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HomeMy WebLinkAbout028-050-001\ 28-05-01 CHARLES MASON Rt. #2 Box 2701 Middle Honcut Rd.,Honcut (Fire Report) 1188 Mid Permit#2 28-05-01 OXLEY le Honcut Rd, Honcut 86P,E(util, MH) / Q1 U GAS LNG- ,a� ' SUPPORT ",STR- REQ' - COMPACTION TEST RE 28-05=0 (Cpi ontr: Henry's MH Ser, Mermit#3122-8614!Issued la -tea ._ F1nd_� to ii/iaE 28-05-01 Contr ry's MH Ser, Modesto Per #3123-86B(two awnings & deck/MH) 028-050-001 .' y, PERMIT, #97-2417E. .BITTER,. Wilma .1188 Mi'd'dle Honcut . Rd , Oroville Utilities/existing site .w 028-050-001 99-2477 RITTER, WILMAi i*MIDDL.E HONCUT"OROVILL CONTR: TOM'S MOBILE MHU SECOND DWELLING ivi n v TO BE PLACED ON FRONT OF JACKET ELECTRIC 1?w o 1004.0 GAS LINE L �. COMPACTION TEST REQ? a SUPPORT STRUCTURE REQ?—Igd 028-050-001 99-2478 RITTER,. WILNU 2 MIDDLE. HONCUT, OROVIL CONTR: TOM'S MOBILE� MHI SECOND DWELLING r; a !0 028-050-001 ,;` 01-2465 " RITTER, WILMA 1188 MIDDLE HONCUT, OROVIL ELEC METER 2ND DWELLING 0 u COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541o�',, ///PE T NO. (Rev. 12/96) APPLICATION AND PERMIT c�Y ASSESSOR PARCEL NUMBER 028-050-001 ZONING - BUILDING PERMIT OWNER TELEPHONE 743-1662 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1188 MIDDIF 14ONCLJT RD CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1188 MIDDLE HONCUT RD. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: FLEC METER FOR SECOND DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service zoOA 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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: rI 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 licy Number above sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) P>Icerfifythat 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply i h those ,provisions. a e !0 ` �/>� ?aEre of Ap c t - ❑ Owner ❑ Contractor�Agent permit is required for excavations over 5'0"deep and demolition or constructionres over 3 stories in height. Main Service TO I 46. 00 NEW CONST. DWEWNG OCUP. SO EL C so OR ADDNS. ( a ACC. BLDS. 3.5QFT. NEW Rale ' MULTI.OUTLEr @7.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FOCTURES Ex. Occup. BAS p I:w Ex. Occup.,OUTLFIX�EOTs Ro .oFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 114 tniv-Dr HAz. D. FEES IMP FLooD CDFPARCEL 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. 4a�X21 / �^yDate (! i PER EXPIRE Date Receipt No. % 3� WHITE-D.D.S. B.D. CANARYASSESSOR 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. (Rev. 12/96) APPLICATION AND PERMIT fl A--vo SSESSORPAACELNUMBER ZONINGBUILDINGPERMIT OWNE(� f ��h� H. 10— 1.72/4 "EJ/ / .1 T SO. FT. I OCC. BUILDING VALUATION CONSTRUCTION LENDER LENDER'S MAIUNO ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAJUNG ADDRESS .DT NO. 6z6DfJ-SIDN•S .,c - USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome LCENSE NO. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: ( `� -�L J &LQ — C_ *PBtMIT FEE PAlb SRA SHER4FF OTHER AAAOVNT RECEIVEb Fireplace 1° V 1'00 SAL 0 .30 EX. OCCU FDOEO APPUNS. oR OUTLETS ESID. EA Total Valuation b Temporary Service 23.00 .Filing Fee b 20.00 Permit Fee b Plan Checking Fee b FEES IMP Energy Plan Checking Fee b PARCEL I PO b ISSUE PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S M" W 1 §20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service 000A DOR LEss 23.00 ..JC Main Service ( 20" TO IOWA , 46.00 50 Ex. Occup. OUTLET OR FIXTURES 1° V 1'00 SAL 0 .30 EX. OCCU FDOEO APPUNS. oR OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 0 goo MECHANICAL PERMIT Fling Fee 1 20.00 i _ 1`'Jr i neatin Cooling Hood 6.50 Ventilation PERMIT FEt 1>< Mobile Home Installation Fee b Energy Inspection Fee I b Occ CONST. 11 TOTAL FEE $ 3 .Q 0 HAZ.D, FEES IMP FLOOD COF PARCEL I PO IO 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. *RECEIPT NV&%M -3- To -TO 0E PVT INTO COMPUTER By PERMIT EXPIRES ON Date i 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. personally pl to provide the major labor and materials for construction of the proposed property imp vement : YES D NO 1 ;"�'HAVV,. HAVE NOT 13 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: UI91M PHONE: CITY: 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 DATE: NOTE. This Owner -Builder Verification is required by Section 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. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including 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 state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal 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 personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying 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 unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community 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 matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health.andSajety Code OVER Nov I,1999 I give my son, tatiy OXICY" my, ptmimlofi to sigh Butte. County pe t�iliria hitter 9 028-050-001 PERMIT #97-2417E RITTER, Wilma 1.188 Middle Honcut Rd, Orovill Utilities/existiing site 1 r. r i OFFICE COPY- . Address it GAS �--- Date Meter BY --- Da #" ELECTRIC is Meter By. i %1Y f l " v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,l California A6165 - Telephone (916) 538-7541 q► PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 12 ASSESSOR PARCEL NUMBER 028-0-%-Wl - ZONING ?U BUILDINGPERMIT OWNER WI111A RITTER TELEPHONE ..>- SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1188 MEDDLE HONCUT RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS l CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' ` Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1188 MIDDLE IiONCUT RD Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee '"'20.00 Each Trap 7.00 USEOFSTRUCTURE i SF ❑ Duplex ❑ Mobilehome D Other SPECIFY Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑.. Addition ❑ Remodel ❑ Utilities ❑' Installation ❑ Other ❑ Describe Work: EXISTING SITL Gas piping system 1 - 5 outlets 15.00 Buildin 'sewer 15.00 Mobile Home" S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing,Fee 20.00 550V OR LESS Main Service 20.AORLESS 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)toftDivision 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: ❑ 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.INSPELTION ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A r 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. T. U CUITS T NON-RESID. BRANCH @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. R EX. Occup. OUTLET OR FIXTURES BAL @ 1:50 FIXED APPLNS. Ex. Occup. ouTLETS RM. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring H�00 n PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c6mpensation 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.) 4f" 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 forthwith comply with those provisions. X _ 1 -- Date t/ /�/ ? — Signature of Applicant -- V, Owner ❑ Q&tractor ❑ 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. 0. FEES IMP I FLOOD I COF PARCEL I 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 7 PERMIT EXPIRES ON Date Receipt No. •-3113 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVF„LOPMENTSERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,'-California' 95965 - Telephone (916) 538-7541 P RMIT o. (Rev. 12/96) APPLICATION AND PERMIT �� �1-11 ASSESSOR PARCEL NUMBER 028-050-001 � ZONING U BUILDING PERMIT OWNER WILMA RITTER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1188 MEDDLE HONCUT RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1188 MIDDLE HONCUT RD Energy Plan Checking Fee $ $ OROVILLE PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1l 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 CX Installation ❑ Other ❑ Describe Work: EXISTING SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 e00V OR LESS Main Service noon GR 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.P 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 Main Service ( 200A TO ,000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. O.CCS SO 3.50FT; NEW CONST. NON -RES D. MULTI- CHOCIRCET 97,50 OWER APPARATUS d SINGLE OUTLET CI R. EX. Occup. OUTLET OR FIXTURES 00 BAL ° I. 0 Ex. Occup. OUTELFTS gE3Ip.