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028-210-049
t 9,4-1389PE(MH) 028-210-049 M AR LD FORREST 04) 1 GOLD PAN CT., BANGOR ° MOBILE UTILITIES 028-210--049 PERMIT#94-130AG -ARNOLD, FORREST ' ELECTRIC �Q�C(%Xiti�. ` 171 GOLD PAN ICT. ; BANGOR AG EXE PERMIT -HAY &FREED STG ' GAS LINE- A COMPACTION TEST 'SUPPORT STRUCT _ Q`2 _21.0_ 49 94-1630 " i ARNOLD ST & WANDA - I F CONT OWNER T "N ,17 GOLD PAN CT, BANGOR "�jiI�3TALL MH 028=210-049 _ PERMIT#94-2876 ARNOLD, FORRE ST F171 GOLD PAN CT., BANGOR 7 /97 AWNING/MH 1 � --.— 7-.o m RESIDENTIAL 028-210-049 PERMIT#94-2876 ARNOLD, FORREST 171 GOLD PAN CT., BANGOR AWNING/MH loloq '9q 13 W-1 "A JOB FINALED (Date) '�7' Signature 4 J=OK u O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except It's 1. Zoning Requirements-Setbacks-Easemenls 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete '4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ .'Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector + 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 cy MISCELLANEOUS Date DECK ' OVER , CARPORTS, GARAGES, (Plans)OK except It's o ' - equirements-Setbacks-Easements t__2-V&otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Sh fg.-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidin ; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Da rd B-1 Date Card B-1 Date fard B-1 Date Card B-1 Date POOLS (Plans) OK except If's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK ' O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL` (Single & Duplex) = Date UNDERFLOOR (Plans) OK except q's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples' 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ ------------------------- 17. Water Pipe; Test & Anchor -Nail Protection - ---- -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ----- - ------------------ -Shower,Pan; Test, First Floor -Tub Access ---- - 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------- ----------------------------------------------------- Date Card B-1 Date Card B -t --------------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ----- ------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Ed,ge..of Studs & C.J. ----------- }--------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water --------- ---------------•------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Con'ductor Size!GFI --------------------_-------------------=---------- ------------------------- 28. Subfeed Wire Size r.'/ ga.'Cb,or AI-A.C. Wire Size / 1 ga. '1 CU or At -----,-------------=--------------------- ---- 29. Range Circ' / r ga. Cu or AI -Oven Circ. / . / ga. Cu or Al. Insulated Neutral _ ❑ Yes- - ❑ No ------------------ ----- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------=------------------------------------------ _ _ 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------- - ----- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------- - ------ ---------- ------------- - - 33 Smoke Detector --------------------------------------------------------------------------------- ------------------------------------------------------------------------------ --- Date Card B1 Date Card B-1 -------------------------------- - ----------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ----------- --------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- ---------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------- ----- --------- 37. ----- -37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - - --------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------ ---------------------------------- ------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------- ---------- ------------------------ 41. Bearing Walls over Girders & Floor Nailing ---------------- -------------- ---------- 42. Draft -Stop -in- Walls (rat proof) -------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub --- --- ------------------------------------------------ 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- - - _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ---=------------------ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------ Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ 62. Smoke Detector ------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------- ------------------- - 64. Bedroom Exiting -- ------ -..... 65 -G --F.I & Bath Fixtures & Tub Access -Spa ------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ 70. Kit.Fixt & Appliance; Grnd -Air Gap -Cooking Clearance -- ---- ---- -------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------------------------- - - - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ---------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- -------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------- --- 78. Guard Rails & Deck -Const ruction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - ❑ Yes _ 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco Brown -Finish ---------- ------ 82. A.C. Unit; Disconnect. Electrical, Plumbing ------------------------------------------ - - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -- - ----------- -------------- -------- 84. Water Well; Disconnect, Electrical, Plumbing -------------- -------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - .. -- - -- . . - - - - - - -------------------------------------- 87. Glass Protection --------------------------- 88Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric - --------------------------------- 90. -----------------------------90. Water & Sewer Connected -C/O to Grade -HD Approval ----------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------- Date Card B-1 Date Card B-1 ------------------------- --- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF•Di�IELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ^�FJRM,IT NO. APPLICATION AND PERMIT --01 ASSESSOR PARCEL NUMBER 028-210-049 ZONING A5 BUILDING PERMIT OWNER FORREST ARNOLD TELEPHONE 520-3030 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 513 BANGOR, 95914 940 C 3,120.00 CONTRACTOR'S NAME OWNER - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63. oo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.95 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 171 IN GOLD PAN CT PERMIT FEE $ 123-95 BANGOR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 , Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O MobilehorTKX] Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ElOther Describework: 10X24 AWNING SPA #114.95 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2""ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO, OR ADONS. ( & ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPWS. .1 EORA. ( ) OUTLETS IRESID 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Certificate of Consent to Self -insure. \NltiBuilding Division a Certificate of Workmen's Compensation Insurance or a Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. ce to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and arises which may in any way accrue against said untKytvtAnsequ c f he nting of th- permit.— X *ure Applicant- ❑ Owner ❑ ontractor ❑Agent Date �� 47q y a An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �yocc 0 r CONST. TYPE TOTAL FEE $ 123.95 HAZ• D. FEES IMP FL000 �" CDF —' PARCEL PD —` •� HD ISSU This permit is hereby issued under theapplicable of the Butte YCount Code and/or Resoutions indicated above for which fees have been BY 0ate PERMIT EXPIRES ON LD e rel provisions to do work paid. C J Receipt No.J'��, WHITE-D.D.S.-B.D.' ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i �,Y1 . �.ary.ar' �lY�,�,�„y,,,�(`h� i�`,,:iq,�}.�,r,�.�;anz�c�e...t;��'i"`�`.'�"Ys`�'�'��"`.'r�.`�'T".1��•'"""''T`+.'fir, COUNTY OF BUTTE -DEPARTMENT OF PMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER (-,A Proposed Building Use PERMIT APPLICATION DATA SHEET P. No. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs,•3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome 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 C`,lif rnia Engineer .................... 4 14. Sanitation and plot plan approyal iHealth Department . ............�� �8z 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). .. Freanspedion n:q.ues� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................:'. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation J Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _`mail ., Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nter by_ Date Plans checked by Date Plans approved by Date ,0 -Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USS ONI,�G Plot PI= Attached lei Flo" PLo Attached Seat to B.D.— TO: Building Department FROM' Environmental Health SUBJECT: Sanitation Clearance Alewo f7 Owner Location #9AIv 6an� AP# Plan Approved for: Sewage D' Water Supply: Public Private Well Clearance for a Oth r /U / T A w Nwc--, Hold final for:l Final clearance NOTE: K. for: Environmental Health Specialist R/9,) J — oc % / Date COUNTY OF BUTTE Department of Develdpment Services ' Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I,p�rsonally plan to provide the major labor and materials for.construction of the proposed property improvement es r no) 2.(have have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5.. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:,�/ Property OwneriZ— t /c2l'1,4112-26k Social Security Number Date M -/7—P7 NOTE': This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. • This verification must be completed and returned to our office before we are permitted to issue the permit. ' _ I .. ' �,pz`�����'-' � ' I � � i I I . 1, ,ij ;... '/ (i ll ' �i'/ � •� 1/ En M, er ai t �t?aiti I - 1- CT 1 1194 I _:-t- ! rov ile, stir ,^lrrna I - ------ - -- - -- l•- I ..... ..... ... d!s� iiic ���_ .6 lltoQ - - — I t pl ns n ndt is ith set. -.- - 11-tiliter es .Sal a vN - f 'o at Otto e. ubt �._ i r_[A• �' e of I -- --- - -- J -ACE � e ahy � �e..fio�r i peipa- - - �..- --�-.... _ roil s- �� •--; .... _; ! I ...� � � .._. ! .. � _ , � • I�-�-- I- � .. � .f. _..f.---�. y,,,; .fie _ •__ . _ .. ... .. - f B ' I i i ; .i .L..... I I ,� � i- � I i I I ' I-.'n;i•Zi!•i-af1�(�l%rr�4�'.., i�._lr.. �a1,(Id-`... -;--- e .1 • _ ! � .. � .. � - 9s I lv � �qc •• :itie 1 in �W �� A i an a w�ii' rA�� f.. _ _a.Spe4 I od S a I r sc e 1.. i i I nit e. - 1 - i +..... i . ...`._. -_. — -- _. — I e a Iced ire baf re quir m ts I Jusibe 0 18 L,K 1cd EWE BN I . _-• I �n..l1=IDE1 T.-.()J -F R . TF#Y _ ...