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HomeMy WebLinkAbout017-030-0030/-?-03c)-003t 011-350-003 98 728 / SIMMONS,MONS, BOB /j/67' -155- 5310 DECEPTION RIVER RD.CH BOB JEFFORDS ELECT ELECT SERVICE REPLACEMEN (Rev. 12/96) .. f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P T o. APPLICATION AND PERMIT 612—a�--c `� ASSESSOR PARCEL NUMBER //_b®©3 Z.�� ��Z BUILDINGPERMIT/33— OWNER 0� S 1 /�"! �� OM -5 TELEPHONE 74-.3-,03 79 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS�,7 VOD h 17`r,9 69 q,6a / CONTRACTOR'S NAME 0 v9 �^ r��F_d�%/� TELEPHONE S- b' z 7 --f-9 2, c! LC�s�IZ%//S CONTRACTORSS--/ 2ADDRES�Ia S , T�+ V . -P /'//7'r!��/9-1)1f l CONSTRUCTION LENDER 17, LENDER'S MAILING ADDRESS Fireplace otal Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS S- 3 t' o G e7-10 /�[ VE2 /L� Energy Plan Checking Fee $ 6�hco$ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )d Installation ❑ Other ❑ Describe Work: Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00OR LESS Main Service 200A OR LESS 23.00 2.31 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. '� Z License Class C_ '/ ® Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) hL I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i 1b_0 .7 ? X Date Signature of Arpl•cfinVt,,10 Owner XContractor ❑ Agent An OSHA permit is req ired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TGUNo 46.00 NEW coNsr. DwELEU DWoCCU cuP. sFTG. ( BUDS. S. 3.52 NEW CONST. MUACC. NON-R61D. 97.50 POWER APPARATUS b SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup. �L @ ,50 LNS Ex. Occup. oFlxurEis A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Z� o.G PERMIT FEE _ �G MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Pte% HAz. D �� IMP ISSUE CDF PARCEL PD HD This permit is hereby issued under the app of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON Pate) (cable provisions to do work paid. Receipt No. 5-d%6r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centerbrive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING a BUILDING PERMIT OWNER. f owS TELEPHONE 7+3-0379 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS D r / 9 TN CONTRACTOR'S NAMETELEPHONES o o f FI° p!2 -lis � cT. 0077.N'-9 x9 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS i 3 10 D C e P77 vnc %Z l 4/�. /2 Ili Energy Plan Checking Fee $ H-1 GO $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 X Installation ❑ Other ❑ Describe Work: -- F I -E G 7—Awe A*- L- S6/Ly/Gi Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 VOR Main Service ?DDA OR. 23.00 Z 31 / 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,ND"jr and my license is in full force and effect." License Class —/O U6. No. ,3 �✓r 2— OWN WILDER 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. ❑ l,' as owner of the property, am exclusively contracting w�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 r 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 +IOOA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. SO 3.50FT. q�10T MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OURtT CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL Q I. 0 r Ex. Occu . OUTLETSFIXED A Aalo°EA 5.00 Temporary Service 23.00 Mobile Home Facilities c. 20.00 Misc. Wiring % 23.00 2 s.G PERMIT FEE S g 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.) G. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. " X� Date _ Signature of Aplicant�'❑ Owner XContractor [3Agent 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 $ gr/011- HAZ. D. FEE /IMP j 11 FLOOD �L// CDF� fPARCELX, 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. 7.17d16117 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �f-3r. .. -.'V7Tt:S=.`r'�`ws�'i'e"�.�j,T; a-c`ra,Yp'.