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HomeMy WebLinkAbout025-200-149W115 --A RICHARD CHOATE , Ll WIS Larkin Rd.,3/4 mi. N. of Orovi• le - Gridley Hwy.; Gridley Permit #'5433 -75•B -(new --s ngl•e--------< family) 25-20-W4t&�� 1 �contr: Holiday.Pools, Chico 'Permit #l29c_ 788B,P,E(new pri.swimming X Poo 1) .a40: 4//3/78 025-20-0- 93-2255 P,E ..CHOATE, RICHARD 1903 LARKIN RD, GRID EY MHU • 6-l3 ELEC ---- GAS r r� COMPACTIO TEST RE SUPPORT STRUCT REQ Y�IIa 025-20-0 93 `2256 MHI CHOATE, RICHARD 1903 LARKIN RD, GRIDLEY MHI X025-20-20-0� _ 93-3389 E CHOATE, RI ARD - - 1903 LARKIN, GRIDLEY ELEC SERV/MH 1307-1572 I q03�-�N 025-200 MISCELLANEOUS Re -Roof RE -ROOF: COMP SHINGLE (30 SQ) LARKIN RD CHOATE TRUST r 025-2001 ADMINISTRATIVE PERMIT NO. 93-27 to allow 62/1,200 in A-40 Zone, Richard & Louann Choate 1903 Larkin Rd., Gridley fj7/23/93. _ ,- C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds WOZ PROJECT INFORMATION o Site Address: LARKIN RD Owner: Permit NO: B07-1572 APN: 025-200-133 CHOATE TRUST Issued Date: 07/19/2007 By KCG Permit type: MISCELLANEOUS 1903 LARKIN RD Subtype: Re -Roof GRIDLEY, CA 95948 Expiration Date: 07/18/2008 Description: RE -ROOF: COMP SHINGLE (30 SQ (530) 624-7899 Occupancy: Zoning: Contractor Applicant: Square Footage: ACTION ROOFING SERVICE ACTION ROOFING SERVICE Building Garage RemdUAddn 477 N GEORGE WASHINGTON BLVD 477N GEORGE WASHINGTO YUBA CITY, CA 95993 YUBA CITY, CA 95993 Other Porch/Patio Total (530) 673-4067 (530) 673-4067 FEE INFORMATION DBMSC Re -Roofing $173.00 Total Charged: $173.00 Fees Paid: $173.00 Balance Due: $0.00 Receipt No: B3954 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ACTION ROOFING SERVICE 806410 / C39 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full forW-aad effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a peril subjects 01/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: recto s Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not ntended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �I I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ l; AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 3700 of the Labor Code, for the performance of the work for which this peril is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund Policy Number: 713-0012369 Exp. Date:10/01/2007 Contraciofs License Law.). (This section nee not a completed if the permit is or or once un re�llars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 07/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. ^ C 07/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building e Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above m ntioned property for inspection purposes. I hereby certify that I am the P P yPe+f er or am authori act on thy property ownefs behalf. 07/19/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency f Perml rl t Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner'Agent for Contractor FILE COPY i�� Lender sAddress - City State Zip BUTTE COUNTY o�uTr�o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION, 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o - --�� 0 A FEE WILL BE REQUIRED AT TIME OF APPLICATION .t Website: w. zw.buttecounty.net/dds 0(ON� **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE kNAMJZM�� PROJECT LOCATION API — Property Address i'Q 0 t City PERMIT NO. BIN N 'Ib WORKER'S COMPENSATION Poll Number Ol — Carrier ta, ,o CLeyd If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q r Sq FT- Living Q Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Namet f� 1„ ► i I Flood Zone First Name Mailing Address City 1. No City State (� 1 Zionn Phone Fax E-mail APPLICANT SIGNATURE kNAMJZM�� PROJECT LOCATION API — Property Address i'Q 0 t City PERMIT NO. BIN N 'Ib WORKER'S COMPENSATION Poll Number Ol — Carrier ta, ,o CLeyd If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q r Sq FT- Living Q Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name I Flood Zone Address I_SRA City 1. No ., Zip Phone m'WIPA Fax E-mail 10- . , APPLICANT SIGNATURE kNAMJZM�� PROJECT LOCATION API — Property Address i'Q 0 t City PERMIT NO. BIN N 'Ib WORKER'S COMPENSATION Poll Number Ol — Carrier ta, ,o CLeyd If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q r Sq FT- Living Q Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name I Flood Zone Address I_SRA City 1. No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE kNAMJZM�� PROJECT LOCATION API — Property Address i'Q 0 t City PERMIT NO. BIN N 'Ib WORKER'S COMPENSATION Poll Number Ol — Carrier ta, ,o CLeyd If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q r Sq FT- Living Q Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' I Flood Zone Address I_SRA City 1. No State Zip Phone Fax E-mail APPLICANT SIGNATURE kNAMJZM�� PROJECT LOCATION API — Property Address i'Q 0 t City PERMIT NO. BIN N 'Ib WORKER'S COMPENSATION Poll Number Ol — Carrier ta, ,o CLeyd If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Q r Sq FT- Living Q Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I Flood Zone I I_SRA I Yes 1. No Occ. Type Const. Richard and�Louann C■hoate 1903 Larkin Road - Gridley, CA 95948 '6'atte Count PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 Re: Administrative Permit, AP 025,200-124, Dear Mr. and Mrs. Choate: Cnu1ry o" 8U1COIq'G OpT77'E JUL Enclosed is your validated Administrative Permit No. 93-27 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned A40 located at 1903 Larkin Road, Gridley. