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025-110-028
D l —11-28 2047-90P, RAMSEY, William', 0 3050 Dos Rios Rd, Biggs �J (utilities/MH) 025-11-0-028 9 212.4,P, -E _WARD;- GREG 3050 DOS .- RIOS , BIGGS _ r rc �ELEC I GAS COMPACTION TEST REQ 'SUPPORT STRUCT REQS '`025=11-0-028 93-2123 MHI WARD, GREG 3050 DOS RIOS, BIGGS MHI woo i .d I 4 t I ' I Y. u I 04 i D l —11-28 2047-90P, RAMSEY, William', 0 3050 Dos Rios Rd, Biggs �J (utilities/MH) 025-11-0-028 9 212.4,P, -E _WARD;- GREG 3050 DOS .- RIOS , BIGGS _ r rc �ELEC I GAS COMPACTION TEST REQ 'SUPPORT STRUCT REQS '`025=11-0-028 93-2123 MHI WARD, GREG 3050 DOS RIOS, BIGGS MHI woo . . I RESIDENTIAL 025-11-0-028 93-2124 P,E WARD, GREG 3050 DOS RIOS, BIGGS MHU V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials 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-Blockouts-Wrapped 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.; Fell -Fitting -Test -2 Way CIO -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. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials 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-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20.Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials 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 (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials 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 -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. 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 Comments at Final: r' V=OK O = Not OK - = Not.Applicable = Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a L/rZoning Requirements -Setbacks -Easements g SIMI ; Special MH Support Sketch II 3. wer Locatlon-Test-Fall-C/O Concrete I V `-.-/ 'Nat. or/ P'L"ft.N/'[PG Well Clearance & Disconnect 8. Utility Clearance "ft. p -Concrete Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a q L/f oning Requirements -Setbacks Easements j,—E—Footings; Size-Spacing-Marriaae Line ? (.�7rd�MH Teat-Demand-Valve—Connector 4. lectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fell -Flex Connector r; MH Test -Regulator -Connector 77:Witer and Sewer Connected -C/O to Grade -HD ADDroval !'_)Ws and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occup ncy al MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra -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/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i al MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra -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/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville. California 95965 - Telephone: 916"'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER •��� C 025-110-028 ZONING A-5 BUILDING PERMIT OWNER Greg Ward TELEPHONE 345-4936 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8761 Stanford Lane, Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee \ $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 3050 Dos Rios Rd. Biggs 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 1 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New iF_1 Addition U Remodel ❑ Utilities ❑ InstallationLX Other ❑ Describe work: KHI I,,Contractor MHU # "�z ) Permit Fee $ ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20CATO IOOOA) 37.50 7 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 ;Jo. Classification I, as the owner, Or my employees with wages as their sole compen' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ACDNSCONSTDWEACCLLIN GOCCUPM 3.6asq.ft. r NEW RESID, RANCOUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ` 1 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 Q0 760 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID,) EA.). 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. 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, judgme ts, costs, and expens hich may in any way accrue agains County in equen �e)qf the anti g of this rmi X at cant — Owner ❑ Ccntractor ❑ Agent Signaturee�P,s required for excavations over 5'0" deep and emolition or construct- An OSHA 'C', ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE AL FEE $ TOT105.00 HAz DFEE IMP FLOOD COF PARCEL PD H ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do e been paid. work indic bove for w�BLRKS E P ate py MIT EXPIRES Dat-;_711 -� -9 Receipt No. 143481 WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPEC-OR. GOLDENROD-APPL I CANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 536-7541 PERMIT N0. Address or location of mob*lehome -t-o t Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.J.