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HomeMy WebLinkAbout027-290-00827-29-8port EUGENE VENNER _ a—Reservo Rd. lot 29 Orovillea Permit#1290-85P (uti ELEC �� a 9 O ` � O GAS SUPPORT STR CTUR REQ , COMPACTION TEST REQ , -29-08 2545-90P,E VENNER „ gene $285 Reser Rd, Oroville' ` . l utilities/M ��jAj �'`� ELEC 70 -75- y,O GAS ' PG /' 8 COMPACTION TEST REQ o SUPPORT STRUCT -REQ ,J%per p 27-29-08 rt Permit 3588- MHI (install,atio S 27-29-08 3374-91B Y VENNER, Eugene 8285 Reservoir Rd,'Oroville cont: Custom Exteriors (vinyl siding/sf) ^ �� Iv_ -3 027-29-0-008 93-2763 —PRE' VENNER, EUGENE 8285 RESERVOIR RD, OROIVLLE AG WORKER MH UTILITIES_ ELEC o�1) 0 //F 0t�A C, AS Lt;v COMPACTION TEST RE </�LO SUPPORT STRUCT REQ �/%'� /! _2 "c3 027-29-0-008 93-3805 MHI NAVARRO, JOE V TERRESA . 8285 RESERVOIR RD; OROVILLE 1z MHI V� MOBILEHOME INSTALLATION ACCEPTANCE h COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 ' PERMIT NO. 3 L . _ . 1. . _ n Address or location of mobilehome C; 1=!/' V U Owner's name 9 0 a r=-ilJ l/ 17 A21V 1 - Owner's address !'� T t Insignia or lu d number CA L– a i `'� l& M 4 Manufacturer's name Serial number of V ear of manufacture /J4 2'7y it �`O`ff A rovdn Lnst ation V (Date) T / t { IF THE MOBILEHOME IS MOVED. OR RELOCATED, THE MOBILEHOME INSTALLATION `, ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. AP #C� 2 — f'- '70 OWNER 61"'f -/e 115 PERMIT `�� c�-7 Le 3 IL-1 UT IL . CLEARA DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Other Pipe YES NO YESI NO Size Load Type Sim Len th L -1 � I oil q£S Ill, /, `X f COUNTY OF BUTTE - DEPARTMENT OF bEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -754n -7:2 P IT APPLICATION AND PERMIT J� ASSESSOR PARCEL NUMBER 027-29-0-008 ZONING BUILDING PERMIT OWNER TELEPHONE 80, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �y-6b6Y CONTRACTOR'S NAME oWn TELEPHONE i CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8285 Reservoir Road, Oroville PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other CIContractor Describe Work: jv�T��_77h� a bad�'99A1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 aw Main Service ( 2600V OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS ) SO, 3.50 FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 8/1 as the owner, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. . @ 100 F Ex. Occu FIXED APPLNS. OR p ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHAZ. Count in consequence of the granting of this permit. �( Date ]� 3 Si ature of Applicant - W weer ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100 00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 D. FEES I •Y/tz PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC B V � PER MITEXPIRESON the applicable provisions Resolutions to do work been paid. WORKS j� Date Datel Receipt No. ��03M 0 IL WHITE-D.D.S.-B.D. CANA OR PINK-INSPEi'_TOR GOLDENROD -APPLICANT k'L,r.rx`..y ..fir-�t�-.•..-n•� �•-+'^.•i '1...,ra "1� ", ".`�,-•' .� � .. `It COUNTYOF BUTTE - DEPARTMENTOF�DfVELOPMENTSERVICES -BUILDING DIVISION 0 7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,941 PERMIT APPLICATION DATASHEET OWNER /1"M VA K. f 0 A. P. No. Proposed Building Use 0414 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 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 . ...................... a,, -Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... l 93 1 Fees of $ . .................................. 11. Impact fees as shown on attached schedule . .............................. 3 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. .. a ";,d �g l�8Pe� (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 . ........................................ 1 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use. .......................... . bi Mobilehome utility clearance. .IAA!.W.?3. ............................. .? ? 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. .f When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation t, Acreage Applicant 4 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri permi i suance:it �ieot checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, ow r, was advised of above required data by _ phone _ mail Counter b 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 OWNER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 ^ �A. C -A-V PROPOSED BUILDING USE `' 14 or I. ,SCHOOL DISTRICT FEES -.(paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential ...... �x unit amt. Commercial .(sgft) x =$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x -$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. RECREATION DISTRICT FEES (paid at District Office)....... ................ 4� 15. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. SRA FIRE INSPECTION AND PLAN CHECK - $89.00...... (paid at Building Department) 7. OTHER 8. OTHER A. P. # 2- 1 DATE It a REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder "building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) / 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to'coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) persons to provide the work indicated: Name Address . Phone Signed: Property Owner Date 11 - J11 thefollowing Type of Work NOTE: This Owner -Builder Verification is sent to you as. required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we.are. per- mitted to issue the permit. I COUNTY OF BUTTE -DEPARTMENT OF, • EVELOPMENT VICES - BUILDING DIVISION 7 County Center Drive - Oroville;°California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^ O G � ZONIN BUILDING PERMIT . OWNERo �� A V �y � o"�q� SQ. FT. OCC. BUILDING VALUATION OWNER' 3 RE CONTRACTOR'S NAME /��y/`���r - TELEPHONE - - - CONTRALTO R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,_ _ . 'UNKNOWN Total Valuation - 1 $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS --' ^ L/O I ' I Yl�./• K //Jv _ rte/-✓��7 PERMfT FEE S r - PLUMBING PERMIT fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installations Other O Describe Work: )gx 3 ^f/ ttw PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200A OR) 2001AOR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) g0, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI.OUTLET -NON.RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 6 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) BA209100 : 50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - . � Date // Z Signature of Applicant - O Owner O Contractor O Agent I An OSHA permit is required -for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $�,d� HAZ- I D. FEES I IMP I FLOOD I CDP PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON IDe tel Q� Receipt No: WHITE-D.D.S.-B.D. CANARY. -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: jo e /0 V Q r r Q 2. Installer's Name: Oln�rl �'� F] 3. Is the site currently under permit? Yes Fx No (If yes, furnish permit number 9 � - � D � � ) OR Is the site an existing site? Yes No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes IX -1 No 1-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- (� 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- / 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 31�4 9. What is the mobilehome site gas pipe size? -------------- (in.) Natural LPG .10. What is the type of gas service? ------------------- 11. What is the gas pipe length from meter or tank to the J-3 mobilehome? --------------------------------------------- (ft.) �e 12. What is the mobilehome gas demand? ---------------------- A) (BTU) *(This information not required if pipe length less than 6 ft./6 natural gas or less than 50 ft. on LPG:) M Q V 8U11 "01 t)Epmffww MOBILEROME SUPPORT DATA I J / If other than single wide, jQ Mobilehome Mfr. fle61 t") 0 0 furnish Setup Model No. 0,56J k . Year l Width ! "T (ft.) Box Length_5-(, (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 (if not on file with the County of Butte). FOOTINGS (check one) FX] 1. SUPPORTS (check one) Ry Wood-pressure treated or foundation grade. F] 2. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations S1NCLE-WIDE MULTI -WIDE Llne 1 i Line 1 Line 2 Main Beams Line 2 _ . _ _ � _ _ _ _ _ _ � _ _ _ _ � Line 2 — — — � Main Beams Tag or Triple Llne 1 Piers: Size -Min. ------------ Spacing -Max. --------- , Fenn lands -Max- ------- Line 2 Piers: size -Min. ------------ Spacing -Max. --------- �_ " aX From Ends -Max .------- " IJne 1 IL+nf Loads: Slze.-Min.------------ Line 1 Openings: Other (specify) Size -Min- ------------------� "x Each Side of Openings With Width Over--------- = Line 7 Piers: (Under Bearing Wall Only) Size -Min------------------- ..x Spacing -Max ---------------- From Ends -Max -------------- i "x Location (From FronL) - _ _ _ _ _ '_ - Llne 4 Pters: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ k Size -Min .------------------ x Spa,Jog-Max---------- „ Spacing -Max .--------------- Prom Ends -Max.------- From Ends -Max .------------- " LIne 5 Hoof loads: S 1zu-Miu,------------ 7AEfonf(From'1Fron1) 31 ';►y r 21, Ar t AP # PERMIT # �- NAME - Under authority of PRC 42901.'thee-following checked items are required by -the Butte -County. Fire -Depar=tment'--and are made a part of this - permit. -These requirements-are.-m-inimums and will. be .superseded by 'Butte County local regulations which equal or exceed these standards. Field inspections -will be -made by,the Butte County Building Department _. for compliance. _ 1272.00 Maintenance of Defensible Space.- To ensure continued maintenance of properties. in conformance 'with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant - structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to---- conventional drive vehicles, includ- ing sedans and fir -::.-apparatus weighing up to 40,000 pounds. 1273 .03 Grade. Not to. exceed""16:: •percent unless paved. 1273.04 Driveway Radius -.- 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius., 2 feet to those from 100-200 feet. 4 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. tV 1273.05 Turnarounds. If required, will have a minimum turning `� radius of 40 feet from center of the road. 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper'on each end. VQ-" 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 1.5 feet along its entire length. Page 1 of 3 ' BUTTE COUNTY - BUILDING' DEPARTMENT AP PR p V E D _ ILI F� t •' 'y - 27-25-� �3- 27� 3 ��,✓� - AP #- PERMIT # NAME - _ 1273:IU:Turnouts. Driveways exceeding 150 .feet in length;-but -_ - less than 800 feet in length,-shall provide a turnout -: near ..the- midpoint of the driveway.- Where a driveway _ exceeds 800-feet; turnouts shall be provided no more than 4.00 feet apart. �]> 1273.10 -Turnaround. A:turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within-50 feet of the building.. _ - 1273.11 Gates M0-- .1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance;•.a 50 foot turning radius shall be used. r, Fuel Modification 1276.01 Setback for Struczure't-Defensible Space. Xzh 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 -acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. C[X 1276.02 Disposal of Vegetation and Fuels. Disposal, including -chipping, burying, burring or removal to a landfill site .approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,or final inspection -of a building permit. Page 2 of 3 �m�{•�744ti�j�� •''#moi � 1 � x� y �!. � !'�t„t",rpt}'...-w,.�„s;--'^.�r��e�+,_t�w�c.�+�•-'.�,..k.y.y5.�..-�.rr., 9 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form'Per Building) School District = W 0 0A/ H S Building Department No. A.P. Numbero-Z- — 2` —0-00? e` Jurisdiction 0 City County Property Owner /4 Property Location/Address*'° %- �.✓ Subdivison Lot No Residential Development Commercial/Industrial 0 No: -of Living Units ` THI 0 New Sq. Footage 7 5 Addition (Group R) Sq. Footage 'y Addition Date (Including Exterior Roofed,Areas),_ :N ji (Floor Plans reviewed by School District Personnel) District Identification No. 940082 Milk= I School District certifies that6"4,- 13 �.: yr (Applicant) (Street Address) , (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ ` 7 ,a representing square feet. Y fk, �W\ School,District epresentative Date Paid by Check Number ' - /`,"Remarks: X Bank Number Paid by Cash t� 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) feeform.wkl (4/92) � egos-�3 ' RESIDENTIAL " � 027=29=0=008 ^93=2763�P-E �� } VENNER, EUGENE 8285 RESERVOIR RD, OROIVLLE AG WORKER MH UTILITIES A r Vic, 9,1 ! JOB FINALE Signature t 0 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) 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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 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 -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/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 -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret 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. Cing. Joist-Rftr. ties-Purlin"=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -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 & Dack Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: L V=OK O=Not OK Not Applicable • ' =Not Ready MOBILE HOMES ' MISCELLANEOUS Date/Initials BILE NOME UTILITIES Plana OK except #'s Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements oils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. war ocation-Teat-Fall-C/O Concrete ester; Location -Teat -Easement Needed Sk tch) 5. Electricity; Location -Clea rences-GrR mp-Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing Gas; Location -Teat -Wrap: /"L"ft. / /"Net. or 'L" h./ PG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Cleanince 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses n - 9. Siding; Nailing -Veneer -Stucco -Mesh 44 1r— 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials MOBILE HOME INSTALLATION Plana OK except #'s 1. Zoning Requirements -Setbacks Easements Footings; ize-Spacing-Marriage Line as; Test-Demand-Valve—Connector Date/Initials POOLS (Plans) OK except #'s ctricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements Draln; MH est -Fell -Flex Connector 2. Soils; Compaction -Structure Stability LA-Awter; MA Teat -Regulator -Connector W a nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining a and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI its; Insp: Sketch f Occupe cy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed _ 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE ING DIVISION 7 County Center Drive - Oroville, California 95965 -..Telephone (916) 5 8-7541 PERMIT NO. ,r;.. APPLICATION AND PERMIT Q3 -27b �T ASSE OR PARCELNUMBER 27-290-008 ZONING A-5 BUILDING PERMIT OWNER EUGENE VENNER TELEPHONE 533-9186 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8285 RESERVOIR ROAD OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 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 ADDRESS 8289 RESERVOIR ROAD PERMIT FEE $ 23.00 DROVIT-LE, CA 