�''✓'_ .•i']? .�.. - .,,-. „.,,+y1i's.:^. r'� r-i1p..`K. . 'mss .. - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ; 7 County Center'Drive • Oroville, California 95965 • Telephone (530) 538-7541P MT NO. .(Rev. 12/96) APPLICATION AND PERMIT ��- c; -`�'�? ASSESSOR PARCEL NUMBER// - 31P— 00-3 Zft a ;1, p BUILDINGPERMIT OWNER 6 41,6 _5 � A -1.Y, o A/ 5 TELEPHONE 74.3.0 3 7 9 SO, FT' OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS /O ,r /9 T/J ST f�l�n vs v!c-c.AE C4 4 9 a ! CONTRACTOR'S NAME o V x Ff o2b s ,Fi_oc7. TELEPHONE S' s'�7.4.92"f CONTRACTORS MAILING ADDRESS�^ CONSTRUCTION LENDER I LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS © p� �� %� Energy Plan Checking Fee $ l k C o $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )A Installation ❑ Other ❑ Describe Work: 'IF LE C 7-4—le-,0 4- SF4-*-1Cf /ZG�.+dL�9 C G�.�l.EnsT Gas piping stem 1 - 5 outlets 15.00 w Building sewer 15.00 Mobile Home I S I G I W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zoOA OR LESS 23.00 Z y 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 _69 Lic. No. 3 '9 y/S 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 lOooA 46.00 NEW CONST. DWELLIUP. NG OCC OR ADDNS. ( 8 ACC. S. SO 3.50FT; NEW NONRESIU MULTI.OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FD(TURES B20 @ 1.00 0 Ex. Occup. oFurL��is Palo°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 2 tC, I PERMIT FEE $ U u 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.) 0. 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ,ft'.��'✓ Date 1'/-' Signature of Applicant.- ❑ Owner ;I' 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 $ _ Q =.AES ♦IMP FLOOD This permit is hereby issued under the in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I CDF +PARCEL PD HE ISSUE applicable provisions Resolutions to do work been paid. Date Date Receipt No. T czr> a6IF WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 011-350-003 #98-2728 SHvfN4ONS, BOB 5310 DECEPTION RIVER RD.CH BOB JEFFORDS ELECT ELECT SERVICE REPLACEMEN •, -{., ti. '-' o�T. y.e.--i..7,•T•ly - Wyrys '7 .. -r., rte^-o'R;; F'+'_T. r�•ra�-�wr--lfrnnw"•—.. � --. ,. =.a- ._,J____ . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center)Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER s4>—© Z KING x.00 BUILDINGPERMIT OWNER %� LS ^f Q NS TELEPHONE 7µ 3 •. Q 3 7, SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS % e4 �� • ,9 6-140 r /T CONTRACTOR'S NAME /7 J� %-� o�-��s �� �-�, TELEPHONE," a�>7..�9C1 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS 3 / Q C' T 10,V ,% / L./f /� }� Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities A Installation ❑ Other ❑ Describe Work: " L 7` 1-,1l' L sf -4 A-1-C!to ji. ¢ ,t'L .� �" „►� ��,' T Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (_a20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service zo.A DR LE 23.00 23.00 • Z LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class e �^ /Q Lic. No. :3g 3 /.S 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 TO 46.00 WEE200A CCU000A NEW coNST. DWELLING occuP. OR ADDNS. & ACC. BLDS. so .50SQ 3.S¢FT: NON RE3I. MULTI.Ou C @7,50 OWER APPARATu3 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL Q I. 0 Ex. Occup. ouTELEis PL.16) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - !10 PERMIT FEE $ (1119" 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 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.) l I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' 1, 1 f X ; l/ �`4"' /�-. -"i" " �i- Date ! Signature of Applicant - ❑ Owner ,;f:7 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 TOT_ AL FEE $ HA2 D FEES , IMP FLOOD r CDF r! 