^ tial ApproMg Inst Year of manufacture 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. � 5138 White -Owner, Yellow-Installer�Pink -D.P.W. COU NTYOF BUTTE:-D$-PARTM�I XOF DEVELOPMENT SERVICES - BUILDING DIVISION y�, . A•«H trt 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7541 C) �I- PERMITAPPLICATION DATA SHEET OWNER P �o. &02.5 - Proposed Building s 1 Building Inspector Date % " 51-3 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 . .......................p; ... . 3_ Complete plans,�314 sets;isigned by preparer of plans . ............... -.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .. . 11. Impact fees as shown on attached schedule.4*..... .................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17.• Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development_ about (A) Improvements (B) Drainage. . 19. *Driveway permit (construction approval required prior to occupancy). .. �3 R� 20. Pre -inspection for required. .. o epi, 9 �� (Date 21. Contractor's license information. (No., Name Style, Classification). .......... •... . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ...................... :................ : .- 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ................................................. . 33 .34 Whou issue the permit, process as follows: Mail to owner. Mail to contractor. n Telephone 0'15- y936 and hold for pickup at 04LD office. Deliver with inspector. Other Parcel Creation Acreage Applicant -L)L`Date Copy of Haz-Mat form sent Health Dept. Fire Dept. it Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuan Cito of checked above). 1. Index permit for above items No. i t 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ maid 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 ZZS Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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) V".41 -1c 2. I (have/have not) z�dl_cp 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 pbrtions.of this work,.but-I have hired -the following person to coordinate supervise, and provide the major work: Name Address City Phone Contrictbrs'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: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 CCi� A.P. NO. �,z / 1 O , 0 OWNER � �e Zcq PROPOSED BUILDING USE yy / 1 DATE? REC. # DATE REC 1. School District Fees (paid at District Office) .......................... ..... —�T/2.. Sheriff Fees (paid at Building Department)j. Residential .......... _X =$ unit amt. _ Commercial(per sq.ft.) % _$ sq.ft. amt. 3. Urban Area Fees '(paid at Building Department Residential (per unit) R =$ # units amt. Commerical(per sq.ft.) R =$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) ... ,. ... . ... ... ... ......... 5. Drainage District Fees (Contact Land Development) ,,,,,,,..... ..... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DA 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 OWNER A routine inspection indicates that the following violations of ButteCountyOrdinances 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 comet his office immediately. REV 10/92 �� '.4,�,•. ..n:r i�,uc:;�:{i,.. �.y,�+;. _GaR'y'�s rajri_. -�„�� r....+ian�t}`+ij?..,p..:�.�L.Y'...•'tl�.y •µ< ••: u. ..<.. _ _ rrF •r_ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (one Form Per Building) �. School District ` ����p A.P. Number �/ `t Jurisdiction Property Owner Property Locatic Subdivison Building Department No. City = County c . Lot No. Residential Development0 L Sq. Footage No.. of Living MH Addition Units Szld �. . (Group R) Commercial/Industrial 0 Sq. Footage New...