99965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome XK Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 20'00 60.00 TYPE OF WORK New O Addition ❑ Remodel C3 Utilities Installation O Other O Describe Work: MHS. 2 BF—DR00M (AG WORKER) PERMIT FEE 1 $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS ) 200A 0R LESS 23.00 - Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTgD. , CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. /License No. Classification V11 I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR p ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a /Certificate of Consent to Self -insure. M I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 40-00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County consequence of the granting of this permit. n� XH 72 Date g �Z®'—/ Sigo9ture of App Ica caner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE 14 .0 HqZ. D. FEES IMP FLOOD YCDF PARCEL PD ISS This permit is hereby issued under the applicable provisions of the Butte u ty Code and/or Resolutions to do work indicated ove or which fees ha a be n paid. EC R OF PU I ORKS BY ate— PERMIT EXPIRES ON G= / 3—'� (Date) >� G � ReceiptNo. 148164—$63.00// 144Y6 Y0-- MI WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT k COUNT,YOF BUTTE - DEPARTMENTOF�DEV OPMENISERVI ES- UILDING DIVISION ✓ j 7 COUNTY CENTER DRIVE - OROVILLE, CA'LIE RNIA95965 - TELEP (916) 538-7541 i� JY a OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET A. ogo-ooIn Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY _ 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome JaW and anufacturer's installation instructions, 2 sets. . 10. Fees of $ . © . ............. 1 Impact fees as shown on attached schedule. ge� California Department of Forestry plan approv 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. .. oe4;,a.9 nspedoe- (Date) -�- 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, pro ess as follows: Mail toR w Mail to contractor. Telephone 4 And hold for pickup at (Ji� office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit iss e: Circle new item not checked above). 1,, Index permitior above items No. 2. Additional items required: ' - _ Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter byDate _ j Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by _ S- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Fw, Ii.1I. IISI, ().N� 1'I,d flan Attached Floor Han AILIChcll Scut to li. U. 9 ` T- TO: Building, Department FROM: Environmental Health SUBJECT: Sanitation Clearance I..- .QQ PU` V0- Y'1a V � hl; - � Z, J,��/!' i V � r %( 2 �-- ,2 Owner // / Location AP flan Approved for: Scwage Disposal l/ Water Supply: Public Private Well Clearance for 7—.bedroom mobile Dome. Other / .s m d n Hold final for: Final clearance O.K. for: NOTE: < e' Environmental Health Specialist 8/92 P `' JD -- 7-? Date COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPI (CATION DATA SHEET Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets,figned by preparer of plans . .......................... 3, Complete plans, 34,ets signed by preparer of plans. ...................... .4. Engineered plans and aids, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ( .......................................... 6. Energy Design Compliance anAsupporting documentation . .................. 7. Statement of,lntent for Non -Heated a,� A/C Buildings . ............... .... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome nd manufacturer's ins`tallatiC n instructions, 2 sets. .......... 10. Fees of $ Impact fees as shown on attached schedule. California Department of Forestry plan approva........................ 3 lood elevation letter (100 year flood) y California Engineer . ................. . 14. S ..... ... Sanitation and plot plan approval Health Department �O .... 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business licensepro 1 fr City of Biggs/Gridley. . _ 4 17. Planning approval for (A) Use:& Q (�B) Parking: ...... AO 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . C�-19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o B�°, s �9A F6 pector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ........ :................. 23. Owner -Builder Verification (Given to owner , Mail to owner �........... . 24: Recorded copy of Agricultural Acknowledgement Statement . .................. l�1 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 yoc ss as follows: Mail to owner. Mail to contractor. Telephone / and hold for pickup at office. Deliver with inspector. Other Parcel Creation F,4 �- 2 144 ' Acreage Applicant ►/ ateI /j /Zj Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). ' 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by1 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 BUILDING DIVISION y DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 -A 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /V , 9 OWNER PERMIT NO. A routine inspectio indicates that the following violations of Butte County Ordinances exist at r the above addre and should be corrected. Please notify this office when correction of work` ,z te u is completed. you have any questions pertaining to this matter, or need additional explanation,,, t i I please co ct this office immediately. '6t�5 f TriI IV 0 S A - A AU, 310 Date :lnspectA�( 443 REV 10/92 • "r...=..rx•t--+. � :...-�r.""..1.•-' "�Y--tip'+--�-n-�.-..a..�-.. ���r -rs.� T....,-•,.:.r.c�rs. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ;? CORRECTION NOTICE ` M OWNER PERMIT NO. • �S A routine inspection indicates that the following violations of Butte County Ordinances exist at '•-,k 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. e 1 4 1 Yn // /1 G At ` M•T • :r ='t Date ' ` Inspector"S— } 4 � REV 16921 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 1-ayc_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: Name I Address City Phone Contractors License No. 5. I will provide some of the work -but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner (/ Social Sec .rity Numbe Date ? NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to 'issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541 OWNER. rt4 o e- YID I/ C1 LI Vl f A.P. #V _/5�3 PROPOSED BUILDING USE_/'' / ✓ V 1 DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ %sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. :SRA SRA FIRE INSPECTION AND PLAN CHECK = $89.00 (paid at Building Department)` 7. OTHER 8. OTHER ,At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.020 Agriculture Employer/Employee (Applicable only in zones A-5, A-10; A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) - The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this CQC,w L subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed op,GOTN-D control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; -12-0 (d) The harvesting of any agricultural or horticultural commodity including, but AZt not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) ; The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: 9 AAS Dated: I — Q - 3 l AGRICULTURAL AFFIDAVIT EMPLOYEE Employee �oe_ (V _ r b Phone 1: 3!Z �(1 Employee's Address (Present) g2TS !Re -W r Rd Name of Property OwnerC(!CT e w2 N( V) Y) e r Property Owner's Address 9, ses orye) 1 Owner's Assessor's Parcel Number cjn -- ()OV Parcel Size 017.7 Ac. I, a.10 do declare, subject to the penalty of perjury, that I am the employee o6u6ey\jz_ Veln re- address (present)_g