Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
028-040-004
� I , w I Y } U co 028-040-004 00-0108 STOCKS, DOUGLAS 9� PALERMO HONCUT HWY CONTR: UNKNOWN F;j (,6 y'j- 16 MHU MHU TO BE PLACED ON FRONT OF JACKET ELECTRIC GAS LINE COMPACTION TEST REQ? SUPPORT STRUCTURE REQ? 028-040-01/5 04-1670 ZYGALINSKI, TERRY 9885 PALERMO HONCUT HWY, OROVILLE Cont: N/A TEMP POWER FOR WELL 9 NOTES otWqejlA - ' PERMIT NO..00-0108 S, -DOUGLAS SPALERMOO HONCUT HWY CONTR: UNKNOWN MHU 0-4 SPECIAL CONDITIONS CHECKED BY SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V = OK 0 = Not OK - = Not Applicable 'MOBILE HOMES • = Not Ready' ' Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Size -Spacing -Marriage Line 7. 3. Gas; MH Test -Demand -Valve -Connector 8. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. 5. Drain; MH Test -Fall -Flex Connector 10. 6. Water; MH Test -Regulator -Connector 11. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable =Not Ready RESIDENTIAL (; Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext. Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air-Ccnnector- In Garage; Above Floor -Ducts -Mach. P-otection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 83. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings MECHANICAL (Permit) OK except #'s 86. 35. A.C. Ducts Insulation & Support 87. 36. Vent Fan, Exhaust above insulation 88. 37. Condensate Drain & Overflow, Size & Grade 89. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 90. 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Tingle & Duplex) . ,. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air-Ccnnector- In Garage; Above Floor -Ducts -Mach. P-otection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes :1 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumoing 87. Exterior Elec. Trim, G.F.I. Receptacle-Urderground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION N> 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. I�© (Rev. 12/96) APPLICATION AND PERMIT C ASS - "� L5- 20NINA6 0 BUILDING PERMIT N• �(7� �[+ �+ TELEPHONE OWNE�,�/1 us mas Q rj 5 2-163 SO. FT. OCC. BUILDING VALUATION . OWN:0 fMl Y111t DRIVE, MARTINEZ 94553 CONT�F3�nfA E TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 26'.'00. Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ALERW) HOW" WY, OROVILLF Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑k Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Iff Installation ❑ Other ❑ Describe Work: I�0kLFiIOMR 1-TCILITIRS Gaspiping-5- 5 outlets stem 1 15.00 Building sewer 15.00 Mobile Home 1J UG WI1 @20.00 60,00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee. 20.00 "OV OR LESS Main Service zo.A OR LESS 23.00 13, 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm.und_ er penalty of perjury that I am licensed under provisions of Chapter 9 (Com g`With Section 7000) of Division 3 of the Business and Professions Code, and f y+li'' dense s in full force and effect.S 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, aeowner 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 Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. &ACC. 3 5¢SO. FT. NEW CONST. LET NON RESID. @7.50 PSINGOWERLE OUTLET APPARATUCIR.S Ex. Occup. OUTLET DRFIXTURES 20Q1.0° BAL @ .so Ex. Occup. DuTEiR oR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 `�Q QO Misc. Wiring 23.00 , PERMIT FEE : 61 90 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is foF work of a valuation of one hundred dollars ($100) or less.) rV 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp wit se rovisions. X i Date &V "moi/ SigiCatu�e bf Applicant ©° Owner [3 Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1/y+ItnJ f HA2. D. FEES 'IMP 9;, ,/ FLOOD ACDF �/' pp -AHD r/ ISSUE J This permit is hereby �is ed under of the Butte County Code and/or indicated above for which fees have , / By 1 h��[, '? IG%, PERMIT EXPIRES ON I 't the applicable provisions Resolutions to do work been paid. `Date �. Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO. 'Q�(Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-04-0 :bk P5 ZONING BUILDING PERMIT OWNER DOUGLAS STOCKS TELEP E 532-1833 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 576 PALMS DRIVE MARTINEZ 94553 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Firepla e LENDER'S MAILING ADDRESS Total aluation Is ARCHITECT OR ENGINEER LICENSE NO. Fli Fee $ 20.00 P rmit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Ian Checkin Fee $ BUILDING ADDRESS R R V LLE Energy Plan Checking Fee $ $ PERMIT FEE S 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Intion Cf Other ❑ Describe Work: i�OBILEHOME INSTP.LL ION/00— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S D N I hereby affirm under penalty of perjury that I am lic unler ovisions of Chapter 9 (commencing with Section 7000) of Divit3thsine and Professions Code, and my license is in full force and effect. License Class LIC. N OWNER-BUILDT ON I hereby affirm under penalty of perjury thfrom the Contractors License Law for the following reason: ❑ 1,asowneroftheproperty,ormyemes as their sole compensation,Mobile will do the work, and the structure or offered for sale. �'1, as owner of the property, am excting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. and Professions Code for this reason WORKERS' COM S TI DECLARATION I hereby affirm under penalty of perjur of a following declarations: ❑ 1 have and will maintain a certific to of consent to self -insure