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HomeMy WebLinkAbout026-020-040James U. ... �' Jones 26-92- 10 026-020-040x. •�; ' '• PERMIT#76--,5AG �• G . / incoln B vd, , Qrovi le : ,COUNCILMAN, ' ;Carlton &� Pe P�iii ��367-77P,E(util. ,MH) ggY • - - '6619:Lincoi" •Blvd.,,'Oroville. ELEC . .. . • s Ag Exempt,,Permit-Stg rHay.,Tract`or'..& -Equi GAS - lk«- p SUPPORT STRUCTURE REQ, t ; *'" •;' ODMPACTION TEST REQ, t 026-020-040 PERMIT#94-3'200 COUNCILMAN, CARLTON_& PEGGY 6619. LINCOLN BLVD. , OROVILLE r( --,V `MOBILEHOME ON PERM FND /a/ 9Y 026-020-040 PERMIT#94-3201 COUNCILMAN, CARLTON & PEGGY 6619'LINCOLN BLVD., OROVILLE AWNING &DECK/MSI 1 I .. Tc �i "7 R9CORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION 7 COUNTY CENTER DRIVE STREET OROVILLE CA 95965 ADDRESS CITY, STATE and ZIP 95-0205071 Rec Fee .00 I Total ',� .00 Recorded I `' Official Records I' Count't of I I Butte I Candace J. Grubbs I Recorder I 2:25pm 20 -Jun -95 I COMS XX 2 MACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) 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 described hereon, upon the real property described 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. CARLTON R. AND PEGGY B COUNCILMAN REAL PROPERTY OWNER/LESSOR 6664 LINCOLN BLVD MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP 6619 LINCOLN BLVD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 9 -3200(916) 538-7541 8 LD1 O. TELEPHONE NUMBER 6/15/95 SIGNA UE OF LOCAL AGENCY OFFICIAL DATE NON DEALER NAME (if riot a dealer sale, write "NONE'l DEALER LICENSE NO. FARWEST HM N CALIF 4/3/89 FARWEST 6001 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 4311A/43AAB 60'X26' RAD 487393/487394 SERIAL NUMBER(S) LENGTH X WIDTH REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. INSIGNIA/LABEL NUMBER(S) A.P. #026-020-040 �MENT OF yo, sy HCD FORM 433(A) Rev. 8/91 CIO",a �'yUNIN OEV��O WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. ORDER NO. BU -145130-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: BEING A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF THE ADVENTIST TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1924, IN BOOK 9 OF MAPS, AT PAGE(S) 34, DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY BOUNDARY LINE OF THE OROVILLE AND PALERMO HIGHWAY, SAID POINT BEING NORTH 28 DEG. 32' EAST, 100 FEET FROM THE SOUTHWEST CORNER OF SAID LOT 15; THENCE SOUTH 79 DEG. 53' EAST, A DISTANCE OF 458.62 FEET TO THE SOUTHEAST CORNER OF SAID LOT 15; THENCE ALONG THE EASTERLY BOUNDARY LINE OF SAID LOT 15 THE FOLLOWING COURSES AND DISTANCES: NORTH 19 DEG. 30' WEST, 77.70 FEET; THENCE NORTH 17 DEG. 00' WEST, 72.30 FEET; THENCE LEAVING THE EASTERLY BOUNDARY OF SAID LOT 15 AND RUNNING WESTERLY TO A POINT ON THE WEST BOUNDARY LINE OF SAID LOT 15 THAT BEARS NORTH 28 DEG. 32' WEST, 150.0 FEET FROM THE POINT OF BEGINNING; THENCE SOUTH 28 DEG. 32' EAST ALONG THE WESTERLY BOUNDARY OF SAID LOT 15, 150.0 FEET TO THE POINT OF BEGINNING. .f ORDER NO. BU -145130-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: BEING A PORTION OF LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF THE ADVENTIST TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1924, IN BOOK 9 OF MAPS, AT PAGE(S) 34, DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE EASTERLY BOUNDARY LINE OF THE OROVILLE AND PALERMO HIGHWAY, SAID POINT BEING NORTH 28 DEG. 32' EAST, 100 FEET FROM THE SOUTHWEST CORNER OF SAID LOT 15; THENCE SOUTH 79 DEG. 53' EAST, A DISTANCE OF 458.62 FEET TO THE SOUTHEAST CORNER OF SAID LOT 15; THENCE ALONG THE EASTERLY BOUNDARY LINE OF SAID LOT 15 THE FOLLOWING COURSES AND DISTANCES: NORTH 19 DEG. 30' WEST, 77.70 FEET; THENCE NORTH 17 DEG. 00' WEST, 72.30 FEET; THENCE LEAVING THE EASTERLY BOUNDARY OF SAID LOT 15 AND RUNNING WESTERLY TO A POINT ON THE WEST BOUNDARY LINE OF SAID LOT 15 THAT BEARS NORTH 28 DEG. 32' WEST, 150.0 FEET FROM THE POINT OF BEGINNING; THENCE SOUTH 28 DEG. 32' EAST ALONG THE WESTERLY BOUNDARY OF SAID LOT 15, 150.0 FEET TO THE POINT OF BEGINNING. BUILDING PERMIT NUMBER: 94-3200 Address or location of unit: 6619 LINCOLN BLVD . , OROVILLE Legal Description of Real Property: A.P. #026-020-040 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: CARLTON R. AND PEGGY B. COUNCILMAN Owner's address: 6664 LINCOLN BLVD., OROVILLE CA 95966 INSIGNIA OF HUD NUMBER: SERIAL NUMBER OR V.I.N. RAD 487393/487394 4311A/4311B MANUFACTURER'S NAME: FARWEST aYEAR 1989 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (916) 538-7541 H.C.D. 513C STATE OF CALIFORNIA -DEPARTMENT OF :HOUSING AND COMMUNITY DEVELOPMENT nu ..