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact this office. Sincerely, ; William Farrel Director of Development Services WF:lr Enc. cc: Land Development D' Sion Building Division Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT July 23, 1993 93-27 PERMIT NO., AP 025-200-124 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Richard and Louann Choate is hereby granted an Administrative Permit in accordance with application filed: 5/25/93 to allow a senior citizen dwelling on property zoned A-40 located at 1903 Larkin Road, Gridley. 1. Failure to comply with the conditions specified herein as the. basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area", meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National. Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel trailers and recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit. 8. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 9. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. 10. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy ;-hor•does it waive any other requirements. Butte County Planning Director CC: Land Development Division' Building Division Health Department Department of Forestry Am :t7 -Z 7 Fr Lk 3! TIF To ..6 rn�) V\ X - LA -j 3z u -VELOPMENT PLAN i E DAT I�pi L" PERMIT VARIANCE ()y fay —J. W. .... _. ^ ... i` . � .. • s � „ISA:. 71 ,tr �.r..-...... ...morn. .,ro.,....... ..„..,.........,.n.,,,..,:.,o. 1 :X - .1 .-, OWNER: Y \ l�C�- ` DATE: `t -a LOCATION: �� AP.#: (`�o� 5 - 0�0 —10� 9i CONTRACTOR: ZONING: DATE TO INSPECTOR ' 7 PERMIT HISTORY: [ ]NONE FOLLOWS: y1U'O S� TYPE OF'OCCUPANCY: v BUMDING INsFECTOR' S' REPORT ing Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. ric: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off f Condition of electrical? Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems: anitation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: escription of Damaged Area: Potable water: Yes[ ] No[ ] timate valuation of Damaged Area: pector: B UKa,b�e- .4o do refo-i , Aj Date: ..... •. w::.: �:: i:ai::{ ii:•i:v:i:i;;;:i:::iiii ii:vij:•}}i:ivi:v4;: ;i2%?"t::.+�..>••:�?a•:.:;:•;::•;:•::•;:;•ti:?a?;rii:::�: ij}:•; iii !a:; iii::�i:bi;::i::i:•`.:::••; M01, v,�\Y ',�:?• •: : a v .... OWNER: Y \ l�C�- ` DATE: `t -a LOCATION: �� AP.#: (`�o� 5 - 0�0 —10� 9i CONTRACTOR: ZONING: DATE TO INSPECTOR ' 7 PERMIT HISTORY: [ ]NONE FOLLOWS: y1U'O S� TYPE OF'OCCUPANCY: v BUMDING INsFECTOR' S' REPORT ing Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. ric: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off f Condition of electrical? Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems: anitation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: escription of Damaged Area: Potable water: Yes[ ] No[ ] timate valuation of Damaged Area: pector: B UKa,b�e- .4o do refo-i , Aj Date: AV COFMCF0. DAILY INCIDENT LOG PAGE --Z--. OF bAY/bAtE PKdM 080071 DAYIDAtE to osooez"Ietp fir'" "t} STATION ,, AMIXAANCEi i OFFICFJi REPORT TIME NCIOENTNO LOGGED BY CASE NO FIRE NO t FLO LOCATION 'ASSIST VEGETATION FALSE ALARM PUBLIC CART RP PHONENO'STRUCTURE 6 /' VEHICLE IMPROVE- me4T HAZhAAi ;are# RESCUE OTHER FIRE NAME WRA B.I. NMIX START 7114 CAUSE LAND USE OAMAGE SAVE y REFUSE HAZ4OCN TIC ST AMBULANCE OFFICER RsKm DME INCIDENT NO 13 -2, NZ -Z- Z, 7r CASE NO FIRE NO FLO. I WN LOCATION t VEGETATION FALSE ALARM PUBLIC ASSIST OART R.P. PHONE '3' NO Y I- � STRUCTURE IMPROVE. MEAT ASSIST RESCUE FIRENAMEnim V14 1. 81 1 VEHICLE HAZMAT O It ML9C STARTWAE CAUSE LAND USE DAMAGE SAVE[ REFUSE HAZ=N TF STATION AMBULANCE I OFFICER REPORT r#.,E txmeff ND 7W- / 3.3 1 Z'T? t; LOGGED CASE NO FIRE RO, I 7 0 LOCATION VEGETATION FALSE_ ALARM PUBLIC: ASSIST. DART RP. PHONE YO F!7-) IMPROVE. MEW ASSIST RESCUE FIRE KAAU�� w ELL V941CLE HAZMAT MEDICAL OTHER MSCSTARTTIME CAUSE LANDUSIF 40AMAGE� SAVE REFUSE HAVOON T/c STATION AMBULANCE C)/4/ REPORT TIME/. NCIOENTNO z -z- LOGGED CASE NO FIRE NO P-0. L=nm VEGETATION FALSE ALARM PUBLIC:- ASSIST DART R.P. PHONE NO. 67 5.7- STRUCTURE IMENTMPROVE- ASSISI RESCUE FIRE NAME WRA BA VEHICLE MAZ MAT AIEDICAL OTHER 7? MISC START TIME CAUSE LAW USE DAMAGE SAVE REFUSE HAZZON rc t STATION AMBUL�" REPORT TIME NO INCIDENT LOGGED BY, CASE NO ME NO I K /a/ 7 =ATION VEGETATION, SE PUBLIC OAR`r ALARM ASSIST -1P PHONE NO. II STRICTURE IMPROVE. ASSIST RESCLE =ME NAME WRAC)3.1. VE)-4CLE HAZMAT MEDICAL OTHER 14-1 MSC STARrTIME .v CAUSE LANOU REFUSE -C KAZON Tic /OAMAGESAVE r - ' 0 2572- - 0' CHOATE ' I 1 903 LARK IN, C [ S 025720 0-124, CHOATE, . RICHARD 913-3389 E- 1,903 LARKIN, GRIDLEY ELEC SERV/MH E a m I COUaITY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT APPLICATONFAND PERMIT ASSESSOR PARCEL NUMBER 025-200-124 ZONING A-40 BUILDING PERMIT OWNER Richard Choate TELEPHONE 846-2329 SQ- FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1903 LarkinRd G idle 48 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ Q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome] Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK i New O Addition ❑ Remodel ❑ UtilitiesXX Installation ❑ Other O Describe Work: N@sr ServiC@ ; i PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( &)OVOR"' ) 1 23.00 23 200A OR LESS • Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. , OR ADDNS. ( 8 ACC. BLDS. g0 ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. 