-, K Addition (Including Exterior Roofed`A'reas) Building Depart en. Re -p res&tatAVe Date (Floor Plans reviewed by School District Personnel) District Identification No. r j� I G G S l.i,i1 I C.Q School District certifies that e t�lJ a (Applicant) S (Street Address) (Phone Number) has complied with the +regruirements of Resolution No. represen square feet. School Pifitrict Repre ntaf" 'III (State) (Zip Code) by payment of $ Paid by Chack Number Remarks: Bank Number . Paid by Ca3h Date 16 &V . a -o 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) feeformmkt (4/92) Hs 61 OWNER I�VA4P PERMIT _ # � ? MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS SupportCompaction Struc. Test Reg. Service Other Pipe YES NO YES NOCK Size Load Type Size Len th COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION DIVISION AUTHORIZATION TO CONNECT Address GAS Meter By Date ELECTRIC Meter By' Date' I DETACH FOR SERVING UTILITY Address GAS Meter By ELECTRIC Date---- Meter ateMeter By Date OFFICE COPY [ELECTRIC dress S er By Date er By Date COUNTY OF BUTTE - DEPARTMENT OF PU ORKS 7 County Center Drive - Oroville.1California 95965 - Tele one: 91 `538-7541 • 1 APPLICATION'AND-PERMIT PERMII�w ASSESSOR PARCEL NUMBER 025-1101028 ZONING A-5 BUILDING PERMIT OWNER ITELEPHONE Gre Wad 345-4936 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8761 Stanford Lane Durham 95938 CONTRACTOR'; NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1ji( LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.001 45.00 TYPE OF WORK New j Addition Remodel [II Utilities InstallationC Other ❑ Describe work: MHU Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20GATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification 7�,- 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.Bi 0 ACDNS. ( ACC. BLDGS. 3.60 sq.ft. NEW CONRES SD, RANCHUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS& (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 V 7611 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 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 7)5 to the W. C. laws of California. No Ice 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 Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expens which may in any way accrue against County in con quen f the an ling of this it X Signature o pcant — Owner ❑ Contractor E] Ant p ge An OSHA pe it is required for excavations over 5'0" deep and demolition or construct- ion of str - Gres over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONSTTVPE TOTAL E $ 128.50 HAz I DFEES IV7LY I CDF I P7 PD I pe I ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRE2_WORKS By PERMIT EXPIRES Dat applicable provi- resolutions to do have been paid. .` ate 143482 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,COUNTYOF BUTTF.- DEPARTMENTOWEVELOPMENT ERVI S -BUILDING DIVISION a 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - HONE (916) 538-7541 s f/ PERMIT �/ APPLICATION DATA ' A } , n OWNER (� �� A W A. P. No. 0,:,25 - ���•�a Proposed Building Use A//- �% Building Inspector Date e' -a`7 / Z93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY 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 . ...................... SZ3/33 .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ i 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flood) by California Engineer. .. Sanitation and plot plan approval Qil-�J�//GHealth Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. 19. Contact Land Development about (A) Improvements (B) Drainage. Driveway permit (construction approval required prior to occupancy). - Pre for ``"'�'nssppect'°" ` get- 71 �3 20. -inspection required. .. co Buf�ding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... In If23. 24. Owner -Builder Verification (Given to owner Mail to owner Recorded copy of Agricultural Acknowledgement Statement. l. _ ......N. ... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ................... . .:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... 