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HomeMy WebLinkAbout027-290-038IC cl— � I r 027-290-038 PERMITN94-3039 HUGHES, JODIE 79 COPPER LN., OROVILL MOBILEHOME UTILITIES f ELECTRIC GASLINE I I COMPACTI EST Q j SUP T STRUCT REQ t /027-290-038r� PERMIT1195-1575 HUGHES, Jodie E' 79 Copper Ln., Oroville MH on Perm Fnd i f I Complainant: Address: Phone Number: Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER 027-290-038 PERMIT#94-3039 HUGHES, JODIE `lea 79 COPPER LN., OROVILL 1 MOHILEHOME UTILITIES { ELECTRIC GAS LINE COMPACTI N EST Q SUP T STRUCT REQ :)027-290-038 PERMIT#95-1575 HUGHES, Jodie y 79 Copper Ln., Oroville MH on Perm Fnd s j . eount*.q - t— w. OROVILL.E, CALIFORNIA ' GENERAL CLAIM CLAIMANT: .TORTE HUGHES ADDRESS: 79 COPPER LN CITY & STATE: OROVTT.T,E, CA IMPORTANT: SEE INSTRUCTIONS 2/13/95 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLAIM NO. OWNER DECIDED TO OBTAIN PERMIT FOR PERMANENT FOUNDATION INV. DATE ENCUMB. GROSS AMT. B.P.#94-3039, -A.P.#027-290-038, RECEIPT #168996 DATED 11/7/94, OWNER: JODIE HUGHES) . TOTAL AMOUNT PAID.......... ............................$235.00 RETAIN REFUND PROCESSING FEE...................$25.00 RETAIN PLAN CHECK FEE.. ... .$89.00 + TOTAL AMOUNT RETAINED.. .. ......$114.00 i r .. AMOUNT TO BE REFUNDED .......................$121.00 TOTAL $121 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct taas stated. / Dated this....................1............. day o! ........ .......... 199 at A/,d.l.[.,ft... Calif. G,(.• �1� �. '............ ��. �. Signature of Claim i I. the undersigned, hereby certify that, to the best of my knowledge, the services or _rtleUseled a ovphae en erfomled or de- livered and that there is a Budget AppropriationO or Specific BoardApproval0 (Checkoneme Dated this,,,,,,,, 1,3TH................day of 19 95 al ,c.ur. — ........ ment Hthorized D u Dept. ........440-002 ................ coe� 421 Code 0500 PAYABLE FROM CONSTRUCTION PERMITS i............................................................................. FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PRO.:. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i r .. FOR BUILDING DIVISIO�1 SE: „ ,� 1p Receipt Information: +� , _._. �_ ..................._.._.. _ ... Number: % 9 Date:. Issued To: :_ .:,:.:_...�/�.'• .. � ..:v:_..rt "•::'. �':...::� �:. .. Amount: y Fees Retained: Processing Fee: $ oc� . o�G ..R2r�a pF Bldg Filing Fee $ P1 bg Filing Fee ..._...._._._ ...._........ ............. . Elec Filing Fee $ __........:.. .. .. Mech Filing Fee $ Energy P/C Fee $ //Plan Check Fee CCD 00, */A Inspection Fee S - Total Amount Retained $ 1 6cc TOTAL REFUND DUE IF4 REFUND CLAIM APPLICATION - 1 CLAIMANT'S NAME MAILING ADDRESS 9 (!Q pg-2G&7 ASSESSOR PARCEL # -OR %~a�%�-� fS $' PERMIT RECEIPT NUMBER (S )^ 165F 4 4 1c r' Request a refund of fees paid on the above receipt number(s) for the following reasons: C) ,-r-. -k - -.1 - % Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [ Building Permit Fees [ ] Sheriff Fees [�] SRA.Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address: [ ] Please dispose of plans. SIGNATURE DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `` -- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �' ,-: -J©� ASSESSOR PARCEL NUMBER n97-9Qn—nJ8 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS A T_ CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ - 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 79 COPPER LN PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO./SUR DIVISION'S NAME PARCEL MAP �9 — 76v Water piping 15.00 - Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Gk Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G 11 @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other ❑ Describe Work: YO S. FT MIN. ' PERMIT FEE 6A. Orl _1T Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A TO 100oA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) so. 3.50 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I 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 ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPWS. OR p- (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 1 2n , 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. ❑ I 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 Certificate of Consent to Self -insure. not employ any person in any manner so as to become subject to the Worker's r 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 $ 63.00 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 9xpenses which may in any way accrue against said ounty i consequence f the anting o this permit. X moi_ Date//-- Si ure f Applicant Owne O Contractor ❑Agent OSHA permit is required f excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 46.00 HAZ- I D. FEES I IMP 717GDFA PARCEL PD 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. BY Date PERMIT EXPIRES ON (De tel Receipt No. 164996 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COU'NTYOF BUTTE -DEPARTMENT OF;DEMELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER4�Le.