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 93-00 PERMIT FEE $ 66 -nn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 4b” 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 fort with com ly with those provisions. -- — 0A6-(4__Date �� — I.ii of Applicant - 12r,,Ownek ❑ ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 :Hf. D. FEES IMP I FLOOD CDF PARCEL I 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 fa_ PERMIT EXPI ES ON I Date Receipt No. .Z,,34/31 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT u.....,.�r.. w...tiay..i}R y.'S,•1r�}�}-t.dr-•cr. ^'-- COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION-.: a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Oil A. P. No. 0'5 Proposed Building Use /1/i Building Inspector GA Date 11116 9 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........... .......... :....................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Preanspedionrequest 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .....................f ... . Owner -Builder Verification (Given to owner , Mail to owner ............ Recorded copy of Agricultural Acknowledgement Statement. .............. 25 etter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ....................................... ............. 33. 34. When you issue the permit. process as follows: Mail to owner. Mail to contractor. Telephone? �1�- %Z and hold for pickup at Oy o office. Deliver with inspector. Other Parcel Creation x Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .B.-1 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. KJ. I personally plan to provide the major' labor and materials for construction of the proposed property improvement: YES 14, NO ❑ �2. I HAVE 0 HAVE NOT u 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 l SIGNED: , l PROPERTYOWNER: SOCIAL SECURITY NUMBER: . DATE: l6 - N o ►1 — / JY 7 NOTE. This Owner -Builder Verification is required by Section 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. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect 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 b,.;sin_esc 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including 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 state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal 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 personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying 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 unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community 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 confit -m that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 n CORRECTION NOTICE &10 OWNER f PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, _fcontact contact this office immediately. N jj YCrGN�rC.✓� . /'06 _.4,& � / . ate— r l / t Date Inspector REV 1019Y9!' 0/9 9 / a L e/ a // i NOTES ; . 'r RESIDENTIAL Y 028-050-001 99-2477 PERMIT NO... RITTER, WILM._ - - — �' /MIDDLE HONCUT, OROVILLE l CONTR: TOM'S MOBILE MHU SECOND DWELLING i t I I� r I Y r OFFICE COPY � Address GAS Meter By D I ELECTRIC Meter By Date . I SPECIAL CONDITIONS . - f CHECKED .. BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i Tr �c JOB FINALED (Date) A� Signatur t ./= OK 0 = Not OK - = Not Applicable =Not Ready r RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes Q No/Walks ❑ Yes 0 No/Planters J Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. f 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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 >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 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 3' -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 -Connector - In Garage; Above Floor-Ducts-Mech. Protection 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.)-Romex 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 ] Yes Q No/Walks ❑ Yes 0 No/Planters J Yes 0 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, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 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: ✓ = OK and B-1 Date Card B-1 aro' 1 Date Card B-1 1AIWLEATION (Plans) OK except #'s 0 = Not OK :. - = Not Applicable MOBILE HOMES * = Not Ready MH Test -Demand -Valve -Connector Date . MO E HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 7 8. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete i/4`Water; Location -Test -Easement Needed (Sketch) 11. Electricity; Location /Amp -Concrete 6. Gas; Location -Te t•Wray;-/ /" L'ft. Electric / /' N r / /-LL"ft./ 1 PG 7. Wed earance & Uisconnect Utility Clearance Date Date Date MdBIU11HOME and B-1 Date Card B-1 aro' 1 Date Card B-1 1AIWLEATION (Plans) OK except #'s L-000',. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 0--tas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails rain; MH Test -Fall -Flex Connector Wate ' MH Test -Regulator -Connector 7 8. to nd Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged ie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy / 12. Permanent Foundation Only: License Decal Date le�1 and i5• i Date Card 8-1 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- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-TYickness 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-Panelboards-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 1( CK -47 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96)" APPLICATION AND PERMIT I9--�,&-77 ASSESSOR PARCEL NUMBER 028-050-001 ZONING AR 1 BUILDINGPERMIT OWNER WILMA RITTER _ TELEPHONE 74.3-1669 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1188 MIDDLE HONCUT ROAD, OROM.T.P. CONTRACTOR'S NAME TOM'S MOBILE HOME 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 2300 $ ' BUILDINGADDRESS g MIDDLE HONCUT, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um 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: MHU 2ND DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w @20.00.60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 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 Main Service ZOO. TO IO 46. CU NEW CONST. DWNG .OUD OR ADDNS. ( .ACELLIC. BLAS. SO S° 3.50FT. T. NOWRE ID. MULTI -OUTLET CIRCUITS @7,50 POWERLE APPARATUS 8 SINGOUTLET CIR. Ex. Occup. OUTLET OR FKTURES 20 @ I.50 SAL @ .0FIXED 0 Ex. Occup. pUTTg aalD.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE t 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.) ei 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 comply those provisions. (� X Dat�-�0� -/ _ Si slur f Ap ' is t - Owner ❑Contractor 'Agent An OSHA permit is requir for excavations over 60" deep and demolition or construction4,11 of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTXL FE $ 466.00 HAZ. p, FEES IMP FLo COF PARC PD HD 10,11 ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /Date i i Ia Receipt No. uu WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �p�� i o I , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorhia 95965 • Telephone (530) 538-7541 PERMIT NC (Revr.t2/96)h APPLICATION AND PERMIT _ CSUOBUILDING PERMIT OWNEII — ;? " l lIvz SO. FT. OCC. BUILDING VALUATION OWMMI MAiD4 A00Rlie l g AA OONTRACrOWS NAA! a ` (/V l (' �,//� O/6 ( ! LL13-TOAP"ONE OONr11ACTOR1 M"M ADORM �C/ OONITRUCT1011 UM81 UM811 MA&M ADOMS Fireplace Total Valuation S ARCNMCT OR EN011t91 uCEWE No. Firing Fee S 20.00 AAMCECT OR EN0NEMI W AJN0 A00RM Permit Fee = Plan CheckingFee i suawaAooREss _ 1,064-L5Lq/VC f Energy Plan Checking Fee i IDT N0. 1 suemnKM1 wi e USEOFSTRUCTURE SF O Duplex O Mobilehoms 0 Other TYPE OF WORK New 0 Addition P Remodel 0 Ulibes 0 llnstalati Descrlbe Work: / dill /—/( / 1 EX. Occup. PERMIT FEE i PERMIT FEE _ Filing Fee PAW9L YAP PLUMBING PERMIT Fling Fee 20.00 23.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 OwELLNO OCCVP. eros. Each aas water heater or vent 15.00 0 Other 0 "1 PgwL_ItV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 ��� EX. Occup. PERMIT FEE _ Lo ELECTRICAL PERMIT Filing Fee 20.00 Main Service °D0V OR LESs �ooA oR iEss 23.00 j Main Service 200A TO 1000A 46.00 r NEW CONST. OA AOONS. OwELLNO OCCVP. eros. so 3.50F7. NONRESIO. L4NCH unFi eneins ) eRANON 97.50 EX. Occup. OunET OR PonuRES 0 �-so eA� .>o EX. OCCU MEDAPPLNB. OR oun.ETs Esso. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: I f Mobile Home Installation Fee I $ Energy Inspection Fee I b «c coral. Tr PE TOTAL FEE $ 1009 '— -Z. 10. FEES I IMP I FL000 I COI I &ACEL I PO I NO I -UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE - DEPARTMENT OF D-EVELDPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: " vL ASSESSOR PARCEL NUMBER: d �U C3 -00 Proposed Building Use: 1.44 4 Building Inspector: Date: At time of permit application, I was %advised the following data must be submitted prior to permit processing and/o issuance: Date Received By 1. All items have been submitted .