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026-090-025
r r Y44 Yl`/�7�% 26-09-25 26-09-25 aJ ROY BALLANTINE - ROY HENRY SIMPSON 7063 Railroad -Ave, ---,as 7063 Railroad Ave, Palermo Pi #2726-78P(reinstall g H.D. CLEARANCE addition 8/4/,0 wtr heater & vent) SF. 2690= 25 1722-90B 'e � � a STANHOPE, John # X7063 Railroad -Ave, Palermo Contr.: Burtenshaw Construct on j�1 (reroof/sf)U% 026-090-025 0 -2483 LEMIRE, JESSE '701,57 RAILROAD ALERMO - j— . ; •: MHU-2ND D ADM04-02 ' ELECT GAS E C PACTION TEST REQ UPPORT STRUCT REQ 026-090-025 BP04 RALE� LEMIRE, JESSEE 7065 RAILROAD AVE., PA MHU & MHI FOR ADM#04- 026-090-025 LEMIRE, JESSE INALE® 7063 RAILROAD AVE, PALE Cont: PAULS ELEC Q RPLC PANEL (200 AMP) s i r Y44 Yl`/�7�% 26-09-25 26-09-25 aJ ROY BALLANTINE - ROY HENRY SIMPSON 7063 Railroad -Ave, ---,as 7063 Railroad Ave, Palermo Pi #2726-78P(reinstall g H.D. CLEARANCE addition 8/4/,0 wtr heater & vent) SF. 2690= 25 1722-90B 'e � � a STANHOPE, John # X7063 Railroad -Ave, Palermo Contr.: Burtenshaw Construct on j�1 (reroof/sf)U% 026-090-025 0 -2483 LEMIRE, JESSE '701,57 RAILROAD ALERMO - j— . ; •: MHU-2ND D ADM04-02 ' ELECT GAS E C PACTION TEST REQ UPPORT STRUCT REQ 026-090-025 BP04 RALE� LEMIRE, JESSEE 7065 RAILROAD AVE., PA MHU & MHI FOR ADM#04- 026-090-025 LEMIRE, JESSE INALE® 7063 RAILROAD AVE, PALE Cont: PAULS ELEC Q RPLC PANEL (200 AMP) County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Jessie Lemire ADDRESS: P.O. Box 255 CITY & STATE: Palermo, CA 95968 DATE OF CLAIM: 05/17/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 026-090-025 re'rinit No.: 03-2483 PAID RETAINED REFUND Develo ment Services $ 166.00 $ - $ 166.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 166.00 $ - $ 166.00 ............................................... .............. ................................................ ............. :::::::::::::::::: ............................................... ::.. .:.:.:.:. . .............................................................................. .............................................................................. ............................. ............... D'GETF.: ............... .............. :AQQOTJ�VT:::A1VI0U .............. ............... ............... ............... Development Services 440-001 4210500 $ 166.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL $ 166.00 $ 166.00 i, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. y� Dated this / day of m.4 2004, at Calif. �f Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services oricles spe ' ed above have been performed or 1w delivered and that there is a Budget Appropriation or Specific Board Approval (Check o the same. ((( ee tt h Dated this r�� day of i AAru,, 2004, at Oroville Cal' Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND no NOT WRITF RFI nW THIS I INF - Al InITnR'S I ISP nMI v DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING May 17, 2004 Jessie Lemire P.O. Boa 255 Palermo, CA 95968 RE: Permit No. 03-2483 APN#026-090-025 Owner: same On 8/18/2003, a deposit was made in the amount of $166.00, of which $0.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $166.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, 0 � —t-4 -� Diane Lewellen , OA III Administrative Division enclosure 03-2483.1tr PERMIT - : Bin MAPN - LAST NAME FIRST NAME CONTRACTOR CITY/CTY STREET NO -STREET NAME RAILROAD CITY ' • USE TYPE REMARKS PE EM MM FLOOD _ RECEIPT • • os�nen��E RECEIPT 2 RECEIPT 3 RECEIPT 4 PLAN CHECK ACTIVITY Plan Chk-1,: Of Chkd By -1:•® Plan Chk-2: �- Chkd By -2:•= Plan Chk-3: Chkd By -3:•_ [255 char. maxi Return -1: Return -2c Approved: 2 char. max 8/18/2003 8/27/2003 FINALED Str Chk-1+:•-_ Str Str Appr: and issue.mc. REFUND DUE TO NEW PERMIT PROCESS. Sent for signature 5/17/04. Permit w/Di REFUND CALCULATION SHEET Jessie Lemre P.O. Box 255 CITY & STATE: Palermo, CA 95968 DATE OF CLAIM: 03/16/04 APN: RECEIPT INFORMATION NUMBER: DATE: 385269 08/08/2003 ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED Jessie Lemire 1322 $166.00 03-2483 Yes No Yes No Yes No X X REFUND BREAKDOWN DETAIL PAID RETAIN REFUND BLDG 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811 BLDG .............. ............................ .............. .............................. .............. ............................ .............. ............................ .............. .............................. .............. ............................ .............. ............................ .............. ............................ ......... ............... .............. .............. ............ * * .............. ............................ ........ ............................ .............. ........ * * * ................. ................. .............. .............. ............................ .............. .............................. .............. ............................ .............. ............................ .............. ............................ .............. ............................ ......... .............................. .............. ............................ ... * .......... ............................. .............. ............................ .............. ....... .......... ............................ .............. ............................ .............. ............... .............. ...................... ......... .............. ............................ ............................ .............. ............................ ............................ .............. .................................... .............. ............................ .............. ............................ .............. ............................ .............. ............................ .............. ....................... ........ ...................... ............. .............. .......................... ........................ .......................... .......................... ........................ .......................... .......................... ..................... ........................ ........................ .. .............. * ............. .......................... .......................... .......................... .................................... ....1 ........................ .......................... .......................... .......................... .......................... .......................... ........................ .......................... ..................... .......................... .......................... .............. ............... .......................... .............. ............. .............. ...... .............. .............. .............. ...... .............. .............. ............. .............. .............. .. ............ .............. ............ ...... ..... ............. .............. ........ ..... .............. ........... ........... ........... ........... ........... ........... ........... .... .... ........... ............. . .. .. ..... ..... , ... ........... ........... ........... ........... ........... ........... ........... ........... ....... ........... ........... ...... *''*' ........... ........... .................... ........... ........... ........... ........... ........ ... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ....... ........... ........... ........... ................... FILING FEES Building Plumbing 20.00 20.0011 . Electric 20.00 1 20.001 20.00 . Mechanical PLAN CHECK Plan Check 23.00 23.001 Energy INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 0 60.00 60.00 60.00 . 43.000 43.001 43.00 OTHER BLDG Overcharge . REFUND PROCESS FEE BUILDING TOTAL 166.00 166.00 SRA -FIRE Fire $43 .............. ............. .... .. . ... :: ..... SRA - FIRE SHERIFF - $360 Sheriff ............. ...... ..................... ............................ ...................... ...... SHERIFF .... ........... ............ ....... OTHER NON -BLDG ............... .................. ..................................... ..................................... .......................................... ........................................... ........................................... ........................................... ................................ .......... OTHER 1$ 166.00 $ $ 1 66. 00 $ $ 100.11.111.11 BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $166.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 04 &[2004 At Michael Vieira Building Manager IA fie Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for payment processing. CLAIMANT'S NAME: /j,> Zf_, Po CA MAILING ADDRESS:(O, (Ez'o ) �Ea q PHONE: ASSESSOR'S PARCEL NO.: Z 4� 1I 0 [Please use one claim form per permit.] BLDG PERMIT NO.: 0 - Z ca, 3 Receipt No. 1 Receipt No. 2 Receipt No. 3 4 S Z�6 ✓ RECEIPT NO.: RECEIPT DATE: RECEIPT AMOUNT: /> 22 ✓ REASON FOR REFUND REQUEST: 4k ISU N,Eco Check those fees which you wish to have considered for refund: uilding Permit Fees Sheriff Fees OSRA Fees (CDF Fire Planning) Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. 0 Z/Z3/ oV Date K:/ ms/Refund Application 082203 Im MAN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 2�f • ,J !i (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -090-025 ZONING BUILDING PERMIT OWNER LEMERE JESSE — TELEPHONE 534-8341 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 7063 RAILEOAD AVE, PALERMO, CA 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDWGADDRESS Energy Pian Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ Describe Work: MM 2ND DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 9� IV 1 60, QQ PERMIT FEE S 80.00 ADW4-02 ELECTRICAL PERMIT Fling Fee 20.00 a00v oq LESS Main Service OA OR LESS 23.00 23.0 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. 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. �Q 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 200A TO 1000A 46.00NEW CONST. DWELUNG OCCUP. OR ADDNS. a Acc. BLOB. sO 3.5QFT: -==T ULT'' CRR UTITS @7,50 POWER APPARATUS - b SINGLE OUTLET CAR. Ex. Occup. OUnFT OR FAxTURES 20@'.00 aAL @ .SO Ex. Occup. ..FIXEDAPPDE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0( Misc. Wirin 23.00 PERMIT FEE $ 63.00 . 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 of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of C 'fornix, and agree that if I should become subject to the workers' compensaW provisions of section 3700 of the Labor Code, I shall forthwith compl those provisions. _ Date u�-(Fplicanf - Owner ❑ Contractor ❑ Agent OSit is required fo excava ' ns over 60" deep and demolition or construction ctures Ove 3 sto I t. Pn Receipt No. WHITE-D.D.S. CANARY -ASSESSOR PI -INSPECTOR GOLDENROD -APPLICANT MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSTTYPE TOTAL FEE $ 166.�Onot _ HqZ. _ D. FEES IMP _ FLOOD X CDF _ pggC pp MD UE 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 at�ey PERMIT EXPIRES ON / t� Dat i 2 W, "�, � :'� `•vA^'�►-v�':'�'q�F�l► .t;��. ` ,�, r . �+t., ti':s'a`�4 w.e+f..,.t moi. �- �[ .. .... y��' .. � � _ _ .` 9s COUNTY OF BUTTE -DEPARTMENT DEVELOPM NT SERVICES -BUILDING DIVISION ,'. 7 -County Center Drive, Oroville, CA 95965 Phone (530)538-7541T4Fax(530)538-2140 - PERMIT APPLICATION DATA SHEET �) V r o- OWNER: ASS SSOR PARCEL NUM>�oq Prr i Proposed Building Use: Cisi er Technician: Date: _f1 tems required in order to apply for a permit. All boxes MUS be checked R marked NA in order to apply. lot plans r 4 sets, signedy the preparer of the plans. 2. Complete Ws, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ' ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down Qr foundation plans, all in duplicate. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. •' (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been. received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. 1� ( "� Date Received By ❑ 8. Flood Elevation Certificate, wet-stampdd-and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ................................... ❑ 10. Letter of intent for non-residential buildings...... l ............ ❑ 11. Detached Accessory Building Form tilled out by the owner.." t... ti .......................... ❑ j Hazardou Material Form............................................................................... L5� 13. Other C — r ,..,, n Remaining items needed to issue the permit.,( ay req i e� dditi n 1 plan rei � upon receipt of the following items.) ❑ 14. 6J QA6. 6. 7. 18. 19. .r2'1. ❑ 22. ❑ 23. ❑ 24. 6. 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet................................W-U, - Statement of Intent for Non -heated and A/C Buildings ................................ . � Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit..................................................................-....... California Department of Forestry plan approval ❑ paid. Sent_ by: Plattning approval for (A) Use:' �(B)Parking: . (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement..... ................................ Manufactured home utility clearance .................................. :............................ Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. S ❑ 31. Other: When issued Telephone GE� and hold for pickup. I have been informed of the abo ,e items and requirements for obtaining a building permit. Appli an : / Date: 1. Inde erm' pplication for the above items numbered: Plan 2 1 ditional nems required Contractor, designer,Q2r, was advised cf the above data by Contractor, designer, was advised of the ov data by Plans reviewed by: Date: , Structural reviewed by: Date: Note transfer by: Date: b3 :0 /e 4? -S ZS • 0 3 ii.c phone, ❑mail, ❑counter, by Vg8�Date: Yz�A% 13 phone, ❑ mail, ❑ co u b Date: _ Plans approved by: Date: 61-7 0 _Structural approved by: Date: Yellow: Building Division E.H. USE ONLY -, i f Piot Plan Attachad ii` M051 Man A hada_ Y Sana to B.D. 0 3 TO: Building Department MlH FROM: Environmental Health SUBJECT: Sanitation Clearance s o OwnerLocation AP# Plan Approved for: Sewage Disposal water Supply: Publicr�vate Well n � Clearance for dwelling. Other ,1�� � % ,i�� (lam k!, g'. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 � 538-7541 Q3, . ev.ffl� 12/96) APPLICATION ND ERMIT ASSESSOR PARCEI-1601 10Z�e,_6.(4Zo- BUILDING PERMIT owNEJt SO. FT. OCC. BUILDING VALUATION ra cora R rELErNDNE Cp,1rpAGTDRS MUNO ADDRESS clNSTRUCTIONLENDER LENDERS mums ADDRESS Fireplace Total Valuntlon S ARCIIRECT OR ENGINEER UMISE NO. Filina Fee S AROWEa'oR ENONEU S --4 Permit Fee S Plan Checking Fee S' auLmrADDROS Energy Plan Checking Fee o PERMIT FEE t LOr,E, SU60NISgNSNAYE PARCEL IPLUMBING PERMIT Fling Fee 20.D0 Each Trap USEOFSTRUCTURE -- — I r31 DI{('— --- ------ — --- 7:00 -- Solar or heat pump water heater 23.00 SF 0 Duplex O Mobilshome 0. Other Water piping 15.00. sPMFY Each gas water heater or vent 15.D0 TYPE OF WORK Gas piping Wstam 1 - 5 outlets 15.00 New 0 Addition 0 Remodel 0 UhTities J3 Instalifim 0 Other O Build'ing sewer r, 15.00 Mobile Home @20.00 Describe Worse PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.D0 oa Main service oo�iL L u 23.00 T;r� Main service 20" TO ,nm,► 46.00 NEW CO►6T: owe.Lwa DCCUP. 