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HomeMy WebLinkAbout028-220-032-22- $A Joel Pitter ��� /;P.> E/S LaPorte Rd., 3.9 mi. From E.�anjor ` ontr: Earl Wood, Orovilb- 'Permit #144_8-76B(addition/SF) 28-22-JaSa Contr: Waibel Electric Permit ##2065-76E(elect. for 1448)f _SF 1 C �I / /0—"* 28-22-11i 9a Contr: Rex Plumbing Permit ##2 X01-76 lb for 1448-76) 028-220-032 PERMIT#94-3355 PI TER, CHARLES �, �p MILLIGAN LN., BANGOR CONT: D & D MOBILE 1'� MH UTILITIES FOR 62/1200 I ELECTRIC 452 06 /OQri� GAS LINE/_�C 3W 020 COMPACTION TEST REQ ­)tV SUPPORT STRUCT REQ 028-220-032 PERMIT#94-3370 PITTER, CHARLES 4?(pMIL1;IGAN I;N . , BANGOR CONT. D & D MOBILEHOMEp 1- MHI _62/1200 � 028-220-032 #98-2444 PITTER, CLAIRE 94 MULLIGAN LN" BANGOR KEN APPLE/K&J APPLE INC INSTALL GAS INSERT TO F1 028-220-03298=*4f PITTER, CLAIRE 94 MILLIGAN LN. BANGOR OWNER GA_S LINE FOR FIREPLACE 028-2 0'032 01-156? PITTER, E �S ) 94 OAK DR. CHI CONT: MAINTENACE P GASTIPE INSPECTION 0080- dao - o 3 ZL I � -22- $A Joel Pitter ��� /;P.> E/S LaPorte Rd., 3.9 mi. From E.�anjor ` ontr: Earl Wood, Orovilb- 'Permit #144_8-76B(addition/SF) 28-22-JaSa Contr: Waibel Electric Permit ##2065-76E(elect. for 1448)f _SF 1 C �I / /0—"* 28-22-11i 9a Contr: Rex Plumbing Permit ##2 X01-76 lb for 1448-76) 028-220-032 PERMIT#94-3355 PI TER, CHARLES �, �p MILLIGAN LN., BANGOR CONT: D & D MOBILE 1'� MH UTILITIES FOR 62/1200 I ELECTRIC 452 06 /OQri� GAS LINE/_�C 3W 020 COMPACTION TEST REQ ­)tV SUPPORT STRUCT REQ 028-220-032 PERMIT#94-3370 PITTER, CHARLES 4?(pMIL1;IGAN I;N . , BANGOR CONT. D & D MOBILEHOMEp 1- MHI _62/1200 � 028-220-032 #98-2444 PITTER, CLAIRE 94 MULLIGAN LN" BANGOR KEN APPLE/K&J APPLE INC INSTALL GAS INSERT TO F1 028-220-03298=*4f PITTER, CLAIRE 94 MILLIGAN LN. BANGOR OWNER GA_S LINE FOR FIREPLACE 028-2 0'032 01-156? PITTER, E �S ) 94 OAK DR. CHI CONT: MAINTENACE P GASTIPE INSPECTION 0080- dao - o 3 ZL ,T:.., r .mss-ar}i.. .��.—....�.. �.,r ti+w...,�-�.,T, ..r ,.,,�a.� i�.Ct7 •'i%���1 �"„�,...,7", 028-220-0321 #98-2449 ' PITTER, CLAIRE r 94 MELL.T.9,AN.LN. BANGOR OWNER GAS LINE FOR FIREPLACE �1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 7 County Center Drive • Oroville, California 95965 • Telephone (5 11 30) 538-7541 ,- :. PERMIT NO. K� ��' <4� (Rev.12/96) APPLICATION AND PERMIT —z— ASSESSOR PARCEL NUMBER 028-220-032 V^V 032 ZONING BUILDING PERMIT yt{}}� C AIR OWNER �Ti C�R� CLAIRE TELEPHONE lt�/�� i -'VIVO SO. FT. OCC. � BUILDING VALUATION OWNER'S MAILING ADDRESS 94 MILLIGAN LN. BANGOR CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD4 SS 94 MILLIGAN LN. Energy Plan Checking Fee $ $ BANGOR PERMIT FEE $ r' LOT NO. SUBDIVISIONS NAME PARCEL MAP. PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent--- 15.00 TYPE OF WORK mew df Addition ! 0 Remodel ❑ UtilitiasIff Installation ❑ Other ❑ Describe Work: GAS LINE (MPAME) , FOR FIREPLACI INART {PI Gas piping system 1 - 5 outlets 15.00i5-UU Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ •UV \ \ J \� v\ 1 .ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo. oa LEss 23.00 r LICENSED CONTRACTOR$ D�LARATI N 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: - i — V, as owner of the property, or my employees with wages as their sole compensation; will do the work, and the structure is not intended or offered for sale. ' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main. Service zI To ,000A ' 46.Oo NEW CONST. DWELLMIG OCC. SO 40 OR ADDNS. ( a Acc. eLOs. 3.5QFT; p,pNgEOg1p, muLTI.OUTLET @7,50 POWER APPARATUS '� a SINGLE OUTLEr CIR. _ zo ®,_� Ex. Occup.OUTLET OR FOcruRrs BAL .50. Ex. Occup. ouT E�s .=.oma 5.00 Temporary Service 23.00 mobile Home Facilities _ 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) &3' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X i li s..- �% Date /0 — Z .' — % K Signature of Applicant - ❑ 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 Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 35.00 �. D FeEs IMP I FLOOD I CDP I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. BY ���� Date PERMIT EXPIRES ON to/z;-/qg to Receipt No. 2 e v ) -3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c�+'f,.wa"�Er+�r�.in.�'a,`-'"rd^�'¢"'r"-.x�.:--.� ...�- .. � _,�-,,. ...� 7.r-..+� �-^Fa�-T•'•�.�.-�-�-+TarY+q-t-r's: �-'7G+�", t'�... �3s. ... r �.�';.-�" i.-•.. ' # ' ` " ' • 028-220-0321 ; r #98-2444 PITTER, CLAIRE 94 MILLIGAN IN. BANGOR ' KEN APPEE/K&J APPLE INC INSTALL GAS INSERT TO FIREF,, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION moi' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541ry,; (Rev. 12/96) APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER �,b�� ZONING BUILDING PERMIT OWNER T�1 ONr v9D SO. FT. OCC. BUILDING VALUATION OWNER'S IUNG ADDRESS ;� nLL r &)(iokL CA CONTRACTOR'S NAME TELEPHONE _ ' CONTRACTORS MAILING ADDRESS CONSTRUC71ON LENDER.- -. }. - 3 .. ... y - [Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee ; $ 20.0 f Permit Fee '' $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ ' BUILDINGADDRESS/'�� (—.A/ r7 I Energy Plan Checking Fee $ $ V PERMIT FEE $ LOT NO. SUBDIVISIONS NAME V PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ,9 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: � �T LL {�'a'- �+�i �F{ T (f.)TU 411« IAC • Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S r ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force a d effect. t r� License Class n [ / Z, LIC. NO. ECL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'•. compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and polic number are: Carrier��'f (` )� 1.11? T_ 1�14kk 4Li( F 1.1 1)PERMIT Main Service zooA To +000A 46.00 NEW CONST.DWEI1MICi OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3.5¢,' NEW t1Or}gESlp.' MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex, Occup. GUTLET OR FIXTURES BAS p 1.0. Ex. Occup. oiRlFrs R=.) EOR., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin ;` 1 Hood t 6.50 Ventilation ,- FEE S ' Policy Number !1 Y (4--1 Z — q ht (The above'sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I I ( ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. G Y X I') Date 1C3 2d (0 Signature of Ant - ❑ 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 J $ Energy Inspection Fee $ OCC CONST. TYPE 3 TOTAL FEE $ � HAz. D PEES IMP FLOOD CDF PARCEL ro HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have'been By ,E �i�i�r+Q PERMIT EXPIRES ON the applicable provisions Resolutions to do work paid. r f Date /! (Da he) Receipt No. l WHITE•D.D.S.