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028-030-029
_ -- ^ ° � - ' ` ` = Gilbert Orr 28-03-29 Lower Honcut Rd, Honcut 28-03-29 Permit#3531-86P,E(ele for well & future lot development) 28'03-29 1492-91P,E F0LS0M, Debra Lower Boucut Dd,Oronille '_-____''-________ ELEC-28 DZ 0370- .92 63P,E FOLSOM,.John Debra 1075 tower H(n Oroville, FGAS COMPACTIONTEST,REQ SUPPORT'STRUCT REQ 028-03-6 029 H 6 92-2864M Low 0 1075 Lower oncut Rd, 6rovi,116', Homt �»~ GAS COMPACTION TEST REQ 175 ti nn P feed, impleffien-ts ~ N ti- RESIDENTIAL '028-03-0-029 92-2863P,E FOLSOM, John & Debra 1075 Lower Honcut Rd, Oroville contr: Executive Homes mh utilities Address— GAS j Meter By_ ELECTRI Meter By_ JOBFINAL ED (D Signature V OFFICE COPY Dateq��- Dat J=OK O = Not OK t Not NotApplicableMOBILE HOMES Date MOVEJ40ME UTILITIES Plans OK except #'s '— Z ing Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3. Sewe ; Location-Test-Fall-C/OConcrete.) 4. W er; Lgcation-Test-Easement Needed (Sketch) o ) lectricity; Location-Clearences-Grnd o&np-Concrete 6. Gas; Location-Test-Wr p -'/- Y'L" ft. LJ"Nat. or/124; 1_" ft. LPG 7. �<' Clearance & Disconnect Utility Clearance Date!E Q -f Z.Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 i Date MO IEE HOME INSTALLATION (Plans) OK except #'s 1.-1aftingRequirements-Setbacks Easements 2. F gs; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector ) 4. lectricity; MH Test -Crossovers -Breakers -Clearances 16�5. Drain; MH Test -Fall -Flex Connector L,�16. Water; MH Test -Regulator -Connector dd 7_Water and Sewer Connected -C/O to Grade -HD Approval 2 Gas and Electricity Tagged j of Occ Date? �f 4 7.Card B-1 may" /Date Card B-1 i Date Card B-1 Date Card B-1 e j �yI } f?I, �}I f 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date ♦ UNDERFLOOR (Plans) OK except #'s • 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK exceptg's 16. Water Htr.. Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- --- - ------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 --------------------- ------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4'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. Fastners-Bond Gas & Water --------- ------------------------------------------------- ------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ---- --------------------------------'------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al ---------------------------------------------- 29. ------------------------ 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O 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 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 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. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- --- -- -------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------------- -------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - ------- ----------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- -------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------------------------------- ------------- ------------- 42. Draft Stop in Walls (rat proof, ----- ---------------------------------------------------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ---- ------------------------------------------------ 44. Headers & Beam -Size & Bearing jingle & Duplex) bate 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 3' -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 -Ceilings ` ----------- --------- 60. Infiltration -Walls -Windows --------------------------- Date _ Card B-1 _ Date Card B-1 Date - -Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's -------------- 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- -------- 63. Furnace: Vents-Clearance-Ccmb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. 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. --------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------- _-Elec. 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 -Meeh. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -looked in Altic Cl Yes -------------------- ----------------------- -- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------------------------- 80. ---------------------------------80. Following instld.: Drive 0 Yes 0 No; Walks ❑ Yes Planters 0 Yes ❑ No ❑ No; ----------------------- 81 Stucco: Brown -Finish ' ------------- --- 82.-A.C.-Unit: Unit: Disconnect. Electrical, Plumbing ---------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - - - --------- 84. 84. Water Well: Disconnect, Electrical, Plumbing -------------------------- 85. ------------- -----------85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -------------- 86. ------------ 86. Ventilation Throughout House -- -- - -- -- -- •-------------------- ----------- 87. Glass Protection _ 88. Corrections from Previous Inspections - ------ ----- ------ ---------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric -------------------------------- ------------ ---------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------- Date .----------------------------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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 'z-zg--6-3 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction a[ work is completed. If you have any questions pertaining to this matter, or need additional explanation. pleaseact this office immediately. 