------------------------------------------------------------------------------------- JPlot plans, 3/4 sets, signed by the preparer of plans. -=uP------------------- 41E, ❑ 3. 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 13. Flood elevation certificate. ---------------------------------------------------------------- lSanitation and plot plan approval J5 ft Health Department. ------------------- Ell 5. ----------------- ❑15. City of Chico plumbing permit. ---------------------------------------------------------- OJ 6. Plot plan and business license approval from the City of Biggs. ---------------------- 1 . Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. q 19. 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). ❑22. Workers' Compensation carrier and policy number. ----------------------- 234 ,weer -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 2 . Letter -of signature authorization. -------------------------------------------- . Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 1128. Existing violations and/or expired permits. --------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Wheg.you issue the permit, process as follows ❑ Mail to owner, ❑Mnail to contractor. Telephone 243 ^ 1(o/,, 9nd hold for pickup at c / ffice. ❑ Deliv with inspector. Q Applicant: Date: �C]� IQ/� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ollut' By: Copy of plans sent ❑ Health Department, 13 Fire Departmen r: D By: 1. Index permit application for the above items numbered: 11Plan 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, ❑ Buildin grvrsion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Z& /D Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ut pie P carr �-f o Al reV �� ' �V IL LOCATION: _Z1 CONTRACTOR: DATE: ZP. ZONING: [moi S-�/ �C- PRE-INSPECTION FOR r DATE TO INSPECTOR/ L PERMI•r HISTORY: [ ]NONE [ �S _.FOLLOWS: TYPE OF OCCUPANCY: �1 BUILDING INSPECTOR'S REPORT ilding Description: [ J Commercial/Usage: [ ] Residential/9 of Units: _ [ ] Currently Occupied. ( ] Ab nedNacant. xtric: Pes [ ` ] No lec is currently :[ . ] On Condition of electrical? [ Off Mobile Home: Yes[ Natural[ ] Propane[ None[ ] Currently On[ v<*'O$[ ] Obvious problems: itation: , Plumbing working Yes[ No[ ] Well: Yes[ o[ ] Potable water: Yes[ No[ ] Obvious Sewage Probl ms: ion Recommended ]Issue [ ]Hold for: 5 .I Date: No[ ] (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER /2 r - ZONING BUILDING PERMIT OWNER � r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS Q V c'C O ,� CONTRACTOR'S NAME -/ / l/�vt�r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee E ARCWrECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee b BUILDING ADORES r Energy Plan Checking Fee b E PERMIT FEE _ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome Pf\ 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 O Remodel ❑ Utilities4 Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service �w oa LLE 23.00MaiG9 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: O 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 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.) ❑ 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 - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. �^rlce TO 48.00 NEW CCUOWA NEW CONST. OyyE]y�q OCCUP. s0 DWE200ALLING OR ADDNS. ( a ACC. Bios. 3.5¢R. rNjpµgaI MULT,' 4m ET @7,50 POwEa APPAAATus a SINGLE OUTLET S 200 1'00 Ex. Occup. OUTLET OR FOCTURES sAL @ .50 Ex. Occup. ou�APP o,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _� ov PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee b occ CONST TYPE TOTAL FEE $ HA2 D FEES IMP FLOOD I CDF PARCEL Po ND ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date (Duro) Receipt No. 3�� 3 6 wHITE•D.O.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD- APPLICANT 28-05-01 CHARLES MASON Rt. #2 Box 2701 Middle Honcut Rd.,Honcut (Fire Report) 28-05-01 SH AN OXLEY 2 1188 M le Honcut Rd, Honcut �. l ' Permit#28-86P,E(util, MH) ELEC /� GAS L SUPPORT STR REQ,_ COMPACTION TEST REQ 28-05-01 ' • s ' Contr: Henry's MH Ser, M sto Permit#3122-86MHI Issued la--?d 28-05-01 - Contr: ry's MH Ser, Modesto Per X3123-86B(two awnings & deck/MH) - 3 0 APO 06Rs-os-0-001-1 -7shall e in / NOTE:—All Materials &Workmanship marshGood P -ticesg and Accordance with Recognized Jy prescribed for the Specified use in the of a yual Plumbing & Mechanical Codes and Uniform Building, the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful +o make any changes or alterations on same without written permission f rBo�m the Department of Public 'Works, County o Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. --h/C �-- X p, — { > i rO A per t will be required or the D r insfalla an of. the mobilehorne, m A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exp pt for a 2 ft. eave overhang 4 t.t.- F,_4S,z ; ; f I, ter B E COUNTY IL ING DEPARTME 1 APPROVED .�`Y�_..'--f � ✓ "ice t`r:'.; ',_�,,�,. � _-. a /'iii �� f .�J :�. n� ��. y � � _� � 3 _� __ 4,.% � ,._� ��� -r'!.�.i i t) �� --'~' :�� �! �-yam"{' ,,..�J'�...ry�t�f.3t,J"1 4 ��Y � i''7�; i.�-' ' J �� It J� "°.�.._� � �.. ;� . '-`�!--� �.. �..: ,. f mac.. ..-- --- -• -- Phone:' 916-538-7541 RE: Permit application for electric A.P. # 028-05-0-001 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations "Owner -Builder Verification Fm DATE: November 18, 1997 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 prepareraof plans. lans. EEComplete plans, 3/4 sets, signed by p p P 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. Health Department. Sanitation and plot plan approval P 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. tion and 60' right of way to a public road. Copy or recorded deed of parcel crea 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: WE ALSO NEED A LETTER FROM YOU AUTHORIZING SHERIDAN OXLEY TO SIGN PERMIT.___ Should you have any questions concerning the above, please contact of this office. Yo very t, 14ic el C./ Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection 286486 _. 3122-86 A _ PERMIT NO. 31.23-86$ PERMIT EXPIRES OWNER SHERIDAN OXLEY CONTR. Henry's MH Ser, Modesto ASSESSOR PARCEL 28-05-01 LOCATION 1188 Middle Honcut Rd, Honcut Temp. Power Pole_ Called PG&E Temp. Elec. Service_ Calle Temp. Ga - Calle JOB FINA Signa = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECK , COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 o tng Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch . Foo Kgs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Woo wn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date(�., Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining. 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Data Card -BI Date Card -BI Date Card -BI Date I f J = OK t 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex . Date UNDERFLOOR Plans OK except #'S Date FRAMING (Continued) ---1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits __ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 Piers -Fireplace Fig. -Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ _ Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI _ Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.: Vent -Access-Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meth. Prctection 59. Bedroom Exiting 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 60. G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan: Test, First Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 62. Stairs & Rails 19. Gas Pipe: Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins, Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes No Service -Riser Conductors & Ground -Main Disconnect_ Equip. Clearances: Panels-Motors-Mech. Equip. _ Clothes Closet light -Shower Light 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor [3 Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters El Yes 0- No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. _ --- -_--_ 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Card B -I Date Card -BI Date Date Card -BI date 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. _ Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support - _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet - 35. Attic Access & Platform if Furnace in Attic - -- - - Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI _ 'X to Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Com tents at Final: 36. Sills; Proper Material & Anchors _ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ - 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Stairs_-C_ha_se_s-Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing _ (NOTE An entry must be made each time you visit jobsite) t L, - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NV O. County Center Drive - Oroville, California $5965 - Telephone 916/534-4541 7✓ APPLICATION AND PERMIT ASM PAR E UMBER —0 ZONING pBUILDING PERMIT 11N;jTELEPHONE 'er; k, 33 3 S"I SQ. FT. OCC. BUILDING VALUATION NER'S MAILING ADDRESS CONTRA O \ to TELEPHONE CON A TORS MAILING ADDRESS IDD ;�arl Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is R Ulm '. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee ARCHITECT O GINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ©o PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I J 10.00ea TYPE OF WORK New,k Addition❑ Remodel❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 8001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and y license is in full force a d effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 21/2 Osq it NEW CONST R.U LET 2,50 ea NO N•R ESID BRANCNCHH CCIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES 20060Q eAL93o Ex. Occup. our OUTLETS PIRESID )LNS REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. CIDI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in co se uence of the granting of this permit. Si Lure of "OU %� Date"/C, "% % --� ant - Owner ❑ Contractor Agent ❑ An OSHA permi is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 150017 OCCUP. CONST.TYPEJ Loop ReE PDNrUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PERVtf E PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/.— L�I�� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To: .,uilding Departmw�nt ,y From: —Environmental }ic::lth Subject: Sanitation Clearance Owner Location AP// Plan Approved for: Hold final for: Sewage disposal � v;ater supply r:_:ter supply Final clearance O.K. for: water supply 1 Clearance for bedroom mobile home. Other NOTE, *** arian y - Da �.\r ... i:�r.. eF' J i^ . 1[' :'. '.dY-'L`a.:-.X�i'.l "LL'i'ras r �;u tsw.F•P'^ �Sr+ .l 'r -n .° �tb ,1?.. -. .-. COUNTY OF BUTTE - DEPARTMENT OF. P,.f 15,LIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE - OROVI LLE, Vt FdR_ MIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET .-y / Permit No. v OWNER Sl1 �r /Jae7 Ox (�cL A. P. No. Proposed Building Use �U � � LC— Building Inspector Date h-) / /�i4 At time of permit application, I was advised the following data must be submitted prior to permit processing and✓or issuance: DATE RECEIVED APPROVED 1. 2. All items have been submitted. . . . . . . . . . . . Plot plans in duplicat triplicate, signed by preparer of plans. �3. , Complete plans i dine./triplicate, signed by preparer of plans. n2 900:79 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 4.2<1 Letter of signature authorization . • Sanitation from 060 � approval Health Dept. . . 11. 2. Planning approval for (A) Use: (B) Parking:— Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ). —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec.request to (Date) Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. l.e!!�TeIephone """"—� and hold for pickup atoffice, Deliver w/inspector. Other to » I7 -SSC Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 'f 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 —mal l_counter by - date Plans checked Date �0 lans approved by Date Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 P.M. Copy—DPW r ' General Information and Construction Detail For �1 I OIVIsION OI OUILOINO IN/PECTION OEPAATMENT OF PUMLIC WORK/ Application for Perm it.to erect a Mobilehorie Accessary Structure ' in a Licenesed A"obilehome Park. Park name: - Location Address: City ft Front of lot I rt! LAE- Ski C4.T tiLT N •A setback of 5 ft. from the property lines and a setback of 50f t. from the road centerline shall be clear of Nt structures or equipment except for a 2 ft. Pa��e ovPrhanq, OC Ams. Q �.4vseiYl �LJ73 W .P - V 0 O utility f m 0 r4 "4 O Rear of lot I y F% Mobilehome Owner .S e j ,� e Park Space Dumber: Street: C Contractor: Cont. Lic. # C Business Address z : Phone W rn Structures S. P. A. Xumber ..� IChereby authorize the erection of the accessory structure shown > at Park location listed above. S i,7ried Park owner and/or manager ss- 0 'a6 /as9•s Fp /N CW/ 4/A/*1. "G4T/,0M R S /MAlcarwo o,V He-a-Vd-V Aft le/0.6 A-Avod ✓i -p p6 s T W Q 4c .*ev .50 m C04, > 1 Z.000O� o .g(L.l. 0 .�M 0UO=3 n3 A a5• mD. On m�•� O .P ; �• tD• 0, n - to -o m < 7 (D Q L Q. O Q O N O' i:. 0 N to O0 0 °_ t R° 3 L: 3 O Q O �• -M*' • ci CL 20 0- N Li O �M QfACL0 �-0o�n + j +0 CD 0 ::t j n CL S 7A • 0 • (D Q N Q C d a ' C4 0(D o� ncn O # Q m Cr O to . 3. u► ��.om Q+Qc� a. m 0- I y F% Mobilehome Owner .S e j ,� e Park Space Dumber: Street: C Contractor: Cont. Lic. # C Business Address z : Phone W rn Structures S. P. A. Xumber ..� IChereby authorize the erection of the accessory structure shown > at Park location listed above. S i,7ried Park owner and/or manager 1 Z. -+ O c z n -n 0 S: a3 C� CD -4 m v � o fD O m m 1 O1 D wm A 0 N o A m m �z d� O o T of � �W U� O W. VARIES A -a rrn r'' 74 v 3(0" rl c 70 T.I D r- 10 10 n 2- m 2q 0 m 7a a 0 rl m mo � N MAX. A I 30" MIN. STAIR n /HV34" RE16HT -v TI o 3 DR�A,IL MAX. l 0 rn cy P M 3 d N x- 41. K = Ti OD m N p D Rl X 3 P ,J r-4 i O 17 ... . �!L MAX. A I 30" MIN. STAIR n /HV34" RE16HT y ' DR�A,IL MAX. l 0 rn 3 Ti A 'X3 Rl .dei MAX. A I 30" MIN. STAIR n A W I DT14 y ' 7 3 o ,J r-4 i 30" MIN. STAIR n A W I DT14 y ' 7 3 a ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Wilma Ritter FROM: Thomas A. Parilo, Director Development Services DATE: October 21, 1999 FILE: ADM 00-08 PURPOSE: Administrative Permit on APN 028-050-001 for a temporary second dwelling to be located at 1188 Middle Honcut Rd. Honcut, CA, in the AR -1 (Agricultural Residential,1 ac. min.) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Joan & Gordon Leavitt. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, exc as required by this Section, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120 days, the County shall remove. said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. PW' e' e /° ;?-q9 Randy Wilson,Xrincipal Planner Date s .moi • '.` �_:. • .. _. he.... � i LAND OF NATURAL WEALTH AND BEAUTY November 2, 1999 Wilma Ritter 1188 Middle Honcut Road Honcut, CA 95966 CERTIFIED MAIL Re: Administrative Permit, AP 028-050-001 Dear Ms. Ritter: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 Enclosed is your validated Administrative Permit No. ADM 00-08 to allow a temporary second dwelling unit, on the west side of Middle Honcut Road, north of Brown Boulevard, Honcut,AR-1 (Agricultural -Residential, 1 acre parcel) Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Thomas A. Parilo Director of Devel rent Services )??a& ara Paula Atterberry Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry 4 _1 & _3 C, 54 Sn 07 Q P r o r, 0C. Eo C) 0 tic,4_6c, Ir_ Ala HorjcQi Ram 80 R 70 APPROVED Development Plan DATE kh-:�Q�Q 300Q NOV USE PERMITS VA\AIAiNCf MINOR UIP, ;4,AD PERMIT . I RECIEIVED MPF T -ftA-ftN"IfqG"COMMTSS. Vl� DIRECTOR OF BUTTE COUNTY DEVELOPMENT SERVICES.- pLANNING DIVISION PERMIT NO. (MR) PERMIT EXPIRES �9/Q OWNER SHERID4 OXLEY CONTR. owner ASSESSOR PARCEL 28-05-01 LOCATION 1188 Middle Honcut Rd, Honcut FICE 4 i t Address_ GAS Meter By Date ELECTRIC / Meter By A& DatE a i Temp. Power -Torr= - — OFFICE COPY Called PG! Address Temp. Elec. Sej Called PGF GAS Meter By Datil- gL ELECTRIC Temp. Gas Serv, Meter By Date Cal led PGBu_ JOB FINALEI Signature 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) :1t = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run-Landing-Fire'Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors - 10. Water Pipe Test -Anchors -Regulator -Service Test 11. 12. Electric: Underground Plenums & Ducts; Clearance -Material -Support -Ins. ) t i _ 13. - Girders_ -Sills -Anchor Bolts -Joists -Vents -Cripples - .Dale Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-Bf_ Card -BI Date _ Card -BI Date Date Card -BI. ,; - Date PLUMBING (Permit) OK except hi's Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -Bl Card -BI 14. 15• 16. 17. 