—ft YneTO runmc DECAL NO. I AI 5375 I.LViJ MANUFACTURER NAME/ID FAR WEST HM N CALIF/09945 I lin I ivy♦ v TRADE NAME AR NEST .r yr. r r MODEL 6001 DOM DOT 4/03/89 04/03/89 DFS 04/07/89 SPC EXPIRATION U SERIAL NUMBER LABEL/INSIGNIA NUMBER RAD487393 WEIGHT 022400 LENGTH 000720 WIDTH D00144 ISSUED 04/25/89 I SCC 04 EXEMPT USE t5' FD PT 14311A R 43118 RAD487394 019725 000720 000144 2 E TOTAL 3 S i � FEES a PAID: 5 $40.00 6 R COUNCILMAN CARLTON R/ �^ate a A COUNCILMAN CARLTON R/ o PEGGY B COMPRO 0 8448 AURA AVE R NORTHRIDGE CA 91324 E S i � c R COUNCILMAN CARLTON R/ �^ate a aY E PEGGY B COMPRO f " G M I A 6660 LINCOLN BL T L �. s.. E OROVILLE '' CA ,95966 E 0 o s 6660 LINCOLN BL w I N T E U OROVILLE R s L E G A L O w N E' R J U F N I I R 0 S R T CA 95966 L I E N S H E O C L 0 0 N E 0 R IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE EPA I OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CU .i TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTM EN A`IERIC Mid Valley Title and Escrow Company STATE OF New York }ss. COUNTY OF Westchester } On November 9, 1994 , before me, Dawn -T. Baudendistel , personally appeared Dominick LaForgia_____________________________________________ , personally-knowri-te-ffle (er-proved to me on the basis of satisfactory evidence) to be the person(a) whose name(a) is/am subscribed to the within instrument and acknowledged to me that he/shefttmy executed the same in his/hecAh& authorized capacity(*, and that by hishlawAtteir signature(sr).on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature DAWN T. BAUDENDISTEL Notary Public. State of New Yat No. 01BA5031216 qualified In Putres Augur County 1 ry / Commission ExpirgA August 1, j$j�p (This area for official notarial seal) Title of Document GRANT DEED Date of DocumentOCTOBER 2 7, 1 9 9 4 No. of Pages Other signatures not acknowledged Oroville Chico Paradise n Mid Valley Title and Escrow Company STATE OF FLORIDA }ss. COUNTY OF BROWARn } On November 22, 1994 , before me, Don personally appeared Frank J. LaForgia x U personally 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 me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signaturek'\ '\ U- L; V Lt'Q: i 1120 l ' <0'y r'rry DON E. CLINE oinry Public, State of Florida j Connu%siom No. CC 303404 > Or n. t "' my Commission Expires 8/30/9! r �( (( Ii.mrh•A fhrnnvu Fla Mo�ar�• Srr•rcr �i fkvulme fn. (This area for official notarial seal) Title of Document GRANT DEED Date of Document OCTOBER 2 7, 1 9 9 4 No. of Pages Other signatures not acknowledged Oroville Chico Paradise _ .�. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-754' AGRICULTURAL BUILDING EXEMPTION PERMIT,,---' Agricultural building is defined as follows: Agricultural building is a structure de ' ned and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. Thi 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. ASSESSER ARCEL Q.ZONING ) OWNERn �t r t©n a' Pe u n Ci �r a PHONE NO. ^ s _ 6 /v OWNER'S A DR SS lVdocv; 0 ')3-9 ;nco , LOCATIO"F BUILDING USE BUILDING 210020!2(2 �" V r0cf © WI L! SIZE OF STRUC RE .} x ' = LOLL(—SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER(Specify) TYPE OF SIDING l�t�o ROOF CQ VERING LI -0 M FLOOR TYPE C.c- W) e- ESTIMATED COST OF CONSTRUCTION $ IV0k, �) AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 _ — �S !PWL' z0 I a0 I FRONT SIDES 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contakT14 Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirem s in effe at at time and before occupancy. Date 2' ?� 9 Signature of Owner Permit Fee - $60.0 . The above described AG Building is exempt from a building permit. Receipt No. , 909, / n FLOO PA7L P�J Roo G ISSUF,/ Manager Building Division By Date 2 z l/9-6 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �611 in _ n � � eou rI C_ ✓1 A. P. No. Od 6 r Qwb d 110 Proposed Building Use Building Inspector (9V Date r Attime of p mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: _1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds -can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant d-.: r .-.vn_--• vw w...Y�.^+•'.+n.-n-i-,rti`'^�r� .-.. ..rS..,r.^�^..ri:r...�+.,, ��'S�"Ff^c-w�.jL'1'7�yf�'Lr%�'F'�k"✓�w���+r`--�+r�^'w.�...r �"r.-�k�...._ d a °'iW COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 4 a PERMIT APPLICATION DATASHEET OWNERC& r on �- 141 eburiC"/10 �fA�. P. No. '�' Proposed Building Use Building Inspector' C� Date 9 At time of etmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .......... :. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .... - ...... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). Preanspedion request 20. Pre -inspection for required. . to Building Inspector (Date), 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ...... ......... .I. . . . . . . . . . . . . . . . . . . . . . 28. Mobilehome utility clearance . .......................................... ' 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold fo pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:. (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _ mail Counter by,' Date a , r Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date ,7PIans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works N r<....