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 ate Receipt No. z Ir fig 6r 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 (916) 538=7,541 PERMIT APPLICATION DATA SHEET J OWNER: ASSESSOR PARCEL NUMBER: 3--" Oa Proposed Building Use: 2 «r• 5 4shc.e. L=24 Building Inspector: L - Date: Z o 7 5/<3 At time of permit application, I was advised the following data must be submitted prior to permit processing ind/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑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 ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑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. ---------------------------------------------- 017 * 17. Planning approval for (A) Use: (B) Parking: -------------------------- M'(8. Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for drive ay (construction approval prior to occupancy)- ---------------------------- e ------------------- ------- 4, C �< <'J-�. Pre -inspection for % required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑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:/ 6/0 _1C Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutionate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 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: ,t. , Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 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.P. No. _011-350-003-----#98=2728 Owner JSIMMONS,.BOB Contractot53.l0,DECEPTION.RIVER RD.CH Permit NC' BOB JEFFORDS EL•ECT�,,., EL'ECT'SERVICE'REPtACEMEN" . rrfsiL a � .� rr.�1�11u1.�.1�'1�1ie54 FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan Insulation Di Fireplace Footings Fireplace Throat ................................. DoNotC Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses:::;::::::::;; :: I»fcrrtistion4 H>` Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 I 011-350-003 #98-2728 SMMONS, BOB i 5310 DECEPTION RIVER RD.CH BOB JEFFORDS ELECT ELECT SERVICE REPLACEMEN 011-350-003 SIMMONS, BOB 5310 DECEPTION RIVER RD.CH BOB JEFFORDS ELECT ELECT SERVICE REPLACEMEN 5�. OWNER: LOCATION: ,.!!�-3/0 6e— ce g P7,=,l AL L 9 DATE: /116 A -P.#: O// 3 So 6�3 CONTRACTOR: e � � J o!i,,o-cr<tc ZONING: Z a> PRE -INSPECTION FOR: J� l DATE TO INSPECTOR: PERMIT HISTORY:ONE [ ]AS FOLLOWS: _ /.� a �►' %G�/' �L,S _ /SLC o�-•�•.� � -� /�s s� ss ©� �'e C ��. SP's TYPE OF OCCUPANCY: /C BUILDING INSPECTOR'S REPORT ilding Description: [ ] Commercial Usage: [�] Residential/# of Units: ? Mobile Home: Yes[ ] Nom ] [ ]Currently Occupied. [ ] Abandoned/Vacant. c: Dd Yes [ ] No Electric is currently: V] On [ ] Off Condition of electrical? Natural [ ] PropaneV-] None[ ] Currently On[k] Off[ ] Obvious problems: nitation: Plumbing working Yes[ ] No[ ] ,AAD Well: Yes[ e -]'No[ ] Potable water: Yes[ No[ Obvious Sewage Problems: -mo n Recommended: [ ]Issue -e []Hold for: V e"" Date: May 1995 1" �u 4.7 ti COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the t above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. « e s s 74v e- Ile 4. (Rev.12/9tr! , COUNTY OF BUTTE - DEPART Ml T 0 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orol ille,1 alifornia 95965 • Telephone (530) 538-7541 APPL CA ION AND PERMIT PERMIT NO. ASSESSOR PPACEL NUMBER '3_;- J S D— 003 ZONING �.`D 42392 BUILDING PERMIT OWNER 0,6 ! sem/ O nlS s TELEP,NO`N! 74-3-0:3 7 9 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS �Z390/ CONTRACTOR'ELCPHONE S NAME E N/ � O /2-b _S � GT T�Z 7. -f- C1 ;LCI CONTRACTORS MAILING ADDRESS 4!0 i > E CONSTRUCTION LENDER VFirelacetion LENDER'S MAILING ADDRESS S ARCHITECT OR ENGINEER LICENSE NO. S 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS e l v/il �vE2 -5- 3 i 0 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPMFY Each Tr 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 ❑ Ulilities )d Installation ❑ Other ❑ Describe Work: L� G Tti�G .