1/1'Mrl n ` 1-1� .. / I i t k YJ o L't TP/0, r ossGgh Gt ©� %y% eryht Date ` �� Z Inspector A REV 11/91 ;a COUNTY OF BUTTE DEPARTM*ENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751' 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE m OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work =? is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. --.A- .1 .A - a �-1 1 Date ` �- Inspector REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER•DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916).538-7541 PERMIT N0. Address or location of mobilehome �/L ou/E,L,) 60/UC r RD Owner's name V D q1v Eo Ls 0 41 Owner's address j Insignia or hud number Manufacturer's name— Se ame SF '�/— C Serial -nuttier of V.I.N. � Year of manufacture A-2214 cftl (Official ppro ing Instal otion) (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. . 5138 White -.Owner, Yellow - Installer, Pink - D.P.W. :_,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-030-029 ZOr*iNG r?. 5 BUILDING PERMIT OWNER JOHN & DEBRA FOLSOM TELEPHONE 742-3647 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1021 LOWER HONCUT ROAD OROVILLE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS1075 LOWER HONCUT ROAD OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[J Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities I Installation❑ Other ❑ Describe work: MH 11 2 BDRM (REPLACE #1499-91 1 — Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I de]are under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and effect. License .Jo. Classification yb�Z 1 L- ��-� ❑ 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) El 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. �\ OR ADONS. ACC, BLDGS. / 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76ri Ex. Occup. OUTLETS (RESID,)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 19.00 Misc. Wiring 9 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a said Co ty in consequence of,the granting of this permit. X � Date '-6 -A Z_ Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 128.50 I I HAz I DFEES I IMP I Loop I CDF PARCE PD HD ISSUE This permit is hereby issued under the sions of the But ounty Code and/or work indica b which fees OF PUBLIC -'SY PERMI EXPI • ES Date !F- 3 applicable provi- resolutions to do have been paid. WORKS Q Date -V_3 - Receipt No.] 221-.73 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4w," f'+` 7 .` I T F ".' TO I " +` �SVr I'�t i,h ' y "``9 �• bra y,t. ',y y�r'" ':,. COUNTY OF BUTTE - DEPARTMENT O� fOBLIC WO- RKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 536-7541 PERMIT APP,LIZATION DATA SKEET OWNER 1 'off S D M P. No. 02 -49 -ow_ 0Z IProposed Building Use Building In Daze, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or iisuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ + 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form.............................................� 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........................ Flo od elevation letter (100 year flood) b Cal'fornia Engineer . .............. . O14. Sanitation and plot plan approval -Health Department . ............ g13L92 �cJ 5. City of Chico plumbing permit . ............. ................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... -6 r . 20. Pre -inspection for Pre -Inspection Inspector - p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......... ? ............... 23. Owner -Builder Verification (Given to owner Mail, to owner ) 24. Recorded copy of Agricultural Acknowledgement Statement. .. ............ r -�z :5 Letter of signature authorization . ........................... ........... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .............. ............................ ` 28. Mobilehome utility clearance . ................................ ....... :.` . . 29. Documentation of legal access . ........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........................:......... ...................................... 33. 34. When y Issue the ermit, process as follows: Mail to owner. Mail to contractor. t/ Telephone ��) - 699 2 and hold for pickup at,P1r)t J�(�G office. Deliver with inspector. Other Ph Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte"*t mit 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 _ mail Counter by _ Date Plans checked by NA) Date qZQ192, Plans approved by &-A) Date Vse Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT No. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER G OZ"1 ZONI --S BUILDING PERMIT owN TELEPHONE -7wt -3641 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS i t?, t Uo-w crr trv� O RIC V Ilse ` ' '-'— CO NTRACTN�AME `� �GX� 'vG 1l �)TELEPHONE`��� CONTRACTOR'S .11, NG DRESS //++ � , �Otl 2 �f �artn a C1'�,f Ga Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 D S eK orucu-f 1 P(� Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome'. Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 915.00CO TYPE OF WORK New[,- Addition`; Remodel❑ Utilities. Installation❑ Other❑Permlt Describe work: Fee $ 5 Contractor ELECTRICAL PERMIT Filing Fee 15.00 To (fie e p� )'��2 - Main service 600VORLESS 200A OR LESS 1 S.5o 6R 7�5 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Protesslo�ps .Code and my license is in full force and effect. `1b--�Zic �� y" � • 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) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. (DWELLING OCCUP.e\' OR AOONS. ACC. SLOGS. 