33. .34. Wheryy'bu issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone ,16-4 arid hold for pickup at ga- office. Deliver with inspector. Other Parcel Creation / Acreage Applicant Date 7 -Ls Copy of Haz-Mat form sent Health Dept. FireDept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept Other' ate By The following data must be submitted prior t ermit i ' ance:le ne it of checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, design mow , was advised oYabove required data by phone _ mail Counter byyA3 Date -,?I �3 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter b _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r; usl: It.l.r >. I1unr I'I:m Alwched _ Stunt w I4,U. ��� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �j►—�, j�t%v �-- < 3 d TO G tf I � ;o s wner Z/ Location Plan Approved for: Scx\'ae Disposal Water Supply: Public _ Clearance for ., bedroom mobile home. Other Hold final for: Final clearance O.K. for. NOTE: 0� Environmental Health Specialist 8/92 �s-11- A Pf/ Private Well V j s /--.? Date 0 TO: Building Department FROM: Encroachment Permit Section RE: Diiveway Clearance owner location AP # Driveway permit 7 /� has been issued for the above property. nujab date sign re R 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) 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: N Namme Address City Phone 'Contractors License No. 4: I plan to provide portions of this work,.but I have hired`the following person to coordinat ', 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 �1 Address Phone Type of Work Signed: Property Owner Social cur'ty.N mb'er$` Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and-' 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I°�;L.�-c-.r►rs-*;,w;�f-„ Y'p' �. far�•.'!`.CiaM`� ; x 'COUNTY OF BUTTE BUILDING. DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive., Croville, CA - (916) 538-7541 747 Elliott Road, Paiadise, CA - (916) 872-6307 CORRECTION NOTICE OWNER 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. r c.' Ktv IU1ZIL ��t:'3 >R�•.S 0157%5.,X10 COUNTY OF BUTTE - DEPART {,ice lie OF PUBLICS �RK�~,F PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER+9H+dru}pc>•it 25-11-28 , "ZONING A5 BUILDING PERMIT OWNER / t William Ramsey TELEPHONE 532-0840 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 128, Biggs 95917 CONTRACTOR'SNAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Ener PlanChecking F Energy ecgee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Dos Rios Rd Bi s 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❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation❑ Other ❑ Describe work: _ P It Fee $ o tractor LECTRICAL PERMIT Filing Fee 10.00 ai service 500V OR LESS 100 AMP OR LESS 10.00 10.00 al service A. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one): p I y ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of t e'-8us ess and Professions Code and my license Is In full force and a ect. License No. Classification 1, as the owner, or my employees with wages as their le co pen- sation, will do the work,and the structure is not intend or fered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason W CONST. / DWELLING OCCUP.g� R DONS. C ACC. BLOGS. /20sgft EW TR. ULT' -OUTLET ON RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu o Occup(OUTLETS OR FIXTURES 20®g0a eALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. (p1 I shall not employ any person in any manner so as to become subject i`J 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 10.00 Heating Cooling g 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,(� X 1 C—!44 !1 ` 6Lrg40 Date ��� %42' Signature of Applicant — Ov1 r 1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 82.50 HAZ I CUA PARK I SCHL FLO P PD HD ISSUE Th;s permit is nereby 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. 66901/$82.50 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4 COUNTY OF BUTTE - DEPARTMENT,OF;;PUBLIC WORKS - BUILDING DIVISION r( 7 COUNTY CENTER DRIVE = OROMILLE, CA,1RAiti�h�J5965 -TELEPHONE: 916/538-7541 0 PERMIT -APPLICATION DATA SHEET �--� / Permit No. OWNER ��/ t ICCAkn S a A. P. No. ' Proposed Building Use 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, sigred by prepare r. 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 $ ........................ 11. Chico Urban Area fees paid ............. ......................... 12. Park fees paid ................ ......................... 13. chool Di ct fees paid .............. '94-14. Sanitation approval from -Or, O L/; 7y':� Health Department 15. City of Chico plumbing permit ........... ......................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B: Parking: _-18. Improvements may be required. Contact Land Development Section DPW ,. 