3.5CF7. OR ADMM ( i Ace. Mos. wwR MULrFoun.Er @7.50 ' FOWEIi APPARATLS . a smm.e o era - EzO=up. Oumer OR MUAES m @ 10 BALo .s . Ex. Oeetr , "'P` o R 5.00 / Temporary Service 23.00 Mobile Home Facilities 20.00 %1 MLsc. Wiring 23.D0 SRPERMIT FEE t Slur� �� � MECHANICAL PERMIT Fling Fee 20.00 Heating Hood ' 6.50 Ventilation PERMIT FEC: S Mobile Home Installation Fee S Energy Inspection Fee S `//�; �/�' "` "• nPE TOT FEES HAL . FEES CDP AWM4UE s ��� This permit is hereby, issued u der the applicable provisions I4t& �� of the Butte County Code n d/or Resolutions to do work Indicated above for which fees have been paid. co" By . 4, PERMIT EXPIRES ON Date C .t, BUTTE COUNTY DEPARTMENT OF DEV.LOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041710 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 06/14/2004 APN' 026-090-025-000 ' the Business and Professions Code, and my license is in full force and effect. ( 1 License Class: v— f t7 cense Number: �j / ��Q �'i �/ Site Address: 7063 RAILROAD AVE PAL Date: b7 I t9 Contractor: �4/lLS fi Map Index: Description: REPLACE PANEL W/200 AMP CIRCUIT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner'• LEMIRE JESSE J & CINDY L to its issuance, also requires the applicant for such permit to file a ' 7063 RAILROAD AVE signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968_9739 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PAUL'S ELECTRIC Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 625 MISSION OLIVE RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of ' 530-589-4100 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: PAUL'S ELECTRIC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 625 MISSION OLIVE RD ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 ' 530-589-4100 Date: Owner: I License #: 376492 WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as t Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder: r OFFICE COPY ' Total Square I Policy #: ValuatiaI Address Census Cod I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to GAS become subject to the workers' compensation laws of California, Meter By Date and agree that if I should become subject to the workers' ELECTRIC compensation provisions of Section 3700 of the Labor Code, I shall By Dat d forthwith comply with those provisions. Meter Date: C3 Applicant: WARNING: Failure to secure workers' compensation is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of �r compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4 Q �j$ 2 �✓S •� l 4-/-0 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the appiicable provisions of the Butte County Code anwor- I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above fot which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , 14- _04 - Date: 4.14 -04 - Name: Name: BY' PE 1 EXPIRES ON: �' S Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owne duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub nce of any o ' ial form or document of Butte County. I hereby authorize re tatives of Butte County to enter upon the above mentioned property for inspection urposes. A W t �Psc^— Print Name: ` {JC --n Signature: Date: (.9" 1 %-( - 0 0 Owner lEr'—Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041710 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 06/14/2004 APN'' 026-090-025-000 the Business and Professions Code, and my license is in full force and effect. �p License Class: v- (� 'cense Number: -22%( C 4 C( Z/ Site Address: 7063 RAILROAD AVE PAL Date: I t9 Contractor. Map Index: Description: REPLACE PANEL W/200 AMP CIRCUIT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' LEMIRE JESSE J & CINDY L .7063 to its issuance, also requires the applicant for such permit to file a RAILROAD AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9739 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PAUL'S ELECTRIC Code: The Contractors' State License Law does not apply to an PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 625 MISSION OLIVE RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 530-589-4100 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: PAUL'S ELECTRIC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 625 MISSION OLIVE RD ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-589-4100 Date: Owner: License #: 376492 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 pen -nit Architect' ' is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 lef I certify ttiat in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t Date: Applicant: L , WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 4-0 (o 5 2 55.— 4-1/ 4/,D CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nfUer I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) '_ By: Date: L ' (µ ' n¢ Name: P EXPIRES ON: 4:,- (4 ' aS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owneduly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub rice of any o ' ial form or document of Butte County. thereby authorize retatives of Butte to enter upon the above mentioned property for inspection urposes. County Lk�-\� -E- t Print Name:4 rte fL_- Signature: Date: ❑ Owner lEr'-Contractor ❑ Agent for Owner ❑ Agent for Contractor t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name City Address !t'_ City LL State Zip Phone D Fax E-mail Planner APPLICANT NAME CONTRACTOR Name City Address Zip City to L-Ca2 LL St?W Zip Phone szelyva D Fax SN c7 S/O D E-mail Planner Lic. # Zlass APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name i Address City State Zip Phone Fax E-mail AP LIC NT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP d BIN # LOCATION AP# p G Property Address -70!05 �'ItJ2pA0 Pgr-L Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address nn Description or Scope of Work: i'?EP[s�cE i�Flr.Q�l� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: k_"tj Amount: Receipt #: 40<,3$Z 55. SRA Sheriff SMIP Date: t,114-10 Other 4...r Other E � Total K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. • , ❑ 4. 2' Engineered truss details and layouts (if required) (NO FAXES!). ❑ . 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. o 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. , • - -1 0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). o 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). 0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). o 7. Statement of Intent for Non -heated and A/C (if required). 0 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. 0 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O NOTES RESIDENTIAL 026-090-025 �P040717 PERMIT N0.LEMIRE, JESSEE 7065 RAILROAD AVE., PALERMO MHU & MHI FOR ADM#04-02 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY r . r I OFFICE COPY Address I � GAS Meter By Dat , I { ELECTRIC Meter By Date JOB FINALED (Date) Signature CHECKED BY r . r ' J =' 0K wow 0 = Not . = NOReadyable ^ MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Carports; Windows -Doors 7. Well Clearance & Disconnect Electric 8. Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 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 except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERM_ NT END SYSTEM (ONLY) oning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 kA C 1k FL K 1-7 t,s 'f- M/ MISCELLANEOUS I Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements i 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- 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 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, 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 t 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) 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-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Ar•R r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 60. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 61. 20. Shower Pan; Test, First Floor -Tub Access 62. 21. Test Tub & Shower, Second Floor -Tub Access 63. I nfi Itration-Wal Is -Windows 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 24. Fixture & Transformer Clearance -Ins. Protection Bedroom Exiting 25. Elec. Receptacles Spacing -Lights & Switches at Doors G.F.I. & Bath Fixtures & Tub Access -Spa 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 71. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 72. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 73. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 74. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 75. 32. Service -Riser Conductors & Ground Main Disconnect 76. 33. Equip. Clearances Panels-Motors-Mech. Equip. 77. 34. Clothes Closet Light -Shower Light -Spa Light 78. 35. Smoke Detector 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support _ 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Ventilation Throughout House 41. Sills Proper Materials & Anchors Glass Protection 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Corrections from Previous Inspections 43. Bearing Walls over Girders & Floor Nailing Gas Test -Meters Tagged, Gas -Electric 44. Draft Stop in Walls (rat proof) Water & Sewer Connected -C/O to Grade -HD Approval 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Energy Compliance Certificate -Other Certificates 46. Headers & Beams -Size & Bearing Address Posted 96. Ar•R r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040717 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN • 026-090-025-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7065 RAILROAD AVE PAL Date: Contractor: Map Index: Description: MH SOFT SET ADM04-02 P OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LEMIRE JESSE J & CINDY L to its issuance, also requires the applicant for such permit to file a 7063 RAILROAD AVE signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9739 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �j I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEMIRE JESSE J &CINDY L Code: The Contractors' State License Law does not apply to an PP owner of property who builds or improves thereon, and who does 7063 RAILROAD AVE such work himself or herself or through his or her own employees, PALERMO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95968-9739 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: SRM CONTRACTING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 61 LUMBER JACK LANE ❑ 1 am Exempt under Article 3Business and Professions Code OROVILLE, CA 95965 530-533-2144 Date: Z own - License #: 534976 WORKERS' COMPS SATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 c,@ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: b Applica W ING: Failure to secure workers' compensation coverage is un awful, nd shall subject an employer to criminal penalties and one rC v J O hundred thousand dollars ($100,000), in addition to the cost o compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 43-),51V5 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do work j0dicatWaboowhich fees have been paid. U �L Name: By: Date: O� Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officrm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu S. Print Name: �S J �—t j 2 Sig ure: i DaIe: �wner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION —COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: `% f� /�`�[ j� j 1 / �:J — i J / �.,.i uz ,5— PERMIT NO.: Own'eerr ss Name: + "� f OA p�, / ()(O 7 T r' f j C �J/'�(r Owner's Ad/dress: /17 (L Mobilehome Manufacturer: Year of Manufacture: LE- W C) c7 / Serial Number or V.I.N.:" QV ?__Insignia or HUD Number: 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. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor { MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r : -- - DEPARTMENT.OF DEVELOPMENT SERVICES s• BUILDING DIVISION —COUNTY CENTER DRIVE - — OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: f� (' PERMIT NO.: --7 Owner's Name: �{ ��v'� �� 4- !`+ ��i�•t l �' tit. Owner's Address: N e)� '3 t� ,lz&,4T) I,r Mobilehome Manufacturer: Year of Manufacture: L: tr.(j Cj C" �r l Serial Number or V.I.N.: t-.- )t le Insignia or HUD Number: Official apps-o^v'ing installation: Date: �., If the mobilehome is,m'oved or relocated, the mobilehome installation acceptance shall become invalid. This s form shall not be used when the mobilehome is installed on a foundation system. t { 51313 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor ` t as w COUNTY OF BUTTE BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 c 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE LT.. 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 notice this office when correction of work is t completed. If you have any questions pertaining to this matter, or need additional explanation, G please con ct this office immediately. i I LC ,10 r ler. 0 4>FFiw Fite L�14AWG Date Inspector REV4/92 /92 Yez__ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040717 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 026-090-025-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7065 RAILROAD AVE PAL Date: Contractor: Map Index: Description: MH SOFT SET ADM04-02 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LEMIRE JESSE J & CINDY L to its issuance, also requires the applicant for such permit to fie a 7063 RAILROAD AVE signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95968-9739 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �l I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEMIRE JESSE J &CINDY L Code: The Contractors' State License Law does not apply to an PP owner of property who builds or improves thereon, and who does 7063 RAILROAD AVE such work himself or herself or through his or her own employees, PALERMO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95968-9739 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: SRM CONTRACTING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 61 LUMBER JACK LANE ❑ I am Exempt under Article 3 Business and Professions Cede OROVILLE, CA 95965 530-533-2144 Date: � Own * License #: 534976 WORKERS' COMPS SATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 of l I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject, to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: C Applica W ING: Failure to secure workers' compensation coverage is un awful, nd shall subject an employer to criminal penalties and one U 3k Q hundred thousand dollars ($100,000), in addition to the cost o compensation, damages as provided for in Section 3706 of the Labor interest, "5 code, and attorney's fees. 4 3 51p CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work' dicated abo e f which fees have been paid. performance of the %vork for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Os' Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offic' rm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu S. Print Name: �S J �- / 2 Sig ure: Date:I��� li*Qwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 • Lxrn I re PERMIT NO. BP OY071 7 DATE:r O APN: - 00 ,z6o,-�^ a ^ O�p — ZONIN 1- OWNE 'S LAST NAME: ,Lz OWNER'S FIRST NAME: : 534 - STREET ADO SS: ^ `J vw\ FAX: CITY, ZIP: E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M. i.il AC APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME:PHONE: , - STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) FLS EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: � a Notes: Application Received by: Date: 3%lS ij Receipt number: 2�5 �� Amount Received: Master application 3-4-04 .