for workers' compensation, as provided for by ction 3700 of the Labor Code, for the performance of the work for which thV permit is issued. ❑ 1 have and will maintain workers' com ensation Insurance, as required by Section 3700 of the Labor Code, for the perfo ance of work for which this permit is issued. My workers' compensation insura a carrier and policy number are: Carrier Policy Number (The above sections need not b completed if the permit is for work of a valuation of one hundred dollars ($100) r less.) 1� I certify that in the performanc of the work for which this permit is issued, I shall ✓� not employ any person in y manner so as to become subject to workers' compensation laws of Califia, and agree that if I should become subject to the workers' compensation pr visions of section 3700 of the Labor Code, I shall wit coXs provisions. X Date / o�(/" "' " Si r f Applicaner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( & ACC. BLnS. 3.5¢FT: N N-RES'D. MULTI.OLJTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR RES 20 `� 1'� EX. OCCU BAL .50 NS FIXED APPLNS. OR Ex. Occu . 0LrTLETs RESIo. EA5.00 Tem orar Service 23.00 Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ 1 no on Energy Inspection Fee $ occ CONST. TYPE TOT L FEE $ 143.00 HAZ. D FEES IM FLOOD C PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 285819 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -17 NW, COUNTY OF BUTTE - DEPARTMENT OF DE"LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL'- �ORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 0&Q o 6 L. ASSESSOR PARCEL ER: /0 c� — 6 40 ^00 Proposed Building Use: Building Inspector: D --a I — �--D P 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 iiems have been submitted .------------------------ . ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------- Agineered plans, 3/4 sets, with wet signature on plans. All engineering must be ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review)1` ❑6. Energy Design Compliance and supporting documentation. -" ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. data ❑ 10. Fees of $ --------------------------- Rr Impact fees as shown on the attached schedule. 2. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. -------------- ❑ 14. Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. --------- ❑ 16. Plot plan and business license approval ❑ 17. Planning approval for (A) Use: ❑ 18. Contact Land Development about ❑ lir 1:119. Encroachment Permit for driveway (cor 020. Pre -inspection for 021. Contractor's license information. (N 022. Workers' Compensation cam d, 023. Owner -Builder Verification (Gi'ven l 024. Letter of signature authorization. 1:12 5. Recorded copy of Agricultural ❑ 26. Letter of intent on building -- Manufactured Home utility ear cc ❑ 28. Existing violations and/or ex ' p ❑29. 0433 A, ❑Grant Deed, ❑ K ii 030. Other: I Health Tie Own on plans. faxes! --------- Drainage, ❑ Legal Parcel.----------------- ral prior to occupancy). --------------------- required. Request to Building Inspector on Style, Classification). ❑, Mailed to owner ❑). Statement. ❑ Check to H.C.D $ r J (Date) Wh you issue the pernm'itpro ss follows ❑ Mail to owner, ❑Mail to contractor. Telephone i �� and hold for pickup at ��— fft . ❑ Deliver i Spector. Applicant: r/� Date: Copy of Haz-Mat form sent ❑ H alth Department, ❑ Fire Department, ❑ ohution Date: By: Copy of plans sent ❑Health De artment, ❑Fire Department, ❑Other: Date: By: 1. Index permit application for a above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:. Yellow Copy - Department of Development Services, Building Division. COUNTY OF' BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER DO U C° 1, A—,'5 PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................. $ A.P. # DATE RECEIPT # DATE REC -- Additional Fees Due ........... $ -- Additional Fees Due ......... $ -- Revised Plan Checking Fee ....... $ V2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES, (paid at Building Division) /�� Residential ........ x $360.00 $ L 4�/ -0v Units . Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x _ =$ #Units Amt. Commercial (sq.ft.) x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) t 7. SRA FRE INSPECTION'AND PLAN CHECK $89.00 (paid at Building Division) ►18. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) Mobilehome Manufacturer: 46f 4_IM/0/U Manufacture Year: If other than single wide, furnish Setup Model Number: Width:�(FL) Length: jL�p_ft(Tagalong or Ecpapd�o Size� jft.) -kL—_(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeA0 Other: SUPPORTS: Concrete blockN Other: Provide Tie Down Specifications for A Mobilehomes: Pier -Footings Sizes and Location - _ - - - . : ,. I'' . SINGLEWEDE UMTI-VADE Line I 'Tim 3 Line 2 Liao Main ................................................................................................ Line 2 2 Line I Line Line 2 ................................................................................................ Main Bear= ................................................................................................ Line 2 Line I ................ Tag. or -Triple ........ me 4 I Line 1 Piers:' Line'l Openings Size minimum: r/b i x r 1. Size minimum: Spacing maximum: 1 4 c 0 1 Each side of openings From ends -maximum] 7 ' , 0j with width over: Line 2 Piers: h . Line 4 Piers: 4 Size minimum: [161xle o Size minimum: V6 1 x g G/.