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HomeMy WebLinkAbout028-330-045 T TO / 28-33-45 / - app for determination / / � of 070mv§ 3_0;1 -Certificate M, � 9/13/90 < \ 028-330-045 PERMIT#97-1084 LTON Douglas 'IOU, Mobile e Utilities N m on | ELECTRIC GAS LINE COMPACTION TEST ? SUPPORT S TURE REQ? 24 Dahv. on Rd, Bangor (util, replace 97-1084 ELECTRIC \nK re ki GAS LOMPACOMPAC N TEST REQ C N T PORT STRUCTURE REQ 028-330-045 99-2324 HAMILTON, DOUGLAS 24 DAMONROAD,-BANGOR CONTR: OWNER 028-330-045 -9yQw HAMILTON, DOUGLAS ^ 24 DAMON RD, BANGOR REPLACE 99-2324 .028-330-045 05-3082 " ^ 7 1�_ r-, --- �= n- 3 • • COUNTY OF BUTTE ' ' ✓ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE %n PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. � %_Wig/ �r 41 A" � Date _/ rZ2 Inspector_/� i �' r14 12"9 W/ REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 - Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds ADMINISTRATION * BUILDING * PLANNING March 24, 2006 Douglas E. Hamilton P.O. Box 183 Bangor, CA 95914 RE: Building Code Violation Location: 24 Damron Road, Bangor AP#: 028-330-045 Dear Douglas E. Hamilton: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location for the failure to obtain the required permits, inspections and approvals from this office for the following: 1. Living in Motor home. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have -thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron at 538-2051 or visit our office located at 7 County Center Drive, Oroville. Our hours of operation are from 8:00a.m. to 4:00p.m. Sincerely, Bill Barron Supervisor, Building Inspections BB: ajf Cc: Assessor N®TES Butte County Department of Development Services. sur e p AREA 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnwv.buttecounty netidds r ouN cam_ APN: RESIDENTIAL Permit No. Owner. 028-330-045 05-3082 I —HAMILTON, DOUGLAS Site Address 24MMRON RD, BANGOR I Cont: OROVILLE PRODUCTS T Contractor. M/H PERM FN_D (NEW) Type of Permit: — - — OFFICE COPY Address GAS _ Date Meter By ELECTRIC Date(�L�- Meter By } \ SPECIAL CONDITIONS CHECKED BY SRA _ FLOOD CERTIFICATE EQUIRED _ FIRE SPRINKLERS REQUIRED _ SPECIAL INSPECTION ITEMS _ VERIFY _ USE PERMIT CONDITIONS _ SUB -STANDARD HOUSING LETTER _ ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE b 0 oxt6j_Qj�' el�ss 11�-z/3 DATE JOB FINAL OC r SIGNATURE: . =OK M-1 nit F MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C K S -C O V E R S`C A RPO RTS 'G A RAGES Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsStee I 3 Sewer, Loctn-Test; FallIC10-Concrete 4..IFtr; Loctn-Test-Easement Needed -Regulator 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails Elec Loctn-Clrncs-Grnd Amp -Concrete Gas; Loctn-Test-Wrap Nat ❑ or LP❑ 4 Wood Awn; Posts -Beams -Rftrs-C nnctrs -Shthg Frmg-Brcng Inch SZ---' Ft Lngth 2" n— 7 I ng;.Sz-Sp4Ei -Marriage Line EJ Gu --,4A Test-Demand-Valve-Cnnctr 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 9 Elee=MH Cn�tn�ty_Test-Crossovers -Breakers -CIrncs 10 Dai ; NIH Test -Fall -Flex Cnnctr 8 Frmg; Sills-AnchrsStuds-Studs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 1 12 Gal---- d•Eldctrlcity�ged 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings e Downs ❑ Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy (• 16 HUD Label/[ si ni. Numb rs Serial Numbers ��� s` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability j 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI _ °'• m c °'• - �\ ! 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Eqp-Htr • 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test - 11 Lt Niche 12 Enclsr, Fencing -Alarms - 13 Bonding, Diving board or Slide O \C - ' Pool Drawing I I I � 111 = OK = Not OK RESIDENTIAL (Single & Duplex) _ I DAIt UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Stee l-Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir -Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 491 tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-insultn 61 AC Ducts Insultn & Support _ 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic O DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps -Anchrs -Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat CImc 72 Elec Trim & Subpnl, Breaker S7s & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-FndW Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters M Yes M No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb _ 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or MAL 98 Address Posted AC Wire Sz ga (] CU or MAL 99 Fire Sprinkler 48 Range Circ qa M CU or MAL Oven Circ ga M CU or MAL Insulated Neutral MYes MNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'- m o'er per` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053082 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 12/05/2005 APN: 028-330-045-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 24 DAMRON RD BAN License Class : License Number: Map Index: . Date: Contractor: •• Description: MH ON PERM FND, NEW SITE (641) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HAMILTON DOUGLAS E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P O BOX 183 sTed statement that he or she is licensed pursuant to the provisions of 1the Contractor's State License BANGOR, CA Law (Chapter 9 commencing with Section 95914 7000) of Division 3 of ihe'Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 966-0426 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HAMILTON DOUGLAS E Code: The Contractors' State License Law does not apply to an P O BOX 183 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for 95914 sale. If however, the building or improvements are sold within one (530 ) 966-0426 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: DE CANN, PHIL not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 169 BARDOLINO LANE OROVI LLE, CA 95966 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530) 534-7670 Date: Owner: License #: 670920 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 641 S. F. Policy #: Valuation: $41,665.00 Census Code: 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Co , I shall M forthwith comply with those provisions. 60 / / U l60 Date: <\� 11�l J Applicant: ' WARNING: Failure t secure workers' compensation coverage is unlawful, and shall su ' ct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h y issued un9dR the Oplicableprovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.)/ Resolutions do work ndi d abov for whi fees have been paid. 2 ^ 511'_21)By: performance permit �Cif/i Date: Name: / PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicJbLeh.eduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am thuly thorized age t • f the own . I gree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the subic' form or oc nt of Butt Co nty. I hereby uthorize repres atives1of B tte County enter upthe above mentioned property for inspection Print Name: �/ Signature: V S`. Date: I2r Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 59q,,qotrmi��Fttsf i0tl I�� �217.w3 BUTTE COUNT(Yl f)T Irn�ac� fee. DDI� DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636• CHICO: (530) 891-2834 OFFICE#: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name_ n 1 i aqo Address �. (VI City ^ �- Stated n,Q �' 1 Zip I Phone S3 Fax E-mail Q Q E;� CON ACTOR' Name -(—L -)o 1 V r c�2(*L) (DUD ,� n 6 V� Address �1 Cz SRA Cityf 1 co u ` R Stat Zip Phone ©v,53 1 Fax E-mail Lic. #670 q K Class APPLICANT SIGNATURE XI i For office use only: ARCHITECT/ENGINEER Name (DUD ,� n 6 V� Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE XI i For office use only: APPLICANT NAME Name (DUD ,� n 6 V� Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE XI i For office use only: Zoning Property Ad re Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO Sag 2 BIN 4 LOCATION API --330 Property Ad re i Cross Stree X11 �� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address D cription or Scope of WorK: ` Sq. Footage 517' x i i _�Y, (- 4-1 .- i f11 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS . I_` K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by:/.G. Amount: 2 Bldg ZQ o.9 , SRA Receipt #:L� 0D0'7 Date:I [-16 01� Sheriff SMIP Other Total REV 6-16-04 SUBMITTAL REQUIREMENTS ' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. . 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: 1. 03 bite Plans, signed by the preparer. NO GRAPHPAPER! �2. 2 Data sheets and installation instruction manual. Z/3. 2 Marriage line information. 4. 2 Floor plans. 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 w6w.buttkounty.neVdds PHONE (530) 538-7541 FAX 538-2140, RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner HAMILTON APN No: 028-330-045 4096.87 3071.14 1 771 Comanche Creek $8,069 Application Date 11/16/2005 Permit No: BP 5-3802 3995.45 t'l RECEIPT DATE Tech/Asst EI Medio Fire District 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 ECEIPTT- , 3:1 DATE ech/Asst 12-�~ Plan Check portion of Permit Fee $219.96 7938.531 6757.08 2 FEMA Flood Elevation Review $109.98 0 10 R-2 7541.531 3 RYes SRA* Yes Fire Plan Check - Non -Refundable - $95.00 $95.00 6780.531 5599.08 Processing Fee is automatically added to impact fee total (State Responsibility Area) Building Inspection $109.98 $109.98 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# 11a RECREATION DISTRICT FEES* Oroville , Given Fo p>^r �//-23-osol, a fired to be paid prior to issuance of the permit. These fees may be changed during the plan At the time of permi ap lication, I was advised tZ141 NON-REFUNDABLE portion of fees due at application $314.96 Applicant: � RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424. 'l 11/16/05 Kourtni 4 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) �.$q7' QI'� (�� • 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: ��n I I 1 I FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* er Applications After 2114/05 xP MH 3117 6475.49 RECEIPT DATE ech/Ass $100.00 .A$3,217.43� (� 0l� 2� $200.00 IV J\ 9 County 4096.87 3071.14 1 771 Comanche Creek $8,069 Chico Urban Area 5372.09 3995.45 t'l RECEIPT DATE Tech/Asst EI Medio Fire District 3128.31 2297.77 776 Mud -Sycamore Creek $6,070 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.531 6757.08 0 R-1 ° 8031.53 6850.08 10 R-2 7541.531 6360.08 R-3 6780.531 5599.08 Processing Fee is automatically added to impact fee total 1 8 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# 11a RECREATION DISTRICT FEES* Oroville , Given Fo p>^r �//-23-osol, a fired to be paid prior to issuance of the permit. These fees may be changed during the plan At the time of permi ap lication, I was advised tZ141 DRAINAGE FEES* Applicant: � MH 3117 6475.49 RECEIPT DATE ech/Ass $100.00 .A$3,217.43� (� 0l� 2� $200.00 IV J\ 9 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 1 /C� 1 1 I 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 t'l RECEIPT DATE Tech/Asst 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works 9a Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum 10 Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit 10a $130 annual renewal fee for first 4 renewals. Not to exceed $652. —PROOF:OF.PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT;.Foams will be prepared after plan ,l check is completed for applicant fo'take to respective district office. 11 SCHOOL DISTRICT FEES* Oroville Union High School 092 6iVen to aMJhe� ?'P i�-Z 3-�s 11a RECREATION DISTRICT FEES* Oroville , Given Fo p>^r �//-23-osol, a fired to be paid prior to issuance of the permit. These fees may be changed during the plan At the time of permi ap lication, I was advised tZ141 checking process. Applicant: � II Date: / /` /tf% ` O� Pursuant to Goverrimer-fcode S�ttion 66020, you are hereby notified those' Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the boiject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Se Ion 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: H a I n ASSESSOR PARCEL NUMBERR%� Proposed Building Use: M H 01) PQV(n PIN 4t. -Permit Technician: Date: Ito s required in orde to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. V 70 1. Site planslJ3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ` ❑/`• 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 2 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd pl- all in duplicate. N Availnbls ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Ve ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 1115. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr-from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... _ 18. Erosion Control Plan Required........................................................................ . - 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑/ 21. Site plan and business license approval from the Cyty of Biggs .............................. _ 22. California Department of Forestry plan'approv" paid. Sent by: i 23. Planning approval for (A) Use: Parking: (C) Parcel Check: ............ 121 - ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ '❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ ,27, Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization-.':.-:.......................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement.... ............................. C133. Existing violations and/or expired permits......................................................... ❑/ 34. gD � liestriction......../.............................................................................. i � 35.�j -� a1,descriptioA M. H. Titre, title search, registration or MCO ........................ o 36. Other: ❑ 37.:Other. When issued ele hone (530) -012 (b---QA)J V__- and hold for pickup. I have been n �r ed of th bove ite and r irements for obtaining a building permit. Applicant: Date: -� 1. Index permit a lication o the above items numbe ed: Plan Check Letter 2. Additional items require ' t` Contractor, designe own was advised of the above data by ' phone, ❑ mail, ❑ counter, by __ Date: i Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: lans approved by: Date: Structural reviewed by Date. Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 SITE PLAN REVIEW APPLICATION Date: Permit Number (if applicable) (3 S 3 C �-2— Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: P_ O o x �Q tlp✓ Telephone No.: G7 3 C (P (0 Site Address: 0- J Gt ✓V( w^ 13 of Proposed Use: Zone: Residential GP:� ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition R Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date 0 "a -`of - 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: Applicable Building Setbacks: General Plan: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Coe— e— ()I C AJOC. Parcel Deemed to be legal Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: C Page: BUTTEOUNTY DEVELOPMENT FEE CERTIFICATION FORM XFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) . Assessor Parcel Number (s) oIS-33c) - 09,5 Building Pen -nit Number 0 52CE2 Property Owner (s) tf�.In� Project Location /Address 2yt D a Cil ren 1 �� r�-�T� Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Alteration/Addition(s) Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued ) Comments: Department Rep1etentative Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department 0 FRRP`D�❑ CARD 0 PRPD ❑ DRPD certifies that: 1 3j �j �j/ ,.,Applicant N e Phone Number 6( �� �.3 13� �` 6v, G� 9s� / Mailing Address City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $, Remarks: Paid by Check No: %()Cb' - Paid by Cash: per unit for a total of 6TQ per sq foot for a total of $ Receipt No: 1 9�p Y 1111 _� 10115 Recreation and Park District Representative ate Zip School District A.P. Number I Property Owner iRA 052 Ont BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) 'COV Ile. 1nV1 Ann r Building Department No. RPQ53o� 1,. C)9 "'A • 3"f)li Cj Jurisdiction: Q City (County H am 1}on Property Location/Address Subdivision' Lot No. r,...........:.................................. ....................... .. Residential Development Q . Sq. Footage o No of Living Mobile Home . Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # '• •(No foundation inspection) ................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 New Addition District Identification No. 060125 /)�bvi)lAuhilo,r\ Vic, School District certifies that y. 0� (Street Address) . AmYUr VIA i v\ 0\.Q Y' (City) r has complied with the requirements "of Resolutioi representing V 14square feet. School Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) X33-��Q9 (Phone Number) (State) (Zip Code) V No.-.-,) � : � V by. payment of $ B 2926 $ �.. 1 ULL MITIGATION $ �1 Date Paid by Check # Remarks: r�15 %n l­,�t ".A 0 �kt a fr.t ri Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 68020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. H, 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 CalHomla Environnwrkal.QwHty Act (CEQA), this prolect may be sublect to additional school fen to fully mitioate its Imaaet on the school dlstrlers schools. White (school district), Yellow (building department), Pink (applicant). feetam.xis (3105Wnm k Department of Public Wor B u t t LAND DEVELOPMENT DIVISION ! J 0 ). Michael Crump, Director siormWater Management Program •,'< a4� 0 7 Count' Center Drive Oroville, CA 95965 �\� p U �� 5 / (530) 538 -7266 ' -UC wtoF� (FAX) 538-7171 National Pollutant Discharge Elimination Sys, rn (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN ACRE Project Description: ( fn (I Project Location andlor Parcel Number: 3 By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit fi-ora the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Boazd. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction State of California Regional Water Quality Control Board for a project. Storm Water Permit from the that disturbs one a or more of land may result in revocation of grading and/or other permits or other sanctions provid+)b aw. �1 Signed: Title. Date: I I — 1 (A �/P/clj"U vl-�: r Butte County Department ofDevelopxnent Serwces 0 flfrF0 7 County Center Drive ' <. Oroville, CA 95965''« . o (530) 538-7601 Telephone (530) 538-7785 Facsimile c'DUN� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land. Development, County Fire, and Agriculture. I hereby acknowledge: ® X need to submit applications for septic and/or well to Butte County Bnvit o�2mentaL Health immediately. I an: required to bring the approved Envirotint ental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for' disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other.. entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and bAitat/speeies). Please print: Applicant Name: Building site address: Ii�ve read, understood and &t mission of the above-nferl SIGNAtU j E OF APPLICANT r. • Permit No.: the terms and conditions as expressed herein as indicated by my ilding permit application and my signature below: 1I-16 AD TE RECORDING REQUESTED BY: AND WHEN RECORDED 1NIAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I REC EEE 10.00 Official Records I County of I COPIES 2.00 Butte I CONFORMED COPY 1.00 CANDACE J. GRUBBS 1 County Clerk -Recorded 1 106, 03:41M 05 -Jan-&% I Page 1 of 2 I{II III III I III1 I II II I li II III till II SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (NIOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM .Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local aae.ncy has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DOUGLAS E. HAMILTON REAL PROPERTY OWNER: LESSOR P.O. BOX 183 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 24 DAMRON ROAD INSTALLATION MAILING ADDRESS. IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if:dso properly owner. write "SAME") SAME MAILING ADDRESS SAME rrn' COUNTY sTATI: ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMITand CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE ,MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-3082 530 538-7541 BUILDING - MIT,(JO TE PHONE NUMBER SIGMA RE OF LOG1L AGENCY OFFICIALDATE NONE DEALER NAME: (if not n deader sale, miic "NON U) NONE DEALER LICENSE NO FLEETWOOD 1979 1562K. MANUFACTURER'S NANIE DATE OF MANUFACTURE MODEI- NAME'NI.!MBER CAFL1A940673641 56 x 12 CAL166669 SERIAL NUMBER(S) LENGTH N WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S P.ARCELNUMBER 020-3`30-045 HCD FORM 433(A) REV. 8/91 WHITE - Count,, Recorder CANARY - HCD PIN.0 - An Ac m GOLDENROD - Buildine Dcm :ry,�.�.q�,'�� •�'1�I�KlMpt. 111.x..... r..�:=4-i.��.r1•l:"rlfi�'�-a,J'itr,1'/!'i��l: of i���'.�i��ri��IN�AlMM1T�'��rirv�... olMl•.Ic t.•t, 1 DUSCRIP'TION Al.T, THAT CER`T'AIN REAL PV0l)I';ItTY SITUATE, IN THE STATE Or CALIFORNIA, COUNTY OF BUTTE, DE -1; RIBEU AS FOLLOWS: p�RCEL I THE NOR'PIT HALF OF THE WEST HALF OF TIM' EAST HALF OF THE NORTHWEST QUARTER OF TUB NORTIIEAST QUAWFER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5 EAST.', M.U.B. & M: PARCEL A RIGHT OF WAY FOR ROAD OVER A STRIP OF LAND 60 FEET III WIDTH, THE CENT-ERLINE OF WHIC:I1 :1:; DESCRIBED AS FOLLOWS: BEGIONING AT T14 NORTIiWES`1' COI2 IEE OF This NORTH - IIA1,F OF THE WEST HALF OF THE EAST unix OF THE NOWiVIMEST QUARTER. OF THE NORTHEAST QUARTER OF SECTION 34, TOWNS1111' la 1t012'1'TI, RANGE 5 BAST, M. ; , THENCE. RAST ALONG TIM NORTH LINE, OF SAID SCCTION 34 '1'O A POINT AT THE NORTHEAST CORNER OF THL WEST HALF of THE, EAST HALF OF THE NORTHWEST QUARTER OF THE VORTIl1%:AST QUARTER OF SAID SECTION 34; THENCE NORTH ALONG T11K NORTHER], E'XT'ENSION OF TIIR BAST LINT: OF TIIF. WEST HALF OF 1'1iF, k:A:tT 11AI..E' OI' TIII: NORTIMNST QUARTER OF THE NORTHEAST QUARTER OF SAII) SECTION 34 TO A POINT ON TIIF. SOUTHERLY LINE OF LOS VER.TELS ROAD AMID THY,, END OF' SAID CENTERLINE. EXCEPTING THEREFROM ALI, THAT PORTION LYING- WITHIN THE BOUNDS OF PARFEjT,- I :�7ESCRII3E� IIF:I2EItt, � ; �• I'11RCE II A TtI(;HT OF WAY I -UR ROAD imizposi-:;: OVER A ,;,rRIP OF I,AITO 60.0 FEET IN WIDTH, THE CE:IITERIMIE: OF W111('11 15 DESCRIBED AS FOLLOWS: BEGINNINt3 AT THF SOUTHFAST CORNER OF TIIF NORTH HALF OF THE WEST. HALF OF;' TIIE EAST HAL 01f" THE NORTHWE -S'T QUARTER -OF THE NORTHEAST. QUARTER OF SECT tOtl 34, TOWUS111.11 1.8 HOR'I'1T, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG TIM EAST' LINE TO A POINT AT THE NORTHEAST CORNER AND THE FtlD OF SAID CENTERLINE. EXCEPTING TIIEREFIZOM ,Ably THAT PORT1011 1-YI14G WIMIXN TiIE 13OUNI)S OF P,ARCET, • I, DESC121 BI1-1) HEREIN. Ear ;% RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OR.OVILLE CA 95965 COPY of Document Recorded 5 -Jan -2006 2006-0000581 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE A13OVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (\40BLLEHONIE) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this dOCU.lnent at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DOUGLAS E. HAMILTON REAL PROPERTY OWNERILESSOR P.O. BOX 183 MAILING ADDRESS BANGOR BUTTE CA 959.1.4 CITY COUNTY STATE ZIP 24 DAMRON ROAD INSTALLATION MAILING ADDRESS. IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY, STATE; ZIP SAME UNIT OWNER (if also pntpcny owner. virile "SAME") SAME MAILING ADDRESS SAME CrF COUNTY STATE_ ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE zip 05-3082 530 538-7541 BUILDING - MIT.A\-0. TE PI:IONE NUMBER SIGMA RE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, wriic "NONE") NONE DEALER LICENSE_ NO FLEETWOOD 1.979 1562K MANUFACTURER'S NAME DATE_ OF MANUFACTURE MODEL NAME/NUMBER CAFL1A940673641. 56 x 12 CAL166669 SERIAL NUMBE:R(S) LENGTH N WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-045 1 -ICD FORM 433(A) REV. 9/91 WHITE_ - Connty Recorder CANARY - I -ICD PINK -Applicant GOLDENROD - Building Dept SIDWELLREALTY 9163893033 P.02 r _ "q�i,lji..�..ij;'" •4P•�6K�ipt- f�ii•i'..., r1:°�.1.yiii'.�J.i+.�rPr1�Yl++d!1�'h�/!kt!di:.�•i+��.ii�►��a�rs`�i.�i,+,.L•... . oIto I..0 t.-kit1�1-t�.tt+e,• 1 DRSCRIPTION AI,I, THAT CVRTAIN REAL P11014-AVPY ST'I'IIATE, IN THE STATE O CALIFORNIA, COUNTY OF BUTTE, I) E:;c:11I I3ED AS FOI. OWS : P RCEL I: TIIE NOlrr1f HALF OF THE WEST 11AI,F Or THE EAST HALF OF THE NORTHWEST QUARTER OF TIME•, NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5 EAST.', M. D. I3. & M: t A RIGHT OF WAY FOR ROAD PURPOSE1 OVER 4% STRIP OF LAND Gn FE;F:T III WIDTH, THE CENT'E:I2T,,I11E OF WHIM 'IS DI.SCRIBED AS rOL,tAWS: AEGIIINING AT Tlllk NORTHWEST COMIER OF THE Noimi I17 x OF THE WEST HALF OF TIIE EAST' imi,F OF THE NORTHWEST QUARTER OV THE NO12TIIEAST QUARTER OF SECTION 34, TOWNS1111' 1B 11012TH, RANGE 5 EAST, M.n.H. &. M.; THENCE EAST ALONG TIIL NOit'IIII MHE OF SAID SECTION 34 'r A POINT AT THE NORTHEAST C012NER 01" THE WEST HALF OF 'TSIu' EAST HALF OF THE NORTHWEST QUARTER OF THE NOR'1'11EAST QUAR`rER OF SAID SECTION 34; THENCE NORTH ALONG TII1, NORTI)EIt1,Y L'X'I'LNSION OF THE F,AS'!` •LINK. OF THE WEST IFALF OF T11F, EA: tT F1AIA.. OF THE NORTIFWF:ST QUARTER OF THE NORTHEAST QUARTER OF SAID SEC'T'ION 34 TO A POINT ON THE SOUTHERLY LINE OF LOS VERJELS ROAD MID TUB, FMD OF' SAID CENTERLINE. EXCEPTING THEREFROM ALI, T11AT PORTION LYING- WITHIN THE SOUNDS OF PARfi� fAESCRIi3E� HEREIN. .•" - • P, i !ARCS II A RIGHT OF WAY FOR ROM) P1JRP0:31-.,S OVER A STRIP OF LAND 60.0 FEET IN WIDTH, TIFF CENTERLINE: OF WFil(If 15 DESCRIBED AS FOf.,LOWS: BEGINNIN,*3 AT TflF. SOUTIMAS'T COI7NEIt O!- T110 NORTH HALF OF THE WEST IFALF` OF;' THE EAST HAI,F OF THE t10RflfWF,S1T QUARTER -OF TIIE; NORTHEAST QUARTER OF SFC:T'fON 34, TOW11ST1117 1.8 HORT11, RANG -E 5 EAST, M.D.B. & M.; THENCE 11011TH ALONG TFIE'. EAST 1,INE TO A POINT AT THE NORTHEAST CORNER AND THE END OF SAID CENTERIJ14E. EXCEPTING. THEREFROM ,AIL THAT }'012'1'1011 1-YI14G W1-Tl1XN 'TIIE I30UNDS OF PARCEL'(, DESCI2IIIED IIE'REIN. Pk I . 'i El .�...'J:.�:::.�.'�.^'«�:.'�_w'•�•^.^�^��-'»_... ..._..«.».«�...............................L_._ :3;�:»^..Cc� :lid' �'.�'_ „�? ����'_`..�M._.-`�'_ SYSTEMa _._.CERTIFICATE OF OCC=IIPANCY �` ... y And when recorded mail to: Building Division - #7 County Center Drive Oroville, Ca. 95965 . -' .97 02056G1 Rec. Fee -.8.00 IHF 2.00 Recorded 1 COP 1.50 i Official Records I Cash 11.50 County of 1 Butte 1 Candace J. Grubbs I Recorder 1 10.54am 5 -Jun -97 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides. pesticides, and fertilizers. and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: SFE Date:_(o _ ( / PR ERTY WNERS: State of California ) County of ,$4C.RgHEN7,10 ) OnJU N9 4, 19 J 7 before me, 4- (-T. "le lC14/,vim personally appeared jPt7u G-( E. Y/4 M //, O A-/ personally known to me (or proved to me on the basis of satisfactory evidence) to be the personlA whose name is/aWsubscribed to the within instrument and acknowledged to me that he/she/.!>K executed the same in his/yer/—r authorized capacitKand that by his/bfr/heir signature(4 on the instrument, the pe o o t e n 'tv u n ich the personK acted. executed the instrument. LG.RICjt2 WITNESS my hand and official seal. Commtalon#1tA6273 d Notary FUft — Calfomia Socromenb County Signature Seal: NN Comm6epte� Dee 1. 1999 BIDWELLREALTY 9163893033 P. 6:z' ' i�f'jA1iF•h�r • " -!�f!P�:+wiPr: iiia...., ri::t+-1.y'd1i•..ii►�nyK1�Y1)+4+1�i��!.i�:,�•:Mi}w.iYiiiOMiMw11Na���'�+.L-... oItl>1'.1: t.'1. 11(1_ 1 .1 :V.16t.-- I DESCRIPTION ;AI,t. THAT CERTAIN REAL P110PI'RTY SITUATE, IN 'L'flF: STATE; OF CALIFORNIA, COUNTY OF IlllTTE, UIi:;CHIBED AS FOLLOWS: THE NOR'FII IIALF OF illi': WEST 11ALF Or THE ,EAST HALF OF THE NORTHWEST QUARTER OF THE NORTIMAST QUAu'I'ER OF SECTION 34, TOWNSHIP IS NORTH, RANGE 5 EAST, M.D.B. & M. A RIGHT OF WAY FOR ROAD PURPOSE'S' OVJ;31 A STRIP OF t,AND GO FLET Itl WIDTH, THE CENTVRT,,IUE OF WNICET IS DI.SCRIBED AS f OLI OWS : BEGIONING AT TIiF� NORTIIWEST COI2t7I•:IL OF THE NORTIt twx OF THE WEST HALF OF THE EAST HALF OF THE NoWrIMES`!