� :��, � r,., ..-•�' _ti . -. �r�-,� %vim-^ - . •�.-..�''-L" ..^.' y.i'✓ 1."•t. • ' .''�.. ..'J'a. r' --f... .y �: .. � .. .... 4 'o•. . , .. �r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 U PERMIT APPLICATION DATA SHEET OWNER:( n /I/� /i�C ASSESSOR PARCEL NUMBER � (O ' 0 O d - Proposed Building Use: Counter Technician: Date: J,f O Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �Q. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Oc� ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Maw:iageJirae. nfo, (C) Floor Plan (D) Tie down o mall in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner r ❑ 14. Hazardous Material Form -;C 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forest ry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: K (B)Parking: (C) Parcel Check: 3 i5 -Old 25. Contact Land Development about _ Improvements, _ Drainage ......................... 1 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept.......... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ ; 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ; ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone �5 34k K?,u 1 and hold for pickup. I have been informed of thIt-4.b'o iifems and requirements for obtaining a building permit. 1. Index•pe-Wap ieStion-for the above items numbered: 2. Addit onal items required Date: _�g6 S Plan Check Letter ,Co6tractor, designer, owner, was advised of the above'data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne , w advised of theve Ya by ❑ phone, ❑ mail, ❑ coun r, by Date: Plans reviewed by: Date: - Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. tw ONLY 1 'Flat Plan Attached Floor Plan Attached Sant to S.O. Owner Location AP# Plan Approved for: Sewage Disposal' WaterSupply: Public Private Wel Clearance for dwelling. Other �j,0 jXJ�.� /%D' rnwl �n� 1 /JG�I / r� Hold final for: Final clearance O.K. for: NOTE: -gs Environmental Health Specialist Date F-TLIU National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: 06" 5 - By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that �xntting false and/or inaccurate information may result in revocation of grading and/or o ermits or other sanctions provided by law. Signed: Title: Dates COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER LA.P. # PROPROSED BUILDING USE DATE Sits C) RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- evisedPlan Checking Fee.... $ j�(Ufj OOL DISTRICT FEES 1 (paid at School District Office) (form available after Plan Chec 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was ed the above fees are required to be paid prior to issuance of the permit. These fees may be changed duriU the pla ng process. DATE 3 /� Pursuant p4ovemjx6t Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have ?P4ays fro the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Building Permit Number: 0 1/- 0 % 17 Owner Name:.Lemi c, Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your .parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood k elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings maybe screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: O - 0717 Owner Name: LeyKj p -e_ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. EMThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 10 feet from the side and 10 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on thi's site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. ■■ ■ i� i i agggium II■S� ■��l� J-- 1 /17/AUG99 FLEL"MOOD® Westfield Series • Model 2562K 56'-0" Mimi BEDROOM #2 9'-0" X 7-8" On DEN DoO 91-O" X 9'-8", . . \\DOORS LIVING ROOM eaR 15'-4" X 12'-6" ovr. INSWING - -+ -- DOOR ENTRANCE -1-11. 1 WAL � IN -BAY On ~2 Bedrooms • 1 Bath • 746 Square Feet M.H.I. -2 :.,•::.: !d .............. ...:•::...........+�-.:•:::: »�::. �.:!!!<.:..;.: s:..:•:tir:�s::.i:.sss........:,ck.a.......•:.,,::::;,:.s:.:!!:.:;:....::»x.:<:�:::..:...::t.::!.::•:<.,;.:;.:i;!;•::;•>..; �.:;•ss::.•.i•:,+>�'! .... _ 1. Owner's Name:--lZ5:aS& J _may 2. Assessor's Parcel Number: 6Z6-- - OqO — O �� 3. Installer's Name:_ Sr'Zo—e_11'11.D41rt- 4. Is the site currently under permit? Yes[ ] No[y(] Permit No 5. Is the site an existing site? Yes[,Cj No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?_Amperes. 7. What is the mobilehome site circuit breaker rating? /CSO Amperes. 8. What is the electrical rating of the mobilehome site? ZC o Amperes. 9. Is the main service remote from the mobilehome site? Yes[K] No[ ] If it is, what is the rating? ?,CXR Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[X] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ -XI None[ ] 12. Size of gas pipe at the mobilehome. site) from the meter or tank: 'Pr inches. 13. What is the gas pipe length from the meter or tank to- the mobilehome? Zs -(ft.). 14. What is the mobilehome gas demand?B.T.U.* *(Tlis information is not required if the pipe len, h is less than 6 feet on natural as or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION tAUILDING DEPARTM Ai May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: s %J4 If other than si e wide, furnish Setup Model Number: Width:) Length:ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[v]- Other: SUPPORTS: Concrete block[j,]�—Other: Provide Tie Down Specifications for all Mobilehomes: Cass GU1ap, rj e Zx,,j� Pier Footings Sizes and Location SINGLE WIDE MIILTI-WIDE Line I e I Line 2 Lane 2 .......................................................................................... Main Beams Line 2 Line I Line 3 Line 2 ................................................................................................ Main Beams Line 2 ............................................................................................. Line i A .................................................C S Tag or Triple e 4 ine I Line 1 Piers: Size minimum: f..? i x r 30 1. Spacing maximum: 467 1 ` From ends -maximum: / ` 10` Line 2 Piers: Size minimum: [ / ) x [�]. Spacing maximum: ` From ends-maxmumEt a` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Locati6n (from froq yPP May 19 Line 1 Openings Size minimum: [ ] x [ ]• Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: E` From ends -maximum: ` 8.4 E -Z TIE DOWN SYSTEM DESIGN LOADS: *W IND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2, CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, NUFACTURED O EXCEEDS 1/4", ADVERSELY AFFECT MOBILE HOME UNIT. ORWHEN IT WILL 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP ESIGN ENGINEER FOR S OF TDESIGNIMANU MANUFACTURED HOMES OVER (3)ONS IN WIDTH. CONTACT THE DSECTIONS WIDE. 5 WELD ACCORDING TO AWS BS ECIFICATIONS.RDELECTRODES-370 PLATED -ASTM . STRUCTURAL STEEL: FA . A36. BOLTS=ASTM A307. 8. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING; LOADS: 1 ,, HEIGHT HORIZONTAL VERTICAL UPLIFT ,'; `4ESSf01V 18" 2010 (lb) 6000 (Ib) 891 ja " Q 21" 1825 (lb) 6000 (lb) Sol �Ib)-.` Ib) (� :• r.�b Qb' Q � 25" 1510 (Ib) 6000 (lb) 664 (lb) ' - 28" 1419 (Ib) 6000 (lb) 629 (lb) 36" 867 (((((lb)) 6000 (Ib) 385 (Ib) 7 ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROT �iV E14P•� 3 COATED. 8 WHERE STAND IS PLACED ON A CONCRETE SLAB, USE 1 / 2' CONCRETe Or r s ' - EXPANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. -�_ THE PLASTIC BASE PADS ARE NOT REQUIRED. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. 12. �r10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED •" PERPENDICULAR TO THE CHASSIS BEAM. r O-GUS GUARD COMPANY ORIN - PERKINS ROAD MENTO, CA 95823 800) 382-8831 916) 383-5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11 MAX. J -- — VARIES 10'-70' --- EVENLY SPACED BETWEEN E -� E - T i ❑ ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) ❑ ❑ ,❑ ❑ ❑ ❑ E—Z TIE SUPPORT PAD (TYPICAL) —, ❑ ❑ CHASSIS REDMBYUPPORT THE HOMERS --SIZE AND PACING MANUFACTURER. LENGTH OF HOME 18"HT NUMBER 21"HT OF -Z TIES 40' 4 4 4 450'60' WE 4 4 66.'4 4gin' • 4 6 APPROVED SUBJECT TO CORRECTIONS IJOTED 4 Approval does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. State of q8lifornia ment DepartmenSl ousCo» S Cop gT'AlPlDARDS t - /p D 63 Date sy ignalu SPA NO � '170 0 This PlanApprovalExpires ,,q al f THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 1 of 3 2"x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED �- 1/4" STAND BASE DETAIL :A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01. 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" JOHICK TOP PLATE q0j" SCH 40 PIPE STAND WITH TWO /2" ADJUSTER HOLES Q ABESCO ABS PAD X503 STEEL FRAME ABESCO ABS PAD #503 3/4" DIA. x 18" LG. (4) REQUIRED 36" MAX TO BOTTOM • OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN J 1/2" DIA. HOLE (8) PLACES F+-- 10.00 --•I o 0 10.00 x 10 09/16 HOLE (TYP) STAND BASE TOP VIEW 18.75 TOP VIEW 1 1/2"x1 1/2"x3/16 x2" T.S. (4)0 CCS (4) REQUIRED \/ \ SIDE VIEW 1/4"x1-1/4" TEK STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 5851 FLORIN - PERMS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4" GRIPPER PLATE 2" CHANNEL— COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT E—Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 rti/o /-> SHEET 2 of 3 P � � a ).50 �30.00 STEEL FRAME F+-- 10.00 --•I o 0 10.00 x 10 09/16 HOLE (TYP) STAND BASE TOP VIEW 18.75 TOP VIEW 1 1/2"x1 1/2"x3/16 x2" T.S. (4)0 CCS (4) REQUIRED \/ \ SIDE VIEW 1/4"x1-1/4" TEK STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 5851 FLORIN - PERMS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "C" FRAME 1/4" GRIPPER PLATE 2" CHANNEL— COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT E—Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 rti/o /-> SHEET 2 of 3 P INSTALLATION INSTRUCTIONS. E—Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24 OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. ALTERNATIVE: (2) #12 S.M.S. OR WELD (2) #12 S.M.S. ANGLE IRON 1 lh "X 11/2 'x' 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24 OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 WAYNE T. POLVADO, PE -LISTING NO. 99001 PH: (800) 382-8831 SHEET 3 of 3 FAX: (916) 383-5207 I -BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT BOTTOM OF THE CHASSIS BEAM AS PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE COTTER PIN. TO THE POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE BOTTOM OF THE CHASSIS BEAM. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND J -BEAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) #12 S.M.S. OR WELD (2) #12 S.M.S. ANGLE IRON 1 lh "X 11/2 'x' 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24 OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 WAYNE T. POLVADO, PE -LISTING NO. 99001 PH: (800) 382-8831 SHEET 3 of 3 FAX: (916) 383-5207 FLE (30D® Westfield Series • Model 2562K *15D— OOOKCA5E -- 100 DOONUTILI L ------ O 1 SHELF/OPf.O7-(FAD ® - -' KITCHEN MASTER - 13'4' 13EDROOM -f- O LIVING ROOM BAR 10'-4" X 10'-8" 15'-4" X 12'-&" - -- - - - BEDROOM #2 9'-0" X T-8" - - OP. - - - INSWING DOOR DINING --------------- O /`. ---- -- AREA --� - - - OPT #' On - WALK -IN -BAY r ,» N ENTRANCE �iWYS fir, .a i 14 n OPT. DEN > gel \\DOORS i (t { t 2 Bedrooms • 1 Bath • 746 Square Feet WF/17/AUG99 Mobilehome Manufacturer: /'L Zr-- Manufacture Year: S /l4 If other than single wide, furnish Setup Model Number: Width: / �4 ft.) Length:�_(ft.) Tagalong or Expando Size (ft.) x- (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[L]" Other: SUPPORTS: Concrete block[ jj,-Other: Provide Tie Down Specifications for all Mobilehomes: C-_-RSS C.OAP, Pier Footings Sizes and Location MNGLE WIDE MULTI -WIDE Line 1 e 1 Line 2 Line 2 Main Beams Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beans Line 2 ............................................................................ .............. Line i 4 ............................................. e 5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: /o? i x r3o i. Spacing maximum: From ends -maximum: 6` Line 2 Piers: Size minimum: [/ ] x [ Spacing maximum: s ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: ` From ends -maximum: ` 8.4 M.If.1-2 •.. \•.v:• .3.:.....: .';Ji'�,v-:n?i'4;'ryy:ti:tiii:•ii'�>'i:iY�}:�: )i:J•:+f•py:.)5'i ,:::: --::::: -v :r.}. .m �.vn }: /...:.v??.:.w/..::J::::: :. 1. Owner's Name:_ � JE3.aS . �5 2. Assessor's Parcel Number: d ; - 4 Lo — D ZS' 3. Installer's Name: 5i&Jc MI�eEE 4. Is the site currently under permit? Yes[ ] No[9(] Permit No. 5. Is the site an existing site? Yes[vQ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?__&11ZAmperes. 7. What is the mobilehome site circuit breaker rating? /CSO Amperes. 8. What is the electrical rating of the mobilehome site? ZoCf Amperes. 9. Is the main service remote from the mobilehome site? Yes[)(] No[ ] If it is, what is the rating? 2_C-Zf) Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] 'No[X] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[,] None[ ] 12. Size of . gas pipe at the mobilehome site from the meter or tank: �N, °r inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? Aj 1A B.T. U. * *(This information is not required if the pipe lens h 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 Nyby 1995 8.5 School District A.P. Number Property Owner Property Location/A Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 12 V' 1 Building Department No. U) Jurisdiction: City County Lot No. s ........................... _............ ...................... :..................................... . Foote Lk C'a Residential Development Q Q Q Sq. ge No of Living Mobile Home Addition/ 'Supplemental to (Group ) Units Installation Conversion Permit # •(Nofoundation inspection) P..................................................................... . .......................