Z? ,�_ IRe&Qc VO i r 9--J and that I will be employee under Section 24-21.020 CA - 9_ for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# 02 7 - 2 90 - 0 g Signed: Environmental Health Approval: Permit Description and Number Date Issued 7- ;Z, A Planning Approval: Dated: 77` 26 - Q(3 Date n� 20 �� Zone A, -S Dwelling on AP# O? `1- Zq 0 - pog' LIM Crop/Commodity Produced AGRICULTURAL AFFIDAVIT EMPLOYER Employer if— U g Q n eIN4_ . V� n n r Phoneel Employer's Address ,? `.), ,?5 'Re3Q_ryd r R ck Name of Property Owner L U g q h e Ye n o ,e_r _v Property Owner's Address92,21S- ReLQ.rVnl RA Owner's Assessor's Parcel Number 1) �, -7 '1 rj O -- 005? Parcel Size 7 Ac. do declare, subject to the penalty of perjury, hat I am the employer of � � P N Nye&rro J Terrgo. Ncw rro address (present) g 19,j '\ e -SQ r- AD 1 r Ry, and that I will be employer under Section 24-21.020 1 for at least thirty-two (32) hours per (a) to (g)t��o (meg)) week for at least sixteen (16) weeks per year on AP# O -)., 7 ,19 0 - 00? Signed: u QA1q, .a` �J �� Dated:<,2/ ,5 Environmental Health Approval: Permit Description and Number 6:1C', Date Issued 7 -- 2 2 — �j ,� By Planning Approval: Date -7 ZO 3 Zone Dwelling on AP# Q Z77 — Z_9 O — CD O g By W Lv_, ' ' Crop/Commodity Produced QW__QA- er9�D / ' ~ Health_�°,..~`~��--_— 124,7 SO. Ff. c A SE0200rj w..eneoeE O 7o.3. Sq.Yf. 1 sNeLP 'r• r,cciss LUN -- - !c�:� 5 I.,-1 0 0 ® r. •mac A«ess ® O - g I OP -r. OA`( LI1-4000 IzLd' 6a_�n q' 4"4 vt -S" A A A A 4,0'-0' •H' 13 OPT. IJAuc- I BAY NOTES: S. RECEPTACLE OUTLETS SWILL NOT BE I. INSTALLATION MANUAL INDEX NO. 01-72-01-ooso INSTALLED IN OR WITHIN 30 INCI-ES 2. OF A SHOWER CR BATH TUB SPACE. 3. 4. HEAT TAPE RECEPTACLE ULCER FLOOR. LEGEND 4 SH17CH m THERMOSTAT Q SHEAR WALL RAG FLEE THODO TITS[ FHI-7 SH 1 RETURN AIR GRILLE IPI (� LIGHT S -WAY Cg] ELECT. PNL. CEILING REQ. O Z1 a.o a+r. DI SWITCH ® 12' AIR SUPPLY S3-8OUTLET ® SNOKE O HALL oPENiWc LOF NnxRELalouP f� 12' AIR SIPPLY a►���EREVODETECTOR DOR BELL "'®FAN FLOOR REG. ® 7RN6FORrER SUPPORT POSTBO/7 rE� 2-B ui a� 0 S v 10 15 20 25 30 3S 40 45 SO 55 60 65 70 75 25 _ j Icri � 3` !� a O FEDER;d- MANU; ACTURE U HOUSING CON3TRUCTION Q I O U c I '� : c, & SAFETY STANL':aRDS 1. 2I I I a0 10CD �;� C 1p 07 1983 am o ) ; SEP 20 �; d w Q 0 y Lu I I S OPT` © Sep- No1E. • 4 ALL_ 40T. CA4f- I I _ - - - - - - - SkF�0.� FU It I I b cam to a n a LkIL a �� a 1 I a 1,Mct o 0 1 0 .o 'y P - �, 01 S ® d ®,` • M. ECDROOM 8MN 0 •r 'vt, ® 197.5 sq. K. gaeoel FE I 124,7 SO. Ff. c A SE0200rj w..eneoeE O 7o.3. Sq.Yf. 1 sNeLP 'r• r,cciss LUN -- - !c�:� 5 I.,-1 0 0 ® r. •mac A«ess ® O - g I OP -r. OA`( LI1-4000 IzLd' 6a_�n q' 4"4 vt -S" A A A A 4,0'-0' •H' 13 OPT. IJAuc- I BAY NOTES: S. RECEPTACLE OUTLETS SWILL NOT BE I. INSTALLATION MANUAL INDEX NO. 01-72-01-ooso INSTALLED IN OR WITHIN 30 INCI-ES 2. OF A SHOWER CR BATH TUB SPACE. 3. 4. HEAT TAPE RECEPTACLE ULCER FLOOR. LEGEND 4 SH17CH m THERMOSTAT Q SHEAR WALL RAG FLEE THODO TITS[ FHI-7 SH 1 RETURN AIR GRILLE IPI (� LIGHT S -WAY Cg] ELECT. PNL. CEILING REQ. O Z1 a.o a+r. DI SWITCH ® 12' AIR SUPPLY S3-8OUTLET ® SNOKE O HALL oPENiWc LOF NnxRELalouP f� 12' AIR SIPPLY a►���EREVODETECTOR DOR BELL "'®FAN FLOOR REG. ® 7RN6FORrER SUPPORT POSTBO/7 rE� 2-B ui a� �rsGe'b�l'!'��ro�s.cc ir'i!`spy.cz:M.d�a3r:�rdq�c�;S1..�t;.t,�rN"�r ".wm�r�.^�'�.�.�:�,,; .. ' �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 20 ZONING BUILDING PERMIT OWNER T HONE 533-9-,86 SQ. FT. OCC. BUILDING VALUATION CONT EST 5,775 OWNER'S MAI � D R 8285 RESERVOIR RD OROVILLE CONTRACTOR'S NAME CUSTOM MMRIORS I11C TELEPHONE 924-9444 CONTRACTOR'S MAILING ADDRESS 3900 WINTERS STREET Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3 775 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8295 R RRVo R RD OROVILLE Permit fee $ 82.50 PLUMBING PERMIT FilingFee 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ® Duplex❑ Mobilehome❑ Other Mobile Home Is G W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ Describe work: UI V IrI"L SIDING Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW )• I de la under penalty of perjury (check one): [WI 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. ?_-LJ 706 Classification Main service 200ATO1000AI _37.50 NEW CONST. DWELLING OCCUP.& 3.64 sq.ft. OR ADDNS. ( ACC. BLDGS. NON•RESID NEW R BRANCH CIRCTITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. OCCU OUTLETS OR FIXTURES 20 75[I pAL 4F;A ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID IREA.) I 3.00 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) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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 pennit shall be deemed revoked. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said Cpunty in c nsequence of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 1;2.50 DFEES IMP FLOOD CDF PARCEL PD HD ISS L X Date �� - Signature pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 10111 82.50 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work,ind cated abov Ifor whic fees have been paid. {�/ f. `` DIC41f11'' R OF PU IC WORKS / B f Date PERMI E PI • S bate r `t WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT /..� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER ., 027-290-008 ZONING BUILDING PERMIT OWNER DIER T HONE 533-9186 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI R 8285 RESERVOIR RD OROVILLE CONT EST 5,775 CONTRACTOR'S NAME CUSTOM EXTERIORS INC TELEPHONE 924-9444 CONTRACTOR'S MAILING ADDRESS 3900 WINTERS STREET Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5, 775 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 67.50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 8285 RESERVOIR OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New❑ Addition [1 Remodel❑ Utilities❑ Installation❑ Other[ Describe work: NEW VINYL SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I de la 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. �7a License ;Jo.� 6��1 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO 1000A) 37.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. II 3.64sq.ft. NEW CONSTF ULTI-OUTLET NON-RESID BRANCH CIRLt @ 5-00 /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS IIRES' ".)R EA) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®' 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cpunty in c sequence of the granting of this permit. X ✓-4:-�1� --� Date - `�� signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES 82.50 HAz DFEES IMP FLOOD COF PARCEL PD HD ISS This permit is hereby issued under the sions of the Butte County Code and/or work ' of ated ab v or whic f DI OF PU B PE E PI • S Date applicable provi- resolutions to do s have been paid. WORKS ^ Date Y Receipt No. 191118 g2 59 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE; DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PIERMIT ASSESSOR PARCEL NUMBER ,�.r N -?--2%0 - ob ZONING Tq- BUILDING PERMIT OWNERE- u etie Ve�ilUer2 TEL PHONE -5-33 -i45�� S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRSS E 8.2es ese rUo ' ecp aeo ?S -T(.6 ,U 6- 57- s s 1 CONTRACT R'S NAME tRv5'rOM iC—xTCi -.