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Home My WebLink About026-260-013� s— r�..,o �, r,_ y - _,,... -- �_ ,� :, _ ., wn��Blg (and) d3lV.NW VOP - 1 OFFICE COPY Address GAS r p' Meter By e Dat _ CTRI .c, I Meter By Day j t t• . r tl. • YY f r IlHw HUNHO HW NIN00 HTIIA02I0 `HUNT HN01 TSe VNIO `SHHZHd , H `d 660Z -E6 T - UO -0 -9Z -9z0 J„- WlN3Cl` t" `r,• ^• J •A ;a F 1 I r� I V=OK O = Not OK + -' Applic NNototReeaadyable MOBILE HOMES Date/Initials M.QSILE HOME UTILITIES Plans OK except #'a t 1. z.omng Requirements -Setbacks -Easements s� SqAs: Special MH Support Sketch + Ve�er; Dation-Test-Fell-C/O Concrete ;,Location -Test -Easement Needed (Sketch) (: Gas; Loc n -Test- (pp: L"ft. '.J /" .or/. P'L"ft./ ell Clearance & Disconnect 8. Utility Clearance } a 1 Date/Initials MOBIL -HOME INSTALLATION Plana OK except Vs _Ironing Requirements -Setbacks Easements ►� aotinas- Si7e-Snan1nn-MarrIana' I Ina t' L3%G_as-,_ H Test-Demand-Valve—Connector tricity; MH• Test -Crossovers -Breakers -Clearances Drai ; MH Test -Fall -Flex Connector WerMH Test -Regulator -Connector ti Water and Sewer Connected -C/O to Grade -RD Approval 8.' as and Electricity Tagged 4 <- 9 z ; Insp.-Sketch t rt. of Occupancy a V. tk4 k � 6 U14,53 , i MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco=Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Mein In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK , = Not Applicable " RESIDENTIAL (Single & Duplex) = Not Ready ` 9 Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg.,.Main; Soils-Elec. Grnd.-/ . P' Ftg. Depth ` 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9..D.W.V.; Fall-Fixing-Test-2,Way C/O -Sewer Test .10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ina. 14.' Girders -Sills -Anchor Bolts -Joists -Vents -Cripples "- 15. Access & Ventilation _ 16. Insulation ' Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr:; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. O.W.V.; Test -Fittings & Anchor -Nail Protection 18. Shower Pan; Test, First Floor -Tub Access 20. Test Tub &'Shower, Second, Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23.• Elec. Receptacles Spacing -Lights &,Switches at Doors 24. Size Boxes & No. of Conductors -Stapled; ` 25. Romex Installed Close to Edge of Studs'& C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al '• 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances-Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rttr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearence . 48. Attic Access; Size & Romex Protection -Draft -Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing . ] 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits` 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang`-_'AW6 Vents -Rafter Outriggers` 55. Siding -Nailing Veneer "" 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wal Is -Cel 11 nos 60. Infiltration -Walls -Windows t Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 'rti�4 t 63. Furnace; Vents-Clearence-Comb. Air -Connector- !`• �, „� In Garage; Above Floor -Ducts -Me h. Protection,. 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Lending -Closer 73. A.C.;Duct in Garage -Damper 74. Wtr..Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. .In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location , 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yee 80. Following instld.; Drive ❑ Yes ❑ No; Walks," ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION AC(;EPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC W'ORIQS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 33 PERMIT NO. J Address or location of mobilehome r �-�✓� r� Owner's name ., Owner's address I I 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. :oar 5136,,,.x.-_: White. -,Own* r;SYelloW=�lnsta.I er;,P,nk<. ,D COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICP-S ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at j the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 10192 +t'v' 'COUNTY OF BUTTE BUILDING DIVISION f' DEPARTMENT OF DEVELOPMENT SERVICES ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Yy 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIrt NO. Atonfeneierpecdm indicates that the following violations of Butte County Ordinances exist at The 8111 a addtecc and should be corrected. Please notify this office when correction of work iscop<plered_Ifywhave y questions pertaining to this matter, or need additional explanation, piea�c o 15 dic ce immediately. ii .. DateInspector REVWW iP. • 1 J rs.t APlit OWNER PERMIT -# Mll UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS, Support Struc. Compaction Test..eq. Service Other Pipe YESI NO YES NO Size Load Type Size Len Leh;. I ' not 5{ iTOY 't `. y ''� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County C&ter Drive - Oroville. Calif(:kia 95965 - Telephone: 916.538-7541 APPLICATION -AND PERMIT ' .f ASSESSOR PARCEL NUMBER 026-260-013 ZONING ARMH5 BUILDING PERMIT OWNER GINA DURAN PETERS TELEPHONE 533-8468 SO. FT. OCC. BUILDING VALU ,I.ON" - OWNER'S MAILING ADDRESS LONE TRE FRR��LLE 95966 351 1EXX XXXRZYERXBEYD V uu CONTRACTOR'S NAME MH CENTER TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD, OROVILL3 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 351 Lonetree Rd., Oroville Each Trap 5.00 Solar or heat pump water heater , 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ElDuplex[]Mobilehome)C Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI GJWJ 015.00 TYPE OF WORK New ❑ Addition j_j Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work: MHI _ �MiI1 # q c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA, 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 Coe nd my license is in full force and effect. License .Jo. 