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder Violations to be Entered into Computor (violations to rembve are in red) V►Or,„�� Parcel Last First Vio. Date �� Stat Code 10 Day 30. Day BYO lo` t - 5 a -az4 Co�� Lee-,,eer Cke.n Sana -oma A rA'Vmny '1/3 1 W gWKT WOL� Ian 0 I /(Ofbg gpu-N 5 -off 1- 3 1-b XX/\/ B 2-e- 4 k�v 6 4- kY4 low K4 59-073-5 -tom-cs ;2-7 -01 -04 51-0(a-S'O CTcNb,`I hi(ba-Tc` 5-/q-4 WO l-Iz , �o y 16-10-e SS0 n 35 r-olre.^ ,( 1 LI%w . n to y a - 3q 0li1; l -q /-5.,)--3a- bKW 3e.2 t4 /&42 A 6wR.T gAAq- XX/\/ B 2-e- 4 k�v 6 4- kY4 low K4 K\111 A 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 or no) 2. I (have/have not) 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: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name., _� „ , ,Address . Phone Type of Work Signed:_ Property Owner Social Security Numbe -, 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. t COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS P ;Pos—r 0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSORPAR EL NUMBER ZOY,() ) I BUILDING PERMIT OWNER j,�� T LEP,HHOO^NEmnv f/ 1�.� K/ iYv�/� —t./ S.Q. FT. OCC. BUILDING VALUAT ON �Ci QWNER'S MAILING ADDR SS TfS a ONTRACTOR'S NAM TELEPHONE CONTRACT 'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ / ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ S P !�N�J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 vpgn ' O © 2 Each Trap 2.00 Z M S A41 M Ifol. Solar or heat pump water heater 20.00 LOT NO. SUB VISION NAME P4RCJEL MAP PO c2re�l v l ' Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeiQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea E TYPE OF WORK New❑ Addition[] Re odel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee ; -� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 y 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 NEW CONST. / DWELLING OCCUP.y , OR ADDNS. C ACG. SLOGS. 20sgft NEW CONSTR. MULTI -OUTLET RANC QC., Ts2.50 ea NON.RESID BRANCH POWER APPARATUS e (SINGLE OUTLET CIR. p e0050 Ex. OCCU OUTLETS OR FIXTURES 2ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.J` 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. [ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue nsequence of the granting of this per it. again t said Countnzvo/l X Ir i Date Sign cure of Arpli`�ant - OwnerjE Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ctures over 3 stories in height.ipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPEJ 11:l OOL PLoo PARCEL PD N s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TO F PUBLIC P- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-D.P.W., No.�4'i� YELLOW-ASOCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT�,'OF'AAOBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFgRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT. APPLICATION DATA SHEET , r` Permit No. OWNER Q LAIS A. P, No. �✓ �— Proposed Building Use i14 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 APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation .......:. 6. Statement of Intent for Non -Heated and AC Buildings .............. = _f 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation ^� in truc io s E n4f, s ................................................... � = s- 10. Chico Urban Area fees paid 11. Parkfe s d ..................................................... -2. School District fees paid ................. ;J ' i 3. Sanitati n approval fromHealth Department ... I 1!� Q •�i 14. City of Chico plumbing. permit ...................................... t 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required Pre-Inspec. request to ' - ....Building Inspector (Date) 20. PrItractor's license information (No., Name Style, Classification) ....... 2 1 Certificate of Workmans Compensation Insurance .................... /L. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 00 Recorded copy of Agricultural Acknowledgment Statement ............ MW i' 24. Letter of signature authorization ...................................... t 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone�1Q--(0d3 and hold for pickup at office. Deliver w/inspector. Other � Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked'by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department' -"r FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Water SupplyiG' Plan Approved for: Hold final for: Sewage Disposal Final clearance O.R. for: Clearance for .