18. -Test 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Tub & Shower, 2nd Floor -Tub Access ' Gas Pipe: Size & Anchors Date_ - 'Card -BI _ Date Date ' Card -BI Date 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int., & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B-1 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size./- / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes �No ___ Service -Riser Conductors & Ground -Main D_isconnect _- Equip. Clearances: Panels. -Motors-Mech. Equip. Clothes Closet Light -Shower Light _ _ -_--- _ - -_ Date Card Bi Date - Date Card -BI Date - 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location q. p• 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72• Insulation -Foam -Looked in Attic [j Yes 73. Guard Rails & Deck Construction -Post Caps 74, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive ❑ Yes [) No: Walks ❑ Yes [:)No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Caid-Bl 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support - - _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade _ Furnace -Vent: Access -Comb. Air -Return Air Vent -_115_V outlet _ Attic Access & Platform if Furnace in Attic - - Date Card -BI Date _ _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com ients at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop n Walls (rat proof) T Fire Stops: Furred Ceilin s -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing,. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -_Draft Stop - Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions _ Garage Fire Protection Framing Tom_ (NOTE Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS F Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements So' ; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 39 -leaver; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails a r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing *-"Electricity; Location-Clearances-Grnd.-/ / Am Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures as; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat "L"ft./ PG 6. Carports; Windows -Doors ility Clearance _ 7. Elec. Card -B<'410 Datet i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MBOHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s Z ng Requirements -Setbacks -Easements 1. Setbacks -Easements . pbtings; Size-Spacigg Marriage Li 7 2. Soils; Compaction -Structure Stability Ae"Gas; MH Test -De d -Val onneatet' 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining ` 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI -M-5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI . WWr; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater as and Electricity Tagged 6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh[g. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9� Ex 3e Insp -Sketch Al 1 3 14. Cert. of Occupancy — 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date rd -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date � ► 1:� v 2,�, TO MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 d Address or location of mobilehome� Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation PERMIT N0. Year of manufacture IF TV MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 4 L 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961„ Ext. 57 t CORRECTION NOTICE Inv I VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at -the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this natter, or eed additional explanation, please contact this office immediately. I =N , n A n Biu ♦ �i��.r7�i �.� _� w�. r VA 1-1 L Vc. rr I Inspector_ _ Date f COUNTY OF GUTTE - DEPARTMt–NT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California -9596.5- Telephone 916/534-4541 APPLICATION AND PERMIT c� ASSE O ARC/E7.L�)NUMBER rV �— O ZONIN BUILDING PERMIT OWNER TELEPHONES/ SS 53 SQ. FT. OCC. BUILDING VALUATION O R'S AI ING ADDRESS • ONTRTOR' AME TELEPHONE 538-3 S CON ACTOR' MAILIN ADDRESS D S1. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1630 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARICITITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�L Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FIG JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationv Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [�I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � T_f� Classification C+ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.k , New CONiSTR.� A � �22sgft UC•TI OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I ( EX. Occup\OUTLETS OR FIXTURES 2L SOS e A030 NS Ex. Occup. OUTLETS ED APP(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c sequence of the granting of this permit. (/ / XD e '0 -'� % �1 V Si nature of Appl'cont — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ht. Mobile Home Installation Fee $ 145,720 Energy Inspection Fee $ TOTAL PERMIT FEE , occuP, CONST,TYPEJ FLOOD PARCEL I PD I NO 1 Isau This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate �o� X526 Receipt No. WHITE-D.P.W., YELLOW-ASSEeSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT him....: tpr - •s 1 M>4,. •r _ w t'.a yr s -• .�J r7 r r COUNTY OF BUTTE- DEPARTMENT'OF� PUBLIC WORKS - BUILDING DIVISION �f- 7 COUNTY CENTER DRIVE - OROVILLE, CALIF=b�i',ILTA y 965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET y Permit No. OWNER ,�i e✓I C�i ffl/� X ('�l�/ A.. P. No. 2�— O S —D//�__ Proposed Building Use TI Building Inspector Date U / gU� At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ). —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. V'`�Telephone and hold for pickup ateOIZ office, Deliver w/inspector. Other Copy of plans sent Applicaryl�__�� //� ate ./U _�7— E(o Health Dept., Fire Dept., Other Date. The following data must be submitted prior to permit issuance: (Circle new item not checked ab 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes LL - I No u _ (If yes, furnish permit number ) OR Is the site an existing site? . Yes F] No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes 1-1 No F1 (If no, clarify _ 5. What is the mobilehome electrical rating? ---------------U Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- S , (7 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------Yes No (If yes, identify the load and size: Jit (Load). p (Amps) 9. What is the mobilehome site gas pipe size? ------------ (in.) 10. What is the t e of as service - Natural LPG '� YP g ------------ ------ 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- /,`' (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than.50 ft. on LPG.) 2,.2Z --X946 BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA LIf other than single wide, Mobilehome Mfr. S h G furnish Setup Model No. Year g 7 Width (ft.) Box Length__1_(r) (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte), FOOTINGS (check one)U-1. Wood -pressure treated or foundation grade.' Other (specify) SUPPORTS (check one) F1. Concrete block. F2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 .,�-------------- tin —.— — � Main Beams Tag or Triple Line 1 Piers: Line 1 Oueninas• Size -Min- ------------ Size -Min- ------------------ Spacing-Max - -----------------Spacing-Max. --------- f�, Each Side of Openings From Ends-Max.With Width Over__ Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) — Size -Min - ------------ ��„x „ Size -Min------------------- , „ 'x Spacing -Max.--------- �`",_�. „ Spacing -Max ---------------- From Ends -Max.------- '_ " From Ends -Max -------------- Line 3 Roof Loads: Size -Min- ----------^- „x „ y nV „ )rix• „ /V�,,ix��,�, ✓ nx „ „x n „x Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walla Only) Size -Min------------- 'Sc „ Size-Min-------------------- Spacing-Max ---------- ------------------Spacing-Max---------- , „ Spacing -Max---------------- , From Ends -Max --------,_ „ From Ends -Max -------------- Line 5 Roof Loads: Size-Min------------- ux „ ,k „ , a nx „ ,k „ nx „ lox It „x u location (From Front) ,_ „ ,_ AP # OWNER, PERM IT MH UTIL.CLEARANCE DATE _ INSPECTOR ' (21 ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YES N01 YESI NO Size Load �T Size Length ne ley� /4 COUNTY OF BUTTE - DEPARTIAENT OF PUBLIC WORKS PE IT N0. � 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �% APPLICATION AND'PERMIT ASSES�SDR,RA�CEJ} RCEL NUMBER__ O / (f 'I'( — ZONING BUILDING PERMIT OWNER TELEPHONE , 33-35 SO. FT. OCC. BUILDING VALUATIO OWN E S MAIL DORESS ' TRACTOR'S NAM E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LEN ER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome(SPECIFY Gas piping system 1 - 5 outlets 5.00 Mobile Home 10.00 ea �•� TYPE OF WORK New Addition ❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ A10. 