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 OCCUPM NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I ( _37.50 3.64sq.ft. NEW CONSTR ULT' -OUTLET NON -R E.1 D, BRANCH CIRC ITS ^ 5.00 l: POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 9 '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also MA indemnify and keep harmless the County of Butte against all liants, ts, and expenses which may in any way accrue againsn co u ce of the granting of this permit. X�� 6 "�� Date Signature of A licant – Owner 9 PP ❑ Contractor Agent ❑ An OSHA permit is re Ired for excavations over 5'0" deep and demolition or construct - n of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONSTTVPE TOTAL FEE $ HAz DFE IMP �" FL0 D COF PAR PD HD Iss This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIR C By4 PERMIT EXPIR S Dat applicable provi- resolutions to do have been pa'd. Da % �� eceipt No. 143459 NITE•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L ICOUNTYCIF BUTTE - DEPARTMENTO DEV,.E+ ;PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE= oi;(WLLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION'DATA SHEET OWNER A P. Proposed Building Use ��L Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wetsignature on plans . ............. 5. Hazardous Material Form. ................. I ............................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions 2 sets. ........... 10. Fees of $ Ki 1. Impact fees as shown on attached schedule..::: ; 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17.- Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .......... 20. Pre -inspection for required. .. to B�i�� 9 �spe�� (Date) 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance . ................... �.. 23. Owner -Builder Verification (Given to owner , Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................... ............. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 7�Letter of intent on building use . ...................................... Mobilehome utility clearance . ..................:.. . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) -Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. TelephoneUcl 33Od hold for pickup at C� office. Deliver with inspector. Other '�� _ x-7 Parcel Creation Acreage Applicant ��a9�p3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Polluti id Date Copy of plans sent Health Dept. Fire Dept. Other ((// Date By The following data must be submitted prior to permit issuance: (Circle new iteo no checked above). 1. Index permit for above items No. 1/ 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by ;:-<s Date_2 13 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 0 -; BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District, IfnQ (�L ►'1 1 0 Yl I A.P. Number Q "' .0 Jurisdiction 0 City ( h ` Property Owner I % Property Location/Address Subdivison Residential Development 0 No. of Living KH Units Commercial/Industrial 0 New Building Department No. County Lot No. JUN. 3 a 1993 v� Sq. Footage Js p) 0 _ Additiofn, (Group R) �9 C r�C�CC�Po ". 0 Sq. Footage Addition (Including Exterior . Roofed Areas) (Floor Plans reviewed by School District Personnel) District Identification No. WAM `JAQ School District certifies that (Applicant) (Street �Address) f /1 (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 2 square feet. School District Representative ' by payment of $ / Al ?,T*. 0 0 � /3093 Date I Paid by Check Number Remarks: 0 Bank Number Paid by Cash��; If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act*(CEQA), this' project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE - OEPARTMEINT OF PUBLIC WORKS PERMIT NO. 7 County Canter Drive - Orovtile. California 95965 - 7eteonone: 9115/538-7541 APPt1CA-fIGN AND PERMIT .%K33QR P�qL NUMB R ZONING ,-I'M, ,Qd 6 � bJR —O O0 W // 51 BUILDING PE?aMIT dN6R TELaP►.ONESI. jgjMk GIP—P e C = T - j OCC. I BUILDING VALUATION aNER•S w. LING ..O RE33 e,, . 