` QUARTER . OF Tills NORTHEAST QUARTER OF SECTION 34, TOWNSH1 I' 1B NORM, RANGE 5 1 --,AST, M.13,11. & `M.•; THENCE FAST ALONG TI113 NORTH 1AHE OF SAID SECTION 34 TO A POINT AT THE NORTHEAST CORNER O '1111: WEST IIALF OF 'rlir. EAST IEAI,F OF THE NORTHWEST QUAWrFR OF TIIE t101t'1'116AST QUARTER OF SAID SECTION 34; THENCE NORTH ALONG Till-.NOR'I.11F.RIN EXTENSION OF THE EAST LINT; OF THE WEST IIALF OF TIM, k.AST FIAL,I.' OF 'I•lll: NORTITSJF.ST QUARTF.11 OF THE NORTHEAST QUARTER OkSAID SECTION 34 TO A POINT Oil THE SOUTHERLY LINE OF LOS VFILTELS ROAD AUD TIM f;Ni) OF SAID CENTERLINE. EXCEPTING THEREFROM ALI, THAT PORTION GYING' WITHIN TIIF BOUNDS OF PAR E} ,I;pESCRIBED , IlEREIN • • I'11RCE I _ A RIGHT OF WAY I,OR ROAD P011POS OVER A S'T'RIP OF I,AND 60.0 FEET IN WIDTH, THE CEUTERI,INE: OF W111CH 15 DESCRIBED AS FOI,I,OW5: EXCEPTING TIIERE.F'IZOM ,A1,IJ THAT VOR'1.1011 INING WI-TIIXN TIIE 11OUNDS OF PARCEL -1, DESCRIBED IIE'REIN . PAM. 5 BEGINNIN,3 AT TIIF. SOUTHEAST C0MMR OF TIIE tlORT11 IIALF OF THE WEST IIALF' OF;' THE EAST HAI,F OF THE tIORTIIWE:51' QUARTER OF, THE NOTt'11IEAST QUARTER OF SECTI'OtJ 34, TOWIIS111 t1 1.8 HORTU, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG TIM RASP LINE TO A POINT AT THE NORTHEAST CORNER AND THE END OF SAIL) CENTERLINE. EXCEPTING TIIERE.F'IZOM ,A1,IJ THAT VOR'1.1011 INING WI-TIIXN TIIE 11OUNDS OF PARCEL -1, DESCRIBED IIE'REIN . PAM. 5 RECORDING REQUESTED B)": AND WHEN RECORDED INIA1.1, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OR.OVILLE CA 95965 SPACE A13OVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (A'IOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is .in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to, its contents to all persons thereafter dealing with the real property. DOUGLAS E. HAMILTON REAL. PROPERTY OWNERLESSOR P.O. BOX 183 MAILING ADDRESS BANGOR BUTTE CA 9591.4 CITY COUNTY STATE_ ZIP 24 DAMRON ROAD INSTALLATION MAILING ADDRESS. IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY, STATE- ZIP SAME UNIT OWNER (irulso propetty owner. write "SAME") SAME NIAILINj ADDRESS SAME CITY C'OUN'TY -STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY .7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-3082 530 538-7541 BUILDING - LM IT,TO. TE 'PHONE• NUMBER /r Is SIGNA -RE OF LOCAL AGENCY OFFICIAL. DATE NONE DEALER NAME_ (if nota dealer sale. write "NONE') NONE DEALER LICENSE NO FLEETWOOD 1979 1562K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAM=NU\4BER CAFL1A940673641 56 X 12 CAL166669 SERIAL NUMBE:R(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-045 HC'D FORM 433(A) RE=V. 8/91 WHITE-- County Recorder CANARY - FICD PINK - Applicant GOLDENROD - Building Dept BIDWELLREALTY P_02 7gAitl;-r• , PK>"iP!^ iii•Y.... Yii:P. liPS�ls��+I.yJF1'/!i�'I.ir: �.�i .iii 0t:11�+111�1A. `.: :�si.4•... O1il)1•.I: t••�. Eltl_•I.I..tNt.• I nl7scltiP+r�1oN ,Alit. THAT CF.It`1'AIN REAL P110PER TY SITOATE, IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, 11E:;(:12I13Et) AS FOIAOws: THE NOR'Pii 1IALF OF THE WEST MIX OF THE EAST HALF OF THE NORTHWEST QUARTER OF THE NORTIICAST QUARTER OF SECTION 34, TOWNSHIP IS NORTH, RANGE 5 EAST.', M.D.B. & M.. A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FRET It,l WIDTH, THE CENT'ERLIZIE OF WHIM IS DESCRIBED AS VOLMWS . AEGIIINING AT Tlll::_ NORTIiWEST COI2tJI It OF THE No12TIt - twx OF THE WEST HALF OF TIiI EAST Imix OF THE NolUrIMEST QUARTER. OF 'Pill, NORTHEAST QUARTER OF SF.CWTON 34, TOWNS111.1' 1B t101t'1'II, RANGE 5 EAST, M. n. n. & M.; THENCE. EAST ALONG 'fill, NORTH LINE OF SAID SECTION 34 TO A POINT AT THE NORTHEAST COIINEIt () 'I'kFl WXST IIAhF' OF 'TILE EAST IFAI,F OF THE NORTHWEST QUAIVrER OF THE 1101t'I` EAST QUARTER OF SAID SECTION 34; THENCE NORTH ALONG Tlll-' NORTHERLY LX'1`LNSION OF THE F,AST LINE OF THE WEST 1IAIX OF ' 11F, Y.A':T FEAI.,I.' OF 'rim, NOR'I'IiWF's,r QUARTFIZ OF THE NORTHEAST QUART8R OF SAID SECTION 34 TO A POINT ON THE SOUTHERLY LINE OF LOS VERJELS ROAD ACID TIM, END OF SAID CENTERLINE. EXCEPTING THEREFROM ALT, THAT PORTION LYING' WITHIN THE BOUNDS OF _�. PAR I jpESCRIBEW • IIF:REIil. ;�,; ... �. P; i• ' %'11RCE II A RIGHT OF WAY F -OR ROAD 1't1RPOSE:;: OVER A STRIP OF LAND 60.0 FEET IN WIDTH, THE CE.NTERI,INE OF Witl(If 15 DESCRIBED AS FOLLOWS: IIEGINNIN�3 AT Tf1F SOUT11F.AST COnNEM Or TfIL•' NORTH HALF OF THE WEST IIALF` OF;' THE EAST HAlrk OF THE NORTHWF:SM' QUARTER -OF THE NORTHEAST QUARTER OF SECT'I'OIF 34, TOWtIST1117 1.8 HORT1I, RANGE 5 EAST, M.D.B. & M.; THENCE NORT11 ALONG TIM RAST' LINE TO A POINT AT THE' NORTHEAST CORNER AND THE END OF SAIL) CENTERLINE. ' EXCEPTING TIIERE.FROM •AIj1J `1'IIAT VORT1011 1,Y1MG W1•'F'1Txm 'TIIE 130uNDS OF PARCEL - I, DESCH1 11I:ll IIE:REIN . PAGI. 5 ` RIDWELLREALTY 916589303,. __,... P-02 .. �..�r, -���IKSMjq'•' �'T�NtfM.�. .. Yj:=p.i�,3si•.�•,�"+�rPti���+t'f:�7'�'I:d ��i�'.'�IMinri%iF��il•illa�i.'�.'T"'v1ry r.. ()lil>I•.1: t.' 1 . E1t! _ I .1 � t t� e. • 1 D95CRIPTION AM THAT CFRTAIN REAL P1101'I-,ttTY SITUATE, IN TBF. STATE OF CALIFORNIA, COUNTY OF BUTTEr DE :;(: STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufacfared'Home`•• Decal No: AAR8774 Manufacturer ID/Name .Trade Name -----.Model. - • -•- --.DOM.--. FLEETWOOD SANDPOINTE 1562K 00/00/1979 •, -DFS - . OOiOO/1979 RY 1979 - •Exp: -Date Nov 30, 2006 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type CAFL1A940673641 CAL166669 56' .12' ACK 04 SFD ILT Issued Total Fees Paid Dec 08, 2005 $345.00 Addressee` e) DOUGLAS EDWARD HAMILTON PO BOX 183 BANGOR, CA 95914 NT Op Registered rP �ier(s) DOUGLASAR[IAIjIJ PO BOX 1835 BANGOR C 95 Situs Adress 24 DANIRN RD,� BANG CC , CA 95914 aim IN 91 " r. :t 1= 0 0 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4195235 12082005- 98 E H USE ONLY Plot Plan Attached Floor Plan Attached Sant to 8D/DS / TO:. Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Ow4ier Location 'AP# Plan Approved for: Sewage Disposal: Clearance for dwelling. O l r Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Supp: Public Private Well ! il, fi 0 F APPROVED Butte County Environmental Health t a.° Si nature . CJS. M C) c < o C:. p O' vY <. C7 CD C- CO w s F APPROVED Butte County Environmental Health t a.° Si nature . CJS. � q,, o 6ui1di�. Wrmi� ��! Qi �V2I� � g� �21%.W� �rn n� Imfod dee. PERMIT BUTTE COUN Y DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 000 23 2 BP02 n 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891/2834 5 $ OFFICE #: (530) 538-7541 BIN 4 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" CON ACTOR Namer'(J�� J Address ��TL I Yes I City Occ, State�,,�_ Zip Phonek�3 o .vi 3+% • Fax E-mail tic. #6i "?o ,I APPLICANT SIGNATURE X Cnr mf ern nen nnty Zoning APPLICANT NAME Namer-- Address I Yes I City Occ, State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE X Cnr mf ern nen nnty Zoning I A_ 5TFIODd Zone SRA I Yes I No Occ, Type Const. . Subdivision Name Map Book Page Lot # Planner Date Approved: LENDING AGENCY Narne Address n or Scope of WorK: Sq. Footage 577' x I f' 3 u h Cn�h 91 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application -after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:( G, OVER FOR SUBMITTAL KtWUlt t:IV1tN I L Receipt #:q4 0D0'7 Date: 11--1 C- Ul� Amount T 21q. Bldg 2.Oy o q 7, SRA Sheriff SMIP Other 42-49 Total REV 6-16-04 CDF FIRE SAFE REQUIREMENTS AP#, vP?g 553,9:"d J1S PERMIT # 0s--,1qA NAME: 'Y%�%D(lC Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fre Department and made a part of this permit. These requirements are D minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [Xl Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall T provided unobstructed access to conventional drive vehicles, including sedans Il and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not R exceed 20 percent. Driveway Radius IX] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to T those from 100-200 feet. [Xl The length of vertical curves in roadways exclusive of gutters, ditches and T drainage structures designed to hold or divert water shall be not less than 100 ILS feet radius. pq Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. T T `vt [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. T 1 (Xl Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. T x [Xl 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 T driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet HL apart. Gates [X) 1. Gate entrances shall be at least two feet wider on each end than EI the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and N shall open to allow a vehicle to stop without obstructing traffic on the roadway. 1 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing C ixl All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted.. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch F letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space [XI Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. r. �1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all 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] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Q Other Requirements T T C J If Building Setback is 15 to 30 Feet: U ✓ Class A roof I ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: R ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry � T o Masonry Veneer l� o Metal 11 Date Signature CDF FIRE SAFE REQUIREMENTS PERMIT # Os --e fA NAME: /,,/ Under authority of Public Resources Code Sec. 4290 the following checked items are required by T the Butte County Fre Departrnent and made a part of this permit These requirements are 11 J) minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. Pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall T Provided unobstructed access to conventional drive vehicles, including sedans Il and fire apparatus weighing up to 40,000 pounds. P Grade. Not to exceed 16 percent unless paved or concreted. Grade will not R exceed 20 percent Driveway Radius IX] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet T radius; 2 feet to those from 100-200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X1 Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. T T Pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum U 25 -foot taper on each end. T [Xl Width. All driveways shall provide a minimum 10 -foot traffic lane and 1 unobstructed vertical clearance of 15 feet along its entire length. T x 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. M Gates [X} 1. Gate entrances shall be at least two feet wider on each end than E the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and N shall open to allow a .vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access 1 to a gate entrance, a 40 -foot turning radius shall be used. Addressing ix) All buildings shall have a permanently posted address, which shall be visible and v legible from both directions of the road the address is located. The address shall Accessory setback be posted at the beginning of construction and maintained thereafter. ❑ Siding from the following list: buildings are not required to have a separate address posted.. [X) Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch o Masonry �T letter height, 3/8 inch stroke, reflectorized, and contrast with the background lv o Metal color of the sign. [X) Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space [X) Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure for continued availability, access and utilization of the defensible space provided in these standards, annual maintenance must be provided for by the landowner. �� �{-(�1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all 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) Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building Q permit inspection. Other Requirements T T C J If Building Setback is 15 to 30 Feet: U ✓ Class A roof I ✓ Fully enclosed eaves [) If Buildina Setback is Less Than 15 Feet: R ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side towardroPertY line with insufficient setback P ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry �T o Masonry Veneer lv o Metal [) T Date Signature Q d U Z H O N w Q r - CS) N ►n m m m Lo I m 0I 2"x 2"x STEEL ANGLE DETAIL "A" CHASSJS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH KUTS (4) REQUIRED 3/8- CAD PLA -EO BOLT, NUT & WASHER COUNTER BORED FLUSH WITH 30TTOM AT e" :).C. (8) REQUIRED 01 1/2" SCH 40 PIPE- RISER WITF- o X11/2" ADJUSTER HOLES AVD 3/5" THICK TOP PLATE a Or SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES AEESCO ABS PAD #503 -1 STEEL FPAME= SEE DETAIL "A"--2 1/4- STAND BASE /- ABESCO ABS PAD #503 36- MAX TO BOTTOM OF PAD i 01/2-x 3- C.R. LOCK PIN WITH 01/8" BRIDGE PIN COACH "C" FRAME 2" CHANNEL 1/4"x1-1/4"- TEX STS (2) REQUIRED 1/4" GRIFPER BASE 1/2- A307 BOLI (2) REQUIRED 3/8"x S"x 6" STEEL PLATE: 1/2" A307 BOLT (2) REQUIRED 0 0 10.00 Lio 1/4- GRIPPER PLATE 09/16 HOLE (TYP) STAND BASTE TOP Vi EW TUF-1 PERMANENT FOUNDATION SYSTEM AHESCO-GUS GUARD COMPANY 5851 FLORIN - PERMNS ROAD SACRANII~MM. CA 95823 PH: (800) 382-8831 FAK: (916) 383-5207 COACH "J" FRAME 1/4">1-1/4" TEK STS (4) REQUIRED m . 1/4- GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED C -BEAM J-BEAW ATTACHMENT BU BUILDING DIVISION 8" 1/2- DIA. HOLE (8) PLACES STEEL FRAME TOF VIEW . _ . �A%tR/g1B i11tiTY CDD4 �71lI�l� .. �0111rdR -: • �ll�/lf.>Ddll411d�r11ti11101�OR1�1l�DAtl� . =:•.