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HomeMy WebLinkAbout025-320-016RESIDENTIAL PERMIT NO. PERMIT EXPIRES OWNER _ --- 025-32-0-016 MOORE, James 98-1758 B 155 Moms Lane, Oroville (add deck)MH D & D CONTR. ASSESSOR PARCEL LOCATION CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG JOB FINALE Date) 7/n5l Signature ez , V=OK 0 = Not OK *=NottRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-CJO-Concrete ISCELLANEOUS Date DECY4, COVERS CARPORTS, GARAGES lana OK except #'s Zoning P pqd'irements-Setbacks-Easements ngs; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; ing VeneerStucco-Mesh 10. ; Shthg-Roofing 1. Ext; Steps -Doors -Landings 12. Braced Wall Panels Da Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; L.ocaton-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / j'L'ft. / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test4)emand-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 ISCELLANEOUS Date DECY4, COVERS CARPORTS, GARAGES lana OK except #'s Zoning P pqd'irements-Setbacks-Easements ngs; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; ing VeneerStucco-Mesh 10. ; Shthg-Roofing 1. Ext; Steps -Doors -Landings 12. Braced Wall Panels Da Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable . = Not Ready ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 47. Cling. Joist-Rftr. Ties-Puriin-roff Brac.-Truss-Shting.-Ring. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 52. 7. Slab, Steel -Wrapped 53. 8. Piers -Fireplace Ftg.-Steel 54. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Shear Walls; Nailing -Bolts 15. Access & Ventilation 60. Brace Interior / Exterior Wall Panels 16. Insulation Insulation-V✓a IIs -Ceilings 62. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 63. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 64. 20. Shower Pan; Test, First Floor -Tub Access 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 21. Test Tub & Shower, Second Floor -Tub Access 66. 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth ELECTRICAL (Permit) OK except #'s 71. 23. Fixture & Transformer Clearance -Ins. Protection 72. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 73. 25. Size B2 es & No. of Conductors Stapled 74. 26. Romex I stalled Close to Edge of Studs & C.J. 75. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 76. 28. 2 Appliance Circuts in Kitchen & Conductor Size GF] 77. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 78. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 79. 31. Service -Riser Conductors & Ground -Main Disconect 80. 32. Equip. Clearances Panels -Motors -Meth. Epuip. 81. 33. Clothes Closet Light -Shower Light -Spa Light 82. 34. Smoke Detector 83. Stucco Brown -Finish Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 91. Gas Test -Meters Tagged, Gas -Electric 39. Attic Access & Platform if Furnace in Attic Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) "OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-V✓a IIs -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1. .— -1 7 County Center Drive • Oroville,. California 95965 • Telephone (530) 538-7541 77 I (Rev.12/96) APPLICATION AND"PERMIT �~ ASSESSOR PARCEL NUMBER 025-320-016 ZONING BUILDING PERMIT OWNER Moore, James TELEPHONE SO, FT, OCC. BUILDING VALUATION 80 0-dpr 560-00 .OWNERS MAILING ADDRESS 155 Moms Lane Oroville CONTRACTOR'S NAME D & D Mobile homes TELEPHONE 532-3303 CONTRACTORS MAILING ADDRESS 2243 Feather River Blvd-, Orn CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 560.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 1 Energy Plan Checking Fee $ $ PERMIT FEE $ .00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplexes Mobilehome (I Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Add deck 8' X 10' Re: 98-1158 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE Main Service 200., OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �^ I License Class � Lic. No. 4 9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BUDS. SO 3.50 FT. NopI....,pT MULTI -OUTLET 97,50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOcruREs 20 @ 100 BAL @ ,50 Ex. Occup. DUTLEEDT5 RAID.°.11" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the _performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compenssatio r nce carrier and policy number are: Carrier LC -C. XI ola` Policy Number %J� fi t4 1 SS9 (The above sections need not be Completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith co'PXDIY with those provisions. X DateD Signature of Appli - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0"deep and demoli 'on or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By•C� PERMIT EX141RIES ON the applicable provisions Resolutions to do work been paid. Date &A e a Receipt No. 21/4&Z WHITE-D.D.S.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIO. . (Rev.12/96) APPLICATION AND PERMIT r�I71 ASSESSOR PARCELNUMBER �� O {� zO�f� a /T BUILDINGPERMIT OWNERTELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAI ]NO ADORESI CONTRACTOR'S NAME TELEPHONE ?A42 330 CONTRACTORS MAJUW ADDRES ` 2Z 3 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S O b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ riga ARCHITECT OR ENGINEERS MARINO ADDRESS Plan Checking Fee $ p0 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ (3,00 LOT No. SUSDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilshome4,Other BP�"r Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Re el ❑ Utilities ❑ Installation ❑ Other ❑ r Describe Work: f Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oao'Z: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWELLNO OCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.5¢Fr: NON-RESItW D.' MULTFOUTLET @7,50 .10== 20 Ex. Occup. OUTLET OR FUTURES Bu @' o Ex. Occup. oU.y' °. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEES 60,06, HAZ D FEES IMP FLOOD COF PARCEL I PO I HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,�,�,lig..�p�'Cy�.,;�1s��x.h�•�,.'�'"r"r�+,. '.r'�""`�.�.,c"ri,•�il'i�'f�'`y ��t`F$"It��j�t�:N'�Y►v�is�'►�11Ti ..� t��5..,.�,��s'�'�.