20@1.00 9`0 Ex. Occup. ( OUTLET OR FIXTURES ) BAL. Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 ran Ing of this permit. X ���` ��lL �O Date a� ` Signature of Applicant Owner ❑Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 43.E HAZ. 0. FEES IMP FLOOD COF PARCEL PD HO 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. DIRECTOR 0101 PUBLIC WORKS a ey. �.��• �i �r 1. t;l'�� f late %h PERMIT EXPIRES ON (Date!' r Receipt No. 153142 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, dalifornia• 95965 - Telephone (916) 538-7541 PERMIT APPLICATION�AND PERMIT — . TONING BUILDING PERMIT / ASSESSOR PARCEL NUMBER 025-200-124 A-40 OWNER Richard Choate TELEPHONE SQ. FT. OCC. BUILDING VALUATION f _&46--2329 OWNER'S MAILING ADDRESS j 1903 Larkin Rd., Gridley 95948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 1_903 Larki-n Rd Gridley PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome �'1 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @2(]'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities � Installation ❑ Other ❑ Describe Work: NPw SPrvi rP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LE S Main Service ( 00A'OVORLESS ) 1 23.00 23.0 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. I SO, 3.50 FT. NEW CONST. MULTI -OUTLET .NON.RESIO. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 i onsequence of the San 'ng of this permit. X o Date fO �� � Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TVP£ TOTAL FEE $ 43.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ve for which fees have a paid. DIRE WORKS A,Y ate p 1 9 PERMREXPIRES ON / 6/i [Date)'T— Receipt 153142 .D. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - Depar.tmi J MOBILEHOME INSTALLATION ACCEPTANCE %J 4-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA -95965 — TELEPHONE: (916) 538-7541 y js PERMIT NO. 3 -4;245 5� Address or location of mobilehome C/,l - j �—!'; 1Y�.}S yt,/ Owner's name C, 414 a n Owner's address Insignia•or hud number 71Q L 1 0 Manufacturer's name tL L)!—Z G f (_A)d C96 T Serial number ot^V.I.N.(f1 j5;hp )74 15`g19 g!/Year of manufacture v T -Officio{ Approving Instollotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOMLAS INSTALLED ON A FOUNDATION SYSTEM. 5138 r , Wh to Owner_, •Yellow _:Installed I s RESIDENTIAL 0t'5-20-0-124 93-2255 P,E CHOATE, RICHARD P 1903 LARKIN RD, GRIDLEY rine JOB FINALED (Date) ✓ Signature 3;. .. -."a7%-y�f+"�`1,�►v�i`-b-..4xt'1rtiv+�''j+��wti-r'��'Q�:i"+''i�-1.��C-y,-..-.r.-s�:�-fr� COUNTY OF BUTTE BUILDING DIVISION _} y DEPARTMENT OF DEVELOPMENT $,ERVICES 1469 Humboldt Road, Chico, CA (916) 891-2.751 7 County Center Drive, Oroville, CA - (916) 538-7541 4 747 Elliott Road, Paradise, CA - (916) 872=6307. 'A CORRECTION NOTICE �i]DA OWNER' PERMIT NO. A routine inspection indicates.that the following violations of Butte County Ordinances exist at'- the tthe above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter,, or need additional explanation, please contact this office immediately. c r, _ z r Ktv luyz V=OK ^ _ O =Not OK -=NotApplReady MOBILE HOMES ' =Not Ready Date/Initials MpBILE HOME UTILITIES (Plans) OK except #'s l� Soils; Special MH Support Sketch ir;,Location-Test-Fell-C/O Concrete r; Location -T& -Element Needed ricity; Location-Clearences-Grnd-/ WLoc tion -Teat -Wrap: / /"L"ft. or/ /'L"ft./ /"LPG Clearance & Disconnect MISCELLANEOUS Date/Initial 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-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line ,Zk__3..6e9*—MH Test-Demand-Valve—Connector Date/Initials POOLS (Plans) OK except #'s .1,-4—E e%trici MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements rain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability er; MH. Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness �;�ter and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining s and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI its; I :-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 1 rt. of Oocupan 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-Pane lboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test A. V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Shgle & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. 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 C/0 -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 -Material -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 -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan;.Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials 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/Mach. 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 #'a 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 Wails (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing .3ate/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft 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 -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh-DriD Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Oate/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-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. 