�8i>D�tAlf0l11d)lOSE/�E�ll1lfls� _` �A1Ritd17[7<AiilT��iBTia� fi; are! _ &Fwwwo WAYNE -. POLVA00, PE -LISTING NO. F94249 SHEET i at 3 P GENERAL MOTES GUS GUARD TUF-1 DESZGN T1ti - LIVE LOAD - 30 LB. FLOOR LIVE LOAO - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. C14ASSIS BEAN SUPPOPTS SHALL BE LO:ATE D AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS. �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEC•S 1/4". OR+ %MEN IT WILL ADVERSELY AflECT MOBILE HOME UNIT. 5. CARRY ALL FDOTINGS DOWN TO FIRM: UNDISTURBED SOIL FDDTINGS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COILPATBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL- FABRICAIED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ASIS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5_ASTH A449=;ASTM A3725. 7. THE •CUS GUARD ASSELIBUES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ATLONABiE LOADS: HORIZORTAL VERTICAL G'JS GUARD TUF-1 22001 6000# GUS GUARD MGP PAD 22001 60001 GUS GUARD E -Z TIE PAD 22001 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THI't" MOBILEHOME CHASSIS BEAMS ARE OF STANDARD SECTION. S. EXISTING COACHES MAT' BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWHG GUS GUARD TUF-1 LNITS AS SHOWN 9N' THIS PAGE OF TYPICAL FOUNDATION 2LANS. 10. THE CUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDIIIONAL RESTRAINT. - (SEE SHEET #3).-!- 13. 3)_-13. ALL WRAL COMPONENTS .ULD ATTACHMENTS ITEMS SHALL BE PPOTECTLVE COATED. 14, WHEN CONCRETE .SLAB IS IN EUSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16-1 16"x127 POUP,EO 1.4 PLACE AT GROUND LEVEL MAY SE USED AT INSTALLERS DISCRETION ALTEPPATIVE TO PADS. SIYGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / $' MAX. £= 2' MIN. 11' MAX. S= 6` MIN. /16' MAX. S= 6' WIN_ / 22' MAX. VARIES 10'-70' (SEE TA3LE ON SHEET #3) -' E S 5 -Ir S --�-! E Li L'J u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a a (TYPICAL) ❑ 0 ❑ a c3 -T ❑❑❑❑ $' NOM. ❑ ❑ 2' NOM: PADS IN ANY PMR MAY BE I STANDAiD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBJFMS_ ENGINEER. TYPICAL THROUGHOUT PAD TYP) STATE APPROVAL MAAi[.'FACTQR9D 1TOM61MOHII� )� ya+ FOUNDAIION SYSnX s i>d RBALI:TTAWJT SAIM CODB.SSi'iT03tT SUM i � APPROYBD Ex". te F C iiove REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH OF -1 PERMANENT FOUR (4) 1/2% 3 Ij2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO ' 10C PSF WHEN INSTALLED ABESCO-CUS GUARD C(DeANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORN-PEP.ICINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. I SACRAIV110, CA 95823 SUB=r TO COatRHCitODli/ b1UM AT'MOVAL DOES NOTAUMOMM QIRAT'MT> N ANY O4USSTONS OR DBVLATTO0l FROM RBQUIZEME i 4W APPLICABLE STATE LAWS AND RvWjL jXVS _ sulbDTPWVofCdiirc�ds of HOU09 and COcnaft Ds"wil"f CODES AND 8rAKM2=/ SPA TIO. Tl is Plan Anorovsl >isni� WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 m m W 0 CL ti IS) N U') 00 m LO m '01 3/4' DIA. x 18' LG. 1/2"x 3 1/2" 1/2"x 8' LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAO PLATED BOLT, NUI & WASHER %4) REQUIRED (4) RECIIIREO COUNTER BORED FLUSH WITH 60T -0M �- AT R" O.C. ` (8) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED t/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH ' 01/2" ADJJSTER NOLES AND 3/P' TRICK TOP PLATE 02' SCH 40 PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 4 STEEL FRAME POURED t�-il 11. G }rJL �11F QGt1 FOUNDATION INSTAL. 1C==1}L�c1} }}=,11 q-3j�y �ti�lti�}�lt pc 3ir-I_�S1�11��1r11rL���L=]l iL u 1 {ctilr t' irUr.. �L�SGn - LIGH— HEAVY—WEIGHT 1 36" MAX IMM71—vwx UKITSSINW& wmzi TO BOTTOM OF A. GTH OF HOIEE u TH OI• H01iE z 2a rs UP To u 6 a a 12 14'-1' to 66' 12 12 12 18 U' -I" to 80 20 20 _20 24 01/2"x 3" C JL j LOCK PIN WITH ! 01/8" BRIDGE PIH LENGTH HOME 10 WIDTH OF HOME 12 1i17 16 UP TO 44' 1 6 1 6 1 6 $ 4I -1 10 66' 8 8 8 8 iC-t' fo 84 10 TO 0 10 NUVIIER OF TUF-1 REQUIRED NUMBER OF TUF 1 REQUIRED !TOTE: SINGLE WIDE UNITS REQLKRE (4) E -Z TL_ PADS. GUS WARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL DiTEAYAIS ALONG EACH FRAME RAR. C4)t o OF TUF-1 PERMANENT FOUNDATION SYSTEM 10 1/2" ABBSCO-CM' GUARD COWANY 5851 FLORIN - PE121CINS ROAD SACRAMENTO. CA 95823 PH: (800) 382-8531 E —Z TIE RAD FAX: (916) 383-5207 STATE APPROVAL FCUNDAMN SYSTJIM ANC SAFETY CODIL SBCZM JUST APPROVED 79161 1001 BUD= TO C ORRamom NO= APPR(YVAL DOES NOT A011I)OR186 DR APMOW AM I' DMISSIO-ES OR DBVJATION FROM REQUIREMENTS 03 APPUCABLB ETAT9 LAWS AND REGUL&I30145 -Sam of CAliflaws, P sod 0� DvvdVzwA bs AND BTAND / B 18 "> Y✓iY o SPA1N0. m1.>�Aisxpur. � WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 -w- -r(+ Doo r BUTTE COUNTY BUILDING DIVISIOM APPROVED -3,30 '70�5 Environmental Health 0A u 4 T197 Days 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 01-3184 ASSESM —cry - 45 ZONING BUILDINGPERMIT OWNEIDOUGLAS HAMILTON 9 6 319 5232 SO. FT. OCC. BUILDING VALUATION OWNTTIMfDfO , BANGOR 95914 CONTfigMgAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BU11-11T 1DDa%kON RD, BANGOR Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR 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 M Installation ❑ Other ❑ Describe Work: RRRtA'CR aP-99-2324 MOBILE THOME UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 19 p I W @20.00 0.00 PERMIT FEE s 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWELLING OCCUP. OR ADDNS. ( g . S. SO 3.5QFT; NEW CO ST' MULTI.OUTLET1. @7,50 OWER APPARATUS & SINGLE 0. CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'0° BA L Q .SO Ex. Occup. pFUCUTELE7gAaln.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63 , 0 . WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating • Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of C 'rfornia, a d agree that if I should become subject to the workers' compensati provisi of section 3700 of the Labor Code, I shall rthwith o ply it CIS pro I Ions. X Date .0-01-0 Sig a ure of lica Owner ❑ Contractor ❑ Agent An OSHA perm' s required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee I's Occ CONST. TYPE TOTAL FEE.F 123 00 HAZ. p. FEES IMP FLOOD CDF PARCEL pD M ISSUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By/_�/Date, PERMIT EXPIRES ON—�d♦l���/—Z Oa� ReceiptNo. 337427/$123.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' s thQ--/ � I � ,f�mhl lie COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-330-045 ZONING BUILDING PERMIT ' OWNER DOUGLAS HAMILTON TELEPHONE —• Z SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 183, BANGOR, CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 24 DAMON RD., BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,XX 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 ❑ Ufilifies)(ff Installation ❑ Other ❑ Describe Work: REPLACES BP #98-1585 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.0000 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVORUE Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license w 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. C' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. i❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 W:o I CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. NGµRESiD. muLTI.OUTLET @7,50 OWER APPARATUS b SINGLE OLTLEi CR. Ex. Occup.R ouTLEr OR (TURES �* 0'.00 Ex. Occup. DFuTLEEDrsRaID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE S 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work ;-f—a valuation of one hundred dollars ($100) or less.) 10 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any me er so as to become subject to workers' compensation laws of Cal'rfornia, a gree that 'rf I should become subject to the orkers' cc ensatitjk7 ion 3700 of the Labor Code, I shall f with c )ply t ate / Ign ofAp icant - wner [3Contrac Agent An OSHA permit if yequired for excavations over 60" deep and demolition or constructionI of structures oveAA stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 123.00 HAZ. o FEES IMP FLOOD CDF PARCEL PD HD 6S This permit is hereby issued under of the Butte County Code and/or indicate above for which fee have ot 476�Date PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date Receipt No. 280386 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �J _ Q` ! / �a Q zo— BUILDING PERMIT OWNER TQFPNONE S.Q. FT. OCC. BUILDING VALUATION OWN QMAILINQ ADDRE ()•� Co. WU�tE T NE CONTRACTOR'S AWUJNO ADORESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2.0,00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee b BuaDINGADOREss Energy Plan Checking Fee $ S PERMIT FEE S LOT No. SUBDNISIDNS NAME ARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installatio{{nn� ❑ Other ❑ Describe Work: �`t'� /'l(/ as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home (920.00 PERMIT FEE S \800v ELECTRICAL PERMIT Fling Feel 20.00 OR LESS Main Service 200A OR LESS 23.00 . 2 i Main Service 200A TO tOOOA 46.00 NEW CONST. DWELLING OCCUP. r3.5¢S0. OR ADDNS. ( 8 PGC. OCS. FT. NEW GONST. MULTFOUTLET NO"ESID. BRANCH(97,50 POWER APPARATUS 8 3 E OUTLET C10. Ex. Occup. OUTLET OR FixTums 20 O 1'00 BAL @ .SO Ex. OCCU -MTS OLftIETS M. EA, 5.00 —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 FEt S Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ HAz• 0. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON to May 23, 2001 Mr. Douglas Hamilton P.O. Box 183 Bangor, CA 95966 RE: Building Code Violation 24 Damon Rd., Bangor CA A. P. # 028-330-045 Dear Mr. Hamilton: BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 ' FAX: (530)538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the installation of a mobile home. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. t rely, Mi ael Vieir Manager, Building Inspection MCV:tp cc: Assessor A1S �cp roe -v �Iob'i'%' 5gjf_> l0 ba'! te1'Z�- ::..... Eutte CO, ` - L A N D O F NAT U RA L W EA LT H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 JUNE 4, 1998 TELEPHONE: 1916) 538-7541 FAX: (916) 533-2140 DOUGLAS HAMILTON RE: Building Permit # 97-1084 624 DAMRON ROAD Expiration Date: 6/5/98 BANGOR, CA 95966 A.P.# 028-330-045 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original ,expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [g] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Yours very truly, 4MicelC. V ira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: DOUGLAS HAMILTON ADDRESS: PO BOX 301 CKT&5OMPTO, CA 95691 DATE OF CLAIM: 7/22/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT PERMIT EXPIRED. OWNER REAPPLIED. (A.P: #028-330-045, B.P. #97-1084, RECEiFf ., OWNER: DOUGLAS HAMILTON. _. 255.00 RETAIN REFUND PROCESSING FEE :..............$25.00 - ;. RETAIN ELECTRICAL PERMIT FILING FEE ........ $20.00 QQ RETAIN FIRE PLAN CHECKING FEE..............$43..00 TOTAL AMOUNT TO BE RETAINED................$131.00 TOTAL AMOUNT TO BE REFUNDED.: ..................... $124.00 TOTAL $124. DO I, the undersigned, declare under penalty of perjury that the services or articles claims ha been p r rmed or livered, an th this claim is true and correct as stat Dated this day of �1yI� , 194L�at , Calif. Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or arti s specified abov ve been performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for he q Dated this 22ND day of JULY , 19 98at •OROVILLE Calif. De artment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: ' Receipt Information: / Number: 1 , Date: Issued To: Amount: Fees Retained: 1 " f/ Processing Fee: /Bldg Filing Fee: v Plbg Filing Fee: V-16ec Filing Fee: Mech Filing Fee /Energy P/C Fee: v Plan Check Fee: Inspection Fee V'SRA Fee: P/GA.5.6 Total Amount Retained TOTAL REFUND DUE c'K $ $ ;�o_C� $ $ O -D $ ac) CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) — RequesW efund of fees paid a✓ I I-) 0 f - RE ^1kI the above rgpipt numb�r(s) for, the following reasons: n Please refund any applicable fees in the following categories.: (Check those categories which you wish to have refunded.) t, Building Permit Fees ( ) Sheriff Fees SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above add ( ) . Please dispose of plans. SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. . COUNTY OF BUTTE DEPARTMENT OF DEVZLOP %ENT SERVICES - BUILDING DIVISION v 7 County Center Drive - Orovil16, California 95965 - Telephone (916) 538-7541 6RRT NO. (Rev.12/96) APPLICATION AND PERMIT IS( ASSESSOR PARCEL NUMBER 028-330-045 ZONING BUILDING PERMIT O OWNER DOUGLAS E. HAMILTON T.734 N 188 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 301 WEST SACTO, 95691 CONTRACTOR'S NAME S -A -A TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 24 DAMRON RD Energy Plan Checking Fee $ BANGOR $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome if 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 W Addition ❑ Remodel ❑ Utilities)( Installation ❑ Other ❑ Describe Work: 2 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I R I f I YF -@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service loon oa LEss 23.001 213, UU LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1 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. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. So 3.50FT: NEW CONST. MULTI.OUTLET NON-RESIO. A cI uI @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES DAL p':00 S. Ex. OCCU OUTELETSPPUNRESIn)FR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ n 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) J8( 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 orkers' compensation provision f section 3700 of the Labor Code, I shall r+hmply wit ose provis on C� X _ Date _"'_/�_ reari - Owner ❑ Contractor ❑ Agent AnOSHAquired for excavationso r 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166XO FEES M FLOOD �— CDF PD JAD YS511E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By the applicable provisions Resolutions to do work been paid. % /'J y Date �c r De 222100 �-Z ReceiptNo. WHITE-D.D.S.