� Don (916) 534.9587 'upv6•ow•i-vassocines, P.O. 80X.986 — OROVILLE, CA 95965 100 GOLD DREDGER DRIVE October 31, 1994 Job #94-136 r Butte County Dept. of Public Works Building Dept. I I 7 County Center Dr. Oroville, CA 95965' re: A.P. #26-02-40 2r We have reviewed the subject property as described above. By scaling the.property location as shown on the Assessors parcel map and recorded maps, and then checking the F.E.M.A., FIRM map Community Panel #060017 0480B, effective date 9-29- 89, we find the property is not in the flood plain as shown on said F.E.M.A. map. For informational purposes we can bench levels to the property. The average ground elevation 180.28. We derived the information from the County Bench Mark B.M. 1229 brass disk in the Northeast corner of the bridge over Wyman Ravine on Lincoln Boulevard, elevation 175.24. Si rely, . Ronald L. Graves, P.L.S. Ron Graves and Associates RLG: dks SURVEYING SOIL TESTING . ENGINEERING v Plot Pim Attached Flow rIRn Attached smt to a.n. I - TO:'-' ' Building Department �--- FROM: Environmental Health SUBJECT: Sanitation Clearance �/42�f o01! (Xla�ci`Ic.1Aa% lo�� k,NCo,-AJ- Owner / Location 01& - Plan Approvedf r: Sewage Disposal '/ Water Supply: Public Clearance for bedroo mobile h6WOther --V — ©eV6 AP# Private Well Final clearance O.K. for: Health Svecfali 8/92 - Date i p i<OV ED, Sum Cour s&Ial finvc, 0 %,. i -�'• G G (V D 13'-4" 1 10'-8' I �-v ♦ ♦ 1�1MASTER BEDROOM V " LK4N•IDROBEULTEDILINGdig -- St GLASS O Y 10, . 6" 6' - 0"--}-- BEDROOM VAULTED CEILING ST GLASS IN S E 4t,V _GA PORCH APPRO ED —12' -11" —17' - 7" 9' -4" Envf Sn#men I nHealth 6 O' Opp re For West Homes '2 ' BB MODEL #6001 OFMOKMEANC411FORNIA 2 BD. MR.RM 26460 na.cm,Gu-dna. btil AUTHORIZED DEALER RESIDENTIAL 026-020-040 -PERMIT#94-3201 COUNCILMAN, CARLTON & PEGGY i 6619 LINCOLN $LVD., OROVILLE i AWNING & DEC MH N G( JOB FINALED (Date) ! _ Signature J=OK O = Not OK -=Not Applicable = Not Ready ,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 -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" 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 Test -Demand -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/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE S405, COVE S-, CARPORTS, GARAGES, Plans OK except #'s 1. Zo equirements-Setbacks-Easements Fo ings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. W�o�o�d Awn.; Posts-Beams-Rftrs.-Connectors -Rfg.-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Dat rd B-1 14Qa .s rd B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth ----- 47. Fireplace Ties or Type AFlue-Firep lace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel - 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16 Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection -------- ------ -------------------------------- 1& D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------- --------------------- -- Shower Pan: Test. First Floor -Tub Access -------------------- ------- 2C. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------ --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- -------------------- -------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors --------- -------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------- ------------------------- ------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---- -------------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------- ---------------------------------------�-- ---------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------- -------------------------- ---- 29. Range Circ ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral O Yes 0 No ------------------------------ ----------- - - --- - - - ------------- 30. Service -Riser Conductors & Ground -Main Disconnect - - ------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- - ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- -- ------ --- ------- ------- 33. Smoke Detector ------------------------- ----- -------------------------------------------- --- -- Date Card B-1 Date Card B-1 -------------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support ------------------------------------------------------- 35. Vent F - an. Exhaust above insulation ------------------------------------------- - ---------------- 36. Condensate Drain & Overflow: Size & Grade - - ------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------- ------------- --- ------ --- - ---- - - - - - -- - -- - ------------------------------------- Date ---------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - -- - - ----------------------------------------- -------- 40. ----------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- ------------------------------------------------------- 41. Bearing over Girders & Floor Nailing --------------- ----------Wall-s------------------------------------------------------ 42. Draft Stop in Walls (rat proof) --- -------- ---------- --------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ Headers & Beam -Size & Bearing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ----------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ 55._Siding-Nailing Veneer -------------56.-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailino-Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------- Date Card B-1 Date Card B-1 -------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. ----------------62. Smoke Detector ------------------------- -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------- 64. Bedroom Exi ------------------------- 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- ------------- 67. Stairs & Rails -------------------------------------- -- 68. Fireplace or Stove: Clearances -Hearth -------------- --------- - 6J. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------- --------------------------------- -- - 72. Garage Fire Door Swing -Landing -Closer - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection -------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------- 7;. Insulation -Foam -Looked in Attic 0 Yes - ----------- 78. Guard Rails & Deck -Const ruction -Post Caps ---------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes ------ -------------------------------- -------- 80. Following instld.: Drive 0 Yes ❑ No: Walks ID Yes Planters 0 Yes ❑ No ---------------- --- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - -------------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Under round ... - .. . -- - --- ------------- -------------------------- 86. Ventilation Throughout House .. . -- ------------------------------------- --- 87. Glass Protection - . ---- -------------------------------------- 88. Corrections from Previous Inspections --- ------- ---------- ------ -------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ ------ - ----------------------- ----- 91. Energy Compliance Certificate -Other Certificates ❑ No: ------------------------------------------ Date -------------------------------- Date Card B-1 Date Card B-1 -- --- - - -- - - - - - - - - - - - - ----- -------------- Date -------------Date Card B-1 Date Card B-1 ----- ----------------------------------- ----- --- Date Card B-1 Date Card B-1 Comments at Final: ------------------------------------------ COUNTY OF BUTTE - DEPARTMENT' OF►UE-VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95.165 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT � - .3_�?nf ASSESSOR PARCEL NUMBER 026-020-040 ZONING ARMH1 BUILDING PERMIT OWNER PEGGY & CARLTON COUNCILMAN TELEPHONE 533-6704 SO, FT, OCC. BUILDING VALUAQ�:;;,Z OWNER'S MAILING ADDRESS 6664 LINCOLN BLVD 908 9 704 -no 419 i'n94-nn CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is R nn LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE S 124.00 E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome KJg Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other IR Describework: RE -INSTALL AWNING & DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1101 1" LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) Sp, 3.50 FT CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) - @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPS. OR (OWUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring JE23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ki' I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and penses which may in any way accrue against said CDuplty i onsequenc 9f the gra ting of this permit. G Date 211?� Signa] re 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 TOTAL FE $ 1 1 124-00 HAZ. D. FEES IMP CDF PARCEL PD HD SS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat ab ve f r which fees have been paid. / BY � %3DEG Date PERMIT EXPIRES ON / � 'DEC- A� Me re) Receip170657 WHITE-D.D. D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rA,�.,-�..,..,,P�.�,y:, �r.�.-..i��.•.,.''L��,,..�-�+''s�1./"7"-i�r�,�r...:-.f-�'tierF-��•r^!�1'ctir��r+�4�"'�wr'r�.�'i'"3``�,,�vs+rt�`��.:+:--�;r-+► •� .r;/ r..s �.,� COUNTYOF BUTTE -DEPARTMENT OF'DEVELOj,?,MENT�SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965TELEPHONE (916) 538-7541 PERMITAPPLIC.AT_ ION DATA SHEET j LEA At time of permit application, I was advised the following d4ta must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout.in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...........................................� /- 11. Impact fees as shown on attached schedule. ................. ............:: f?2. California Department of Forestry plan approval/fees. ... . Flood elevation letter (100 year flood) by California Engineer. / ........1/ 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pr�­!Aspection request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .................... '..................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan a list. .............................. dr 33. ..D.��.... . 34. When yo sesue the permit, procas follows: Mail to o er. Mail to contractor. Telephone nd hold for pickup at /�/Z � o ice. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �J Copy of Haz-Mat form sent Health Dept. . Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must befsubmitted prior o mit issuance: (Circle new item not checked above). 1. Index permit for above' items No. 2. Additional items required: Contractor; designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date /7--1:5q �3 Sets of plans on hold in File cabinet AP folder ZwA "?"'� (� Q" OK 'Z_t.9q Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) z 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 Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. (I - s. (I - Orn C 10 rn3 72 M Z rn o ?d m Q 0 49 0 gill m N z z Oje 0 P-- RLAAMLLAN&I pPlioll il - 11 i� OVARIES 7 O b C z V O o -n, Wi QCt � 0-4 CD -I , mvm o m 0 I m o>DO y � Z 0--j - O a 0 T O W �o (n �n O' N. v� 0 36" MIN.. 0 m n m 0 m 7Q ' MAX rr, o cn A V /H) RWL 4kHT6- L J WJ � v - f6' MAX. ca M r 3 0 W p (I 'yam N O • � L N - s ON �� 36"'MIN. STAIR.