6D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.Q. Main Service EA, ADD'L 100 AMP 2.50 o%,S70 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 , OR ADDNS. ( ACC. BLDGS. /20Sgit NEW CONSTR. ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR, Ex.Occup(OUTLETSOR FIXTURES BAL03t eALeo FIXED PR Ex. Occup. OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5.. i) Misc. Wiring 15.00 a; Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains s d Co my in co se ence of the granting of this permit. %� Date �� Signature of Applicant — Owner [V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPEJ I I FLOoo ARCE Po Ho sauE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIREC7 OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —? -4' Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PI .INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN-f.:dOF;PUBLIC WORKS - BUILDING D"IV,ISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/5,134-4541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER �Y i� �✓� I�A L/ AA. P. No.,��- Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) r Building Inspector ` -'� Date- At ate At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . • . 17. Pre -Inspection for Required- BuildingPre-Insp request to (Date) �y p q Building Inspector 0 18. Recorded copy of Agricultural Acknowledgment Statement. %c- 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item,) t 1. Index permit for above Items No, t 2. Additional items required: i r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date IF 30!t6 Other: Copy—DPW To: :juiiding Departn. ent From: Environmental. Hccilth Subject: Sanitation Clearance Owner j I I IKAA zy--s =- I Location AP// Plan Approved for: : ewac;e disposal rater supply_ Hold final for: r_=ter supply Final clearance O.K. for: eater supply Clearance for 2 bedrocr:mobil.e home. Other SanitariariJ Date, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone, Type of Work Signed: .�� [_Xma- 7_ Property Owner Social Security Number Date i - 2 q -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 01 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTnO'A--J 1N C: *H;!:.L R= 0RJS FOR RESIDENTIAL DEVELOPMENT C•: Pit IT YE C-,: U',T Y• -,1-1:70;;:;1 ^, �:•... Section 26-8.1 of the Butte County Code requires this acknowledgement T•( s�fl1f�j�' be recorded prior to issuance of a building permit. tAS 86--32238 .666 SEP 25 As i 10: 09 The property described herein is adjacent to land or included I, --- within an area zoned for agricultural purposes, and residents of this ELEANCMZ 14. GKI;ER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE lD. the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on s' adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property,situate in the County of Butte, State of California, described as follows: 131, 1J2 and 133, all in the town of Honcut, County of Butte, State of California, as surveyed by B. L. McCoy in February; 1899, and map there of filed as of record in the office of the County Recorder of Butte County, California, March 13, 1899• Date: State of ) SS. County of ) PROPS TY OWNERS: r On this the o�1— day of me, the undersigned Notary ubl 19Z, before personally appeared n®nU�Personally known to me. Proved to me on the basis of satisfactory evidence. ;_'�.• F�,�,"''r L. Ci".�'Tl� towbe the person(s) whose names) sub ribed to n;07A,1'Y PUCLIC-Cr,UFCRNIA BUIIe Cct,n;y the within instrument and acknowledged that �..... YCominissi011[xpireshlay13,19;18e4cuted the same for the purposes therein contained, '�`"®aW°®seas©aoe®asses®o �� WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Notary Public Present A.P. No. 6P3 -0S ---- a n in -70 ��...� NOTE—All Materials & Workmanship~ Shall Be ice Accordance with Recognized Good Practices anct of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make anv changes or alterations on same without written permission from the Department of Public Works, County of Butte. X O A ins Utility connections shall be withir 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. will be required for the I of the mobilehorns„ A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang, C.L&#K Or AU- EJ4Sfc .h&03 /8/E OUNTY IL ING DEPART/V APPROVED //d � M CJ I M G4 i ' ji.t'1cin 2 oi. Gr-lplb J16u4 V.0to! luE'-fJ='li i.u. br.+.\ (!u6e 3i)q ? ec jpc).r 41 :: 7:: ott L) t{' jkOW 11441 ;�r-�ttty ,� ar1J1 C3 A4l� 115:' y.r ?. ,SIL C)t ry nt + r�Ol K CCrt-{.A bt 83:10• 11Cui WO D£bC1►4wou} ut 6nF t!c OL CtjTWlQ+toW OU 4Q -,-.f pOnj b;- au +1r, }0p a¢ cll +!Wt�i aura s} �a tiuj.i,nZIi f r{ b, 1W QU9 i?i?t..t ,tiCClrt�.•.Z �/`�(cr'.� �?a nulictuu pilll,gl a, ��^I�J�S1jCt �l�iC'1°C�UIC(i( ht�4d f.,UC c3.� .p Cf91C�CLIi4C41pti �7t qir nuq i�IQ.I �__,dCl yya�c�ia�z �Mia►,VcuaWjjib 2NrT RO 10 a_. _✓ ORDER NUMBER ,YI • 4 - I~ RL R f. INCIDENT t�..7 ` ( START �O. — — FIRE NUMBER tR. NO. thry 1 2- O I ------- � EAjt COUNTY — C` �Q _ 0 �� J FIRE NAME: ASc�� . MILES N RANGE� ESEC.TOWN^S�HIP ❑S % ❑ � EAjt COUNTY — C` �Q _ 0 �� J FIRE NAME: ASc�� . MILES DIRECTION ❑FROM IN. NATIONAL FO(RLES-T, FIRE DIST., CIT,Y�B STREET NO., 5 OTHER �OA,) I Ei�; z u -`fit Z7ol f i&;k - Ibk--Cj _ 14p, 3 INCIDENT TYPE FIRE ❑ FALSE ALARM—GO TO BLOCK 10 RESPONSIBILITY 4A 413 N/ STATE ZONE STATUTORY O❑ WILDLAND BURNED OR THREATENEDRESPONSIBILITY 30 ElCDF LOCAL GOVT. CONTRACT �,AT ORIGIN) O❑ UNPROTECTED ❑ STATE 0 ❑ ASSIST OTHER AGENCY ,(Not City) ❑ U.S.F.S. LOCAL ZONE ❑ B.L.M. - 5 CDF LOCAL GOVT. CONTRACT ❑ B.I.A. O ❑ ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE ❑ OTHER ©O ❑ ASSIST FED. AGENCY (Not M17.) B ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CITY, CONTRACT CO., MIL, OTHER r(STARTS IN 0 0 o OR O ONLY) . NING ❑ DEBRIS ❑ PLAY W/FIRE FIRE ❑ ARSON ❑ OTHER/MISC. NG EQUIPMENT P6,LAND USE (STARTS IN 2 S OR 8 ONLY) DOMESTIC ❑ FOREST INDUSTRY ❑ RANCH -FARM ❑ RECREATION ❑ DUMP ❑ OTHER INDUSTRY-COMRCL. ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER DAMAGE ( TIMBER &/OR YOUNG GROWTH r WILDLAND VEGETATION (Other than T & Y G AGRICULTURAL PROD (Other than T 8 Y G) DWELLINGS &/OR CONTENTS OTHER STRUCTURES 8/OR CONTENTS VEHICLES 8 CONTENTS OTHER TOTAL 0 ra km ACRES OF VEGETATION BURNED AGENCY DIRECT PROTECTION ACRES BURNED CDF l0 5 OTHER TOTAL SIZE CLASS ❑ A .25 ACRE OR LESS ❑ B .26-9 ACRES ❑ C 10-99 ACRES ❑ D 100-299 ACRES ❑ E 300-999 ACRES ❑ F 1000-4999 ACRES ❑ G 5000 ACRES OR MORE O%u A nnw A 2 VEG. TIMBER WOOD LAND BRUSH GRASS AGRIC. PROD. CDF TOTAL RESPON. OF STATE U.S.F.S. B. L.M. B.IA. B.O.R. OTHER OTHER ACRES BURNED 4 ACRES BURNED v�� r+nn���� ( v'rCVCIN11V1Y nrt�a vivid SIZEDISTANCE (Origin to fi o I WEATHER (ESTIMATE AT SCENE) i I WIND SPEED (M.P.H.) I DIRECTION (FROM) TEMPERATURE (°F) 10 OVER PLEASE s coo CDF 7540-130-01 18 86 39857 f r - rRVICVCK EG.! R.U. IVUrviUCK I INCIDENT NO. S-2 YEAR �b 2 CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON FIRE RECORD Mo. E i OUTSIDE0 n oOlk8 AIRCRAFT SITE Enter 1ST. CDFFFVDis atch HOURS FIRE STARTED INSIDE1000OR 8 IZATION FIRE DISCOVERED i 1ST. ATK 1 . . } GO TO 1© "G 3 ' LOOKOUT: !If 1ST. or 2ND. report made by Lookoutl FIRST REPORTSITE FIRE CONTAINED t:Z -3 Z 2 CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT NAME: SECOND REPORT PERSON AIRCRAFT SITE RATION HOURS FLT. HRS. NAME: FIRST ATTACK BY CDF 110-O FIRE CONTAINED t:Z CREW OVERHEAD RECORD 2 CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME RATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. 1ST. ATK U.S.F.S. (Incl. Overhead) TOTAL CDF CREW OTHER FEDERAL Incl. Overhead) TOTAL A A s FIRE DIST. & OTHER LOCAL TOTAL •e�s't PAID HOURLY (E.F.F.) TOTAL::>:#::%:;r. r3A & lk CDF OVERHEAD TOTAL TITLE DATE V� INTI. DATE 42 ON FIRES. ENTER >:>.::<><:<:r %:'•::>:'• >: TOTALS BELOW ....... U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL Incl. Overhead) TOTAL FIRE DIST. & OTHER LOCAL TOTAL •e�s't PAID HOURLY (E.F.F.) TOTAL::>:#::%:;r. VOLUNTEERS (Unpaid) TOTAL `>'>`< ❑ FC -18B (Additional crew activity) ATTACHED 13A MAP r1 COMMENTS Isn MAP IS: X1 ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED StAx moC 2 o Mr o ' 4f ' n ORIGINAL REPORT BY: evaanVl:n RV. 14 SIGNATURE %� TITLE DATE V� INTI. DATE 42 ri L •. r r_. ri L •. r - - t✓ •*`� -`�' S?Fs7 �*�'�,�.. `r ..'_..--adcy...,y.r. ��.., -.'. gra-..�������,i�.�� FTE 050-001. ;1. 