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Home My WebLink About025-020-051PILGRIMS RCSI PRIM25-02-24 CHURCH 'TIVC BAPTIST C./S Hw Y , 70 PALERMO RD.' APPROX.APPROX. 1.500 1 S. OF PERMIT ) OROViLLE #6145-7.5E(EL E C T • Pump) CHURCH Q' SER & 'n 02-2 V B �' JE 4 APTIST _1500 S. OF T_ S E 25-02-24 1869---91--P, E! FAITH HOLINESS CHURCH Vjo qwv)? 3404 Hwy 70, Oroville (mh utilities).. 'j/. 9 r '7' 7 , 1, r CF25 _02-0- 024 92-3426 P,E FAITH HOLINESS CHURCH ---- 3404 Hwy ,70, Orovi1le., Vmhu ELEC 10 a GAS Lp -314" COMPACTION TEST REQ IVO SUPPORT STRUCT REQ 0 qj4q3 C .� 025-02-0-024 92-3427_MHI FAITH HOLINESS CHURCH 3404 Hwy 70, Orovil e 111:3t)l 9 mhi 025-02-0-024 97-;CU4e22 IVERSON, Jim 3404 Hwy 70, Oroville-el 7 (MHI/existing site) Executive 70ME 025-02-0-051 00-2500 FAITH HOLINESS CHURCH 3404 HWY. 70, OROVILLE CONTR: WIDENER'S ROOFIA1 RE ROOF r1, 0 i N 025-02-0-051 00-250 ' 0 FAITH HOLINESS CHURCH 11404 HWY. 70','.OROVIELLE CONTR: WIDENER'S ROOFING, RE ROOF, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AAD PERMIT/11f 1�"'-^ � ASSESSOR PARCEL NUMBEi ZONING BUILDING PERMIT OWNER - % T7 l 3� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD ' CONTRA R's NAM /S POMAAq TE HE CONTRACTOR NG ADORES f � ♦ / CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.0 Permit Fee $�„ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDfi€SS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other u �� p CJ SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: , Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 ± PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is i full fo ce and effect. �^- License Class � � Lic. No. `J OWNER -BUILDER D LARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license I Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT, NS NON RaI MULTI.OUTLET 97,50 POEll APPARATUS a sINGLE OLm� cIR. EX. Occup. OUTLET OR FDRURES SAL @ I.50 Ex. Occup. oeXunFrs RESID.OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Nu-nber (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) lel 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 tho provi ions. /� X Date 11,' " a Signature of Applicant -r❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60"deep and demolition or construction of structures ove- 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ , HAZ. p. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. .�d By\ Dati/� 4-0 PERMIT EXPIRES ON `� r O t Date Receipt No. .15 0 1175 W t WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AN6 PERMIT ASSESSOR PARCEL NUMBER�J� / J^� D ZONING BUILDING PERMIT 111A OWNER-1_11/J�JC—(T.`J C TE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD v Ph 51 CONTRA OR'S NAM ^ TELEPHO E CONTRALTO NG DRES f CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNISX)NS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE �y SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:- '" o` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is A full fo ce and effect./ License Class ( Lic. No. ��5/ �- OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 tow TO 46.00 NEW CONST. DWELLING OCCUP. CCU OR ADONS. ( d ACC. BLDS. SO 3.5¢FT. NC.FIEOSID MULTbOUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. Occup. OUTLET OR FIXTURES 20@''00 SAL @ .SO FIXI Ex. Occup. OUTLETS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT 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 gf. one hundred dollars ($100) or less.) MoO�l 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 tho provisions. J X Date,/,"/�°-,-DD Signature of Applicant - ❑ caner ❑Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PAROEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for wch fees have been / at PERM T EXPIRES ON ( D D provisions to do work paid. Ne Receipt No. WHITE-D.D.S.-BU. CA ARV -A SE OR PINK -INSPECTOR GOLDENROD -APPLICANT - _ � I vv P8RMIT It MH UTIL.0 TE 213 � INSPECTOR ELECTRIC. GAS' 'Support Struc. Compadtion Test.. eq. Brvice Other- Pipe YES NO YU NO Lze Loa d Type Size LenRth 2140 6!5" W a RESIDENTIAL 025-02-0-024 97-0422 MHI IVERSON, Jim 3404 Hwy 70, Oroville (MHI/existing site) Executive Home �fl4zo JOB FINALED (Date) Signature V=OK - " ' - O = Not OK Not = NotReady Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locabon-Test-Fall-C/OConcrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /11t. / /Nat or/ /L'ft./ /LPG 7. Well Clearance & Disconnect MISCELLANEOUS Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacingConnectors-Steel Date Card 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 120�jngs; Size -Spacing -Marriage Line Gam• MH Test-DemandVaive-Connector EkS ' ity; MH Test -Crossovers -Breakers -Clearances . rain;.MH Test -Fall -Flex Connector W'Watr;-MH Test -Regulator -Connector R"Water and Sewer Connected -C/0 to Grade -HD Approval as Electricity Tagged Date ". ie -Type -Installation Cert. Date ts• p =Sketch Date ert of Occupancy 1. Setbacks -Easements i Da!,=2/ ` and B- Date Card B-1 Date _/ Card B-1 Date Card B-1 5. Elec.; Pool Lighting; 15 Volts-GFI MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacingConnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Cab B-1 o = - = = No OK RESIDENTIAL (: Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easments-Flood-Slope Cling. Joist-Rftr Ties-Purlin-roH Brac.-TrussShting: Rfng. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts- Wrapped 51. Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 7. Slab, Steela/Vrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 78. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 80. 30. Ranee Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 81. 31. Service -Riser Conductors & Ground -Main Disconect 82. 32. Equip. Clearances Panels-Motors-Mech. Epuip. W. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House MECHANICAL (Permit) OK except #'s 89. 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 91. 37. Condensate Drain & Overflow, Size & Grade 92. 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr Ties-Purlin-roH Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoAA/alks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: END TIE -DOWN ;406 PIER BOLT -ON TOP #614 STL. STRAP — TIE -DOWN "I" BEAM CHASSIS :. SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION SIDE TIE -DOWN #606 STEEL STRAP SEE (TYPICAL) /—DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 .. BOLT "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION 1 INSTALL GROUND ANCHOR -• INTO GROUND, LEAVING T-12" OF SHAFT EXPOSED. NOTE: SPLIT BOLT & NUT —� GROUND LINE VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - j J FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE� -dL_S CONTRACT S LIC. -_(�COMPANY NAMEl y__L DATE:SIGNATURE:__ '-�D _ --_--_--2-� -c MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 -PHONE (916) 538-7541 APN: PERMIT NO.: Owners: J,,eG�JYt Name: Owners: /) Address: Mobilehome Year of / Manufacturer c� Manufacture:1-7 Serial number Insignia or or V.I.N. y HUD number:,. Official) approving installation: Date: If the mobirome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall . not be used when the mobilehome is installed on a foundation.system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor 1�, 6W COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION v. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT O. (Rev.12/96) APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER 25-02-24 ZONING - BUILDING PERMIT OWNER JIM IVERSON TELEPHONE 533-7990 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2650 LUDLUM AVE PALERMO CONTRACTOR'S NAME ESXECUTIVE HOMES TELEPHONE ' 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS 3404 HWY 70 Energy Plan Checking Fee ° $ OROVILLE $ PERMIT FEE S43-00 LOT NO. SUBDIVISIONS NAME L PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)b Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation M Other ❑ Describe Work: MHI EX. SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.n f License Class LIC. NO. L' 'yI OW R -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: b 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 Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. OR ADDNS. ( a Acc. BLOB. SO 3.5QFT; NEW CONST. MULTI -OUTLET NON-RESID. O @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 209''50 BAL 9 .30 Ex. Occup. ouTlEErs Aalo�eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comps sation insur rice carrier and p licy num r are: Carrier tel.( (�.Qiy f�0 �. A 12,+I /1ZLP x\ Policy Number LV _;3 - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions o section 3700 of the Labor Code, I shall w th cc with those/pro i o ____ Date _ Igna ure f Appl' nt - wrierConVactor ❑Agent An OSH per s required for excavations over 5'0" deep and demolition or construction of strut re ver 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CATTYPE❑ TOT L F E $ 143 00 HA I FLO CV- PAPAL oN ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees. have been paid. By / Date PERMIT EXPIRES ON �/ Date ReceiptNoY 210210 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF 111- AAA OPMENT SERVICES -BUILDING DIVISION V 7 COUNTY CENTER DRIVE -ORO LE, CAI IFmORNIA 95965 - TELEPHONE (916) 538-7541 _11;. PERMIT APPLICATION DATA SHEET C' OWNER: �i{i` t=1"J ASSESSORPARC ER: -- O CProposed Buildmg Use: t Building Inspector. Date: At time of permit application, I was advised the following data must 6ewsubmitted prior to perm' ' proessg and/or issuance: Date Received By ❑ 1. All items have been submitted. E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . 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! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Ndn-Heated and A/C Buildings. --------------- �------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ 0. Fees of $ ---------------- -------------------------------------------------------------------- . Impact fees as shown on the attached schedule. f;6L44-+ -_______________________________________ ❑ 12. California Department of Forestry plan approval/fees. ------ --------------------------------------- 0 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------ ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.* --------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- _____ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑Contractor's license information. (Number, Name Style, Classification). ----------------------------- Workers' Compensation carrier and policy number. ---------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization.----------------------------------------- 025. ------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 0 26. Letter of intent on building use. -------------------------------------------- ❑ 27. Manufactured Home utility clearance. ------------------------------------- 1128. Existing violations and/or expired permits - ------------------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wh n you issues the permit, process as follows ❑ Mail to owner, ail to c actor. Telephone pR i — (oq p� and hold for pickup at e_,�eliver (Date) APP Date:( Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollutio ate: 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 Divi ion counter, by Date:, Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build' D' rasion counter, by Da Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. k, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance `1d `�� l`I �� % J PJ � Owner Location Plan Approved for: Sewage Disposal Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public E.H. USE ONLY Plot Plea AM&M Poor Mn Angohed a Seat to B.D. Y AP// Private Well --� 77 Environmental Health Specialist Date BUTTE COUNTY SCHOOLS IMPACT FEE`CERTIFICATION FORM (One form per Building) School District MUM l �-P t/\ Building Department No. A.P. Number Jurisdiction: M City County Property Owner -�J t on I ki4r.SUY1 Property Location/Address t ! i Subdivision Lot No. Residential Development � EZ1' Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation 0U Commercial/Industrial New Addition (Street (City) Sq. Footage Juicwamy cxtanvr Roofed Areas) Sk lq-7 Date (Floor Plans reviewed by School District Personnel) Itlentificatio A .970103. (7y4DG� School istr' t certifies that (Applicant) dre s (Phone Number►/ has complied with the requirements of Resolution No. representing square feet. n School District Representative Paid by Check # (State) (Zip Code) /0,5 ... 90 by payment of $ IIFULLZMITIGATION $ i Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to,46e District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. ,Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm 1. Owner's Name: 2. Assessor's Parcel Number: bZ 3. Installer'. s Name: 4. Is the site currently under permit? Yes[ ] No[>Q Permit No. 5. Is the site an existing site? YesM No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? ADO Amperes. 8. What is the electrical rating of the mobilehome site? ZOO Amperes. 9. Is the main service remote from the mobilehome site? YesV,] No[ ] If it is, what is the rating? 2 -mo Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoIf yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[,(] None[ ] 12. Size of ga� pipe at the mobilehome site from the meter or tank: 3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? Z�(ft.). 14. What is the mobilehome gas demand? — B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION C=HTy WLDING DEPARTMMft ENT ApPRONE May 1995 8.5 Mobilehome Manufacturer: 1�:,L-Etwo Manufacture Year: 199 If other than single wide, furnish Setup Model Number: :� S Z— 3 k -A Width:'eg V�(ft.) Length: ! Z (ft.) Tagalong or Expando Sizer (ft.) x —8. (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[X] Other: SUPPORTS: Concrete blockW Other: Provide Tie Down Specifications for all Mobilehomes: t4jTrAT-C.44-j7v7t> Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 . Line 2 Line 2 ........................................................................................... Main Beams - Line2................................................................................................ e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beano ............................................................................................. Line 2 Line 1 .............................................. e S Tag or Triple e4 ine 1 Line Uiers: Size minimum: r i x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [ t2 ] x Spacing maximum: 3 ` From ends -maximum: 1 p ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ 12.1 x [ 30 ]. Each side of openings with width over: I H ` 0 ` Line 4 Piers: Size minimum: [ x ]. Spacing maximum: C` From ends -maximum: ` Q. a,� i �� 1�� t7 29 $� 3b IZ'x30 ZN X301 3bu30Z.W x,30 ZWx 30 7,11 x30 1-9111A 31 .� ABESCO ENGINEERED 1311TiTE COUNOMBINATION TIE -DOWNS UILI)ING DEP TURED HOME TIE -DOWN CALCULATIONS AP P R 0 V I DULES FOR SINGLE/DOUBLE/TRIPLE WIDES 4 P TI T r"Y _I 0 --.- DESIGN . �, � , r - DESIGN LOADS: __-) 1 -I- V V__ * WIND --------- 15 PSF * SOIL BEARING - - - - 1000 PSF 2 S 0 , 21-4 * TIE DOWN STRAPS— 3150# WORKING LOAD TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781H FOR TYPE 1, CLASS B. GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) * CROSS DRIVES -------- 1727# CALCULATED * CONCRETE SLAB ANCHORS — 1390# (CALCULATED GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. 