-- --• - ---- •- -• pro .ed as ut :,itt d ` - -- -- - - a pro ed wit cc edit on I I r al adi ed 1io, is I C DI - -�- .. .- I- -. _ -� .• LL STRU Uf ES D EQUIP EA - g -- -- — I - -..... ... _- -.._ FC _ THEROA) c _r�IiiER }N SN LL eE I -I LE Fi >_ ; TR CI liR C ND ^cQ I -�--- - - - - -- I vFa: 1 ........- _ ......- .._...._-) --- OR a2 Fr. EAV` 1,'t. IaR I ! .1 i BUILDING DWISION `'' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-77t AGRICULTURAL BUILDING EXEMPTION PERMIT / ERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure deS* ned and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This//structure 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. ASS S PARC L N ZONING OW E -R PHONE NO. 1-6rN48t A 0 n Oki OWN R'S DRES ,, Act 9- 91 P7 LOCATION OF BU IN 21 7el Q'11 g) ell r USE OF BUff INGLecdL ®r (0&'� SIZE OF STRUCTURE X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME -X— STEEL CONCRETE OTHER (Specify) TYPE OF G ROOF COYERING FLOOR E ffI C )4& te ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: !�5� r &-e, FRONT /''V"� SIDESma'`'y"' 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 comply with the requirements in effect at that time and before occupancy. Date -024 Permit Fee - $60.00 Receipt No. Signature of The above described AG Building is exempt from a building permit. FLO�D PARCfeL P.D ROOFI ISSUE Manager Building iv' v � By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant w �+•v� �r�..y..-rn-��'T'�u--�7'�Y''"iI`}.+"'"R^1�y"�'�'�^�.�/'�..��„h'�"T�I.a�YPiyl�nc+��f Y�.J7���:::w%ti+�'he'T7 % .. 4f 'E COUI�J�TYOF BUTTE - DEPARTMENTOF DEG - BUILDING VISION : Vpt� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-754 1 3 PERM ITAPPLICATION DATA SHEET 1, 1#7 11 71s, OWNER A. P N Proposed Building Use Building Inspector Date �,;)!d'4 At time of permit application, I vWs advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ........ .............................. 2. Plot plans, 3/4 sets, signed by preparer-of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 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 HeV%eepartment. ............ 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 ab A) Improvements (B) Drainage . ........... . 19. Driveway permit (construction approval required prior to occupancy). ..........InaInspectimreap est 20. Pre -inspection for required. .. to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Own6r-Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . ......................................... .................. 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. .................................................. . 33. 34. When you issue the permit, process as follows: _Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage ApplicantDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by'- Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 0 i { i e �. • BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT NO. - 1 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This-Mructure 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 PARC NO. araE�.O ZONING OWN -ER PH NO. OW , 'S ADDRE LV o-6)( LOC TION BU DIN USE OF BU ING SIZE OF STRUC , RE �� X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SI I G ROOF QOVERING FLOCA TYnP�E'� r , c'rh ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 5 m l�f� 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 comply with the requirements in effect at that time and before occupancy. Date ; )0 -CIS l Permit Fee - $60.00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit PAJ ! r"� FLOOD P R� P.D. ROOFJNG ISSUE 1� 1 Manager Building Division, . BY E _ h Date J �� White — DPW. Yellow — As. es. r. Pink — A I (_nl.l--d — Aoolicant I RESIDENTIAL 2 94-1389PE(MH) 028-210-049 ARNOLD, FORREST 7`71 GOLD PAN CT., BANGOR MOBILEHOME UTILITIES JOB FINALE Signature OFFICE COPY Address I GAS Meter By Date '4 1 Meter By Date T � •5 J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES = 4 Date MOBILE -HOME UTILITIES Plans OK except #'s { i on>i equir ents-Setbacks-Easement=_ oils; p tial MH Support Sketch e tion -Test -Fall -C/O Concrete a ; Location -Test -Easement Needed (Sk ch) A�Oripkricity: Location-Clearences-Grnd-/ p -Concrete as; Location -Test - a ' /"L"ft. / /"Nat. or& 'L"ft. "LPG E -44 -ell earance & Disc nnect Clearance Date ?,Z J_OCard B Date Card B-1 Date (- Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances Dra' , MH Test -Fall -Flex Connector r; MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval Ga n ,Electricity Tagged / Insp.-Sketch Cert. of Occupancy Date't` /Q Card B-1 Date Card B-1 Date I f Card B-1 11 Date Card B-1 �2 i-i9`y iii ��y95�y CA- L, � 77 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = 06_. O = Not OK , -=Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except f1's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Iia. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1' Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------ --- ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ----------- ---- -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ---------------- - ------------------ 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access - --- ---- 21. Gas Pipe: Size & Anchors Date Card B-1 - Date - Card B-1 ------------------- ----- --------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except fr's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- ------------------------------------------ 23. E-lec. Receptacles Spacing -Lights & Switches at Doors -------- --- - ---------------------------------------- ----- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. ------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------------------- ---- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga. -------------------------------- Cu or AI - 29. Range Circ. ! ga. Cu or AI -Oven Circ. / I/ ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ---------------------------------- -------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------- ------ --- ----- ---------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. -------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------- --------------------------------------- 33. Smoke Detector ------------------------- --------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------- -------------------------------------------------------- 35. Vent Fan Exhaust above insulation --------- ------ ------------------------------- I ----------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------- -- - ------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ---------------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic ---------------------------------------- --------------------------•----------- Date Card B-1 Date Card B-1 ---------------------------------- --- -- ----- ----------- ----- ---------- ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except u's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------- - 41. Bearing Walls over Girders & Floor Nailing -- - --- --------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance ----------48.--- Attic Access; Size & Rome Protection -Draft Stop -Ins. Baffles - - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- --- 55. Siding -Nailing Veneer __ - 56._Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ------------ -------------- Date Card B-1 Date Card B-1 --------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------- 62. Smoke Detector --------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------------- - - ---- 64. Bedroom Exiting ------------------------ ___________ 65. G.F.I.- & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------- ---------------- 67. Stags & Rails ------------------ ---- -- --------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- --- - - ----- -- ------------ ----- - 71. Elec. Outlets & Receptacles at Kit. Counter ---------------- 72. ---------- 72. Garage Fire Door: Swing -Landing -Closer -------------------------------- Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. -&-Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection •----------------------------------------- 7i. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------- - -------------- 78. - Guard -- Rails- & Deck -Co Caps ---------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------- --- 81. Stucco: Brown -Finish 82. -A' -C. -Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plb A liance-Fire lace. -Clearance to Openings - --------- - ----------- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------ 85. Exterior Elec. TriT;-G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------ -------------- 87. Glass Protection ---- ------------------ --- ----------------------- 88. Corrections from Previous Inspections - - - - - --- - - ---------- 89. Gas Test -Meters Tagged; Gas -Electric__ 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------- -- ------------- --- 91. EnergY Compliance Certificate -Other Certificates -------------------------------------------- --- --- Date Card B-1 Date Card B-1 ---------------------------------------------- -------- Date Card-B-1Date Card B-1 ------------------------------------ Date Card B-1 Date Card B-1 Comments at Final: V ct MOBILEHOME INSTALLATION ACCEPTANCE"*— COUNTY OF BUTTE "WORi(T — 7 COUNTY CENTER DRIVE DEPARTMENT OF PUBLIC OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 53-8-7541 PERMIT NO. Address or location of mobi lehome / Zz ea Owner's name .4 An /� Owner's address 4!!-, Insignia or hud number Manufacturer's name Serial number of V.I.N. A?lIr RS6l21-1 11el'I Year of manufacture ciar Apprav4A'q-Instcd7otion IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow Installer, Pink - D.P.W. :7 T COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 A 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE `OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address an ,�5,hould be corrected. Please notify this office when correction of work is complet d If yo ave 'e' -, . .s office off C:ny questions pertaining to this matter, or need additional explanation, please-conta. immediately. J! AK�190 U s-61A"-r--11rz1 . j e-'om' 4w'�VIDe- 4!V-4,�M Date H Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI DIVISION - 7 County Center Drive - Oroville, California 4,5965 - Telephone 1916 -7541 PERMIT N0. APPLICATION AND PERMIT f 4Qq- 13 92 Tff PAR�bNUf�1 Ea ��AfJ �Pfj10LDjL�O' ZONING A5 BUILDING PERMIT OWl'N.R[E[ S��TJJ 030 SO- FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 513 BANGOR CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ LL'YCA[T Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 171 mu) PAN cT. BANGog PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME JP CAL MAP jJ 123' Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex ❑ MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W `20'00 60.00 TYPE OF WORK New O Addition O Remodel O Utilities�� Installation O Other O Describe Work: PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 800V OR LESS 200A OR LESS 23.00 Main Service 1 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. 