11 3.60sa.f1.NEW CONSTR. UL I.OUTLET NON.RESIO- BRANCH CIRC ITS 5.00 /POWER APPARATUS eI \SINGLE OUTLET CIR. EX. 000Up(OUTLETS OR FIXTURES 20 76d NS Ex. Occup. OUTLETS FIXED P(RESiD )KEA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 ". C� Misc. Wiring g 15.00 Permit Fee $ qyv — 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. 1 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is. correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee . S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES o� t1Az 1 0FEES I IMP FL000 !0 PARCEL Po ho IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 102oZ�rJJ WNITC,D.P.W., TELLOW-A39t SSOR. PINK -INSPECTOR. GOLD CHROO-APPLICANT T BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM `(One Form :Pef Building) School District /D,?(?— U3c�—y2 1. ��� 1 Building Department No. A.P. Number 09 036 Oz cj Jurisdiction City F)� County Property Owner Property Location/Address Subdivison Residential Development Com mercial/Industrial . No. of Living HI Units ,Building.De�artment Representative District Identification No. 0 New Lot No. 0 Sq. Footage 1536 Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) RIgZ Date © 6J)J1/e 01)16n 106-# School District certifies that<Z&) �. (Applicant) LaLv&r �J(ncur p.,o (Street Address) (Phone Number) ofc) ullp, OW (City) (State) (Zip Code) has complied with the requirements of Resolution No. �- 9�() - by payment of $ representing �J`�, So square feet. School District Representative Paid by Check Number Bank Number Paid by Cash '/3-9G,� Date .10pw llhlvi��1�. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) OW NIERS: 1111-di'm W"'MON15 before me, the y appeared Z:) FO / S03 -n Personally known to me., 7 Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. :. to :be the person(s) whose name(s) �'c1L m REBE(fA L. BLEDSOE subscribed • to the within' instrument and acknowled ed that o NOTARY PUBLIC - CALIFORNIA 8 BUTTE COUNTY executed the some for the purposes thereincontained, IN WITNE S UF00 � iMy Comm. Expires Feb., 1, 1993. _WHEREOF, I hereunto set my hand and official seal. .Present' A.P. No'.'' Notary Public r" AUG 17 '92 42AM AT&T FAX 9015PF �. 92.-3'M5 P.2 .=turn o DPW AGRICULTURAL STATEMM OFA ACKNOWLEDGEMENT �L FOR RESIDENTIAL -DEVELOPMENT Section 26-8.1 'of., theButte.County. Code %requires this acknowledgement be recorded'. •. prior to issuance of a buildin$.�permit.92 I The `property. 'described. herein .` is .adjacent :'-0377 I Rec Fee 8.00 to land or. included within an 'area zoned I Cash 8.00 for agricultural purposes, and . residents. Recorded I of this • property may . be:sub jest to.. incon- Official Records I venience's or 'discomfort. arising; .from .'the County of i use of agricultural chemicals, including, Butte I but not limited to herbicides, -pesticides,,. Candace J. Grubbs I and fertilizers; and ' ,from the pursuit. Recorder I of - agricultural :' oper'ations•' .,including,'. 10:03am 21 -Aug -92 I PUBL X 2 but not limited to cultivation,' plowing, spraying, pruning, and harvesting'.which .occasionally generate dust, smoke, noise, and odor. Butte'County has established agricul- tural zones which have as`a,priority use for productive agricultural purposes, and residents ,.--i... Said o ---en anti bn na'e.+nnt nrc-• *.. shlould be prepared -c cep ., l V:♦ .• LTJ Gv..�� •.Y 1 YJ Yrvi.'� J tr.vrer..� � s.iv,,,��i u.. N_,.pa. iv C���rr. S�.Cii or discomfort from normal., necessary farm operations.. All that real' property situate in the County of Butte, State of California, described as follows: . OW NIERS: 1111-di'm W"'MON15 before me, the y appeared Z:) FO / S03 -n Personally known to me., 7 Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. :. to :be the person(s) whose name(s) �'c1L m REBE(fA L. BLEDSOE subscribed • to the within' instrument and acknowled ed that o NOTARY PUBLIC - CALIFORNIA 8 BUTTE COUNTY executed the some for the purposes thereincontained, IN WITNE S UF00 � iMy Comm. Expires Feb., 1, 1993. _WHEREOF, I hereunto set my hand and official seal. .Present' A.P. No'.'' Notary Public L r, SCH'EDUU A' Ari that certain real property actuate in the described as follows: 92-37705 t Cotmty of Butte, State of California, A portion of the South half of Section 17, Township 17 North, Rang -e 4 East, M.D.B. do M., described as follows: Beginning at the center of said Section 17; thence South 890 00"34" West alons� the East-West centerline of said Section 17 a distance of 68.74 feet; thence South 0 23! 61" East a -distance of 1334.88 feet to a point in the centerline of Lower Honeut Road, as said road existed March 17, 1976; thence along said road centerline of a curve concave to the Northwest having a radius of 2100.00 feet, an angle of 40 33' 18" an are distance of 166.95 feet; thence North 820 26' 07" .East, a distance of 1224.39 feet to a point on the East line of the West half o� the Southeast quarter 6. ......,. Section 17; v rg. .,ai., er �e...n:::, Nort�i 0 .o° OV, F'r"es4 aloraz ' the East line of the West half of the Southeast quarte" of saiel Section 17 a distance of 1182.19 feet. more or less, to a point In the .East-West centerline of said Section .17; thence along said centerline, South 89 00' 34" West. 1312.41 feet to the point of beginning. Said parcel is also shown .as the most Easterly 40 acre parcel of land on that certain Record of Survey filed in the office of the Recorder of the Countv of Butte, State 3(eq of California, March 17, 1975 in Book 51 of. Maps, at page 63. M END OF DOCUMENT J - f CO!Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS v 7 136_unty Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-030-029 ZONING A 5 BUILDING PERMI OWNER JOHN & DEBRA FOLSOM TELEPHONE 742-3647 SO. FT. OCC. BUILDIN (VALUATION OWNER'S MAILING ADDRESS 1021 LOWER HONCUT ROAD OROVILLE CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LOWER HONCUT ROAD OROVILLE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[i Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities installationOther ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soovoRLEss 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Profess i ns Code and my license is in full force and effect. 1p Z1O �' U� License No. Classification 1 ❑ 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.&\ OR ADDNS. l ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER /POWER APPARATUS tr OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES 20 76d FIXED APLNS. OR \ Ex. OCCUp. OUTLETS (RESID,I EA./ I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 said my in consequence of the granting of this permit. X Date `C:6—\-3 —OA—L-- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70,00 Ener Inspection Fee Energy P $ occ CONST TYPE TOTAL FEE $ 105.00 I I HAz I DFEES IMP I F 0L OD �• COF PARCEL PD HD IssUE This permit is hereby issued under the sions of the Butte C my Code and/or e f which fees work indicaFRI UBLIC BY PERMIT EXPIRES Date .� applicable provi- i resolutions to do I have been paid. WORKS ����Q Date ? -11-97—i r— Receipt No. �_?7LL72 11 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AP # DZ C), 30 OWNER ods 0r— PERmrr-lt- Nei UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Str-c. Compaction Test- eq. Service Other Pipe YES I NO YES NO Size Load •Tvpe Size Length ?—,Dp 100 Mr. COUNTY �'+:'^ �/f'.,...�n-. ;,�c�a'�:�"''i::r f.fN� `'''+air-� d �1!*��M%N r�.. ' �.*r�'r•: �-.• ci' .,. ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7 41 PERMIT APPLICATION DATA SHEET OWNER�'�- J el(t. ro .\, A. P. No. oZ� 0,250- Oz c) 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 BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. ...........'.......... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ................................. 11. Impact fees as shown on attached schedule . ............................ tz� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . Pre -Inspection req St 20. Pre -inspection for required. . to Building Inspeator (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .................................:..... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use. . 28. Mobilehome utility clearance . .......................................... 9 �r . Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Al. Existing violations/expired permits . ...................................... 32. Plan c fst. ...........: ............. �V 33. � (� f � (` m. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone9 9 1- (9R47_ and hold for pickup at office. Deliver with inspector. Other Parcel Creation ��9Z Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submit or to permit issuance: (Circle new item not checked above). 1. Index permit for above items N 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 _ mail Counter by _ Date Plans checked by Nlu Date 113192- Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION �* 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 DWNER %,15.0-M A.P. N0. PROPOSED BUILDING USE V"1 1'1--T-- DATE REC . - # DATE REC � � School Distric Fees O2 -o )C(c '�r o (paid at District Office) Sheriff Fees (paid at Building Department) Residential ......... % unit amt. Commercial(per sq.ft..) % =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) % =$ # units amt. Commerical(per sq.ft.) % _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prio_ to issuance of the permit. APPLICANT �� DATE S -' Qt COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERS tom ((� zONING _� BUILDING PERMIT _WNER JO % TELEPHONE i7z�3�o�� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ( cl ow eV c U-*- u CONTRACTOR'S NAME TELEPHONES CONTRACTOR'S M/�t LJI ADDRESS 36y2 t!�S fp Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ SQ), p1L> Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS //zp Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑' Mobilehomef7`f– Other �0'' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK ..��// New ❑ Addition F Remodel �! Utilities Instal lations✓/ Other ❑ Describe work: %,� ..__ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P Y P l Y ) ❑ 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 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.al OR AOONS. ACC. BLDGS. 1 3.66 sp.ft. NEW CONSTR ULTI-OUTLET NON-P.ESID BRANCH CIRC 'ITS ^ 5.00 (POWER APPARATUS e1 1 SINGLE OUTLET CIR. Ex. OCCl1p(OUTLETS OR FIXTURES 20 76d 2,O Ek0 46 Ex. Occup. OjTLETS P(RESID IR PA I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W..C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood #6.50 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHA ion of structures toverr39stor esoineheigvhttions over 5'l1" deep and demolition or construct- Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE a I TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Z V1 77, WHITE-D.P.W., YELLOW-ASe ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • BUTTE COUNTY DEPARTMENT OF `PUBLIC WORKS, 7 County Center Drive, Oroville� CA- _..... ....... ,..:�,.:„,... ..:: 538— 5 :.