� Spacing maximum:Spacing maximum: I X-/ , 1 6 From ends -maximum: From ends -maximum] ;Z, 0 0 Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER 1. Owner's_ Name: �W S . �Y t U •�rriY..~'.V,7 "�./ t�._ 2. ; Assessor's Parcel Number: ;, -�L.r : 3. Installer's Name: .L�:i � ._ i�dc7. fLY ^ _'`"iwT..'tf=1•� S.� �.. - ; z {J,ai?� . �. �. _ _. - ,� � :s'_ 'i � it' .. !� ri / r#. -tY: .y.'��"`* is^�!, �.�. �'J'�r*r> _•?iF�t.; t f"'e e.. .�F l 4. Is the site currently under permit? Yes No ] Permit No.- 5. Is the site an existing site? ... Yes[ ] '-;NoV4 :t (If yes, furnish two plot 6. What is the electrical rating ofthe mobilehome? gid'; Amperes. .:. _- _ _ _ i:- � w.. ;� J gni-• } _ 7. What is the'mobilehome site circuit breaker eres - .. .......::. -.......... .. .. -. .. ..... - � - _--ter,._ . .. vim. . ._R .• .. 8. What is the electrical rating of the mobilehome site? M D Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoPq If it is, what is the rating? Amperes.fi 10. Is there y other electric load to be served by the mobilehome site electric service (i.. ell garage etc.)? Yes[q No[ ] If yes,'please identify the load and size: 14 a e mobile home site: r' Load- I h�r_ Amperes- b) The main service: Load- Amperes- - 11. Type of gas service at mobilehome site: Natural[ ] Propanepq None[ •] - - 12. Size of as pipe at the mobilehome site from the ..meter.,! : or tank: « inches. _ 13. What is the gas pipe length from the meter or tank to the mobilehome?_:�L(ft.)..: 14. What is the mobilehome gas demand? /0 DOU B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Permit Clearance =n. vironmental H Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ yes Well Permit Review: Designated Well Site ❑ No ❑ yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ yes arcel Created by: ❑ Deeds Date of Creation: Legal Access Provided: Deed Reference: Legal Access Required: Parcel Frontage on Publicly Maintained Road: ❑ No ❑ yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ yes Comments: —rowN o N�� Gam' ❑ No ❑ yes ❑ No ❑ yes &Map Date of Recording: 1` Low 1 y 5 Block: Book: �_ Page:_ onditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ® Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone Meet current EHD requirements. ❑ Other neral Comments: AIO 1N301d013A30 QNVI 3JJ.R + j !,Rrlfi l rl�Ol 1 t Nye �I` M3U y/�/ CV99 ✓ ❑ APPROVED CONDITIONALLY APPROVED 11rRESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE ?ermit #: DO.- 01 0 15 Date: Genera/Information Q �� AP#: Owners Name: bOQ G/I LAS 3T0 C --k S Parcel Acreage: Owners Address: % lD PA0-r< _L2'(�A2i 1Jy Z [ C) Lj 55 3uilding Site Address: P-overty lnformation permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial in Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other ?one District: A — 5 Date of Zoning Ordinance: general Plan: �� Development Agreement: _ase Permit: Variance: ?arcel Is In: Land Conservation Agreement .® No ❑ Yes, check use Minimum Acreage: _ Nitrate Action Plan JpNo ❑ Yes Subdivision Ma Violation Area No ❑ Yes Specific Plan No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone No ❑ Yes, check use v No ❑ Yes t Floodplain Zone: Rear �No Yes ❑ Watershed Protection Zone Height ?roposed Use Complies With: ® General Plan Zoning ?roposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes .applicable Setbacks: ❑ Cohasset Panel Number: � ISO ❑ Accessory Building Use Zoning Code Street & Highways 7 Fire Prevention Subdivision Ma Front Side v Side street I So t - Rear 0 Height APPROVED Permit Clearance (CONDITIONALLY APPROVED Genera/Information Owners Name: T© ck6 Same as Computer Information: E] No Yes Address: ❑ RESOLVE PROBLEMS PRIOR -TO APPROVAL'"�/ Permit #: Date: Propertytnformation Zone District: A-5 Date of Zoning Ordinance: General Plan: AA K Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement XNo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan - ffNo ❑ Yes Violation Area ❑ No ❑ Yes Specific Plan JNo ❑ Yes E] Chico ❑ D2N Enterprise Zone �No ❑ Yes, check use Floodplain No1� ❑Yes Zone: Watershed Protection Zone ❑ No ❑ Yes AP #: aF-aC/o ` /.6 (L' ) - • f S �/V �%o�f /Vo T ECr5 T /iv .H 1, ❑ Cohasset Panel Number: —/I so Proposed Use: ❑ Agriculture Building ❑ Commercial ❑ Industrial 4 Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel 12/0 ther (, WJI( Proposed Use Complies With• ❑ General Plan ❑ Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other ' Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: Zoning Code Street & Highways Fire Prevention Subdivision Ma Front Side v Side street Rear Heiqht Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created b Deeds Permit -Clearance Agriculture Affidavit Required Designated Well Site Drainage Plan (Com/Ind/Multi) Date of Creation: 11A (y2 Deed Reference: 121 2 Da 2-73 Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: ❑ Map Date of Recording: Lot: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ME ❑ No ❑ No ❑ No SQA-✓!.�—i` 0 oWA,8?2 w sZ8 -01-04 12) z Ole 07.3. ❑ Yes ❑ Yes ❑ Yes Legal Access. Provided: Legal Access Required: ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes ❑, No ❑ Yesx . ❑ No ❑ Yes Block: Book: . Page: ❑ Comply with condition no. of conditions of approval for the ❑ Provide Creation Deed ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other General Comments: 'AIG 1N3Wd013A30 GNM1 1110 afi At k ado 66619 Z d3S 1 ...oAm ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. W (Rev.12/96 :d INN CnUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. )~ APPLICATION AND PERMIT Assn� L II—l1 20NIN0 BUILDING PERMIT °W"DOUGLAS STOCKS TELEPHONE 532-1833 SQ. Fr. OCC. BUILDING VALUATION O1NgJ6AIssDRIVE, MARTINEZ 94553 CON[f�� bfVE `M�IA11vUNG TELEPHONE CONTRACTORS ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ 23.