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Home My WebLink About028-110-039a 28-11- r RAYMOND ANDERSON ri/Iy/9 8942 LaPorte Rd, Oroville✓• �f ` Permit#936-86B,E(new workshop q '•" 028=110 r0 '9' r_t PE' PMT#95-107'9G ��.• ANDERSON,' Raymond- 5140 LaPorte Rid -, t Orovil'le F �- Ag Exempt Permit=Stg,Tool`s &;equip:' Y BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541/t AGRICULTURAL BUILDING EXEMPTION PERMIT 1rp 00' PERMIT NO. gs Agricultural building is defined as follows: Agricultural building is a structure design and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This stru6ture shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.n,.� ZONING OWNER"� J,VWIOWNER' Y� U VK PHONE NO. 2-2 2 ADD ESS Z&Ic r v/ ,D LOC STI N OF UI G e USE OF WI DING f A I K , SIZE OF STRUCTORE X ' :_ ACE SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL k' CONCRETE, -OTHER (Specify) TYPE OF SIPING ROOF CO RI G FLOOR TYPE YkeAd_ ��el 1417 cehcV-L ESTIMAT D COST OF CONSTRUCTION $ '2"aO to , O v AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ► r�jj ` FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to compl with the require ):t,,,n eff t that time and before occupancy. DateZ .� Signature of Owner Permit Fee - $60.0022 The above described AG Building is exempt fr a building per it. Receipt No. Jl.o FL PARCEJ�P.D. R07ISSUE Manager Building Divisio B y Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant a PERMIT NO. 936-A6R�F. PERMIT EXPIRES 7 OWNER RAYMOND ANDERSON CONTR. owner. ASSESSOR PARCEL 28-11-19 LOCATION 4x'94* LaPorte Rd, Oroville Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E _ JOB FINALED (Date) Signature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. R 7 County Center Drive - Oroville,'Califorffia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING _ BUILDING PERMIT OWNER t / rIJ "I" n TELEPHONE SO.FT. OCC. BUILDING VALUATION� /YI `I %� OW," ;Ole �, f4,r �.� f��, lir ' '>� � OWNER'S MAILING ADDRESS ,� CONTRA'CTOR'SNAME - - i 11 1 ,V 1 In F i% - >TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _//^ rr UNKNOWN Total Valuation $ 7 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $� l +� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Arl Ener Plan Checking 9Y g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / 4 J irJ� � y )�I Permit fee $ 1W CZ- PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 / C/ro f r /lF 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 [I Duplex❑ Mobilehome❑ Other VlJ i, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 An TYPE OF WORK New Addition [I Remodel Utilities❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 191, 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 OCCU re+ I , OR ADDNS, l ACC. BLDGS. /20sq ft 1 f/r (q(, NEW CONSTR ULTI.OUTLE 2,50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20950! 5AL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ 9 j 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 shal l be deemed revoked. MECHANICAL PERMIT FiIIng 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X //� ��-// ` Signature of Applicant — Owner Contractor ❑ Agent ❑ � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ;1 occuP. CONST.TYPEJ I IFLOODIP2ELI PD ,[, HD+ 59UE• This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which — DIRECTOR OF PUBLIC (- _'. % By /i / "` � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date -9—/ P' . 4- / h—," 7 Receipt No. + � . WHITE-D.P.W., YELLOW-ASSES30R,*PINK-INSPECTOR, GOLDENROD -APPLICANT ,V- = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -B1 Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5.Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -.Tills -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 Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps - ____28. - Card B -I Card B-1 Date 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral "Yes ]No Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light _ ---- - - --- Date _ Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑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 Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 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 -_115V outlet Attic Access & Platform if Furnace in Attic ^ Date Card -BI _ Date - Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - -" Card -BI Date Card -BI Date Card -BI Card -BI nate Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except q's Comments 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-- loorNailing39. Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhrig -Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft .§ top-In'sBaffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville,'Californla 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASSE PA EL y BER —31 — / ZONIN BUILDING PERMIT owN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ILIG AD ESS ^ �� v ' ((� CON C O AM ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTIION LENDER ,i C— UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSn4 I /-q Porte- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap - 2.00 Oro 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 I / /q SF ❑ Duplex❑ Mobilehome❑ Other 1/V SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 110-00ea TYPE OF WORK New 5Q Addition ❑ Remodel ❑ Utilities ❑ installation[] 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 Busines$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their 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 OP ,/2QSq ft OR ACDNS. ( c ACC. BLCGS. NEW CONSTIRU TI.OUTLE 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@&300 eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County '. c �uence of the granting of this per it. IEIXDate Sig t e of Appl cant — Owner Contractor E]Age.t An OSHA permit is required for exc�avaations 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 F o PAR EL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By !' � PE IT EXPIRES Date the applicable provi- -resolutions to do fees have been paid. WORKS Date �i / �' D `r ` I� U Receipt No. S�h� � / WHIT[-D.P.W., YELLOW -ASSESSOR. PINI( -INSPECTOR, GOLDEN ROO-APPLICANT r I jt i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C�I,F¢R} IA 95965 - TELEPHONE: 916/534-4541 / (j I PERMIT APPLICATION BATA SHEET \/ OWNER Proposed Building Use, Permit Fee Based Upon Building Inspector Permit No. 014 40 i: /C)L?__�O� � A. P. No. Complete Contract Price DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED r 'Y.3 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 $ . .. . . . . . . . ter:Jtof signature authorizat• n. / 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 -Ins ection for Required- . . Pre-Inspec. request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 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. nther 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.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail „ By Date Plans checked byDate Plans approved by —PV/— Date Other: Copy—DPW Other I To: Building Department From:, �,nv ronmental Health Subject: -Sanitation Clearance Owner Plan Approved for: Hold final for: Final clearance O.K. for: Locati( Sewage disposal water supply water supply water supply Clearance for bedroom mobile home. Other NOTE* SanitarianI &LLi 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 i provement (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: Property Owner Social •Secur,it Tum r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. *T10/ std e 4)2d1e)r--4'v ?0/ //e '(�9�z Z,, /p, rfr R, V) pw-de/# a-ZOP-1/-a-o19-e A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerftne shall be clear of structures or equipment except for a 2 ft. eave ovPr",* r.'- This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. I J I /Your e W xga' .�'tTE_+G'�OUNTY BUILDING DEPAPTKAr-N s AP 4AROVED 3AO ddv S o A � dN3{N4dd5Q JNIQ�IfI� n2 ALMOD Uwe � o o O(D n ZE \ En d x X O d CL 3 \ 1 s� N \ \ V 'AS iW 03/ 1N3 -M10 W. N O N �n v W O ro H 91-1 r% ' 0 O (1 ti k d C W O ro H 91-1 -/lGgale rs W,?4 do ws 3Xyvl vi twit i X/� dvif v-Ae UP a V, gllp2r h eade, �a a9 G� 6'd FYRYYI �- f�e a r .SCjq NOTE:—AllMaterials & Workmanship Shall 8o is Accordance with Recognized Good Practices and of a quality prescribed for the Specified use_ in the D'OA-.: 4Gw Y 'lX11 " header B6V "'i�'�orizo�i�r� �' �9 11 od jzuOwn �e f "a�s�riP1' Y,acI HO re Col BUE COi ILDING DEp,, AppR 1(4:� zq-7' r�X �uDP Roof" c= oN oof w; 1/ �c g aI lanY2 e eY- op Y' Ak cc C�f a l � IF"pvcYh4y