�L "S6y�/G�- �L��L,B G�6�clT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (9?20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main. Service 2oa►OR LEGS 23.00 L 30 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.g 3 1S 2 License Class G —!O Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) IL 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' laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date / Y Signature of A pl nt Owner X Contractor ❑ Agent An OSHA permit is req ired for excavations over 60" dsep and demolition or construction of structures over 3 stories In height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. MOS. so 3.510Fr: NON-RESID,' RANCHMULTI-UTITS @7,50 a w o QTc Ex. Occu OUTLET GR FIXTURES 200 1.00 S„L ® .so Ex. Occup. DunF°Tsraio.°AEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2 d.-_ //VS GC rj� ✓ PERMIT FEE _ (3 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TrPE TOTAL FEE; g� HAz. D. FEES IMP FLOODCDF PARCEL PO HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. la Receipt No. 5-d96r- WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT OWNER: �,;, b oft"TIM. /;.ei;_•a�::•>.x............:..,,,.<..�.u...............n....:...:�•.�:?:%1-1 .....y.2.r.:...:.r,.a ::.z DATE: LOCATION: ly � AP.#: CONTRACTOR: ZONING: �" z PREANSPECTION FOR: DATE TO INSPECTOR PERMPr HISTORY: J,4NONE [ JAS FOLLOWS: TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT ig Description: [ ] Commercial/Usage: [ ] Residential/# of Units [ ] Currently Occupied. [ ] Abandoned/Vacant. [ ] Yes [ ] No Electric is currently:[ ] On [ ] Off Mobile Home: Yes[ ] No[ ] Condition of electrical? Natural [ ] Propane[ ] None(] Currently On[ ] Of ] Obvious problems: tion: u Plumbing working Yes[ ] No[ ] '° Well: Yes[ ] No[ ] Obvious Sewage Problems: Potable water: Yes[ ] No[ J A Recommended: [ ]Issue [ ]Hold for: pector: Date: May 1995 , 4.7 I- -7,1;vy S LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS SC ii i M(OnS NAME PRINT LAST NAME FIRST ADDRESS / LOCATION: S-'�> i O De—_ Building Permit No. —I A.P. NUMBER �1 -R�Uee- "qf&m- COUNTY ZONING DESIGNATION: F F—' S FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: 7 A PARCEL CREATION BY DEEDS V OR MAP DEED INFORMATION: DATE OF CREATION: /?J /7 Z DEED REFERENCE: ��-Z O Iz Z Z LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: A S 51-4 (-0 3 ---- Cj 1 — O — �&7 — 61 — MAP INFORMATION: DATE OF RECORDING: LOT BOOK 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 BUILDING 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 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. (fhermalito Drainage District) fee in the amount of $ _ 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 Division. —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. A101N3WdOl3A30 ONb1 3.uns AO u?gnoo 9661 b Z A ® N C13AI3338 LD 6/98 FORMS\BLDG PERMIT CLEARANCE F ArMA A 10 JAM -2 7 1999 - BUTT BUILDIkG DV-IU�,rjlSTjYON U Rmnrded at the request of _._.... Drettidl R!CCRDS _.. ..._....... �L'TTE [?•J�11•CALIF ' ra Sto i.: eYen1- et 1'r Rtlurn to J_ S'iMM4reS p His 3 12 24 PN 1912 /� F CE C.hj..act...... ...... �/... .O.r..r.. i .q 25756 GRANT DEED (Joint Tenancy) For value received STEPHEN HOST_T ILER and KAREN HOSTS, R. husband and vise, GEORGE WY`:ER and LOLA :.'y!!ER, husband and wife, ROBERT J. SI!•_MONS, and ROBERT FULKERTH GRANT___ _.to ROBERT J_ Sll !` O! -'S and CHEER LE 57?.MONS, husband and wife, as JOINT TENANTS all that real property situate in the ruunty of Butte State of California, dcwribed &3 follows: The westerly 450 feet of the Easterly 900 feet of Lot 1 in Section 5, Township 22 North. Rance 3 East, !I.D.H.b Y.. (Exceptinq the South 726 feet of said Lot 1), containinc approximately 7.25 acres. TCXIETHER WITH a richt of way .for road and public utility purposes over the South 20 feet of the follolinc described property - Lot 1 and the East half of Lot 2 in Section 5, Township 22 North. Rance 3 East, M.D.B.