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022-204-023
022-204-023 927 O. BPE SMITH, Jerold! 77 Pryde Ave, Biggs mh utilitiesJ� - ELEC ti'Ci� M GAS COMPACTION TEST REQ / G SUPPORT STRUCT RE -022-.20-4-023-- - 92-2911MHT j SMITH, Jerry , 77 Pryde AVe, ggs mhi - ---- _ - --- - ..-- - T. 92-3312.5B 022-20-4-023 SMITH, Jerold' 77 Pryde AVe, Biggs open deck/mhCI'�Z I 022-204-023 927 O. BPE SMITH, Jerold! 77 Pryde Ave, Biggs mh utilitiesJ� - ELEC ti'Ci� M GAS COMPACTION TEST REQ / G SUPPORT STRUCT RE -022-.20-4-023-- - 92-2911MHT j SMITH, Jerry , 77 Pryde AVe, ggs mhi - ---- _ - --- - ..-- - T. 92-3312.5B 022-20-4-023 SMITH, Jerold' 77 Pryde AVe, Biggs open deck/mhCI'�Z RESIDENTIAL j 022-20-4-023 92-3125B SMITH, Jerold 77 Pryde AVe, Biggs open deck/mh JOB FINALE Signature J=OK O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P L" it./ /"LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s J✓ Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3._Paeks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date -29A%ard B -t 1. Date Card B-1 DateCard B-1 , Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ' 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 76. Water Htr.: Vent -Access -Combustion Air -Baffle --------- --- ---------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ------------------------------------ ----- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access --------- 20. Test Tub & Shower, Second Floor -Tub Access --------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------------------------- -- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance - Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------ ----------------------------------- 24. Size Boxes & No. of Conductors-Stapled --------------------------------------------------------------------------- - 25. Romex Installed Close to Edge of Studs & C.J. ----- -------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- - - - ------------------------------------ 27. 2 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------- ------------------- ------ --------- ----------------------- 28. Subfeed Wire Size / / ga. Cu or At-A.C. Wire Size / / ga. Cu or -Al -- - ------------- - - --------------------------- 29. ------------------------29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- ❑ No ----------- ------ O-No Service-Riser Conductors & Ground -Main Disconnect ---------------------------------------------- ------------------------------- 31: Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----- --- --- ----------------- -- -- --------------------------- ------------- ---- 33. Smoke Detector -------------------------------------- ----------------------------------- --- Date-------------- Card B----------------Date-------------Card B----------- -- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ------------ ----------------------------------------- ---------------------------- 35. Vent Fan: Exhaust above insulation - --------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------- - -------------------------- --------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---- - - - --------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 •-------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors -------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------ ---- --------------------------------- 42. Draft Stop in Walls (rat proof) ------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ---------------------- ------------------------------------------------- 44. Headers & Beam -Size & Bearing Ongle & Duplex) Date FRAMING (Continued) a _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stogy -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50.- Garage Fire Protection Framing 51. Property Line Firewall & Openings _ ___52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----- ---- 55._Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ __Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------- ------ 63. Furnace, Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------- ------------- -------------------- 64. - Bedroom Exiting ---------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------------------------------ -- - 71. Elec. Outlets & Receptacles at Kit. Counter --- - - - - -------- ----- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -- ----- -------------------------- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech._E_uip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 7;.7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------- - 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco Brown -Finish ------------------------------------ --- - 82. A.C. Unit: Disconnect, Electrical, Plumbing --------------------------------- 83. Vents Above Roof; Plbg.-Appliance- Fireplace .