5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM 7 (ONE END TIE -DOWN MANDATORY ao AT EACH END OF "I" BEAM) 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. I ENGINEER APPROVAL v `o is 3 0 z 3 0 a W H 0 U H M a THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3. SUBSECTION (a) STATE APPROVAL ,�•v�,v,��.o Tir�'vBu%� :� �,Errr APPROVED SUBJECT TO CORRECTIONS NOTED Approvnl does not authorize or approve any omission or deviation from requirements of applicable State laws and regulations. State of California Department of Housing and Community Development DIVISI CODES AND STANDARDS BY0 - ate (signature)! SPA NO._44 y -14�%0 G This Plan PACIFIC CONSULTING ENGINEERS ABESCO 2150 BELL AVE. SUITE 145 5851 FLORIN-PERKINS ROAD SAC. CA. 95838 PH: 916-564-6028 SAC. CA. 95828 PH: 916-383-8831 ®_ ABESCO TIE -DOWNS (ABESCO NAME STAMPED IN) \\ HEADS OF TIE -DOWNS /f Trl b �o° o0o m o •. #607 CROSS #606 STEEL #406 PIER DRIVE ANCHOR #608 SPLIT STRAP W/BUC BOLT -ON TOP BOLT & NUT 0 #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE T.D.A. #SH 5822 SLEEVE SLAB ANCHOR #616 STABILIZER ANCHORS (DRY) (YET) PLATE SIDE TIE -DOWNS (SEE NOTE BELOW) SIDE TIE -DOWNS (SEE NOTE BELOW) SIDE TIE -DOWNS (SEE NOTE BELOW) IA Z 3 '1 ow 0 I � W O ~ z CW ZW W v vl 3 O W O m I W Aplp W 0 z 2 <; DOUBLE WIDE W N .. ► r r t �-2' EVENLY SPACED EVENLY SPACEDIEVENLY SPACED 2' e LENGTH VARI o NOTE: 3 SID.E..TIE —DOWNS: MUST BE -WI - THIN 24" OF THE c END OF CHASSIS BEAM. W END .TIE -DOWNS: CAN BE LOCATED WITHIN 18" c OF EITHER SIDE OF' CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT EACH END OF "I" BEAM. a (SEE PAGE #1, GENERAL NOTE #6) .EARTH AUGERS MAX. LENGTH OF 36' 54' 1 72' 62' 73' MFG'D. HOME MINIMUM NO. OF 2 3 4 6 7 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF32' 34' 42' 52' 62' 73' MFG'D. HOME MINIMUM NO. OF 3 4 5 6 7 SIDE TIE -DOWNS' CONCRETE* SLAB ANCHORS MAX. LENGTH OF 34' 42' 50' 59'68' MFG'0. HOME MINIMUM N0. OF 4 5 6 7 8 SIDE TIE -DOWNS m W O Z W W v END TIE -DOWN #406 PIER BOLT -ON TOP CROSS DRIVE TIE -DOWN CHASSIS � SIDE TIE -DOWN STRAP L.614ST-�"/ 60 6 #606 STEEL A. STRAP #608 SPLIT BOLT & NUT CONCRETE: - 12" SQUARE x 12" DEEP GROUND LINE F/m STEEL STRAP #607 CROSS DRIVE ANCHOR ff INSTALLATION INSTRUCTIONS DETAIL "A" TYPICAL CROSS DRIVE l 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. (WITH CONCRETE BLOCK) 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A". NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE ENCASED IN CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED. END TIE -DOWN 0 M CONCRETE TIE -DOWN CHASSIS SIDE TIE -DOWN INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM' OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE—DOWN #406 PIER BOLT—ON TOP #614 S STRAP TIE -DOWN "I" BEAM CHASSIS :: SEE "I" BEAM CHASSIS : NOTE #5, SHT. 1 FOR TIE—DOWN INFORMATION SIDE TIE—DOWN #606 STEEL STRAP (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 .. BOLT v "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. i FOR TIE—DOWN INFORMATION TIE—DOWN INFORMATION °o° O ' INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8"-12" OF SHAFT EXPOSED. e 3 C3 Z 3 0 0 0 u Ln m a SPLIT BOLT & NUT —, GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL INSTALLATION INSTRUCTIONS DETAIL "A" (TYPICAL) 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS YARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. ;''_ - :k': PLACE STABILIZER PLATE ',:r. .i NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: DATE:__________ CONTRACTORS LIC.# SIGNATURE: i Ip 1 �� j i(� x• I j � 1� 0�j�li!ii�il SHELF �a�l�j it + 67 1 • f � f c WM LIZ .SHELF ALLEY RAIL 301 I 70 r 1 1 z LJI APPROVED Butte County :_nvironmental Health Date Signature 6 d 0 03/03/97 10:59 TX/RX N0.0344 P.002 m t--S•�A 1-�- _ I 1-5 I '-7 - SI-9'�t 1ate' Iv- VC -air µ-T OT.R[a6.f,,RbE`c J J HN Z 0� r- �T� I 5 pwc¢rL t, 11-�'.. -A1� 1 ' 011111-1 em A-a-t✓i�; III-1tN��5°��J\3�We �ic.r�e.�� 1. -TIL I TY i -I c-.1 l� I b l . ✓ SG• f- . I� h�� -fit 13 — - -7-D 3 ,�p GSR AMC 30 -LL. 106 L. ]WLL. 10•D.L I I X11 L L 5 PT 90' MAR. PER 108" MAX. ' LOADS ❑ n� Tont YYZT (-1 �J 5 fi u1•o c. uwsT A i y 1100 1 I'd 132 A 1 l0•D •U 1'd J3 - =-1 w sd 3 1700 z 2A I cd 3 - - - - \ \ 13 B er 32 11-C- 7100 Ic B " 3 er s ,ed e r�clr�Lvo� LI.�I«1c.1 (' ' J R?Or'Fc�5s 7 B " B A 1 7 i • c I-" �-r, 6 L3�. 6 4i. r -r. � orr I z'1.9 t.R • f 5100 • 1170 3 - Rod - �� -1 " 1 rte' - 5 " M.A. 5 5800 5 8 l 1 (`R\ B .11 zc5 2' Bewvq n I=wW ✓ I- v.l 1 I 1 4J I y' I- �.-. Mal ZOILL. 10-D.L ME-2GLL. ,O-D.L PER DD• MAX. 108" MAR. Q!Oras ❑ ,1. q -T WZT ❑ Tr .oat LZ=cam, nuamLSA A LG � �+ BDD 1 1'd 32 =� A 1 uro r4r 32 -t `r1 WW1FA+rTUR» FEDERALQ ' z B sr 32 z B Br 3 0 MOUSE 1) Thb floor plan BWT bC h tt h an C XWt TEl1TCt MTRUCTCH ' ` A �Y STEAM W > A ',A/O lY A 5500 3 B 1cd 3 A 3 B 1cd c ' fto about 0c �h xW r width 9143. (.J " A 2 Actwt sideaml ��,�, NOV 211995 o29'8R 1od z . A B • B iod 3 A lLB AIAM 5" 1 i'J• 3 S B Il'r T4 Q �!1/ Jd A od 3 37M ° B A e B od 3 WINDOW/DOOR SCHEDULE e • bldcates 2' Bea— In, rwwcj, ND. Sat 000-0. auZ ,nNr NO 11 DESCRIP'"O. OIAZ 1EN1 LEGEND: m %MM DOTMUFT1O0-ANEL FLEETM000 F-INN°[ii0 TTTT-E LJ.9vGL./-r1G- 1-7 SHT 1 �o .4n• .1.,. IOL s.1 32 Q SEE CT.CIASPECS U SUPPLY .01 A �FL00 PLAN t OF 1 b • LLL - 110NT n[TURE " •1R SUPPLY %L�? B 1 rA- S Iv L L. 4.5 - $ TNERM03TAT * Q SALISL1ME a^Awa e. J.�. vOC UE htJ 1 t�lOr� REV 7 4L r I IA ED �- EIIR•UST l C[IL FAN yNXARWA a 14 r V. SLIDal 1- 1.2 14 2'R -0s' H LUDO¢ 172 9.0 20 78 >< N.SLIDP.� t9.E 10.0 B SMOR[DETECToa SD-r'ORTPp3T wTEa-I�- 3152 SU 1�J ip'-Arid t.Y.f7.-iL�•.•�TT li.j [+ro1r L -T © DOOR BELL TRANSFORMER �.�RETIJI1N LM ym,IE SCALE Y,f 1'd 0+y4- E I d s, 0 N U �C-1 r 1% o tj �.Ell W 0 (i1N N p L{ Q d I v'p m, - x v o _ m s TR tab o I I c u O Y- 90 tl 10 1- (voa®:: oa RADCO ' 1' Z A L7 j I; � C� I; - aN oil ''--m APPROVED 4 AO o_ oo O _ 4 Li El >❑ PI lM0 �Of 'q C 'q NJc r a >d u b E r m U ]-2 ki I.I C N �( 1� m > m�> m > m > m > s ❑ mo> mo> m•> mu> m f +> ❑ L O N < � b • b � jj a � r y o id 1+ la � � r . `RESIDENTIAL J3 025-02-0-024 FAITH HOLINESS CHURCH 92-3426 P,E 3404 Hwy 70, Oroville mhu ! OFFICE COPY Address t 1 GAS Meter By ' ELECT81 Date l 1 Meter gy Dat 7�LJ w� JOB FINALED (Date — Y Signature V=OK O = Not OK =NotApglicable Not Readv MOBILE HOMES = J Date E HOME UTILITIES Plans OK except #'s ming Requirements -Setbacks -Easements ils; Special MH Support Sketch wer; Location -Test -Fall -C/O Concrete Wat , ocation-Test-Easement Needed (S etch) ��ectricity; Location-Clearences-Gr mp-Concrete ocation-Test-Wrap: / "ft. or/ /" L"ft./(�Y'C�G �- 7. arance & Disconnect 8. Utility Clearance Date �9�Card B-1 gate Card B-1 f Date —! Card B-1 Date Card B-1 e flat. MAR11 F WnMF INBTAI I ATInN 1PI—% rl1( --t e'c ' �pn)ng Requirements -Setbacks Easements C --1'F 'fings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval L-9-_Ga§.Aad Electricity Tagged Exits; Insp.-Sketch .: Cert. of Occupancy i r Date i::.i` , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 r f {E t Y � . MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5.Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 t ( I t 'J OK O=Not OK = Not Applicable Not Ready RESIDENTIAL' (; = Date UNDERFLOOR (Plans) OK except'#'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 #'s 16. Water Htr., Vent -Access -Combustion Air -Baffle ------------------- --------------------------------- 17. Water'Pipe: Test & Anchor -Nail Protection ---------------- -------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------------- - ----------------- - Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access - ------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------- ----------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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 At ------------- ---------------------------------------------------------------- ----- 29. Range Circ. / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------ ------- ------------------------------ --------------- 30. Service -Riser Conductors & Ground -Main - - Disconnect- -------------------------------------- -- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --- - -- --- -- ------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- --------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'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 #'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 ►inlgle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 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 -Ratter 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 #'s 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector --------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------------- 64. Bedroom Exiting ------------- ---------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- --------------- 67. Stairs & Rails - ------------------------ ------------ - 68. Fireplace or Stove: Clearances -Hearth ------------ - 69. Elec. Outlets at Wood Panel: Int. & Ext. - --------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --------------------------- - 71._ Elec. -O--utlets & Receptacles at Kit. Counter ---------------------- -- 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- --- - Duct in -Garage -Damper 74. Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- 78. Guard Rails & Deck Construction -Post Caps ----------------------------------- - 79. -----------------------------------79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters C1 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 -------------..-------------------------- -- 9 ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Under round - -- -- - -------------- --- 86. Ventilation Throughout House .. ------- --------------------------------- 87. Glass Protection ---- - ------------------ ------ 88. Corrections from Previous Inspections - - - - - - --------------- _--- --------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------- ------------------------- 91. Energy Compliance Certificate -Other Certificates ------ ------------------------ Date Card B-1 Date Card B-1 -- --- -- --------------------- Date Card B-1 Comments at Final: ------------------ Date Card B-1 Date _ Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE f L .� V N I e / I /n I/ . /I C? 'Al 701-j OWNER 1 V..- PERMIT NO.. x A routine inspection indicates that the following 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. .0m cp A sl r .. P_ 'JLC • ,l-!-o"PW - � Ag COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P� PERMIT NO. ASSESSOR PARCEL NUMBER 025-020-024 ZONING AR 1 BUILDING PERMIT OWNER FAITH HOLINESS CHURCH TELEPHONE 534-5169 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 749 PALERMO.95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ <75,o - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD RESS V HWY 70 OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 115.00 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❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home it Wq bW1@ 15.00 45.0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities y Installation❑ Other ❑ Describe work: MH 11 2 REIRM HUT) APPROVED Permit Fee $ bu - Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LSS 00AOR LESS 18.50 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS in full force and effect. License No. Classification Ems( I'YA'I 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.OR ADDNS. / ( ACC. BLDGS. DWELLING OCCUP.(4\ 3.6psq.ft. NEW CONSTR. ULT"OUTLET NO N•R ESID BRANCH CIRC ITS � 5.00 POWER APPARATUS S (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 S,15 FIXED APPLNS, OR EX. OCCup. OUTLETS (RESID.) EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 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. ® 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 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 agat said County in onsequence of the granting of this permit. XSi nr✓ ❑ Contractor Agent Date .3 ` %Z eture of Applicant — Owner ❑ n OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.AC Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ AR sn HAz I DFEES I IMP FLOOD CDF PARC PD HO ISSUE ' This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees ECTO BLIC By PERMIT EXPIRES applicable provi- resolutions to do have been aid WORKS D to L6 Receipt No. 125936 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. R r -I . i � ^ � .,-.. t r .� .,. I �" ,.� r } � (. q .. {�y++--��,. tl �. . •rJjlw.l. _ (^ / COUNTY OF BUTTE -D TNF OF PUBLIC WORKS / , PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 :�- ✓✓✓'� APPLICATION AND PERMIT ASSESSOR P. CEL NUMBER �� 0w—,020-024 ZONING 7AR 1 BUILDING PERMIT OWNER FAITH HOLINESS CHURCH TELE -PHONE j•- 534-5169 #;SO FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 749 PALERMO 95968 CONTRACTOR'S NAME• ` OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS FV HWY 70 OROVILLE Permit fee $ 20.00 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❑ Mobilehome[i Other SPECI FV Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W @ 15.00 45.0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: �M U 2 BDRM Hifi APPROVED Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000V OAOORLESS 18.50 CONTRACTORS LICENSE LAW yy __Ji 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. 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) ElI, 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 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP.tf OR ACDNS. ( ACC, BLDGS.NEW 3.64 sq.ft. WC ON ULT' -OUTLET NON -R ES'D BRANCH CIRC ITS @ 5.00 /POWER APPARATUS 6) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 4JAII46J Ex. Occup. OUTLETS ED APP(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.0 Misc. Wiring 15.00 Permit Fee $8.50 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. ® 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 iaga t said Counnty in onsequence of the granting of this permit. �n Date - 3—%Z nature of Applicant — Owner ❑ Contractor ❑ Agent ®, OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height_ • . z. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF PAR PO V HD 'ssuE 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. ECTO UREIC WORKS BY / Date ld Z? PERMIT EXPIRES De 9 Receipt No. 125936 WHITE -a. P. W., 'rELLO W-ASSEg30R, PINK -INSPECTOR, GOLDENROD -APPLICANT Y 0`.. .4X"-2 rc:• a`�S i a t o r+W :; l -i.. , �5 i. Y COUN OF BUTTE, PARTMENT OF PUBLIC WO BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 536.7541 PERMIT APPLICATION DATA SHEET /l U/ L P. No. > Proposed Building Use Building Inspector A Date L , 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 . ........................................... . oergy Design Compliance and supporting documentation . .................. 7. StAatement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome dataa Pd manufacturer's installation instructions, 2 sets. ........... 10 Fees of $ ................................. 2 !C� 1. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer . ............:::: : 14. Sanitation and plot plan approval'tTr�11AC Health Department. . 15. City of Chico plumbing permit . ..... ........................ . 16. Plot plan and business license appro>e6l from C' „��iggs/Gridley. 17. Planning approval for (A) Use: arking'0V- t 18. Contact Land Development about (A) Improvements (B) Drainage. . CXiS� 19. Driveway permit (construction approval required prior to occupancy):, . . . . . .s. . . . request 20. Pre -inspection for t 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. ...... t ....... . 