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS PALERMO MONCUT ?- WY , OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1:1k Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities If Installation ❑ Other ❑ Describe Work: MOBILEMOME UTILITIES Gas piping system t - 5 outlets 15.00 Building sewer 4 4 15.00 Mobile Home S qjll&W 1 920-00.60.00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service zo.A OR LESS 23.00 23.00 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 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 pr isions of section 3700 of the Labor Code, I shall ith mp wit s provisions. X Date pd(J SigWrerof Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei ht. Main Service TO , 46.00so NEW CONST. DWEU.ING OCCUP. SO W U OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NON-NEWRESID MULTI-OUTLETaCnS @7,50 POWER APPARATUS a sINGLE ounET cIR. .00 EX. Occup. OUTLET OR FD(TURES BAL @ I. 0 Ex. Occup. oFEE%A'.,°E& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE :00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 16 . 0 HA2. -+ 10. FEES IMP OD OF P 1pD D ISS E This permit is hereby sued under the of the Butte County Code and/or Resolutions indicated above for which fees have B /jl_��ate y PERMIT EXPIRES ON app (cable provisions to do work been paid. Date Receipt No. 285819 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU � 0 v — ©O ZONING BUILDING PERMIT OWNER ZTYE/ 9'33 bbJJd' 0 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ,6- `7 PALM 5 4k9 M14421 Z. 4 CONTRACTOR'S NAME k/ GV NDWry TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS UT Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ! % Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 .o evu PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 C ' O 2 09 9 � J 3 O 1 (V^J D 4 ' O ` Main Service L 200A TO 1000A 46.00 NEW CONST. OWEWNO OCCUP. 3.SQ PT. OR ADONS. 8 ACC. BLDS. NEW CONST. MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SWGLE OUTLET C'0. Ex. Occup. OUTLET OR FIXTURES Z0 O I'00 BAL 0 .50 EX. Occup. OUTLETS °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise.Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OC` CONST. TYPE TOTAL FEE $ 0. FEES IMP I FLOOD I CDF 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. By Date PERMIT EXPIRES ON re � l � �` 1 F� t �.i3!,.,. j'Sil. '� �4'.{�'i. ?.. "" ;��_ �y"'���i + i 1. l ;�i •... :t r - �'�,�� �_, ��„ �+S,++Ntmr. .r..`.-'' ; • .. ., .. .,.,:.t!i � ,dL�'.:^:.3+�ti ,/�` - •L�sJ'+r�.,O�J�`-�.�•-•i ytrrr�.Y`S"u�. � -+'�.+.li..�•"'Y"�IC'P4r"1'l�+iM�.�""�`.-.�'. �„f�.y,,,y.�^�..r,,..--.�^, 'r f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET / OWNER: JO 6 ASSESSOR PARC ER: Proposed Building Use: Building Inspector: \5� 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 the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation.;— --------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 1. pact fees as shown on the attached schedule. ------------ -,-,-'-C-- - �' California Department of Forestry plan approval/fees. - — --`----1��-J�— F- 1------------------------------ I v 13 Flood elevation certificate. --------------------------------------------------------------------------------- 14 . Sanitation and plot plan approval Health Department. ------------------------------------ ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------- 1 1. P Plot plan and business license approval from the City of Biggs. ---------------------------------------- lanning approval for (A) Use: (B) Parking: ------------------- ontact Land Development about 11 Improvements, El Drainage, ❑ Legal Parcel. ----------------- Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - tter of signature authorization. ------------------------------ Recorded copy of Agricultural Acknowledgment Statement. 26. Letter of intent on building use. -------------------------------- ❑27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D)qr$ 0. Other: k" 14 1 -Z -L-04 LIT I45 'o wAjcr H�Ncor (Late) Ifl�IfH 7/ VJhi you issue��th�e permi�ca�es� follows 11 Mail to owner, ❑Mai o contractor. /-Z't -oi mid Telephone a ` 5 and hold for pickup at ce. ❑ De fiver. spector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: \ Date:,, By: /-;?0- ovd-r 1. Index permit application for the above item bered: Plan Check List 2. Additional items required: 1 Contractor, designer, owner, was advised of th ve reqWAlata by ❑ phon4 ❑ mail, lding sio unter, Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by Date: Plans reviewed by: Date: Plans approved by: ( Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached �Y y, Floor Plan A cA�/ ' Sent to 8.0 ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LAG( -AS. SID GA V 4 �"YKO Owner Location APF - Plan Approved for: Sewage Disposal_ Water Supply: Public Private Well > Clearance for—�,- dwelling. Other Hold final for: Final clearance O.K. for: NOTE: En 8/96 mental Health Specialist Date Cs C C;4 APPROVED Butte County Environmental Health Wa;t� ..... ..... ------- Signature v A H0,T. O6'O�Z 09 '199 O ------------ 60 A. W.t6 H�PRoVED a f Gounty, Butte Health I imental cnviran r „ p _'- - pate