-B.D. ANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT sa�a � �r i��:.7AY.4;•. v,., . ,:•it T meieE de?.3:^!.iD'LS� .:FSW ' r�;.rwL L �i �..: t.s R.Y .:6�+f;•" M.:i.1i ' � .. .. ..... .�.. • � 1 .. ..t. eG�'Y>�! �/^,.` � � e "r _. .. rh... fi M'y.[�'� 1 028-220-032y 01-1569 PITTER, CLAIRE 94 OAK DR. CHICO I CONT: MAINTENACE PLUS GAS PIPE INSPECTION oed t �o d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION O -15(0 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 . PERMIT NO. (Rev. 12196) APPLICATION AND PERMIT 2001 - ASSESSOR 0©1' ASSESSOR PARCEL NUMBER �� r, jO'�1,�/� _ 0�2-20NIN0 A f'N�E BUILDING PERMIT OWNER C I 1•y �V 1 ELFP (? SQ. FT. OCC. BUILDING VALUATION - OWNERS MAILING. ADD So . tt t t ti a,z rr- (,�v . ' CONTRACTOR'S NAME w iA « e L ` to T LEP O E CONTRACTORS MAILING ADDRESS 0 i 1 1� wr 1�•�J CONSTRUCTION LENDER [Fireplace LENDER'S MAILING. ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING. ADDRESS Plan Checking Fee $ SUILDING.ADDRESS r �� (_ `• I Y� Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6-0 a p � /,'j � / /� � �� (,%�' ; p A� Gas piping system 1 - 5 outlets 15.00 1400 Building sewer 15.00 69 Mobile Home S G W (a?20.00 PERMIT FEE _ ELECTRICAL PERMIT I Fling Feel 20.00 800V OR LESS Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. } Lic. No. 7C�f.I+s�!� License Class.00 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale., ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ']' I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. X I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' comp�tio �nsu�nce cprrier and policy number are: Carrier � 2i.• a Policy Number 56eg 14I zlep r U4/i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith,comply with those 'provisions. X e" Date fa ! Signature of Applicant-- ❑ Owner J;J- Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heig t. Mein Service PGOA TO 1000A 46.00 NEW CONST. DWELLING. OCCUP. s0 OR ADONS. ( a ACC. BLOS. 3.50FT. I,,DµR6,NST MULTI.OUTLET 97.50 POWER APPARATUS 8 SING..OUTLET CIR. EX. Occup. OUTLET OR FDRURES SAL Q 1. 0 Ex. Occup.oun��s E�J EA 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP FLOOD COP PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ,, •�� I i Byf" (TA Date �ry PERMIT EXPIRES ON • Z.4 O� Date ReceiptNo.QT qg yen WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL PERMIT NO. �oO 1 1"e Lo PERMIT EXPIRES L OWNER— CONTR. WNER CONTR. i ASSESSOR PARCEL LOCATIONN� r� itt i f• I 4 OFFICE COPY ' au - Address j GAS Date I Meter BY ELECTRIC ate I Meter r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature — G.4-� V=OK O = Not OK •=Notble t eady NoRMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location Clearances-Gmd-/ /Amp -Concrete - 6. Carports; Windows -Doors 6. Gas; Location-Test0rap; / /'L'ft. / /Nat. or/ /Lt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line . POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandVahve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFl 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtq. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date- Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wail Panels 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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtq. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Hangers -Post Caps -Anchors -Connectors ' 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 47. 5. Stemwalls, Main; Steel-BlockoutsaNrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Fireplace Ties or Type A Flue -Fireplace Throat clearance 6a. Hold Downs and Special Anchors 49. 7. Slab, SteeMrapped 8. Piers -Fireplace Ftg.-Steel Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 51. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Property Line Firewall & Openings 12. Electric Underground 53. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 16. Insulation 56. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Shear Walls; Nailing -Bolts 18. Water Pipe; Test & Anchor -Nail Protection 60. Brace Interior / Exterior Wall Panels 19. D.W.V.; Test Fittings & Anchor -Nail Protection 61. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Infiltration -Walls -Windows 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance -Ins. Protection FINAL (Plans) OK except #'s 24. Elec. Receptacles Spacing -Lights & Switches at Doors 63. 25. Size Bo es & No. of Conductors Stapled 26. Romex Nstalled Close to Edge of Studs & C.J. Smoke Detector 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 65. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Bedroom Exiting 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 67. 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. Elec. Trim & Subpanel, Breaker Sizes & Labels 33. Clothes Closet Light -Shower Light -Spa Light 69. 34. Smoke Detector 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 35. A.C. Ducts Insulation & Support 73. 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 75. A.C. Duct in Garage -Damper 39. Attic Access & Platform if Furnace in Attic 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors Guard rails & Deck Construction -Post Caps 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 81. 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 83. 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors ' 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Cel kings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)' APPLICATION AND PERMIT zoo i _'yJet-..) ASSESSOR PARCEL NUMBER02-Cj _ no_ 'y Q L ZONING _ C BUILDING PERMIT OWNER C 1+Ir ; w SO. F7, OCC. BUILDING VALUATION a . OWNER'S MAILING ADDREjq i • 1 ►l`J /4y Lri CONTRACTOR'S NAMEIV Ir';4 elL Cin" 12 CONTRACTORS MAILING ADDRESS e 10 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDINGADDRESS01 > G t• C O o�. r Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S /� / n Sf> P J Z p Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 I 600V OR SS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class � Lic. No. � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors .to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued.' My workers' compen do insu�re nce c rrier and policy number are: Carrier Policy Number niS/ O, /OD (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort wit mply with thos prov'sions. y X Date5� _ Si—gnaturg of Applicant - ❑ Owner •{Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR sD OR ADDNS. ( a ACC. BLAS• 3.5QFT; NON•REOSI. MULTI -OUTLET 97,50 FOWER APPARATUS 8 SINGLE CIS. OUTLET OR FDCTURES 20 m I. R FIXTUTLETRES Ex. Occu SAL pFIX•� Ex. Occup..OUTLETSRES D) OR5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE (� TOTAL FEE $ 2.A. p. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date V PERMIT EXPIRES ON l� • - 0?_ ate Receipt No. r WHITE-D.D.S.-6.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONgooECqq19 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M T o (Rev.12/96) APPLICATION AND PERMIT Qa ASSESSOR PARCEL NUMBER 028-220-032 ZONING BUILDING PERMIT OWNER PITTER, CLAIRE TEgJ;ff>,NEO908 //``-JJ SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 94 MILLIGAN LN. BANGOR CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 94 MILLIGAN LN,Ener gy Plan CheckingFee $ BANGOR $ PERMIT FEE S LAT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities) Installation ❑ Other ❑ Describe Work: GAS LINE (PROPANE) , FOR FIREPLACE INSERT, ALREADY PERMITED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S 01 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowER License Class Lic. No. OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fpr the following reason: — ®' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. Bins. 3.5QFT: T. ,.ON-RNEW ESID. MULTI. CIRCUTITS @7,50 APPARATUS 8 SINGLE OIRI.ET CIR. Ex. Occup.OUTLET OR FIXTURESB20 o 1.00 Ex. Occup. DETS R� D,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 2 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �[�� X , tit Date D — 7— Z--'? Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD I COF PARCEL I PD I HD I 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 Af4t� ) Date PERMIT EXPIRES ON 10[7-2_1q I I—Dare ReceiptNo. 2 `J to 39 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION op7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPMONE SO. FT. OCC. BUILDING VALUATION OWNERS MAJUM ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MANJNG ADDRE88 CONSTRUCT°N LENDER LENDERS MAKING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER (CENSE NO. Filing Fee S 20.00 ARCHrrECT OR ENGINEERS WJUNG ADDRESS Permit Fee a Plan Checkina Fee S SULDINO ADORE38 Energy Plan Checking Fee S S PERMIT FEE _ avlBDTL iaTNo. aueNNAME °AROELAAP PLUMBING PERMIT Filing Fee '20.00' USEOFSTRUCTURE Each Tr 7.00 . �c�cJ t �Q� Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome 5K Other Water Pin f 15.00 aK�ecsr Each as water heater or' vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 -15, New ❑ Addition ❑ Remodel ❑ UdGtiea ❑ Installation ❑ Other ❑ Buildingsewer 15.00 Describe Work: T-UAG-V;;)A Qas � �X%Q- -�o Mobile Home I S I G I W 020.00 PERMIT FEE _ ?j n0 ELECTRICAL PERMIT Filing Fee 20.00 Main Service =OR 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 20M To IOWA 46.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. DINHLIJG OCCUP. OR �� a ACC. Bina. 8O. 3.5¢Fr. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NOIaRESKD. MULTi-0tmEi @7.50 and my license Is in full force and effect License Class Llo. No. a sINcuE oun Er aR OWNER -BUILDER DECLARATION 0�u O1lr�TOR '® BALLa . o I herebyaffirm under ens of perjury that I arrR exempt from the Contractors License penalty Pe 1 rY P Ex. Occup. �DAPPLNIS oLmE�s ES10. EA 5.00 Law for the following reason: Temporary Service 23.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason PERMIT FEE t WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Cooling performance of the work for which this permit is Issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEI_ $ Policy Number Mobile Home Installation Fee S (The above sections need not be completed If the permit is for work of a valuation Energy Inspection Fee S of one hundred dollars ($100) or less.) E3 certify that in the performance of the work for which this permit is Issued. I shall occ coNST. TYPE TOTAL FEE $ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the IMP fLD00 COF PARCEL Po HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over SO• deep and demolition or construction of structures over 3 stories in height By Date Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-S.D. CANARY -ASSESSOR PINK-INSPECT09 GOLDENROD -APPLICANT to / .: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigoaqu+e, Please complete and return this information at your earliest opportunity to avoid tmneeessaryAMW in processing and issuing your building permit. No building permit will be issued until this verification is received. L I personally plan to provide the ajor labor and materials for construction of the proposed property imp ement : YES 0 NO D 2. I HAVE Er HAVE NOT C] signed an application for a building permit for the proposed wiO�Ic. 3. I have contracted with the following person (firm) to provide the proposed eonsww ion: MEQ- - --- - - - - ADDRESS: .CITY: , y PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have'hired the.following person to coo:.rdi�ne�t�e; S.& and provide the major work: - .i3�iT •N 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` PROPERTYOWNER:` SOCIAL SECURITY NUMBER: DATE:-- AO- Z Z - - - NOTE: -This Owner Builder Verification is required by Section 198.11—et79U oflhe California Health and Safety Code. This verification must be completed ytd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: J An application for a building permit has been submitted in your name listing yourself as the builder ofproperty_ ., improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your.work is being performed by someone other than yourself, you may protect yourself from possible` liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you s to ld be aware of the following information for your benefit and protection: ;` ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (incluiding materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors`"or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions:' ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are es � ec'ral si p ty rious with respect to worker's compensation insurance.. _. f--*.. 