-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------ 85. -----------------------------85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ----------------------------------- 86. ------86. Ventilation Throughout House ---------------------------------- 87. Glass Protection -------------------- 88. - - - -------------------- 88. Corrections from Previous Inspections - ---..--------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - ----------------------- 91. Energy Compliance Certificate -Other Certificates ------------------------------------- ---- ---- ---- -- Date---Card-B-.1 ------- Date Card B-1 --------------------------- -- -- ----- Date Card B-1 Date Card B-1 ---- ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: % COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-x541 APPLICATION AND PERMIT�- ASSESSOR PARCEL NUMBER 022-204-023 022-204-023 'ZONING A 5 -- BUILDING PERMIT OWNER JERO LD SMITH TELEPHONE 86$-1722 SQ.FT. OCC.1 BUILDING VALUATION 280 0 1,960 OWNER'S MAILING DDRES 89 PRYDE AVE BIGGS 95917 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is , LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 37.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING RP 77RYDE AVE BIGGS 95917 Permit fee $ 62.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: DECK 10 X 28 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.�\ OR ADDNS. ACC, BLDGS. / 3.6dsq.ft. NEW CONSTR. ULTI.OUTLET N ON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REA,) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against al bilities, Jud ent osts, .,nd expenses which may in any way accrue ag ins said Co n in ons quence of he granting of this perm t. X Date signatu a of Applicant — Owner Contractor ❑ Agent An O5 o, of t curestover 3gstor�esoin height.ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 62.50 HAZ DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated abo/e for which fees DI EC R O P BLIC By applicable provi- � resolutions to do have been paid. WORKS Date-�` Receipt No. 123067 WHITE-D.P.W., YELLOW -ASSESSOR. PINI( -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES ate C�,�j,C�- 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BrILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ' lM( Yh A. P. No. 022-Z0¢-023 Proposed Building Use Building Inspector FX0 Date 913192 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .......... ............................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 3. Flood elevation letter (100 year flood) by California Engineer. . 14 Sanitation and plot plan approval. QeG Health Department . ............ a Z 15. City of Chico plumbing permit ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building reques�- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _)...... ..... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follo s: po' Mail to owner. Mail to contractor. Telephone and hold u at office. Deliver with inspector. Other Parcel Creation /a z �`� Acreage Applicant Date ( 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Y Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, wavised of above required data by _ phone - mail Counter by _ Date Plans checked by _ �- c� Date j/Plans approved by U, Date _ Sets of plans on hold in File cabinet Z, -AP folder Copy - Department of Public Works - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 22- w4-0-7-3 ZONING A-5 BUILDING PERMIT OWNER) // cm(h TELEPHONE �� SO. IT. DCC. BUILDING VALUATION .I O L! I OWNER'S MAILING ADDRESS Sq Pr U dQ Aur, 6i S 15917 ' CONTRACTOR'S NAME VVr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation .� LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee 3 7.5D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20� on ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee ,$ (0.21540 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel�r Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: TIP. CLS __F2Z9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA> 37.50 NEW CONST. ( DWELLING OCCUP.�\ 3.60aq.ft. OR ADDNS. ACC. BLDGS. // NEW CONSTR UL I.OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS R\ SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 @ 76FIXED APLNS.d EX. DCCUp. OUTLETS PRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structurestover r3gstories oin excavations over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $(oa,� L I I HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PD I HD J ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 1 «tel WHITE-O.P.W.. YCLLOW-ASSC330R, PINK -INSPECTOR, GOLDEXROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide thema' labor and materials for construction of. the proposed property improvement yes or no)' 2. I (have/have not) signed an appli ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. Cit.X Phone Contractors License No. Y: I plan to provide portions.of this work, but I have hired the following person to coordinate, supervise, and provide the major. work:. Name Address City Phone Contractors License No. 5. I will provide'some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the -California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. .E.) 1. 