�;-2 bedroo mobile ome. Other NOTE *** Water Supply Water Supply Sanitarian` Da e r, ` Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTTAL -DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. X55 The property described .herein is adjacent 69 to land or included within an area zoned c for agricultural purposes, and. residents rr g 199 of this property may be subject to incon- veniences or discomfort arising from the --- use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural , operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established :igr•iciil tura.l zones which have as a priority use for productive agricultural purposes, :incl r<sidrnt:: wi.thin said zones and on adjacent property should be prepared to accept such inc onvc•rcic,nco or disconform from normal, necessary farm operations. •11 All. that. real property situate in the County of Butte, State of Cali.fornia, described :is follows: LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FOSTER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 18, 1987, IN BOOK 104 OF MAPS, Al PAGE(S) 88,89 AND 90. Date: State of. Calif. ) On this the 8th day of August , 19-8-9 brfory me, SS. the undersigned Notary Public, personally appeared County of Butte ) a ElPersonally known to me. Q Proved to. me on the basis O1�F'ICI�►I. of satisfactory evidence. URBARAED6AR to be the person(s) whose name(s) are __ NOTARYPUBUC•CAUFORNIA subscribed to the within instrument and acknowledged that. tBUTTE hey_.•. COUNTY executed the same for the purposes therein contained. IN WITNI?tiff *Comm. Exvk�s Mir. d, 1941 P P WHEREOF, I hereunto set my hand and official seal.. Present A.P. No.�Notary PeAic D ✓� 1% It It p ��?-s Ilk V)TE.--AN Mcsferials & iced ShcdI Be In accordance with Re-c-egnmed Good Prudices and of a quaff. preEc,_i4,e:jfoi. 1 if -use in the , & , e S -c-cied c Urgorri, Bujidii-Ig, Pimabing FA, Mechw9cAd Codes wd C INt sef aT pldot,cbg KOMf ID% E 3 ept an Ae inln of c1l, 4-Mes c.nd if is unlawful tc im - mych -me w%6,ui mk,, c I mmoz; or a! r ions onva '006 cmft a cum. I 11p 6,0 � 0 xv� road, i Oil t 'ro M.► "p - rt A setbackof and a setback ,roniet.ine jro t e all eclearol)60=0 tit 0. r 4' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS �. County Center Drive, OrovilTe,' OA __ PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 0 C) Amps 6. What is the mobilehome site service rating? ------------- 7. What is the mobilehome site circuit breaker rating? ------ 2 C a Amps /00 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------- -------- ---------------Yes a No 0 (If yes, identify the load and size: (Load) 0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/ti t� (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 20 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe lenglTe'gsCthaan6 ft. on natural gas or less than 50 ft. on LPGAALDING ®OAMMEM AP -F 0V 1.4 Je 1. Owner's Name: ZD 7W -Z q 1jSQQ 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number 36/S g y ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 0 C) Amps 6. What is the mobilehome site service rating? ------------- 7. What is the mobilehome site circuit breaker rating? ------ 2 C a Amps /00 Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------- -------- ---------------Yes a No 0 (If yes, identify the load and size: (Load) 0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/ti t� (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 20 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe lenglTe'gsCthaan6 ft. on natural gas or less than 50 ft. on LPGAALDING ®OAMMEM AP -F 0V MOBILEHOME SUPPORT DATA Mobilehome Mfr. If other than single wide, /� SL/�J furnish -Setup Model No. Year ••-- - -Widtht-.,)*"- Box Length �D,...._(ft:) "`Tagalong or ExpandoSize ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) .SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Main Beams --- — — — — — -- — �►.-Line Tag or Triple Line 1 Piers: Size -Min. ------------ Spec J ng-Max. -----------Spacing-Max. - ------- From Ends -Max. ------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max.------- Line 3 Roof Loads: Size-Mio.------------ x x k Location (From Front) Size -Min .------------ 'k ' Spacing -Max.--------- , From Enda-Max.------- Line 5 Roof Loads: Size -Min. ------------ Location (From.Front) r J Line 1 "A Line 1 Openinxe: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line. -3 Piers: (Under Bearing Wall Only) Size -Min ------------------- k Spacing -Max.--------------- , From Ends -Max .------------- �_ n rrx o nx a nx n .k y u Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- .k n Spacing -Max.--------------- ._ .. From Enda-Max.------------- �_ u . �utte Count, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-1844 Expiration Date: 8-18-01 A.P.# 058-170-058 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [x] Permit work started, but not completed. Permit may be renewed for '/i the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ J No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. - YWrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 AP# t� 014NER �1�►/L��G PERMIT MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. ervice ize Other Load Tvve Pipe Size Length_ YES NO YES NO