o - - Signature 09**g9 '. � x'05 • • . ' oy,��3 AND W}ii'l' RECORDED NIA" TO: 7 COUNTY CENTER DRiVF COPY of Document Recorded 29 -Jan -2001 2001-0003664 Has not been compared with original BUTTE COUNTY RECORDER L:7'x hl V 3 :.J '•��... c` 7�� r C( c; .CC1i.ii.rcd thi's"liCC',�iCr:.1�ro,Or i !:�1nCC, Of.1C;C). ,!111nDerl:iit. �1�11C pI:_:;iCl t CiCSC/:GC, iierClii 15 ;1 I;uCClli LO land i r 111 !;li.iCC! '�Vlull.fl :11 ii1Gi1 /'.C)R( (1 Ior fi1_', 1CU1R'.rLi p' t'1}OS'S, ituC1 CGS!cIL'Iltti of this properly may be subject t(1 i11Cliiivi ni'nCc S Oi ekSC,0!1t o1't Lro'_�11 t11c' ll5C or 3&-Icultural Ch•^. UCa1s, includuno, but noL llliiitcd to b. herbicideS, pCSt16dCS, and iCitill%CrS; and 1Tptii 0'1.0 ,:,!Ir5111t O t rlCultura'1 operations uicbudinr,. but not firni'Led tC! culb.1'ahorl, 1�10W1i11_ �.Jr 3�n'2`:: liIi711iCi:' , ifj 1!.._ �j ...., .. ^ " �.�itlLlli.ttl; t plzrpcseS x11(1 r, s.cac:nts 1n sai.d Zones and oil adjaceliL properiy should be prep�j"ed LO aCeept such iliconvenicrlCP or I'SconnfOiii from nori??al, acx-,:;Ssa j ifui 01. efmlof1S. A . h t real ,rvaier�i:' itli,.w 1:, u C L Giiii� L' Ca111U1'llx, (105 nbeC1 as fGuows: i � y of >_�uttc, ,�t�lte �' , THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOTS 145 AND 146, AS SHOWN ON THAT. CERTAIN MAP ENTITLED, "OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CAL.", WHICH i`SAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN'.BOOK 7 OF MAPS, AT PAGE(S) 85! Date ` i PROPE T 0 State of California. County of 'QN>O�- On O/ - before me, personally appeared _ �o�,Q/mss h! ��,,[�r personally known tome (or proved tome ort the basis -of sAt!sfactory evidence) to be the persons) whose name(s) is/are 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 signature(s) on the instrument,the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. R'ITl\1ESS my hand and'o cial se RICHARD FEUERSTEIN Signature Seal: Comml3lon;i113W Mfr CASs Notay Pubic. & tt+a County, Cdffomia ! My COMMMon Gip. APR. 13.2001 A. P. #_d 2P� OHO — oo fr/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 DOUGLAS STOCKS 576 PALMS DRIVE MARTINEZ, CA 94553 RE: BPA FOR MH UTILITIES BP#00-0108 DATE: _ 02/16/2000 A.P. # 028-040-004 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned: Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact'fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. -=Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: PLEASE CONTACT THE LAND DEVELOPMENT SECTION OF PUBLIC WORKS AT 538 -72661 - CONCERNING . Should you have any questions concerning the above, please contact SCOTT R1 of this office. very t 4CB.O. is el C. VieirMCV:ahb Man ger, uildinion � �c-P.� f° �S S Record at the Request of Mid Valley Title & Escrow Company Order No. Escrow No. 165992AM Loan No. WHEN RECORDED MAIL TO: DOUGLAS H. & DENISE STOCKS 576 PALMS DRIVE MARTINEZ, CA 94553 MAIL TAX STATEMENTS TO: SAME AS ABOVE 028-040-004 1 998-0035852 Recorded Official Records County Of Butte CPXOACE J. GRUBBS Recorder 11:4M 21 -Aug -1998 REC FEE 7.00 TAX 38.50 Vickie Page i of 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX $8.$.50 Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less Gens or encumbrances remaining at time of sale. The unrtersi9ned Grantnr declares ORO—C Signature of Declarant or Asir.! determining tax - Firm Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JEANNINE CONWAY, AS TO AN UNDIVIDED 1/3 INTEREST AND MICHAEL CONWAY, AS TO AN UNDIVIDED 1/3 INTEREST AND JAMES CONWAY AS TO AN UNDIVIDED 1/3 INTEREST hereby GRANT(S) to DOUGLAS H. STOCKS and DENISE STOCKS, husband and wife, as Joint Tenants the real property in the UNINCORPORATED AREA County of BUTTE State of California, described as LOT 145 AND 146, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF HONCUT, BUTTE COUNTY, CAL.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 13, 1899, IN BOOK 7 OF MAPS, AT PAGE(S) 85. Date } STATE OF CALIFORNIA ps COUNTY OF BUTTE } nn AUGUST 20, 1998 before me, ANGELA D. MAS TELOTTO -NOTARY PUBLIC personally appeared JEANNINE CONWAY. MTCNAF.T. CONWAY AND JAMES CONWAY personally known to me (or proved to me on the basis of satisfactory _ evidence) to be the person(s) whose name(s) istare 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 signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. wl y hand and official seal. Sign ANGELA D. MASTELOTTO Cornet sloe •1004124 Wr CPS? Notary Public ® • Btu County, Callfomla My Commfssion Exp. SEPT. 16,1998 i 9Z.Z A MZT ' k0A.D. 06'OSZ 09,19 9. N riLL STRUCTURES AND EQUIP �pSEME ITS - LL r���FRMAI�lG$ SHALL BE CLEAR O 7-1 �,.�,� AND -- �, A SPS TACK OF.11 O.M. THE PEAR PROPERTY LiPIES ND ' Q -- � �....,. �a?t7t� THE ROAD Cr_ �fftNLINE SHAi..e SE -- - O 03O b S`� v G +?r STE UGTI�RE S A;�ID CQUIM.ENT EX QiPT FORA 2 FT. EAVE OVi=MkIANG: �.X 17 . • i Epp ,. h REVIEWED BY 1 BUTTE CO. FIRE DEPT . \� -CALIF. DEPT. of FORESTRY O 0 approved'.as submitted' U.)zL_i, N approved With'coriditions I pp per attached sa set. 1 0 - 1 1 �I Date i Signature 0 . p8.09cog 09, z N� 3N In ow oD (0 _ 1 CDF FIRE SAFE REQUIREMENTS DD -0107 5"Cs 4au'6L* s AP# PERMIT # NAME Under.authority of PRC.4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums 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 provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other-apparteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. Page 1 of - 3- , 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. (v v 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. 