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. :��4f . Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. i L When you issu the permit, process as follows: Mail to owner. Mail to contractor. Telephone 532-08110 and hold for pickup at 0MG ' office. Deliver w/i� pector. Other �» Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollu ion Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be, submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for4�above items No. 7 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by •) Date k Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO *-5uiIdinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance (.G.,.ti Q. Vim. �'✓"�, � OS � tel- (D c o�. �-` �/ - �- �' ". Luca*ion AP# owner �U Plan Approved for: Sewage Di�posa2 —7 Water Supply6 Hold final for: Final clearance O.K. for: Clearance for :3 bedroom m®bile home. -. NOTE * * * .. Other Water Supply Water Supply Date i - sanitarian To' Buildinv.Department FROM: Environmental Health SUBJECT: Sanitation Clearance OmWr Location AP# Plan Approved for: Sewage Disposal _ Water Supply /--tll Hold final for: Water Supply Final clearance O.K. for: Water Supply - Clearance for 2 bedroom mobile imine'- other TO: Building Department FROM: Encroachment Permit Section RE: 'Driveway Clearance ownei location AP # Driveway permit -1645® ? % li has been issued for the above property. nu b �- z0 -h. sign Xre date CONTRACTORS LICENSE LAW Main service EA, ADD'L too AMP 2.50 c I declare under penalty of perjury (check one): NEW CONST./DWELLING OR ADONS. ( ACC, BLDGS. // 'ft$ q It ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code NE RESIO,CONSTULTI-OUTLET NON-RESIO BRANCH CIRC ITS 2.SOea ane my license Is In full force and effect.(POWER License No. APPARATUS.&\ SINGLE OUTLET CIR Classification ❑ I, Ex. Occup(OUTLETS OR FIXTURES 20050¢ 9ALC30 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS not intended or offered for sale. (Sec. 7044)10.00 Temporary service ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 PERMIT NO. for this reason APPLICATION AND PERMIT Permit Fee S WORKMEN'S COMPENSATION INSURANCE • •' ASSE SOR PARCEL NUMBER ZONIN �- permit for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department BUILDING PERMIT - a Certificate of Workmen's Compensation Insurance or a Certificate 1 iccw� w►S a(� OW ER'S MAILillG TELEPHONE SO. FT. OCC. BUILDING VALUATION _0 �3 0 ❑ I shall not employ any person in any manner so ADDRESS (y�c Hood 3.00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Ventilation Permlt Fee CO NTAACTOR'S $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County NAME C,)I A� TELEPHONE Energy Inspection Fee $ of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONTRACTOR'S MAILING ADDRESS I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, , `.? CONST7I,9CTION LENDER Fireplace HAz cuA /AV/ ,,^`/1 UNKNOWN Total Valuation $ FLD PAR Po LENDER'S MAILING ADDRESS Filing Fee This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures//over 3 stories in height. above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No.�lD�09D) �i1l��z�Z•s$ $ BY Date PERMIT EXPIRES Date 1,EVT ORGINEER Permit Fee $ ^EN OR LICENSE NO. Plan Checking Fee $$ I O c7ARCHITECT ENGINEER'S MAILING ADDRESS � Energy Plan Checking Fee I BUILDING ADDRESS Penalty $ _ C9� j` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 LOT NO. SU8DIVISION NAME or heat pump water heater 20.00 PA C AP Water piping 5,00 Each pas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets SF ❑ Duplex❑ Mobilehome(j Other Building sewer 5.00 TYPE OF WORK SPECIFY Mobile Home S G W 5,00 O.00e D ,OC� New❑ Addition [I Remodel❑ til* 'es Installation❑ Other ❑ Permit Fee Describe work: $ 3D.(90 Contractor ELECTRICAL PERMIT Filing Fee 10.00 I00 LESS Main service e0ov OR OR L ESS 10.00 D O CONTRACTORS LICENSE LAW Main service EA, ADD'L too AMP 2.50 c I declare under penalty of perjury (check one): NEW CONST./DWELLING OR ADONS. ( ACC, BLDGS. // 'ft$ q It ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code NE RESIO,CONSTULTI-OUTLET NON-RESIO BRANCH CIRC ITS 2.SOea ane my license Is In full force and effect.(POWER License No. APPARATUS.