3N rRAC OR -S t4^"I,,.6LcPMONfi 8/L iF E 7Nr ACTOR'S MA LINO •.ODRE33 e9e� !I %val,, 000Ui/%- Fireolace I I 0N3TRVCTION LENDER UNKNOWN Total valuation I S Filing Fee, - S 15.00 £NOER'3 MAI o Permit Fee S RC311T$c. R ENGtNBER LICEr1se No. Plan Checxing Fee S Energy Plan Checking Fee $ (� RcmeTECT OR &MGiNEER•s MAILING ACOREss Penalty S uiLDINO AooRess asyL8N �� it fee. S. (� PLUMBING PERMIT' Filing Fee 15.00 i L 6 ::*Solar Trao 5.001 or heat pump water heater 20.004 .OT Nw 31.18109VISION NAME PARCEL MAP • water piping 7.001 Each pas water heater or vent 7.001 USE F -STRUCTURE: ; -7 OuvlexQ Mobiles me{ Other SPECI FY Gas piping system 1 - 5 outlets I 5.001 Building sewer Mobile Home I S I G I W 1S.001 @ 15.001 TYPE-.OF•WORK' New Q Addition L_:. Remodei (a Uttlittes Q InstallaticOther Q Describe work• Fv_6, fi4 V eep 44 Permit Fee S Contractor ELECTRICA L•PERMIT ' FiingFee 15.cc CONTRACTORS UCENSE'LAWa under penalty of perjury (check one): I d7.1am licensed under provisions at Chaot. Div. 3 of the Business and Professions /Code and my license Is in full forcean etfect.l License No. bl�� - Classification ��"/ / Q 1, as the owner, or my, employees with wages as their. sole comoen- sation. will do tae work.ana the structure is not intended or offered for sale. (Sec. 7044) 1 Q I, as the owner, am exclusively contracting with licensed contract- ars. (Sec. 704x1 Q. 1 am exempt under Sec. Business and Professions Code- for this reason I Main service 200A OR LESS Main service 200ATO100CA$ I 37.e01 NEW CON3T. '/ DWELLING OcCUP.aI' OR AOONS. ACC. 5LOG3. `3.63sosrl NEW CONSTR. UL. .our E NON-AEs10 SRANC)-I CIRC TS 1@ 5.001 ( POWER APPARATUS & ) 9NGLE OUTLET CIR. // EX. OCCUo\ OUTLETS OR FIXTURES a 207 7 d FIXED APPLNS. OR 11 EX. OCCUO. OUTLETS IRESIO.1 EAJ 1 3.001 Temoorary service-. I 15.001 Mobile Home Facilities 15.00 Misc. '.lirinq I 15.001 ( I I Permit Fee S Contractor WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): I I The permit is for 5100.00 (valuation) or less. I have-piacea an file iwitn the County of Butte Building Oecartment a Certificate of Wommen's Camoensation Insurance or a Cartificate at Consent to Self -insure. Q I snap not employ any, person in any manner so as. to become- subject to the W. C. laws of Catifomta.. MECHANICAL PE?IMIT FilingFee I tE.Cc Heating I I I I I I Cooling I I l Hooa i 5.50 Ventilation Nottca•to Applicant: if atter malting ints statement. snouts you oecome-suoject td the W. C. provisions at the L3oar Coca. you must tortllwitn comply with such provisions or this penmt snail be deemea revoxea. I certify that I have read this aopttcation ana state•tnat the-agave-into tmatton is correct. I agree- to comply to lall County Ordinances ana State Laws relatinq to building constriction. ana hereby authorize rearesentattves at the Cauntvor Suite to enter upon the agave-mentionea property for Inspection purposes.. I also aoree•to save. lnaemnitvland keen narmiess the County of Butte against , all liaotlities, luagments, costs. ana expenses wntcn may in anv wav accrue i against sato County In consequence or the granting at this per It.� X I Cate i1poafvleor Aoorlconr — .]..rnei I_ •_Onrrector I. %q ani 1 ' -••• OSHA ..rm a ,. ,-aul.eo Int e.ca- *,an% over 5'0'• :eeo an0.4"Mourron or conzrrucr• • nn or vnrerw e• ovwr .sono• �•anr. P�rrrtlt Fee- G.:nt ractor Maotle Home Installation Fee- =nergy Insoection Fee �cc I CONST TYPE i TOTAL FES. $ /D -his permit is nereov Issuea unaer the aooucacte erc,: Lions or me -Butte County Coae analor resotuuons to c:. .vOrK inoicotea 30Ove for `.vnlcn lees have oeen Pale. QIREC-OR OF PUBLIC 'NORKS _'� Date d 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER AL�y v A.P. NO . PROPOSED BUILDING USE / DATE 11o2% REC. # DATE REC drool District Fees � (paid at District Office) ....... .... ......... 2.. Sheriff Fees afid at Bui ' g Department) V I e ....... ...�X�=$ I unit amt. Commercial(per sq.ft.) X _$ sa.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) ......., ..... ............. 5. Drainage District Fees (Contact Land Development) ......................... ..... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the peMit. APPLICANT DATE 07;--qp—p �•7 i:: G� ". �'� til j [ 1' Nom'°: +, 00 ' 'yam_-` ,, •• T-- rn Z ie q J r) Go 0A p O r, a ? O e► 7 s . :i nOl urri i itUPW A, `", RcSIL- rCVLL0PMF.NT 'Section 26-8.1 of the Butte County Code requires this ucknowledgemenL be recorded prior to issuunce of a building permit, All Lhat roal property situate in the County, of Buttie, StaLe of Coliforni.u, tit-sc'rilik,d ;I. follows: The West 208feet of..the south 208 feet of Lot 4,. In Sectibia: 6:;.: Township 18, North Range East, M.D.B. & M. Assessors parcel No. 026-26-013 Date: PRO E Y ERS: I�t)itn��sc�cl '. N a FY`s o �, X � x r� } STATE OF CALIFORNIA Butte }ss. COUNTY OF On June 3 0, 1993 , before me, the undersigned, a Notary Public in and for said State, personally appeared Diana Johnson personally known to me (oc3m*3MgCUUWX*iKtM;t4pklnCVkglXXXXxxxx3cXxx3cwxXXXxxxxxxxxX X to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That )e/she resides in Oroyi 1 1 e, CA that he/she waspresent and saw Rvan Peters and Gina Peters personally known to Wn/her to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/sheAhey executed the same, and that said affiant, thereupon at the party's(ies') request, subscribef�Weml ame as a wit ess theret ?X&X WITNESS 27 Signature OFFICIAL SEAL • MICHELLE A. MILLER MOTARY PUBLIC -CALIFORNIA - � ` PTlnclpal Office in BUTTE Co. "` M Comm. Ex .00T. 20,1985 • (This area for official notarial seal) Ig , iw-rcrrc- mt•, ed he basis vidcnt;V. dged t:lt;it :nLnvd, l.N WITNVISS'. 