-..,-PHONE • . 1 . 7 4 MOBILEHOME INSTALLATION • SHEET 0;;.•tadr ,' 1. Owner. s ..Name 2. Installer's Name: 3. Is the site currently under permit? Yes �. No (If yes, furnish permit r!umber / - ca .) OR. Is the site an existing site? Yes .No a (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 (If no, clarify 5. What is the mobilehome electrical rating? --------------- ✓V�N Amps 6. What is .the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- ✓�� Amps 8. Is there any' other electric_ load to be served by the © mobilehome site service? --------------------------------- Yes No load and size: �)c, (Load) (Amps) (If yes, identify.the .T 9. What is the mobilehome site gas.pipe size. -------------- in. (v ) ..10. What -is the type of gas service. ------------------- Natural..... LPG 11. What is•.the gas pipe length from meter or tank to the 1 ,:.... mobilehome?--------------------------------------------- (ft.). ,e 12. What is the mobilehome gas demand? ------- --------- `"`-"` (BTU) (This .information not required .if pipe length ' less than 'natural gas.orJess'than. 50 ft. on LPG.) AW!"_^^0N . .: .... BUILDINC -DEPARTMENT- A P pi MOBILEHOME -SUPPORT DATA If other than single wide, Mobilehome Mfr. ��LVE�-��ST ":'furnish 'Setup Model No'. �' Year Width� Z4 (ft.) Box Length 0 (ft.) - 'Tagalong''or Expando Size -'IF4— 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)z1. SUPPORTS (check one)�1. Wood -pressure treated or foundation grade. 2. Other (specify) Concrete block .112. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ _ Line 1 i.ine 2 Main Beams — Line 2 — � Main Beams — — — — — — — — — — — '— —' — — —17 Tag or Triple I. Line 1 Line 1 Piers: Size -Min. - ----- r Spacing -Max. -' - --- Frrrm Enda-Max.------- bine 2 Piers: Size -Min. ------------ SpacJug-Max---------- From ---------From Finds -Max, ------- Line. 3 W,of loads: ,-Ta ALL, ,,OAC Size -Min------------ location (From Front) bine 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sixc-Min.------- rk Size -Min.---------------- - rrx Spa. i,rg-Max- --------- Spacing -Max, --------------- , From Enda-Max.------- From Ends -Max.-------- ----- �_ Linc S_ Koof Loads: Site -Mill -------------- -- I. II ..x._—.. "xux r rrx ux ux nx location (From Front) I-7 _,, Line 1 Openings: Size -Min- --------- - --- x 0 Each Side of Openings With Width Over -------- Lille ------ Line 3 Piers: (Under Bearing Wall Only) ---------------- Size-Min. "x 'Sp,icing-Max ------------- Ends-Max .------------- r_ 11.�64 L r,x 3b rr 2¢rrx 30 .r 24- rk� r 24. rrx30 ' 24 x,30I 2 ^x30 r. -x "L:, 0'- D " 13'- �,_o -,x ,r men W -OM pAncec 6z8 -030 28 MOBILEHOME SUPPORT DATA ' V If other than single wide, Mob ilehome Mfr.5ilyex C'R--s f ''.furnish Setup Model No. Year ! �1 7� Width (ft. ) Box Length ��(ft.) . Tagalong or Expando Size - eft. x PS—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) 21 - Wood -pressure treated or foundation grade.F-1 2. Other (specify) SUPPORTS (check one)©1. Concrete block .1-12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE. MULTI -WIDE Lin _ — _ — _ — Line 1 � .1°p Main Beams Line 2 — — — — — — — — — — — — — A — — — —. — — — — — ine 2 K'tEetoR �SEAe�N14 • — — — — — Main Beams --\s i.1ne � — — — — — — — — — -o-Line k Tag or Triple Line 1 Line I Piers: Size -Min. ------------ k „ Spacing -Max. --------- From Ends -Max, ------- r_ „ Line z Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 1 Openings- Size -Min- ------------------ r.x n Each Side of Openings With Width Over--------- 71 Line 3 Piers: (Under Bearing Wall Only) - Size -Min .------------------ Spacing -Max---------------- , From Ends -Max.------------- r "x V „ ` .,x /. „ •l O,yt / „ ,� VIX (p ,• 'Y� ,x {i-' ir0"x 0 „ ,k k I '-34 " 2y '-3 2 _icy" i 2 '- 3 0 - Size -Min ------------- u Spacing -Max.--------- , From Ends -Max-------- „ Line 5 Roof Loads: Size -Min -------- ----- ,x ..x Location (From Front)I _ - - Line 5 Piers: (Under Bearing Walls On y Size -Min-__________________ Spacing -Max---------------- From Ends -Max .------------- ..x . ux a nx n .,x u 11 7S .� ^��' p- -tea HN Air tv 6 9A N I -A o t,) CV -7 L."tation Of suluctlul-&-i OQUIPme0t shall be as*; ,oWly & ciea'r of all easerngnt& iS' sloe t eC'7q2- P, C - EEf'8^c" reom OF "eo^-o 500 SQ. FT. MINIMUM FOR MOBILES ?- seo rccm ccep�- BUTTE COUNTY BUILDING DEPARTMENT APPROVED Aw IIS)9'Z 6 6-S-c-,F2om Cof- 9C) A � p TO FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance - , 5, -�, _" /6 75 Z.." &'. I owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Final clearance O.R. for: Clearance for a bedroom mobile home. Other Water Supply Water Supply NOTE � Yate Sanitaria E � r, I � r . Sa�.