111'li (1�y.1' ' I'IUI Han Attached�_ Floor Han Atudwd soli Iu B.D. Buiidinb Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewa,,e Disposal Water Supply: 4,4 I'ubliiPrivate Well Clearance for bedroom mobile home. Other ao0>( f4 Hold final for: Final clearance O.K. lC)r: NOTE vironmental Health Specialist - 7 1�1- Date } a ;y; DNod'. 010 JOISTI. 36"•.C"754-5 TzAI L •. A A ' 7 P2 lfbe -Ave, N&aS r APPROVED Butte County Environmental Health lth % ;- % ate ----------------------- Signature 10/X'28 ' DC -CK wtTH RAIL p)r,r6 P2E6a157 S c �nrt-EQ s 2 X 12 TREAT -2) 131OCKS CJ Z661 8 Z d3S ld3a ONIQllnB ulna 40 Woo $0 jo 00 c c ;E Q X. n I N � Q c c ;E Q X. I N � Q � tit t � Q � tit t - r . � Q VAR/ES x a� 3 3 �73 m X O D C -oi 36" MIN. ; -- •,: �. 48 MAX. All ib i 34� • �o i I I II t J,/HAIJDRAIL RE1 HT GN 3 6 "MIN. STA 1 R--- _, I. n A W I DTi4 A a� 3 X D C Q r 1. t m ; n + c 20 GN •,: �. 48 MAX. All ib i 34� • �o i I I II t J,/HAIJDRAIL RE1 HT GN 3 6 "MIN. STA 1 R--- _, I. n A W I DTi4 A CP r1i c 20 GN y' r N ^? x Q m m � •,: �. 48 MAX. All ib i 34� • �o i I I II t J,/HAIJDRAIL RE1 HT GN 3 6 "MIN. STA 1 R--- _, I. n A W I DTi4 A a RESIDENTIAL 022-204-023 92-2720 BPE SMITH, Jerold 77 Pryde Ave,.Biggs { mh utilities % �OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date OFFICE COPY Address GAS _ Meter By D; ELEC Meter By D� JOB FINALED (Date) Signature -9C�)- J=OK - O = Not OK Not =NotReadyable MOBILE HOMES • MISCELLANEOUS �� �•�� r Date MOBILE HOME UTILITIES Plans K except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1_7.ening Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2JSef(s; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel i.�3. S r; Locatio - st-Fall-C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4 Water Locatio - est- asement Neede tch) 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors 5.ectricity; Lo are es -Gr -/ mp-Concrete Shthg.-Rfg.-Bracing 6. G as;,,Lecatio -Test-Wrap: , /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Nat. or/ PG 6. Carports; Windows -Doors ell Clearance & Disconnect 8A Utility Clearance i Dat and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as'HTest-Demand-Valve—Connector EI tricity; MH Test-Crossovers-Breakers-Cleara Drain; MH Test -Fall -Flex Connector t b---T–Water; MH Test -Regulator -Connector -meter and Sewer Connected -C/O to Grade -HD Approval 1i8:–Gas and Electricity Tagged Exits; Insp.-Sketch Cert. of Occupancy 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dat —7, .7.ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 s 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK =Notyable RESIDENTIAL (; �Jdf Ready Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped , 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1/ Date PLUMBING (Permit) OK except ft's 16. - Water Htr.: Vent -Access -Combustion Air -Basile ----------------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access ----------- ----------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------- Date ------------------------------Date Card B-1 Date Card B-1 ----------------------------------------- -- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------- - - ------- - ---------- - ---------------- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - -------- ---- ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------- ------------------------------------------ ---- _ 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- --------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --- ------------------------------ ---'------------------------ 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. --------------- Cu or AI ----------------------------------------------------- ----- 29. Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No ---------------------------------------- - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - - ---------------------------- 31. -Eq u i pClearances Panels-Motors-Mech. Equip. ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- - -- ---- --- - ------ ----- ---------------- 33. Smoke Detector ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B_1 Date Card B_1 --------- ------------ ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------- - --------------------- 35. Vent Fan Exhaust above insulation ------------------------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------- -------------------------------- ------ -- ---- - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 cutlet ------------------------------ --------------- - -------------------------- ------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------ ----------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ----- ------------------------------------------------------------- ---------- 40. Walls- - Studs- Nailing. Spacing -&- Bracing -Plates -Sound --------------------------------- --------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------- ------------------------------------------- 42. Draft Stop in Walls- (rat- proof) --------- - ---------------------- ----------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------ ---- --- --------------------------------------------- 44. Headers & Beam -Size & Bearing >1O - >ingle & Duplex) Date ' FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 4.7. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection'Framing 51. Property Line Firewall & Openings - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- ------------ 53.--- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------------ --- 60. Infiltration -Walls -Windows - -- - ------------------------ Date Card B-1' _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ----------------- 64. Bedroom Exiting ----------------------------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth - ---- ---- ---- --------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ---------------------------- 70. ---------------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer -------------------------------- --- 73. A.C. Duct in Garage -Damper ----------------- 74. ------ ---------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ------------ -------------- 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------- ------- 77. Insulation -Foam -Looked in Attic O Yes ----------------------------------------- -- -- 78. Guard Rails & Deck Construction -Post Caps - ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive ❑ Yes 0 No; Walks ❑ Yes ❑ No; Planters 11 Yes O No 81. Stucco: Brown -Finish -------- -- --------------------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ----- ------------------------- --- 84. Water Well; Disconnect, Electrical, Plumbing -------------------------------------- -- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------- 86. Ventilation Throughout House ------------------------------------ - 87. Glass Protection --------------- 88. -8d Corrections from Previous Inspections ------ -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ---------------------------------- 90. -.------------------------------90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- ------ ----------- -- 9Y -- ------ ----- 91. Ener Com p iance Certificate -Other Certificates Date - - -- - . Card B-1 Date -- - Card B-1 --------------------------- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUVTY•OF BUTTE . a ° DEPARTIWItP T OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the folowing violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. C REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 536444 �1 PERMIT N0. !�� — �; 1 Address or location of mobb�ilehome� iS, E Owner's name 0 -LF / 7-1-47 i ,til j —1-4 Owner's address Insignia or hud number( / IS 7 Manufacturer's name" ��',^u% ���1��9 "0I' Serial numby of V.I.N. Ld l Giy Z i ! PI LJ �1 ear of manufacture z a; (Official Ap oving�lrrsiallation) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B - _ L COUN•TY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS % 7 County Center Drive - Orovllle, California 95965 - Telephone: 916;536.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 022-204-023 ZONING A 5 BUILDING PERMIT OWNER JERRY SMITH TELEPHONE 868-1722 SQ. FT. OCC. BUILDING VALdATION OWNER'S MAILING ADDRESS 87 PRYDE AVE BIGGS 95917 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER __77S ICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE77 PFYDE AVE BIGGS Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: MT,< I _ 7-0,7) � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6OOVORLESS 200A OR LESS j$,50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professio s Code and my license is in full f ce land effect. ` -I License .Jo. 1��Z� Classification F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUR.&) OR ADDN5. ACC. 3.60 sq.ft. (-OUT NEW RE 5CON1 D. RANCH CIRCUITS) NON -RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 1. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I< I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a �d Co ty in consequence of the granting of this permit. X� —\ "1 —°\ Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70,00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 I HAz DFE IMP P�- FLO CDF PARCEL PD HD IS E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat ao for which fees have been paid. I R OF PUBLIC WORKS By DatePEMMIT EXPIRES Date Receipt No.122561 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � rr�...n.•'si�a r . fL:� i. , i a � rr';k-c•..