-.. ; PERMIT NO. 1290-85P,E(MH) PERMIT EXPIRES OWNER EUGENE VENNER x r CONTR.. unknown ASSESSOR PARCEL 27-29-8port LOCATION =Reservoir Rd, lot 2, Oroville E Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINAILED (Date) Signature V = OK 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) .,. � Not Ready a. ., Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test r 11. Electric; Underground, 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date __ 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. InsulationFoamLooked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Followingrnstld.: Drive ❑ ❑ Yes ❑ No; Walks ❑ Yes No; Planters ❑ Yes ❑ No 28. Service -Riser Conductors &Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 30. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 'Nater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date Card B -I Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water &Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain &Overflow; Size &Grade 86• Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties_-Pu_rlin-Roof Brac.-Truss-Shthng.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK Npt OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector S. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION'AND PERMIT PERMIT NO. ASSECI PAg,CJL`UMB �dd��-- er ZOPoI BUILDING PERMIT OWN es TELEPHONE ,SQ. FT. DCC. BUILDING V TI N OWNER' MAILING AD ESS e Ir (r`J C 0 N T[J CT 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ J11-00- LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS of /1 a C G— r V O V` /(�f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ©� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G 10.00e f�. (� TYPE OF WORK New F1 Addition❑ RemodelUtilities Installation❑ Other ❑ Describe work: Permit Fee $ laor Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 n 10,00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):N=w ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and and Professions Code and my license is in full force and effect. License No. Classification I!r 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) ❑ 1, 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 CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) CONSTR (POWER APPARATUS & NON- RES,D, (SINGLE OUTLET CIR. Ex. Occu zo®soa P� o OR FIXTURES 1.20@50C FIXED A PR Ex. OCCUp. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /S_1 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse u nce of the granting of this permit. X Date Applicant — Owner ❑ Contractor ❑ Agent Signature tmit An OSHA is required for excavations over 5'0" deep and demolition or construct- f structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. I FfJ PARC PD ND IssuEi (// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By PERS EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � Date :oinCco "/Q r/' eipt No.�^, �i E-D.P.W., YELLOW -A55@550 , PINK -INSPECTOR, GOLDENROD -APPLICANT [:I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CAI`IFORNIA 0r=r TELEPHONE 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER It Proposed Building Use Permit No. .� A. P. No. Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) . Building Inspector ./ Date At time of permit application, I was advised the fhowing data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . lot plans in duplicate./tr icate. . . . . . . . . . 3. Complete plans in duplicate:/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ etter of signature authorization. anitation approval from 01 Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to ownerEl, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. ... . . . . . • 17Pre-Inspec. request to (Date) 1. Pre -Inspection for Required. Building Inspector > X18 ecorded copy of Agricultural Acknowledgment Statement. ZV-S-- 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. r " Telephone 53. 1'9/2'�and hold for pickup at office. Deliver w./inspector. Other P Applicant./_, Date a l Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a `�qfa pp` ion, circle item.) 1. Index permit for above Items No. X 2. Additional items required: (Contractor, Designer, ?w�y Was advised of above required data by Telephone Mail er By!! zr,. � B � � Date �Zw� Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - Depa.rtment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Y Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name s Address City .Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Pho e Type of Work Signed: Property Owner Social Securi Nu er Date _ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I necurn ro ..4 A_GRICULTUIML STATEMENTOF ACKNOWLEDGEMENT OF BUTTE COUNTY,CAIIFORNIA I FOR RESIDENTIAL DEVELOPMENT AT TIIE REQUEST OF JF /� Section 26-8.1 of the Butte County Code requires this acknowledgement F 4 geAX_V �A'2A., t be recorded prior to issuance of a building permit. 1985 MY 2$ PH 1: 5Q The property described herein is adjacent to land or included ELEANOR M.BECKER within an area toned for agricultural ,purposes, and residents of this CLERK -RECORDER FEET property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Z ir1 block I ¢3 «s shaWn oh heap e�r�tIle� ina p °� �vbdi' soh No OF tie Pllert"O v e Cho • C a r �' L ' c o rr�e r o f a C0 Uh,�y �� �v e, S fa �e o C % f' �%�o 21. /'.2 � Lc,1 � of Shc� t,✓es� /3/ � 7 �ee� ���� 71e a(;s 1a tic e /31 6 e Y a %io�e Co Mmoh -io SaLvIds Date: o? PROPERTY OWNERS: I State of ) On this the '' day of 19 . .�, before SS. me, the undersigned Notary Public, personally appeared County of OFFICIAL:A.WISE / /personally known to me. /t/ Proved to me on the basis DOROTHY Notary RuWbw of satisfactory evidence. SUM Cto be the person(s) whose names) _ �J.�/ subscribed to Mrs a the within instrument and acknowledged that executed the same for the purposes therein contain d. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 0-c� - s6 p ------ 4C- + C-+ Iec� i J0— r .s -.s po [ e- G ,0 — n %14;;;0 .116 Shad R+' o i �- °�;� h/la#sria4s & Workmanship MDT'_ i{}, Recognised Good Practices and �Q� S Pry ,Accordance withRecognize for the Specified use in the v4 a quality P Plumbing & jv9achanica! Codes O Unum Building,Codes S 'e This set of plans and sPeclficafiens MUST be kept on the job at all times and it is Alawful to make any changes or alterations on sc(me without written permission from the Department of NMI, - GAS, County of Butte. A setback of 5 ft. from the ` property lines and a setback of 50ft. from the road centerline shall be clear.of structures or equipment except for a 2 ft. eave overhang vs I c 161-'&V '�o /4o Re SQ, rT. MINIMUM I EO -A MOBILES J R„< < ((j i �urrE icauNrn � 601LDIPl6 rEPARTME17 �APPR�OVED; d' r. 1 t c 161-'&V '�o /4o Re SQ, rT. MINIMUM I EO -A MOBILES J R„< < ((j i �urrE icauNrn � 601LDIPl6 rEPARTME17 �APPR�OVED; d' r. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -- OWNER Proposed Building Use Permit No. A.. P. No. C9 - a 0/ �— Permit Fee Based Upon: Complete Contract Price DPW Valuation Other Building Inspector Date At time of permit application, I was advised the fbilowing data must be submitted prior to permit processing and:/or.issuance: All items have been submitted. A. Plot plans in duplicate/tr plicate. 3. Complete plans in duplica e/t� riplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ iLetter of signature authorizati n. % 10. Sanitation approval from 1'�U�/� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name'style, classif.) 14. Owner -Builder Verification (Given to owner ❑, Mail to owner0. 15..Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16./ Mobilehome Installation Data. Pre -inspection for required. 