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of par,,cel 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. W>-y6uissue the permit, process as follows: =Mail to owner. Mail to contractor. Telephone -574/-51! 5Z and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica Date / �3 Copy of Haz-Mat form sent Health Dept. Fire Depr Air Pollution Date Copy of plans sent Health Dept. Fire Dept/ Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: idsuance: (Circle new item not checked above). 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 �,4 Date/v Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works - • Date Date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (S O - o? Z NTNG 'e i BUILDING PERMIT OWNERTELEP lllifh O 1• J, ONE S� SO. FT. OCC. BUILDING VALUATION OWNEflllR'I ff/� OLVCSe RIG 7J/9 /141erAto 0/1 Q Ild r CONTRACTOR'S Ny_NE TELEPHONE -LING SS MA CONTRRRACCTT'OR'LI ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ dO. OO ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 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 E] Mobilehome� Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 015.00 qs Vc7 TYPE OF WORK New ❑ Addition ❑ RemoldeI ❑ Uti litiesA Installation ❑ Other ❑ Describe work: � .16 2-43(2 _ �r�iUlY�, f9pl'oLt`D- Permit Fee $ Z Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 S CONTRACTORS LICENSE LAW I declare under penalty of p y perjury Jur y (check one): El 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 Main service 200A TO t000A) 37.50 NEW CONST. DWELLING OCCUP. �\ 3.6Q sq.tt. OR ADDNS. ACC. SLOGS. I NEW CONSTR. U TI -OUTLET /� NON -REBID BRANCH CIRC ITS ` 5.00 POWER APPARATUS a -SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 20 76d FIXED Ex. Occup. OUTLETS (RESID )LNS.KEA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 :± Permit Fee $ b 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 becomesubject 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 FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 OSHAwork 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 FEES HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. I a 59` j WNITE-O.P.W., YELLOW-ASSC930R, PINK -INSPECTOR. GOLDENROD -APPLICANT 10 COUNTY OF BUTTE- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied• for in your name and bearing your signature. Please.complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. 'I personally plan to provide the major.labor and materials for'construction of the proposed property improvement (yes or no) _ 2. I (have/have not) ffj� G� signed an application for a building.permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions -of this work, but I have hired the following person to coordinate, supervise, and. provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address - Phone Type of Work Signed: Property Owner Social Securit umber Date 2 - NOTE: 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. =a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center -Drive-, Oroville, CA PHONE: 538-7541. F 6 1. Owner's Name: 2. Installer's Name: MOBILEHOME INSTALLATION SHEET S t 3. Is the site currently under permit? Yes 2- No Fi (If yes, furnish permit number OR Is the site an existing site? Yes U 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? --------------- 100 Amps 6. What is the mobilehome site service rating? ------------- 02 O O Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- yes No (If yes, identify the load and size: 'lam (Load) _ (Amps) 3 �- 9. What is the mobilehome site gas pipe size? =------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (;ft." * 12. What is the mobilehome gas demand? ---------------------- ) *(This information not required if pipe length less than 13 t3 on'�," natural gas or less than 50 ft. on LPG.) Q P` MOBILEiOME SUPPORT DATA w, ' s If ether"than single wide, Mobilehome NIfr. S14 ie,_ furpish Setup Model No. Year /q7 9 Width® (ft.) Box Length 1�1'19 (It.) ,Tagalong or Expando Size ft. x__,< ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one). Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)a- Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Liar. 1 � � Line 1 Line _ _ t Line 2 Main BeamsLine 2 -,__ Line 2 Main Beams Line v Tag or Triple � Line L Line 1 Line 1 Piers: Line 1 Openings: Size -Min. Size -Min. k "•x Spacing -Max. -•------' Each Side of Openings From Ends -Max. ------- With Width Over--------- Line 2 Piers: Size-Min------------- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max - ------------------Spacing-Max.--------------- From Ends -Max .------------- „ &,U a u-''Le42-- ,.y O /?''x S ,� 9 ;y.3 4' 0"A o k ^x "x ^x "x Line 4 Piers: Size-Min.------------ Spacing-Max---------- „ From Ends -Max .------- e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k Spacing -Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size-Min.------------ x1.1"x "x "x "x Location (From Front)'Ell _ -1., MOBILEHOME INSTALLATION ACCEPTANCE, .COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE Address or loc Owner's name Owner's address r* Insignia or hud number C44 Manufacturer's name Seri I numbe f V.I.N. —0 Year of manufacture \ZA� I & ti; (ff tial A in Instal a ion) (Date) 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. W' 513B White - Owner, Yellow - Installer, Pink - D.P.W. JI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS;ESSOR PARCEL NUMBER 025-020-024 ZONING AR 1 BUILDING PERMIT OWNER FAITH HOLINESS CHURCH TELEPHONE 534-5169 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 749 PALERMO 95968 CONTRACTOR'S NAME RICHARD VANSTAVEN TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 $ 20,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS HWY 70 OROVILLE Permit fee $ 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 F-1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: MH I HUD APPROVED _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 00V OR S 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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. 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.p\ OR ADDNS, l ACC. BLDGS. I 3.6d sq.ft. NEW CONSTR ULT' -OUTLET BRANCH CIRC ITS @ 5.00 PO ER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(ou TLETS OR FIXTURES\ 20 76 FIXED APLNS Ex. Occup. OUTLETS (PRESID.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 °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. CK 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 15T 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 agains aid County i cons uence of the granting of this permit. X �7 �-Z�— j. 2_ Date Sign re of Applicant — Owner ❑ Contractor ❑ Agent ❑ A OSHA permit is required for excavations over 5'0" deep and demolition or construct - i n of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE OTAL FEE $ HAz DFE IMP FLOOD COF PARCEL PD HD ^- 'SSU This permit i reby issued under sions of t B to County Cod an work in c d above to w 'ch I E F By PERMIT EXP RES Date the applicable provi- or resolutions to do s have been paid. ORKS Date Receipt No. 125936 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y,li W-: 'in ;1.�wrr,+ 1 r ' COUNTY OF BUTTE,-SEPARTMENT OF PUBLIC W.0 4 BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-E, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERIT aF�L�Cailt'� DATA SHEET OWNER ( O �ar55 (/✓C A. P. No. O2-5 = OZO- OZ(/` Proposed Building Use Building Inspector Date --T n7 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. 2. 3. 4. 5. 6. 7. 8. 9. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Ej26. 7. 28. 29. 30. 31. 312. 33. 34. All items have been submitted . ........................................ 