- - A W I DTH X C PEGGY & CARLTON COUNCILMAN 6664 LINCOLN BLVD OROVILLE, CA 95965 L A N D O F N A T U R A L W -E A L T H A N D B E AUT Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 11/07/95 RE: Building Permit # 94-3201 Expiration Date: 12/13/95 A.P. # 026-020-040 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: IM Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 a PM J1 AA I ftzol Al a PM J1 o� O r ptI-Ni -, 'cof�. .} 1 p3Av--1: fl?.eczef' Fu5 -10' - 8'1- 45' - 5"- St.GLASS. �. .. 0M. Y 10' 6 6 0'- 0"- --{3' - 8 For West Homes 12 t -BR MODEL #16001 OF NORTHERN C4 LI.ORNIA RM ' 26's 60' rw cm.w�ae.w nw, AUTHORIZED DEALER ®I 94-48569• Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code. requires this acknowledgement be record. prior to issuance of a building pest. 94-0485691' 4-048569II Rec Fee 6.00 I COP 1.00 The property described herein is adjacent to land or included Recorded I Cash 7.00 within an area zoned for agricultural purposes, and residents Official Records I of this '-property may be subject to inconveniences or County of I discomfort arising from the use of agricultural chemicals, Butte I including, but not limited to herbicides, pesticides, and Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations Recorder I including, but not limited to cultivation, plowing, spraying, 9: 2 9 a m 30 -Nov -94 I P U B L XX 1 pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm.operations. All that real property situate in the County of Butte, State of California, described as follows: All that certain real property situated in the State.of California county .of Butte; described as follows: Being a portion of lot 15, as shown on that certain map entitled, "official map of the Adventist tract", which map was recorded in the Office of the Recorder of the County of Butte, State of California, On April 24, 1924, in Book 9 of Maps, at Page 34, described As follows: Beginning at a point on the easterly boundary line of the Oroville and Palermo Highway, said Point being North 28 deg. 32" east, 100 feet from the southwest corner of said Lot 15; thence south 79 deg 53' east, a distance of 458.62 feet to the southeast corner of said lot 15; thence along the easterly boundary line of said lot 15 the following courses and distances: North'19 deg. 30-* west,.77.70 feet; thence north 17 deg. 000 west, 72..30:.feet; thence leaving the easterly boundary of said lot 15 and running westerly to a point on the west boundary line of said lot 15 that bears north 28 deg. 320 west, 150.0 ' f.eet' from._.the point: -of beginning; thence south 28 deg. Date: 32" east pLlong the PROPER OWNERS: westerly boundary of said lot 15 r / 150.0 eet to the oint of begi ning z9 907/m State of California ) County of `b U OnI 2-01 before me, M. L nd Lo r5 personally appeared l r Lk u 0-ou n C i l ma n and 1'2 q !� u R�� uc� ✓� c �,y, G� personally 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 me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, t e o t e n 't o e of which the person(s) acted, executed the instrument. o ==PUBLIC-CALIFORNIA L WITNESS my hand and official seal. a `" S IFORNIANTYMYCEMBER 22,1995 Signature ' Seal: A. P. Apt / (p 20 —Q[� � END OF DOCUMENT �k 1 PERMIT NO. 367-77P,E PERMIT EXPIRES 42? /96 OWNER James U. Jones r CONTR. Owner LOCATION (A.P. 26-02-39 6595 Lincoln Blvd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. I Called PG&E Temp. Gas Serv. Called PG&E ' JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas. Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final. Final DATE REMARKS OR CORRECTIONS 7 (NOTE: An entry must be made on this form each time you visit the job site.) _ COUNTY OF BUTTE — DEPARTMENT OF- PUBLIC WORKS �J ' 7 County Center Drive — Orovi Ile, California 95965 Telephone: 53,4-4541 6 APPLICATION AND PERMIT AllU BUILDING Owner J0JhJokes SQ. FT. OCC. BUILDING VALUATION Mailing Address 47 �QS t ephone i• )replace Contractor t Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address Cd bI f 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 CD ro f) ! I Ie Each Trap 1.50 — Repair drainage or vent piping 1.50 Water piping 76rr;tnq Verification Only Each gas water heater or vent 1.50 A. P. No. •—O�2 — Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. S ( ept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans RecdAT— Parcel Approval Plo Approval Permit Fee $ 3,41v $ NEW ❑ ADDITION ❑ UTI LITIESR OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 3,4910 V OR Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 r OVER 600V Main service 100 AMP OR LESS 25.00 Single FamilyE] Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L loo AMP 1.00 NEW LING O OR ADDNST ( ACCLBLOGS.CCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID . (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: a Z 2 Ex. Occup(OUTLETS OR FIXTURES) BAL@; FIXED APPLNOR Ex. Occup.(S. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 16,490 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /�1�- ���%= Date `x ~ /! 