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: COUNTY OF BUTTE -DEPARTMENT OF PUB ORKS PERMIT N0. 7 -:County Center Drive - Oroville, California 95965 - Telep one: 91 '538-7541 APPLICOIbN AND PERMIT ASSESSOR PARCEL NUMBER 025-200-124 ZONING —40 BUILDING PERMIT "'K chard Choate TELEPHONE 46-2329 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1903 Larkin Rd., Gridley 95948 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 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 1903 Larkin Rd., Gridley 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❑ MobilehomeX1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer F,5.00 Mobile Home S I G W 3615-00 45.00 TYPE OF WORK New a Addition iJ Remodel ❑ UtilitiesEN Installation❑ Other ❑ Describe work: MHU Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6OR SS 00VORLESS 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 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 NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NO BRANCH CIRCUITS) @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. OCCUp. OUTLETS IRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15,00 Misc. byirin g 15.00 Permit Fee $ 48-90 — 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. � 11 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 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 again ,�ad -County in�cconse consequence of the granting of this permit. X C� `r f � Date 7- ?- 93 Signature o{ Applicant — Owncr� Contractor ElAgentF1� 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 I TOTAL FEE $-12.-50_ HAz I DFEES I IMP yThis I FLOOD ---^ CDF PARC D I U permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI!A=M By PERMIT EXPIRES Dat applica le provi resolutions to do have been paid. WORKS �23 Dat 143591 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rA .4;�ye•x COUNTYOF BUTTE - DEPARTMENTOF' DEVELOPMENTS RVIC S- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAflA5965 -ITELEPHONE (916) 538-7541 PERMIT APPLICATIONOATA SHEET OWNER R-7- ARD CROAT -6- A. P. No. O2S-a071 y Proposed Building Use Ma U Building Inspector Date 7 q2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ............. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... y 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . J3. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval dfLCb Health Department . ............% 15. City of Chico plumbing permit . ......................................... 1Q. Plot plan and business license apprpval frorS &jty of Biggs/Gridley. . Planning approval for (A) Use: 2'y� A£S_ B) Parkin . fit t ye/71 . � _ 18. Contact Land Development about (A) Improvements (B) Drainage. J.�!�+ 44 i!.. . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. cP, a4"IT a pe,q*uest (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 ) ............ r 24. Recorded copy of Agricultural Acknowledgement Statement . .................--2 3 ,_ 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. .. ,,..................................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone 4- 1 and hold for pickup at �d office. Deliver with inspector. Other 49 a Parcel Creation c---//" �. �! 4-K- -- 7--,F-F3 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data musttl ie submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit'for ati6ve items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date 1 Contractor, designer, owner, was advised of above required data by _ phone _ ma' Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Buildinb Department FROM: Environmental Health SUBJECT: Sanitation Clearance 40,4.,v, 1fd Owner Plan Approved for: Sewage Disposal Clearance for ;L--- bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Location Water Supply Public li.II. use t,N ,Y I'lot Plan Allachcd Floor flan Atlachvd Soil to 11.1). 7 `'L Je l 2-� �; 0 - /)- V A Phi Private Well 7`;L--7� , . Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telechone 9i6 538-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZQN tiG , BUILDING PERMIT OWNER Ri CA o - TELEPHONE y� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING -ADDRESS ' U LA (O1�t)E y^J? 4/? CONTRACTOR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN. 1 Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ pp Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � Penalty $ BUILDING ADDRESS 1903 1_4`RK� ) p�•1D �^' �/ /Y �`� Permit fee $ a 6� PLUMBING PERMIT Filing Fee 15.00 9S 9 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehomether -SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home nG;b @ 15.00 Q500 TYPE OF WORK New J Addition i_ Remodel L_2 Utilities ❑ InstallationC Other ❑ Describe work: _ (il Permit Fee $ cab Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 / Sb Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 17as 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. ACC. BLOGS. DWELLING OCCUP.& OR ADONS. 3.6Qsq.ft. NEW CONST R. ULTI.OUTLET NON-RESIO BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 @ 7FIXED 6d Ex. Occup. OUTLETS PR RESID IEA.) I 3.001. Temporary service 1 15.00 Mobile Home Facilities 1 15.00 (�Q Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the.Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE �O HAz DFEES I IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. / 1/ _ 7 3 `7n 59 / WHIYE-D.P.W.. YELLOW-ASSE330R. PINK•INSPECTOR. GOLDENROD -APPLICANT / W�"w Return to DW 6u ` ld' .cy AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT U; S r 0 n, FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte requires this acknowledgement prior to issuance of a building County Code be recorded permit. The property described herein is adjacent to land or included within an area zoned 93-029941 for agricultural purposes, and residents I Rec Fee 8.00 of this property may be subject to incon- I Cash 8.00 Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 11:32am 15 -Jul -93 I PUBL XX 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'th-At real :property: situate in .the County of Butte, State of California, described as follows: Date: -7 - - 9 3 PROPERTY OWNERS: State of ) On this the day of 19 before me, the SS.. undersigned Notary Public, personally appeared County of �) `- ®_ -..r_ �.; Personally known to me. Proved to me on the basis , �. RYFUCOPA',.1,CALIF of s tisfactory evidence. '-�� •• NOTARY FU3_iC-C:.UrOFNIA (7�\ BUTTE COUNTY o be the person( -s -)-whose names-) �'1 Q V A t �_ (� � (� V\ n0.- � �My Comm. Expires February 28, 1997 ubscribed to the within instrument and acknowledged that tP-- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. O L5 - 2_�O - % Z Notary Public �,.< ,. .:. 1,� aF t..`n� �;, �.. 4 � to x .�.,., � �y ♦r �t. \7 vP: l `�� � r,: r,� roy 92-14030 EXHIBIT "A" A portion of Lot 11, as shown on that certain map entitled "Official Map of tl.r, Ord Rancho and the Boyles Ranch", which map was recorded in the office of the Recorder of the County of Butte, State of California, on March 22, 1928, in Book 8 of Maps, at page(s) 24A and being more particularly described as follows: Commencing at the Southeast comer of said Lot 11, from which point the center of Section 32, Township 18 North, Range 3 East, M.D.B. & M., bears South 00° 07' East, a distance of 775.0 feet, said point of commencement being a point in the center of Larkin Road; thence North 001 07' West along the East line of said Lot 11 and the center of the Larkin Road, a distance of 417.00 feet; thence leaving the East line of said Lot 11 and the center of the Larkin Road, and running North 890 59' West, parallel with the South line of said Lot 11, a distance Qf 255.00 feet to True Point of Beginning of the parcel herein described; thence continuing North 89 59' West, parallel with the South line of said Lot 11, a distance of 20 feet; thence South 00° 07' East, parallel with the East line of said Lot 11, a Distance of 167.00 feet; thence South 89 59' East, parallel with the South line of said Lot 11, a distance of 20.00 feet to a point; thence North 00° 07' West a distance of 167.00 feet to the True Point of Beginning. The above described parcel contains 0.077 acre, more or less. END OF DESCRIPTION This parcel is to becombined with and become partof that certain parcel owned by Richard C. Choate and LouAnn M. Choate, husband and wife as Joint Tenants, which parcel is recorded in the Official Records of Butte County in Book 1839 , at page 10 , Serial No. 3119 and no new parcels are being created. The purpose of this deed is to effect a boundary line modification as approved by the Butte County Advisory Agency on April 2, 1990. APPROVED Butte County Environmental Health __ 7_3 ? 2.---, Date -------- - ------------ Signature U v r �I .,COL*4TY 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 025-20-124 ZONING —40 BUILDING PERMIT OWNER Richard Choate TELEPHONE 46-2329 SQ- FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1903 Larkin Rd., Gridley 95948 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 tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 1903 larkin Rd-, Gridlpy Each Trap 1 5.00 Solar or heat pump water heater 1 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 G W @ 15.00 TYPE OF WORK rr� New �J Addition LJ Remodel EllUtilities ❑ Installationl�i Other ❑ Describe work: MHI _ MHU #� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 20rATO 1000A3 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 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 OCCP OR ADDNS. ( UM ACC. BLOGS. / 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS /� 5.00 l: POWER APPARATUS s (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES20 T77. FIXED APPNS. Ex. DCCUp. OUTLETS RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or.less. F -1I 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 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 liabi � ieS, judgments, costs, and expenses which may in any way accrue agai s id County in c nse ence of the granting of this permit. X (e Date 7— /c3 Si natuA - 94 --Contractor ❑ Aganf ❑ Applicant re of g pp owner Lrf An OSHA permii is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 HAZ DFEES IMF FLOOD COF PARCEL ''-� PD HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work in a d above �whhih fees D C RWORKS By P MI EXPIRES Date-.- applicable provi- resolutions to do � have been paid. ate Z? Receipt No. 143591 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTYOFIBUTTE -DEPARTMENT OF F DEV ELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER Rnf a 1ARD 012441 C T A. P. No. D�5-a0- /L y Proposed Building Use lnl4 ` Building, Inspector Date 7 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. A. 