-B.D. CANARY- SS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health 6/31`7`'7 SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe DisposalWater Supply �G 7 Fold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for a bedroom mobil home Other NOTE *** Sanitarian t��^►1J%.�'����.','s' '�'1�Jit-�'�`K •r �L.,.��'%ivi.i��"'�N�'�;�r�`71�,rC..•Crr•'iy.�1'"'SSK+r:�:�� - y �Y✓R�""T'.. .... �v ,11 COUNTY OF BUTTE - DEPARTMEX1 0_FD'EV fWAIENT SERVICES -BUILDING DIVISIONS 7 COUNTY CENTER DRIVE - OR tOVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 } PERMIT APPLICATION DATA SHEET •OWNER: ASSESSOR PARWsumitte!dnp—rior : Proposed Buil mg Use: Building h4ector:Date: At time of permit application, I was advised the following data must to permit cess g and/or issuance: �`• r Date Received By ❑ 14All iiems have been submitted-------------------------------------------------------------------------------------- --- 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ } ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------ ---- 2"TM��.f 04. Engineered plans, 3/4 sets, with wet si aturep .n Tans. All engineeringmust be shown on laps.► � P � 9 P P ..: , 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------- 11 6. --------------- -- ❑6. Energy Design Compliance and supporting documentation.-------------------------------,--------------------- 117. ------❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------- ! ------------------- ,/' __ ❑ 8 Hazardous Material Form. ----------- �=---------------------------------------------------------,=-------;--------- + 9. ufactured Home data and installation instructions including Tie Down Specifications .----------------=-, 0. ees of $ ' r I npact,fees as shown on the attached�schedule. ------ -------------------------------------------------- lifomia Department of Forestry plan approvaUf s.-- ------------------------------------------------- 3 F1oQd elevation certificate. --------------------------------- -- --------------------------------------------------- 4 tatieA and plot plan approval bz4 Health Department. ------------------------------------------- 15. C,ity'o Chico plumbing permit. ------------------------ ------------ =---------------------------------------------- t8. t plan and business license approval from the Ci of>>` i s-`----���-`-"'="-x"'-r----------------------------- nning approval for (A) Use: (B) Parking: -------------------------- ntact Land Development about ❑ Impro� ents, ❑ Drainage, Legal Parcel. NOC-` 1'+rs2WL roachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre)TCtion for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1 ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to o mer ❑, Mailed to owner 11) - ------------------------------------- Letter of signature authorization. ---------- ------------------- -----------------------96 --- , ecorded copy of Agricultural Acknowledgment Statdment--------------------------------------------------- 'k 6. Letter of intent on building use. -------------------------- , ------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------ =-',------------------------------_-___________-_=___-___- -- 028. Existing vio 029. 11433 A, ❑ ❑30.Other: ; and/or expired permits. --------------------------------- Deed, ❑ M.H. Title, ❑ Check to H.C.D'$ When you issue the per4t, process as follows 6 Mail to owner, ❑Mail to contractor. _.. ❑ Teleptone A 13,and hold for pickup at offtce -� A Deliver with inspector. Applicant: Date: - Copy o az-Mat form sett ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Heal Department, ❑ Fire Department, ❑ Other: �+� Date: By: 1. Index permit application fir the above items numbered: r' ❑ Plan Check List 2. Additional items required: e "Act { Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ iBuilding Drvrsion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑'phone, ❑ mail, o Building Division;ounter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ p`l one, ❑ mail, ❑ Building Division'counter, by Date: Contractor, designer,'owner, was`tidvised of the above required data by ❑ phone, ❑ mail, 13Buildin Di 'sion counter, by Dat Plans reviewed by: Date: Plans approved by: Date: 4 Z Sets of plans on hold in &Plan Cabinet, 13A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Servjce'oBuilding Division. t` O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: - An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. G1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES �6 NO 0 2.2. 1 HAVE ;l HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: IN I IV& CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: NOTE.- SOCIAL OTE. SOCIAL SECURITY NUMBER: DATE: '`� r4- I 1 This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, /U� Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This O►vner-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER f (Rev.12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California •95965 -.Telephone (916) 538-7541 APPLICATI6NAND PERMIT PERMIT NO. ASSORPARCELNU " cid ^0 //_ zomw BUILDING PERMIT d Q, m �N To No - 3 SO, Fr, OCC. BUILDING VALUATION DwNER - 'CO�4RACTOR'S NAME _ 1 TELEPHONE . CONTRACTOR'S MAILING ADORESB .00�TRfJOTfON,iEHDER ; . Fireplace LENDER'S MAILING ADDRESS Total Valuation 3 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b Permit Fee S ARCMITECT OR ENGI IEER'S MAILING ADDRESS Plan Checking Fee b WILDINGADDRESS Energy Plan Checking Fee $ a PERMIT FEE i tDTNO. SUBDIVISION'SHAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome 19 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 'o Addition ❑ Remodel ❑ Utilities ® Installation 13 Other ❑ Describe Work: C9L IQ►c�YYI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 (,,0, 00 PERMIT FEE S Q ELECTRICAL PERMIT Fling Fee 20.00 Main Service aow OR LEss 23.00 _ Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70CC) of Division 3 of 'he Susiness 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: 15 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 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. Q 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 policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in Any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the orkers' compensation provisions of section 3700 of the Labor Code, I shall f with ompl wit those pro isions. X Date Signature of pplicant - pt Owner O 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. Main Service zooA To I000A 46.00 NEN CONS:. DWELLING OCCUP. 5:7 OR ADONS. ( a Acc. eLos. 3.5¢R: =;'k EOSD MULTI.OLmiT ^7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FOTTUREs SAL 4 ':50 Ex. Occup. OUTLEFIXETS REU510•°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 S0,00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ G , �Z 0. FEES IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dafe) Receipt No.l. WHITE-O.O.S.-9.0. CANARY• SESSOR NK -INSPECTOR GOLDENROD -APPLICANT LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. —1 ` — It ON OWNERS A.P. NAME: Y1r11:::NNUMBER: PRINT LAST NAME FIRST _ COUNTY ZONING DESIGNATION: h FLOOD ZONE: FLOOD MAP:SOOt3 APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL: rJOC 4/'C)h1 91- 115vol PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITION MAP INFORMATION: DATE OF RECORDING LEGAL ACCESS REQUIRED: YES NO LOT BOO YES NO PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building. setback from centerline of road. 2. Maintain a •ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. _ 5. Maintain a ft. leachfield setback from 6. ' Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. _ 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. . 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $_- 12. _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning DiuWan. . _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. '19. Wood -stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22 23. 24 25 26. AIQ 1N3Wd013A34 GNd1 3111718 10 AIN600 1661 Z O Nnr MUM LD 7/96 C:\WP51\F0RMS-K\BLDGPERM.CLR i -I-#- P_ L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY May 1, 1991 Deputy Director Harry and Donna Mason RE: AP 28-33-45 1316 N. Redwood Avenue NOTICE—OF COMPLIANCE San Jose, CA 95128 Dear Mr. and Mrs. Mason: Enclosed please find the -Notice of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on...April 19, 1991. The Recorder's Serial Number is: 91-15261. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works la� " �t2 John Mendonsa Assistant Director JM/ds attachment cc: Building Department Environmental Health Department Marion Millington, 3022 Olive Hwy., Oroville, CA 95966 a! 91-015261 Tota 1 n Recorded official Records County of Butte RETURN TO: Candace J. Grubbs S Public Works Recorder Land Development Section 8:02am 19 -Apr -91 JJ NOTICE OF COMPLIANCE Issued to: Harry and Donna Mason 1316 N. Redwood Avenue San Jose, CA 95128 This Notice of Compliance is hereby issued by the�County of Butte to certify that the conditions imposed on the Certificate of ;Compliance; recorded on August 28, 1990, under Recorder's Serial Number: 90-036918 have been fulfilled to the satisfaction of the Subdivision Violation Committee on property identified as: a. Assessor's Parcel Number: 28-33-45 b. Property Location: DESCRIPTION: on the west side of Damron Road, 600 ft. south of Los Verjeles Road. East Oroville area. All that certain property located in the County of Butte, State of California, more particularly -described as follows: The North half of the West half of the East half of the Northwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.D.B. & M. TOGETHER WITH rights-of-way of record recorded in Book 1989 of Butte County Official Records at Page 656. Issuance of this Notice of Compliance is pursuant to Butte County Code, Chapter 20-167. County of Butte Subdivision Violation Committee �.D 14w. W�Z _.... END OF DOCUMENT END OF DOCUMENT j 1 M Harry and Donna'Mason 1316 N. Redwood Avenue San Jose, CA 95128 Dear Mr. and Mrs. Mason: butte Co LAND OF NATURAL WEALTH AN D BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY August 1, 1990 Deputy Director . RE: AP 28-33-45 App. for Determination At the regular meeting of the Butte County Subdivision Violation Committee meeting held on August 1, 1990, the committee granted a conditional Certificate of Compliance for the above -referenced property.' The conditions are: .1. Provide satisfactory evidence that the parcel contains the usable sewage disposal area required by Appendix VII of the Subdivision Ordinance. 2.. Provide satisfactory evidence that adequate quantities of potable water are available for a single family residence in compliance with the code of Butte County. There is a fifteen=day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works /n John Mendonsa Assistant Director JM/ds attachment cc: Planning Department Environmental Health Department C$dilding Department MarionMillington, 3022 Olive Hwy. Oroville, CA 95966 r► _ Suite ourtt LAND OF NATUP,.AL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY September 13, 1990 Deputy Director Harry and Donna Mason RE: AP 28-33-45 1316 N. Redwood Avenue Certificate of Compliance San Jose, CA 95128 Dear Mr. and Mrs.'Mason: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public -Works in the office of the Butte County Recorder on August 28, 1990: The Recorder's Serial Number is: 90-36918. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works J n Mendonsa A sistant Director JM/ds attachment cc: Building Department Environmental Health Department Marion Millington, 3022 Olive Hwy., Oroville, CA 95966 g� Y RETURN TO: Public Works Land Development Section 90-3091a 90-036918 ; Total .00 Recorded ; Official Records ; County of ; Butte ; Candace J. Grubbs ; Recorder ; 8:02am 28 -Aug -90 ; CD 1 CERTIFICATE OF COMPLIANCE Issued to: Harry and Donna Mason 1316 N. Redwood Avenue San Jose, CA 95128 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the.Butte County Code. 1. Property location: on the west side of Damron Road, 600 ft. south of Los Verjeles Road. East Oroville area. 2. Assessor's Parcel Number: AP 28-33-45 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: The North half of the West half of the East half of the Northwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.D.B. & M. Together with rights-of-way of record recorded in Book 1989 of Butte County Official Records at Page 656. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b)', to protect the public health and public safety: 11 Provide satisfactory evidence that the parcel contains the usable sewage disposal area required by Appendix VII of the Subdivision Ordinance. f2' Provide satisfactory evidence that adequate quantities of potable water are available for a single family residence in compliance with the code of Butte County. County of Butte Su division Violation Committee END OF DOCUMENT END OF DOCUMENT lot ©� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �k� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNE i l.. Q N'1 �O q TELEPHONE j / J(1�� S� i _J/ V SO. FT. OCC. BUILDING VALUATION OWNER MAI ADDR7 O � 9! a V+C J y COM) NAME h TELEPHONE CONTRACTORS MAILING ADDRESS CONSTR/l��/CC�/7ON LENDER ✓ V 0"f Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHRECT ENGINEER Ong LICENSE NO. Filing Fee $ 20.00 Permlt Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $`cl Q BUILDING ADDRESS Energy Plan Checking Fee $ A/1 0 ® PERMIT FEE $ 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation J�" Other ❑ Describe Work: 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 Main Service 200AOR 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 Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Occup. OR ADONS. ( & ACC. S. so 3.5¢FT. rNO -HES D. MULTI•OUTLETCIRCUITS @7,50 POWER APPARATUS 6 SINGLE CIS. R FIXTUTLETRES Ex. Occup. OUTLET OR FORURES SAL @ I.50 FDCEDAPPLNS. OR Ex. Occup. OUTLETS REs1O. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S , . WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature. of_ -Applicant - ❑ Owner ❑ Contractar G Agent An OSHA permit is required for Axnavat?ons over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ l 0o, Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0 (9 HOZ. D. FEES IMP FLOOD CDF PARCEL I PO 1 HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. WHITE-D.D.S.-B.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S 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 $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing 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 O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: YP I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a ACC. BLDS. SO .50so — FT. NEWCONS.9 NON-RESIDT MULCn-OUTCU P7.50 PSINGLOUTLET OWER APPARATUS E CR. Ex. Occu ourLEr OR FocruREs zo @ 1.00 BAL @ .so Ex. Occu .OU7ELETSPRE80)R� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 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 of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the orkers' compensation provisio of section 3700 of the Labor Code, I shall fo hwith mply with se pro Ions. X ___ Date _ Sig a re of plicant - ❑ wner ❑Contractor ❑ Agent An OSHA perWt 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 $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) �„""�^T^"-7a*fTf'�#F1.pVrTWw¢�stge,V4r-')i�i�r}"'fiyl'�/�K 1,`�rT 1'•t`�ry`•_I�yir��'i'Vi'f`tr�3s7�]:+iii'i'1+r.'F!.'�"'r�"+,�w'r►KVfaSej�rr+rY^v+f7r'-r"`. 4_4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �- APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER '-- - ' ', ZONING BUILDING PERMIT OWNER i TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG`,ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER. LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE 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 piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSEDCONTRACTOR'S DECLARATION I hereby affirm .under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: PV I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT: NEW CONST. MULTI -OUTLET NON•RESID. B ANc c 97.50 OWER APPARATUS 8 SINGLE OUTLET CI R. Ex. OCcu OUTLET OR FIXTURES 20@''50 BAL @ .50 AP Ex. Occup. OUTLEETS[PR LENS ID.OEA. 5.00 . Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) fY 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' r\co laws of California, and agree that if I should become subject to the workers,compensation provisioO of section 3700 of the Labor Code, I shall fo hwith ply with se Prov Ions. �J`7 X Date -�_/ _ Sig a re of plicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling\ Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT .. - ,. •- ,rte-„.--� _..__ ,.�.,,.,.,w,,,,rcv �....-.-..c;mw+>mr�rw�ne��y �,�,, r I�>�.-q,� .,.,_,r ,._ , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ; 7. County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) ,.,, °. ,. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , ZONING BUILDING PERMIT OWNER TELEPHONE SQ. Fr, OCC. BUILDING VALUATION OWNER'S MAIUNG',ADDRESS CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing 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 piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home_ I S I G I W @20.00 PERMIT FEE 4 ELECTRICAL PERMIT I Fling Fee 20.00 UE Main Service 2..AOORLEESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a Acc. BUDS. so 3.5¢FT: NEW COS. NON -RESHOT UcI cRLuE s 97.50 APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruREs SAL p 1.50 LNS Ex. Occup, ouTLEErs RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 of one hundred dollars ($100) or less.) EY 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' compensationlaws of California, and agree that if I should become subject to the compensation provisio� of section 3700 of the Labor Code, I shall N bith comply with/'se�io X4•t _, Date ”" J ( �_ &re SigrtAplicant - ❑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. TV PE TOTAL FEE $ HAZ. I D. FES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date _ De 10 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) ria('S+ZE.o'�9='rs�;art+:+r.�i-�'.uf'Tij�`+�4;�,^}ks,+w�ri$,Yrir SC+Ny.r�••■..�"'„�'���,+m�'rw;:�wvy}Ratiyrg� ,.,_•..�.�+r-. .�.-�;-.. 4. 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 ZONING - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING` ;ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAKING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ ' PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOF8TRUCTURE 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: v Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service '.".A ORLESS 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: 7' 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 policy number are: Carrier Main Service ( TO 46.00. CCU000A WELI200A NEW CONST. OWEWNO OCCUP. OR ADDNS. ( 8 Acc. BLDs. SO 3.540 NEW CONST. _ULT' NON-RESID. ANC CI CUITS @7.50 POWER APP 8 SINGLE OUTLET CR. Ex. Occup. ourLET oR F°cruREs 20 @ '•0° BAL @ .so FIXED A Ex. Occup. OUTLETSPRES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 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 of one hundred dollars ($100) or less.) 'D I --certify that in the performance of the work for which this permit is issued, I shall T not employ any person in any manner so as to become subject to workers' ompensation laws of California, and agree that if I should become subject to the workers' compensation provision:' of section 3700 of the Labor Code, I shall forthwith complywith J se pro ions. 7 , X g4v-1e"_ f�Lt Date Sign f're of F9pplicant - ❑ 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 $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ISL NO ❑ 2. I HAVE 9) HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: .B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you pian to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the.work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code C�Tij �1.� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET hh _ 1,1 OWNER. p09 C `ram' ASSESSOR PARCEL Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing an /or issuance: ❑ 1. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. 08. Hazardous Material Form. Manufactured Home data and installation instructions including Tie Down Specifications. 1110 Fees of $ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. 1:114. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). 1:120. Pre -inspection for required. ❑21. Contractor's license information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ /30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �7' �'y�if"�Y']�f����'C'7sr-'""I ji�f''[� C�,,(k..r'�s.-.,�lY^^f,(Y'""�fT'��-moi..'ICY"�'t�.,:X"'YYiSyly'�'►"lj.,,�y."'v��Y.�y��•.�5/1'"'��l'�-•1�'yl.r'y�..., �•s(`v�"•..ti7r�� '%...-. . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: Oc l rUm' �A�SESSORPARCEL NUMBER: Proposed Building Use: V Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted .-------------------=-------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. t ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 ❑ 10. Fees of $ ---------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------------------------------------ - . r, ❑ 13. Flood elevation certificate.------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking:. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------ . E122. Workers' Compensation carrier and policy number. 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). E124. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired permits. ------------------------------- oa9. 0433 A, ❑Grant Deed, C1M.H. Title, 11 Check to H.C.D $ 30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date:_ By: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One.form per Building) School District. ' (tn 8 N i F] dl %� �� Building Department No. A.P. Number Property Owner Property Location/Address Jurisdiction: City14County t �/ JI r�14dk Add ; A90 P1 ice' Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial 'New Addition District Identification No. (r•ioor rians reviewea oy acnooi uistnct rersonneu School District certifies that Sq. Footage (Including Exterior Roofed Areas) bate (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. (State) (Zip Code) by payment of $ representing square feet. B 2926 $ ULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (2/97)dmm . y 5' '7�.•ItY�l i'Yl �j � Fiji.'•••+•'�+�/"�•'�iYyj''i"YiY,'�1 hr�� 7, 1i .,'" 'Ci`'., j!(yl!•N iSJ*hi..i'�,,{�` '',Y ' M'?.'►�nk Z,�.'.tir-+A...,i , 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) i` n School District. W ; i7 r( %� Building Department No. A.P. Number Jurisdiction: City FX1 County a�_�..� 00144 l�lProperty Owner 8' 3A0 _o /0 -s / (Qtr ; ho P1 Property Location/Address f 0 V1 Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units • Installation Commercial/industrial New Addition District Identification No. (Floor Plans reviewed by School District Personnel) Q Sq. Footage 01 (Group R) Sq. Footage (Including Exterior Roofed Areas) Date School District certifies that (Applicant) (Street Address) (Phone Number) (City)'. (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District Representative by payment of $ IFBi2926 $ LL MITIGATION $ Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within.90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the. imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm BUTTE COUNTY SCHOOLS IMPACT FEE CE (One form per Building) r 'i7 Mrd TION FORM l�R.. ti♦ �i School District . -in �R N ; Building Department No. A.P. Number Jurisdiction: City EXI County Property Owner n.1) )A d /G/(lvr+ AM k1 Property Location/Address Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial Sq. Footage (Group R) Sq. Footage AN ew Addition District Identification No (Floor Plans reviewed by School District Personnel) School District certifies that Date (Applicant) (Street Address) ,,.P` (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feat. B 2926 $ [FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: %111VlVulliv LALGIIVI Roofed Areas) Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that;this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE.CA 95965 TELEPHONE (916) 538-7541 / Nam;llon'SCHEDULE OF FEES DUE OWNER 1( [Gfi S PROPOSED BUILDING USE • 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ Z2. SCHOOL DISTRICT FEES aid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ......... _ x $360.00 = $3�d. Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ Commercial (sq.ft.) .. v V x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid' at Building Division) 10. OTHER A.P. # DATE ' %g/9 j REC # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 L SCHEDULE OF FEES DUE OWNER} PROPOSED BUILDING USE 1. BUILDING PERMIT FEES ` -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 1l 4Z2. SCHOOL DISTRICT FEES (paid at District Office) V 3. SHERIFF FEES (paid at Building Division) Residential .......... x $360.00 = Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ A. P. # W e-.�JD "�'�S' DATE IO yl REC # DATE REC S Y; 5. RECREATION DISTRICT FEES i (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 4 7. SRA FRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #—' ) r $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE - Original -Owner Copy -Building Div. (Rev. 12/96) r a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 G ��^I�T�io• (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCEL NUMBER ZONING A5 BUILDING PERMIT OWNER u,kfTLTnN , DOUGLAS. TELEPHONE 770-6856 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS p 0 ^Ov 1.83, TWICOR-, CA 95914 CONTRACTOR'S NAME P TTL DE CANT? COPiS`7,1JCTIO 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 $ 23.00 BUILDING ADDRESS ` n \ 24 DA; :..O�d ROAD. ZAP iGOR CA 95814 Energy Plan Checking Fee $ . . $ - PERMIT FEE $ - — 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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: '. TT Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service."0.... 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 46. 00 NEW CONST. DWEWNG OCCUP. CCU OR ADDNS. ( a ACC. EUDS. SO SO 3.5¢FT: NEW NON -REE ID. I.MULTI.OUTLET @7,50 APPARATUS a SINGLE OVILEr CIR. Ex. OCCu OUTLET ORF ORES 20Q1'00 BAL Q .50 FLVEDI Ex. Occup. O.R D.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers', compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 10 ertify that in the performance of the work for which this permit is issued, I shall n t employ any person in any manner as to become subject to workers' co pensation laws of Califor, ia, and agr thst'rf 1 should become subject to the wo ars' comp sation isions of tion 3700 of the Labor Code, I shall rth ith com ly wit o rovisions. X Date � Signa ppc nt - Owner ❑ Co act ❑ Agent An OSHA permit isGe uired for excavations over 5'0" deep and demolition or construction I, of structures over tories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE - TOTAL FEE $ i-[ 3.00 HAZ. �, D. PEES IMP FLOOD i- C ARCEL — PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 257658 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-33b-04-5 0-045 — --- - __ HAMILTONDouglas PERMIT#98-2898 24 Damrpn, Rd P, Bangor I Cont: Phil DeCann 1110bilehome V-1 Z-. _ _ .- w�. �. _.. `. -• .' ^�i v(�l '.-s .:. .•,.y.- ., r.;.y v. . w �. �,{'. via. f i�.yL,-��r.