1 Public NOT COMPARED W H The property described herein is adjacent ORIGiNXDOC,UMEW Lu land or Included within an area zoneu ror agriculLural)purposes, and residents SUN 3 0.1993 of Lhls property muy be subject to incon- veniences or discomfort arising from the W use of agricultural chemicals,- including.,--. 93-027607 but not limited to herbicides, pesticides, and, fertilizers; and from the pursuit of agricultural operations including, buL not limited to cultivation, plowing, spraying, pruning, and harvesting which uccasionally generale dust., smoke, noise, and odor.._..Butte CounLy hos esLAb.lish(,0 ogrIvuI- Lurol :cones which have as a priority use for productive agricultural purposes, and rovidviilr. within acid zones and on adjacent property shotrld be prepared to accept such lllronvvilic.11c'� or disconform from normal, necessary farm operations. All Lhat roal property situate in the County, of Buttie, StaLe of Coliforni.u, tit-sc'rilik,d ;I. follows: The West 208feet of..the south 208 feet of Lot 4,. In Sectibia: 6:;.: Township 18, North Range East, M.D.B. & M. Assessors parcel No. 026-26-013 Date: PRO E Y ERS: I�t)itn��sc�cl '. N a FY`s o �, X � x r� } STATE OF CALIFORNIA Butte }ss. COUNTY OF On June 3 0, 1993 , before me, the undersigned, a Notary Public in and for said State, personally appeared Diana Johnson personally known to me (oc3m*3MgCUUWX*iKtM;t4pklnCVkglXXXXxxxx3cXxx3cwxXXXxxxxxxxxX X to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That )e/she resides in Oroyi 1 1 e, CA that he/she waspresent and saw Rvan Peters and Gina Peters personally known to Wn/her to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/sheAhey executed the same, and that said affiant, thereupon at the party's(ies') request, subscribef�Weml ame as a wit ess theret ?X&X WITNESS 27 Signature OFFICIAL SEAL • MICHELLE A. MILLER MOTARY PUBLIC -CALIFORNIA - � ` PTlnclpal Office in BUTTE Co. "` M Comm. Ex .00T. 20,1985 • (This area for official notarial seal) Ig , iw-rcrrc- mt•, ed he basis vidcnt;V. dged t:lt;it :nLnvd, l.N WITNVISS'. 1 Public COUNTY OF BUTTE - DEPARTMENT OF PUBLICn7541 7 County Center Drive - Oroville, Capiforrda 95965 -Telephone: APPLICAtION AND PERMIT PERMIT NO. v , ASSESSOR PARCEL NUMBER 026-2 — ZON G BUILDING PERMIT OWNER Gina TE EPHONE 533-8468 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAI ING AD RESS 351 Lont Rd., v'lle 95966 CONTRACTOR'S N A M E TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRE S 1740 Feather RIver Blvd., Oroville 5965 Fireplace CONSTRUCTION LENDER UNKNOWN e Total Valuation $ Filing Fee $ H -Not LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 120.001 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets P3@15.00 Building sewer Mobile Home S G IN 45,00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities InstallationG Other Describe work: MHU Permit Fee $60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full)� force and effect. License No. 41'9� Classification L.%`�� El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR AODNS. ( ACC. BLDGS. 3.60sq.ft. NEW CONSTR. ULTI-OUTLET NO N.RES'D BRANCH CRC" @ 5 00 POWER APPARATUS ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76A LNS Ex. Occup. OUTLETS ED ARPIRESID,IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 15.00 Permit Fee $ 48-50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against sts and expenses which may in any way accrue all liabilit' judgmedl, against s I �ounty inq ce of the granting of this permit. XAI Date Signature of Applicant Owner ❑ Contractor Agent ❑ An OSHA permit is r wired for excavations over S' deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz 0FEES IMP FLOoo CDF PAR L PD HD Issu This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees DI C O BLIC BY PERMIT EXPIRES applicable provi- resolutions to do have been p id. WORKS ate Or Receipt No. 143459 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOFBUTTE - DEPARTMENTORDPMENTSER CES -BUILDING DIVISION ,- 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 " PERMIT APPLICATION DATA SHEET OWNER 6Z A.P. o 6'�6-0 "U1� Proposed Building Use Building Inspector Date O? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. --2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... '3 /ff� 3_ Complete plans, 3/4 sets, signed by preparer of plans. ................:..... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ....... ........................ ......... 6. Energy Design Compliance and supporting documentation. ......:. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees.......................... _ 1lood elevation letter (100 year flood) by California Engineer................... 1 . Sanitation and plot plan approval 04i_ C7 Health Department. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . ......... _Pontact Land Development.about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). ...P�4� echo; re4ueai %''s — Pre -inspection for required. .. to Buil ng Inspector (Data) 21. Contractor's license information. (No., Name Style, Classification) . ............. . Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ 4. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . .........................: . 