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) ) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) S 0 Building Department R presentabvq Date District Identification No. l School District certifies that / (Applicant) (Street ddress) (Phone Number) (-1V.At,AR, �A 9Sgko (City) (State) n 4 (Zip Code) has complied with the requirements of Resolution No. / �S 9 d by payment of $ �' LP •¢� representing square feet. 2926 $ ULL MRIGATION $��---- School District Representative Date ' Paid by Check # 20 I y y Remarks: -- QD-�Ilo2 II -3 Notla: You may protest the Imposition of the foss Identified above by submitting a written protest to the District, In compliance with Gorernmerrt code Section 66020(a), within 90 days from the data tees are paid. Failure to submit a timely written protest wlll'prohib t you from challenging the Imposition of the fees In any court aetlon. M, subsequent to the School District Representative signing�thli!Buts County Schools Impact Fee Certification Forth, the School District is notified by the applicable Local Planning Agency that this project Is being rehrtewW under the Calitomla Environmental Quality Ac (CEQA), thls proHet may be subject to addMlonal school fees to fully ~e.ft Impact on the school districrs schools. ' White (applicant), Yellow (building department), Pink (school district) tesform.xls (10/03)dmm FLEETWCOD,,W'estf ield Series • Model 2562K ", .::'.' �'.'•."•+i:. .,. .j -. ..'- .. i• . �F.: � ;'la ... ... t � .,-.. .. ;:r.rc ` e�� � � k,. ��+ �- 'Si"v c a.. f .�,^"'o, �e y r,'•. _ .. .r, �.. ��. .v,.r..,, ,.� t._ *„� �1•'"k y: ,;,tasq., q� e2��'r' .q-'�.v�, r�f.e. xt,a'. f �.,r w. r,, ._ �...._ � . !Y� gay v?' 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'I:•: �'': t;,•jr'`c ''"-Wr.G7'.�-rstc-r �t'� y'Ss.�:!• 'r'��z xat�BOOKCASE Z�'� :P;-- — -- IIJ5 WIN ,Ln?• . § tIr'' DOO '7 c j a� UTILI -- ` . r.. `' � � FNr ✓"x — �� �'.�' K" �r�'•� �� , `r� ice* � t yr ., 15 ELF%OPf091FAD' 4ii - KITCHEN Iv1ASTER N e f t + _ ta'-4;a BEDROOM - ro, wt�. v LIVING ROOM. - - S f 10'-4" X 10'-0"15 BAR ;+v. - '�j`.. �•. y - K�c braf =az .i"F Ki4< • eFl'�r rySF{h. rayrtc i WN G — DINININo0R AREA------------=-- G" - - 'OPT. ' } ;WALK-IN-BAY t';. 7 t ay?. 3t &Y +fn-.tc'=� *` ✓ i ay ENTRANCE - et a F •'.+.. r ,eases s i F' .ttc .. + � i .. r. �C°` •'J=am ri� F".',S}�y�i>. t'ss a r �'�. r >t. `•� a ci,` . i'c• 4 ,> ��rr 1. .t r v v `+4' T't"Ri!�' � hf C �. �.. a, ` �h} 'Jte - • t°ter �jr4 �i '' f ° r� R.'Y-'�'FN ,t�,;M1, aer- rs. 7 t' :F`rr 'wrN 'sd.q .� Be -:.. ..W # rt. u f rr.�{r� `i,. 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': t�r:9i>^ 'G � ��r. P�... "�> •1 - .Y - �+ . {'..t} Y;5•` �f w"s et Q "-C �S„ 5. t. i 5.` �ti r.< •:r', t.. -,,.s' 'f .. {:.T.1. a_•m).fi>.�i,,..-4>n:.n..,..,.u.nx.b�,w.+4v: va.:i.<.; tr:t....., av _.r.:.a'�a.a.,x.:. ,.. -u ,n. .r .. l:�nF`rk•)M.�:4,1�a°�`,jt�9��x,{�Yi"+h,''`�Y..Sa.xY r•'y"t"1�' "^�t•.:��'� x�_`•ti,,,�is�.Tt�51 <.. 2 Bedrooms • 1 Bath 746 S ware Feet,:.. y VO/ I VAUG99 �.' ,6, E` . * ••i- ' "t s ' r '” -S u r'r J, q a > f' N August 18, 2003 Jesse J. Lemire 7063 Railroad Avenue Palermo, CA 95968 CERTIFIED MAIL citecoaftt L A N D O F N A T U R A L W E A L T H A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Re: Administrative-P-ermit, ADM 04-02 APNJ026-090-025 7 Dear Mr. Lemire: Enclosed is your validated Administrative Permit No. ADM 04-02 to allow a temporary mobile home on property zoned AR -1 (Agricultural -Residential, 1 -acre parcels). The property is located at 7063 Railroad Avenue, east side of Palermo, approximately 400 feet north of North Villa Avenue. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, , Roni Thornton Office Assistant H Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) Larry Painter on A ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Jesse J. Lemire FROM: Yvonne Christopher, Director - Development Services DATE: July 11, 2003 FILE #: ADM 04-02 PURPOSE: Administrative Permit for Jesse J. Lemire on APN 026-090-025 for a temporary second dwelling to be located at 7063 Railroad Avenue, east side of Palermo, approximately 400 feet north of North Villa Avenue, on property zoned AR -1 (Agricultural -Residential, 1 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Beverly G. Meuser. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division.within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated. upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or Baker ig Manager /0�(A? 2-6,�, ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Jesse J. Lemire FROM: Yvonne Christopher, Director - Development Services DATE: July 11, 2003 FILE #: ADM 04-02 PURPOSE: Administrative Permit for Jesse J. Lemire on APN 026-090-025 for a temporary second dwelling to be located at 7063 Railroad Avenue, east side of Palermo, approximately 400 feet north of North Villa Avenue, on property zoned AR -1 (Agricultural -Residential, 1 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Beverly G. Meuser. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department .for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. a The mobile home shall be vacated -upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or Baker g Manager A 2—vd j llate 1�j t/ 1) ) / / / � / ,X � cy "'? o -D 13�&S6 2R"4-77 -� 5t zr 7V r) /xy LRISSH JUJUMUOMAiii )4unooeun4 03AMIddV ...... .......... VIP ta I plo- 13�&S6 2R"4-77 -� 5t zr 7V r) Fiy�jRONMFNT •vvf -.fl LLJ CF, yTFRORjV F W 4 Q m c _ m m W X .1 I �_ _ ... LZ O O ' a ' V O _ O _ m q � iL^ o� APPROVED Butte County �nvfronmental Health — a Q m _ si Hato I I IQ V r %A,u. �• per, alp _per I- ioG3 CCerA.�Fy P2vP�/z--� / ) / / /. / tl i �'.a1Po.2�'L� , 15 • Mo3�L< OIN - t _ SOS ., 11 X36. f 7�'O1 �Lt ................................................ ... .... .......... .......... CCerA.�Fy P2vP�/z--� / ) / / /. / tl �I l s�. 155 �4 , Ao` PA�,,,,�, CA 9sgGs ■ �`.all v1 la ..... _. _ . 30 _ ,a �tX/ST�1J� n• - Jt ; ■ / j . J CD rC� l S9, /5 �4 7oG3 f-4,,4- zz. A o PA /1'Jo/3/Lc 15 .f0..._ .. _ 30 ,EX/ST�IJC �• � .. . : g' a SAP, 4, �� j GCAcK Lie.,cS �L J� C G er A Building Permit umber: 03-203 Owner Name: Le m e r-4, Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. i Page 2of 2 Building Permit Number: 0 Owner Name: L&M et -,L_ mo Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of a feet from the side and /0 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. %A v .-Jae the attached !Reguirem _ _-------- Pages tr SOS 1 , ELECTRICAL, MECHANICAL, AND PLUMBING . (_ _NOTPLAN CI ;ECKED ) .SHALL.COMPLY WITH CURRENT EDITION • oQ�F_ NEC, UMC AND UPC. Da C qUILDING DEPARTME-1:."> . -Al L / H-(A PLANNING DIVISION - BUILDING PLAN APPROVAL l , P-2.0 Use: C, Date: Paddng:- Landscaping: C- C 4 y P P��r �J Mar Signatu Sammi-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / _ 90 APPLICA T 10'N rAND PERM(T t ASSESSOR PARCEL NUMBER 26-90-25 ZONING AWH1 BUILDING PERMIT OWNER John $tanh0 a TELEPHONE S0. FT. OCC. BUILDING VALUATION Is 1080 OWNER'S MAILING ADDRESS CONTRACTOR'SNAME Burtenshaw Const TELEPHONE 532-9479 CONTRACTOR'S MAILING ADDRESS _ PO BOX 586. Palermo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 Railroad Permit tee $ 29.00 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 j SF ® Duplex❑ Mobilehome❑ Other i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: RE?roof I _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV DR LESS10.00 Main service EA. ADO'L too 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. -'i 5rl f Classification 75 License 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.tr OR ACDNS. (ACC. BLDGS. , h¢sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES zDesos 1.20050C FIXED APPLNS.