1I 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. (�J 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 i feet long with a minimum 25 foot taper on each end. (�J 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3- , AP # PERMIT # NAME [�] 1273.10 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 400 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 5.0 feet of the .building. 1273.11 Gates [� 1. 'Gate entrances shall be at least two feet wider than the roadway it serves. [P 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. Fuel Modification 1276.01 Setback for Structure Defensible Space. [k� 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ulJ 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. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning 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 �r fi:tal inspection of a building permit. Page 2 of 3 AP # PERMIT NAME Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves ( ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on.side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials --�S-oo Date Signature Page 3 of 3 •� 5/l/. ❑ APPROVED © CONDITIONALLY APPROVED PERMIT CLEARANCE V RESOLVE PROBLEMS PRIOR TO APPROVAL !rmit #: 60 01 O 15 Date: 7enera/Infonmatron AF#: •vners Name: boJ G LAS STa cl�-S Parcel Acreage: tuners Address: % �D A L. n�S�- 2 A2 JJZ , CA. q y 5 5 aiding Site Address: U 8 t"A(.E�h�.a N(' 4.1Wj' �me�ty Information �rmit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial in Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other :ne District: "- -neral Plan: Date of Zoning Ordinance: Development Agreement: se Permit: Variance: 3rcel Is In: Land Conservation Agreement ll No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan *No ❑ Yes Violation Area 1W No ❑ Yes Specific Plan jj No ❑ Yes ❑ Chico ❑ D2N Enterprise Zone IS No ❑ Yes, check use Floodplain in No ❑ Yes Zone: ❑ Watershed Protection Zone �No Yes 3oosed Use Comolies With: ® General Plan Zoning noosed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit 3mmercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Dr31nage Improvements Required: ❑ No ❑ Yes ,;plicable Setbacks: ❑ Cohasset Panel Number: ),-SO Q ❑ Accessory Building Use Zoning Code Street & Highways Fire Prevention' Subdivi 'on Ma Front t-- Side v Side street S o L Rear Is 0 Hetcht Septic Permit Review: Well Permit Review: Land Development Review: arcel Created by: ❑ Deeds Permit c%ara�ce Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Muitl) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ' ❑ No ❑ Yes .g JIMap Date of Recording: Low 1`-15 Block; Book: Pte: r - irditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access Provide Creation Deed ❑ Comply with conditcn no. of conditions of approval for the' ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Une Adjustment). ® Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other ^eral Comments: AIO 1N31"IdO13A=0 C;yyl �1Uoy r N til CIZIM33ZI ❑ Meet parcei size required by zone Meet current EHD requirements. ❑ APPROVED © 'CONDITIONALLY APPROVED RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE permit #: W.— Ol O Date: Genera/Informafron AP#: Jwners Name: b0J G UAS �Ta �1G �" S Parcel Acreage: (� -,wners Address: % (o JPPA L.i,� <� , _L� 2HA2 i 1JJ i✓ Z (A C)y 5 5 :wilding Site Address: " 1 8 p 1 i"A (.SncJ4 ,0 Property Information ?2rmit T p ❑ Agriculture Building ❑ Commercial ❑ Industrial in Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other :_:ne District: — eneral Plan: :se Permit: Date of Zoning Ordinance: Development Agreement: Variance: ?3rcel Is In: Land Conservation Agreement jj No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan WNo ❑ Yes Violation Area ]I No ❑ Yes ft No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Specific Plan _ Enterprise Zone No ❑. Yes, check use Floodplain No ' ❑ Yes Zone: Panel Number: 1 ISO Watershed Protection Zone ]&No ❑ .Yes =rcoosed Use Comolies With: ® General Plan IN Zoning . Dr000sed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit . ❑Accessary Building Use commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes �colicable Setbacks: ❑ Other ❑ Other Zonina Code Street & Highways Fire Prevention Subdivision Ma Front t -- Side 3 Side street L Rear _S O Height .nvironmental Health issues. Septic Permit Review: Well Permit Review: Land Development Review: 3rcel Created by: ❑ Deeds Permit Ceara)ICe Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ' ❑ No ❑ Yes O-' N(J%),)G JBMap Date of Recording: tt u Low 1 1 5 Block: Book: Page: CT orditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See land Development for a Merger Application/lot Line Adjustment). ® Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone Meet current EHD requirements. ❑ Other neral Comments: AI0 L'43111413A_0 CNVI 3LU'? GGGZ i N 7 r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041670 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/16/2004 APN: 028-040-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 9885 PALERMO HONCUT HWY HON Date: Contractor. Map Index: Description: TEMP ELEC SVC FOR WELL p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STOCKS DOUGLAS H to its issuance, also requires the applicant for such permit to file a 1712 COX LANE signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95966-9649 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DOUG STOCKS pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1712 COX LANE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 1 I certify that in the performance of the work for which this permit is Census Code: ' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. b ' —� ^ Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor - code, interest, and attorney's fees. - — CONSTRUCTION LENDING AGENCY This permit is hereby issued under the ap ble provisions of the Butte County Coda and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resoluti ns to o work indicated abov or ich fees have been paid. / performance permit By: Date: /11)-/k Name: � " O' Address: PERMIT EXPIRES ON: f CEJ Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized ent f the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y fficial� o u t of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: S a S Signature: Date: Owner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor ' (Pne BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Nam ee �y 1,k S e Address City Address CitykelcOh Phon _ Fax E-mail ,IO APPLICANT NAME CONTRACTOR Name Address Address CitykelcOh City ne Fax Iz State Zip Phone Map Book . Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address Address CitykelcOh City ne Fax Iz State Zip Phone Map Book . Fax E-mail Planner State Ucense Number APPLICANT NAME Name, 2 16. � Address S CitykelcOh Yes j ne Fax Iz E-mail Q V V ,, " oG L L - APPLIPAIVT SIGNATURE Fr offic C-40 —I Zoning ,S Flood Zone I SRA Yes j No Occ. Type Const. Subdivision Name Map Book . Page ITLot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP O't/4 BIN # LOCATION AP# Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footag ❑ Structure Built vrithout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. v Received by: Amount: 110• Bldg �SRA Receipt #:46X,53_7 Sheriff SMIP Other Dater . �-0�j - /�/�. ad Total K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 ' r 'F COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION i' 7 County Center Drive, Oroville-, EA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:/-2t,,,a n ASSESSOR PARCEL NUMBER Proposed Building Use: / / Counter Technician:�( rf Date: Items required in order to appl for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site. plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. -Hazardous Material Form O 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report"and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. O 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... O26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 15- 31. Owner -Builder Verification (given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ , _ 37. ❑ Grant Deed, ❑ M.H. Ttle/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: , ❑ 39. Other: When issued Telephone S � 2 . I IP� 3 and hold for pickup. I have been infor 1s of the above items and requirements for obtaining a building permit. Applicant: 5 1. Index per - p cation for ve items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date: Date: D.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner. An "owner-buildee' 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)( NO 0 2. I HAVE3( HAVE NOT 0 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 NOTE: Thu Owner -Builder Ver*ation is required by Section 19831 and 19832 of the California Health and Safety Coda This ven)-wation must be completed and returned to our office before we are permitted to issue the permit, OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the budder of property improvements specified. For your protection, you should be aware that as "ownea-builda" you are the responsible party of record on such a pennit. Building permits are not rewired to fie signed by property owners unless they are personally pmlming their own work. If your work is being performed by someone other than yourself you may protu A yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: Ifyou employ or otherwise engage any persons other than your immediate family, and the work (mcinding materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including sfafe and Maral income tax withholdiM federal social security taxes, wod=s compensation insurance, disability insurance costs. and unemployment compensation contributions. ♦ There may be 5Dancfal risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific in%naation about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work pemonially or through their own employees, wAhaut a licensed contractor or subcontractor, only under limned conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, aroneously =plying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners umless they are performing their own work personally. Inion about licensed contractors may be obtained by ca t w nrg the Cont -actors State License Board in your commanfty or at 1020 N Street; Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these mattem The building permit will not be issued until the verification is returned. I ,C. V' ira, C.B.O. Building Inspection NOTE: ?kis Owner Builder Womwfion is required by Section 19830 of the CWbrufa Health and Sa, feiy Coda: OVER ,PLICATE STATE OF CALIFORNIA owner's Copy WELL COMPLETION REPORT I Page _I—ofRefer to Instruction Pamphlet Owner's Well No. Ser-I,I No. Date Work Began'723295 z() , Ended 1 % 21 1100 _ Local Permit Agency Butt- lra, Permit No. 283787 Permit Date 9/ 2,d 100 DWR USE ONLY — DO NOT FILL IN STATE WELL N0./STATION NO. LATITUDE LONGITUDE ❑ APN/TRS/OTHER ORIENTATION` (L) DEPTH FROM SURFACE Fl. to Ft. GEOLOGIC LOG � VERTICAL _HORIZONTAL _ANGLE —(SPECIFY) DRILLING METHOD Percussion FLUID DESCRIPTION Describe Material, grain Size, color, etc. WELL OWNER Name T'4t117^' Qt-l1r^T.