32. Plan check list . ....................................................... 33. .34. ' When you issue the permit, process as follows: Mail'to owner. Mail'to contractor. TelephoneS33046 3 and hold for pickup at O K Z) office. Deliver with inspector. Other Parcel Creation / 9:56 _>< -/ Acreage Applicant ate 6 Copy of Haz-Mat form sent Health Dept. Fire Dept. " Air Pollution Copy of plans sent Health Dept. Fire Dept. Other D#e By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y _ Date Plans checked by Date Plans approved by /-,k Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works al'hd Him Alluched Flour Hiul Auched TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ( —Lb Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTEA n L-nvironmen 8/92 lth Specialist COUNTY OF BUTTE - OEPARTMENT OF PUBLIC WORKS 7 County Canter Drive - Orovlile. Caii(PM1,a 93965 - 7e+eonone: 916/538-7541 APPUCAT-fON AND PERMIT PERMIT NO. SfiSSOR PA�j CF -L. vUMtl R r,ONrNG --DJ�4)CD0 BUILDING PERMIT rN/3q TELFiPr•+ONE �iw 12ww des -NIS SO . F7. i OCC. I BUILDING VALUATION , I INKH MAILING wOQ E_ZZI ��%Q /� p t C/�C//� ngo r 0,600 ue- C.4 i 7_6 SN �C LANA 4 %e- frL —I/V� I ELSPwONa3 r&Z 7NT AC OR•S MAILING 191 i II�E�Ir lid. �0ie///�/4 , Fireotace 7N3TRUCTION L.&HOBR UNKNOWN TOtat Valuation is Filing Fee- S 1 allolriR-s Permit Fee S seNlrE r OR sNaIN Plan Checking Fes I S O, D Energy Ptan Checking Fes ' AcNIT CT OR ENGINQ •3 MAILING AGORK3S Penalty S uILO/NG Aoow1133 �•(�NE%�— - PL Permit fee- ee• PLUMBING: PERMIT' F;IingFee ts.00 ' 0 L(..C. C Eacn Trao 5.001 Siar or heat pump water heater 20.001 OT NW S4BOIVISION NAME PARCZI- MAP • Water piping 7.001 Each gas water heater or vent 7.001 USF -STRUCTURE: Gas piping system 1 - 5 outlets I 5.001 Building sewer 15.001 FQ OuolexQ MobileftameOther sPecl Mobile Home 4's D4 2@ 15.001 0 TY P E -.O F- WORK-' tt�-- VewQ. Additionl.-I Remodei1 Utilities Installat,fo^nqc Other Permit Fee S• Describe work: 1 � �UI/J Contractor ELECTRICAL.PERMIT- F1ingFee•4 IS.cc 600v OR LESS Main service 200A OR LESS c Main service Z00ATO1000A. ;7.501 CONTRACTORS UCENSE•LAW& NEn CONST. ( OWELL1NG OCCUP.$) I `3.rm ats.l dec are under penalty at perjury (check one): OR ACONS. 1 ACC. BLDGS. ry EW .SRA CONT ET � I@ 5.001 I am licensed under provisions at Chaot. 9. Div. 3 of the Business NO NCA ESIO SRANC CIRC TS RESIO. POWER APPARATUS b 1 I • and Protessions Code and my license IS In full force and effect. SINGLE OUTLET CIR. License No. Q( I9. Classification U—'V� EX. OCCUO( OUTLETS OR FIXTURES I 120 764 Q I. as th@ OWn@r. Or my employees with wages as their sale comoen- �IXEO APPLNS. OR EX. Ocirrup. OUTLETS IRESIO.1 3.001 sation. will do the work.and the structure is not intended or offered Temodrary service- I 15.001 for sale. (Sec. 7044) Mobile Home Facilities I 15.00 Q I. as the owner. am exclusively contracting with licensed contract- Misc. 'rYinnq 15.001 5 ars. (Sec. 7044) Q• I am exempt under Sec. Business and Professions Code..I I I for this reason Permit Fee- S Contractor WORKMEN'S COMPENSATION, INSURANCE MECHANICAL PERMIT FilingFee I 15.03 I declare under penalty of perjury (cneckone): C The permit is for 5100.00 (valuation) or less. Heating I I I have•piaced on file with the County of Butte Building Oeaartment 1Q( a Certificate of Worxmen's Comoensation Insurance or a Cartificate of Consent to Sett -Insure. Cooling I I I I snail not emoiov any person in any manner so as. to become- subject Hood I I 6•=0 I to the W. C. laws of Catitomia.. Ventilation NOtrea•tO Appllcant:- it atter Malting iris statement. snouts you aecome-suolect to the W. C. provisions at the Lacar-Code. you must farthwltn comply with such provisions or this permit snail be deemed revokea. Permtt Fee - Contractor I certify that I have read this application ana state that me-abdve• Intormatlon MoDde Home installation Fee- 5 is correct. I agree- to comoiv to ail County Ordinances and State Laws re+atfnq t0 building construction. and hereby autnarize representatives of the County or energy InsDecttgn Fee 5 Butte to enter uaon the aoove-mentionea prooerty tor- Inspection purposes.. .)cC i CONST TYPE I also agree -to save. i naemnity and keen narm+ess the County of. Butte against I I TOTAL FES. $ all i iatitlittes. judgments. costs. ano exoenses wnicn may In any way ccrue I i -z! 0 PEES I rMl• iL000 I COF I PARCEL I r0 1 .0 --. against said County In consequence of the granting of this perms l X at 'his hermit is nefeov Issuea unaer the aot]ticaote crc:,: — • •+gem 1 - sons at me -Butte Cjunty CJae and/ar resoiu UOns t0 C 3rgeawre of aoonconr Owner 1_ _umracror r_ w OSHA OOIm11 !.c OvnfrO— -r 5,0 :Oe00n0 smolt iron Of connrrucf• n nr trruerure. o.wr .rorrws •wranf. .vorK Inaicateo loove for .vntcn tees have peen 0310. OIREC-OR OF PUBLIC INORKS =� nate MOBILEHOME SUPPORT DATA t /� /,,Q / If other than single wide,,,,, / ehome Mfr.—9 1'� furnish' Setup Model No. MAil Width (ft.) Box Length (�Q (ft.) Tagalong or Expando..Size4 , 4- On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's- installation manual and structural) -setup sheets (if not on file with the County of Butte). FOOTINGS (check one) U 1. Wood -pressure treated'or foundation grade. 