� I! � � ii �ri � 1�,� � ���,,�OY�• rity � 1! U,� h i lI a ID 40401 Op APPROVED Butte County Ehvironmental Health Dat sli euro '4 -45 132s1. -75 I r t I ' So' 90 I i I iso' APPROVED Butte County Environmental Health Date ------- Sia at r9 y se�ic � 46 C� D12T ]�3Z►v�w�gy ®e-WEuu10 �F-A)\..AC<- DITC.N LoW E K �Aot,.,J C.,vT F-- )'Z 2 Ll, 39 N� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROyIL-LE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ,PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.8_0 3- p _�Z 9 ZONING OWNER 'p J1_� PHONE NO. OWNER'S ADDRESS / / oweie (� LOCATION OF BUILDING d cv6 QAJC-U OCJ ())e0W11C USE OF BUILDING T e O 4 -,Vi ,V/ A4,4 /s SIZE OF STRUCTURE &` ' X SO. FT. TYPE OF CONSTRUSiTION: WOOD FRAME � STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGROOF �lJGb V RING DI EU FLOOR TYPE Wow/ ESTIMATED COST Of CONSTRUCTION $ 6d0 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: , / FRONT SS SIDES -S'REAR S AG Buildings shall be a minimum of five (5) feet from any.septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with t quirements in effect at t t time and before occupancy. Date Ap 7 Signature of Owner Permit Fee - $50.00 The above described AG Building is exempt from a building permit. Receipt No i�3aD� FLOOD PARCEL P.D , ROOFING ISSUE Manager Building Divisio / Y Date 'y � White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant w r . � . ,.., rti .. - .. .. - y, •-•Car... ✓'1 • •'L• �-,... `-h.�•'.; �...,;�� Y.w. '-Y`+ +.r.W.. w , � � +'t .-rwR^ COUNTY OF BUTTE.=x-•pE�PARTMENT.OF PUBLIC WO,j BUILDING DIVISION 7 COUNTI CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER PZ Proposed Building PERMIT APPLICATION DATA SHEET Building Inspector �P. No. 629 Date S 036 - oz9 At time mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered*plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ...... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building iospectw )s required. . to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: _lam Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 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 _ mail Counter by _ Date Plans checked by Date ' Plans approved by -Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE /,��� - '= .31-i(a BUILDING OR PROPERTY ADDRESS 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,o ed additional explanation, please contact this office immediately. G��/lJrr- `�•,'.;r 22 Inspector.�� Date / 1, 1`. X 01 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER .. ,., 28-03-29 :. ; _ ZONING A� , 1►!5 BUILDING PERMIT OWNER Gilbert Orr - TELEPHONE sa. FT: OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1220 Manning Ct. San Martin, CA 95046 CONTRACTOR'S NAME Owner TELEPHONE ' ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 1 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS N/S L. HOncut Rd., app 1200' W of Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Phehsant.Lane. , , Each Trap I 2.00 HOncut Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping '�yy,� 5.00 �.VU Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas.piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition❑ Remodel[] Utilities ❑ Installation❑ Other ❑ Describe work: Electric for Well and Future Lot Develommnt 1 Permit Fee $ 15.UU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS fly 10.00 10.00 Main service EA. ADD -L. 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification QX • 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.& , A , h¢sgft New CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050Q eAL030 FIXED APLNS \\ Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ' �`'—""'1' 9 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r'a, The permit is for $100.00 (valuation) or less. 'ar 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. a' 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 Hood 3.00 Ventilation pit F ermFee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 again�sttrs�aid County in consequence'of the granting of this permit. „ J� Date Signature of Applicant — -Owner Q� Contractor ❑ Agent ❑ An OSHA permit is required fore Cx actions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 52 50 occuP.CONST.TYPe FLOOD PARCEL PD ND IS9UEr This permit is hereby issued under, sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ""�—�"` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date// y�7` f'� �'f + `�/ Receipt No. 69873 WNI TL-D.P.W.. YELLOW-ASSFS90R. PINK -INSPECTOR. GOLDENROD -APPLICANT - 3531-86P,E Gilbert Orr N/S L.Honcut Rd. Honcut 9 n X X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ 28-03-29 ZONIG AS BUILDING PERMI OWNER Gilbert Orr TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1220 Manning Ct, San Martin, CA 95046 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit N/S L. Honcut Rd., app 1200' W of tee $ PLUMBING PERMIT Filing Fee 10.00 Pheasant Lane Each Trap 2.00 Honcut Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5-00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Electric for Well and Future _ Lot Development Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) contract-Mobile ❑ I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& / , OR ADDNS. ACC. BLDGS. /20sgit NEW RESID, RANCH CIRCUITS) 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS !1 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 5AL0AL030 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 e Mobile Home Faciliti15.00 Wiring 'UU 9 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE d.cl r 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. }gr I shall not employ any person in any manner so as to become subject J�'I' 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. 