18. Recorded copy of Agricultural Acknowledgment Statement. N 19. Other When you issue the permit, ss as follows: Mail to owner. Mail to contractor. Telephone v3 rocend hold for pickup at r7�rQ-office. Deliver w. /inspector. Other GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. Oroville 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m.-. Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 534-4281 Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 916./534-4601 CALIFORNIA ENERGY COMMISSION = 1111 Howe Avenue, Sacramento - Phone 916/322-3725 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS - 7 County Center Drive, Oroville - Phone: 916/534-4339 Orig inal—Appli cant RESIDENTIAL 27-29-08 2545-90P,E VENNER,-Eugene 8285 Reservoir Rd, Oroville ' (utilities/MH) OFFICE COPY - Address GAS + t Meter By ELECTRI Date d Meter By Dat U JOB FINALED (Date) Signature i V OK O=Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Elect 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 -Fitting -Test -2 Way C/O -Sewer Test ! 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation 1 ± Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 y Date PLUMBING (Permit) OK except #'s ' 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection .;.. 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access • 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 51. Property Line Firewall & Openings .' Date Card B-1 Date Card B-1 Date,. Card B-1 Date Card B-1 S Date. ELECTRICAL (Permit) OK except #'s - 22. Fixture & Transformer Clearance -Ins. Protection _ s ' 23. Elec. Receptacles Spacing -Lights & Switches at Doors ! 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. : 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - 30. Service -Riser Conductors & Ground -Main Disconnect Date 31. Equip. Clearances Panels-Motors-Mech. Equip. Date 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 62. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade = 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet I 38. Attic Access & Platform if Furnance in Attic I 72. Garage Fire Door; Swing -Landing -Closer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) angle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-P60in-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection, Framing 51. Property Line Firewall & Openings 52 Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer . 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67.'Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex 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 ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub I 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES '.= Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3­9-wer: Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Need (Sketch) Electricity; Location-Clearences- nd-� p -Concrete �a; Location-Test-Wrep.�/ P'L"ft. P'Nat. or/e''l-"ft.WT'LPG 7. Utility Clearance Dat Card B-1 / Date Card B-1 Date Card B-1 Date Card B-1 Date MOSILE HOME INSTALLATION (Plans) OK except #'s � 1. ing Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector L/ 4. EI 'city; MH Test -Crossovers -Breakers -Clearances n; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector .SNaWand Sewer Connected -C/O to Grade -HD Approval 8. Gas L---70. Cert. of Occupancy Date rd B- Date Card B-1 _ Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CEN.EP DRIVE OROVILLE. CALIFORNIA 95965 — TELEPHONE: (916) !:3111-7541 PERMIT NO^.c; 57 Address or location of mobilehome�� �— .. Owner's name—. U _5 IV iv F_ — —� Owner's address Insignia or hud number Manufacturer's name � o Serial numbe/of V.I.N. � Year of manufacture �JCZ� tial Approving Installation IF. THE M081LEHOME IS MOVED OR RELOCATED, TKF- MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SPALL NOT BE USED WHEN THE MOBILEHOME AS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner,.Y.ellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - • APPLICATION'AND PERMIT PERMIT NO. A $,�S OR 8ARC I()KF OBER U �l ZONAY BUILDING PERMIT OWNER EUGENE VENNER TELEPHONE TELEPHONE 533-9186 SQ.FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS 8285 Reservoir Road, Oroville CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 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 ❑ Duplex❑ Mobilehome x❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK rx New ❑ Addition [:JRemodel [:]Utilities ❑ InstallationM Other Describe work: 1 ilk +t,4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) © I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. � ACC. BLDGS. I OCCUP.g? Z�2ttsgft NEW CONSTR ULTI-OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20050t eAL030 FIXED APLNS.❑ Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ill I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ain said Count g yin consequent of the granting of this permit. X Date� Q pplicant — Owner] Contractor ❑ Agent Signature /,.'r'::it An OSHA is required for excavations over 5'0" deep and demolition or construct- ion of structus over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAZ ' �— CUA V_ PARK scH rLD PAR PD HD Is This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PERM EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date -f` r0� ��� Z Receipt No. %�69 WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 5. What is the mobilehome electrical rating? ---------- ---- Amps 6. What is the mobilehome site service rating? --------------- %i �� Amps -7.•, What is the. mobilehome site circuit breaker rating? ----- 0 Amps 8. MOBILEHOME INSTALLATION S HET load to be served by the-_ is ve bl n C ® No 1. Owner's Name: mobilehome site service? --------------------------------?Yes . 2. Installer's Name: ( J Ltd ✓�F r fJ 3. Is the site currently under r� Yes No load and size: (Load,). (Amps) permit? � ` (If yes, furnish permit number 0 (� OR (in.) Is the site an existing site? Yes No F Natural LPG of gas service? (If yes, furnish two plot plans.) What is the gas pipe length from meter or tank to 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and easements?. Yes No and clear of all setbacks (ft.) * 12. What is the mobilehome gas demand? ---------------------- (If no, clarify (BTU) 5. What is the mobilehome electrical rating? ---------- ---- Amps 6. What is the mobilehome site service rating? --------------- %i �� Amps -7.•, What is the. mobilehome site circuit breaker rating? ----- 0 Amps 8. Is there any other electric load to be served by the-_ ® No F mobilehome site service? --------------------------------?Yes . (If .yes, identify the load and size: (Load,). (Amps) 9. What is the mobilehome site gas pipe size? -------- (in.) 10. What is the type ------------------- Natural LPG of gas service? 11. What is the gas pipe length from meter or tank to the mobilehome?--- --------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA t (` C9♦. APY`Ec� Q \�J Tf nthar than cinvlp ijidp Mobilehome Mfr. -~ furnish Setup Model No. Year_Z2 Width ('Lt.) Box 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 (if not on file with the County of Butte). FOOTINGS (check one) S 1. ood-pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one 1. Concrete block. •' Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Line 2-- _ Line 2 _ Line 1 - — — — Main Beams — — — Main Beams MULTI — — — — — — — -WIDE Line 1 Line I ,� Lin Line 2 4 — — _ — — — — � Llne 4 Tag or Triple — — — — — — — — t . i n e 4 Line •1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size-Min.------------------� ,k „x Spacing -Max. --------- i Each Side of Openings f From Ends -Max. ------- _ With Width Over --------- Line 2 Piers: Line 3 Piers (Under Bearing Wall Only) Size -Min.