-� r y �. �, .,;� :� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 7 COUNTY CENTER DRI jE PERMIT I_/ OWNER �J e�1%1'� o i Proposed Building Use r` BUILDING DIVISION - OROV+LLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541/ APPLICATION DATA SHEET Building Inspector A:�— Date (7- q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . .............:\............................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... VFees obilehome data and manufacturer's installation instructions, 2 sets. ........... of $ . ........................................pact fees as shown on attached schedule ............................... "4 12. California Deparlment of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. a 17. Planning approval for (A) Use: (B) Parking: ' 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit :construction approval required prior to occupancy). .. ... . 2O. Pre-inspectidn for Pre Inspection re for required. . to Building Inspector (Date) 21. Contractor's licerse information. (No., Name Style, Classification) . .............. '.. 22. Certificate of Woikmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy o- Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization .............................. . —,26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 5,27. Letter of intent on building use . .................. . .. ...................... 28. Mobilehome utility clearance . .................... 29. Documentation of legal access . ........................................ 30\ Documentation o150% subdivision developed or (A) Road improvements completed 1 and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violationslexpired permits . .............. .•........................ 32. RIan check list ....................................................... a 33 34. M. WIXyou issue th �yr fit, rocess as follows: Mail too n Mail to contractor. Telephoned/ Zr-and hold for pickup at 0— office. Deliver with inspector. Other Parcel Creation Z Acreage Applicant \ Date Copy of Haz-Mat form sent, Health Dept. Fire Dept. ' Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _mai ,, Counte b _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder ; Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER -JQUIL(,� c� 1 A. P. NO. Z, Z - ZC- V - Z3 PROPOSED BUILDING USE /v / �� DATE g' 7 - School Distric Fees (paid at District Office ...... 2. Sheriff Fees (paid at Building Department) Residential ......... �a� X 3 =$ 0" unit amt. Commercial(per sq.ft.) R =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other REC . - # DATE REC 2 122.SG 3 - (`7 --SZ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. :APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ' PERMIT NO. — ASSESSORE= ZMUI OBij BUILDING PERMIT OWNER TELEPHONE i -T44 -\-J- Z. S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING REBS � �V� V CON RAC OR'S NAME IP x6Lv-TI4-1c laarrf,S I LEPHONE CONTRACTOR'S MAILING ADDRESS -3aLjZ ES 91-6; C_1A i Lp Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Lo ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - --, a A -Y % b 6 S Permit fee a PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC£L MAP Water piping 7.00 Each qas water heater or vent 7,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome`a Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home is G W @ 15.00 TYPE OF WORK New Addition _ Remodel C Utilities ❑ Instailatioo'K, Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A ON LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. LA �e1 ZI 4Classification t✓ /� ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20C.ATO1000A1 37.501 DWELLING OCCVP•h\' NEW CONST.OR ADDNS, / ( ACC. SLOGS. I/ 3.tiQsa.f[. NEW CONSTR UL "OUTLET NON-RESID- BRANCH IR ITS @ 5.00 POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20P76. FIXED APPLNS, OR EX. Occup. OUTLETS (RES"' EA,� I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments costs and hi h Mobile Home Installation Fee . $ �O Energy Inspection Fee $ occ CONST TYPE TOTAL FEES expenses w c may to any way accrue HA2 0 FEES IMP FLOOD COF PA CEL PID HD ISSU against said County in consequence of the granting of this permit. <. X Date This permit is hereby issued under the applicable provi- Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavation! over 5'0" deep and demolition or Construct• work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. %Z25.63 By Date PERMIT EXPIRES Date WNITL _D.P. W., TCLLOW-ASlC!lOR, PINX•INSPCCTOR, GOLD[NROD-AP►LICANT ''�'� Y �;'3.�'�'�` s �"�'��Aa"4.i$�'"y.�"i{z�};�"i�#:i�7r-haw �wd•S*+F4•+°�� �il��'int;'`are-•ttv�rA-.r:�-n+wso�."�A'�w'�'� `i �i+`"'.