&\ SINGLE OUTLET CIR Classification ❑ I, Ex. Occup(OUTLETS OR FIXTURES 20050¢ 9ALC30 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is FIXED APP LNS OR Ts (RESID.) EA.) 2.00 not intended or offered for sale. (Sec. 7044)10.00 Temporary service ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 l� ❑ I am exempt under Sec.15.00 Business and Professions Code Misc. Wiring for this reason Permit Fee S WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The is MECHANICAL PERMIT FiIingFee 10.00 �- permit for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Ventilation Permlt Fee comply with such provisions or this pernit shall be deemed revoked. $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County 'Mobile Home Installation Fee $ Ordinances and State Laws relating to building construction, and hereby authorize representatives Energy Inspection Fee $ of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, Q _ TOTAL FEE $ V 01 r� costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. HAz cuA PARK scHL FLD PAR Po HD IssuE X Date Signature of Applicant — El Contractor ❑ Agent ❑ This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures//over 3 stories in height. above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No.�lD�09D) �i1l��z�Z•s$ WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, 6OLOENROO-APPLICANT BY Date PERMIT EXPIRES Date COUNTY OF BUTTE -De artinent 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 :.n your name and bearing your signature. Please complete and return thi.s 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. 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) 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 worm but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: --Property Owner Social Security Number Date r 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 Return to DPW 1,it. b Section requires prior to AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte this acknowledgement issuance of a building County Code be recorded permit. The property described herein is adjacent to land or included within an area zoned 90-025951 t Rec Fee 5.00 for agricultural purposes, and residents i Cash 5.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace .J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 2:12pm 20 -Jun -90 VS 1 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5 rTo�71C JV TNe Sry7e -- F � llFerNiA, CIIIVT� of RT7-el Pe50-1bed AS r-6 //.9 LcT',q) RJ6c K 5� A-5 .5&w N �l d ,f36/V/To Cc%f"I Ire �'N/41�elf 14)19hC11 MAS ReCoFder 6,F THC. CoONTy OF I) IS'9� /N FooX 5- o F MAPsi Date: (ey5A2n /4/) e N T 14- ecej7A1N Ab9P 'AUT led'o CbuNTXJ Cl)L,9, Be//V, p -T o F IVA-ANCIf o yJ.,9lS JPecordgd //0 TNe 1>FAICe 6,F T/% e)f n�T PROPERTY OWNERS: State of: -) On this the,�� day of 19 y �, before mc, SS. the undersigned Notary Public personally appeared County of t3,,ttD ) Personally known to me. [a Proved to me on the basis oFFICIAL AE of satisfactory evidence. MRonrr A W1 ' ` ) NOTARY GUBIIO- CALIFORNIAto be the person (s) whose name (s) BUTTECOUNTV subscribed to the within instrument and acknowledged that _ My C011MIssION EXP AUG. 21J992 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. NotAry Public COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541. II�� ll DATE June 28, 1990 Pi0ligoxrjTgey Biggs, CA 95917 RE: PErmit appin #2047-90 for mobilehome utiltities A.P. 25-11-28 With reference to the above subject: ttached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER pint plans We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. YYY Plot plans in _triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. XQTHER Aran ooned A_5, r which sal 1 nu rs ane ( 1 � 1 i yi n ttni per parrel D1 0J30z a regi asa nl_nt = l nna to ehno/ nnl y the nA t6 1 g mobi 1 phomn at 3050 floe Ri ns Rd _ Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector D,..... • �_ T)DLT ACRT('TTT TTTRAT. QTATFMF.NT nF Ar..KNnwT.F.n(;FMFNT 90-258-5 °>> FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned + 90-025851 Rec Fee' 5.00 for agricultural purposes, and residents f Cash 5.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, I County of but not limited to herbicides, pesticides, i ' .