�� /% . COUN"OF BUTTE - DEPARTMENT OF DEVELOPMENT ELOPMENT SERVICES-vBUILDING DIVISION .7 CQpnty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 F IT NO. (Rev. 12/96) APPLICATION AND PERMIT 0a III ASSESSOR PARCEL NUMBER _a ZONING A5 BUILDING PERMIT OWNER of - *f TELEPHONE 770-6856 SO. FT. OCC. BUILDING VALUATION `O . OWNERS MAILING ADDRESS 3WNGOR, CA 95914 CONTRACTOR'S NAME./ PHIL DE CANN CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace TENDER'S MAIUNG ADDRESS F / Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS . M DAMRON ROAD BANGOR. CA 95814 Energy Plan Checking Fee $ PERMIT FEE $ - - 43.00 LOT SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 zy r �' USEOFSTRUCTURE SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping i 15.00 Each as water heater or vent 15.00 " TYPE OF WORK + Ne�nt ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ul Other ❑ r+Describe Work: lel \ ,xr r e. .1 , Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home S G W @20.00 PERMIT FEE $ �- ELECTRICAL PERMIT Filing Fee 20.00 1 11V OR LESS Main Service 20OA OR LESS 23.00 t Ll"tNSED CONTRACTOR'S DECLARATION !� I hereby affirm under penalty of perjury that I am licensed - under provisions of Chapter 9k(commencing with Section 7000) of Division 3 of the Business and. Professions Code, an"d-'my license is in full force and effect. _ Lidtnse Class Lic. No. ' OWNER -BUILDER DECLARATION 01 hereby affirm -Order penalty of perjury that I am exempt from the Contractors License Law for the, following reason: ' ❑ `I, as wner 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. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. So. 3.5¢FT, N CONS NONEW •REs1D. . MULTFOUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CTR Ex. Occup. OUTLET OR FIXTURES 20 BAL 1.SO Ex. Occup. oX1T t�s p ES p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. WiringI 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have rand will maintain a certificate of consent to self -insure for workers' compensation, as provided for -by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit' is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall n t employ any person in any manner as to become subject to workers' co pensation laws of Cal ffor ia, and agr a that f I should become subject to the wo ers' comp sation isions of tion 3700 of the Labor Code, I shall rth ith com ly wit o rovisions. 12 (_ X Date 1 Signa pp c nt - Owner ❑ Co bac ❑Agent An OSHA permit isre uired for excavations over 5'0" deep and demolition or construction h of structures over tories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. �.. D FEES IMP .-- -- ROOD ..i- CDF ARCEL -,. PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I I/ the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 257668 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTTY,'OF BUTTE - DEPARTMENTbF DEVELOPMENT SERVICES - BUILDING DIVISION ,,71C.,ofitnty Center Drive • Oroville, California -95965 • Telephone (530) 538-7541 ,.PE IT NO. r (Rev. 12/96) APPLICATION AND PERMIT l ASSESSOR PARCEL NUMBER ZONING 4 A5 BUILDING PERMIT owNERHA U t" L n� TELEPHONE .7704;856 SO. FT. OCC. BUILDINGVALUATION .OWNERS MAILING ADDRESS ` GOP,, CA 95914 �I CONTRACTOR'S NAME .01 PHIL DE CANN CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS r r Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. , Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS- T n DAMI;(3N ROAD. FtAAC�R. CA 95514 Energy Pian Checking Fee $ $ •--PERMIT FEE S — - 43.00 LAT NO., jI .• I SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFS`❑ Duplex ❑ Mobilehome ❑ Other 1 t F: 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 f P TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation 0 Other ❑ .Describe Work: f�4iT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ e ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 . 1 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 dny license is in full force and effect. K+" . License Class LIC. NO. OWNER-BUILDER DECLARATION �1 hereby affirm -under penalty of•perjury that I am exempt from the Contractors License Law, for the following reason: '4 ❑ '1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. rrq I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. -,.,,.❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO lOooA 46.00 NEW CONST. DL WELLING OCCUR W: OR ADDNS. ( 8 A C. BLAS. SO 3.5¢Fr_ NOEW N-RESID. muLTI.OLJ U 97.50 POWER APUTLETPARATUS b SI NGLE OCIR. Ex. Occup. OUTLET OR FDCTURES a20 Q I.00 . 0 FIXED APPLNS. OR Ex. Occup. ounFTs RM. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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. ,0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. " My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) qcertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner as to become subject to workers' + compensation laws of California, and agr a that if I should become subject to the workers' compensation c risions of s ction 3700 of the Labor Code, I shall f�rthwith com�ly"with provisions. / ,thot b] j X aR 1 ,l Date �- { � I _ Sig nafi re -d Applicant - Owner ❑ CorttraclbT• ❑ Agent An OSHA.permit is required for excavations over 60" deep and demolition or construction J. ures over 3�stories in height. !` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE "I TOTAL FEE $ 143.M HAZ. _ ,. D. FEES IMP .... ` -- FLOOD ., .• CDF - _PARC0. PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON r the applicable provisions Resolutions to do work been paid. Date Dele tReceiptNo.257668 D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-330-045 PERM HAMILTON,rpouglas- 24 Damron,Rd., Bangor Cont: Phil DeCann Mobilehome L? l SgS IT#98-2898.. k, OF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'Copnty Center Drive I, Oroville, California, 95665Telephone (530) 538-7541 • ERMIT NO. (Rev. 12/96) APPLICATION ANb-PERMIT - ASSESSOR PARCEL NUMBER 028-330-044 ZONING A5 BUILDING PERMIT OWNER "imitm, PouclAs TELEPHONE 770-6856 SO. Fr. OCC. BUILDING VALUATION t7e,4,n OWNERS MAILING ADDRESS P��O* BOY 183. BARIMIR, '(1A 95914 CONTRACTORS NAME PHIL DE CANN cmwrcii TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAJUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �23.00 BUILDING ADDRESS DAMN ROAD, BANGOR. CA 95814 Energy Plan Checking Fee $ PERMIT FEE 3.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE sF�q Duplex 13 McIbilehicim, 11 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: NHT —Gas piping system 1 - 5 outlets 1 b.00 Building sewer 15.00 Mobile Home IS I GI WT 920.00 PERMIT FEE, ELECTRICAL PERMIT -Filing"Fee 20-00 800VOR LESS Main Service 200A OR LESS 6,00 2 . LICENSED CONTRACTOR'S DECLARATION I h6r�'by 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, andIffiy license is in full force and effect.P License Cli;s 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: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I as owner of the property, am exclusively contracting with licensed contractors io construct the project. -0 1 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST C, DWELLING Or -CUP. OR ADDNS. ' . - & ACC. BLDS. 40. 6.5 Fr. MULTI-OUTLEr NotNEW G0i1i "..Rc" '97.50. OWER APPARATUS SIN.. C'�. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 SAL @.50 Ex. Occup. ..'xED AP..',6.)0ER. .5.00 Temporary Service 23.00 Mobile Home Facilities �0.60 Misc. Wirina 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ld�vl 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. 0 1 have and will maintain workers' compensation Insurance, as required by Section ,3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT 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 of one hundred dollars ($100) or less.) IR Lcertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner s6 as to become subject to workers' compensation laws of Califor" 'at if I should become subject to the :ai,oand agrQiIth workers' compensation PpI S ins of section 3700 of the Labor Code', I shall f rthwith comply:with those rovision�. X T1 "Ant_ 6, Date Signatu're-o&Applii +r.OwnerO Coritirac:Co-r, 13 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 �TOTALFtEl.-, 143.00 HAz. D FEES IMP 1: FLOOD COF J_pARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have I By PERMIT EXPIRES ON I I the applicable provisions Resolutions to do work been paid. Date Ii ReceiptNo. 257668 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF, BUTTEgDEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:ZZIfio, ASSESSOR PARCEZse—dprior ER: C,F ? / _ (� Proposed Building Us/e: /7ij Ht - Building Inspector: Date: At time of permit application, I was advised the following data must beto permit processing and/or issuance: ------------------------------- Date Received By .All items have been submitted.------------------------------------------------------ ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ��❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy).--'-�'----------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑., Mailed to owner El) - -------------------------------------- ❑24. Letter of signature authorization. ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. er of intent on building use. --------------------------------- 7. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. -------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: ------ When you issue the permit, process as follows RMail to:owner, ❑Mail totractor. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio D : By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: b? 7 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, iimgil, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by:, Date: Sets of plans on hold in ❑ Plan Cabinet, 11A.P. folder. Note transfer by: Date: _ (Date) ❑Telephone and hold for pickup at o ❑ D er inspector. Applicant: Date: �� �'� / Yellow Copy - Department of Development Services, Building Division ;i7c✓yYX ��� rl'�^��, �i L 1 �[.:Yvl �.^!^^A� i i11•. -y 't'i rr.�Y S�1') i 1. ti �e t X2, ..ti C COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # ;O�— 30 PROPOSED BUILDING USE DATE 1. BUIELDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential ......... x $360.00 = $ 3�pCS Units Commercial (sq.ft.)..' . x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at. Building Division) Residential (per unit) . x - _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTIONI AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may ties dhanged during the pl checkin /process. K. APPLICANT Ctni, DATE I Pursuant to Government Code Oection 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project.. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) S COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF ;FEES OWNER OCo� PROPOSED BUILDING USE A.P. # ;'O — 3 30 _44 `F3' DATE /r - `� -7 �� RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ............ $ Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ /-�2. SCHOOL DISTRICT FEES, (paid at District Office) SHERIFF FEES (paid at Building Division) r Residential ........ 1 x $360.00 = $ .7W� �"'r7'J, y Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) " Residential (per unit) . x = $ #Units Amt. Commercial (sq,ft.) . x =$ . ��✓ ' ~'� Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 0 t 6. THERMALITO DRAINAGE DISTRICT FEES $510:00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK `2 $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) .;.,, 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER t At time of permi� application, i was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed dumg the pl checkin process. f APPLICANT 'lana../ DATE / 1 Pursuant to Government Code Pection 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Ori inal-Buildin >DiV"-2nd:Co .� /A hcant,' 3rd Co Owner '� /9 B S ,/ P,Y - %, t) py (Rev. 2/97) I (Rev. 12/96) CQUNTY%OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT P""BUILDING f PERMIT I i "° SO. FT. OCC. BUILDING VALUATION owNols rAUNs Ao d o �4 j�49 CONTiNCICR'� NAI! NE 00Nn4CT 'S MMUM ADOMMS OONSTRUCnON UMIA mmen MAAM Map =$ Fireplace Total Valuation S Aaa+necroRer+mNea+ `C ENc Filing Fee S 20.00 ARCHrM=oa o+WOM S yAA04 AD Permit Fee ti Plan CheckingFee S �— a'LD�1O100"� Energy Plan Checking Fee t i PERMIT FEE --- LoTNo. t°sD"1° PAMCL WA PLUMBING PERMIT -$ Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex O Mobllehome 10 Other Water piping 15.00 `v Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New IN Addition O Rornodel O UtiiBes 0 Installation Other O Building sewer 15.00 Mobile Home I S I G I W 020.00 Describe Work: _ IMDc - 4 ,Z) C4 PERMIT FEE ELECTRICAL PERMIT Filing* Fee 20.00 Main Service so=oo-,t 23.00 Main Service 20" TO 1000► 46.00 NEW CONST.OWBllJO OCCW. SO. OR ADONS. t ACC. = 3.5¢Fr. NONMID. MUIhOVntT @7.50 PAPPA WC- � 9Owea OURE7 � . EX. Occu OUnET OR FD MXM p. ( sA0 :1.00 M 1.00 Ex. Occup. oUna �`E► 5.00 Temporary Service 23.00 _ Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling' Hood 6.50 i Ventilation i PERMIT FEI_ t Mobile Home Installation Fee L Energy Inspection Fee L occ CONST' T K TOTAL FEE $ IIAZ 0. FEE9 WP I R=O I COO' PARC& I PO 65UE ReceiptNo. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date C6UNTYrOF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. - A.F! x,028-330-045 _ PERMIT#98-2.898 I HAMILTON, Douglas O VT*24`Damron"Rd. ; -- Bangor" ""�""-"" Coal Cont:-Phil-DeCann--�.-.�-__ Pe toobilehome w PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buiidina or M.H. Final DO NOT OCCUPY'UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Adi(resses?>>>>:>>fnforinaiior >€>AH<Ins <»> >::>:>:::>::>::>::>::>::...................................................... ......................... :::::.::::::::::::::::::.::::. ....