�+��_ ? `�"S�''���, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / I r 602 ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: �� Date: 4 /a/ / 7A' ' of permit application, I was advised the following data must be submitted prior to pe p essing and/or issuance: Date Received By ll items have been submitted -------------------------------------------------------------------------------------- E32. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------- ------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- r ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). -------------------- ❑22. Workers' Compensation carrier and policy number. -------------------- =----------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------- E124. --------------------- ❑24. Letter of signature authorization: ------------------------------------------------- --------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑26. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------ ----------------------- 028. Existing violations and/or expired permits. ------------------------------------------------------ 0 29. 0433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner; was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vis counter, byDat . Plans reviewed by: f%?`,'; r= Date: Plans approved by: /!% Date: /U Sets of plani'bi ,;tiold,ih ❑ Plan Cabinet, c3A.P. folder. Note transfer bv: Date: aa{:,,;','r Yellow Copy - Depaitment:of Development Services, Building Division. 1� t M TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D.'— a /- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other '" X /U izel , Hold final for: Final clearance O.K. for: NOTE: Environm 8/96 I Health Specialist Olt y 0(3 Date io CO�NTY BUTTE BUWW DEPARTMEN APPROVED ;�� k�11411TII� M,,MUCjURr2S AND EOUrMENT IS�VRHANGIS SHALL IBE CLEAR OF ALL BACK OF FT. FROM TME S16 A SET Fr. FROM THE REAR PROPERTY LIN] FT. FROM ORES ERC,?AOFSTRUAND EQUIPMENT 1 - r -r cmn= nVFJ*iANM AND AND .LBE" `(„" MIN WE 0 m Cm` m 3 � m � i I_ I it x I II II ? , • • �� ,/WWORAIL HEIGHT ori I I . . .. ;37 ON 3(o"'MIN. STA.(R 6. , n BUTTE OOUNTV rn W I DT14 �a s } X � N riti LUJ y.fT1 y - BUW.W QEPARTMMV i I_ I it x I II II ? , • • �� ,/WWORAIL HEIGHT ori I . . .. ;37 ON 3(o"'MIN. STA.(R 6. , n BUTTE OOUNTV rn W I DT14 �a y - BUW.W QEPARTMMV -P r .... . 9 o N X I • O N m rn i I_ I it x I II II ? , • • �� ,/WWORAIL HEIGHT ori I ON 3(o"'MIN. STA.(R 6. :13 -fru b i, n BUTTE OOUNTV rn W I DT14 �a y - BUW.W QEPARTMMV -P APPROVED y � X 0 N O J) 8'-0' 13'-4' 14'-8' 5'-3 5/8' 10'-8 3/8' O?T DPT 4610 4010 3058 5248 3058 6248 DTI/l !1iR,RIM 42X96 OPT FIREPLACE 593 QQ j G BATH ! 4640 , 593 BAT 2a M BEDROOM LIVINGROOM 0 443 BEDROOM 2 i 13,_ 4 Q \a 6' 28 [f333A6S'E:' �8� 371440 N rpTT , . LY v/H i L1TIL 30 \351 - r ,4' L-----� . H� j C' T �u.; L 2 /\ 28 F 4540 NORNKITCHEN DINING RGOM r+ `. BEDROOM 3 1 1 (OPT DEN) 4640 RM ; v/� F/S Q -1C{ 0vE.RNI%tu G+ITni 4540 304D 4640 368.3 9'-9 1/2' 111-6 1/2' 10'-0 4TE BY. DESGR17i1GN tEGERD FLEETWOOD WOODLAND # 17 sh7. P-�x. 2 C l (�E iiV S i QRAT TON or- BEZZ 460SB D & D HOIMTS, MC. 2243 FEAT HER RIVER BLVD. ORO ILLE, CA 95965 -0 t RESIDENTIAL 025-320-016 PERMIT#98-1158 i MOORE, James PERMIT NO. 155 Mom's Ln., Oroville i Cont: D & D Homes PERMIT EXPI New MH on Perm Fnd/Ex Site �f OWNER j CONTR. ASSESSOR PARCEL 17 A = LOCATION iBE RECORDED UNTIL ONE OF THE FOLLOWING AVE BEEN TURNED IN TO THE BLDG DIV: (2) TA ENT �OF FACTS(ONLY ON NEW MH'S) NSPECTOR TO VERIFY SERIAL & LABEL #'S ev CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E I B FINALED (Date Signature 3 r i V=OK O = Not OK Not t Applicable NoRe•MOBILE HOMES ' Date MOB HOME UTIUTIES(Plans) OK except #'s Zoni uirements - Setbacks - Easements oils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete { 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete ' 6. Gas; Location -Test -Wrap; / /i'fL / /Nat. or/ )Lt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE U2=STALLATION(Plans) OK except #'s 1 nin uirements- Setbacks Easeme s ti ; Sine_Spacing-Maniage Line ss; st-Demand-Valve-Connec ' city; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 6. r; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged installation Cert. 1 . Exits; Insp.-Sketch 11. Cert of Occupancy I 12. Permanent Foundation Only: License Decal Date 7 31 Card B-1 /� Date Card B-1 Date Card B-1 Date Card B-1 y raw 17� 2� z �'� �E-12-- I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depdi-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnecdonsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fong.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing-VeneerStuxo-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) = Not Ap licable I Not Ready Date UNDERFLOOR (Plans) OK except #s 1. Zoning-Setbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /"Ftg. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 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.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Shear Walls: Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 21. Test Tub & Shower, Second Floor -Tub Access Bedroom Exiting 22. Gas Pipe; Sixe & Anchors G.F.I. & Bath Fixtures & Tub Access -Spa 68. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 23. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 24. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Recepticales at Kit. Counter 25. Size Bo es & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 26. Romex I stalled Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. Gas Test -Meters Tagged, Gas -Electric 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftc Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing tis. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-32-0--16 ZONING A-5 BUILDING PERMIT OWNER JAMES MOORE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 155 MOMS LANE, OROVILLE CONTRACTOR'S NAME TELEPHONE ' COM I,6W, OROVILLE 52 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 513.40/2 $ 256.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 155 MOMS LANE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ ?QQ 75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 15.001 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewXN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE EXISTING W/ NEW MH/ ON PERM—EDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ion oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in' f}� orce and effect. p G I a -7 License Class C �i Lic. No. 3 l o T / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ccpensatioon�s ance carrier and policy number are: Carrier U21 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. sD 3.5QFT. NOWRESNEW XID.ST ANCI.O.R.'ITST @7.50 POWER APPARATUS 8 SINGLE OUfLEr CIR. EX. OCCU OUTLET OR FIXTURES 20 @ 1'00 BAL Q .50 EX. Occup. OUITELETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need nof be completed if 1he permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensate n rovisions of section 3700 of the Labor Code, I shall forth ith comply wi se provisions. _Date ty d Signatu of ApplicanOwner ❑Contractor ❑ Agen X Ared An OSHA permit is reqr excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE OTAL FEE $ 364.75 HAZ. F IMPFLOOD ._ COF _ PARCEL PD HD S This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indi d abo a for whisk fees have been paid. By ate ,2q 8_ PERMIT EXPIRES ON �i Def Receipt No. 237489 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 ` ' iv to- } COUNTY OF BUTTE DEPARTMEIV 'OF DEWELOPMENT SERVICES - BUILDING DIVISION OUNTY CENTER DRIVE-_OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLI A ION DATA SHEET OWNER: OL-7"ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: nf3 Date: 4��-9 6i At time of permit application, as advised the following data must be submitted prior to permit procesaiug and/or issuance Date Received By 111. All items have been submitted .------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. -------------------- ------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- f ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ ❑ . s of $ ------------------------------------------------------------------------------------- 4mpact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------------ -------------------------------- ❑ 3,,Flood elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval&& Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ P. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- -inspection for required Request to Building Inspector on Contractor's license information. (Number, Name Style, Classification). ---------------------- ------ orkers' Compensation carrier and policy number. ------------------------------------------------------ ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - ----------------------- ------ tter of signature authorization. ----------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. ---------- 26. Letter of intent on building use. ------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------ 029. 11433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) -------------------------------------- C •-------------------------------------- -------------------------------------i •---------------------------------------------------- - When iissue the permit, process' as follows ❑ Mail to owner, fail to cion ctor. elephone J 32 33 03 and hold for picki ❑ Delith inspector. _ Applicant: Date: t Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Oth ate: By: ` 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ miil, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, `❑ Building Division counter, by Date: Contractor, designer, owner; was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plansn hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: CO Yellow Copy - Depaent of Development Services, Building Division. r TO: Building Department FROM: Environmental Health --- SUBJECT: Sanitation Clearance ` E.H. USE ONLY Plot Plan Attached Floor Plan Att had Sent to B.D. / ��,r� e_s �s 1Ss ►"(� s l,� ZS — 170-01 Owner Location AP# Plan Approved for: Sewage Dispos Water Supply: Public Private Weu-::�o Clearance for dwelling. Other 2}�Q�,% f )y� Q Hold final for: Final clearance O.K. for: NOTE: / 6;1s Environmental Health Specialist 8/96 6 ^1 A � Date ©� o< <� COUt4TY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ — ZONING BUILDING PERMIT ' OWNER TG TELEPHO E SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS , ilyl S D ✓ i l �� d� CONTRACTOR'S NAME D o TELEPHONE CONTRACTOR'S MAIUNO ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ . '7 BUILDWG ADDRESS Energy Plan Checking Fee $ H� _6�' PERMIT FEE S CJ'7 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOF UCTU RE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 e'd Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ' New Addition ❑ Remodel ❑ Ulil'Ities ❑ Installation ❑ Other ❑ r Describe Work: liG�iL / r..v .��� �C�p� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 x, &-p Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT I (ling Fee 20.00 Main Service noon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. O.50 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOOOA 46,00 NEW CONST. owEwNo OCCUP. OR ADONS. ( a ACC. BLDs. s0 3.50FT. T. NO" NEW MULTI.t=U @7,50 POWER APPARATUS b SINGLE 0 'TL CIR. Ex. Occup. OUTLET OR FDRURES BAL @ 0 WNER-BUILDER Ex. Occup. GFULED S A LNSORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date 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 $ Occ CONST. TYPE / / -2S❑ TOTAL FEE $ ((� NAZ. D. FEES IMP FLOOD CDF PARCELPD HD ISSUE This permit is hereby issued under Cf the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid; Date to Receipt No. a % 0 96f WHITE-D.D.S.-B.D. CANAR -AS ESSOR PINK -INSPECTOR GOLDENROD•APPECANT -2h,- x --Z7� AND 1VIIE.N RECORDED MAIL TO: BUTTE, COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLI? CA 95965 COPY of Document Recorded 29 -Jun -1998 1998-0026797 Has not been compared with original Butte COUNTY RECORDER AGRICULTURAL STATEMENT Or ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included Nvithin an arca zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting Nvllich occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: s" Date:_ f �, �_ �� PIZOPERTY OWNI-RS: /=\,-- -- ` `- , /11 evuz- State of CaI �f��rni: ) CountN of �y`•iLtt ) On (y 2,q cI �5 befor Inc, personally appeared L �1� S • � L� ►` L' personalh known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to;mc..that he/shc/they executed the same in his/her/their authorizedcapacitl•(ics), and that by his/her/their signature(s) on t•li..instrument, the per or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal.`': U z RACHEL COX;:.. K l < Ccrih+.; 1:11:43719 , j ���� 1 I� � , � LL gym`- • �YJT/tF1?r'pU�:�.� CACIFORNIA�' Signature Seal: \ J Y•'s CUTtC'COUNTY "Comm. Exp:';Juno 27 2001- +- AU'. 'Ek ECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION .( NOT PLAN CHECKED ) SHALLCOMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC& M,0A )S /AMS .. _ r.;-- NOTE: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Pre. 3cribed for the Specmea ust, in the Uniform uilding,lambing & Mechrnica Codes and the ational Electrical Code. This set of pl kept on the job make any cljan written permis Works, County k, 3 and spe iScations MUBT be all times ad it is unlawful to or alte ,ions on same wits vA ! -2; n fvom d Department of Public f eli 7-1 Al ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF = FT. FROM THE SIDE AND S FT. FROM THE REAR PROPERTY LINES AND SD FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. BUTTE OUNTY h y b. ; 4PPRC Dr✓j�'F_'c .-�_./._�5 1}'�D.ti1Is ,otte Co, Mental e---k-9L. FCOP ��16 __ 178- 115(y U UT- I W:•i:yJ' J'}:r':':?:^:Y•'.i;{S:xASS:'vS}i:•rSi}yiv::• vv xi;: x4}v:.:}•: :v. �.}'::::::::::::: .................. • y: is .............,•:.�.,.::.�r•::.�,{:•....s::::,..c:r,..::...::::?•:::::.::•:3>}::.�:::::::•::::•.�}:•:•}:•>:t•:•:•J:.yJ:�:<.J:;•J:t.J}}S:?:.};:{5::::.:::u?:.:si:..:::•:::: JJ:::.�i•:::...t:•:.�•::::. .:. f3>5::::. '.f>{;}>.•,,�. •.:•.. {;:. �..}.. :.. Mobilehome Manufacturer: t' Uaz - Manufacture Year: 1 jq 8 If other than single wide, furnish Setup Model Number: [e� . h<, S o 3,9 Width: '(ft.) Length: 5!' (ft.) Tagalong or Expando Size - r y (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeX Other: SUPPORTS: Concrete block[k'] Other: Provide Tic Down Specifications for all Mobilehomes:C'FKr24 L /£RS /Y -j4- Fw-gh An ary Pier Footings Sizes and Location SINGLE NIDE MfULTI-WIDE Line 1 Line 2 Line 1 Line 2 ................................................................................................ Main Beans ' Line2..................................:.............................................. ...:............ F'% -,Line 2 Line 1 Line 3 ............................................................................. Line 2 Main Beams .......................................................... ............................... Line 2 Line 1 ............ ine.5 Tag or Triple- 1>0ine 4 ine I Line 1 Piers: Line 1 Openings Size minimum: r 1 x Size minimum: [ 12 ] x (14 ]• Spacing maximum:, 11 ach side of openings From ends-maximum:l--- with width over: 4 ` o Line 2 Piers: Size minimum: [ ] x [ ]• Spacing maximum. ` From ends -maximum: ` Linc 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: ` From ends-maximum:`41 1,Zz2'-L-1"xX'f 2VX rex I 15F --�A �jT- C N g R� �.� qua R'��'��F,�`i►'°i.V.E1�T � �� tlt�r� ��r c-rr � � �W� APP -D �- I I 15F --�A OVER H MAL -2 1. Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yeq->,' No[ ] Permit No. 5: 1 Is the'site'an existing site? Yes[ -,d� No ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? bb Amperes. 7. What is the mobilehome site circuit breaker rating? lb o Amperes. 8. What is the electrical rating of the mobilehome site? rob Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? --2-0-0 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank: 3 q inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2° (ft.). 14. What is the mobilehome gas demand? - B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 17 oi+0 .. !•�.�` �I 1 �`?.-' ! � `?` IIS--"�.��_ _-�-----=•1 �' mrLiAx- 2200 Lr) \ S600 ZA Ca99 C.0 iY� C0 7 I 9 CND O acc . . .. 4 32 n yAtiJ �j1iy T z T_ 51 T 29 T-C*32' -� `I-2 inCScces 2'' Dnniltg tl� +stss> L// �i��Ai s IP.•,(1:,•t L L - - - - - MIL � 1 J ��� MLV. L.L. tCt D.L v, . I WAX / -ce, G �'.:.l:l� ?G?."_ . fix-0+ZD—o" GADS I peyC� - i. (ts.� �„ ^ (�� to w. 11.1' �, �, /� 1800 to 2-6' 3 yp • x BoA'l - -C'- •/ 7 I 4500 IA 7£ 4 7eovio, c 8000 3 15 7 ms57ricn o pI SREp•KFCb� (tl'1 ( ! yy:s _es��: ' , ' I 8400 4 s4T wr.,al T 3400 ,G' 8- '( 330 s 4•r 32 I cn 1 '_c/.tom '� 28 T-0 32 f'-- = I� • ; 4` sS' '-j+' •lu¢atea 2- hazing O ' ? ' MIV. Lt ICs D_L v liD 3 -,4EAT TM Zr44F 04 ' J tts 1W. I 20 c� uRNGB of irCCPAI dANJrACNAEC LOADS POST: S • XDIS:IIG OOXi1AU'110ti "�j (LBS) 1040 w, 1 UPy.FE . Z SAIM, SFAtiWOS �o 1400 1A 2•-6' 32 orasrM t', r, .iv . Q .'•500 2A 7' -VI 3 T.rr sir ' t� PK7"ES: f Li/ 1 V 997 0 �f `Q 6100 S 17'61 6 1 c++ideo i; Acer-?=rwlg v3vex/ krgi R0 bcw. C /n� a24'�t6400 4 K't^I 6 N i cTnsed ,,v 17f f7CS A.V, =AOLri/�rt �" `�. J v C y.� O4400 5 70'$' $ lffsm� y��- 2SCO 6 S-6' 32 2B T.T' 32 $ W1NOOyy/DOORSCH=OULE i t�iror. GtAZ v97 nn StiF omits.-ra. Ic vwT �-{ ' trtdoter 2' be:.ing �I L[)k66,2i FiM-va, 9L s �;oU7E - li RE's.", r5� EIfC Sv�;.S� EIEL'T. i�L8CXo-;6 ;2°� c Aat $ s^'�'t Ll 4. toSJ>'tYu=aEc.FI�TVFL LAN IGHI'i1X,URE r70;F A14 SUPP Y •r "} � t�,�THERAIOSTA: CDUr:. 9EGls i= � � T : sr Gc,.i q t v0ot1aW� �w I Q etMAUr a COU.VC t o 0 S.�wu 34 s ��I'•d' ISLE AF10r: lot tra i s.tatce eF,'taoR �� SLPPORr:.•8: 4�t� %1 APPRO`,' Eli Buft .6lvironmenl ntv W��lth pato Signature D & D HOMES, INC. 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 0 c-> 0 I 10, c M' cn m m CD 0 a' En m u� v` m z 0 co rn N N .�0p v 0 N 0 8'-0' 46tO 13'-4' OPT OPT 3058 6248 3058 l4' -e' 6248 5'-3 5/8' 10'-8 3/8' 4610 MIRRUR i PT 42X36 60' T/s % FIREPLACE ,r SOH / M BAT G BATHI BEDROOM 2 4640 13'-4' ' 28 M BEDROOM LIVINGRDOM 0 44B s9a 0 28 28. 6' 36B 1440 �QO cP %� r 31 ONLY 28 --- J \ �� v/HLIU3 TIL ----------- v/�rs `. 2d a 0 OPT, oar [_____�� \35 HT i UR------- --- L49r;t� i ��` 28 4640 13'-4 MORN DINING ROOM KITCHENv 4 4a 7 RM ; y, �1 1 . (OPT DEN> :: OVERHPiiG f QQcic i V L - 4640 3680 48'-0 4640 3040 FILE 11'-6 1/2' 10'-0' 4'-8' —FLEET I2'-0'_ -�� RE DA'I$ HYD �, RESCRIPi10N LEGEND p D WOODLAND # 17 lT?,E ZRAYMW SHT. 1 CFRATION O i Wo- vu•�•a vair► {5098 1 _ � D & D HOMES, INC. 2243 FEATHER RIVER BLVD. OROVILLE, CA 95965 0 c-> 0 I 10, c M' cn m m CD 0 a' En m u� v` m z 0 co rn N N .�0p v 0 N 0 ,�"S "j;s'i� Yt,!'"*i'f.it•rl.j�""^;. ir`�fi'�+''4,Ci'"�;,�i'`��'w.w��,J'�y. �,.,•.— . ^�—..c� +i'., l 1 J � � t '4 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING, P SN7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (91538-7541 SCHEDULE OF FEES DUE , t OWNER VII OOr G_ A.P. #-a 5 3 ;2- - PROPOSED BUILDING USE M 0jA J . DATE r 1. BUILDING PERMIT FEES - -- Balance Due ................ -- Additional Fees Due ........... --'Additional Fees Due ........... 0. e 4t RECEIPT # DATE REC -- Revised Plan Checking Fee ........ $ W�'2. SCHOOL DISTRICT FEES 1 Q ) 1� (paid at District Office)- —. "' 0 3. SHERIFF FEES (paid at Building Division) ' Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION• AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior -to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT G- DATE G� d Pursuant to Government Code Section�§020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from thb-date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Govemment Code Section 66020(a). Original -Building Div. 2nd Copy -Applicant 3rd Copy -Owner (Rev. 2/97) r .�-.c�:sr:'';it6f8""ru�y+w+�p�»�yr;F+�gee�v+e�Y�`cljdi•kyr-Fi,'�7`SNRTi.?�,�,r�.�,�?%.���r3'`,.�',+t Y�;F�t`t•'i7�i�-"i �fY'i�.�'�^i'13t�.•f�'a�'�Y`��'""�'`'b�l f Y M fsfl+e ,3yN, r�•� S �> ' ' a i ' i _ r 1 z:. ►` COUNTY OF BUTTE F # . DEPARTMENT OF DEVELOPMrWT," I4rRVICES - BUILDING, DIVISION f r 7 COUNTY CENTER DRIVE, OROVILLE CA4 95965 TELEPHONE (916)538-75411 SCHEDULE OF RECEIPT OF FEES TM tn� OWNER OUr c_ A.P: ti e1 ' 3;2- l rPROPOSED BUILDING USE tT, 19r4" a✓ DATE % 3 RECEIPT # DATE REC 1. BUILDING PERMIT FEES r f -- Balance Due ................ $ -- Additional Fees Due ........... $ A -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES Ola.;' 14)c LF ?'�2.(paid at District Office)-•- J - [rte 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Commercial (sq.ft.)... Unitsx $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion 1t ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. I These feesmay be changed during the plan checking process. APPLICANT C`�=--^,�— ._-_f kATE~f�a Pursuant to Government Code Section�fi02O, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). F f Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner C�% ' : �' �: (R x/2/90 V �Y�'''1'.: .w-.�_'�..rNNs`.f1�G},+,iY"�rr'sS�i�'riY'iY'�'"'�F•fi�,��%'�+'�r.e�GKD4i`f�R�"iE�.:..+"F-�4:5'r.:,n,�;�,;i,�;�y�Wr4�.r'�Yr"�i•tM.:.�•z:.i.a•R"rssi`�«f`w��t—,�..'w.+r�...r5,,.•+...,...._ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building), School District. jou,( lie Building Department No'. A.P. Number (�� �� Jurisdiction: City E County Property Owner e DO Property Location/Address Subdivision Lot No. Residential Development No of Living Mobi a Home Addition Units Installation Commercial/Industrial s New Addition ui mg Department Repre rd tive / (Floor Plans reviewed by School Distliq Pers n l) i tri ct'liientification r *k4a School District certifies that (City) has complied with the requirements of Resolution No representing i A L.� . — School District /r square feet. Sq. Footage �3 3 (Group R) Sq. Footage (Including Exterior / iRoofed Areas) LJ . rC/ � ✓C/ Ol c� (Applica t) (Phone Number)_ (State) (Zip Code) by payment of $ J�B 2926 C ULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees in any -court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow uilding department►,Pin school district) feeform.xis (2/97)dmm i1 ItECQRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 c.: o P Y of Document Recorded 17 -Aug -1998 1998-0035020 Has not been compared with original. Butte COUNTY RECORDER ' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME NOBILEHOM E) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit descnbed hereon, upon the real property descnbed with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES J. MOORE AND MYRTLE JUNE JACKSON REAL PROPERTY OWNERAESSOR 155 MOMS LANE MA TNG ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE YIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY SPATE 78 SAME UNIT OWNER Cd oleo Property owner, write *SAME') BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MA MG ADDRESS OROVII,LE, BUTTE, CA 95965 CRY COUNTY STATE 21P 98-1158 (530) 538-7541 BUDDING PERMIT NO. TELEPHONE NUMBER 8/17/98 SIGNATURE OF LOCAL AGEN1SX9FjjCjt1C DATE NONE DEALER NAME (if not a dealer sale. write *NONE') MAILING ADDRESS DEALER LICENSE NO. em OWN" srAra m UNIT DESCRIPTION FLEETWOOD 1998 MANUFACMtER.S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER RAFLW17A/B212910E12 51'X28' 1084399/400 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 025-320-016 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - Cady Rwanda CANARY - HCD PINK - AMIkw GOLDENROD - Build'm; Dq%. LEGAL DESCRIPTION A.P. #025-320-016 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1979, IN BOOK 73 OF MAPS, AT PAGE 13. PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTH 30 FEET OF PARCELS 2 AND 3 AND OVER THE WEST 30 FEET OF PARCEL 2 OF THAT CERTAIN MAP FILED FEBRUARY 15, 1978 IN BOOK 65 OF MAPS, AT PAGE 9. PARCEL III: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTH 30 FEET OF PARCEL 2 OF THAT CERTAIN MAP FILED OCTOBER 29, 1977 BOOK 62 OF MAPS AT PAGE 92. et BUILDING PERMIT NUMBER: 98-1158 Address or location of unit: 155 MOMS LANE, OROVILLE, CA 95966 Legal Description of Real Property: A.P.#025-320-016 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JAMES J. MOORE AND MYRTLE JUNE JACKSON Owner's address: 155 MOMS LANE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: -1084399/400 . SERIAL NUMBER OR V.I.N.: RAFLWI7A/B212910E12 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1998 OFFICIAL APPROVING INSTALLATION: kzdE DATE: 8/17/98 PHONE: (530) 538-7541 H.C.D. 513C .Jl1AM Ar lttreaflJt Tfpe6 ExrOW CO. .ar No. Emow No, V10583 Lan No. WHEN RECORDED MAIL TO: Jamas 'J. Moore Myrtle•June Jackson ..6132 Main Ave. Sp..62 : Orangevaler CA 95662 MAIL TAX STATEMENTS TO: Myrtle June Jackson _..:155 Moms Lane...... !:.Oroville,CA 95966 ' 1 91-013139 f Rea Fee -7.00 I DOC Recorded : Check 71.30 78.50 Official Records I County of ; Butte f Candace J. Grubbs f Recorder f 8100av 19 -Apr -91 1 JJ 2 DOMPAENTARY TRANSM TAX S 71.50 x-- Ca Wald an the carldwaelan awtw of property ;;�CR Cartpubd on tM oonddrsetan orv*w wn rtnarbretten St ttfrr of ssla eA t�tra„r «wants 4yrrn1rtl,y da — Ilan f+.mo Commonwealth Title .& Escrow Co_ -320-016 `G RANT. DEED FOR A VALUABLE CONSIDERATION, receipt of whidt.ls hereby acknowledged ::)O?NNETH.R:'FENTON and JANICE L: FENTON r husband and wife, as to.an undivided one-half teieet-*and_10ENNET1l R. PENTON and JANICE L: PENTON, as to an undivided one-half interest herebyrGRANT(S). to`• `JAMES J. MOORE ; an unmarried man and �IffTLE JUNE JACKSONNan unmarried woman. as Joint Tenants thoperty n e City of Unincorporated Brea County of Butte , State of California, desenbed as ' April 9. 1991. osted " .• .: . L79 R.. P iTON aTATE or CAUArt elp COUfdTYOtr b%J, ANICE L. FENTON"- ver ; 120*'' halon a», tt+. �ndanlon" 8t Notey Pubtb in sad for Sala state, war - " Sorlalyeppeen . e:7�iTn . aMeMaeeeeMN orrlcu�ss�t persor,W IVIG" to foe for Woad to me on ft bash of satisfactory DAVID R. KOWSKT TMYrunuauuroW" eA%r1cel to tO aw WSWO sNtae rtente(el WW Wboalbed to the SAN JOAQUIN COWTY 101"M hstftattud end edulott4edW to me that MMwM" esetmtad NY CO ----EXP. SEPT.24 1994 ow Sema WRNEaamy en sill Iwo atpnaturs_ ITM. .rr for otfk1.1 not.,1.1 ...11 form ]ID! MAIL TAX STATEMENTS AS DIRECTED ABOVE t - t i THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1979, IN BOOK 73 OF MAPS, AT PAGE 13. AP NO. 025-320-016 PARCEL II: AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTH.30 FEET OF PARCELS -2 AND.3 AND OVER THE WEST 30.FEET OF.PARCEL 2 OF THAT CERTAIN MAP FILED FEBRUARY 15, 1978 IN BOOK 65 OF MAPS, AT PAGE 9. PARCEL III: AN EASEMENT FOR ROAD AND'PUBLIC UTILITY PURPOSES OVER THESOUTH30 FEET OF PARCEL 2 OF THAT CERTAIN MAP FILED OCTOBER.19, 1977 BOOK 62 OF MAPS, AT PAGE 92. Exec Comp STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT .; DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATF-MENT OF FACTS This unit is a: Ef Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) N6.(s) Trade Name Serial No.(s) —F\ E'5-TIOa0 0 I/We, the undersigned, hereby state: THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit; for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We•certify ander penalty of perjury that the foregoing is true and correct. Executed on (v1/Aq at Dnw� te) Signatures Address (City) Printed name(s) ('Kc— City , State HCD 476.6 (REV 9/91) PERMIT NO. 52�+5-80B f PERMIT EXPIRES �t OWNER Ken Fenton r owner CONTR. 25-23-77 ASSESSOR PARCEL LOCATION S/S Mom's Lane, app.2200'W.of Lone ' Tree Rd., Oroville . Fy t r r {t >f I Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E N Temp. Gas Service ? Called PG&E ! JOB FINALED (Date) 1 �S ,• Signatur I V = OK 0 = Not OK = NotApplicable' MOBILEHOMES = Not Ready MISCELLANEOUS °a Date MOBILEHOME UTILITIES (Plans) OK except k's 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1, Zoning Requirements—Setbacks-Easements 2, Soils; Special MH Support—Sketch _ 2, Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec. i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Electricity; MH Test—Crossovers—Breakers—Clearances 4- Elec.; Receptacles and Lighting; Distances—GFI 5, Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 4 ./ ♦V = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL )Single and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Ftings & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec, Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ Cing. Joist-IRftr. Ties- Purlin -Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45.Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) o COUNTY OF BUTTE - DJEPARJMENT OF PUBLIC WORKS PER T NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 l�`X APPLICATION AND PERMIT , v ASSESSOR PARCEL NUMBER ZONING ZS-- Z3—� T �`S ILDING PERMIT 4 GG OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION Zo co ad OWNER'S MAILING ADDRESS _ D" CONTRACTOR'S NAME TELEPHON CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation 001 LENDER'S MAILING ADDRESS �— Permit Fee $ ARCHITECT OR ENGINEER Gcvu to &— LICENSE NO. Plan Checking Fee •$ /40,49,0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ G- GQ BUILDING ADDRESS -SS w1a� z��y / !,(/ K PLUMBING PERMIT Filing Fee 3.00 119 Cie `Q Als, ed, Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP %; --/3 Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other CO&ev- J Dl -e. SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New[g Addition❑ Remodel❑ Utilities [:1 Installation❑ Other❑ Describe work:�x'¢V �—D✓ ev o �. ��C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21tsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 7N 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 CONSTR.BRANE -CU 2.50 ea NEW CONSTR. (POWERC APPARATUS &) NON . RES I D. SINGLE OUTLET CIR. Ex. Occup(ouTLETsoR FIXTURES 50@� BAL@10¢ FIXED APLN5, OR Ex. Occup.(POUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to -become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agai��ounty in consequence of the granting of this permit. X on Date f8'— /`% r, Signature of Applicant — Owner1W Contractor u Agent ❑ An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ o 0-001 OCCUP. GROUP �_� I TYPE OF CO ST. PARES, PD y H SSN This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /_)2, �O Receipt No. 4 377/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRJYE - G-�ROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. — — ! � -0 z ZONING OWNER 8z;�� />,- - csvrov PHONE NO OWNER'S ADDRESS ,Po 430QAC- LOCATION OF BUILDING V USE OF BUILDING 4 PpA 6acp SIZE OF STRUCTURE 3 �" /'� D X� Lso SQ. FT. ✓ _ TYPE OF CONSTRUCTION: I( WOOD FRAME STEEL "' CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COS OF p&S RUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �, I S FRONT �l 4 SIDES S` REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date %-- Z2 �—IC) Signature of Owner � L 1A P 7 2e. Permit Fee - $25.00 Receipt No.Sl� The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Public Works By Date FLOOD ARCEL P.D. RO.OFIN/G ISSUE V Director of Public Works By Date COUNTY OF BUTTE - DEPARTMENf.OFePUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENT"N(V OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATI-ON DATA SHEET Permit No. A. P/NO. ���' -'"�6 W, tfAIA Building Inspector " v Date R :71 f permit application, I was advised the following data must bl •, ubmitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED . All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ........ 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................... .r......... 13! School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Q e O When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date (Circle new item not checked above). Contractor, designer, owner; was advised of above required data by_phone_—inail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date_ date _ Date t t PERMIT NOr- PERMIT EXPIRES. OWNER Caro D. Richards owner CONTR. LOCATION (A.P. 25-23-65 port. =SIS Mons Lane, app.4/10 nL W.of Lone Tree Rd., Palermo is A Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED— (Date) (Signature) COUNTY OF BUTTE -- DEPARTMEX-i OF,PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING s et ck If Fikewall SdXI Piping Form Pa ets A9 Floor Mai Bldg. Restloorn Finish 2n Floor Fo 'n s Windo 3rd Noor Stem II Siding To out Slab Roof SheNhing Water Pi Piers Roofing X Sewer Garage Fdn. Vents X Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport F° Footings X Prov. forph sica y handica ed Conformance of ex. structure Appliances Gas Pipin &Test Temp. Gas Slab Final X Sanitation Patio F E ACE Final Footings Footing ECTRI L Masonry Walls Throat Rough Relnf. Steel/ Final Xct..•...e� tr. meso ff MECHANICAL X Grd. FaiAt Prot. Scralgh Heatin Servicif B n Cool g Te p. Pole F fish Du s der round In rior Lath V Illation ermanent Lor Closer anal final MOBILEHOME UTILITIES ------------------ Elec. Service -ao ,a - Elec. Pedestal Water Piping _ A o1—JeD Sewer (/-- --? — Gas Piping BI EHOME INSTALLATI N - - - - - - - - - - - - - - Support - Elec. Continuity 2222�Water Piping _ Drainage Gas Piping in 9 � DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) IMM -41 J4 H 7 ►- 111.E =�� 9., Electrical A. Is" --service large enough to provide adequate amperage to mobile'Ziome (must equal'"rating of ii� mobilehome with a minimum of' 110 amp),<and other facilities (on lot, i,e., water pumps, garage, cabana, etc.? Yes 1,- o_ B. Is there proper clearances around panels,? Yes Ll_ C. Is power supply cord or feeder assembly properly fused? Yes v No_ D. Is continuity test satisfactory as per the following procedure? Yes_ 11 No 1. De -energize electrical.wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected., 3. Switch all breakers and switches in the mobilehome to the "on" position, 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 'S.' All non-current, carrying metal parts of the mobilehome (aluminum siding, gas lire, water line),'including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure,'the-power supply cord -or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? } 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle4e-:0—a C� Length i f Width t� , Vehicle Serial No. _D.A A AS- 7 `T State Identification No, Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwit required separation from lot lines and buildings and generally conform to plot plan? Yes No 2 Does the mobilehome have required clearances above ground? (Sec.5085) Ye No D q 3. Ate footings and supports properly sized, spaced, and braced as perproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes6 No 4. Is the mobilehome level? (Sec. 5088) Yesk _ No_ 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No - 6. • Water A. Is fle . e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not Stat o C .lifornia approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No 4� B. Does it have minimum " per foot slope and is it properly supported? Yes 1� No C. Are any leaks detected in drainage system after running3-wlons-of water through each fixture including washing machine standpipe? Yes_ No__ D. If coac s not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil5e>omre gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes v No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesL' No_ COUNTY OF BI;TTE DEPARTMENT OF PUBLIC WORKS E95'Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,. or need additional explanation, please contact this office immediately. Inspector Date u v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5,, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. - Model Year " Insignia No.% Serial No It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works, Date - By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Q M COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: X34-4541 APPLICATION AND PERMIT V d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building per it expires Date BUILDING Owner C_R�� f ) �h 1)J SQ. FT. OCC. BUILDING VA ION Mai I i ng Address Telephone No. Contractor L► �� ��� V I LL nr -, /h 114 n �y Mai I ing Address r_2L�2Al Ltld�`r,Lm _AQ,U)J Fireplace Total Valuation �L) 124a, %rj'9 Li— Telephone No. 513 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee /�%.6LJi4 Ah 67 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. .� �j�� I �cfYk oning &Planning Water piping 1.50 Each gas water heater or vent 1.50 FOee I mlcdSan++etirni Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. P sRecd Parcel A roval Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ -'T,-, ELECTRICAL No. @ FEE l O PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home [a- Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER eoov 25.00 rie 100 AMP OR LESS Main service/ EA. AOD'L 100 AMP 1.00 OR ADONS. ACCNEW CONST. GS.LING Ccup. 4) 2¢Sgft ( CONTRACTORS LICENSE LAW I am licensed under. the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under Le ame Sty/le Of: Y I� U fl g / L II�ICen IN / LJ��� //(�/�{�_J i L� NEW R MULTI-OUTL T 2.50ea NON l BRANCH CIRCUITS) NEW COSTR. POWER APPARATUS e NON.VRESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) e 00 Ex. Occup. (OUTLETS IXED P(RESID )REA1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 d /lc� ��4 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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' ave placed on file with the County of Butte a certificate of 1� 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 5 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 authorize representatives of the County of Butte to enter upon the abo -men "ioned property for inspection purposes. `abate 'meq Signotu of Permitee or Agent �� Recei t No J % La Is cj--- TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid - I E T OF P BLIC WORKS ���� 1.41 Date r V d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building per it expires Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t ,g n —L RLe-"4 !tr 66d Date Signature of Permitee or Agent Receipt No. 3 tlFfZ 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. DIRECTORAF PUBLIC WORKS By Date 7 �� B ilding permit expires Date BUILDING Owner �lZD ��eNAn �s SQ. FT. OCC.. BUILDING VAL 0 Mailing Address P IO. boX 4S7 Contractor �1� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S 5 A40A45 & A-A)E 4 PP. Plan Checking Fee&/or Penalty Permit Fee 71/.d M GON& -7e6& PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �-- � P/�c/®p v Repair drainage or vent piping 1.50 �J ^� n A. P. No. lZ�— -3 — 6S %0 F— Zoning & Planning Water piping /6,00 Each gas water heater or vent 1.50 s V9"C. Ski on Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets x-59 /0. CIO EQA Parking Plans Parcel eclaration arcel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 0.00 Bldg. Plans Recd I Parcel ,0Val PIAs Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES 2r OTHER ❑ Permit Fee $ 3.00 $ 33 OC ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 ,00 B00V OR LESS Main service 100 AMP OR LSS `5.00 ,�. OO Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 a.sD Main service OVER 100 AMPeoOV OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLLING BLDGS.CCUP. Y) 20sgft 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: NEW CONSTR. MULTI.OUTLET NON.REsID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS&J NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTII-ES) g L21001 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -00 Misc. Wiring 6.25 License No. Classification WEL.L_ " P M—P /,OD 14 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ /I - 5Z) $ MECHANICAL No. @ 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. ,J 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildinq construction, and hereby Land Development Fee $S �0o TOTAL PERMIT FEE$ $' I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t ,g n —L RLe-"4 !tr 66d Date Signature of Permitee or Agent Receipt No. 3 tlFfZ 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. DIRECTORAF PUBLIC WORKS By Date 7 �� B ilding permit expires Date 19 / - ri ;f y-/ �.S - 1 3 Ncc ,.= 7 3 Utility con ections shall be within 4 ft. of th mobilehome, either directly be find or within the rear half of'the roadside (left) of the mobilehon e. Nq A permit will be required for the I . installation of the mobilehome. ScP ,miK�d Ax ho ly./. A setback of 5 ft. from the property,lines and a setback of 50it. from the road 3oacenterline shall be clear of I structures or equipment exce for a 2 ft. eave overhang. This set of "p'la''L3'all d specifications MUST )e kept on the joky aimes and it is unlawful t^ make any changalterations on samewi-h- out written perm from the Department f Public Works, County of butte. NOTE—Ah. Materials & Workmanship Shall Be in Accordance with Recognized Good Practices anci of a,quality prescribed for the Specified use in the Unifdrm Building, Plumbing & Mechanical Coclos and the National Electrical Code. 1 �BUTTE/�C�OUN�TY�--� 4G -k- EAPARTMENT Vl MOBILEHOME SUPPORT DATA " If othep than single wide,Af Mobilehome Mfr. /�� � furnish' Setup Model No. �3 aZ� Year Width -(ft.) Box Length a4b (ft.) Tagalong or Expando Size ft. x - ft. (SHOW SUPPORT DETAILS BELOW) ' On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation .manual and structural setup sheets (if not on file with the County of Butte). A11.center supports measured from .front of ; mobilehome unless otherwise specified. Footings (check one) Single I. Wood either. pressure treated or foundation grade. (ft.)(in:) (in.) ) (in. 2. Other•(specify) , Center support Cdnter suppoLt locations* footing sizes Supports (check one) (in.) y . Concrete block. 2. Other (specify) (in.) (in.) r j E ----Tagalong or Expando,' I show support details. (in.) (in.) x, -- Typical Support (in.) (in.) Footing Size ® L . Max. Pier Spacing /W 4 % x 3 Max. Overhang (ft.)l(in.) (in.) (in.) (ft.)(in.) BUTTE COUNT I BUILDING DEPARTMENI APPROVED *If center piers are. other than drawn above, - draw in locations, spacing,.and dimensions. 1. Owner's name: BUTTE COUNTY DEFARMNT'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site currently under permit? Yet / No / / • (If yes, furnish permit number ! �''" � ) OR Is the site an existing site? Yes / / No 07 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- l Amps 6., What is the.mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / / (If yes, identify the load and size: 007 (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? �— (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 1