------------ Size -Min ------------------- ----SSpacing-Max ---------- pacing-Max.--------- n Spacing -Max. --------------- From Ends -Max.------- _ / From Enda-Max.------------- u Line 3 Roof Loais: SOV , S c.{t Ci �I :� 1 e r ' r &Q I&� D'/l� Size -Min. ------------ I. ,. ..x „ „ „ P k „ ,k ,. ,.x ,. ..x „ „x 30', • Size -Min .------------ Spacing -Max.--------- , Prov Ends -Max -------- Location (From Front) Line -------Line 5 Roof Loads: Size -Min .------------ Size-Min.------------------ "x Spacing -Max.---'----------- Pzoo Ends -Max .------------- 111 „x „ ,k ,k ,k „ „x n ,k „ „x ,� Incatlon (Prom Ftont)I oe- AU Jr 6,1,e-P ahC 1� po ie —� A I 'a.-. fle —o IJOTE --AA Materials & Workmanship Shall Re it '; I .� Accordance with Recognized Good ; Practices and ` V, '� is O l ®'f actuality prescribed 'for the S ec fied use in the Uniform Building, Plumbing & MachaAical Codes �t i r' C-- �' G %pec, tea Motional ectrioal Pode. ` Sl `o� 1 � I ! �eC°��oc 4 c This set of plans and s ecificat ns MUST b �% ���// �r ° ° f p 4 i k o y `� kept on the joh crt c!I tames and i ,s unlawful to' .,e- .�o�` 06 oir 6 �' I. I make any ch 'rocs ns n!''cr<o! mns on fframe without �,Q\W �cof Ifo °�,�: 0, written permission from the nepartrt�ent of Public `mss °� ^o0 Works, Count of Butte. o� Y 60 , f W Sip. Fr. WINfMUM FO& ,MOBILES A setback of 5 ft. from the property lines and a setback -- I -of 50ft. from the road C_ .. centerline shall be clear of -- ^ structures or equipment except ! FUTTE COUNTY�' v•::f for a 2 ft. eave overhang. a c� ►ry, p i".''''� •r.,I O V E F' r 25-�jS—q� ` I r Pole— AV es J1,00 jjoTr-;AH Materials & Workmanship Shall go k; Accordance with Recognized Good Practices and of a quality Prescribed for the Spec'if* d s) in Uniform Building, PC, plumbing & Macho ical Coc6s SMI National WectricW Qod.e. ��O %,01 f -Ne This set of plans and s-pecificat;rIns; MUST be! kept on the jok of c4l fl'.,nr.,s and i� Is unlawful to make any chIlror-s or oname without written perrni�'sion from the Depart�'sent of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback ,of 50ft. from the road centerline shall be clear of structures or equipment except i for a 2 ft. eave overhang. UTTE COURry 0 * V C .oma 0 0 . 0 0 A A- d EM 5i7. Fr. FAINIMUM EQ &,MOBILES -.,r /v.• ,r *� 31�w s3E i�46'4.�'crY��• gal:. rY..._�56te�?Y � ti7 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORbVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1 ri A. P. No. Proposed Building Use Building Inspector Date VZ4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ......... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) _ZUMobilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................... ........ School District fees paid .............. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ... `.18. Improvements may be required. Contact Land Development Section DPW '19. Driveway permit (construction approval required prior to occupancy) 20- Pre -Inspection for required Pre-inspec. request to Building Inspector (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 Acknowledgment Statement ......... 25. Letter of signature, authorization ................................... 26. 27. Wheissue the permit, process as follows: Mail o er. Mail to contractor. Telephone and hold for pickup at Ice. Deliver w/inspector. Other D(� Appl icantz/��J9�� Date Copy of Haz-Mat form sent Health Dept. Fire ept..._-Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. r >1 2. Additional items required: j Contractor, designer, owner, was advised of above required data by—phone _-nail counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_c ter by date Plans checked by Date Plans approved by Date iG Sets of plans on hold in File cabinet AP folder Copy—DPW AP # 2 OWNER Abth!�4, IZO e- - PERMIT \ MH UT IL . CLEARA CE DATE INSPECTOR ELE RIC GAS Support Struc. Compaction Test Ite . Service Size, Other Load Type Pipe Size Length YESI NO YESI NO 460 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS:- .-.- 7 County Center Drive - Oroville, California 95965 - Tel ephone:.916/538-7541J- �;;:Vt -.' APPLICATION AND PFRMIT "r PERMIT NO. ASSESSOR PARCEL NUMBER (% ZOtJ4 BUILDING PERMIT OWNER V6 fz TEL^�EPPHO�Y`F SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADORES ' R�L/O �O CO T 'S AME TELEPHONE v lel ev CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ V �'] ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS 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 SF ❑ Duplex[] Mobilehomek Other sPECIFr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS I G I WO.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation, Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP V OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full .force_ and effect. License No. Classification 1, as the owner, Or my employees with wages as their SOIe COmpen' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. , /20sgIt NEW CONSTR. "ULT'-OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20P30t e AL030 E%. OCCUp, FIXED APPLNS. OR OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE ,. A I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or'less-. - """ ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Perm it Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE�(� HAz CUA PARK SCHL FLD PAR 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 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7 WHITE-D.P.W., YELLOW-ASSES30R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-29-08 ZONING 1 BUILDING PERMI OWNER TELEPHONE .533-9186 ,S Q. FT. OCC.1 BUILDING VALUATION OWN-ER'S MAILING ADDRESS 8285 Reservoir Rd, le 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8285 Rt-sprvoir Rd, Oroville 95966 Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 .USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JYS I G I N 1 110-00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities( Installation❑ Other❑ Describe work: MHU 2 BR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE jp0 AMP ORSLESS 10.00 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is- in full force and effect. License No. Classification I tol I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L too AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.&, OR ADDNS. ( ACC. BLDGS. 21/2 Qsq ft ZNEW CONSTF ULTI.OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OcOup(OUTLETS OR FIXTURES SAL@3 C AL030 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 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. �l 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 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 in co eque ce of the granting of this ermit. X Dat� Signature of pplicant — Owner ❑ Contractor ❑ Ag nt ❑ i n OSHA permit is required for excavations over S'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 $ $ .50 HAZ CLIA PARK SCHL FLO PAR PD o IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees OI T OF G/ C ByL&�`y PERMIT EXPIRES Dale Q,17 L11171 the applicable provi- resolutions to do have been paid. WORKS D to Receipt No. 79/m2 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Contractor, designer;`owner, was advised of above required data by_phone_—nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Yt Ft' COUNTY OF BUTTE - DEPARTMENT;OFa PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORLam, C,AWF(�RN4A=,95965 -TELEPHONE; 916/536-7541 PERMIT-ArOLMATION, DATA SHEET Permit No._ OWNER P. o. Proposed Building �. zy Use Building Inspector Date mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: At ti�717111 DATE RECEIVED APPROVED items have been submitted . ........................... ` 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. - 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department '. 