2. Other (specify) SUPPORTS (check one 1. Concrete block. 2. Other (specify). Pier Footing Sizes and Locations,' SINGEi WIDE MULTI -WIDE ' � Main Beams ne 2Line 1 . I. in l Line 2 Main Beams Line 2 .. Line 1 �•—Line Tag or Triple Line I Line 1 Piers- • Line 1 .Openings: r _ 1 - Spacing-ltex. Each SSde•ot4jim'Inge-• _ Fron Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------ „x 3�r Size -Min ------------------- k „ :t Spacing -Max ----------- Spacing -Max. - - ( From Ends -Max.------- '_ " From Eads -Max. ------ Line Line 3 Roof Loads: O Size -Min.------------ ,r I Location (From Front)Fn to ' -....:' . , : .._. ... Line 4 Pier: Size -Min .---•-------- ,k „ Spacing -Max.--------- , From Enda-Max.---- --- Line 5 Roof Loads: ®rsTC" x x rx rrx rk Line 5 Piers: .:(Under Beating Walls On y. Size-Min------------------- Spacing-Max ---------------- r_ r From Ends -Max,------------- Size-Min------------- rrx rrx N ,r g k rrx rk n rrx rr Location (From Front) BUTTE COUNTY DEPARTMENT OF PUBLIC,WORKS ` --" 7.Co'Unty Center Drive, Oroville;%-CA r .. PHONE : 538-7541. " t MOBILEHOME INSTALLATION SHEET s.. Name.:..._ !JLvA d-�,%Q S .. 2. ._Instal-ler's -Name : 11MVleC�� 3.Is the`site currently under permit? Yes No , (If yes, 'fu`rnish. permit. number J " ) OR -.. Is the site an existing site? Yes No I- 4'. El (If yes, furnish two plot plans,) 4. Mill the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and.easements? Yes_ No F] NEXT PAGE MUST BE'COMPLETED TO PROCESS PERMIT APPLICATION. {� ,� � 'i' � «fir ,, r ,• # ` (If no, clarify - 5. What•'is the mobilehome electrical rating? �,.Am s. 6. What.'is• the mobilehome site service rating? -=----------- d Amps 7. What is the mobilehome site, circuit breaker rating? ----- /(30 Amps. 8. Is there any other electric load to be served by the 'Mobilehome £-------------------------------- site service? Ye`s , Mo.. (If yes, identify :the load and size .- WEbt ul)l(Load) �i� (Amps) 9. What is the mobilehome site gas pipe size?-' ----------- -(in,) :4 10. ,, ... -. What is the type of gas service? ------------------- Natural _. ..._... _ ... LPG . .. . *. a .. . t: -11. What is•the gas pipe -length from meter or tank to the mobilehome?--------------------------------------------- a -t(ft.) * 12. What is the mobilehome gas demand? ----------------------- "(BTU) -... -... '"' *(This • information riot required if pipe length less than. 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE'COMPLETED TO PROCESS PERMIT APPLICATION. {� ,� � 'i' � «fir ,, r ,• # ` 0 CAPACITY F60114c SIZE CAPACITY FOOTING SIZE 7000/ t 6000/ U .t000� li.N' S 10.000/ W.24" Q 60MI W.24- GOLDEN .liGOLDEN WEST HOMES 9998 OLD PLACERVILLE RD. PIER SUPPORT dc. CARPET PLAN CV601S1 8/5/91 601S1=00 I & 1 A. SACRAMENTO. CA95827, - D.RAigNG MODEL NUMBER DATE.. - REVISED' . PACE SHEET,-.:. . m _t 026-26-0-013 PETERS, GINA 93-2038 B 351 LONE TREE CONTR: MH CENTER ROVILLE = DEMOLISH SF] f 1 L � r lf-3 . Y '•a{{F Y�t r J3 + e `-L Tj.41 �e M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n 6_ q ZONING BUILDING PERMIT OWNER ,Tu TXiiR N1 PETERS511--8468E.ST TELEPHONE SO. FT. OCC.1 BUILDING VALUATION 1800 OWNER'S MAILING AD RESS ` - I 5l t r1• n ROVI x >~ 05966 CONTRACTOR'S NAME MIT ('iZNT1♦ R TELEPHONE �1+IJ l CONTRACTOR'S MAILING ADDRESS 174n FRA 1?OVT F 9-51965 Fireplace CONSTRUCTION LENDER UNKNOWN • Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS , Permit Fee $ 34.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS 351 LONE TREE RD, OROVILLE Permit fee $ 49.50 PLUMBING PERMIT - Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME t:r_ " PARCEL MAP Water piping { 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE 1� SF N6 Duplex❑ Mobilehome❑ Other I r� SPECIFY i Gas piping -system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 6 TYPE OF WORK New U Addition U 7�RemodeI EliUtilities❑ .Installation ❑ Other Describe work: ffL/7"lDll,� "i f _ , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ( Main service 200AORLESS 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW under penalty of perjury (check one): _ t I deWand 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force / �and effect. License ,d0. H/ Classification eQ_ / ❑ 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 OCCUPM 3.64sq.ft. OR ADDNS. ACC. BLDGS. / NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES AO 76d FIXED APPLNS. LI Ex. Occup. OUTLETS ((RESID .)H EA.) I 3.00 Temporary service j 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I deMare under penalty of perjury (check one): WIVThe permit is for $100.00 (valuation) or less. XI 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 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree�to save, indemnify and keep harmless the County of Butte against all liabilities; judgments, costs, and expenses which may in any way accrue against said County in consequenoe of the granting of this permit. X �� Date /n rf7 �/ ti_ 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 3Fttories-in height ,_ Mobile Home Installation Fee f $ , Energy Inspection Fee $ r OCC CONST TYPE TOTAL FEE $ 49.50 HAz I DFEES I _. IMP FLOOD CDF �- "PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECT6'RTOF-PUBLIC WORKS D -ate 6I PERMIT D t6 �t) ...G i /•• "A' 43 Receipt No. 10406 - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT . ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n96_ _on ZONING I BUILDING PERMIT OWNER mm TELEPHONE 911-8468 S0. FT. OCC. BUILDING VALUATION ST 1,800 OWNER'S MAI ING ESS AD K Rn, OROVILIFE 95966 C . 11 i44 TO N MR 1911-403 TELEPHONE / CON C (LING ADDRESS 1740 FEATHER RIVER BLVD. OROVITLE 99965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 34.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 351 LONE TREE RD OROVILLE Permit fee $ 49.50 PLUMBING PERMIT FilingFeeIF 15.00 Each Trap 5.00 / Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 �(USE OF STRUCTURE SF IYI Duplex❑ Mobilehome❑ Other TC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G J.W 1 615.00 TYPE OF WORK New j Add i[ion _j Remodel❑ Utilities ❑ Instal lation❑ Other Describe work: ",5- I/I,< _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 1 Main service 600v OR 18.50 200A OR LESS Main service 20CAT01o00AI 37.50 CONTRACTORS LICENSE LAW under penalty of perjury (check one): I deWand 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. �/20 License No. a%D �S Classification &1i ❑ 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ 3.6Csq.f[. OR ACDNS. ( ACC. BLDGS. / , NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @•5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) 76d Ex. Occup(ouTLETs OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I fare 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 FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, indemnify and keep harmless the County of Butte against all liabili 'es judgments, c ts, and expenses which may in any way accrue against s id ounty in co a Lien of the granting of this permit. X Y Date Signature pP ❑ Contractor Agent si nature of Applicant - oWn:e An OSHA permit is req red for excavations over 5'0' deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 49.501 HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. l�$tlf WORKS By ate �6 PERMIT EXPIRES Da Receipt No. 143460 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT E P, /COUNTYOF BUTTE - DEPARTMENTO_F DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 t, �VO PERMIT APPLICATION DATASHEET OWNER4WF-6 AP.N . Proposed Building Use Building Inspector a At time. mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted................................... ... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ...........'............... 3_ Complete plans, 3/4 sets, signed by preparer of plans. ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. .................. 14. Sanitation -and plot plan approval Health Department . ............ 15. City of Chico plumbing permit......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. `.......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre-inspection for IreInsp8t4On reqs t required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement. ... I................ 25. Letter of signature authorization.......................................... 26. Copy of recorded deed of parcel creation and 60'right of way to a public road. . . 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance................ . 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... . 32. Plan check list.. 33. 34. When you issue the permit pprocess as follows: Mail to ow r. Mail to contractor. Telephone5-3 3y403and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage ApplicantA:��Ia_;t�'eate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutio Date Copy of plans sent Health Dept. Fire Dept. Other 1�Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - OEPARTMENI T OF PUBL!C WORKS PERMIT NO, q County Canter Orive - Oroville. Catifomta 95965 - i eieonone: 916:538-7541 APPLICATION AND- PERMIT ISESSOR PARCEL Uh4*1C6R ZONING BUILDING PERMIT nN ER TELEPHONE I ,� r•. �O. = T. i OC-_- I BUILDING VALUATION R 6 MNER' MA/L1NG A If _ oR/ESS T q l' ( d C(� 16 :JNRAC OLE AM TELEPMON�E ffYY`` OSI� I ONiRAC OR•S >rw1 LING wOOR633 r Fireotace r ks,4veg 10.,c0lw/ I I ONSTRUCTtoN L&NOR UNKNOW" Total valuation is Filing Fes S 18,00 FiN06RORUSS Permit Fee5 S IM RCMIT$c. OR £NOlNamA LICENsc No, Plan Checking Fee I S Energy Plan Checking Fee - S RCNIT eT OR ENGINGGR•S MAILING AOORESS P enat tv 5 iU1LOlNG woORKSS Permit fee- S - Oa -D PLUMBING PERMIT' ` Filing Fee 15.00 moi' Eacn Trap 5.001 Solar or heat pump water heater 20.00; .OT NO. SUHOIVISION NAMR PApCfiL r.AP- Wotaing 7.00ater -- Eacn das water heater or vent 7.001 USEaF-STRUCTURE: Gas piping system 1 - 5 outlets I 5.001 Buifdina sewer 15.001 SF XOuplexM Mobilehome Other _ SPF-CtFY Mobile Home SIG I W @ 15.001 TYPE -.OF -WORK- New(]' Addition C�Remadei (I Utl lines Q I6stallation0 Other Permit Fee 5 . Oescrtbo work: I //?�h'1r� �l�Y�re �✓ �/y Contractor ELECTS ICaLPIEAMI-r FiingFee IS -OC Main service 600V OR LESS 200A -OR LESS I 18.0 Main service 200ATO1000A1 j 37,so1 CONTRACTORS UCENSE LAW& NEW CONST. DWELLING OC.UP.4111 ( `3.6dwtcj I dect under penalty of perjury (check one): OR AODNs. ACC. BLOCS. NEW c O N S T R. . u L . .OU E I am licensed under provisions of Chact. 