1 also agree to save, inde nify and keep armless the County of Butte against all liabilit'es, 'u gm I cosyyyyy����� Vanenses which may in any way accrue agains s d ty in taAfte granting of this permit. Date Id _ G --8� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required fore cav tions over 5'0" deep and demolition or construct. in of structures over 3 stories in height. on Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 52.50 oCCUP, CONST.TYPC FLOoo PARC PD No esus, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE 1 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 7- Date f — r—Z L Z— C No. 69873 IT!-D.P.W., YELLOW-A58C990 R, PINR-INSPECTOR, GOLDENROD -APPLICANT in .�' q ya� 6 , o gg6 S , i ° o SAC 13 T�x.. .'.3+.= .«..-."Ji3,: y.:r.." y�'iry'.Y+..i v���:� �..31t�... +.i� � . � �t: f1-�`Yy��r'. :44 t=\; COUNTY OF BUTTE -DEPARTMENT OF PI)BVIC WORKS -BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 •PERMIT APP,.IT100I0N DATA SHEET J Permit No. OWNER -'' J l� A. P. N _ "C;2 Proposed Building Use l 1/' C-- 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. 2. 3. 4. 5. 6. 9. 10. V4. —15. �yyy�1 17 18. 19. 20. �1. 22 All items have been submitted. . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans, , Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees .Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of ,._.. .~ i Letter of signature authorization. . . . . . . . . . . Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 5. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), a Improvements may be required. . . . . . . . . . Mobilehome Installation D ta. . . . . . . . Pre -Inspection for 9 ? C.1 r ( C-,- Required. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plo plan'appro I from city of t. 011 !'erm; t DD c0 r Pre-Inspec. request to . (Date) Building Inspector 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 7j X Applicant Date 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) yeg 2. I (have/have not) Hay C 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. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name N. M 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 N//? Phone Type of Work Signed: Property Own Social Secu ity Number Date %/ - 12 % _f 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. 6,Aer+ Ory - 0? - 03 -�9 rr^0?-03-,�9 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT SSE,;(+ PAR C El,-, N UMfI., �J(/ t/11 (( z0 NIN - BUILDING, PERMIT o r"R1,TEILEPHONE S0. FT. OCC. BUILDING VALUATION OW E '$,_M LING /RESS , �/(� L % \ Ad 11.4 12. % C ACTOR'5 NAME TELEPHONE ' C TR CTOR'S MAILING ADDRESS Fireplace CON UCTION LENDER I VNKNO WN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ' TECT OR ENGINEER / M LICENSE No. Plan Checking Fee Energy Plan Checking Fee AA$ y ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD �NDREs$ ^ ) Permit fee $ PLUMBING PERMIT Filing Fee 10.00 '1 k7 t 01`I Each Trap 2.00 NO 1.1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 I Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea' TYPE OF WORK New ❑ Addition Remodel❑ tilities ❑ Irlsta I tion❑ Other (q Describe work: �' '� �� ! _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV oR LESS 100 AMP OR LESS 10.00 ; ! Main service EA. ADD'L 100 AMP 2.50 + CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.m� yZ¢sgft OR ADDNS. \ ACC. BLDGS. NEW CoNSTR ULTI.OUTLET 2.50 ea N 01,i -RE SID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCcup�OUTLETS OR FIXTURES 20050* 9AL030 Ex. Occup. OUTLETS IFIXED PRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home F cilities 15.00 �9 15.00 Permit Fee $ — Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 against said County in consequence of the granting of this permit. I X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CA- occu P. CONST.TYPE I FLOOD PARCEL I PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. *MITE-D.P.W., YELLOW- A38C35OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Contar Drive - Oroville, Callfornla 06986 - Telophone: 018/638.7541 APPLICATION AND PERMIT PERMIT N0. +A5 BUILDING PERMIT N M HON 742-3647 SO. FT. OCC. BUILDING VALUATION WN6R'IS: M INO ADDRSrlO 1021 Lower Honcut Road Oroville 95966 CONTRAC OR'S NAME nwnpr TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Nonp Total V I tion $ Filing ee $�' LENDER'S MAILING ADDRESS P :mi ee A $ ARCHITECT OR L,4 ,INEEP. None LICENSE NO. P 9, h, -king Fee $ 1 , E rgy Plan Checki dgFqi' ARCHITECT OR ENGINEER'S MAILING ADDRESS natty $ BUILDING ADDRESS Lower H oncut Rd., Oroville P rmlt fee $ 15.00 PLU IN PERMIT Filing Fee 10.00 Each Tra 2.00 Solar or mp water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL AP Water pipi96, 5.00 Ea h q water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome ffX Other Gas (ping system 1 - 5 outlets 5.00 Buil sewer Ing 5.00SPECIFY Mobi I Home S i 10.00 ea 30.00 TYPE OF WORK New W, Addition [I Remodel❑ Utilities Installation❑ Other ❑ Describe work: MHU— 3BR _ Permit Fee $ 40,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 1 0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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) ❑ 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.N) OR ACDNS. ACC, BLDGS. , �2QSgft NEW RCON ESID."ULT'-OUT U TI.OUTLET _NON •ESIBRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES .2AL@ eLe3090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 . MiscWiring 15.00 Permit Fee $ Contractor 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. Imo' 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin 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 I' , judgments, cos s, and expenses which may in any way accrue aga st said my in nce of the granting of this permit. �_'/. �%% X Date `T Signature Applicant — Owner C& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occCONST TYPE TOTAL FEE $ 90.00 HAz. GUA I PARK I SCHL I FLD I CDF I PAR PD I HD. I ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 89138 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •..:t u: --'r yr ^i AK .....