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 . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........ . . Fees tf $ edule. .../ %Vc) .......... . . .. 11. Impact fees as shown on attached schedule.SCbIQQ�C... U!V.G.?e.Shl�PF....... 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). .. . . Z0. Pre -inspection for required. .. oB.,S 9 o to (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 _ ). I .......... 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. . A,62 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. •34. When yo issue the permit, process as follows: Mail to owner. Mail to contractor. ✓Telephone W6­,gXaX and hold for pickup at ��a� office. Deliver with inspector. Other Parcel Creation Acreage Applicant 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 submitte prior to pe3iy�suance: (Circle new item not checked above). 1. Index permiffor above items No. // 2. Additional items required: Contractor, designer, o r�w�� advised of above required data by _ phone _ mail Counter b �A,Date 3-`1 ^ 3 Contractor, designer, ow riF�, was advised of above required data by _ phone _ ma' Coun r yL& Date .Lam- �3 Plans checked by Date7-t-3'�� Plans approved by Datey� 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, California 95965 - Telephone 916 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUMBER a q ^ ZONytL�U INV + BUILDING PERMIT OWNER 0.uo E TELEPHONE tea. 9 SO. FT. I OCC. BUILDING VALUATION OWNER'S MAILING AO ESS D L.A 0 CONTRACTOR'S NAME 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i9&3 e_QQ� R � _ r Permit fee $ B� 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[] MobilehomeGpo**�Other 'SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 1 615.00 TYPE OF WORK New ❑ Addition i__ Remodel L Utilities ❑ Installation❑ Other ❑ Describe work: M 14L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationAt ❑ 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. /DWELLING OCCUP.e OR ADONS. % ACC. SLOGS. 3.6Csq.ft. NEW CONST R. ULT"OUT LET NON.RES10 BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d to) drA Ex. Occup. OUTLETS IIRESID.)REA 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectpermit 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 Hood 6.50 I Ventilation Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA 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 $ %Q Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ / QST HAz DFEES I IMP I FLOOD I COF PARCEL PDJ HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l Y 3� l WNITE-O.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT i�''�iC•r^•".'+W"'R""q�.—w�,..y'�7T�"�v,."'�""'�V!{iR�L rs�4�`ACIy�11��1'R"LpD"' l�y�g�1,�!�Fg�'�"�,Yi':+fir`Iwo.,,.".w""�^:r:^^-.:wr;.w:.,,;�'ir• � f�i{�. r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P.-`Number b Building Department No. i School District (ORMC.EY City Q County, Jurisdiction N Property owner RICKARn CHaAT�` �,,iProject Location/Address /90:3 CAR&iU AD, ' Subdivision Lot Number Residential Development:� E�r � Sq. Footage a A'4 of --Living MHI Addition (Group R) Units '- Commercial/Industrial: Sq. Footage J� New Addition ;(Including Exterior Roofed Areas) Build g Dep tment Representative Date (Floor Plans review e,i School District Personnel) District Id- No. A..c .r ,ifi J School District 'certifies that /� (Applicant Name) (Phone Number) / 963c��'1 (Street Address) t S 9 (City)/ (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ -A-- representing square feet.. Scho(Y1 District Representative PAID BY CHECK NO. BANK NO 0 PAID BY CASH 7 -9 -9 -5 - Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE -(8/88) r 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovi•lle, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes FX1 . No F-1 -70 (If yes, furnish permit number a� ) OR Is the site an existing site? Yes F I 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 I 1\ I No (If no, clarify 5. What is the mobilehome electrical rating? --------------- A©Q Amps 6. What is the mobilehome site service rating? ------------- /QQ Amps 7. What is the mobilehome site circuit breaker rating? ----- /00 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F1 No (If yes, identify the load and size: (Load) (Amps) 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?--------------------------------------------- C�0 (ft.) * 12. What is the mobilehome gas demand? ---------------------- Q © (BTU) '(This information not required if pipe length less than 6 ft. on 70v00�� . natural gas or less than 50 ft. on LPG.) 8 U 11�r,�* , f9�NRp Y NEXT PAGE MUST BE COMPLETED TO PROCESS PERMITON: P� . E D MOBILEHOME SUPPORT DATA If other than'single wide, Mobilehome Mfr. Cs -furnish Setup Model No. Width- (ft.) Box Length_S!�(ft.) Tagalong or Expando Size Year ft. x ft. On. all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup shee.ts (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation. grade. ❑ 2. Other (specify) SUPPORTS (check one) FX Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE-WID1? MULTI -WIDE. Line 1 _ Line 1 Line 2 — — — — — —. — — Main Beams Line T` — — — — — — — — — — — — — Main Beams — — — — — 4-L.ine w Tag or Triple _. .. _ - - i.ine 4 . Line 1 Piers: • Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ x - - Spacing -Max. ,_ „ Each Side of Openings From Ends -Max. ------- '_ ^ With Width Over `-------' 1� Line 2 Piers: Size-Min.