�" A -P, No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items hPans, een submitted . ........................................ Plot plansets, signed by preparer of plans . .......................... A2 3. Complete 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. . . 12. California Department of Forestry plan approval/ 13. Flood elevation letter (100 year flood) by aliforn(a ngineer. ................. . 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. .18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ...... 20. Pre -inspection for Pn a"sped'°" request p required. . . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . . Owner -Builder Verification (Given to owner ,Mail to owner _).........: _ _��� 24. Recorded copy of Agricultural Acknowledgement Statement . .............. . 5. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28: Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list . ..................................................... When yoLissV`e­th Telephone Other Parcel Creation _ Acreage permit, process as follows: / Mail to owner and hold for pickup at Applicant ' Copy of Haz-Mat form sent Health Dept. Fire Depty Copy of plans sent Health Dept. Fire Dept. Other Mail to cdntractor. _ office. Deliver with inspector. Air Pollution Date Date The following data must be submitted prior tormit issuance: Circle new item not checked above). 1. Index permit for above items No. SC-01L.rTTC_� 2. Additional items required: Date //_ % — ?/ M Contractor, designer,(6av, was advised of above required data by _ phone _ mail Counter byA14-Date S'Q Contractor, designer, owner, wa dvised of above required data by _ phone _ mail Counter by _ Date OVV Plans checked by Date f'�" Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNT' OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) J _ 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 Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner10, Social Security 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 permitted to issue the permit. ✓J� ' OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: 79 COPPER LN CITY & STATE: OROVILLE, CA 95966 IMPORTANT: DATE OF CLAIM: 8/29/95 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM- TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) OWNER IS SELLING PROPERTY. (B.P.#95-1575, A.P.#027-290-038, RECEIPT #180285 DATED 7/11/95, OWNER: JODIE P. HUGHES). RETAIN FILING FEES............$60.00 ..................... TOTAL AMOUNT PAID...........................$300.50 TOTAL AMOUNT RETAINED .............. ......$ 85.00 TOTAL AMOUNT $215150 I, the undersigned. declare under penalty of pedury that the services or articles claimed have been performed or delivered, and that this claim In true and correct as stated. I& /—, Dated this .............. ;,, 1,i�1 at, ' !' day of L. .�...... 19 ���L � Calif ���1....»/ ... - • » ... .. .: . Lc:........... /�Ignature of Cl.QM -1 I, the undersigned, hereby certify that, to the best of my knowledge, the service* or art livered and that there in a Budget Appropriation Q or Specific Board Approval a (Cheek of Dated this 29TH y AUGUST 1 95 OROVILLE ................:....... da of ............................. 9......, at ... Calif. or dr _ uepartment He%d or Authorized Deputy M" ......440-002 ..... code ............A21g5OQ PAYABLE FROM.... CONSTRUCTION PERMITS __ ••-- - -- - ............................ FUND v -1C UNLT DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO INV NO INV DATE ENCUMB GROSS AMT 1 I 1 I t FOR BUILDING DIVISION USE: Receipt Information: Number: Date Issued To: Amount: $ Fees Retai ed: . $rocessing Fee: $ 00 ldg Filing Fee $ C,20 . oa lbg Filing Fee $ o? {�p E1 ec Filing Fee $ a©• � Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained TOTAL REFUND DUE REFUND CLAIM APPLICATION R CLAIMANT'S NAME MAILING ADDRESS '/^," . ASSESSOR PARCEL # ��� �� —��� PERMIT # qS-^ I575- RECEIPT NUMBER(S) T �� Request a refund of fees paid on the above receipt number(s) for the following reasons: t Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [X]- Building Permit Fees [ ] Sheriff Fees 54 SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [�(] Please dispose of plans. SIGNATURE DATE a �r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-290-038 A5 ZONING BUILDING PERMIT OWNER JODIE HUGHES TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 79 COPPER LN OROVILLE 95966 720 R 38, 880.