& M. EXCEPTING TI!EREFRL-. the South 716 feet. TOGET;6ER WITH richts of way for road and public utility purposes as specifies in the deed fror Laura A. Elliott to Stephen Hostettler, et al recorded as Document no. 114095, in Book 1667 Of Official Records at Pace 480, Butte County .yRRecords. 1 aOp,y SIM t..ryl, .0 1 �_ Y raw.la a IMI .V.a YY or r I C I A L at AL OUNI GILSOM _ .. �..........�....�.�.� r..�n�..~...� ....... ...............I9 _.._. �....�._.:.�f . ................ STATE Or CAL)I^OR'A e /:;: o, ._. Marc 0...1,...1972__-....._._ — t* end la+•ata .._. ... _..._co. Yv a..a slate, p..,e..,uv -77-d .SLs.p hea Rostett leri �r .&ren Rost attler__yya Robert.Puliurth...—_ .—_ twat, 2.!.f 1. be Ike: �. p...a,i,ena...a .r . arere,r+reee to tea vatn,a .a.t.r Rear, .aa .rl+.w tro d ro , . laat t-. eZ.e,revir11aO.....,e OROVILLE TITL£ COMPANY A•t•*y P.ulc t { STATE OP CALIPORMA, 1 . �•.l�l r.nl:, SW.�li.rl,w... Id. ,.w•�....wwl ..d ....., M..r.ly ,� a tiw .. v u ♦M W M,rt—YL...r r, .—....—..-- l.J 1. IL. wrL v...r.. � rJ rMe.1.Jr.f lw v .W_Y_ iiw.+.r Yr wr. lA' If'ITNFSS "WEREOF I W. A— ,w M L../ �/ l y� -1ES l_I J HNS _Cry r/_a�SZ2Li _ JAI:CS R. JOHNSON r►• •b y..I w .i;. _ Y01 -",K CM. WNIA w'Fhrll fr/I YLwr�Ywr n �t % plo", COYMI♦ ..:! rrCr.wnwl.r..r.... )L. I))) S • e re T� George Vyoer qq _ an d'• �.. Lola W ser • ` y G .end Lti.,,,,rT,�•4�..�''rr�� s� +. --the LJ rnreas .way I o..o VO OF DOCULA" 4 C7 S ncenrded at the repueel of, I. G!lltla: Ff C'fc05 r ls� Returnto t.''a r.ula�sR ru GRANT DEED (Joint Tenancy) For value received ROBERT J. SI!_'70.NS and CHERYLE SIMMONS, husband and wife, GRANT ....... .... to GEORGE :7YMZ:R and LOLA I+YT:%R, husband and wife, as JOINT TFNANTS all that real property situate in the County of Butte , State of Califurnia, described as follows: That certain 2 acre portion of the following des:ribed parcel, being bounded by a line running 292 feet west.and a line running 300 feet North from the southeast corner of the Westerly 451) feet of the Easterly 900 feet of Lot 1 in Section S, Township 22 Hort}:, Ranne 3 East, Y_.D.B.S M. (Excepting the South 726 feet of said Lot 1). 1 TOGETHER 141TH a richt of way for road and public utility purposes over the South 20 feet of the followine described property: Lot 1 and the East half of Lot 2 in Section 5, Township 22 North, Rance 3 East, M.D.B.& M. EXCEPTING THEREFROM the South 726 feet. TOTE,—HER W17H richts of way for road and public utility purposes as spe^ified in the deed from Laura A. Elliott to Stephen Hostettler, et al recordeti as Document no. 114991, in Book 1667' Of Official Records at pace 480, Butte County Records. of rlcl.t 7 1-7 `r. a.. ..wr.... r... 1 .. ^--.—�....�...�19_!.. Ivrs e STATE OF CALIF'OR\lA --- ` C2j�9 $1 m1.001 oe ..March 1.1972 ya.__ pr7on ^r_ 1 • Nel.ry.1.1.Lt4. M ewd fa ead ..._._..._Cw.7y ewd Stele. w+.eneYv epyr�.rd _.Cha-Jle..$ltnt>bai ,_ J,rr.g1_.rAwr .o..r.. _Si rrlr.mfwd le tAr vH1Alw iw.lrr.w rwl, rW erkwarlr _-- _ • 4/'.171e .+e IAtf Arr_raerrlyd 1►1 so+ OROVILLE TITLE COMPANY N --v P`hft, V STATE OF CAUPORNLA. 0. iiv � ./_/} 1 •i rf r wl _S IL lm tv u..,.d .:v L.w/.r/ ..ESL' • rte• T •/ 7 -J�r r • 1 a w t F=�Ll.�%.C.F-!� � • \.� to67u..trtr / C.sJ..� Id. r... '•ice .d ....., p—wy •pp—,d 1►iw� r v .. M W /.�.a__� L.vr r•.r-1 f ••!•••JwE t..L. .,:.L:. �.w.,.wi •� --a div •J.JI� M v MY-jr�J)nrlw/ W �./ IN N•lTNF.SS WHEREOF ! L• A --..n -y L.d _d .&d _T • fW ..H .'. P LAL SLAL S T Lr •T L. b� .d ..