01-2465 -; R, WI'LMA. 1VIIDDLE HONCUT OROVIL + ELEC METER 2ND ' J i s DWELLING 19 OFFICE COPY Address 'a bar ELECTRIC 1 Date Meter By-_. COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-050-001 ZONING - BUILDING PERMIT OWNER TELEPHONE 74.E-1662 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUWG ADDRESS 1188 MIME 1401,407 RD. CONTRACTOR'S NAME 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 1188 MIDDLE 1101uM RD. OROV IE CA 95966 Energy Plan Checking Fee $ I PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE . SF ❑ Duplex ❑ Mobilehome ly, Other I 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 ❑ Installation ❑ Other. Describe Work: F'f .FX' MEM FOR Sr;(�()ND IiWFiJ It�t(: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .Dove oR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License La 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: compensation, as provided for by section 3700 of the Labor Code, for the r❑ I have and will maintain a certificate of consent to self -insure for workers' 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 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those ,provisions. /J///•i+'/ Dae f/i ..,� "�f _ nature of App cght - [3 Owner ❑ Contractor Agent - Ap OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To +000A 46.00 WEU200A NEW CONST. DWELLMq OCSUP. SO OR ADONS. ( & ACC. BLDS. 3.5¢FT. NEW gESID muLTI.OUTLEr @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. n @ 1.00 Ex. Occup. OUTLET OR FD(TURES SAL SD Ex. Occup.pIUT 1XEDg pap °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ Al. p. FEES IMP I FLOOD I CDF PARCEL POr HO 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. % C.�_. i! t. Date PERMIT EXPIRES 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 r Oroville, California 95965 r Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORfARCEL NUMBER 028-050-001 - AR 1 BUILDING PERMIT OWNER WILMA RITTER yZeONIING 1 LVI'6 i2 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1188 MIDDLE 110NCU'T ROAD, OROVILLF CONTRACTOR'S NAMEOMIS MOBILE HOME r ICY( M� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUILDINGADDRESS r� DDLE RONCUT, OROVILLE U Energy Plan Checking Fee $ $ PERMIT FEE $ [� LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE z SF ❑ Duplex ❑ Mobilehome IX_ 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 ❑ Installation ❑ Other ❑ Describe Work: M$I SECOND DWELLING ' Gas piping stem 1 - 5 outlets 15.00 Building sewer . 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service aOOvp00A OR LEESS 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.P 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. O 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 permitis 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.) P 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 forthwith comply � h those provisions. aa a3� X ( (.� Date �CJ- f / nt - Owner ❑ or �tAentg Signature 0 Applin Contract An OSHA permit is requir�or excavations over 60" deep and, demolition or construction of structures over 3 stories in height. Main Service 200A To +000A 46.00so NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( a ACC. BLDS. 3.5QFT: NON -ID. muLTI.O%TLET CuTS 97.50 OWER APPARATUS 8 SINGLE OUTLET Cw. @'' .050 Ex. Occup. OUTLET OR FIXTLIRESBA0 0 Al 5.00 Ex. Occup. °urEFTTS Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz o. FEES IMP FLOOD I coF PARCEL I PD I HD I IS This permit is hereby issued under of the Butte County Code and/or' indicated above for which fees have f `.! V By -f'- ~`. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ A j24 Date Receipt No. 2001231710.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 028-050-001 99-2478 BITTER, WILMA 2 MIDDLE HONCUT, OROVILLE CONTR: TOM'S MOBILE MHI SECOND DWELLINGI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. � (Rev. 12/96) APPLICATION AND PERMIT q�—7-�/ ASSESSOR PARCEL NUMBER 028-050-001 ZONING AR 1 BUILDING PERMIT OWNERHONE WILMA RITTER 7E SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1188 MIDDLE HONCUT ROAD, OROVILLE CONTRACTOR'S NAME TOWS S MOBILE HOME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fills Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS (� Xu MIDDLE HONCUT, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 14*1 nn LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Cg 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 ❑ Installation ❑ Other ❑ Describe Work: MHI SECOND DWELLING �-j �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoO' OR LESS 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 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, /dill do the work, and the structure is not intended or offered for sale. B I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00NEW CONST. DWEwNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5¢FT. No RES DT MULTI. BRANCH CIRCUTITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q L.00 BAL @ .50 Ex. Occup. o °S palp,°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 CK -0 one hundred dollars ($100) or less.) C 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 f rthwith comply w' those provisions. n X _J _ Date ir/ =7_ Si nature Applic nt - Owner ❑ Contractore�gent An OSHA permk is requi d for excavations over 60" deep and demolition orconstructon 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 $ 100 .00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ no HA2. p. FEES IMP FLOOD CDF PARCEL Pi HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abiave for which fees have been paid. dg By D to 7 PERMIT EXPIRES ON to Receipt No. UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I% FA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 PERMIT NC (Rev.IZS6) APPLICATION AND PERMIT A 2moRPARCELkiUmm I sown owp" OWMERs MALNO Mown CONTRACTORS hum CON WTORs mmum mm" CONSTRUCTION UNDOR amen mmum ADDRESS ARCH"CT OR eMOINUM A CPMCT OR 09MMS S UNUM AOORESS sULOM ADDRESS LOT N0. I SLA&V89Ns USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECSY TYPE OF WORK New ❑ Addition ❑ Remodel O "" tan ❑ Other ❑ Describe Work: //Y / BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION Fireplace Total Valuation S Fling Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee PERMIT FE PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S G WT— S 20.00 S S 91tng Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 EX. OCCU OUTLET OR FWTURES PERMIT FEE S MED Ex. OCCV MED APPLM. OR Esso. EA ELECTRICAL PERMITFlln Fee 20.00 23.00 Main Service �ooA aR u<ss 23.00 23.00 Main Service 200A TO I000A 46.00 NEW CONST. OR ADONS. ( — OWEOCCUP. 1 3.5¢ea EX. OCCU OUTLET OR FWTURES 39 S I'0O SAL .!0 MED Ex. OCCV MED APPLM. OR Esso. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 1---F-;Z;T.F1E3 IMP FLOOD Coi PARCEL PO I w I GSUE 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 A. P. # ^00 OWNER PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH 106 jW -..,,. J_,'.iya..`•r,M..v..-,fir-.��1�.y�.�/-�,,.••+..�t 1 �t..�' '�/7 kd' )sY+y"•31N"�-��N'vr ��`�nyrYk.�-^r' `�"y 'v V. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r `` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 -�" PERMIT APPLICATION DATA SHEET OWNER: I ASSESSOR PARCEL ER: � S�"Q�/ Proposed Building Use: A4 Building Inspector: Date: 0At time of permit application, I was advised the foH6W— ing data must be submitted prior to permit processing and/or issuance: Date Received By ❑ L. All items have been submitted .------------------------------------------------------------------------------------ - Plot plans, 3/4 sets, signed by the preparer of plans. ---ln� --- ue!L�:=u p ------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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. t8.Haza,.r,dous Material Form. ------------------------------------------------------------------------------------------ f CIUL4zr ro W-Af z1f factured Home data and installation instructions including Tie own Specifications. ------------------ of$ ------------------------------------------------------------------------------------- act fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. --------------------------------------------' ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 1 . lot plan and business license approval from the City of Biggs. ---------------------------------------- s Planning approval for (A) Use: (B) Parking: I------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for ` ,k L .