16Signature of Per or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 7,Sl 5-b e 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. DIRECTO PUBLIC WORKS By Date wilding permit expires Date �� �.._73P C��' J LUCLq i his set of plans In cept on the job at all times7sa unlawful o make any changes or .alterat ritten p e withoutermisson from the of P�.,hl;, ''Jocks. County of B,,ffP NOTE:—All Materials&Workman ,Accorddrice wMI Recognized Goo of a quality prescribed for i -lie Sr Uniform 6uilcling, Plumbing " qac the National Electrical rode Mechan ' LA 0 hip Shall Be in I 'Practices and pied use in the al Codes and The 7. et6ack shall 6e 5 ft �T side property line and So ftfrom the V cenferline of the road, permitting a maxi- mum of a 2 ff. eave overhang but entirely out of all easements. W SUFFE COUNTY BUILDING DEPARTMENT APPROVED 3���„i� Cap All, utility connections , N located �vi`I;inlq f� shall be third sectici� of outside the rear on the left r i' -- mobile home home. (oad) side of the - mobile P5 5 'I kin @ -v ii_ fl /� h. -4 Q � W M l - --o NC M 3 II ,I o� ' •N f0 (0 �n /cv man- yz Dz l I , this set of plans MUST be <ept on the job at A times and it 's unlawful to snake any changes or alterations on ame without written permisson from the Departm nt of Public Works, County of Butte. ROTE:—ill #o F y!� w� Accordance ,� �f"&�ei.H all � o�Hkad c d �'r ic�iir of a quoEi-"y Peoccelbod for #'Ile ' -i Uniforr Building, Oluilhbing t7t-Mcchariical� l the National Electrical Code. Thereefback shall be 5 ft. from the side 13roporty line and 50 ft, from t. e � 0 centerline of Me road, permitting a ma,'W t .. f 2 fr. eca°: a overhang but entirel BUTTE COUNTY>•�? �' Q°�ry �i I BUILDING DEPARTMENT" ` .ApRROVEb. 4,j6 H PC r O /cv man- yz RESIDENTIAL -�; 026-020-040 PERMIT#94-3200 COUNCILMAN, CARLTON & PEGGY 6619 LINCOLN BLVD., OROVILLE MOBILEHOME ON PERM FND - - — 2--i3 /3 - rem e, s-reme, Be cu V i OFFICE COPY I Address GAS Meter By Dat ELEC Meter Date JOB!'�INALED (Date)— tl-Signature s A J=OK O = Not OK Not V Readyaple. MOBILE HOMES Date MOBI OME UTILITIES (Plans) OK except #'s % -Zoning uirements-Setbacks-Easements s; c"dI MH Support Sketch wer; ation-Test-Fall-C/O Concrete Location -Test -Easement Needed (Sketch) ctric' ocation-Clearences-Grnd-/ /Amp -Concrete 6. as; Loc ' n -Test -Wrap: / /"L"ft. / " a or/ /"L"ft./ /"LPG 7 e & Disconnect tility Clearance Date _ Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 Date MOBILEAOME INSTALLATION (Plans) OK except #'s o- ' equirements-Setbacks Easements oti gs; Size -Spacing -Marriage Line a • Test-Demand-Valve—Connector lec ricity; MH Test -Crossovers -Breakers -Clearances 0.ajw,-MH Test -Fall -Flex Connector a H Test -Regulator -Connector ter and Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged s; Insp.-Sketch Cert. of Occupancy Date Card B- Date / �rd Date Card 1Date Card R MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not ApplicablA Not ReRESIDENTIAL (; ' =arly Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s tE. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe, Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------------- --------------------- 19. Shower Pan; Test. First Floor -Tub Access ---------------- --------------------------------------- 20. -Test -Tub & Shower. -Second Floor -Tub Access ------------------------------------- - 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------ -- ---- Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ --------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------- 22 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. -- --------- Insulated Neutral -Yes ------- -No --- --- -- -------------------- - - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect ----------- ----------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------- ------ 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------- - - ---------- 33. -- -------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------ ----- -- ---- ------------------- ----- --- - - -- - -- -- ----- - --- 36. Condensate Drain & Overflow: Size & Grade -------------------------- _ ....... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- - - - - 38. Attic -Access-&- Platform if Furnance in -Attic- -------------------------------------------------- Date ----------------------------- ------ Date Card -8- 1 Date Card -B-1 ----------------- - - -- - ---- ------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ------ -- -- - -- --------- ------------------------------ ---- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --- ----------- -------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------- ------------------------------------------ 44. Headers & Beam -Size & Bearing y jingle & Duplex) - Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _51. Property Line Firewall & Openings __________ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- ----- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60 Infiltration -Walls -Windows -------------------------------- Date Card B-1 Date Card B-1 ------------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------------ 64. Bedroom Exiting ------------ --- 65.--G.-F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - - - - - --- -- - -- - - - ----------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- -- -------------------- ------ 72._Garage-Fire _Door: Swing -Landing -Closer 73. -A.C.- Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------- 7,. Insulation -Foam -Looked in Attic 0 Yes -------------------------------------------- -- --- 78. Guard Rails & Deck Construction -Post Caps --------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.'Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters C1 Yes 0 No --------------------------------- 81. ------------------------------81. Stucco_Brown_Finish- - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ...--- -------------------------- 83. ----------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------ - - - - - - -- - - ---- ----- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- --- --- ----------------------------- 86. Ventilation Throughout House .. ... ... -------------------------------------- 87. Glass Protection -. ... - ---------------------- - 88. Corrections from Previous Inspections --- ------- -------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric - - - - - - - - - - - --------- --------------------------------- 90. Water --& Sewer Connected -C/O to Grade -HD Approval - -------------------- ----------------- ----- 91. Energy Compliance Certificate -Other Certificates ------------------------- -------------------- --- --- Date Card B-1 Date Card B-1 -- ----- -- - - - - - - - - -- -------------------------- --------- Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ELECTRIC GAS .Support Struc. Compaction Test Req. Service Other Pipe TESI NO YES NO Size Load Type Size Length / 8' 1 1 l 1 • 1 COUNTY OF BUTTE BUILDING DIVISION ': DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 89) -2751 7 County.Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - O'. jNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. e / r Date 2 Inspector / REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES •� 1469 Humboldt Road, Chico, CA - (916) 891"2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please pontact this office immediately. (/ /P67— REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californ;a .9596,5 - Telephone (916) 538-7541 PERMIT NO. - - APPLICATION ANU PERMIT 94- ASSESSOR PARCEL NUMBER 026-020-040 ARMH1 ZONING BUILDING PERMIT OWNER DARLTON & PEGGY COUNCILMAN TELEPHONE 533-670.4 SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 6664 LINCOLN BLVD OROVILLE 1560 24,24000 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 572/2 $ ARCHITECT OR ENGINEER SELF LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6619 LINCOLN BLVD R VILLE PERMIT FEE S 329.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome Q( Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation O Other Og Describe Work: 2 BEDROOM PERM FOUNDATION PERMIT FEE $ 65.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOAORLESS SS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) so. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification 1.6 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST, MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2091.00 BAL. Bo Ex. Occup. ( FIXED APPLNS, OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �11' I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 4300 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, inderr and keep harmless the County of Butte against all liabilities, jud ments, costs, an penses which may in any way acc Lie agai t said Cou y in c aqua � of the�.g ting of this permit. X Date �4Z Signatur of Applicant - ❑ Ow4r Contractor O Agent An OS A permit is required for ex avations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TVPE TOTAL FEE . 437.00 HAz. D. FEES IMP CDF •-► PARCEL PD ,, _, HD ISSU " This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica above f r which fees have been paid. By ✓w �1 Date ��!/FigY' PERMIT EXPIRES ON (De tel Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -:�+"+,+.`'..,t,,,i,-;"1r,i�vlK'A'�'1�;fir..3.1�At;t��s.�.�5.,1(:�i»9'"�b,r��'�'�'dF.e-w+F�•�7�!'�4�}•��`�'!v�Fi�^s��,.r.�fv,:+�..--w�►�;+•.,-�-.«-r�. r••'1...�r�'-ri ��.,,.,qr,, ;���kY.-�+r-+-, ,+..+..-.. I--' COU NTYOF BUTTE - DEPARTMENT.OF`DEVELOPMENT SERVICES - BUILDING:DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA 95965 JTE�qPHONE(916)538-7541 PERMIT APPLICATION DATASHEET x OWNER Proposed Building Use Building Inspector 01 'V At time of permit application,.) was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ...... ................. ................. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, si d by preparer of plans. .................... 4. Engineered plans and calcs 4 sets, with wet signature on plans . ....... 3 5. Hazardous Material Form . ........................................... . 6. Energy. Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions,.2 sets. ........... 1 Fees of $ .......................................... Impact fees as shown on attached schedule. California Department of Forestry plan approval/fees. . . ,� Zc�p Flood elevation letter (100 year flood) lifornia Engineer . ..................=fit Sanitation and plot plan approval C7PC) Health Department . ........... . -15. City of Chico plumbing permit . .................................... ... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. 9. riveway permit (construction approval required prior to occupancy). 