`�w-.y... �:'^"'"r:'.."' � . • sS • BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District S Building Department No. A.P. Number Jurisdiction 0 City ounty Property Owner-Q.V V ,-/ 'SV0 / /-X / Property Location/Address 7 /Slc Subdivison Lot No. Residential Development 0 0 No. of Living HI Addition Units Commercial/Industrial Buildin C UNTBUILDING)p BUTT'TE New AUG 4 1 1992 /w (Floor Plans Sq. Footage / / J (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) District Personnel) 9 -(7 -9z - Date / District Identification No. '26 School District certifies that N <r (Applicant) e. - D l00 oc (Street Addres (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No.� by payment of $ representing /, �j, square feet. /yAA is rict Representative Dat Paid by Check Number Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the Schoo9 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.wkl (4/92) • • err ,.(,^r, •i;i.'t'r ._':.�.•. .. ... __ BUTTE COUNTY DEPARTMENT I -OF ' PUBLIC WORKS. 7 County Center Drive, Oroville, CA -- . j: 538-7541. MOBILEHOME `INSTALLATION SHEET 1. Owner's...Name:.. �2. Installer's Name: �c Tl •V Lr 3. Is the site currently under permit? Yes ® ..No (if yes, furnish permit r,,umber 70� /�D ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes � No (If no, clarify 5. What is the mobilehome electrical rating? --------------- _ Amps 6. What is the mobilehome site service rating? Amps 7. What is the mobilehome site circuit breaker ratI.ing? ----- �� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No r (If yes, identify the load and size: 11JE1 I (Load) V _(Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) ..10... What.is the type of gas service? ------------------- Natural � LPG F 11. What is,the gas pipe length from meter or tank to the 1 --------------------------------- mobilehome?------------ (ft.). 12. What is the mobilehome gas demand? ------=-------------- ""'-'"" (BTU) *(This information not required if pipe length less than 6 •ft:* on natural gas'or less 'than 50 ft.'on LPG.) ~'°9 9 . _._ . 90 COUNTY BUTTE. BUILDIN' DEPARTMENT ��� PPROVED MOBILEROIJE SUPPORT DATA If.other than single wide :... . I- . 1, . : . , . v 1,1� I - -, f q,_I �:, .'-. . "''I urn ish Utu P'.'Hode 1 ..No'.:: 77SjA0k_ . * 'Z�7 Year Mobilehome Mfr, - 0 .. Width -T. 10. (ft.) Box -Len gth,-I_l (ft.)'."Tagalong"' r"Expando' Size. On all mobilehomes manufactured after-October.7, 1973, furnish manufacturer's' -.`installation. manual and structural setup sheets :(if not -on .-file with"theCd'unty of Butte).�;, _17= FOYfINGS'(check one) 1. Wood -pressure treated or,foundation ,grade. 2.'.', other (specify) SUIIPORTS'(check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SI NG LE -WIDE HULTI-WIDE I.-Kne 1 Line I Line Main Beams Line 2 lint I tiers: Site -Min. -4.-------- .� Spacing -Max. --------- Fr,:m ------- Fr,,Pl Ends -Max -------- L.Ille 2 Piers: Sire -Min. ------------ �'Z .k 3p n Spacl.IK-Max ive-Min------------- SPOCI.IK-Max ---------- From Finds -Max.------- �_ Line 3 , nds-Max-------- Lj!ejh,q Loads: Size. -Min ------------- LncaLion (From -F Halo Beams Line Line I Tag or Triple Line I Openings, Size -Min. Each Side of Openings With Width Over--------- Linc ver--------:' Line 3 Piers: (Under Bearing Wall dnly) Size -Min.---- -------- -- - x Spicing -Max.- ------------ �_ From -- -- - --- From Enda-Max,------- -- 1Z „x 3p., IZ „x39 •• Zy �k� 4, �Z „x nds-Max-------- ,Ane LXiers Size -Ml fix Spa. Lig-Max---------- From i -Max---------- From Ends -Mex:------- �_ n Size-Min nds-hax;------- Size-Mill ------------- location (from Front) Line 5 Piers: (Under Bearing Wall. Only) Size -Min tx I. ,-- Spacing-Max, --------- ; ..... From Ends -Max -------------- .,x wil" ,Ane LXiers Size -Ml fix Spa. Lig-Max---------- From i -Max---------- From Ends -Mex:------- �_ n Size-Min nds-hax;------- Size-Mill ------------- location (from Front) Line 5 Piers: (Under Bearing Wall. Only) Size -Min tx I. ,-- Spacing-Max, --------- ; ..... From Ends -Max -------------- ILDIND --PARTMENT_A.PP'.'_ G E oVEQ I wil" ILDIND --PARTMENT_A.PP'.'_ G E oVEQ : - ' `TDIJIBLE WIDE PIERING WDRKSH�ET - MODEL: -aL ' 3 __ PSF.b00F LOAD PLANT!_ SEE ':OTE SEE PERIMETER PIERING REQUIREMENTS TABLE 'SEE MATING LINE PIERING TABLE t ' I FRONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REOUIREMENTS OF MAIN F.t,IL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TI.BLE• F• 7�E E:A' INITIAL POST IST INTERAR 2ND INTERaOR 3RD INTERIOR ATH INTERIOR 5TH INTERIOR WR 10;t,ll gOST LO1:AT101:S AT FRONT POST POST POST POST POST POST PEER LOAD ^C OPACITY Ik IES. Ll 3 (=>3C> 1 1 LI L( CvE FIEGE „ „ it ,, , FC0TING ;3:ZE 12X kZ �ZY;1Z LI� 2'- a6XLt •/ 2LI x 18' &INIMJN, FOOTING [� L ` WH 1E' Y 1E' FADE SmciLe_ Q`/z-c'->jLY Lq DOTE: Footing SIZES based on 1ODDPSF SOL bearing value. It soil conditions differ see the Pier load Cepaa;y drawirr or the HDME Technim' Installation Manual for method of caltCulation. PERIMETER PIERING REQUIREMENTS TABLE ' ''=`'• PIERS REO_ IFED DOORSIDE WALL•. .RDA.DSIDE WALL• . JA1.1!6 SiULS Al 1 Y DOOR OI'Et... ..;S At`D L�":c:r' :t sf�n' �'♦� 751L1Kilk. zi y�•. R ti OST y •'�� "::�. C E S S E D E'1';ALL V HEti' ` c OE?5 EY.