}' required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 23 -Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). Letter of signature authorization. ------------------------------------------ a25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. --------------------------------- 27. Manufactured Home utility clearance. -------------------------- 28. Existing violations and/or expired permits. ------------------- i�I� ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: Whh',,you issue the p t, pro f�s/as lows ❑ Mail to owner, phone " W i hold for pickup at Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A Copy of plans sent ❑ Health Department, ❑ Fire Department, P Other: 1. Index permit application for the above items numbered: 2. Additional items required: I/ ' (Date) office. ❑ Deliv with inspector. 19A Date: at q% :jop Date: By: ❑ Plan Check List 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, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE v►' t 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ �2: SCHOOL DISTRICT FEES (paid at District Office) V3- SHERIFF FEES (paid at Building Division) 'Residential ........ x $360.00 = $ units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ ffumis 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) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # L —6J� —00 DATF� RECEIPT # DATE REC -P31-Is? i I 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 D Pursuant to Government Code ection66 20, y 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) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE ^y� OWNER A. P. -.00 / PROPOSED BUILDING USE DATE —< RC'rti" To RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... -- Additional Fees Due ........... r/ltevised Plan Checking Fee ....... rt Kt� 2. SCHOOL DISTRICT FEES r (paid aMis et Office) 0. 3. SHERIFF FEES (paid at Building Division) ` . Residential ........ x $360.00 = $ Units . Commercial (sq.ft.)... x $0:03 = $ Sq.Ft. titt42n1 ro Ltl4i Lt i9 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) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER L - 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/9,�, +, DATE ©f 9 Pursuant to Government Codeection "66(;0, y 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.) SOI4 rSncd� ;, .I . 0 tic-r,,c, polc- '►tfer- 310 Honc-QA R©cel Cal► - CO ► cog _o�o'� �� • 53�� N X J k � ----I - Nous � ?ro pc,se d CRnNNy FLFiT APPROVED Development Plan DATE USE PERMIT VARIANCE' MINOR U.P. *,,,-ADM,P,ERMIT ---PtA-ftNING COMNnS. DIRECTOR OF DEVELOPMENT SERVICES c RECEIVED 1 8 1999 — BUTTE COUNTY ' 'PLANNING DIVISION .` 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] NoPj Permit No. 5. Is the site an existing site? Y4'No[ • ] (If yes, furnish two plot plans). 6.- What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating?�/.� Amperes. 8. What is the electrical rating of the mobilehome site? aI DG Amperes., 9. Is the main service remote from the mobilehome site? Yes[-J"'No[ J if it is, what is the rating? 2, b o Amperes. t• 10. Is there any other electric loa o be"served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ No[ ] If yes, please identify the load and size: a) The mobile home site: Load- .9100 Amperes - b) The main service: Load- 11.. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ J 12. Size of gas pipe at the mobilehome site from the meter or tank: , inches. 4 13. What is the gas pipe length from the meter or tank to the mobilehome? Ao (ft.). 14. What is the mobilehome gas demand? 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 13CMN 1 RUI DING DEPARTMEN A P P R 0 VF= 8.5 Mobilehome Manufacturer: cicl Manufacture Year: If other than single wide, furnish Setup Model Number: Width: R_(ft.) Length:.ro (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treat dor foundation grade[t�] Other-. SUPPORTS: Concrete block[ v)�Other: Provide Tie Down Specifications for all Mobilehomes: d r-461/1 Pier Footings Sizes and Location SINGLE WME MULTI--WIME Line 1 1 Line 2 fin' e 2 ................................. ...... ... Main Beam+2 Line 2Lme 1 e 3 e 2 .............................................................................................Main Beams e 2 ................................................................ e 1 . es Tag" Triple 4 ............................................ ine 1 Line 1 Piers: Size minimum: r i.. 1 x r3o 1. Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x DO I Spacing maximum: From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings - Size minimum: [ ] x [ J. Each side of openings with width over: F 3 ` Line 4 Piers: Size minimum: ] x ]. Spacing maximum: ` From ends -maximum. OVER E.H. USE ONLY Plot Plan Attached Floor Plan Attac ad Sant to S.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance TI),44 P== 0 1") C - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Pr'vat Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: P-joz,� L-22AZZ2 I 4,B Environmental Health Specialist 8/96 Ll --t �7 6 Date r 11/15/1999 12:58 5305349694 BARNEY BONE /k;?.-'K0V ED Butte County Environmental Health D e Signature ON 1 PAGE 01 09z-0 12). BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Irp U ` Building Department No. A.P. Number ���I OO Jurisdictio City County Property Owner l `moi Property Location/Address 11914 M t Subdivision Residential Development EO' No of Living Mobile Home Units Installation Commercial/Industrial New A ditior Buildi Department Representative Lot No. ..............................................................................................................; i Sq. Footage 11 4 D Addition/ Supplemental to (Group R) Conversion Permit # `(No foundation inspection): ......................................................................................................I............ (Including Exterior ' t � Roofed Areas) (Floor Plans reviewed by'School-C District Identification No. o o O " t r t ( ' School District certifies that Address) (City) has complied with the requirements of Resolution No. representing 5V--t� - School District Represent Paid bvrCheck N square feet. W 1 rnz 14.,r - (Applicant) •e Number) (State) (Zip Code)~ 1('�o by payment of $ AB 2926 $ FULL MITIGATION $ I2-- 1-7-91�( Date r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA►, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm DEPARTMENT OF HOUSING AN D COMMUt It rY DEVELOPMENT DIVISION OF CODES AND STAPJDARDS s= P.O. BOX 1407 SACRAMENTO, CA 95812.1407 �r (916) 2S5-250.1 TIEDOWN SYSTEM CERTIFICAMON (To be completed by the mobiie�,ome installation permitte : or their represerazive) ^nrNaaw AN- nW) �— hereby.certity under penalty :, perjuryand in accordance with the provisions of ti .e Califomia -ode- of Regulations, Title 2S, Division 1, Chapter 2, Sac tion 1326 that the tiedewn system installed at r. (A.ddrsa) (Lot No.) (Zp C4d*) .ras not modified prior to or during the installation, anti was installed in accordance with fie tiedown manufacturer's installation instnicoons or in acoardance with plans and cpecdlc=ons of an engineered tiedami system. is-';( Note to lrsstallerx i Pursuant to the CCR, T25. Section 1326(d) upon completion of the installation of the hotne, the home manufacturer's installation instruction, the :approved plot plan,- a copy of the plans and specifications fcr an engineered tie down systern if used, and a copy of any raaintenance requirements for the tiedown system shaA be placed within the home for reter±tion. by the homeowner. Permit # Department use unry District Representative HcD-r AOM (Rev. sus) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date/ REV 10/92 .. +`---......r---_..,,-_--�•--•.-.�--.--+.R.�n-...,.,r+.�...-I'i..-�-�''S�:r,,^..f"C{r`'r''.-^+,-}-.sv�--< r-•,,..i--M�.r1�v���_•---r-�.....r.�"-+ir+'^�;-S'""'-` .„�-�,s�..',.r..�.-r: y,-.,_,.,r,,,.;.r.,,--�.-,.�.•^r....-r'�rc r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN:0 _V PERMIT NO.: Owners:`- Name:f//_ir^► Owner's: Address: Mobilehome � � Year of Manufacturer Manufacture: �, Serial number / or V.I.N. ` Insignia or HUD number: Official approving instltallbtion:y� If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is Installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor "COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �/� al-tt", 191C7 -t -- Date 1 i :�: 9-��Z In REV 10/92 C4�L Fk� PN rS cl, \1 Tea v- i> r Q va 0c. E114, C) %Y L Igo rG�1.._.....-------! - Air'P ROVED Butte County Environmental Health kacila- Ho rjcL4i Date Signature 0 - L%) tag -0 -- Pro pc,:5---8 N CkANNY FLAT .. W;;,;r; 7-0