9. Div. 2 of the Business NON.RE51D 9RANCH CIRCUITS) (POWFER APPARATUS e and Professions Code and my license is in full force and effect. 51NGLE OUTLET CtR. License-No..P2� �QOS Classification L- �1 / EX. OCCuo( OUTLETS OR FIx-ruRez I 1 2076d ClFIXFI. as the owner, or my employees with wages as their sole comben- EX. OCCUp. OUTLETS RAQQESIOJIdSREA.1 I 3.001 sation. will do the work.ano the structure is not intended or offered Temoorary service- I 15.00 for sale. (Sec. 70") Mobile Home Facilities I 15.00 [1 I, as the owner. am exclusively contracting with licensed contract- ors. (Sec. 70441 Misc. ',lirtng I 15.00 L.t. I am exempt under Sec. Business and Professions Cade I I I for this reason Permit Fee- S Contractor WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): MECHANICAL. PF_gMIT ( FiIingFas 1EX0 L1 The permit is for $100.00 (valuationl or less.. Heating I I I DKI have placed on file with the County of Butte Building Oecartment II a Certificate at Workmen's Compensation Insurance or a Cartificate of Consent to Self -Insure. Cooling I I snap not emolov any person- in any manner so as. to become- subject Hood to the W. C. taws of California- MJ *i-.�_.� A��.1��...if twit n1.n11 iA • I.eww Ventilation •-.....,- \\. ..Vp\l ba1... .I ol\ci ,Ilaa.....y ....v a\\a.\:I11o1.\. .+I.va.•v �v\. uaaa.V\IIQ-JUYiCC:i to the W. C. provisions of the Labar Coca. you must forthwltn comoty with such provisions or this permit snail be deemea revoked. I Certify that I have read this aaplicatlon and state that the•a00ve••IntOnn211on i s correct. I agree- to comoty to al I County Ordinances and State Laws retating �o building consttuctton, and hereby authorize representatives of the County of Butte to enter UOOn the above-mentioned property for' inspection purposes.. I also abree-to save. Indemnity and keen narmless ine-County at Butte against all liaoihttes, judgments. costs. dna expenses wnicn may in anv way accrue against said C.3unty In conseauence of the granting of this permit. Permtt Fee• ontractor Hoche Home Installation Fee- s I Energy Insoection Fee s X _ Cate iIgnatvrs-ar Aaallcanr — Q..nell� `-JnTra CT ar". •+Qenr 1_ ^ OSHA oerinlr I \ InaW ea rn a.cav r,an% o.ror �.a.._ :veo dna Celnallrtan Or cOnlrrucr. I 'l^ at 31r crura a.., •.lal.nl . n.Onl. -)Cc ICONST TYPe �/ ITOTAL FE;E $ !_!/QrS� I 'Al. 0 pets 1 IMM 1 fL000 j COF I PARCEL I r0 I no -his aeTmit Is nereav Issueo unser the aooncaole crc:I ::Ions or me -Butte Ciumv Cone analor resotuuons to c= :/orK Inolcotea Soave -tor %vnicn lees nave oeen palc. OIREC"OR OF PUBLIC 'rVORKS :Date Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form.. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is'authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection -Agency or to a designated state agency, or both,,pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located.at Signature of Applicant (3R I hereby declare that a written asbestos notification.to the United States. Environmental Protection Agency is not applicable idemolitio � project. s ignature §f Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) 1+4�+�0• Z= Not,isiod: D TM+ 1 ❑ CA 14 arnia Air P"Acuroos Board ❑ ca 0M DBuiIPA; neca=hmast n ASBESTOS'DEHOLITION/RENOVATION NOTIFICATION Please check on Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY: DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME - (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY. ZIP 2. OWNER 4.. FACILITY DESCRIPTION ADDRESS CITY STAT_ AGE SIZE ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESC•RIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9 -NAME & LOC.ATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F _INSTRUCTIONS FOR IIS7 OF pSpti`RTOS flr1,O TTTON/RT.-1.,OVATIONNOT77 IC T ` RENOVATION: means altering, in any way one or more facility components. NOTICE, MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking'or taking out -of load -supporting structural members of a facility toceth r with any related handling operation 10 Day notice for.MORE than 1,6.0 sq.ft.or 260 linear ft. asbestos 20 Day notice 'for LESS than 1.60sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residence and apartment buildings with 4 units or fewer are exempt -from notification to EPA. - PROJECT JOB 4: Your OWN IN-HOTSF,7 D for a specific jobsite. Optional, but expedites communication -concerning notifications'. LOCAL AGENCY: Most areas in Region 9. have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. S. START AND COMPLETION DATE: Provide month, day and year. Mustbe revised if dates change. (see revision form below) v'. Estimate of amount to be removed (must be in square or linear feet)-. Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. a. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 please circle This is to advise that the above referenced notification presently;on file has been revised. Please note the"revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work. 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date S. NEW Completion Date 6.• NEW Disposal Site PROJECT ( ) CANCELLATION