- R } z� . a.-,-"' , Y' '�'% ?��jt�i 7w�.�y`y 'YFf� tij., ,.Tre.ri <, ,_�. . •p ,L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION -nom �• 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT -AP M'j! ATION DATA SHEET Permit No. OWNER Propose At time of permit application, I was advised the following data must be submitted p for to permit F DATE R All items have been submitted . ......................... 2. Plot plans in duplicat ri licate signed by preparer of pla .. ... 3. Complete plans in duplicate/triplicate, signed by prepIn lans .. 4. Complete engineered plans and calcs, with wet signson plans .. 5. Hazardous Material Form ......................... ......Z 6. Energy Design Compliance and supporting ocu a .....7. Statement of Intent for Non -Heated an AC uildi s....... 1 Date 5-//q ng and/or issuance: D APPROVED 8. Engineered truss details and layout in dupli, to (re uire riorto plan, 9. Mobilehome installation data including nuf c rer's install fi instructions ........................... .............. ... 10. Fees of $ ........ ..... 11. Chico Urban Area fees paid ............ ......... 12. Park fees paid .......................... ........ X13. Schoo�istri t fees paid ..... . —IL i4. Sanitation approval from e� Health Department 15. City of Chico plumbing permit........... 1 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Deet?) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. 'Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ✓4. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Letter of si nature authorization .......... 27. / When you issue the permit, process as follows: "ail to owner. - Telephone and hold for pickup at office. Other Mail to contractor. –Deliver w/inspector. Copy of ! Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit- issuance: (Circle new item not checked above). 1. Index permit for above items No. Pf / q ,I)/, 02 T 2. Additional items required: r' 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 /00lot D to 6_1901 Plans approved by Date Sets of plans on hold in File cabinet AP folder COPY—DPW P Qc�7 TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location Driveway permit si ature r�J . AP # has been issued for the above property. r 1' J -- date / COUNTY OF BUTTE - Department of'Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 s- 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) a4ld= 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 00 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. c0&ry OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Callfornla 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PER IT 0. 1 3- AS S C NU -0 0- 29 ZONING A5 BUILDING PERMIT DWBebra Folsom 7-2E PJ g Z I SO. FT. OCC. BUILDING VALUATION OW E MAILING A DRESS 101 Lower Noncut Road, Oroville 95966 CO TRACTOR'SNAME �wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireolace COMSSTReUCTION LENDER on UNKNOWN Total Valuation $ Filing Fee $ ;0,00 LENDER'S MAILING ADDRESS Permit Fee $ H AR ITECT OR LN ,INEER None N LICESE N0. PlChFee Plan $ Energy Plan Checking Fee d $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lower Honcut Road, Oroville Permit fee $ nn PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeffi Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ti lities ElInstallationD Other Describe work: MHI --i`r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNST DWEACCLLING SLOGS. / y22sgft NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 20®e0Q eALe3o FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. YVirin 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate If Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHD ag s sal unty in con equenc of the granting of this permit. X G —' 4 - �� Date '� Signator of Applicant — Owner $ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ .00 70 70 HAz. CUA PARK scHL RSD coF PAR PD ) ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. _89138 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERM IT,-4:Pf)-.X'ATION DATA SHEET ' Permit No. OWNER /C✓J�/`OLSr� M A. P. o. Proposed Building Use /VI 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. Hazardous Material Form ............................ .......... . 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. �r t 8. Engineered truss details and layout in duplicate (required *prior to plan check_ ) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 0. Fees of $ 1 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ............................................... H � 13. 0W- CJ School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (DE 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. 5. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issu ce:..((Circle new item not checked above). 1. Index permit for above items No. q , / • o"I(o 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone -_—maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked Sets of plans on Copy—DPW Date ' Plans approved by d in File cabinet AP folder Date