__...__.................--.............................. _......... Oroville -.7 County Center Drive 538.7541 538-7636 Chico - 411 Main Street 891-2751 .:, .891-2834 . Revised 7/94 FROM BUILDING DIVISION -BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES #7 COUNTY CENTER DRIVE OROVILLE, CA 95965 TO 'DOUGLAS HAMILTON. _PO BOX 183,, ...�....,.....,,.,-.,..� _ .� BANGOR, CA 95914-0183 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. . 1 personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] NO. f 2. I HAVE HAVE NOT[ ] signed an applicatio ri' or � ra a building permit for the propose work. 3. I have contracted with the following person (firm) to ` provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate su efrvis an rovide the major work: NAME: r �C ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followipS.fersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL�L SECURITY NUivIBER DATE: `- - N TE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of mord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 hisurance costs, and unemployment compensation contributions. 0 There may be financial risks'for'you if you do not carry out these obligations,'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 J I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0 1 V Vi (I�ri 1 Building Department No. A.P. Number 3 Q-OD—Jurisdiction: City County Property Owner Do Lt -C- /A—J- Property Location/Address D an, "4— Subdivision Lot No. + Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit p '(No foundation inspection); ................................................................................................................... Commercial/Industrial New Addition Building Department Identification No. a� (Street Address) Irioor rians revieweD Dy acnooi uisinc[ 990069 Schod District certifies that (City) / j F (State) has complied with the requirements of Resolution No. �P V square feet. ct Representative Paid by Check # 309-7 Remarks: Sq. Footage (Including Exterior Roofed Areas)) y] Date -7J70 - �a9s (Phone Number) IZip Code) ^ "—by -payment of b / A8 292fi S FULL MITIt3AT10N s 9� Dat Mmff. z Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.ais 110198)dmm TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY i Plot Plan Attached L� Floor Plan Attached Sent to B.D.—��-7 ill/L ;7Z;7/l/ �' Sl %�i9i�Ol✓' 01�%� U'' .�� �3�.Z p `- Owner cation AP# / Plan Approved for: a a, Dii p.osal Water Supply: Public Private Well Clearance for dwelling. Other Hold fina Final clearance O.K. for: NOTE: 7' l Environmental Health Specialist Pate 08/96 as fi 0 1 amental Health 12 1lg5" ty Center Drive ,oville, Ca v NOTE: Ari Mataftals & Workmansnlp Shell Be to This set of pleas and speC'gcftU s RdDWbe Accordance vvrJa Recognized Good Practices and kept on thaJob at all times and it is unlawful to of a Qjzaiity Prescribed for the apeciii.ed use make any changec or alterations on same wi%out in t�,,e 'Uniform Building, Phrmbing & Ntechanica � vrritten permisaion from the Department of Public Codes sx:d the Ift.U0ral Blactriml Oode. 00 R'nrka. C'"MV of Butte. M rh LL� I ALL STRUCTURES AND EOUIPMEHT WCLUDItIn OVERHANGS SHALL BE CLEAR OF ALL rEAAvWEN T1, A SET BACK OF 3c' FT: FRMI THE -SIDE At':. 30 FT. FROM THE REAR PROPERTY LINES A? �— FT. FROM THE ROAD CENTERLINE SHALL 6E CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. Got �e � PLOT PLAN 24 DAM RO N ROAD, 6A G O R n0UG-1 h13 WAM" ION -098-330-045 D 13 1. Owner's Name: 2. Assessor's Parcel Number: 11 ,1 3. Installer's Name: 4. Is the site currently under permit? Yes F, No[ ) Permit No. S. Is the site an existing site? Yes[ ) No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. . 8. What is the electrical rating of the mobilehome site? 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ) No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[A No[ ) If yes, please identify the load and size: a) The mobileME a site: Load - IL \&HP Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane4, None[ ) 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the `mobilehome? &(ft.). 14. What is the mobilehome gas demand?It. 0 4000 -` B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or . less than 50 feet on propane). THE.OTHEIt SIRE OF'THIS FORM,M-UST-BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 00 7� May,19'93 8.5 Mobilehome Manufacturer: J- I._ef (X:_ Manufacture Year: If other than single wide, furnish Setup Model Number: Width:(ft.) Length:(off (ft.) Tagalong or Expando Size x On all mobilehomes manufactured . after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade Other: SUPPORTS: Concrete blockX Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 1 Line 2 fL e 2 ...................... :................................................... .................... Main Beams Line2.............................................................................................2 Line 1 e 3 e 2 ............................................................................................Main Beams e 2 e 1 .......... kine S - Tag or Triple e 4 , .............................................+ ine 1 Line 1 Piers: Size minimum: x Spacing maximum: I t` From ends -maximum: 4` Line 2 Piers: Size minimum: U Z] x [ nOl. Spacing maximum: From ends-maximum:i IQ ` Line 3 Roof Loads: Size minimum Location (from froni): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER 9 RE ND CLAIM APPLICATION CLAIMANT'S NAME �5IWA MAILING ADDRESS �� I aoA f< 1(4 ASSESSOR PARCEL #: RECEIPT NUMBER(S) Request a refnd of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ' ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: - _ ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ,y. • r- ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE UAIt v PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. FOR BUILDING DIVISION USE:..-' Receipt Information: Number: Date: Issued To: Amount: Ja13e Fees Retained: /Processing Fee:._ ..- . $ as" D I Bldg Filing Fee: $ Plbg Filing Feer - $- -92 Q.00 V"'Elec Filing Fee: $ 0 v Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE $ S A COUNTY OF BUTTE Oroville, California GENERAL CLAIM .LAIMANT: DOUGLAS E. HAMILTON 1DDRESS: PO BOX 183 ;ITY & STATE: BANGOR, CA 95914-0183 )ATE OF CLAIM: DECEMBER 6, 1999 ,UBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE >TE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOK PERMIT PAST ONE YEAR TIME LIMIT TO ISSUE.(AP #028-330-045 BP#98-158 , RECEIPT #244608, DATED 7/20/99, OWNER: DOUGLAS HAMILTON.) TOTAL AMOUNT PAID $123.00 RETAIN REFUND PROCESSING FEE $'25.00 RETAIN PLUMBING PERMIT FILING FEE $ 20.00 RETAIN ELECTRICAL PERMIT FILING FEE . $ 20.00 TOTAL AMOUNT TO BE RETAINED $65.00 TOTAL.AMOUNT TO BE REFUNDED $ 58.00 TOTALI $58. oo . he undersigned, declare under penalty of perjury that the services or articles clair J correct as state . ted this day of �-�, 19�, at ('G t Calif. .he undersigned, hereby certify that to the best of my knowledge, the services or articles 3t there is a Budget Appropriation I 1 or Specific Board Approval I 1 (Check one) for the s rted this 6TH day of DEC, , 1999, at _ OROVIL• E , Calif. l/ apt. Code ept. Code °pt Code 440-002 been t)Wormed or of Claimant above have been this dawn is true or delivered and Departnient Head or Authorized Deputy Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Exp. Code PAYABLE FROM FUN Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE . AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ: I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive OFoville, California 95965 *Telephone (Rev. 12/96) APPLICATION AND -PERMIT BUILDING DIVISION (530) 538-75 PER IT NO. �S/- i5S13 ASSESSOR PARCELNUMBER 028-33-0-045 ZONING A-5 BUILDING PERMIT OWNER DOUGLAS E HAMILTON TELEPHONE SO. FT. OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS P 0 BOX 301 WEST SACTO 95691 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILW29.4 IMMON L MON ROAD, BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome J] 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 ❑ Ufililies)ff Installation ❑ Other ❑ Describe Work: MOBILEHOME UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 60.00 PERMIT FEE $ Pn nn REPLACES 97-1084 ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 2DDA OR LESS 23.0 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, ( 9 ) and my license is in full force and effect.PSINGLE License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. fla 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. OR ADDNS. ( s Acc. Bms. SO 3.54D- NEW CONST. MULTI -OUTLET NON•RESIo. C @7,50 & OUTLET OWER APPARATUS CIR. Ex. OCCU OUTLET OR FD(TURES B20 @ 1.0500 Ex. Occup. o.ED Rp .DE'A, 5.00 Temporary Service 23.00 Mobile Home Facilities 0 20.0 20 00 Misc. Wiring 23.00 PERMIT FEE $ Ai nn MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �1 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, an gree that 'rf I should become subject to the ork4co'nsation rovision section3700 of the Labor Code, I shall f hy w' a provis n . 4�of X Date Sign tur t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionh of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 123.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicat 'a ve for wh' h fees h m,,,-4 B I• PERMIT EXPIRES ON the a plicable provisions Re lutions to do work e en paid. Date 7/20/98 7/20/99 Date ReceiptNo. WHITE-O.O.S.-B.D. C NA Y -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT -*.rwl``+'-'�..,^-w'i'���r�•�. .dry-...«�,.n,,_..-..,1„- _ .�.,.�-.:•-'•v+':s!'•�: �el_+r"Y :w'r?• ��1..�l,ry�'x.cd'Y .-,, .. ... - - ' ' •4r t . •.. 1pN MM •�' 1. COUNTY OF BUTTE - O DEPARTMENVOF DEVELOPMENT - BUILDING DIVISION 7 County Center Drive • oviflO-Califomia '§5965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2 s /S ... 0 ASSESSOR PARCEL 028-33—Q-045 ZONINO �.- BUILDING PERMIT OWNER DOUGLAS EHAMILTON E TELEPHONE TELEPHONE SO. FT. OCC. BUILDING VALUATION , ' . OWNERS MAILING ADDRESS P-0 BOX 301 WEST SACTO 9569J1 r' CONTRACTOR'S NAME TELEPHONE- e i f CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS r Fireplace ,'•, '.Total;Valuation • . • ,$, ARCHITECT OR ENGINEER LICENSE NO. .. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - - a,.,r,�• Plan Checking Fee $ BUILDING DLON ROAD, BANGOR Energy Plan Checking Fee $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )p 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 ❑ Utilifies)ff Installation ❑ Other ❑ Describe Work: MOBILEHOME UTILITIES Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G w @20.00 .0,00 PERMIT FEE $ Qn nn REPLACES 97-1084 ELECTRICAL PERMIT I Fling Feel 20.00 Main Service A OR LESS 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. �- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG OCCUP. SO OR ADONS. ( a ACC. BLDS. 3.52FT. NpµpOSIID. MULTI.OUTLET @7,50 " POWER APPARATUS .� a sINOLE oLmFT CIR. .00 Ex. Occup. OUTLET OR FIXTURES BAL @ I. 0 Ex. Occup. DuTl��is_REEsID,oEa 5.00 ' Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S Al 00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) b 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 gree that if should become subject. to the orkers' co ensation rovision a section 3700 of the Labor Code, I shall f hwith c ly wi h/ a provis n h X Date Sign tur of licant - ❑ 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation - PERMIT FEE $ • Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 121,00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under theapplicable provisions of the Butte County Code and/or Re lutions to do work indicat d above for wh• h fees h e - en paid. B Date 7/20/98 EXPIRES ON 7/20/99 Date Receipt No.PERMIT WHITE-D.D.S.-B.D. CYLNA F41 V -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuirig your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES1a NO C3 2. I HAVEHAVE NOT O signed an application for a building permit for the proposed woik. 3. I have contrapd with the following p�son (firm) to provide the proposed construction;...;: • v ADDRESS: COY; - PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to cooanalQe; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pNvide the Work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: - SOCIAL SECURITY NUMBER: DATE- -NOTE. ATE: -NOTE. "Thu Owner -Builder Verification is required by Section I993I—iT79U2157W— C4100rnia Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit OVER Q 4 OWNER BUILDER INFORtvIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, -you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than. yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should ' be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 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, j # •` yyou must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions;. , ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially seiious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations unlderFederal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payment and the Division of Industrial Accidents. l 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 in "owner builder building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. - Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Injormatlon is required by Section 19830 ojthe Cal yornla Healdt and Safety Code. OVER ' r SITE PLAN ^.� � --__. ...... 1-77,- 7 ...... 7 ..... 7 ............ 7 ............ ..... . ............. ..... . ............. ...... 7""'7 ..... .. . . ..... .......... . ...... V .............. ...... ....... ...... ...... ............. ...... ...... ...... 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