3.50 FT. FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS , & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , BA20 @ 1.00000 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. hd_l shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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/ Date / 7 01 Signature of Applicant - PI -Owner O Contractor IJ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 166.00 HAZ- I D. FEES I IMP —' FLOODCDRCEL PD UE F A�— This permit is hereby issued under the applicable of the Butte Count Code and/or Resolutions y indicated above for which fees have been By PERMIT EXPIRES ON (Date) provisions to do work paid. //��/ Date $,7 J Receipt No. 162693 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,. •i:i ,..,a- ,. .+ren.. :,�... ^•'.5.•�...rr , .tX.-tr •.: v, rc!•/r K•:Q1+t�Kv..yl..i :lr..t,nj .. ...G`- "r".r't'N , .!'�'Liiri turn•.., .ir-•. ..,...r.,., 4*;i'Y:-.+."Gy,;. i irt/Yy,: 4 t COUNTYOF BUTTE - DEPARTMENTOF D�y%ELr.?MENTSERVICES -B W'DING DIVISION r a 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEP E (9)"8-7541 PERMIT APPLICATION DATA SHEET OWNER Q ✓' ✓ (i V E.H. USE ONLY. Plot Phu Athc6ed Floor Plea Ansc6ed Seat to B.D. _ TO: _ %. Building .Department FROM: Environmental Health SUBJECT: Sanitation Clearance cqOwner / Location / C , Plan Approved for: Sewage Disposaly Water Supply: Public _ Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: Environmental Health 8/92 -j-16- AP# Private Well 6 Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y, 2. I (have/have not) —4,2± 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 No,^ Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name - Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA'95965 - TELEPHONE (916) 538-7541 OWNER F©r' - D1 A.P. i �5. � /1 G' PROPOSED BUILDING USE /� /% DATE. REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x -$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department), Residential (per unit) x =$ # units amt.. ,Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) ... .......... 6 . SRA FIRE INSPECTION AND PLAN CHECK - $89.0 !O (O 7-2) Zip, (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the -above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 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 P E NUMBER `� , O ,1C,> �I_ ( ZqN� /70 BUILDING PERMIT OWNER '0 rrC� f r n 1 TELEPHONE -303 SO. FT. OCC. BUILDING VALUATION OWNW MAID ADORESS o x S l a n r %l IJ CON TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU 11 LENDER to 10— UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITEV, ENGINEER e LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS (S Old Aja h C f I PERMIT FEE $ 19 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 6017001- . Solar or heat pump water heater 23.00 LOT NO_ S �-- SUBDIVISION'S NAMECEL MAP Water piping '15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G @20.00 ,Q TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities Installation C3Other D Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( eooV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLDS. ) SO 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am,a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ' License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason .NEW.CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 I POWEL"APPARATUS ) 1 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 O Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's- Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ B Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE $ HAZ. I D. FEES I IMP I Foo C0 PARCEL PO 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. BY Date PERMIT EXPIRES ON lDeteJ /_ / Receipt No. (SJ (� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Returnto:, .4GRICLTLBTRAL STAT1�;N�QF A'CKNOWLEDGEWNT Buil!ing Division EQR RE$JUDElti'TIAL D£VELQg ,% �-- — J94-024597 Section 26-8.1 of the Butte County Code requires this acknowledgement be Morded prior to issuance of 8 building permit, NOT COMPARED WffH ORIGINAL DOCUMENT The property described herein is adjatcnt to land or included within an area zoned for agricultural purposcs, and residents of this property may be subject to inconvcnicaccs or dis.�mfort arising from theuse of agricultural chcrnicals, Q] including, but not limited 9 to herbicides, pesticides, and fertilizers; and from tb'e pursuit of agricultural operations including, but not limiied 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 an "".,idents withia said zones and on adjacent property should be prepared to accept such inconvcnienct or discomfort from norazal, necessary farm operations. i' All that real property situate In the County of Butte, State of California, described its follows: Date: State of Cal rrJa ) County of i7f51i__. ) pn 'i `r before me, personally appeareddl ✓ll� PROPERTY OWNERS: personally known to (or proved to me subscribed to the vi*Z�nstruiQ annA capaclty(les), and .