{q Mailing Address '� �' 7 ,C�� g.+-4-nAm f')rns>•; 1 1 a 959IEr. CITY WELL LOCATION Address Bart R,d city STATE ZIP - r ' 1T: u d 1Fy I :r G i -_ a ` A sand Count CJ! gnprourn APN BookD28.)_ Age _ Parcel I Township 1 IN Range 4 R Section 15 Latitude- I I NORTH Longitude I I WEST `DEG '7. MIN. SEC. DEG. MIN. SEC. 'AOCATION SKETCH ACTIVITY (z�) — NORTFIi X NEW WELL MODIFICATION/REPAIR — Deepen — Other (Specify) `° 'nd C a n a $9� 1 G` I I 1 r - I I I I I , I I 1 1 I I I I 1 , I I I I , I I I i I I I TOTAL DEPTH OF BORING 108 (FY8 TOTAL DEPTH OF COMPLETED WELL (Feet) u) Lu 3 DESTROY (Describe Procedures and Materials Under "GEOLOGIC LOG") PLANNED USES() IyQTER SUPPLY iC Domestic — Public Irrigation — Industrial MONITORING — TEST WELL CATHODIC PROTECTION — HEAT EXCHANGE — DIRECT PUSH — INJECTION — VAPOR EXTRACTION — SPARGING — SOUTH REMEDIATION — Illustrate or Describe Distance of IVell from Roads, Buildings, Fences, Rivers, etc. and attach a map. PTR ppaper f OTHER (SPECIFY) — necessanj. PLEASE BE ACCURATE & COAIPLETE. WATER LEVEL & YIELD OF COMPLETED WELL DEPTH TO FIRST WATER (Ft.) BELOW SURFACE DEPTH OF STATIC 4 WATER LEVEL (Ft.) 8, DATE MEASURED ESTIMATED YIELD ' 40 (GPM) & TEST TYPE Airlift TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) May not be representative of a well's long-term yield. o+ 1 ` —/ — Geologic Log — Well Construction Diagram — Geophysical Log(s) — Soil/water Chemical Analyses — Other ATTACH ADDITIONAL INFORMATION, IF IT EXISTS. D"'R 188 REV. 11-97 DEPTH ANNULAR MATERIAL FROM SURFACE TYPE CE- BEN- MENT TONITE FILL FILTER PACK Ft. to Ft. (TYPE/SIZE) I � I CERTIFICATION STATEMENT I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. NAME DAVID & CON DRILLING CO. (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) --- ADDRESS CITY STATE ZIP Signed ! $ Li f'i-25609 WELL DRILLER/AOTHORIZED REPRESENTATIVE �.rI IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM Assdssor Inquiry Jun 09, 2004 11 M aff�' Asmt # I Fee # 028.040-016-000 Name, STOCKS DOUGLAS H � ' Status ACTIVE �� Status Date 09/08/1999 Addr1'(1712 COX -LANE �� Tax 1000 ' r-= --- �t NORMAL OW_N_ER_SH_ IP TRA 092.013 Addr2 10ROVILLE CA 95966-9649 �� Situs Base Dt 09/08/1999 MfivOINIIIIIIIII Land --- 13,530; �J Timber Preserve Structure 0, AgPr'es Fixtures 0, Addr3 = _ �� Addr4 y �I Comments WAS 028 040 004 SEPARATION BY Etal �I Growing 0 Creating Doc# 19991MP00001 Date 09!0811999 --- ij Bonds ;Total L&I 13,53Q Current Doc# 12001 R 0037742 �yy Date 08l22�l2001 -- ---i �Fix. _ QJ Multi Situs RP Q Killing Doc# - - Date i =�1 Q Flagl MH PP Asmt Desc LOT 146 IN HO1 SuplCnt 0 Flagg PP ._ 0 Zoning Dwell EJ 910 MH Exempt . Q Asmt PP Pen Net 13,530 Acres/Sq Ft 3.57 N/C 028 RIG#� Tax PP Pen I I-� rAppeal Pending WR Dt� Split Pending �IR/C Stat PHY 7 OWN EXP TAX HON —ATT r� SIT APR_ PCL 11 r u I'. ►{ �: Find - - -12003 1 AUpton, 11/0512001 12,19,33 PM s TPC)4-fC70 PRE -INSPECTION REPORT OWNER: LOCATION: ivr A.P. # CONTRACTOR: Own ro- 9 ZONING: 114- S REASON FOR PRE -INSPECTION // a 1 DATE TO INSPECTOR: 1-16 'O PERMIT HISTORY (y�ONE ( ) SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No Mobile home # of Units: ACTION RECOMAMNDED: ISSUE ( ) Yes. ( ) No Hold for permits or verify: ,te go y �� , aco ff` � j=am, ogg,,, 4-4- I Inspector:Date: c , SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION L [ - APPLIPAIVT SIGNATURE For offic nly: OWNER Name k S c Address SRAYes City ODi &/04 "'t-PA- City Ste Zi <�o E-mail Planner 0' Phone- Fax E-mail L [ - APPLIPAIVT SIGNATURE For offic nly: CONTRACTOR Name Flood Zone Address SRAYes City ODi &/04 "'t-PA- State Zip Phone E-mail Fax E-mail Planner Lic. # Class L [ - APPLIPAIVT SIGNATURE For offic nly: ARCHITECTIENGINEER Name Flood Zone Address SRAYes City ODi &/04 "'t-PA- State —Flip Phone E-mail Fax E-mail Planner State License Number L [ - APPLIPAIVT SIGNATURE For offic nly: APPLICANT NAME Name_7;,,,,,_, Flood Zone Address SRAYes City lac ODi &/04 "'t-PA- Z'p5S0 i ne I- Fax �l- E-mail 0 V V 6G L [ - APPLIPAIVT SIGNATURE For offic nly: Zoning ,S Flood Zone SRAYes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP O`V& BIN # LOCATION AP# 2 _ _ j Property Address / O Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footag ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ^ v Received by: Amount: Bldg SRA Receipt #: 4eX, 33 Sheriff SMIP Date:. a -off Other �! _ !'L't�. G� Total K:IFORMS\BUILDING F0RMS0dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 t"' 0 N JLl. 7 ( -11 02 _N8920'E.—--_--. -- __._ ----------- T 143 01 co 568.99 O - 3ti O $ 1.00 AC = 9.16 AC y010 Qz o ® vZ Alp _� 4 10 ti y � O O o 6.34 AC 498.20 143 01 co 568.99 O - 3ti O $ 1.00 AC = 9.16 AC y010 Qz o ® vZ Alp = o N 3.15 AC 526.00 498.20 } .-�---------- to yq� o 0 N 1.00 AC '1 4.80 AC m � o+ W 160.00 -------------------- oU Q 235.00 Q- - 15 16 Q 11.04 ACt 3.57 ACf Q S C t Cr®NOTE: These po HONCUT 7 M.O.R. 85 3-13-1899 ®� onty and 2000 . OF BUTTE zvZLOPM ENT DIV. M -M, P.. I '.'S -1; Li 0 [/p/1 177. �r 1 � t n •. 1 � v Y N n �� 1 i t 1 /67-70 , i I 1 0 ti A24o �r 1 � y � v R• W7.4; 0 Zv. 117 - 7k im 3 r•1v 14 ly r 4o frp ....... h jV IV 7-7* d V C, If. voz a G If. voz