------------ --Spacing-Max - --------- „ From Enda-Max.------- Size -Min .------------ Location From Front) Line 3 Piers: -,(Under Bearing Wall Only) Size -Min.' ------------------- "x Spacing -Max. ------ From Ends -Max -------------- "x "xIt 'k k 1."x k "xSc 11 Ane 5 Piers: —(Under-Bearing.Wal.ls-Only)--- Size-Min ------------------ Spacing-Max.--------------From Ends -Max -------------- ineine 4_�Pierao-- Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min .------------ ' Location (From Front) ill` !» • .� This set of plans and speaffcations MUST, be r Y kept on the job at all -times and it is unlawful make any cfiang0s or alterations on same .without written permission from the Dep of Putc frlJT I: Materials Work i 8e. M manship Works. County of Butte. Ao €f • neewith Rbc nizbd # ( Y E0€ og, . Good Practices'a sr�d �..: � r a r �e City � c rb fo the Specified •ust�-iA • .. ;: I ,• � 4 ��#ori dini,,,P?it1rT��i►gtb •Mechanical �;t;,p�r •..: �• • ' - ionel Elebtric�t C`oae. i; 14 4/ft 6 • •A. r. 4.r i �-� Alai l Q „ a1NG`DEPARTIVi� 5' =� i LLLI STRU TURES AND, EQUIPMENT INCLUDING SHALL BE CLEAR OF ALL EASEMENTS. C? ,so F FT. !FR6M 'i-arHE SIDE AND �ZL lF 6M THE REAR OR6PE",, LINES AND THE ROAD CENTERLINE SHALL, BE . AR UCTURES . ANb EQUIPMENT EXCEPT I — i �!,1 1 i I i I 'LIAR 0VW*IJ* --7 lk! +1 O A ire 42� a C4.-- CAjz AS rm r . .......... 4Cli ► I' j Q i 1�` F�e.I�t 300 L l6ke, ............ . . ....... BUTTE COUNTY BUILDING DEPAR-WENT 4 0 c-4AbAtV,'r4 �'AZ-Uo LPU p NW. 0 t Butte ICoWn A WAL 0 RC -H A"K b lm�nta.j a En*iro 1-7' _jL2if 0 VW Mi a, Ell 4 Lei 0 I 1 PERMIT NO. 1299-78B,P,E PERMIT EXPIRES OWNER Richard Choate CONTR. Holiday Poo1G, Chico LOCATION (A.P. 25-20-90 ) .W/S Larkin Rd., 3/4 mi.N.of Oro -Gridley Hwy, Gridley r`. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E .�OB v FINALED (Date) . (Sigriature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDIN BUILDING (Cont'd) Service PLUMBING Setback Firewall Soil Piping Ducts Forms 2 Parapets 1st Floor Permanent Main Bldg. 'Restroom Finish 2nd Floor MOBI LEHOME UTILITIES - - - - - - - - - - - - - - - - - - Footings Windows 3rd Floor Sewer Stemwall Siding To out Elec. Continuity Slab Roof Sheathing Water PI in ,z Piers Roofing Sewer Garage Fdn. Vents 4 Fixtures Footings V Stemwall A Garage Vents Insulation - Water Htr. Heaters Slab Carport Footings " Prov. for phsically handicap ed Conformance of ex/Gas structure Appliances Piping& Test Temp. as Slab Final i Sanitation Patio FIREPLACE Final Footings 9 Footing ELECTRICAL Masonry Walls Throat Rou h 02�' Reinf. Steel Final Fixtures Bond Beam 0 071d FIRE SPRINKL 8- Motors FramingTest Water Htr. Stucco Final Final Sub anels Mesh MECHANICAL Gird. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath r Ventilation Permanent Door Closer Final Final ,j MOBI LEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedesta Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) CCLUNTY�OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephsne: 534.4541 i APPLICATION AND PERMIT •. a.l+. a..aa..�aua�vcq v� Ll v WILY V1 ouuc tv GIIl01 LIVUII IIIU above-mentioned property for inspection purposes. X Date 3-.2/ %9 Si ura of Permiitteee or Agent Receipt No. _ / 7 / (� 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. DIRECTOR BLIC WORKS BY _ Date Building permit expires Date 2 BUILDING Owner R �/�/P Arm SQ. FT. OCC. BUILDING VALUATION Mailing Address i Telephone No. Contractor 1101ID14 OGLS Mailing Address Q E� % ,lSSF" /= Fireplace Total Valuation G s o? (,' Telephone No. 3-eS/ ei Permit Fee '.// Building Address !�/J Plan Checking Fee&/or Penalty Permit Fee 0 cn PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � Each Trap 1.50 �/ Repair drainage or vent piping 1.50 A. P. o. .2 Zoning & PlaZing Water piping 1.50 S"G Each gas water heater or vent 1.50 Fe W.i ion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par ing Plans arcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Bldg. Plan ec'd Parcel Approval- Plans Approval Lawn sprinkler system 2.00 NEW © ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 5' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QG Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 QT C A to/ l/4 J rV 1�e, /� A,, ^ �v Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR AODNS. L ACCLBLOGS.CCUP. !� 20 sq ft 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: ``JJ /70L //' Ay -520GLS NEW NONRESID. MULTI -OUTLET .CONST BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L� Ex. OccU FIXED APPLES. OR P•(OUTLETS (REBID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. a0 % 322Classification S-3 Misc. Wiring 0N,01;V 6.25 lc,? ❑ 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 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ s3 �' •. a.l+. a..aa..�aua�vcq v� Ll v WILY V1 ouuc tv GIIl01 LIVUII IIIU above-mentioned property for inspection purposes. X Date 3-.2/ %9 Si ura of Permiitteee or Agent Receipt No. _ / 7 / (� 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. DIRECTOR BLIC WORKS BY _ Date Building permit expires Date 2 l t PERMIT NO. 5433=7,5B _ ! P E M i �MH UTIL. (PERMIT NO. 3 l L' PERMIT EXPIRES 'OWNER Richard Choate I�ONTR. owner `l (LOCATION (A.P. 25-20-90 A) .