� — _ glia OL -0 - basis c-tom% basis of satisfactory evidence) to be the person(s) whose name(s) is/are Sed to me that he/she'they executed the same In his/her/their authorized on the Instrument, the person(s), or the entity upon behalf of g�eaameatsmrrrrrrrrs■tar�ratrrlg3 seal: DANIEL F. HUNT A Butte County �y My Commission Expires 00L 1. IM e �aarotao®aarav®o�rrmtevrte®r�Si EXHIBIT "All ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 5, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 16, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 52, 53 AND 54. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES OVER THAT PORTION LYING WITHIN GOLD PAN COURT, AS SHOWN ON SAID MAP. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 1, 2, 3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 16, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 52, 53 AND 54, LYING WITHIN GOLD PAN COURT. F 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville., Calif6inia 95965 - Telephone (916) 538-7541 PERMIT NO. J APPLICATION AND PERMIT 9 �6 ASSESSOR PARCEL NUMBER 028-210-049 A5 ZONING BUILDING PERMIT OWNER FORREST & WANDA ARNOLD ,TELEPHONE 520-3030 SQ. FT. OCC. BUILDING VA ON OWNER'S MAILING ADDRESS PO BOX 513 BANGOR 95914 CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 171 cnT,n PAN CRT PERMIT FEE $ 43.00 BANGOIR, 99914 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO„ SUBDIVISION'S NAME PARCEL MAP /2 3." 5� Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome .C_k Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.0 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation Other 1:1Contractor Describe Work: 2 BEDROOM PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS 200A 0R LESS ) 23.00 r Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC U P. OR ADDNS. ( & ACC. BLDS. I $ 3.50 ST'.' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification CEJ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ l.so Ex. Occu FIXED APPLNS. OR p' (OUTLETS (flESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a rtrficate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 Count n conse en of the nting of this permit. X Date Signature of Applicant Owner WCOntractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 143.00 HAZ D. FEES IMP FI OOD CDF PAR L Po HD IssU� V 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 l(% / 2411 PERMIT EXPIRES ON 6 ! atcl Receipt 166847 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERQ .x 6 .- U ZONNGf7" S BUILDING PERMIT OWN, �w o�2� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S, AIU G AD RESS - I� _3 U y CONTRAC7CT/VNAI/VyE J&F TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 3 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 3 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehom!X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities �O ^Installation Other O Describe Work: �t'(/ / PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( IV OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B L. .550 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23,00 Mobile Home Facilities 20,00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all agai st said County in consequence of the granting of this permit.X Oate liabilities, judgments, costs, and expenses which may in any4deeand Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ //00,,90 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. O. FEES tMP FLOOD COF PARCEL PD No ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON IDetel `6 /S�7 Receipt No. / (/� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER No. mak Proposed Building Use Z Building Inspector Date C1 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 . ...................... ngineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... /D Fees f 1. Impacttfee es as -shown on attached schedule. ....................... o 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). F;"Sp,Ctionrequest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... 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 violdtfons/expired permits . ..................................... . 32. Plan check list . .................................................... . 33. 34. - When you issue the permit, process as follows: _\/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by C>�� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE — DEPARTMENT OF DEVEL ORIENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE_(916) 538-7541 OWNER A . P. # PROPOSED BUILDING USE 6/ /� DATE O Ro (%lV �^ REC. # DATE REC SCHOOL DISTRICT FEES J (paid at District Office) ......................... -------------- 7P 2. SHERIFF FEES (paid at Building Department) Residential...... x unit amt. Commercial (sgft). x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance. of the permit. APPLICANT DATE tom'. i Y:'•�Tif' .�,�'i 'tt,��r{-�'�'�.� � �7�m :yi�?MG�a��lr�eu�:�.:�r1c1�i �,jy'xT*4''.,.w� .Rc�i'.'r"nr�'7�^'�f' �--..hw...a+lrtaR�,.