�fEDA ?' •.SES LLC�,F::�R f:S:D;:S ARE -FROM TRO'..'7 OF UU117. I >K•S•1»t 1/tL AP #� , OWNERD:!:-:' to Ql-) �!:3 Pn f T� PERMIT**# _ Mil UTIL.CLEARANCE DATE y. Veal - INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq.. _ Service Other Pipe YES NO YESI NO Size Load T e Size Lenjzth (.lJ� I" -' COUNTY OF BUTTE - DEPARTMtNT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION,AND PERMIT - PERMIT NO. �l ASSESSOR PARCEL NUMBER 022-204-023 ZONING A 5 BUILDING PERMIT OWNER JEROLD SMITH TELEPHONE 568-1722 SOS FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 89 PRYDE AVE BIGGS CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 77 >a AVE BIGGS 95917 Permit fee $ 20,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Cities ® Installation ❑ Other ❑ Describe work: j\ U _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 .50 Main service 200A TO 1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License .JO. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ACDNS. 1 ACC. BLDGS. / _37.50 3.64 sq.ft. NEW RES'-,CONSTBRANCH NON-RES'BRANCH CIRC ITS @ 5.00 POWER APPARATUS& OUTLET CIR. EX. Occup( p OUTLETS OR FIXTURES5AL. 20 76 46 Ex. Occup. OU LETS ED APPIRESID ILNSREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. byirin g -15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. Di I shall not employ any person in any manner so as to become subject �! to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li judgments, cost , nd expenses which may in any way accrue ag ' st said ounty in conse enc of.the g a ting of this permit. X 2����/� Date 7' Signat6 r of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 8, HA2 DFEES IMP FLOOD COF PAR PD HO ISSUE This permit is hereby issued under t sions of the Butte Count ode and/or work indicat ab which fees OF PUBLIC By PERMIT EXPIRES Date pplicable provi- resolutions to do have been aid. p WORKS Date 0—IZ Receipt No. 117747 12$ 50 WHITE-O.P.W., YELLOW-A53[9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .:�ysrfr.•.�r Y.'*r .ni •+.� r •.r.�+.��ri'+'KrTF"i7�h5'wci"CY"�fi4f}�sllytF'�1e�i �l�'�('.�w�:�r .+.+�.r �r ,.r -..uJ • r •..r. +M; r- .. S,�T,Y.+7+ X111 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION a 4. • 7 COUNTY CENTER DRUE - OR�QVILL ``Ga 11FORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER JPr0Id ,sbn?(f1^1' 22' z0V-C) A. P. No. Proposed Building Use Tr // (% Building Inspector Date 7-3(-01 ` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed'by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ t' 3. Flood elevation letter (100 year flood) b California Engineer. . . 64. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ......................................... �_�_ 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17 Planning approval for (A) Use: (B) Parking: 8. Contact Land Development about (A) Improvements (B) Drainage. ........,'... . 19. Driveway permit (construction approval required prior to occupancy). .. ... .... o 20. Pre -inspection for to Building Insion reqs ) required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ... 4 .................... . rOwner-Builder Verification (Given to owner , Mail to owner ............ .......... 24. Recorded copy of Agricultural Acknowledgement Statement ................... 5. Letter of signature authorization . ....................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ...... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ................ . ........................ 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Why�you issue thepr itprocess as follows: Mail to owner. Mail to contractor. , Telephone �b - 22.and hold for pickup at 00%Zy office Deliver with inspector. Other G Parcel Creation Yo -81 r s d' �fl /2-- Acreage S :it Slee 64Sd Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not ch e Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by P - Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Td Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance PC Y cp- - Od V ` SI LAP# owner /Location Plan Approved for: Hold final for: SewacTe Disposal Water Supply W Lll ^anal clearance O.R. for: Clearance for "3 bedroom mobil home. Other NOTE * * * Water Supply Mater Supply Date Sanitarian Q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION.AND PERMIT ASSESSOR PARCEL NUMBER . 74143 BUILDING PERMIT OWNER I O�•I V,►C/ /� SM r TELEPHONE 96W2- 2 SO. FT. OCC. BUILDING VALUATION OWNER'S MAF�fiSS C f 6 6 _S li ^� t 14V CONTRACTOR'S NAME C \e_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.QQ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ C)CCo Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD1 S h J Permit fee $ 6 PLUMBING PERMIT Filing Fee 15.00 Q3/GG S It Gi Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomelVl Other TC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S @ 15.00 TYPE OF WORK New ❑ Addition [I R�e/m►odel❑l Utilities Installation❑ Other ❑ Describe work: /VI ,f'l -V ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 S�D Main service 20CATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.81 NEW CONST.3.6Q OR ADDNS. ( ACC. BLDGS. // sq.ft. NEW CONSTR ULTI.OUTLET NON-RES,BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED Ex. OCCup. OUTLETS P(RESID 1REA.