- /S Larkin Rd.,3/4 mi. N. of Oroville- Gri fey Hwy., Gridley 0 Temp. Power Pole - Called PG&E Temp. Elec. Serv.� — , Call d PG&E Temp Gas Serv. Called PG&E JOB Z Ly�7 FINALED O" (Date) (Signature) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN .CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE K STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street N CONTRACTOR: HAWKINS INSULATION CO. Lot Number 215-925 Tract No. EXTERIOR WALLS � L Manufacturer (�r' to/�. Thickness/Type R Value CEILINGS d' - Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value_ FLOORS , Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R' V. GENERAL CONTRACTOR LICENSE No. BY. TITLE DATE INSULATI N CONTRACTOR: HAWKINS INSULATION CO. LICENSE No., 215-925 BY TITLE DATE— 1101914 qtr., -'o 40 a: . . , COUNTY OF BUTTE — DEPARTMtNT'O'F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBIPG , Setback / 5- 7 Firewall Soil Piping Forms Parapets �--! 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings/R/,5`7 Windows% r 3rd Floor Stemwall SidingTo out Slabr — Roof Sheathin Z Water Piping, Piers Roofing Sewer Garage Fdn. Vents f Fixtures Footings Garage Vents .----- Water Htr. StemwaII Slab Prov. for physically handicapped Heaters —� Appliances Carport Footin s `% Conformance of ex. / structure -:7— P Gas Piping & Test Temp. Gas Slab Final nit Patio FIREPLACE Final cQ� •mac Footings Footing ELEC' MasonryWalls Throat 3 Rough ?e Reinf. Steel Final Fixtures/ ?U Stucco Final I Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating r Service Brown Cooling Temp. P.4d* / d Finish Ducts Underground i Interior Lath v7 0�l t%O Ventilation / Permanen Door Closer /llllel Final /,1 , Final DATE REMARKS OR CORRECTIONS -C:� A - /Z? 7 1:- U d. 0) G�� _ 7 / ! '/ ` .Ox� .COY SAJ . s"'eyw'ev"��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS % 7 County Center Drive - Oroville, California 95965 1_/ IJ Tel ephgne,: 534-4541 APPLICATION AND PERMIT BUILDIN Owner f SQ. FT. OCC. BUILDING VALUATION' 757 Mailing Address �'� ( �� rV I I��pn a. Fireplace ^O Contractor L IL ► Total Valuation Mailing Address Permit Fee '– PlanChecking Fee&/or Penalty Telephone No. Permit Fee , - Building Address S, l2l PLUMBING No. @ FEE d%! X6,57-9 PERMIT FILING FEE$3.00 -J ' H 0 R o k J P(- Each Trap 1.50 46,50 L (AJWater Repair drainage or vent piping 1.50 /,SD j.d7J piping 1.50 Each gaCuater heater or vent 1.50 A. P. No. ZoningGas &Planning piping system 1 - 5 outlets I 1.50 y'+x+� `6-,9 Each additional outlet .30 F S n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel M P 60' R/W Imp r p o ments Lawn sprinkler system 2.00 Bldg. P'V-n` Rec'd Porcel Approval Plans pproval Permit Fee $ $ 3 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ NEW No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter , aV Additional meters, each 1.00 Sub -panel (12 or less) (mor than 12) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Coo p or OAm-' 1.00 �J, cti Water Heater or Space Heater 1.00 Light fov ixtures b a10 A s., swi s & fix is 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: Ho d, E or F.A. Fu . otor 1.00 az? Evap. cooler, garFdfi';p. or 0,W- 1.00 Z, ev Air cotVit er or heat pump 3 Water pump Mobil Home Facilities 5.00 Temp. Power Pole 0)C�O 5.00 License No. Classification Misc. wiring 0" .- / ery ln� M I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5" WORKMEN'S COMPENSATION INSURANCE I 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 certify that in the performance•of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEE PERMIT FILING FEE $3.00 3.UU Heating /g'oD Cooling .(1'D d12 Ventilation ' 4P2.00 Hood Permit Fee $ $ 3 C-1 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. X�•�*� Date Q / 7.y Signature of Permitee or Agggt �/ Receipt No. 3 7 17k �% i- 1.377/S- 1�, 6 v , h Vel7' TOTAL PERMIT FEE 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. DIRECTOR OF LIC WORKS 1(117 J B- Date �% J / !L , / / rinK-inspecror – voiaenroa-AppncanrI yyrwnry F—MIL vase I MODEL 2562K 2 BEDROOMS, 1 BATH APPROX. 746 SO. FT. C,47WDRA CE/L /NG THROUGHOUT 56'-0'l COUNTY OF BUM •" BUILDING DEPTWestfi e JUL 2 6 1993 BY FLEETVV00D® WF/17/DEC89 F1EEIIN • • D� STANDARD New tri -color exterior 100 amp service with cable Washer & dryer hook ups 30 gallon electric water heater 17 x 17 vent w/5 way -switch Removable hitch P.O.S. vent system Walk -A -Bay windows on front kitchen models Cathedral ceilings throughout High pitch metal roof Acoustic ceiling Standard carpet in living room and both bedrooms with pad • Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All Aimensions are nominal. Ask your retailer for specifics.(Add lour feet to arrive at transportable length) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. Our Customer Commitment: We will provide defect -free products and services. OPTIONS Shingle roof Dishwasher/disposal Ceiling fans Upgrade carpets and pad Skylights (shingle roof only) OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. Vezffieldl...,BY FUMMOD'- Westfield Homes are built by: FLEETWOOD.HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 North Couniy Road 101, P. O. Box 1308 Woodland, California 95776 (916) 662-3223 WF/17/FEB93 oll . ....... ... ... .... ... ... ...... ... LO 0 P,