«,Y.... .. .--•.�..,.5 i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM , (One Form Per Building) School District /7 S t Building Department No. 'A.P-. Number 1-1G r7 Jurisdiction City ®�unty Property Owner. �.�t�S i�yd L D Property Location/Address �� % C.— 6)L-0 �fT G�, Subdivison Lot No. 1 - Residential Development Sq. Footage l�(7/_ No. of Living MHI Addition _(Gr. up R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) 6hh Building epartme�Ykepr sentative Date (Floor Plans reviewed by School District Personnel) District Ider (Street Add ration No. 5.9 4 018 7 ; `' { } C,trirr 4W SchoolrDi trict certifies t 0r (Ap licant) (Phone Number) 0 -u_cm r (City) (State) (Zip Code) 4 has complied with the requirements of Resolution No. / f��' �� ' by payment of $ z21A&<�_az_ representing square feet. q I School District Representative Date Paid by Check Number Bank Number Paid by Cash Remark 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 PlanningiAgency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.pr$ject 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) feeformmkt (4/92) ` ` !-�' ' ---- --� Sell of plat is al id S )Gci Icat on Uff moon FT AA FOR tr�W de Oct jtw CAUF MEP r. ol OD vzr INCILU S;gn,, iure /I ;VORHANCS SHALLERE C�EAR OF ALL EASEl-MENTS FROM, rHq SI -PE �NQ 17 .14 MONT Hat FJ 1110 t =�` !`��11-�|''1--�-'-�� - -�- �--�--�-- '/----- 0 ul 5-s j rr All 0 ul 5-s j rr 0 ul 5-s j ACDF --FIRE `SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 0-- 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards ( 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appirtezant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade., Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of veri^�:l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 0 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�1 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1. 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of : 3.-, Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. VA 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or fi_ral inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME T J 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [� 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ J 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. VA 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or fi_ral inspection of a building permit. Page 2 of 3 AP # 9 L(--f3pf PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: /�-i2�tJ0 L 4{ NAME - Class A or B roof - Enclosed eaves [ J If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [l Date Signature Page 3 of 3 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 0 2-. Installer's Name:j.rS� %J_ Jnr, (op 3. Is the site currently under permit? Yes No F� (If yes, furnish permit number J/– � � ) OR Is the site an existing site? . Yes No P— (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 E�— No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 106 Amps 6. What is the mobilehome site service rating? ------------- �F :�,��,�� Amps 7. What is the mobilehome site circuit breaker rating?Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes Z No a (If yes, identify the load and size: (Load) AO (Amps) . 3 y 9. What is the mobilehome site gas pipe size? -------------- (in.) XP g- ------------------- 10. What is the t e of as service.. Natural 'LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------=------------------------------- .moi-► (ft. A' * 12. What is the mobilehome gas demand? --=------------------- 14L() 000 ( TU) s *(This informationnot required if pipe length less than 6 ft. natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLI' A o �� J MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Pnbe,r+� furnish Setup Model No. Year Width' (ft.) Box Length_ -got.) Tagalong or Expando.Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuraal- lsettup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 21. Concrete block.�.2. . Other (specify) Pier Footing Sizes -and Locations SINGLE -WIDE MULTI -WIDE f�Line 1 �,,, Main Beams Line Main Beams ------_——__ _ r Line 2 r.i Line 1 Tag or Triple. Line 1 Piers: Line 1 Openings: Size -Min. --------:--- Size-Min.------------------- Spacing-Max - ----------------Spacing-Max- --------- i Each Side of Openings From Ends -Max- ------- ' " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min -------------- Size -Min -------------------- Spacing-Max ---------- ------------------Spacing-Max---------- �_ __ Spacing -Max .-------------- From Ends -Max..------- '- O " From Ends -Max .------------- Line 3 Roof toads: Size -Min.------------ x "x "x 'k "x "x "x "x " Location (From Front) Line 4 Piers: _ Line 5 Piers:, .(Uride.r Bearing.Walls Size -Min.------------ Size -Min------------------- Spacing -Max---------- �_ Spacing -Max.--------------- " From Ends -Max.------- '_ " From Ends -Max.------------- Line 5 Roof Loads: Size -Min ------------- „x „x 11x „x ,y� ,� „x ,yX Location (From Front) I COUNTY OF BUTTE - Department of Public Works 7• County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Gla ✓c uo �- 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 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.