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 (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 'Fees of $ (O S' . ........... Impact fees as shown on attached schedule. Sc'hoo i * APO' Zhcri'F 1-s California Department of Forestry Plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit. Plot plan and business license approval from Cit of Biggs/Gridley. ........r .... . Planning approval for (A) Use: gA L inw`( I)arking: ....... ce, Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . ?A . . Pre Inspectic, request Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............. . Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ 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 . .......................................... t I Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... A . When you issue the permit, pr cess as follows: Mail to owner. Mail to contractor. Telephone -9 and hold for pickup at office. Deliver with inspector. Other Parcel Creation �2 Acreage Applicant �' Date Copy of Haz-Mat form sent Health Dept. Copy of plans sent Health Dept. Fire C The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: Fire Dept.' Y Air Pollution Date It. Other Date By > ce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by � Date ' ,2,?F�7_3 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 WO/'Ne5-5 A .D 5rOZoav/ow .r. N� �? IMPOSED BUILDING USE DATE ' School Distric Fees -OAD (paid.at District Office) ......................... Sheriff Fees (paid at Building Department). 3. Residential ......... % _$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. . . Urban Area Fees (paid at.Building Department Residential (per unit) F � units amt. Commerical(per sq.ft.) X 4 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 77� kt time of permit application, I was advised the above fees are required to be paid pr-;;.O?-- :o riO=:o issuance of the permit. 4PPLICANT//1/lih,��I c��/(.�ilils� DATE . .23 / jTO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I:. 11. IIs I: ()\I.l' Plot Plan Attached 1� Pleur Phan Auachedi !— - sent lu U.D. q -2!5 -?2- /te%h ral'fh 110%hess 66wyfi 317L0'l Hwy 70 OZs-ozo-oZ Owner Location AP# Plan Approved for: Sewage Disposal ✓ Clearance for _2 bedroom mobile ]ionic. Other Hold final for: Final clearance O.K. for: NOTE Dr— / r - dm Environmental Health Specialist 8/92 Water Supply: Public Private Well ti/ q-zs-9z Date Haali Ar Ds' 44V %P signature fi Haali Ar Ds' 44V %P signature emaa* . of 1a� 3.uue OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Faith Holiness Church ADDRESS: P.O. Box 749 CITY & STATE: Palermo, CA 95968-749 IMPORTANT: April 1, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT i Owner has decided not to do work. Permit #1869-91 MHU & #1870 MHI,� AP#25-02-24, Receipt #93979, dated 6/10/91. Total Permit Fees Paid For BP#1869-91----------------- $92.50 i Rptgin Plan Checking Fee--- $15.00 (Retain Plumbing Permit Filing Fee---------- 10.00 Retain Elect ------- in nn - Total Permit Fees Retained---------------------------- 35.00 TOTAL REFUND DUE -------------------------------------- t I I Notal Permit Fees Paid For BP#1870-91----------------- $70.00 Retain Building Permit Filing Fee ----------$10 00 Total Permit Fees Retained---------------------------- 10.00 j I TOTAL REFUND DUE-------------------------------------- I , (TOTAL REFUND DUE FOR BOTH PERMITS TOTAL 4t,,; sn I,the undersigned, Seclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. /! Dated this .i...0 .................. day of ../ ;,l/.1./ ' G.� �' .�I// .....�':L�e. '...J. .��.tr� .C. '.:t.__.. ..... �..,.....,, 19 t et _ L.... Calif. /r y Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation. or Specific Board Approval U (Check one t em lst April 92 Oroville i Datedthis .................................... day of ............................. 19....... at .............................. C eLLf. ......... ...................... ... J,rr................................ Department Heed orAuth 'zed Deputy Dept. 440-002 ................. code ,,,,,4210500 PAYABLE FROM ,,,,,,Const. Permits FUND Code...................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I /w o b , //� A x 6-,) f- 7'e, /0 & 10-sx ID - C4--) /,p :� couiuryDING o fDEPT .P. - - BUIL MAR 3 p 1992 0_ 'low / Nm �eu► f ci t e cl G//ol9 / ma do F ©hLi-t4 OItPless P b�1iC� vt (- r4-I-- �C COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT.IONa:AND PERMIT PERMIT NO. —leg- 6q A� ASSESSOR PARCEL NUMBER a _ _ ZONIN /^/ / `•� BUILDING PERMIT owN FATTH HOLTNESS CHURCH P ONE 514-9599 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PAIRRM0 9996R CONTRACtFJa AME TELEPHONE CONTRACTOR'S MAIL, .DRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 2222 L ENONERRMAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,t' Energy Plan Checking Fee $ ARCHI T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14n4 NWY 7n nRnyTT.T F. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping, 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I C4 VjX O.00ea 30.00 TYPE OF WORK New❑ Addition Remodel[] Utilities Installation[] Other E] Describe work: 2BR D /✓lo �i; (Q Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01 OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 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. 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.yd A New , h¢sgft CCONSTR.� U TI OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zoesoe eAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )LNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. Q 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 expenses which may in any way accrue again said Count in con quence of the granting of this permit. X Date �Q Ig tura of Applicant — Owner ❑ Contractor ❑ Agent ❑ 5f64%' S ( In OSHA permit is required for excavations over 5'0" deep and demolition or construct- an of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E 2.50 HAz. cuA PARK SCHL FL P ) H 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. 93979 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT yy Y ,t COUNTY OF 19UTTE - DEPARTMENT OF PUBLIC WOKS - BUILDING DIVISION " W 7 COUNTY CENTEP-DAVE - OAZIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. �.a. OWNER Y Vie SS i A. P. No. "off Proposed Building Use t Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED DZz1. All items have been submitt 2. Plot plans in duplicate/ (plicate igned by preparer of plans ........ 6110191 3. Complete plans in duplicate triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. t `� 6/10. Fees of s. 11. Chico Urban Area fees paid ........................:.............. 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from �' Health Department !0 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of "� (see City for other requirements) tpe_ `N_-� 'OL— 3.tc, 17. Planning approval for (A) Use: /j (B) Parking: ...... =i 18. Improvements may be required. Contact Land Development Section DPW �-M Driveway permit (construction approval required prior to occupancy) . Pre -Inspection for required P'e-Inspec. request to Building Inspector (Otte) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. G��1 V , 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... '� ,pL�f 24. Recorded copy of Agricultural Acknowledgment Statement ......... -V 90 25. Letter of signature authorization ................................... 26. 27. W en you issue the permit, rocess as follows: Mail to owner. Mail to contractor. ✓33 Telephone `MOand hold for pickup at office. Deliver w/inspector. Other o(' 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: (Circe ne jte lnot checked above). 