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIDJOWN Total Valuation - LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 171.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 7 COPPER LN PERMITFEE $ 214.50 OROVILLE, 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: PERM FOUNDATION - Mobile Home I S I GI W 1 @20.00 PERMITFEE q 50.00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service ( 2000A A OR LESS OR LESS ) 23.00 23.00 20 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLS ING OCCUP. O. OR ADONS. ( a ACC. BIDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES) 20 @ 1•� aAL Q .s0 Ex. Occup. OUTLETS OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) y� I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with �ompl ith t se provisions. XSDate �e _ 4ature Si of Applicant - O r ❑Contractor C3 Agent A OSHA ofis require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 307.50 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD 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. By Date PERMITEXPIRESON I (pate) Receipt No. 180285-257.50// & 43.00 = 300.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R��,y,,,.,n�..„q.'„,jesq.us�. i �1C�«rl.�iTM3t�"7� 7�'Y+q"^"l'+e' !i✓':j'`. , COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION tq Y' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ,c - S A.,P,? No. ' d 1� Proposed Building Use -/ ✓1 Building Inspector Date 2Z / I 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY -tom 1. All items ha a been.submitted......................................... 2. Plot plans, sets, signed by preparer of plans. ....... . �i 3. Complete pans, 3/4 sets, sig d by preparer of plans. �� �. /� rYJ. - 4. Engineered plans and calcs,W4 sets, with wet signature on plans... . 5. Hazardous Material Form . ............................... � 0.t!t.�� 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 dat and m ufacturer's installation instructions, 2 sets. ........... { 10. Fees of 1 150..00 ................................. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood-6levation letter (100 year flood) by California Engineer . ................. . 1 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). .. .. . Preanspedion.requeis 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . �23. Owner -Builder Verification (Given to owner Mail to owner _). . . I KI 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 violation`s/expired permits . ...................................... 32. Plan ceck list ........ c ...... ....... ..................... u + 33. C H3 a S1 n q cifoeUw►�>1�a�;on 34. to _ I v JO r A 0 /a. 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 Crean Acreage Applicants Date Copy of Haz-Mat form sent Health Dept. Fire Dept. ` Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabingt AP folder Copy - Department of Public Worits CJDe2��c/�-����iy�p ! COUNTY OF BUTTE — DEPAR71MT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7'C0UNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 PROPOSED BUILDING =A.P. # w-©3( .DATE REC. # DATE REC SCHOOL DISTRICT FEES nrn (� Yl 'o til (paid at District Office) ......................... 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. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division).' ............ p ps, SRA FIRE INSPECTION AND PLAN CHECK = S80 0 ...... JD g (paid at Building Department) VV7. OTHER b)cJer T end 6 i Tees, 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 unty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NC. ASSESSOR PARCEL NUMBER© 13 ZONING — BUILDING PERMIT i e_ 11C40 &'S, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWlF,F19 NO ADOisE$8� ^ Jmad /` '/ (�• J-7 coNT R9 NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRU ON LENDER - - _ — - 14e - .UNKNOWN Total Valuation $ LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee 3 AJ3 11$ ARCHITECT R ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING IRESS © r V , PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFY Water piping 15,00 ls' Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1S'd TYPE OF WORK . New ❑ Addition ❑ Remodelp Utilities ❑ Installation ❑ OtherX Describe 0? v"r Work: �� ` � Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 D Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR s0. OR AODNS. ( & ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @ I•00 BAIL .SO _ Ex. Occup. ourLEEDTs RESID.�EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over stories in heigh � SO -4- F' (3.00 „ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ ° I HA Z. 1 0. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B y PERMITEXPIRESON tree applicable provisions Resolutions to do work been paid. Date (Garel /3 ReceiptNo. 