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of - (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ` 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 1—,_ , 24. Recorded copy of Agricultural Acknowledgment Statement ........ 25. Letter of signature authorization ....................................W> 26. 27: - When you issue the permit, process as follows: Mail to owner. Mail to contractor. W. Telephone and hold for pickup at office. Deliver w/inspector. Other ,- Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be,submitted'prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer;`owner, was advised of above required data by_phone_—nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Yt Ft' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroOIle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT " OWNER // ��� (/� tel//�v 731-J PHONE SO. FT. OCC. BUILDING VALUATION O WNE MAIL � DRESS CONTRACTORS A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ Filing Fee $ 4e.60— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' / / 5i o Permit fee $ / ,j 7) PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W D 10.00ea TYPE OF WORK New ❑ Addition [I Remodel I❑ Utilities,k Installation❑ Other ❑ Describe work: (l Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �r0o 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 Eli, as the owner, or my employees with wages as their sale compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST,( DWELLING OCCUP.� OR AODNS. ACC. SLOGS. 00sq ft NEW CONST Ft ULT' -OUTLET NON•RESID BRANCH CIRCUIT 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20@50C eAL@3o FIXED APLNS. EX. OCCup. OU LETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 !S Misc. Wiring g 15.00 Permit Fee $ 3, 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. ❑ Ishall 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 property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑I An OSHA permit is required for, excavations over 5'0" deep and demolition or construct- tructures over 3 stories in heigh.t� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE C TOTAL FEE $ ALSCHL HAZ CUA PARK I ELD PAR PD HD ISSUE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date rece,t No. `� .P.W., YELLOWYASSCSSOP, PiNK-INSPECTOP, GOLD ENP.00-APPLICANT TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Approved for: Sewaqe Disposal ( Plan Appro Water Supply 7� Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom obile home. Other NOTE * * * Water Supply Sanitarian `/ DatdI To: Building Departmernt From: Environmental Health Subject : S-uiitat io C1.carance 0�� � i ez• Location Water Supp1Y Plan Approved f. or: Sewage Disposal. Water SuPP1 Y________— Hold Final. for: Water, SupP1Y Final Clearance O.K. for: Clearance for �edroom hou mobilehorre o. other Note' .S. — ' tielrk Dat TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance il n L (pe-ri (� Owner P. Location AP# Plan "Approved for: Hold final for: Sewage Disposal Water Supply (-)e Water Supply Final clearance O.K. for: Water Supply Clearance for 2 bedroom mobile hcme. Other NOTE * * * Sanitarian ,L Date REC`ORUEJ IN OFFICIAL RECORDS 8 OF BU � '� 5 6 6•'9 BUTTE COUNTY. CALIFORNIA Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT TTIIEREQUESTIF FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior_ to issuance of a building permit. 1985 M Y 28 PN 1= 50 • F The property described herein is adjacent to land or included ELEANOR M. BECKER within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER .. FEE property may be subject to inconveniences or discomfort arising from 85-15(;(;g the use of agricultural chemicals, including, but not limited to herbicides, pesticides,' ,and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Z In Uloc•k X4-3 «s Shawn On MQp e-4 Ile q/ map o� �u �IIIIS10 ► NO3 Or- 4-A.e- 10141ertro C*2-Us � cT 8 c4ie, co, Ceti t, wkJ,Lh ti:ap WaS ri�et� /�' �e o - -ice o die_ r C Coy -quer o CauhXi 13v�V@ ht e o ,- Ca//tFo-r/r/a , ✓<th The p S� sFr. a o� 'said/ I,✓es3 7 /3/ 6 �°ey. % feel r;,* Co M M 0 h. 40 SIV IV t o kS j -- Date: d 3 State of _ ) _ ) SS. County of ) { OFFICIAL SEAL DOROTHY A. WISE Notary Pubtio-C 11fonft != surm MOM My Comm. fes. At* 6. "M PROPERTY OWNERS: On this the day of 19-If-, before me, the undersigned Notary Public; personally appeared Personally known to me. /,N7 proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set.my hand and official seal. Present A.P. No. %Notary Public END OF DOCUMENT 4 �7 gis"Dillsa.aildliq Yy 3 w 3'Y.1„$s jr�3t ,c, i 1 gis"Dillsa.aildliq Yy 3 w 3'Y.1„$s jr�3t ,c, ,.�; y;A���+t?�:�•".�n'�'t'i*.1+3b[�i�r'�{`�Sdtio'�iSi� �^��'fti'�:'yVK�iG�3a"•"'k''`°s'�*'�C3"i'x'if,'i`#'�'ij�.•RFRr.:zits;y�'R�'�':�rrr��•r.+-yet`Mrr�`+�:+7r..�+�•e�sw�.:'s.!`�yrve+.t;�xMs++trw�Y:r�FnM1s.:, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form.per Building) A.P. Number, -' ,� � OQ Bu-ilding Department No. s r School Districts&Q C44/1 City = County Jurisdiction Property Owner ������ ���ti•� Project Location/Address � � �j (/10 / /az, le-P Subdivision ,,.Lot Number Residential Development: � M14v6U !N (` Sq. Fobtage # of Living MHIv Additiob - (Group R) Unit's AO Commercial/Industrial: Sq. Footage �. PNew\'- Addition (,Including Exterior ;Roofed Areas) uilding epart ent Aeprese'ntatl,v�e tlt' Date (Floor Plans,`r,PVtjewed by School District Personnel) • ?Ditrict Id NoG.�%., School District certifies that (fAppl'ca rName) (Phone Number) 94 (Street` ddress) G / 70 (O (City) (S ate)• (Zip Code) has complied with the require nt� s 611 ion No. A©6 '- / Q by the p ent f $ re senting square feet. '#Jchool Disttrict Re esentative Date PAID BY CHECK NO. Q.' EMARKS: BANK NO PAID BY CASH n white-applicant, yell u ld`' department pi�h�ordistrict SCHOOL.FEE (8/88) U` 1 1 The ` teted gw reemel .must .pe s erA ed an0 approved as O 15 AC N 6..� a 28 y�►pop 5.04 Ac N �quie� �'OT • 635. , � WV fi'4 ( 20.86 Ac. 5.02ac i 904, 6 0 6 }ti I tt 869.2 646.21 1 Sams . \t NAt s � ! AiD EOUIPMEfT I / 4 Z .�W�rtip ,�'� ASS• gNALI BE Cly r X31 A%,.- u� l ` fiv -'�• ovE rte. FFtL�ia�l` �` ltv :s p,� 6.61 Ac Ig 70 1655.01 Ac ` A 8E? LAK - �= Platy RV 3t iii. HIE 4 1.1�P 5 4Al�i. ,�- f CE 665.95 . 862.68 6 65.95 I C1.Eo' 4 EOV2�p SQ, FT. MI UU1U1 FOSA2 ?0 to `.FOR MOBILI!S,, 6.56Ac PCL. , M I M PM'76-32 5 —�. PM 73 - 79� \ -- -- , '��' O � '��• O � _ 4 3.9.4 9 856.23 PM 71471 330.67 330.74 330.8/ 335.2-9 35 4-' ; i iq►7t '7 8 �D2O 0 5.O;AC 5.O/AC 5.07AC— 97.73 At: ` PM 103-#9 COPP R L N \ t \ 330.6 3 g• 1ai16 66tof �•t 7i� • ss- Plans and spec9Scations UMT be kept on thajob at au times and it is ju_11awful t0 � InRke any changes or alterations on eainevvitbm4 Partn�enb �. Written permission from the De Works, ca=v of Butte. of Publls � 9 /9. 92 A"-' O NOT''E: All Materials & Workmanship Shall Be Th Accordance with Recognived Good Practices and of a Quality Pfieecribed for the Snevi:ued use w t„he 'Uniforrp •Building, Plxiab ing & ABmhanical Comes and the Diatlonal Ele&uual oods. i � - V RS //O- 78 ^k2 VL �\,\AG a � � { n •�. rte` , E7 fR iT, fR