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 cro Misc. Wiring 15.00 Permit Fee $ S — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures 3Qstories oin height. excavations over S'0" deep and demolition of construct. Mobile Home Installation Fee S Energy Inspection Fee $ occ co"s""E TOTAL FEE $ 2S_ HAz 1 0FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date `tover Receipt No. 1_� T? Z$ WHITE'-O.P.W.. YELLOW-A3eC330K. PINK -INSPECTOR. GOLDENPOO.APPL I CANT COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965. Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit --has been applied for in yotir -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 ateria.ls-for construction.of the proposed property improvement (yes or no) 2. I (have signed -'An application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to .provide the proposed construction: Name Address City Phone --Contractors License No. ..4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone = Contractors .Iicen_se No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ` Property Owner Social Security NumMr $- Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. JEROLD SMITH 89 PRYDE AVE BIGGS CA 95917 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 With reference to the above subject: " Attached is: OTHER DATE 8-5-92 RE: 92-2720- A.P. 2-2720 A.P. #. 022-204-023 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced /X/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot -plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street -and- drainage improvement plan approval -from Land Development Section'.(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department; 7.County Center Drive, .Oroville, for Completed Owner -Builder Verification form. X Recorded copy of 'deed showing parcel creation in September 1980. Recorded copy of agricultural acknowledgement statement. L� OTHER Should you have any questions concerning the above, please contact Dave Purvis of this_ office. Yours very truly; William Chuff Director of Public Works /J. F. Glander JFG/aj I A v up wz SAM g7p Secording to that ertain, 'wontitiod" division of Onstott Tract, bAtq County, thlitorr�da e sap . i tiled In th@-$ffiCo of the Recorder of pelpi-,I. - *-. " V 11forWA' ISBN )Docombor'5, 2910 in Book of -TVA 185 W, -A DaW .......... _. Aliftl 3 STATE OF CALIFORNIA tat lteewlders Um Only April 3 Jx :� . i'C4 :X Fm Reaw&es un ()wy SrAT1 Of .� -t _ �� �.�}ll." -. Vis' 9� ���,. . ' A 2w a NOAW7 AECORDUILUD AT TH RE VEST Of tL. go MIL PAU �1( 0 V V-01 of Paso I 2 OFFICIAL i(ECURDS uF-t CCOUNTY; CALIFORNIA Eas ES SUNPOINTE "HIGVIVALUE SERIES O__ _0__ UTILITY KITCHEN BATH µ FAU PANMY 0 0 WALK IN CLD. Nt, I I BEDROOM —ld-O 4-94 1 V- ZW 0 DINING ROOM 0 IBATIJ OED ROOM 0 pl,//�l MI LIVINGROOM 20'-d' 13'-4" --- o c D wD o - I > 0 CD a_ (`(N I E a- C: in < D 0 (--.4 Co 1 c I UJI 3493B �! I 43SF Ret&rn to DPW AGRICULTURAL STATF TM, OF ACKIOWLEDGENENT 92-34568 FOR RESIDENTIAL DEVELOPINT / Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 9;2-0.34568'1 Res Fee 5.00 to land or included within an area zoned I Cash 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit of agricultural operations including, Recorder I 11:40am 31 -Jul -92 I PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which -- - occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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: All thnt certnin ren) property citunte in the County of Ru described ns follows: tte, State of (CallforriIq, The South 375 feet of the Inst 110 feet of I,ot 27 and nil of Lot 28, as shown on thnt rertnin Mnp entitled, "SURDIVISION OF ONS'fOTT 'TRACT, Butte County, Cnlifornin", which mnp was filed in the office of the Recorder of the County of Butte, Stnte of California, Deceinher 5, 1910 in Rook B of Maps, at page 3. EXCEPTING FROM chid Lot 29, the North 3nn feet of the lVest 110 feet thereof. Date: � oZ; State of ) n s) SS. Yotllbmio WMCOUNY 0 GO"M 411*U MAY 17.1 On this undersig PR TY OWNERS: the ,� ay of 1919�4, before me, the n- Notary Public, erso ly appeared Personally known to me. M Proved to me on the basis of satisfactory evidence. �Aigyi.CAf7rFA t be the person(s) whose name(s) `- COMM.#pr.51e bscribed to the within instrument and acknowledged that N°tan'Pubnc-CaHromfo ecuted the same for the purposes therein contained. IN WITNESS BUM MAy 17.1 EREOF, I hereunto set my hand and official seal. Present A.P. Notary Public EN® OF DOCUMENT