0 ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Servicp (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. 3 If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under*limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee, building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally.. • Information about licensed contrac!prs may be obtained by contracting the Contactors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, '�1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Healdt and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541n� _ P NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3 o ZONING BUILDING PERMIT OWNER C, L g ?k TELEPHONE LEHONE v�® SO FT. OCC. BUILDING VALUATION .OWNER IL�NG ADDRESS � () A ',�A9 �•VC lLL1 CONTYO ME - 3 AP?LS 10 Q. TELEPHONE -37 CONTRACTOR'S MAILING ADDRESS 153ck COi,QSA v \/06A C- T C CONSTRUCTION LENDER - '' _ • -` -, - - _ , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Rlinq Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Q4 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNSIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation J°t Other ❑ Describe Work:s I�I.L. �A�S T,0S1EVT (OTO IkgC PL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force a9d effect. �� /� License Class Lic. No. %i.�V %g OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec.. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier andLpolicy number are: Carrier MSd "_ Lr-_ 1:3MID Policy Number „I'L— Fi Es (The above sections need riot be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. l� �Q . v X Date v o Signature of Appli ant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP, 3,5¢so OR o"� ( BBLDS. Fr. MULACC. NON RESIo. CU. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FD(TUREs BAL O x.50 Ex. Occup. . a 6.) E 5.00 R Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ $ IS6, un Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE dr❑ TOTAL FEE $ FEES IMP I FLOOD I CDF pggCFy I Po 11 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. - y Date oZ PERMIT EXPIRES ON peB Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,.� RESIDENTIAL X028-220-032 PERMIT#94-3355 PITTER, CHARLES MILLIGAN LN., BANGOR - CONT: D & D MOBILE MH UTILITIES FOR 62/1200 / Z JOB FINALED (Date � — Signature 4 OFFICE COPY >SS� Address 1 i i GAS Meter B Dat ELEC Meter Date JOB FINALED (Date � — Signature 4 J=OK O = Not OK Not Appilic = Not Readyable MOBILE HOMES Date MOBILLHOME UTILITIES (Plans) OK except #'s o�Requirements-Setbacks-Easements ai pecial MH Support Sketch Se ; Location -Test -Fall -C/O Concrete Wa ocation-Test-Easement Needed (Sketch) le .tricity; Location-Clearences-Grn Amp -Concrete -6­15as; Location -Test -Wrap: / /"L"ft. / /" t. or/ /"L"ft.'O/"LPG e learance & Disconnect tility Clear nce Iffi Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILIr'WOME INSTALLATION (Plans) OK except #'s qPiQg Requirements -Setbacks Easements 4!.�Fop4Kgs; Size -Spacing -Marriage Line G H Test-Demand-Valve—Connector EIicity; MH Test -Crossovers -Breakers -Clearances Dr ' LMH Test -Fall -Flex Connector er MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval G and Electricity Tagged E ' nsp.-Sketch 1 Cert. of Occupancy Da Card B-1Date Card B-1 Dale � Card B -f / Date Card B-1 St In 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- Beam s-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 -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 A V = OK r' , O = Not OK =Not Applicable ='Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except k'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-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 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 ft'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 Edge of Studs & C.J. 26. Equip Ground made "up w/Meth. 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 At -------------------------------------- ---------------- - ---------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip_ Clearances Panel s: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 rr's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------------------- ---- 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 ft's 39. Sils, Proper Material & Anchors ------- ------- ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ -------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- -- -- -- - ----------------------------------------------------------- 42.- Draft Stop n Walls (rat proof) --- ------------i------------------------------------------------------- 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-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 k's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- - 62. Smoke Detector -------------------- -_ 63. ---------------------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 -&-Rai-Is _ 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 -Meth. 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- Construction -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--O-Yes ---❑ No ----------- - 81. Stucco Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ..--- --- --------------------------' ----- - -- 83. Vents Above Roof: Plb9 APp liance-Fire p lace. -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 ------- ---------------------------------------- 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-1 Date Card B-1 Date Card B-1 Date Card _B- 1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -3= ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER CHARLES PITTER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 94 MILLIGAN LN B -OR -ANG CONTRACTOR'S NAME TELEPHONE 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 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 0 t4ILLIGAN LN PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Ox Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S1 Gd v 1@20.00 oo TYPE OF WORK New O Addition ❑ Remodel O Utilities}[X Installation ❑ Other ❑ Describe Work: 621200 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. OLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. S1///S2 Classification C- </7 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 -REBID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) ( & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 FIXED APPLNS. OR Ex. OCCup. ( 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. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate 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 $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 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 ou. /n(t�In consequence of the granting this permit X Date /02 / cjc, Signature of Applicant - O Owner N16contractor ❑ 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 Z1-66 no HAZ• � 1 D. FEES • IMP F c PARCEL PD v I HD U This permit is hereby issued under of the Butte County Code and/or indica bova for hich fees have ° BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date IDatel Receipt No. 170953 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ­COUNTYOF BUTTE - DEPARTMENTOF EYEVELOO`MENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE -CALIFORNIA 95965 -TELEPHONE (916) 538-7541 I a PERMIT APPLICATION C O DATA SHEET ET OWNER ! L Proposed Building Use A.,P. No. Qok t - 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 Desi Compliance and supporting documentation . .................. ment�o 7. Stater 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 $ . ...........G'gi�neer ....................... 11. Impact fees as shown on attached schedule.��d 12. California Department of Forestry plan approv 13. Flood elevation letter (100 year flood) by, alif. ................ . �14. Sanitation and plot plan approval � ` Health Department. ........... L;Q1 Z'� 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 request 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 k 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 � 3and hold for pickup at C�ym) i office. Deliver with inspector. Other Parcel Creation Acreage Applicant L�/ G�� ^r Date S 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 p-r� Date/��� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance II.H. USE ONMI. Plot Plan AnwhoJ Floor Pon Attnchad Scotto B.D. / LILL Owner Locatiog AP// Plan Approved for: Sewage Disposal Water Supply: Public Private ,Well Clearance for 0 bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Da 8/92 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 NUMBER 023-220-039 ZONING A5 BUILDING PERMIT OWNER CHARLES PITTER TELEPHONE SO, FT, OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 94 MTT.LTGAN LN., GO CONTRACTOR'S NAME MOBILEHOME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation s LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS MILLIGAN LN. BANGOR PERMIT FEE s 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome (XOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New Oc Addition 1:1Remodel ❑ Utilities O Installation 'Other O Describe Work: 69,11900 PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) g 3.50 ST'._ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) .� I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. y ///S�,Z Classification C Y? ❑ 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 I am exempt under Sec. Business and Professions Code forthis reason NEW NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POER APPARATUS I WLE ) 8 SI NGOUTLET Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXED APPLNS. OR Ex. OCCup. I OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 071 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. ❑ 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 Hood6.50 Ventilation PERMIT FEE S Contractor I certifythat I have read this application and state thatthe above informationis 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 consequence of the grantir of his permit. X Date / 2 — �/ — r! Signature of Applicant wner U -Contractor O 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 "AZ- D. FEES IMP FOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY V PERMIT EXPIRES ON a 0 tel provisions to do work paid. pN to 21 21�7 q� ReceiptNo._ O9sy WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ')'o44" (#; MOBILEHOME INS`ALATION ACCEPTANCE COUNTY OF -BUTTE DOARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION• -7 COUNTY CENTER DRIVE ORIOVILLE, CA 95965 --PHONE (916) 538-7541 AP PERMIT 0.: Owners: '+. Name: J, r Owners: &.1�4� Address: d" Mobilehome 1 Year of Manufacturer Manufacture: f Serial number CO, f-4 R 7 14 1))jlu 7 Insignia or or V.I.N. '� HUD number: Official approving installation:: Date: If th mobileh me 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. 1 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT' APPLICATION DATA SHEET j OWNER a . P No. Q Proposed Building Use I Building Inspecto Date r At time of permit application, I was 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 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). . . -Preanspection request 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 ow er. Mail to contractor. Telephone5'3P -3?D3 and hold for pickup at office. Deliver with inspector. Other Parcel Creation J Acreage Applicant ` / Date s Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dated � Copy of plans sent Health Dept. • Fire Dept. Other -,Date The following data must be submitted prior to permit issu 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 ounter by _ Date Plans cl ecked bj �, 4` Date Plans approved by Date Sets of plans on hold in File cabinet AP folder ; Copy Department of Public Works `Y''i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916)538-7541 OWNER PROPOSED BUILDING USE - A. P. SE A.P. # DATE a. . REC. # DATE REC CY: SCHOOL DISTRICT FEES (paid at District Office) ................ ........ l/ 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 = $89.00...... (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 /p T � OWNER' `NAMEt C l s. 1 T -PROPERTY ADDRESS: � /� ,N� % ' lq/, 84.1 o2 ASSESSOR'S PARCEL #: SCALE: L'y = Aon goTB- All Materi0s & Workmanship Shall ft 9cc�rt'auce with Recognized Good Practices and auty Prescribed for the Specified use 4rjjf0rm Btu:]`';. ' ° urnbin��1 M9 E eat Coda. 1e01sa ad the Na _ soo SQ. Ff.'MINIM FOR MOBI!.FS Iq 6 iR permit ,„will be required for 1� Avh talesrmion °'F f6. :nobitehorn�. At 191 o� Q �,vo�vae� q Ga dP Cao ussiU,(em® f,o,-q pol,e :. I%WsLL n, Th1e 'set of plans and cations MUST be kept on thajob at all times and it is unlawful to make arty changes or alterations on same without t Written permission from the Department of Publio VForks, Coumty of Bute. I ALL STRUCTURES AIVD EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF FT. FROM THE SIDE AND ?ja FT. FROM THE REAR PROPERTY LINE S .AND _J2D . FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF' STRUCTURES AND EQU!PMENT EXCEPT FOR A 2 FT, EAVE OVERHANG. I REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY 1 approved as submitted i ✓:approved with conditions -tar attached sheets r zz,F, a eky%, Date it At a ay C,00 -0� �vxNG 0 gv� 5 5 6miER' S NAME: 7 - PROPERTY PROPERTY ADDRESS : 09,q Al / ' Cid. 64ry 4& ASSESSOR'S PARCEL #: OBIS- —j? - SCALE: �v = Aon �Q 6 VY AI d l rA fA1 Liv 6A Environmental Healt -i DEC 15 igg4 Oroville, GgWrAa ,9Y . sa�ro1 e r.ry«., o„K� k Pio us KO a LL 1 0 APPROVED Butte County Environmental Health Date Signature CDF FIRE SAFE REQUIREMENTS 2_7,2Z, 32—I?q- 3 355 �t - �"► Cita,-(e5 AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards (�] 1273.02 Surface. All driveway surfaces and structures (bridges, ,1 1273.07 culverts and other appirte--i-ant-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. k1 1273.03 Grade. Not to exceed 16 percent unless paved. Page 1 of : -, 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 ver:i^tel curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of : -, w � 1 2,g -ZZ 3les AP # PERMIT # NAME [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ] 1273.10 Turnaround. A .turnaround shall be provided at all building sites on -driveways over 300 feet in length and shall be within 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. [ ] 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 aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 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. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal toa landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit. Page 2 of 3 z7 -z2- 3 z �q_ 335 -5 - AP # PERMIT # NAME [ ], If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less'Than 15 Feet Choose any 3 of the following - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 110W 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 I / z1 Z Z_ /,?C/ Datd 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: L/sV 2. Installer's Name: D /1446;1 Aloe yes 3. Is the site currently under permit? Yes �. No U (If yes, furnish permit number �< ) OR Is the site an existing site? Yes F� No F� (If yes, furnish two plot plans.) 4. Will the mobilehome be located at -least -5 -ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 1/'\l No F (If no, clarify 5. What is the.mobilehome electrical rating? --------------- l D D Amps 6. What is the mobilehome site service rating? ------------- Q D Amps 7. What is the mobilehome site circuit breaker rating? ----- / O Amps S. Is there any other electric load to be served by the -------------------------------- mobilehome site service. Yes F1 No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ==------=----- -31y (in.) 10. What is the type.of gas service? ------------------- Natural LPG kj.. 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------=------------------------- l� (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ftocOvN�� t -ST natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APP1v �® P% p Rov MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /C�eC� GtJdoc� ish• Se u� Model No. 14 Year _ Width .2 `/ (ft.) Box Length 41 8( . ) Tagalongt/or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) al. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 2 _ Line 2 Main Beams Line 2 ` _ — _ a _ _ _ _ — _ _ in Main Beams — — — ...—Line v Tag or Triple iAna 4 Line 1 � r Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------ „ Spacing -Max. --------- ,_ „ Each Side of Openings From Ends -Max - ------- '_ " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ „x3 D „ Size -Min.------------------ . 1.1x Spacing -Max.--------- S- '_ �i-Spacing-Max.--------------- From Ends -Max --------From Enda-Max-------------- Line 3 Roof Loads: Size -Min.------------ Zv"x30 316„x36" ,18,x30„ .V„x3D„ „x „ „x „ nx n k n Location (From Front) 0,- O Line 4 Piers: Line 5 Piers: (Under. Bearing Walls Only Size -Min.------------ ,k Size -Min.------------------ k n .--------------- r „ Spacing -Max.--------- , ., Spacing -Max _ From Ends -Max.------- ,_ „ From Ends -Max .------------- Line 5 Roof Loads: - Size -Min.------------ .'iDcation (From Front) 5 -- 11-44 3SaMamvramaeevil. a irisMOOG % �� I 31x0 u ��m kvwdm a tits 1113 * 3SAYM7[} �t"i I Hnr+�s CS.7 AsKowna 3sWfl37r4 tli ongoMnrio ® rra9a>w3w► 11MDL vir 3alllsls 3NDI7 ® l d �,O-Sit►" rb5f f ® 4JU Oa 5 ♦ rums f '{111f td�if�01� a.r saswwr»w 03�'w aw iris 0 =36S lila jO313 339 0 • ,J��,_ ' 'Jl^S U QOQAU33T-4 -lima xomfum "o Wm m;" • ON3931 v2un bao a 6uueag -y cyseapq OVA, az � " . e ao0r v �zc am LM da. �► Q s C s�Iwowls &SOS s LZ xrr .au ,rA, M r�di�(tlitsaxa tJr3lsnaH O Tarot • r 09 'w"' Q C�''•Ill'JV3i',tfYM1[iYk�3� ono X. ol•i c•e Ata1 TrrO rau�ur�9a _• 3IIS 'ON u+aw 2Yt0 aDurrrOC3a 3-,na3HOS k*ooa/MOONIM i �rhilf� � 1 i gr,�r>7.o09 � \ ♦ � 4 .I Y'WQ Z I � �r+rte s till pzt ±'La r n ' g t CIL) Jac merit rfh ti: KO�WII s -i C 4' / y�o l yarre so 7e�4b7orr ro f . }d�'7'iy �Jdgi 1'rl3 r%7 1 l� os Ut.Ofsig! n 1-+� 'i'�Y AP fir` OWNER "(\ 1,-71 y PERMIT `t Mi UTIL.CLEARANCE DATE 2� INSPE'CTOR3 ELECTRIC GAS .Support Struc. Compaction Test eq. Service Other Pipe YESI NO YESI NO Size Load Type Size Length 0 December 19, 1994 Darrell Mullins D & D Mobile Homes 2243 Feather River Blvd. Oroville, CA 95965 r Re: Administrative Permit, AP 028-220-032 #95-77 Dear Mr. Mullins: B E A U T Y W—"a—iv yr VGV GLVr1VIC1V1 QCnV1%.t* 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7601 FAX: (916) 538-7785 Enclosed is your validated Administrative Permit No. 95-77 to allow a Senior Citizen Dwelling Unit on property zoned A-5 located at 94 Milligan Lane, Bangor. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. For purposes of the California Environmental Quality Act, a Notice of Exemption must be filed. The Planning Division will prepare and file this document for you. The fee for filing a Notice of Exemption is a $25.00 documentary handling fee. A check made payable to the Butte County Treasurer in the amount of $25.00 should be submitted to the Planning Division by December 27, 1994. Enclosed is the affidavit form you are required to complete. Please be advised that it is the responsibility of the applicant to have the affidavit for a Senior Citizen Residence recorded in the office of the Butte County Recorder. Please attach a copy of your legal description before recording. Should you have any questions regarding this matter, please contact Barbra Duncan of this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m. Very truly yours, BarerY Kl/Hogan go Planning Manager . BKH:bd Enclosure cc: Building Division Land Development Division Environmental Health Division Department of Forestry 4 ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT , December 12. 1994 95-77 PERMIT NO. 028-220-032 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: D & D Mobile Homes (Darrell Mullins) is hereby granted an Administrative Permit in accordance with application filed: October 17, 1994 to allow a detached Senior Citizen dwelling unit on property zoned A-5 (Agricultural) located on the south side of Milligan Lane, approximately 700 feet east of LaPorte Road at 94 Milligan Lane, Bangor, CA. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24- 62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area" meaning the interior habitable floor space area of a dwelling unit including basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Applicant must install septic system, under permit, to the approval of Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The senior citizen dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel Trailers and recreational vehicles shall not be allowed as a senior citizen dwelling unit. 8. All new structures must meet the fire safe regulations of Butte County and Public Resources Code 4290. 9. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 10. The requirements of all concerned governmental agencies having jurisdiction by law, including but not limited to the issuance of appropriate permits, shall be met. NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL: "Minor changes may be approved administratively by the Director of Development Services or his designee upon receipt of a substantiated written request by the applicant. Prior to such approval, verification. shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment." NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Environmental Health Division permits before starting -construction and their approvals prior to use or occupancy, nor does it waive any other requirements. J�A' K. Hogan, cc: Land Development Division Building Division Environmental Health Division Department of Forestry ng Manager OWNER'S NAME- c�111s i T T -Fl2 PROPERTY ADDRESS: 09,y. Al L'it/, 64,v o2 ASSESSOR'S PARCEL #: SCALE: i IV= Aoe' ,aAf L Al L I r".�tityiFYiiifV f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (Oro Gyn I on* 4s, Building'Department No. A.P. Number ��'�'��(�—t� Jurisdiction City [ County Property Owner (_�4/'IF S �; ate r Property Location/Address Subdivison Lot No. Residential Development [� Sq. Footage No. of Living MHI Addition (Group R Units Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage S. (Including Exterior Roofed Areas) 4h M9 Date District Identification No. 9 5 0 0 6 61 School District certifies that V 1 � (Applicant) (Stre etAddress) (Phone Number) (City) (Zip has complied with the requirements of Resolution No. by payment of $ representing square feet. District Rep E] Check here if feV receiv, ed represents "F,ull Mitigation". Date Paid by Check # Remarks: Qk " CA. Bank Number SIN T Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency -that this project is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmk, (4/94) Rctom to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT r Section 264 of the Butte County Code requires this' C acknowledgement be recorded prior to issuance of a building DLL 2 ( 1994 permit. The propertescribed herein is adjacent to land or included 94-051621 y=°d within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and NOT COMPAM WITH fertilizers; and from the pursuit of agricultural operations ORIGINAL DOCl1MNT including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for produc- tive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. ;h All that real property situate in the County of Butte, State of California, described as follows: t=. The''Southwest quarter of the Northeast quarter of Section 13, Township 18 North, Range 5 East; M.D.B. & M. �344�,4lyt xt�3�#3�.419c xt�3�c x�c�ct�3Qt>�d��c c x3€�cbc xtix x�3�xt�c�t �3�=��tl xxrx xkmxk xkmmmabock Ywk 3hhatx xqorA@mk Aqgdc xrxq9WAeA xqlkABMP*�M XWCxxW16( Excepting therefrom The West 600 feet thereof, also excepting The South 820 feet of the East 360 feet of the West 960 feet thereof. Date: �d2 -,�?- %y PROPERTY OWNERS: State of Cimliforma County of ,611 / �_ On %al -,;U - j before me, f A- -37 V u 0 6 f_.o personally appeared �)O CLL L yl 7-1 L-� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 0.11 a au,a Signatur�yyy �-- A.P. a cp o —AX „ t OFFICIAL SEAL TARA J. GUDGEON NOTARY PUBLIC -CALIFORNIA Seal: IPrincipal Offto In BUTTE County i My Commission Expires MAR 8,1093 ix 'PERMIT NO. 1448-76B PERMIT EXPIRES OWNER .7op-1 Pitt -pr -!C 11 ONTR. Earl Wood, OroviUe LOCATION (A.P. 28-22-16 IE/S LaPorte Rd., 3.9 mi.. from E. Bangor .77 In I f - Temp. Power Pole Called PG&E Z Temp. Elec. Serv. 7" Called PG&E Temp. Gas Serv. Called PG&E 1440 JOB FINALED (Date) (Signafu're) f DATE REMARKS OR CORRECTIONSve— y a (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor _ 3 % Main Bldg. Restroom Finish 2nd Floor Footings Windows j 3 7 C 3rd Floor Stemwal I Sidinr s, To out f� Slab 4wia Roof Sheathing SM- - 7 Water Piping Piers % L Roofing 3 Sewer , Garage Fdn. Vents Fixtures ' Z/77 Z Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Conformance of ex. Footings structure ., �C % Gas Piping & Test Temp. Gas Slab Final , / 7 Sanitation , Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls - Throat Rou h ' --21— _ Reinf. Steel Final Fixtures 3 Bond Beam FIRE SPRINKLERS- Motors Framing Test 1 Water Htr. Stucco Final Subpanels Mesh MECHA ICAL Grd. Fault Prot. \- 3 ?, Scratch Heating Service Brown Cooling ,! Temp. Pole Finish, Ducts Underground Interior Lath it .