1. Index permit for above items No. `� Alt) 041� ��Q 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date (n —G//71 TO Building Department FROM: Environmental -Health SUBJECT: Sanitation Clearance 3 Yo a� --(-3l - a -f- -,alOwner Locatio6 AP# Plan Approved for: Sewage Disposal _ Water Supply IM, Hold final for: Water Supply Final clearance O.K. for Water Supply Clearance for bedroom mobile(!� ome. Other NOTE * * * Sanitarian Date COUNTY - OF BUTTE-.,6epartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) /�/y�0L signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but Iehave hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner gy 041R 5 Social Security umber Date (�—/o —9/ 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7'10@uhty ®@Rt@F DFIV@ - ®F@VIII@1 D@IIfiIJImi@ $6966 - T@I@ph@h@I 910/$30.7§41 . APPLICAT10N SND PERMIT 25-02-24 BUILDING PERMIT AITH HOLINESS CHURCR 534-5559®' FT' CCC' BUILDING VALUATION OWN6PO BOX 749 PALERMO 95968 CONTRACTOR III NAMN OWNER M N CONTRACTOR'S MAILING ADDRESS Fireplace CON'.g6fiTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER • NONE LICENSE NO. Plan Checking Fee $ 15 DO Energy ecg Ener PlanChecking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 404 HWY 70 OROVILLE Permit fee $ PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping • 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeMK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other_a Describe work: MHI MHU# f-;-, L) 1 �'J� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (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 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. I , /20sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES zoseoe eAL030 FIXED APPLNS Ex. DCCUp. OUTLETS IIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 expenses which may in any way accrue agai t said Coun y in consequence of the granting of this permmiit/ q X Date /� —/ I ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ S9c_4tJtJr5 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 $ 45 nn Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 70.00 HAz. cuA PARK SCHL FLD �_ CDF PAR PD 1 HD• 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. 93979 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �`~`�`V'�f�` 9'l'r''-�+�"�� 'tir's'x"'�'Nr4--v.�:r`' . ' �.�ti''rS�.,t. "4! a-r1',3r':tiy" iJty.�'�^c_i"r'X'f'Me..yr'. , , s:rwr.��r r �M1�")'t(''`L'�"-p�'�,"'�' f ,• "• '� , ff. 1 q-1 COUNTY OF BUTTE - DEPARTMENT,pF PUBLIC WOM-S - BUILDING DIVISION 7 COUNTY CENTER DRIIYE - ORO CAWORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _.. Permit No. OWNER GY (i ✓! P SS i^ �l A. P. No. Proposed Building Use ✓All Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. ......................................... 10. Fees of $ ��' �� ........................ o 11. Chico Urban Area fees paid ....................................... 12. Park fee aid 13. , of District . ict fees paid ............. . C r6 nip School District fees paid. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... ' 16. Plot plan and business license approval from City of (see City for other requirements) / __Z1. Planning approval for (A) Use: ►/ (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request 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 ❑) ..... :K 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter„of sirature�ythorization ................................... 26. �I��]ett'' �G(( F. �i ✓` a rf C (i 27. When ou issue the permit, rocess as follows: Mail to owner. Mail to contractor. Telephone o and hold for pickup at office. Deliver w/inspector. Othere24 5 �5M 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 r The following data must be submitted prior to per it 'ssuance: (Circle ne 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---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on -hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -"'Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 44,f 5 2. I (have/have not) �/,111E signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 91 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit umber Date 6 —M 9 f 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. �S 1-e � �✓ � w �� _.�.� � �- ham.— ��- � � _ - r �Z IN t Ill DATE: PERMIT #: FEES: Amount and Purpose REVISED PLAN CHECK: $ BALANCE OF FEES: $ ADDITIONAL FEES: $ REINSPECTION FEE: $ CHICO URBAN AREA FEES: $ ASSESSORS PARCEL #: OWNER'S NAME: IF BALANCE OF FEES'OR ADDITIONAL'VALUATION VALUATION: $ ADDITIONAL VALUATION: $ COUNTY: CITY OF BIGGS: CITY OF GRIDLEY: (check one) RESIDENTIAL: COMMERCIAL: (check one) RECEIPT #: --.turn to DPW AGRICULTURAL STATEMENT OF AdNOWzs MG ME►` ? 1-24-671 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code ` requires this acknowledgement be recorded -- -- -- - -- = — - --- prior to issuance of a building permit. 91-0E4671 1 Rec Fee 5:O;p-< The property described herein is adjacent I Cash 5.00,' to land or included within an area zoned Recorded 1 for ag"r"icultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte 1 use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 9:22am 19 -Jun -91 I XX 1 of agricultural, operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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. A].1 that real property situate in the County of Butte, State of California, described as follows: All that certain reel property situate in the County of Butte, State of f� California, described as follows: i A portion of Lot 10 as shown on that certain Map entitled, "Oak Grove Subdivision Unit No. 2", which Map was filed in the office of the Recorder of the County of Butte, State of California, February 21, 1949 in Hook 17 of Maps, at pages 10 and 11, described as follows: BEGINNING at the Southwest corner of said Lot 10, thence East 250.0 feet along the South line of said Lot; thence North 0. 32' East 72.0 feet; thence West 250.0 feet to a point in the West line of said Lot 10; thence South 0. 32' West 72.0 feet to the point of beginning. d AP No. 025-020-024 Date: PROPER Y OWNERS: D State of On this the �� day of 19Y before me, the SS. undersigned Notary Public, personally appeared County of ) OFFICIAL SEAL ❑ Personally known to mne. W Proved to me on the basis PATSY LCARTER of satisfactory evidence. NOTARY PUBLIC - CALIFORNIA to be the person(s) whose names) BUTTE COUNTY subscribed to the within instrument and acknowledged that My comm, expires MAY 13, 1` executed the same for the purposes therein contained. IN WITN . S I L CA 901" WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ��-�� - _"tea ?Notary Public EN® OF DOCUMENT (316aliaic �J COUNTY OF 6TTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATAWN.ANb PERMIT autHCJ(!Ze reNresenrarlves or the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated ( / above for which fees have been paid. Xi'!C -'Z Wa'i^ Date�2-/;7f /DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent By . . .�1 /' �A • Date z;' A/ S� Receipt No. 4F l /I— White-D.P.W. White-D.P.W. — Yell—ow-Assessor — Pink -Inspector — Goldenrod -Applicant -Building permit expires Date BUILDING Owner J '' - �''{� f SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor w Total Valuation Mailing Address(Y�JLu r Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address/ ) PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 c ' ( � " K/,C/;� f lS(� ..51''Li t ,�i,n , 1 , t Each Trap 1.50 G 0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �� : G a / A. P. No. `�` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es W_C' SanNa4o4Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 BId-9 Pof ns Rve•zi" Parcel Approval Plans Approval Permit Fee $ $ NEW .