6 WHITE-D.D.S.-S.D. CANA2Y-ASSESSOR IN INSPECTOR GOLDENROD -APPLICANT .PERMITAPPLICANT: JODIE -HUGHES PERMIT NO: 94-3039 A.P. N0: 27-29-38 DATE: JANUARYS, 1995 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, and calculations as follows: =Z . PER PARCEL MAP NOTES "ALL MOBILE HOMES SHALL BE ANCHORED TO IN -GROUND FOUNDATIONS AS PER SEISMIC .ZONE 3 OF THE UNIFORM BUILDING CODE". "FIRE -SUPPRESSION SYSTEMS SHALL BE INSTALLED" AND "PARCELS SUBJECT TO BUTTE COUNTY FIRE DEPT WATER TENDER FEES". 1. APPLY FOR REFUND OF MOBILE HOME UTILITY PERMIT APPLICATION. 2. APPLY FOR MOBILE HOME ON PERMANENT FOUNDATION PERMIT. 3. APPLY FOR FIRE SPRINKLER WATER SUPPLY SYSTEM PERMIT. 4. -CONTACT BUTTE COUNTY PLANNING DEPT FOR PAYMENT OF WATER TENDER FEES. ATTACHED ARE "GUIDELINES FOR INSTALLING MOBILE HOMES ON PERMANENT FOUNDATIONS" AND A COPY`OF "NOTES" FROM PARCEL MAP 129-76. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:30 P.M. & 4:00 P.M. Monday through Thursday. BOB KEITH F ' - /4 INJ REVIEWED BY CALIF. DEPT. of:FORESTRY: 000 ❑ 'approved as submitted -oved- withconditions per attached sheet -5, 7 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET- BACK OF 3c) FT. FROM THE SIDE AND ?0' I~ I'. FROM THE RIEAR PROPERTY' LiNES AND SD ^ FT. FROM; THE ROAD CENITERI-PNE SHALL BE OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT, CAVE QVMHANG. m 7D, Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ` Building Division FOR'RESIDENTIAL DEVELOPMENT Sectiou' 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building 94-J20H3 permit. .194-0208831 Rec Fee 9.00 The property described herein is adjacent to land or included I Cash 9.00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I ' fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 11:44am 16 -May -94 I PUBL XX 2 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 discomfort from normal, - necessay farm operations. All that real property situate in the County of Butte, State of California, described as follows: r v� Date.s_ I cr�- - 9 q State of California ) County of ) On I l9 before me, personally appeared . PROPERTY OWNERS: Y , c. a,,e_ V�v1-�-z . personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatuee(s) on the instrument hey C ,-.Me @uWmwoQlm tof which the person(s) acted, executed the instrument. a 9DOME FIi1L� WITNESS m d and official. 0NOTARY PUBLIC -CALIFORNIA ..�� Butte County p ® My Commission Expires Feb. 3,1995 0 Signature Seal:? A.P. 1! �.- o 94-20883 EXHIBIT "Al' ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 15, 1993, IN BOOK 129 OF MAPS, AT PAGE(S) 76 AND 77. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENT OVER THAT PORTION OF COPPER LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 15, 1993, IN BOOK 129 OF MAPS, AT PAGE(S) 76 AND 77. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: ALL THAT REAL PROPERTY.SITUATED IN SECTION 22, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BEING A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A PORTION OF LOTS 8 AND 9, AS SHOWN ON THAT CERTAIN MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK'l OF MAPS, AT PAGE(S) 20, -SAID EASEMENT BEING 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE EASTERLY CORNER COMMON TO SAID LOTS 8 AND 9; THENCE WESTERLY ALONG THE LINE COMMON TO LOTS 8 AND 9, SOUTH 87 DEG. 21' 17" WEST, 655.43 FEET; THENCE LEAVING SAID COMMON LINE NORTH 60 DEG. 31' 40" WEST, 67.61 FEET; THENCE NORTH 76 DEG. 47' 49" WEST, 85.31 FEET; THENCE SOUTH 66 DEG. 23' 49" WEST, 90.00 FEET; THENCE SOUTH 57 DEG. 10' 59" WEST, 53.83 FEET TO THE LINE COMMON TO LOTS 8 AND 9; THENCE WESTERLY ALONG SAID LINE SOUTH 87 DEG. 11' 17" WEST, 120.12 FEET TO THE END OF THIS DESCRIPTION. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. FAD OF DOCUMENT O 15 AC .i r. T. /8 N�4 E. M. D. B. B. R PALERMO ! TRUS TRACT Nc9. 3 26 33 15 14 1,330.36 , 33Q /j.,p 1,0 O ' / ch 5.04 AC 28 N 0 8/2S 635.3 © CY to 22 // M �° S o 5 Ac 5 Ac W (1!I o h 20.86 Ac. ti 5.02Ac o N OC }( I !« �I►y-�'b t PM 83-63 m 631.97 330.34 330.1 869.2 646.21 646.20 .a '4 11 5 6.61 Ac {-961 7 � of L0 Q ( 1 , n i rNi� / (o,s'r 01 Ac 41 4 I I U62.680�1 0 65.95 16 o tb a+ 9..4,40 4 t� / ! ( 6.56Ac / PO:.. 1 22;x: N PCL.2' cc 20 . +1 PA4 76-3= 5.0514c PM �73-7�� PAI 71.47 -� 600.55 as.o I rzao � .u.�O � _. 439.49 .�� 856.23 W - - ---�- - • \ _ .330.67 330.74 330.8/ 335.2 _ 1 . _ * - � \ ,, 01� O _ = 5.01AJ r , 5.0/AC 5.07ACo 3 ,,c �:! 20 Ac 97.73 AC �° t \ M103-!33p.�4� +COPP R - LN \ t �- - 38 39 j 40 4/ v--_ e 5.08AcAN 3.08Ac, 3.09Ac 0 4 ttt 20Ac to 1 : \3 co f? c P�12 v76 1 RS 110- 78 331.23331.25 , 331.25 MI.23 294 V: Z / " = 400 F n Assessors Mop No. 27-2-9 3 WALL PALERMO C/TRUS TRACT SUB N0. M O. R. NO. 5 ' County of Butte, Calif. REy1SEO IO - 9.3 i L r