°, Butte and fertilizers; and from the pursuit Candace J. Grubbs f of agricultural operations including, t,-,-i.,4i,-,Recorder but not limited to cultivation, plowing, � 2.'12pm 20 -Jun -90 VS I ' 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 9 FA / � �Y'o � r J � Al % Ne S' �y Te All IW,4T c er � 1N % aF CAIIforVlA, C60A;r� of )3VTTeJ Pe5Ce!bed AS /-o//oWS L.o T az K 5-, ,9s .5114w N ,D6 IV col-6fV1 T� Ire `ATA. dfZ ;' wN,cf� Mi9p ReCol-del^ o F -THe- CooNTy e 1) 1,59P. /h! Frio X S p F M ,9?5) Date: �/�0/4� a a v THS* Ce-�TAIN M,9p AF Al Tieole e1A),9 p, kTT d F PkVc{�a w,gs tPecore4d 110 Tile dTI*41_ c4 . 6,F 'Ti'l`e �7�Te o f C/9 //?r-6 'N/ d � o r fe b rod r y ,17" PROPERTY OWNERS: A State of On this the day of 19 before me, SS. the undersigned Notary Public personally appeared County of , Personally known to me. [3 Proved to me on the basis =PUBUC- L of satisfactory evidence. DOROTHY ISE to be the person(s) whose name s F'�NOTARY LIFORNIA p)`)Y subscribed to the within instrument and acknowledged that21.1992 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 1)5 No ry Public EN® OF D®CUMENTIJ J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Censer Drive, Oroville � CA {l� PHONE: 538-7541.` MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: c;�,P oa . 1 3. Is the site currently undeerpermit? Yes ,�/\ � . -N (If yes, furnish permit number �a / ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4.- Will the mobilehome be -located at least 5 ft. away from septic tank and leach fields"and clear ofIall'setbacks and easements? Yes 14 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �0 Amps 6. What is the mobilehome site service rating? ------------- -;20<D Amps 7. What is the mobilehome site circuit breaker rating? ----- 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------= Yes F No (If yes, identify the,'load and .'size: Q (Load) 0211 (Amps) 9. Inat is the mobilehome site gas pipe size? -------------- (in.) 10-. What is -the type of gasservice? - ---------------- Natural LPG - _ 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- .20• (ft.) 12. What is the mobilehome as demand. - � (BTU) _* g ? --------------------- ^(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. MOBILEHOME SUPPORT DATA If other than.single wide, Mobilehome Mfr. (//�/��` furnish -Setup Model No: Year Width 2*C/ .A_(ft. ) Box Lengt S 7, _(ft.) Tagalong or Expando Size_ /C 2. x--/0 _t. On all mobiiehomes 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)a1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1. Concrete block.�2. Other, (specify) Pier Footing Sizes and Locations' SINGLE -WIDE MULTI -WIDE Main Beams Dine 2 _- — — \I'-- Main Beams — — — — — — — wr --- — -----� rt_Line Tag or Triple rin, 4 ..� Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k „ Size-Min.------------------� "x Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max. ------- ' " With Width Over --------- Line 2 Piers: Size -Min. ------------ Spacing -Max. -------- From Ends -Max.------- ' Q Line 3 Roof Loads: Size -Min.------------ x „ ..x Location (From Front) _ Line 4 Piers: -- . Size -Min.------------ Spacing -Max.--------- From Ends -Max.------- Line 5 Roof Loads: Size -Min .------------` Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max - ------------------Spacing-Max. _______________ From Ends -Max .-----7------- . 'k 'k "x "x "x "� -x - - -Line 5 -Piers:.,. (Under, Bear-ing-Walls Un1y). .- . Size -Nin ------------------- „x Spacing -Max.--------------- From Ends -Max .------------- "x "x1._ "x "x 'k "x N 1. 1 "x Location (From Front) _ 1. 1- 11 ,_ 1. N TWS 60t OtPlans and specificatjOns MrST bb XDTB- All Mate kept On the -job at all.times R-nd it is ur, -Eu, to rials & *Or,�3narmh j -,vv V"ith 1p Shall Be -Tn Aeoordanc' Make any cbange3 or 011 L . .3 jax[l.e of a Quatty WrltteU permission f-Lom the Department of pdblie P1,0sm-ft,(1dfbr- in the Uj) -orlp -use -if L' Mectxanicw ,Y Of Butte. Wor", Count GO- -a 9- 0 tile 9 -7 -Q-v1A&-4 zilOctrical Code. Septic Vile, Aki 177 AMb 71— dve ft Yi ltoUlp"EN-r IMCLUDINC, FT. M1 M 0 RMANGS SHALL BE CLEA.17Z SET -93A ' CK 0,v MOBILES FOR MOBILES FT., j-;:jo -jrt,. 1DZ ABS FRopj I Hh: RCADC AN0 SHALL Sa STRUCTUnLrS AND Fr t EQUIP'JYT- rizxcv�-. ME. oe//ole Pbw-erP 5 . APPROVED Butte County Environmental Health 7 ----- Path /P/,\/ - M---------------- Signature 'i