❑ ADDITION ❑ UTILITIES ❑ OTHER ®, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,6 t" 00v/u Main service 100 OR ORSLESS 5.00 G9 /• Main service EA. ADD•L 100 AMP 2.50 r Single Family ElDuplex ❑ Mobil Home ❑ Others _=41 Main service �00 AMP OR LESS VER 600V 25•Q� Main service EA. ADD•L 100 AMP 1.00 /' C-- �� NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR-OUTLET NON-RESID. (MULTI BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@L@ @1 Ex. Occu FIXED APP LNS. OR P.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 //1 14. t f 1 /. OU ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .._ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Y MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE$ autHCJ(!Ze reNresenrarlves or the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated ( / above for which fees have been paid. Xi'!C -'Z Wa'i^ Date�2-/;7f /DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent By . . .�1 /' �A • Date z;' A/ S� Receipt No. 4F l /I— White-D.P.W. White-D.P.W. — Yell—ow-Assessor — Pink -Inspector — Goldenrod -Applicant -Building permit expires Date c COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auulor ze leP esentaUVes ut lne County of Butte to enter upon the above-mentioned property for inspection purposes. X�Pen,,IeZeor��A Date 17-1,2,17S__ Signgent Receipt No. M970(s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I OR OF PUBLIC WORKS We ;;LL By Date y 'rtg permit expires Date BUILDING Owner - ' SQ. FT. OCC. BUILDING VALUATION Mailing Add r ss Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBINGNo. @ FEE PERMIT FILING FEE $3.00 cr Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �S " — Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Saffi4at4Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 • on `Ef I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 49 r Main service 600V OR 100 AMP ORLESS5.00 ,0 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. f DWELLING OCCUP. & OR ADDNS. ACC. SLOGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RE51 D. BRANCH CIRCUITS) 2.50ea NEW CONSTSL POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL2o 04 Ex. Occu FIXED APP LNS. OR P'(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Misc. Classification Wiring 6.25 y a 7_00 I am exempt from the Contractors License Laws of the State of California. ermit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iermit is issued certify that in the performance of the work for which this P employ an y person in any manner so as to become I shall notemIo subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct., I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE auulor ze leP esentaUVes ut lne County of Butte to enter upon the above-mentioned property for inspection purposes. X�Pen,,IeZeor��A Date 17-1,2,17S__ Signgent Receipt No. M970(s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. I OR OF PUBLIC WORKS We ;;LL By Date y 'rtg permit expires Date �,-^an-,�-.n.....•w .. +ra;T,�,+rpAtn . _ , ..., ., .........,, ...s:r., �•..-w . • . -r .,y... „ r - _..u, 4 t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION'FORM (One Form Per Building) School District Building Department No. A.P. Number z Jk,5' 0„2 Q • 02�iurisdiction 0 ,_ City 0 County L Holl -Ness. �Property Owner }1 uV! V CC Property Location/Address ,3�ZQ%j�/�a.7(//Z(/r//G Subdivison w Lot No. Residential Development,. No. of Living I" Units Commercial/Industrial Building Department. Representative :0 New Addition 0 Addition Sq. Footage 000C) (Group R) Sq. Footage (Including Exterior Roofed A eas) Pate (Floor Plans reviewed by School District Personnel) j r is 'ct.Identificationallo . Ro /cL School District certifies tha t (rppli ant)- ± i © O (Street Add/rjs #, (Phone Number) A ' ilk, A (City) (State) (Zip Code) has complied with the requirements of Resolution No. JQ� "'� by payment of O -. representing square feet. { School District Representative - Date Paid by Check Number Remarks: ,60 Bank Number Paid by Cash y— — If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGQA), 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) ENT OF PUBLIC WORKS PERMIT NO. 92-3427 MHI 1 95965 - Telephone: 916.'538-7541 O�TTA2N�LINESS O 024 CHURCH ) PERMIT 3404 Hwy 70, Oroville SIN. mhi PH - 19 P.O. BOX 749 PALERMO 95968 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRACTOR'SNAME RICHARD VANSTAVEN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING'AODRESS 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 OROVILLE WY 70 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 1 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 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C! Other ❑ Describe work: ,MH I HUD APPROVED _ •,I z:- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 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 Buslnes$ 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 NEW CONST.DWELLING OCCUP OR ACDNS. (ACC. BLDGS. M / 3.64sq.ft. NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRCUITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 2 76d IIIAL 460 FIXED APPLNS. EX. Occup. OUTLETS (RESID )REA.7 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. ❑ 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. IV 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 FiIirig 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue 'gains aid County i cons uence of the granting of this permit. X �'�t�'-tib Date Sign pp ❑ Contractor .❑ Agent ❑ Si n re of Applicant - owner A OSHA permit is required for excavations over 5'0" deep and demolition or construct- i n of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ CONST TYPE OTAL FEE $ LOCC HAz oFE IMP FLOOD COF PARCEL PD HD ^' ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 125936 WHITE•O.P.W.. YELLOW-ASSE730R. PINK -INSPECTOR. GOLDENROD -APPLICANT ti alitit eS OV, at 'Into caVOO TO - c 1\0 ?3 I C�I �p�-as-oa-a� =Wa vaterws & WorkTn SbAM Be bi p ji,000rdanOO WitWithR1600f),njs actnes and pret3a ieduse ,,ted 'fo c.loSpe-if of a Pjun,_3,rLg & Unifom Buildin;d., des' the liaxiomal BJWWIMI oode. SI wF-L L Loc"M equipment shall be as shown cletir.of all easements, /0., 6i ale, V- re-lw- 6e4,h"A5 I 55" Cron d< 0--A roa-d- I JAPMVi7 voi O -L Mob, /Z11 L Environmental HoaWi SEP 2 3 1992 Oroville, California co, e�o A p7DIZOVED -utte ii;county on -r -ental ealth ,------~Signature U1 L /L -23 4.2 ;z LJ I -2 1-. 0 AF iz0V ED County ° e ttal Health •:-,i;� _:;•:�_--,_�`;. L j - Da* ------ -Signature 7 OVERHANGS SHALL BE CLEAR OF ALL I .W��err` ,, A SET BAc K of /0 FT. FROtA THE SIDE AND Fr. FROM TME FEAR PP4WEA7Y,LWE9 AND t 1 FT. FMM THE ROAD CIENTERLINE S ALL at of Ems. EXCWr FOR AEFT.EAVIEOVEN At M 71 %7i 5 r i i - BUTTE COUNTY BUILDING DEMIlTMEW lkPPR®VED WUt f 4 a� APPrROVED Burt' County Environmental Health ----- q1I2 Date -------IAF rd- k --k i- -- ---------- Signature e 1.4 .7 1 7 70 ----------- is H LA q=AR 4.2 JU L Environmenta-I Haalth SEP 2 3 1992 Oroville, Califomia i FAITH HOLINESS CHURCH P.O. BOX 749 PALERMO, CA 95968 NOTE -;--All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and f of a duality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes anO the National Electrical Code. � cifications NiliST be This set of plans and sp.. kept on the job at all times and it is unlawful to make any charges or alterations on same without written permission from the, Department of Public kNorks. County of 1309-- �S� t A setback of 5 ft. from the -------�—�-------pro�'�,� Vii:nes-a�-arsetbaalr---------------.____� x C ►f"i �: r� C.. �' S offt. f om the road t —centres" s clear of struabixes or equipment exoe4E for air ft. eave o-verh gn ��f�/Lso � S: r UJB L T W OFA y4:1 n,`d A /tet /I i i �' MUST BUTTE CC)U�gi%TM N BUILD -IN G DEPAR A P P R® V E Co(- z/-7 /