� �V ' .IA CS �•`•t,/ ��Y7 ■O •ut�W�C. [J1.rprry t .moi..-..... x. utJ nn tr pyi .SMI • l _ t.-K•ii <a l �— .. _ .. _ Cwr.r'. t.w �. !1-+.�•�M.�1��r /: uarT ►iic Si.w d CrLi�� .c C. C�vu.t c"1L^�'•'c7`� , t .•ai u ocaC'woi+. )MX¢+'" Recorded •at the request' f2 !• _OROV,jLLE:,,TITIE CO2PA`IY .._..._..__......_ � On RecordrJ/ZCUL11 tot o rj~74t +t+. at �r�, .�LdPi79i1 1ltettlp;• DR OYILLE TM f • ......._._ ...... .:.Nae .. .. _._ f2 10 , �;� ��Ajn't Rt. 1 ;sox 399E Chico. Lelifornia LOU TTAf;.001C[r; :_...._._...... _ 1149y5 IEE �-•• ..�Y �.96i7c eTZ3� , �•+ ti GRANT DF•r:D (1nd4idu.1) • . y c For value neeived LAUH), A. ELLIOTT, a ay GRANT ...S...._...to STEP? --'1 NOS'ETLFR HOS'_'i -'TLER.htaLnnd k wife, vto� o as Joint Tonont,, as to an un1::•:dnd ; intene�t, :,EOR:E 7C'n'Eg k LOT �� Tf:!!ER, hunba::� i wi .'e, as Joint Tomm�ts, as to nn u dlrld.,d j into st RU!.ENT SI1•!NO`:S; s single ean,.es to nn una'lvldo.i lnteruat, sad �' ° J 'Hr�'trsds'z�czq'�ttaatacia[tJz R0.'ERT FJL �R:.y, a aingle man, its to an ' L -L1 undlvlced ; into-ert o e e `{) all t.`.r.t real ;+roper r al Lt:ate in the County of Butte . State of Califurnia- drscribed as fnllnws: : Lot 1 and the East half of Lot 2 in Section 5, Township 22 North. Range • i • 3 East. H. D. B.:6 H. ti EXCEPTING THEREF•RO`f the South 726 feet. j„ TOCETHE!; WIT} a right of way fcr road and public utility purposes over li the East 60 feet of Lot 1 and the West 60 feet of Lot 1 in said Section Sr excepting therefrom that portion lying within the above described parcel. ALSO TOGETHER WITH a ilght cf way for road and public utility purposes ` : .. " over the East 60 feet of the North 440 feet cf the Northqast quarter of the Southeast quarter of the Northeast quarter cf said Section 5. ALSO TOGETHER WITH a t:ight of way for road end public utility purposes over the Southerly 60 feet of the Southeast quarter of the Southeast quarter of Section 32. Township 23 Horth, Range T East. H.D.B. 6 H. I ? ALSO TOG'ETHErR WITH a right of way far road and public utility purposes' . over that portion cf the South 60 feet of the Southwest quarter of th-e Southwest quarter of Section 33, Township '23 North..Ranae 3 Fast. H.D.B. b H-, lying Westerly of the Westerlyline of the Helltown Road. as said . road existed flay 1, 1957. ATS0 TOgjVT*l:-.R `.rIT4 it right o" wslt for road pttr�aars'ov,r sl port•r,n of . Lot $ of t!w ':orthweat quartrr of t-et:cn )t. To.nm%12 72 1o•ttt. Renge 3 Last. Y.i,.9. h N., slit an7C right of sirs was reserved In t$ nit d Kittle A. Grecnwnit to Jua::'o Roneas `Isreh. rano^Jod Jilt' 25' 1 from ",_, Book 334 of,Futtu County Of;:elnl Hoeorda. at p,gs 220. Ln f. "t. : • .• {;:• RiSi i, JI::O T:i`L•:Fim! a rlgot ..f way for road. vtd publlc utilit77 :::•� ,. purpooae or.rr tite Easterly 6a foot of Lot 1 wad t4e•!9.:atnr?+ 6, feel �. Lot 3. _ • � .: '.. ..._ - • .. .jar _ . r' —•� � � ..�:• ....'-- C� ' 4•. Nt:'Y...�..;,^ , ti .. ..... _ _ f — •�: U'' CSO JAN 2 7 1999 BUTTE COUNTY BUILDING DIVISION COL`o1Ty OF BUTTE - DEPARTMENT OF DE'VELOPNIYT SERVICES, BLUDING DMSION 7 County Center Drive,, Oroville CA 95965 Phone: 916-!538-7541 RE: ? DATE: L9,S . A.P. # With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer.of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, •with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan,and business license approval from City of .Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement., Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. , Documentation of 50V subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 601. right of way to a public road Other: Should you have any questions concerning the above, please contact of this office. I YO*P very t , is el C. Vieira, C.B.O. MCV:ahb Man ger, Building Inspection