2 — Pre -Inspection request .1 20. Pre -inspection for required. .. to Building Inspector 11 (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ; '22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner Mail to owner .............. 24. Recorded copy of Agricultural Acknowledgement Statement . ................../ g 25. Letter of signature authorization . ........................................ . 26. Copy of recordeddeed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ................ ......................... 28. Mobilehome utility clearance. A 29. Documentation of legal access. ..........:.......:..:.................. . ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... �+ 31. Existing violations/expired permits. .. ' ................... . 32. Plan check list. 64 16 r. j OG �/14 When you issue the permit, process as follows: Mail to owner. �ail to contractor. Telephone and hold for pickup at fice. Deliver with inspector. Other \ t Parcel Creation �� Q Acreage Applican Date << Copy of Haz-Mat form sent Health Dept. Fire Dept. / Air Pollution -,Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No 2. Additional items required: r i,i an: �Ciircl1rnw itenot checked above). Contractor, designer, o, ner, was advised of above required data by _ phone < mail Counter by"- Date Contractor, designer, owner, was adva of above required data by _'phone _ mail Count �j�j _ Date Plans checked by Date Plans approved by Date !J Sets of plans on hold in V' File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot Phu Auachad Floor Plan Attached 6 Sant to B.D. �T—V TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C R. (61) aC, t Lvc 3L 2 Owner Location 6G APIA �. Plan Approved for: Sewage D' Water Supply: Public Private Well Clearance for bedroom ob' Q L --C4 < 3 J— �f final for: Final clearance O. K. for: r NOTE: Health Spect9ist Date 8/92 13'-4" N V'� co MWALK4N- WARDROBE BATHQ VAULTED :ri h VAULTED CEILING r CEILING OO P. ST GLASS OPT' 10' ..6" 6"'- OFF -d I I�S-1t�•1�� !-ti'Cr?L'�' F� J y r• -10' • 8'1 5' - 5"--fi 17'-7" SCwrp VJ44ei— G� S �-9' -4" 3' - 8"?RO\JEU g tte County e 6 0�- 0" � •_ mental H For West Homes 12. 1.86 M O M 9 n OF NORTHERN C4 L IF'ORNIA 2 BD. MR.RM 26'x 60' na+em.uuwe�i• n«� AUTHORIZED DEALER COUNTY OF BUTTE — DEPAR114M OF DEVELAPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA'95965 — TELEPHONE -(916)-538-7541 OWNER PROPOSED BUILDING USE SCHOOL DISTRICT FEES �%� �/L• l/ /�/ /�/�S (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential...... x _$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 8. OTHER A. P.. DATE REC. # DATE REC LZ,�`y 95Q0�� 706 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY (IF'Burm Department of D--velopment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) Ad Lr L' 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 Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social -Security Date l/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION ANb PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O ,--- O q BUILDING PERMIT TELEPHONE r ® SO FT. OCC. BUILDI G VALUATION WN S AI 2GGA✓ ORO rCOXTRRA;CTO �C/ ELEPHi"O�NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee c $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �Z PERMIT FEE $ 0 PLUMBING PERMIT FilingFee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 60 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Q Building sewer 15.00 0 110 Mobile Home S G I W @20.00 TYPE OF WORK New ID Addition O Remodel ❑ Utilities ❑ Installation ❑ Othee Describe Work: e,2 4 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 iZIA SS Main Service ( 200A OR LESS ) 23.00 ,0 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ r HAZ. D. FEES I IMP F D CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON lDetel Receipt No. �Z9 (/� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t -t COUNTY OF BUTTS - DEPARTH MP OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965- TELEPHONE (916)-'538-7541' OWNER PROPOSED BUILDING USE —y - SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x _$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER A.P..# DATE . REC. # DATE REC 7, 2- -11319�C At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE • t i • Li .BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM / (One Form Per Building) �.1 tau •,� Ru-�.n.�' School District �� (� C/ /� /-7� `� Building Department No. A.P. Number 0 :4- ;V–Qq0 Jurisdiction 0 City County Property Owner Property Location/Address ,/ Subdivison — Lot No. Residential Development 0 = Sq. Footage No. of Living MHI f Addition�A (ou �) Units OU�D —76-6z —32,CD Commercial/Industrial - _ _ 0 0 Sq. Footage New Addition (Including Exterior -- Roofed Areas) 4 %l1.2 9 ,building Depart ent Representative Date . t (Floor Plans reviewed by School District Personnel) Is(ict Ident�cati No. 950 60 V(,CxP l 1-fc•%711-1. School District certifies that akb, (Stree ess) 1 (Phone Number) l 1 n (City) (State) yl (Zip Code) has complied with the requirements of Resolution No. �� / O by payment of4l representing square feet. School District Representative Paid by Check Number Bank Number Paid by Cash Remarks: p4?- //�.o If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92)