� Ventilation Permanent Door Closer Final Final to f DATE REMARKS OR CORRECTIONSve— y a (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County C4nter Drive - UroviIle, California 95965 Teltphone:�:34-4541 APPLICATION AND PERMIT X .' ° A �' Date 30.9 7r_ Signature of Permiteee or Agent Receipt No. 14 J 3 S- ?2> White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the tsutie county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS,/ By Date 749; Building permit expires Date BUILDING Owner O P,TT(=' SO. FT. OCC. BUILDING VALUATION-. Mailing Address (o O Q ej 0 0 )EU 0w Telephone No. Fireplace ,1� Contractor F_AP_L_ 0 Q Total Valuation C>n, Mai I i ng Address U E W 2(® Permit Fee OO Plan Checking Fee &/or Penalty Telephone No. P-0Vt _ Permit Fee $ b.00 a Building Address F -111 A Po RTE PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 U A. P. No. Z�+ r J 2 K: Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 uS Vg R, � Fire Dept. Fire Zone Use Permit Building sewer 5,00 EQA Parking Plans I Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P an9 n Recd I PhTref�roval Plpproval Permit Fee $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.001 Main service 100 AMP 00V OR LESS 5.00 Main service EA, ADD'L 100 AMP 2,50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUR. & OR ADDNS. ( ACC. BLDGS. ) 2-t sq ft ' NEW CONSTR, MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR, POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under. the name St Ie Of: y / \ , J,Ex. �?Y L . 1�i/u o 0 %�U , �a/z �- Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04 FIXED APPLNS, OR Occup.(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,2 3.5'3.a 3Classification _ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 ahovP-mentinnar1 nrnnortu fnr inen—tiny. n„rn., TOTAL PERMIT FEE is This permit is hereby p y issued under the applicable provisions of X .' ° A �' Date 30.9 7r_ Signature of Permiteee or Agent Receipt No. 14 J 3 S- ?2> White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the tsutie county coae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS,/ By Date 749; Building permit expires Date J :tri . I i' , .. .h'. i, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Urive � Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT '— ,.r ..� vu.w ... cnaci uNvn uIc abo a -m ned property f i spection purposes. X Date Signature of Per tee o�r�Agent Receipt No. 14- 9 14, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. f DIREP)TOR OF PUBLIC WORKS Buil Mg permit expires Date BUILDING Owner PtTr SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor R� LU VI Total Valuation �r•� Mai I i ng Address IAV G • Permit Fee Plan Checking Fee &/or Penalty Te ephone No. Permit Fee Building Address g 5 �� PLUMBING No. @ )FEE PERMIT FILING FEE $3.00,® ® ` i� , (3 Each Trap 1.50 t0 A. P, Repair drainage or vent piping 1.50 Water piping 1.50 Gv Each gas water heater or vent 1.50 -�.�� / A. P. No. C. Zoning 8 'Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F6-sTMPd SST Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ' Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ iz. Q (7 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Z] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ep q �, 800V OR LESS Main service 100 AMP OR LESS 5•00 Main service EA. ADD•L 100 AMP 2.50 Single Family Ig Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 2.0sgft NEW CONST R. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie O _ y P66 --i6 Ex. Occup(OUTLETS OR FIXTURES)@ 25C BAL@1 FIXED APP LNS. OR Ex. OCcup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. y�. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which' requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ `� l '— ,.r ..� vu.w ... cnaci uNvn uIc abo a -m ned property f i spection purposes. X Date Signature of Per tee o�r�Agent Receipt No. 14- 9 14, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. f DIREP)TOR OF PUBLIC WORKS Buil Mg permit expires Date J r- �- COUNTY OF BUTTE' —` DEPARTMENT OF PUBLIC WORKS 41 1 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 �� APPLICATION AND PERMIT above-mentioned property for inspection purposes' y y Iry Date L o� Signature of Peermmiit"ee or Agent Receipt No. 1 51 9 73 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ihis 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. DIRECTOR OF PUBLIC WORKS BY �� Date °"!'-- '76 B permit expires Date —Z r-- BUILDING OwnerP—o L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace , Contractor 1A) 1 6 e- z_ ! Y ep ✓,d o n// vG :7-pC, Total Valuation Mailing Address / 7,9ae.�rh�r IVLr 13T. , Permit Fee Plan Checking Fee&/or Penalty 6,20-6a I' L4 Telgphone No. 1p Permit Fee $ Building Address Y • PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �!I L IE JI u d p w Each Trap 1.50 Repair drainage.or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 8 — ZZ — 6 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s . Saz�i n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans I Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 RIel�..e.&'d I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Oo e Fin+— Jo A4, T — 7 'Main service 600 AMP OR00V OR LESS5.00 5.00 Ne k/ -A o - A &AJO. S.Qv-ytr e_ Main service EA. ADD'L 100 AMP 2.50 • j u Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST DWELING OR ADDNS. ( ACCLBLOGSCIY &) 20sgtt 12.go (LpET NEW CONSTR. MULTI -OUT NON -RES'., BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. l SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St I f: . % / /1 -,Cl Nz)elf/ G Ex. OCCup(OUTLETS OR FIXTURES) BALpi 04 EX. OCCU FIXED APPLNS. OR P. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -26 % Zl 3 Classification —/Q — �'-�20 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,3p $ 23 C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE Is I above-mentioned property for inspection purposes' y y Iry Date L o� Signature of Peermmiit"ee or Agent Receipt No. 1 51 9 73 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ihis 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. DIRECTOR OF PUBLIC WORKS BY �� Date °"!'-- '76 B permit expires Date —Z r--