❑ EX. DCCUp. OUTLETS IIRESID,)REA,� 1 2.00 Temporary service 10.00 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 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 accrue against said County irrconseoquence' of the granting of this permit. X� /� ` I 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 $ occ CONST TYPE_ TOTAL FEE $ 29.00 HAZ CUA[TA�LDPAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR'OF PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS Date p9 ♦�� �[ Receipt No. WHITE-D.P.W., YELLOW -ASSES MIAM-IN SPEC TOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 _ APPLICATIO'WAND PERMIT ASSESSOR PARCEL NUMBER 26-90-25 ZONING ARMHl BUILDING PERMIT OWNER John StanhA o g TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRESS CONTRACTOR'S NAME Burtenshaw Const TELEPHONE 532-9479 CONTRACTOR'S MAILING ADDRESS PO Box 586, Palermo 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` / . �-�/�v�t o Permit fee $ 29.00 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 ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.001 TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: R.gr'ggf _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 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. Y7r 7S i'/ 57 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- ontract ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. �2¢sgft NEW NON.RES D CONSTR. BRANCH CIRCUITS 2.50 ea /POWER APPARATUS &) \SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20®302 eAL030 \ Ex. Occup. OUTLETS (RESID,)REA.� 2.00 Temporary service 10.00 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. n I have placed on file with the County of Butte Building Department L� 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 Countyot Butte to enter upon the above-mentioned operty for inspection purposes. I also agr to savfinifyk p harmless the County of Butte against Iiab' I es, judexpenses which may in any way accrueagain aid Coun of the granting of this permit. X Date Signature of Applicant — Owner❑ Controctor ❑ 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 $ AL E . 29.00 HA2 cuA PARK PAR HD IssuEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (�9,:> Receipt No. WHITE-D.P.W., YELLOW -ASSES -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOFj A EL NUMBER 0 �� —� ZONI /Zi -A I BUILDING PERMIT - OWNER TELEPHONE Al SO. FT. I OCC. BUILDING VALUATION O OWNER'S MAILING ADDRESS CONTRACT 'S NAME TELEPHONE CORACTOR'S MAIL. It�y. ADDRESS p � � S /j% %Sv�VX Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 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 ADORES Permit fee $ 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 SFk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.005 TYPE OF WORK New❑ Addition[] Remodel[] Utilities[] Installation❑ Other Describe work: V Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 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.h\ OR ADONS. ACC. BLDGS. I yzQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q 5AL930C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE �J Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 9[ /©o I also agree to save, indemnify and keep harmless the County of Butte against HAz I CUA 17 -S -CHL 1 PLD 1 PAR I PD I HD I ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is nereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. [O� �7 Q WHIT[-D.P.W.. YELLOW -ASSESSOR, PINx-INSPECTOR, 60LOEHROD-APPLICANT By PERMIT EXPIRES Date Date }I COUNTY OF -BUTTE —: DEPARTMENT OF PUBLIC WORKS 7 County.Center. Drive - Oroville, California 95965' Telephone: 534-4541 1 APPLICATIOWAND; PERMIT r' l / ,' r /C / �* : BUILDING Owner 'R -,-,,A I 6. T S0. FT. OCC: BUILDING VALUATION Mai I i ng Address ?Q Pax.. - Telephone No. Contractor 1 ) ti) V/ P Mailing Address 41r Fireplace Total Valuation • t+� Telephone No. Permit Fee Building Address�a� lria`� Ilya iPlan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q5 60 Each Trap 1.50 ION m(a•►- Repair drainage or vent piping 1.50 )„ b A. P. No. o 9 Zoning & Planning Water piping 1.50 /, s 0 Each gas water heater or vent 1.50 Fees W.C.' Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 1- EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 .Bldg..Plans.Rec'.d rc Pael A royal Plans Approval Lawn sprinkler system 2.00 ❑ ADDITION ❑ UTILITIESE] OTHER Q' Permit Fee $ "f no $ 9 jNEW ELECTRICAL No. @ FEE 1 h5q1.Q)I �� FU i' n? C I-IZA1n.-A PERMIT FILING FEE $3.00 0OR LES SLESS 5.00 Main service 100 AMP ORS Single Family Qf Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. /DWELING OR AODNST % ACCLBL GS.CCUP, '1) 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULT I.OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES gA@ ,@ FIXED APLISIS Ex. Occup. (ouLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 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 relatinq to buildinq construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ y Inc authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,42_Date .1'r�/9�7iP r -Signature of Permitee or Agent Receipt No. `� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIR ECTOR OF PUBLIC WORKS / By 0 r`c'C Q� Date —Building permit expires Date "5—hq/ 7� J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICkTIDN'AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date&-/-/C?/7tf S' ture,of Permitee A ent Re'� .3 � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. T OF PUBLIC WORKS By—C' Date _.BuUdinq permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address O �' Tel hone No. E_ 6 -by b Contractor Mailing Address Fireplace Total Valuation Tlephone No. e Permit Fee Building Address Plan Checking Fee &/or Penalty -- Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,O Each Trap 1.50 Repair drainage or vent piping 1.50 0 9_.r� A. P. No. of Zoning & Planning Water piping 1.50 �d Each gas water heater or vent 1.50 � F&s Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 -,4a PI--- R --'a I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ Q .$ a QLe r H 9— t- " ELECTRICAL No.1 @ I FEE S l.d U i C -o— PERMIT FILING FEE $3.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Single Family Er Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T ( ACCDWELBL GS.LING CCUP. �) 20Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTI1RES1 D L� FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date&-/-/C?/7tf S' ture,of Permitee A ent Re'� .3 � White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. T OF PUBLIC WORKS By—C' Date _.BuUdinq permit expires Date t SITE PLAN Assessor's Psrrel Number: °0 QZ ® —'Q ®EQ — ® Fz S scale: .1 Owner Name 'Tr-- s" 3 Z. Address/ Phone No. ?66 3 . c.26A-p UE . & zfmo,_(A Site Location ' -2043 94 t c.2o 1q -o A u Contact Name Phone FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: t Assessor's Parol Number Q 0 ®— 0° ff]❑ — Q R El Scale: 1" Owner Name %,sE T un L . Z-amlz- Address / Phone No. 7d6 I i cao 4o c. moo; cA 9 S 9("2. 3, 4 P,3 S4 i Site Location 7 0 G 3 r4 r c.Ro A -o Ao i- , Contact Name Phone 0dc6WM = FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: - - 4.0(r USES: 1q"S .y Assessor's Panel Number: E QZ. ® — ❑° ff] El — 0 ❑Z S Scale•. 1" Owner Name �s E S T G v,. L.. Address / Phone No. 7661 () I L(26As� KQ LjUzmcs, CA 9 S'962 P��� Site Location 7 t L RD 4-0 A o i, Contact Name Phone FOR OFFICE USE ONLY PKOYIDEIFORALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r USES: