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026-010-046
kv A.P. 26-01-46 FRED NICKELL 3/10 mi. off E/�s �G��o ne Tree Rd., h mi. N. of Pal mo Rd., Oro. Permit 631-74P,E (util.. fo .. - AP 26-01-46 NICKELL, FRED off e/s Lone Tree. d, h mi N. of Palermo Rd, Oro. Permit# 2838-74B (awning and carport/' 026-010-046 -0620 26 05 THOMPSON, DONNIE 88 HORNEY TOAD RD, OROVILLE Cont: STRANG ELEC. REP 200 AMP ELEt PANEL A IOU 1-11 r );PERMIT NO. 2838-74B P E ,. j M r; MH UTIL. PERMIT NO. f' PERMIT EXPIRES :,� owNER Fred Nickell j CONTR. i LOCATION (A.P. 26-01-46 ) r .3 mi. off e/s Lone Tree Rd., i mi. N. of Palermo R., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. alled PG&E mp. Gas Serv. Called PG&E JOB //� FINALED / (Bate) i ZS - i ignature) t Setbacky/ Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Re.inf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY'OF BUTTE — DEPARTME14T OF -PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Ti Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS PLUMBING ELECTRICAL K COUNTY OF BUTTE — DEPARTMENT OF PUBLIC KS • 7 County Center Drive + Oroville, California 9596M165 Telephone:. 534-541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date -7- $i nature o% Permitee or Agent Receipt No. ,! ,��-fR-7' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date Z— 2-2-- BAding permit expires Date ............ 77!7:. :- .- 70 BUIL I G Ownerzz Cs SQ. FT. OCC. BUILDING VALUATION Mailing Address�T , ._0' Q Telephone No. Fireplace Contractor Q W Al ep /Z_/ Total Valuation Q. d Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee OD �• Building Address O '" PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 m 2a Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W . Sa ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 45-18-9'Plans Recd I Por rovol I Plod Permit Fee $ NEW Cj�_ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 3 3' ��, 3� Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20a 3 Receps., switches & fix outlets 2 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE 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 building construction, and hereby TOTAL PERMIT FEE �1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date -7- $i nature o% Permitee or Agent Receipt No. ,! ,��-fR-7' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date Z— 2-2-- BAding permit expires Date ............ 77!7:. :- .- 70 UTILITIES FOR MOBILE -HOME r . PERMIT NUMBER - B 631-74P,.E P i r; i r E t PERMIT EXPIRES OWNER Fred Nickell TCONTR: _ Owner r LOCATION (A.P. 26-01-46 3/10 mi. off E/S Lone.Tree Rd. 2 e" mile N. of Palermo Rd. COUNTY OF BUTTE Department of Public Works BUILDING INSRECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Rein. Steel Bond Beam Gas Piping & Test Lath & Plaster Found.'Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC Temporary. _ 6 -- .4 7— :;P�,49 GAS Temporaryr�%' BUILDING Cert. of Oc p. Final Final Final A i/�— DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive — Orovi Ile, California 95965 Telp-phone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date7 Signatur of Permitee or Agents Receipt No. // / 5 � 2 roF! QO White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS ,/ By Date _3-1 1 - -2 7 ilding permit expires Date.. ........................ BUILDING Owner ' {� ! SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 7 � � t elephone No. ZA ''2`('y Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address/ ��� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 �4 4 ZTJ �� r (j Each Trap 1.50 / L) V I Repair drainage or vent piping 1.50 Water piping 1.50 ,� Q Each gas water heater or vent 1.50 A. P. No. ()-2 Z°ni ,P ' g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F6erW I Rhni�(tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Plans I Parcel proval I P!!E!:s:Appraval Permit Fee $ V $ NEW [JADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CVO Main service incl. 1 meter UCj Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20P25 Receps., switches & fix outlets 20(012-5 10 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 , Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Q Temp. Power Pole 5.00 License No. Classification Misc. wiring 19 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ Qd 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. 04 I certify that in the performance of`the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date7 Signatur of Permitee or Agents Receipt No. // / 5 � 2 roF! QO White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS ,/ By Date _3-1 1 - -2 7 ilding permit expires Date.. ........................ 1.40 The Pte• Setback shall be 5 ft. from the side property line permitting tee a maximum of a 2 ft. eave overhar• '33D � vH b/' le Septic system -e#,��et to be as per, Butte County Health Dept. Re- quirements. All utility connections shalle located within 4 ft. outside the rear third section of the mobile home .on the left (road) side of the Mobate home. BUTTF- COUNTY BUILDING DEPARTMENZ PPR -OV EE) 0 AMY TO THE MANUFACTURED I HOME, AINCLUDING EXTERIOR COVERING Y Ar DOOR AMC) WINDOW CHANGER OR DORS ANO WINDOWS. ApDIT10NP BONITO FROM CALWORNI TS FOR' REQUIRE A jON AN... ._J AMC, SHALL MEET HCD ION AND EGRESS LIGHT AND VENTILA ALL COVERED DECKS AND OPEN DECKS EXCEEDING136 SQUARE FEET IN AREA LL REQUIRE A BUILDING PERMIT Pr:.ov�'� 1sEDt — I—•a LANDINGS AT DOORS SHALL COMPLY WITH 2007 CBC SECTIONS 1 OOB.1 .5. 1009.4 & 1010-6 114 TCzErJC�4 44�� n 5 s�Prt G. •� I . NOTE _ j SITE CONDITIONS ,ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE SITE P LAN CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED SLI _... ,..._ �:...�_..._ F 4 ` . —. .EXCESSIVE SLOPES EXPANSIVE SOILS EXCESSIVE CUTS OR FILLS 1 • ALTERATIONS TO NATURAL DRAINAGE jv` OTHER UNUSUAL SOIL OR GEOGRAPHICAL DITIONS PLANNING D1VISION - BUILDING= PLAN APPROVAL Use: Date: l Parking:,_ Land n - Other. Signature: N OTE: PROPERTY OWNER IS RESPONSIBLE FOR DETERMINING LOCATIONS OF PROPERTY LINES AND EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM PROPERTY LINES AND EASEMENTS. A SURVEY MAY BE REQUIRED IF DETERMINED NECESSARY BY THE BUILDING OFFICIAL. — tl-* APPROVED PLANS AND PERMIT SHALL BE ON SITE _,.._-�,_._ ,__�,..._., __�.__,...�...��.._ ,__ ,._�__�,... _, . f��!e�• ['..._ �l,[ (/ FOR ALL INSPECTIONS - ®— © scale:�^= Sc BUILDING LAA k I Owner Name 0 /41PERMIT# ow -- Address / Phone No. 3 d' ASSESSOR'S _ 010- O7�G Site Location PARC.^E(L# vpry COL L{ CALIFORNIA CODE of i `UILDINL'' '�✓�� a�I� REGULATIONS TITLE 25 I REQUIREMENTS AS AMENDED APP Q� BY THE JURISDICTION APPLY Q !/1.7 TO THIS PROJECT I v J THE 2007 CBC, CMC, CPC, F CEO, AND 2005 CALIFORNIA I ENERGY STANDARDS AS. LS AMENDED BY THE JURISDICTION i APPLY TO THIS PROJECT. - 4.OtT - - q�8���- - FILE COPY 0/'111A A" oG100el� BUTTE COUNTY Butte County Building Division AUG 0 12008 MANUFACTURED HOME SUPPORT DATA DEVELOPMEN, SERVICES Owner's name: Eck u) Ln F, n k e S A.P.# o;? 6 - 0 1 - 0'16 Home Manufacturer: 5 kV Lt N.0 Manufacture Year: 199 Model Number'/ Name: 1 W t�x R ASinn W t W Nr6R f Width: z! -(ft.) Length:!Ll-� (ft.)� vlo, - I ZU r FOOTINGS: Wood - pressure treated or foundation grade[ ] Other. jX] SUPPORTS: Concrete block [ ] Other:[ 1 ?CRMA-NENT Fo0Nph;i ion) 51�sTtm Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Tier rooting bizes and Locations SINGLE WIDE MULTI -WIDE Line1 ------------------------------------------------------------ Line 1 Line 2 Section 1 Line 2 Line1 ��------------------------------------------------------------ Line 3 ------------------------------------------------------------ Section 2 Linen ------------------------------------------------------------ Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers: Minimum size piers: [ ] X [ ] Spacing maximum: " From ends maximum: " Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): [�`f]X[1�] Snow Load:. psf Snow Load requirements may be obtained at http://www.upstate-rca.com/bdfte/butte—county/ Insert AP #, view snow load in lower right comer. Line 1 Openings: Minimum size pier! [ ] X[ Required at each side of openings3over „wide. Ery -"0 �"�►.��n r ►7/31/2008 THU 9144 PAX 5/U8 BVTTE X1001/001 JUL-25-2006 01-:14 PM ( V lSec� �1 COUNTY P.01 AUG 0 12008 a NMI A�ago y 1 i MASTER LANG ROOM BLOROON iR. _�. No. 1 _ A000/4414 39EDROOM 98ATN3 -'CATHEDRAL 11,041 SOST.I O t Pr •EDROOM Na 7 �D 11r4l 1 . DEN IL „ill' il(- BEDROOM Na a 141.1' OPTION DEN - o►:1 18;I e 16i OPTION KITCHEN . OPTION PANTRY _ OPTION M13R BATH LINEN 1 i i a�o OPTION GUEST CLOSET L•il./t�icv�. � 4 SEP 0 5 2005 RECEIVED 39 FAC/DROC Xi2 Foundation System SEP 2008 Installation Instructions for Caljv 7M for Ground & Concrete Systems California Building Code (CBC) 2007 Wind 85 mph, Exposure C; Seismic Design Category D By Tie Down Engineering May 16, 2008 Owner: a '/ — Xi2 Ground System VISION: BP# off- /Sfl APN:024— 0);; b i Date O d�D d FILE COPY JI Engineer Approval Wr Xi2 Concrete System State Approval MOWACMUD ROMWOB113 ROMR FOUNDATION SYSTEM RULTH AND SAFETY CODE, SECTWW ISS.f1 APPROVED lO mn=9+0 CORRECTIONS NOl1HD APPROVAL DOW NOT AV MORIEB OR APPROVts Al OMISSIONS OR DEVIATION FROM REQUIREMENTS APPLICABLE STATE LAWS AND RBOULATIONS Seal. of catifMIA Drat of Roodag aad Commnky Dodo ma PhsAPDmvv _ ic (WPOM) Page 1 of 8 m 0 0 LO (3 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 Q STEEL FRAME SEE DETAIL "A 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE ABESCO ABS PAD #503 36" MAX TO BOTTOM OF PAD COACH "C" FRAME 2" CHANNEL 1/4"x1-1/4'�- TEK STS (2) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 09/16 HOLE (TYP) STAND BASE TOP VIEW a CRI". ,per b, avq *%�_vF CW TUF-1 PERMANENT FOUNDATION SYSTEM COACH "J" FRAME d M 1/4" GRIPPER 1/4"xl-1/4" PLATE TEK STS (4) REQUIRED ►p - to An 1/4" GRIPPER V BASE 1/2" A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT 8" 1/2' DIA. HOLE (8) PLACES -0 -0 + I STEEL3FRAME TOP VIEW STATE APPROVAL MANUFACTURED HOME OEELE HOME i . FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS ' Ctat� of (`glif_rrtjq DePmltm=t of Horsing and Community Development =ON OF ES AND STAN1%02 BY " • I - C0� I `5851 FLORIN—PERKINS ROAD --This Pi.ApprovwExpires I SACRAMENTO, CA 95828 J (800) 3Q_- 8831 ��j'9'FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 4 Sys�e� ,,+ jo,b S�Gc 5Z 110 138017 193A9 n011do v i n F00 AL;� lie mo a N3N11 Hivff bBW Ild'0S OCZtI 1Vy03N1V0 • 8H1VBZ WOOH03B6 fZZC/i00tl NOIldo1d0 1 - I >•:�a N00803A I woos o►all i 0i i yep AN1Ngd NOI1d0OIMVCry�)410 ! N21e4NA �nwn _ _ I 1 � I urs �0 • Oi•6 in • . MOM NO(ldo I � Q/N3N0101 FIs 1 10 N30 N011d0 ��r.�'JJ. • II'. soot l o 9nb T 0 0/ T 0 0IDI A`1Jf).q �G e•.o� C) / MOOtl0A8 1' ('11TS 100'i) WHOMM.• SN1tl8L wo0tl039C 1100/00ow o•.e� i •,��-t; /IOOt 7((W1 Fiqc3l 38 1Ctl11 0 wd 4T:.ie aaoz—SZ—inr xed 99:6 AHl 800VIC/0 �I fl SOI z z 04 r DFMLARATIOV REGARMNG ACCESS I®� iti/✓/G /✓� c,���- applicant for a ,permit from the County of Butte for the parcel, of land identified as Assessor'b Parcel No. a 6 - o / , ��o s declare that said parcel was created on by deed recorded in Bool Fl< -"".2 37 of official Records at page in the office sof the County Recorder of the County of Butte, and that I first purchased an interest in ,aid parcel on or about L�{, 3 A lg v and that at that tie I was not aware of any lade that wed cause me to suspect that said parcel may have been created without the access thereto required by law. I dewlam order penalty of perjury that the foregoing Is true and correct. Lxecuted this S dq of /�1.9-ecrsF 1 75l D 9..._�... F at G&O ® California. Signed �..�..�-..-- __ ��.� A1�11�iL' 1\ 1 .�r-HOUSINGAND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAV9451 Manufacturer ID/Name 90002 SKYLINE HM INC Trade Name WINNER Model WNR A900 DOM 11/28/1995 1 DFS 02/20/1996 RY I Exp- Date Serial Number Labellinsignia Number Weight Length Width SPC SCC Exempt Use Type 8D700504113 UL1418204 13,778 44' 12' 28 SFD LPT 8D7005041A UL1418205 14,948 44' 12' Issued Total Fees Paid Apr 11, 2003 $117.00 Addressee GENE ELDRED PIERCE 7600 KNOXVILLE RD #148 NAPA, CA 94558 Registered Owner(s) GENE ELDRED. PIERCE DORIS IRENE PIERCE ti Joint Tenants with Right of Survivorship 7600 KNOXVILLE RD #148, NAPA, CA 94558 Situs Address • . 7600 KNOXVILLE RD 148 NAPA, CA 94588 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2899648 04112003- 561 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES %) 24 HOUR INSPECTION # 0 BUILDING PERMIT (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050620 B. C. Building Permit 01-16-04 pg t LICENSED CONTRACTORS 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 Issued Date: 03/08/2005 APN: 026-010-046-000 the Business and Professions Code, and my license is in full force and effect. Llcense Class : e__10 License Number:t�7 UU 0 Site Address: 88 HORNEY TOAD RD ORO Date: Conlractori (� S'�irG Q Map Index: Description: replace 200 am elec panel p p p p 'OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: THOMPSON DONNIE D AND BESSIE L to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 88 HORNEY TOAD ROAD 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: R. B. STRANG ELECTRIC such work himself or herself or through his or her own employees, 95 ORO VIEW DR provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA. year of completion, the owner -builder will have the burden of 95965 proving that he or she did not build or improve for the purpose of 530-693-1930 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: R. B. STRANG ELECTRIC pursuant to the Contractors' State License Law.). 95 ORO VIEW DR ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA. :. 95965 Date: Owner: 530-693-1930 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 455058 ❑ I 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Valuation: $0.00 Policy#: 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 Census Code: become subject to the 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. Date: Applicant: - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the This permit is Wreby Issy d unper the a licab provisions of the Butte County Co a and/o Resolutions do work Indica d above oAe es have been paid. �s performance of the work for which this permit Is Issued (Sec 3097 Civ.) - (, G By: ate: Name: PERMIT PIRES ON: Q Address: tDale Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above ment oned property for inspection pU es. o Prihl Name: y G Signatu,a, Date: ❑' Owner Conlractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg t Asa BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name , Q—v� irsl Name Address City r� (� Ste` Zip Phone 77 L/ / Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip Address Fax State Ll_' - a— City Name State Zip 9 f 9 Phone .Z. S' Fs Fax , C�eaait 9 Lic. r v Class/v APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Name Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: APk ©"4 0 0 0 6 ooU Zoning City Flood Zone SRA I Yes I No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 5-06 Za BIN # LOCATION APk ©"4 0 0 0 6 ooU Property Address 120 City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. SMIP LENDING AGENCY Name Address Description or Scope of Work: AIEW Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA l o Receipt #: „L:; b "1 Sheriff SMIP Date: -A4 -Other Total Page 1 of 2 REV 2-24-05 k� SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑. 6. Manufactured homes. (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office. (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M,H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 88 HORNEY TOAD RD Owner: Permit No: B08-1503 APN: 026-010-046 FINKES, EDWIN Issued Date: 8/1/2008 By GLB Permit type: MISCELLANEOUS 4737 SELKIRK STREET Subtype: Demo -Fire FREMONT, CA 94538 Expiration Date: 8/1/2009 Description: DEMO PERMIT - OPHIR FIRE 0611 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: Building Garage RemdUAddn Other Porch/Patio Total FEE INFORMATION r Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 8/1/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required byCONTRACTORS E]I TO CONSTRUCTTHE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not be competed if the permit 1s or one 'rd ed dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: roI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 8/1/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 8/1/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property fo inspection purposes. I hereby certify that I am the property owne a authorized t n the operty owner's behalf. CONSTRUCTION LENDING AGENCY 8/1 /2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name Of rml ee [SIGN] Pri Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR DAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip > Al BUTTE COUNTY o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION" 00 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o J o A FEE WILL BE REQUIRED AT TIME OF APPLICATION zi Website: www.buttecounty.nettdds c�U.N�y PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last N First Name Mailing Address S RA --well b City t� DV . 11,e State Z,57 7q.. b(o ,,one .7 Fax eAw _ E-mail 'If. CONTRACTOR Name Name Address 0 K % CityEFa e Zip s Phon '�i/ State E-mail Phone Lic.# /� Class APPLICANT INFORMATION ARCHITECTIENGINEER Name city (L.cm6N Address Zipn3 �3B City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name � toS TozESA R N KES Address q S L OF city (L.cm6N State CA Zipn3 �3B Phone �10)s11 _ 7 , `i I / leo Fax E-mail +e,�, Li t n n e,+ - APPLICANT SIGNATURE RM PERMIT NO. BIN # . PROJECT LOCATION AP# 02Cb 0 - Property Address S?) Ho V . ad Rd Type Const. City Orov II WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 'DESCRIPTION OR SCOPE. OF WORK. ,,::, Olfa 00 Sq FT- Living Garage IVO Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning r Flood Zone SRA I Yes No Occ. Type Const. 2 .Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES R NO) 2. 1&VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DEMO PERMIT - OPHIR FIRE 061008 Reference Number: B08-1503 Applicant Name: Owner's Name: FINKES, EDWIN AP # : 026-010-046 �r Signature of Property Owner: Date: JOB ORDER OROVILLE-WYANDOTTE IRRIGATION DISTRICT 2310 Oro -Quincy Hwy. • P.O. Box 581 -Oroville, CA 95965 - (530) 533-4578 Nlo n a 1) ACCOUNTNA ADDRESS CITY ST ZIP It. ON • 111 1 t� t A METER LOCKED Y O N O BACKFLOW REQUIRED Y O N O (IF YES, IS INSTALLATION OF DEVICE COMPLETED) Y O N O (IF NO, DO NOT TURN ON WATER) PERSON CONTACTED IN BACKFLOW DEPT. UNITS I MATERIAL USED I EACH I TOTAL METER N0. READING MATERIAL SUBTOTAL I AGGREGATE SUBTOTAL I PLUS %I I MATERIALTOTAL CONTINUATION SHEET I I 1 2 3 4 5 6 7 8 9 10 IN DISTRICT ACREAGE NO. OF DWELLINGS SERVE W U/190MEWJ 0 --UJ 4 [6 VYES O NO l DUO �I0�-0/0 P01 IIPk4PNT 1 ICFr) LAROR ITEM HOURS RATE TOTAL NAME HOURS RATE TOTAL SUB -TOTAL PLUS OVERHEAD E UIPMENTTOTAL LABORTOTAL hereby authorize the District to proceed with the herein lescribed work, and for this purpose please acknowledge of my deposit in the amount of: ff // •eceipt °o/(D 13- l!/ ���� OK (0% $ m h o o . uC Ck# 0 )ate 1 TOTALS SYSTEM CAPACITY CI IG. ANNEXATION FLIES NEW ACCOUNT FEE MATERIALS EQUIPMENT LABOR .--. 3ignatur date Completed gewAccount Form MISC. SEPo5 2008 SUBTOTAL IREC DEPOSIT(- ) TNT Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net ADMINISTRATION * BUILDING * PLANNING REQUEST FOR COPIES Please furnish me with copies of the building file documents I have indicated for the assessor's parcel number(s) and address(s) I have listed below. I understand there will be a copy fee of $.25 for the first page and $.06 for each additional page thereafter payable at the time the copies are picked up. I further understand that Butte County has up to 10 days to respond to this request based on the Public Records Act. l Assessor's Parcel Number Address o A d Name of document(s) requested Pex Ivy It U) q s-,�T(o Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number. Name of document(s) requested Assessor's Parcel Number Name of document(s) requested _ Assessor's Parcel Number Name of document(s) requested Address Address _ Address _ Address Please Note: Copies of building plans are not covered by the Public Records Act but instead are under California Health and Safety Code Section 19851-19853 and renuire written authorization from the property owner and the Registered Design Professional before being duplicated and a separate fee of $127.00 is required. C4inaturePrinted Name Date Ic"ciAWEdxiYinyy�cJ, kA CO Contact Phone Number/Email Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3-1-1OJ:\2010 Handouts and Policies for approvahApproved Handouts and Website forms\Request For Copies 3 3 10.doc Mail Address MOBILEHOME BUILDING RECORD 77%'/D Z_o he Tree Aitlf. PARCEL N0. ��� / - 4, SITUS f / � MODEL C.L. 1 rCr"lk��i.r� MANUF. EXTERIOR Alum. Panels Masonite Panels Alum. Shiplap Siding Decorative Stone Other Exp. Fasteners TYPE � Single Wide � Expando ® Double Wide O Tog 0 Triple Wide 0 Other ROOF STYLE Arched Flat L 'Gable Cut Up Pit.h:,,C/M H O'Hang_ Ft. QUALITY YEAR CLASS BUILT �, / SKIRTING Alum. Panels Alum. Shiplap Masonite Fiberglass Brick or Stone Other ROOMS Descrip- tion Entry Living Dining Family Great Rm. Den FLOOR N0. OF MAT'L PLB. DESCRIPTION No. FIXT'S , �x SC'� i'i I C '- t'S KITCHEN FEATURES Cabinets i 2U L. F. Counters (�j 2-,D L. F. Remarks Garb. Dis . Dishwasher Hood -Fan Ronge•Oven Compactor Microwave SPECIAL INTERIOR FEATURES Bar -Wet Dry Hutch Book Case Fireplace Cath. CeilingExtra Bath WINDOWS ROOF COVER HEATING Minimum Go Iv. Iron Enameled Steel Asphalt Shgl. Compo. Gravel, Rock Other Forced Air Downflow Upflow Wall or Floor Other Set-up for A/C Bedroom Dress Rm. Both Bath 0,PT I r �i SPECIAL EXTERIOR FEATURES Window Awnings Shutters Shake Roof MOBILE HOME RATING (E.G.A.F.P.) tact Size f, Picture a- Bay Slid Doors Lin. Ft. INSULATION FOUNDATION COOLING_ ition Appearance Conform Location (✓ Floor R• Parmanont Piers Tie Downs# Refrig. H.P.' Heat Pump Thru Wall Evap. Cool Kitchen Bonus Rm. Utility TOU LS ±±� PARK RATING (E.G.A.F.P.) Overall General Recreation Overall Location Appearance Facilities Quality 1, /Walls R. V 't -Ceiling R. DESIGN YEAR TYPE CLASS EFF. DEPR. SQ. FEET YR. TABLE MAIN IMP. R.C.N. R.C.N.^ MAIN IMP. TOTAL " AODLDEPR. GOOD R.C. L.N.D. pe Good R.C. L.D.'' CO. APPRAISER DATE REVIEWED DATE CK. l�/ tJl✓ �,. Mir) D 2_ ZDO ° 2- 19 61__ 19 19 19 UNIT UNITUNIT AREA COST COST REA COST COST UNIT AREA COST COST AREA UNIT COST UNIT COST AREA COST COST. Mobile Home ? 'A Air Conditioning Evap. Cooler -06 Cr Dishwasher Bar P0 Skirting Other TOTAL R.C.N. MAIN Carport/Porch Roof 71-2 Porch Storage Shed SUB -TOTAL R.G.N. Deduci (Singlewidcs) H `TOTAL R. , .RF.AGn AH 53(LF FRnNT A.A.An uIAGK 6.6.90 MISCELLANEOUS STRUCTURES Structure Found. Floor Exterior Roof Interior l' 1 AREA COMPUTATIONS Main Areas Other Areas 144-0 Data Appraiser MISCELLANEOUS INFORMATION t, 7� :7 r 2---!?,fh IV e" MARKET DATA Date Appraiser Remarks PERMIT DATA OWNER'S BUILDER'S NAME NAME Permit No. Date Amount Improvement . r ♦ : : ` : . . • . . . . • . . . • . . . . . . . . • • • ♦ r ♦ i ► ••:_J '• ' • • . . . . . . . . • . . . • . • . . . . . . . . • + v • • • • • • • • • • • 1 14 1- v ♦ � . . . . . • . . . *.,.! : ;,; ' .: +, . . . . . . . �Mi"j"'" • . . . . . • . . . . . . . . . . . . . . . . . . . . . r ., { . . I i a.♦-+ • J • . r • 1 •I}[. ' ♦ , . .• . . . . . . . . . • "k'.•,4 • r . . • ' .{�.✓ r... . . . . . . . . . . . . • ". i . + , �.. • •. • 1 ( r L + i 1 i • • • • • • 2 . . . . . . . . . ' 4 • ',k. . " ` '•. —...••�.'•�' .--. .—r.. y1. • -.• f r • �,� Y r l.♦ . • 1 -rr • • . • c . . . . . . . . . . . . " • •, 3 • ♦ ♦" i t •. • • • Y .� • • . uIAGK 6.6.90 MISCELLANEOUS STRUCTURES Structure Found. Floor Exterior Roof Interior l' 1 AREA COMPUTATIONS Main Areas Other Areas 144-0 Data Appraiser MISCELLANEOUS INFORMATION t, 7� :7 r 2---!?,fh IV e" MARKET DATA Date Appraiser Remarks PERMIT DATA OWNER'S BUILDER'S NAME NAME Permit No. Date Amount Improvement MISCELLANEOUS BUIL : DING RECORD PARCEL SHEET -!7 OF j SHEET,' A &WES S— DESCRIPrIoN OF BUILDINGS Rldg. Structure Size . Found. Wall & Exterior Roof Floor 8 Interior Detail Second Story or Loft Year Built Est.To t. Life Yrs Type Cover Unit Co Cost Good R. C. N. Unit Cost Cost Good R. C. N L. N. D. Unit Cost Cos f I q7Y R. C. N. L. N. D. Unit Cost Cost Good.% R. 0. N. L. N. D. rn 1500. 4 A)I,,V 4 Q e24� n /wood 540 (0 C 15,or-A v Wet) of 7q-7< 7T X00 4,00 q1 base-, 900 3600 -1.5,00 ;,:;�w go, aji 'j� wo (10 COMPUTATION Approiser-Dote. 19 7 -.2 , 2 2�w 19 ;;p 24- 19 8tdg. A 0�. Area Unit Co Cost Good R. C. N. Unit Cost Cost Good R. C. N L. N. D. Unit Cost Cos f Good R. C. N. L. N. D. Unit Cost Cost Good.% R. 0. N. L. N. D. rn 1500. e24� 414�112-10— 540 410 15,or-A v 1-40 X00 4,00 q1 base-, 900 3600 -1.5,00 ;,:;�w go, aji 'j� wo (10 Z AA) Total C9 ,T Appraiser- Date MAR /9 N. 19 19 0 111d IVI!- Area Un;? Un It Cost % L. A/. Unit Q2.0 R. C. N. Unit Cost' R.C. N. L/ 0 Total 1011mo -- J7! -1 1 I.W 0-I1r BUTTE C.6UNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 Office: (530) 538-7541, Fax: (530) 538-2140 Website for Online Permits/Renewal�Payments: www.buttecountV.net/dds Permit No: B08-1504 Issued: 9/12/2008 Address: 88 HORNEY TOAD RD Area: PALERMO Owner: FINKES, EDWIN t Applicant: FINKES, EDWIN Permit Type: SFD-Mobile Home PFS APN: 026-010-046 Description: NEW MH PERM FND EX SITE - FIRE AREA. I Flood Zone: None SRA Area: No SETBACKS for Zonine. AG. SRA. PW Front: Ultimate R/W from CL: 30 Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+30 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas ----- __ _—_ Maso 404 Maso r . J OFFICE COPY Under - , AA es '~ Pool Elec/Bonding/Light Nitch Unde ' Pool Fencing/Alarms/Barriers Shear - Pre -Plaster Unde GAS Meter By Da 1 W Unde • 'ELECTRI Gas Por Meter By p, _ Do N;, ° -:. Signed Holdu't' ` iedo undation System ~Site Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 i Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Bloc nderpining 612 iedo undation System ~Site 611 tilities/Trench Insp. 137 / Gas Test Yard 404 Manometer Test 605 ' Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: �( Date of Manufacture: Model Name/Number: ,,�f Serial Numbers: • Q —g -- Length x Width: x Insignia: Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 rojectna is a erh nate ot Uccupancy fortReMentia y PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 88 HORNEY TOAD RD Owner: Permit NO: B08-1504 APN: 026-010-046 FINKES, EDWIN Issued Date: 9/12/2008 By GLB Permit type: RESIDENTIAL 75 RIDGEWELL COURT Subtype: SFD-Mobile Home PFS OROVILLE, CA 95966 Expiration Date: 9/12/2009 Description: NEW MH PERM FND EX SITE - FI: (530) 533-7908 Occupancy: R-3 Zoning: ARMH Contractor Applicant: Square Footage: RICHEY CONSTRUCTION FINKES, EDWIN Building Garage Remdl/Addn P O BOX 17 75 RIDGEWELL COURT 1,056 ARTOIS, CA 95913 OROVILLE, CA 95966 Other Porch/Patio Total (530)624-8028 (530)533-7908 1,056 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBSMIP Residential $6.86 Total Charged: $902.66 Fees Paid: $902.66 Balance Due: $0.00 Receipt No: B8569 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RICHEY CONSTRUCTION 768606 / / 9/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 9/12/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LLLLLLJJ, COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not be competed if the permit is or one hundreddollars ($100) or es -s.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 9/12/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. Owner's Signature Date 9/12/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with , DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. rty for inspection purposes. I hereby certify that I am the Countyyteterthe above mentione4.jetlhei properer or am authoriz d to pro arty owners behalf. 9/12/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nanid of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 0 Owner 1:1 Contractor OR; E]Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State 7Zip71 BUTTE COUNTY o�UTT�0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION" o_ o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o .Pei_; =o� ± o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds c�UNPLEASE PRINT CLEARLY "When filed this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTOR OWNER INFORMATION Last Na City First Name Mailing Address - A5_A ll t&( city D Dv / State Zip�Eq b�v Phone( 7 d Fax e� L L E-mail / w eS 62 CZ • l%e! CONTRACTOR Name c� Address 14D OX f 7 City State Zip S Phone 611 2TV Fax E-mail Lic.# /�. gloD�O Class APPLICANT INFORMATION ARCHITECTIENG/NEER Name Address .q7 3 Address City F2EPA 6N T City Zi,�L(536 State Zip Phone a*- n e -+- Fax E-mail State License Number APPLICANT INFORMATION Name �- oO S f OZEYA F N ES Address .q7 3 IL City F2EPA 6N T State CA Zi,�L(536 Phone SIO)Sq '1,1 / : Fax E-mail +eXY t n Ke a*- n e -+- lei APPLICANT SIGNATURE WN PROJECT LOCATION AP# 02(D -C)[0 Property Address S?) r T City VI oVik-, CA PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. 1NsT,AzLeN t- AlAtfVFAC7_0/Z t✓ v 'UdZ2- Sol FT- Living Garage r/Q Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupanc (Note previous use): For office use only: Zoning JAk. Flood Zone SRA I Yes No Occ. Type Const. �� i� �a5 (hba �z� �I3e X09 �� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-1504 Date: 8/1/2008 Location: 88 HORNEY TOAD RD By: GLB Parcel Number: 026-010-046 Sub Type: SFD-Mobile Home PI Owner Name: FINKES, EDWIN Phone: (530) 533-7908 Description: NEW MH PERM FND EX SITE - OPHIR FIRE 061008 ❑ ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 E] E] City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ Cl Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ 1-1 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: s.5n yre E] E] Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: Date: 8/1/2008 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ E:] Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 B❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: s.5n yre E] E] Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: Date: 8/1/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1504 Location: 88 HORNEY TOAD RD Parcel Number: Owner Name: 026-010-046 FINKES, EDWIN Description: NEW MH PERM FND EX SITE - OPHIR FIRE 061008 Date: 8/1/2008 Phone: (530) 533-7908 Signature of Applicant: t4_1 Date: 8/1/2008 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1504 Date: 8/1/2008 Location: 88 HORNEY TOAD RD By: GLB Parcel Number: 026-010-046 Sub Type: SFD-Mobile Home PI Owner Name: FINKES, EDWIN Phone: (530) 533-7908 Applicant: FINKES, EDWIN Phone: (530) 533-7908 Description: NEW MH PERM FND EX SITE - OPHIR FIRE 061008 Butte County requires a pre -construction inspection to pro -actively provide the fire departments requirements to the property owner. Your property is located within the Local Responsibility Area (LRA) of Butte County. All development within the LRA is required to meet the below requirements: California Fire Code (Residential fire flows/fire sprinklers, LPG tank protection) Requirements prior to scheduling the pre -inspection: Full plan submittal to Butte County Development Services -Building Division Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226. For the pre -inspection, the property owner or authorized agent (contractor) is required to meet the inspector at the construction site. I have read and understand the above pre -inspection requirements. 8/1/2008 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firel)revention/protplan/prott)lan.htmi Rev'd 3/3/08 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-1504 Date: 8/1/2008 Location: 88 HORNEY TOAD RD By: GLB Parcel Number: 026-010-046 Sub Type: SFD-Mobile Home PI Owner Name: FINKES, EDWIN Phone: (530) 533-7908 Description: NEW MH PERM FND EX SITE - OPHIR FIRE 061008 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title:/ FILE Date: 8/1/2008 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-1504 Job Address: 88 HORNEY TOAD RD Contractor: RICHEY CONSTRUCTION P O BOX 17 ARTOIS, CA 95913 Printed: 8/1/2008 11:53 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-10101 $78.90 8/112008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-10101 $107.00 8/1/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-10101 $361.74 DBF MH Plan Check 0010-440001-4210501-10101 $241.16 8/1/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $6.86 Printed By: Gwyn Benedict 795.66 $427.06 Balance Due: $368.60 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 8/1/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). PERMIT CHECKLIST FOR BUTTE FIRE STORM 2008 Kermit Fee Waiver/Reduction Application Form (this form must be reviewed by Supervisor) completed or attached to Damage Assessment Case �pleted Application �11ocuments required for submittal ��lans reviewed by Plan Checker For fee waivers — checked size and use of structure to building and assessor's more info screens on Damage Assessment Case for the parcel /Add review for EH Haz-Mat write `Butte Fire Storm 2008' in "Notes" -- hange return date on all reviews for 10 days from application date rv-v- ❑ Application given to Supervisor Reviewed by: Date: CADocuments and Settings\amefford\My Documents\Trak It\Permit Procedures for Trakit\PERMIT CHECKLIST FIRE STORM 2008.doc BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Oroville Union High School District Building Permit Number: B08-1504 060� Tax Rate Area No: Opt' Assessor's Parcel Number (s): 026-010-046 Jurisdiction: County Property Owner (s): FINKES, EDWIN Project Location/Address: 88 HORNEY TOAD RD PALERMO Type of Development Residential Development: 0 Yes No No Sq. Footage: 1,056 No of Living Mobile Home Addition/ "Supplemental to Cr. Demo -existing 1440 Units Installation Conversion Permit # *(No Foundation Inspection) sq, ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed copv of Deed Restriction and Notice of Limited Use Facilitv Document Commercial/Industrial: =New = Addition Sq. Footage: Project Description: NEW MH PERM FND EX SITE - FIRE (Including ExteriorRoofed eas 0 2 c 9/11/2008 Building pa nt Representative Date (� 6 District Indentification No. pp�� €,,¢ n 0 fi 7 C) School District certifies thatyi(1L� (Payor) s 0,,N 'a� (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. C� by payment of $ �— representing D Ej� square feet. AB 2926 $ FULL MITIGATION $ �..� Os School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Fee Certification Form, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS–School Fee Form rev'd 3.10.08 I CERTIFICATE OF EXISTING SQUARE FOOTAGE FAssessor's nion High School District Building Permit Number: B08-1504 arcel Number (s): 026-010-046 Project Location/Address: 88 HORNEY TOAD RD PALERMO Existing Sq Ftg: 1440 MH Replacement: Yes Existing Construction Type: NEW MH PERM FND EX SITE - FIRE Demo Permit Issued?: Yes Demo Permit Issued Date: 8/1/2008 Verified by: Building R Comments:June Lightning Fire mobile home replacement 9/11/2008 Buil De ent Representative Date