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026-050-041
;1. :r r r +� 26=05-41 797-91MHU NI EYER,, - Judy t 6898T Lincoln Blvd, rov.ille >�Y ELE N TEST REQSTRUCT1 r t �.. jjjj 798-91MHI4 �•) (� NIEMEYER, Jud - 6898 Linco Blvd', Oroville ,. MHI)_ t-�-;- -026-050.041 ' r << 'rPERMIT#94-3000 NIE:YER, .JUDITH ANN.. 0 6898 LINCOLN,BLVD.1,OROVILLE.' ti NEW PRI DET -CONCRETE STG,BLDG 026.050-041 •02 -OX t_..I t� , . " ' f, DECANN, PHIL FINALE �• 6898 LINCOLN BLVD., ORO �= w, NLW'SERVICE ON40L P) v t, i. tf 4l t, r t� r� ;1. con f 717�� j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. • - _ ' APPLICATION AND PERMIT ��' 3000 ASSESSOR PARCEL NUMBER n26 -090 -MIN 041 ZONING AIRM-141 BUILDING PERMIT OWNER - TELEPHONE SO. FT- OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDEMS MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 117-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 76 05 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS weIf PERMIT FEE $ 1 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME V1 PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE BLDG 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 U Addition ElRemodel ❑ Utilities ❑ Installation ElOther C] Describework: DET CONCRETE STORAGE BLDG. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I & ACC. OLDS. ) g0- 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0-1, 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) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 I POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 OAL. @ .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 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a - Certificate of Consent to Self -insure. XI 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 $ XKNX 37. 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 grgnting of this permit. X Date S• nature OlOplicant - ❑ OwnerContractor ❑ Agent C91An 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 Is Energy Inspection Fee Is , j IV 1 cor l TYPE v TOTAL FEE $ HAZ. - I D. FEES — IMP FLOOD AO COF PARCEL PO HD 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 ' lD6 tel Receipt No. 170482 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �` '+q.�l�Q1'2�.�'`i�:7�;�,+i�;,.+'F.:+•�i��r��C'�i�,�,+�yTI..�1".�AYti'1-a�{,f���lri[�'.�' r� ,. rr+rMii"..ir-aL-,rwat�_;`$"'i".. W'.�1..%1H.r,'�- .. 'T. '. a ""' .7 �± ' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER AA. 9PA0. Proposed Building Use Building Inspector Date / 9 At time of permit application, I was advised the followi�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). .... r ' 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $......................... " ... .. 11. Impact fees as shown on attached schedule . ............................. ' 1 lifornia Department of Forestry plan approval/fees. ...........................:� i ood elevation letter (100 year flood) by California Engineer . ................-.. . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit......Z y ....................................'' 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). ...ar. As; eotionr6qu� 20. Pre -inspection for required. .. to Buldin9 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 check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to 9wner. Mail to contractor. Telephone and hold for pickup pt J(%6C - U office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. v 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:QQ/J�� 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 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .-- / ZO�IN _ �/ _ BUILDING PERMIT OWNER _!/L/L E� / (/V ((/V//'lrr VV7 TTE/ELLEE�R�1}1.HONE S SO_ FT_ OCC. BUILDING VALUATION OWNER'S MAID G ADD ESS �v • v CONTRACTOR S yfQj1E TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 2_ f f� r t/ PLUMBING PERMIT Filing Fee 20.00 Each Trap 00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping loll15.00 Each gas water heater or ve,pe 15.00 USE OF STRUCTURE SF ❑ Duplex ClMobilehome ❑ Other <CO SPEcIFv TTT Gas piping system 1 - 5 tlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 TYPE OF WORK New El ❑ Remodel ❑ Utilities Installation ❑ Other ❑ �Cv��Gv� Describe Work: � All PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 /-}—�'o, OR LE Main Service ( OOA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) 3.50 gD FT., , Cf CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup' (OFIX ED APPLNS. OR UTLETS (RESID.) 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. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ , 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all age st said County in consequence of the granting of this permit. / liabilities, judgments, costs, and expenses which may in any way T71 X Date / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep nd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP COF PARCEL PO HD 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. —Date— ateWHITE-D.D.S.-B.D. PERMIT EXPIRES ON !Date/ Receipt No. 7 l/ '6crrj // 2 --BY WHIT E-O.D.S.-B.DCANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i LAND OF NATURAL WEAL T AND ° �-� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 Judy Niemeyer TELEPHONE: (916) 538-7541 6898 Lincoln Blvd FAX: 19161538-2140 Oroville, CA 95965 Re: Proposed Tilt -up,,.-, Date: 2/15/95 A.P. No.026-050-041 Permit #94-3000 With reference to the above subject, attached is: r [ ] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [X] Other: See Attached Sheet Action Required: , [ ] Comply with plan check list [ ] Resubmit plans with revisions as required [ ] Resubmit calculations with revisions as required Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday. Sincerely, John Henry Plan 'heck Engineer cc: Craig Rowland 7855 Morningside Drive Loomis, CA 95650 I Dear Ms. Niemeyer: This is to clarify the reason that the above referenced building has not,'yet been reviewed and approved by this office. The proposed private storage building is concrete tilt -up construction which has been •designed by the same firm as the proposed residence for.Frazier.'The problems associated with this building are similar to the Frazier building, hence we are waiting to substantially resolve the issues with Frazier prior to reviewing your storage.building. Incidently, the design engineer should review the plans.and the design of your storage building per the Frazier plan check requirements and make appropriate revisions as required. t1i oa -M-1- A v' . i . CCI�A/Vy C✓ � N ..n{Un/'�'y—n' I lj Y , 'JA �- m6ls, I COMMERCIAL PLAN CHECKING GUIDE (1991 UBC) -� j Bldg. Permit'. 94- Sy� OWNER_ _ �J t» i n9 ,4 nl .N /� J t �Nl EYt'R A.P. #t2262- 05(> -.,oy - Plan Checke L, L: -Date 0 2 t 9 -A. GENERAL - ,1-. Zoning requirements, Planning. approval. Valuation. I r, Plans signed by engineer or architect., .� Proper description of work on application. Z�- Existing violations on property. 0 Items on data sheet. (W.C., fees, Health, Developer i7: Improvements or drainage, Land Development approval. B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildingsor structures. Grading, fills, .drainage. Flood hazard. Yuxat f ` 6-, ,&� Special conditions on creation map, ible, and foundations). FAU & FAS road setback.. Fees, License law, etc.). (noise, CDF, fire sprinklers, non -combust - Building or utilities across lot lines (Lot ) ,P,'. OCCUPANCY REQUIREMENTS Building use all r+ct ( Occupancy Group_ AA -10 Building A— Building floor area 812- Basic i2Basic allowable floor area /per sq.ft. Total allowable floor area q.ft. Basis for increase Type of Constructionyr) Occupant Load Z Compliance with specific occupancy requirements (Chapter 6712). Occupancy separations (Sec. 503). Area separations (Sec. 505). .4: Firewalls due to location on property (Sec. 504). • Maximum height requirements (Sec. 507). .fes Draft stops (Sec. 3205). .7: Ventilation and special hazards requirements (Chapter 6-12). .8: Automatic fire sprinkler system. (Chapter 38). Fire alarm systems (09 Sections of Chapters 6-12). ,1e% Mechanical code requirements. (Grease hood w/fire sprinkler system - Chap.20). X. Environmental Health Review -(a) Restaurant Act, (b) Comm. Pool, (c) H Occupancies Smoke detection system. CDF or SFM Plan Review. i. Electrical Code Requirements (Mbdical Art, 517, assembly -Art. 518, other 500's) 1-5. Physically handicapped requirements (Title 24). _f. Wholesale Food Manufacturing (Plans to state DHS/FDB). D. TYPE OF CONSTRUCTION REQUIREMENTS Roof covering requirements (Sec. 3203). �r Parapet walls (Sec. 1710). ,2 Toilet room floors and walls (Sec. 510). Guardrails (Sec. 1712). 5• Detailed types of construction requirements (Chapters 17-22). 6 Proper roof pitch for roof covering (Chapter 32). 3%z: Ao,-A boa44 avt c, c -r- cce& *@ aa, --7 7-ce3-t � ,1� D. TYPE OF CONSTRUCTION REQUIREMENTS - Continued Attic access and ventilation (Sec. 3205). Roof drainage (Sec. 3207) .- -9: Skylights (Chapters 34 & 52). -1e. Stages and platforms (Chapter 39). ._. r Q. Interior wall and ceiling finish (Chapter,42). 12. Fire resistive requirements. Walls, floor, ceilings, penetrations (Chap. 43).. Wall and ceiling covering installation (Chapter'47). Glass, glazing, Human Impact - Safety Glazing (Chapter 54). Foam Plastic (Sec. 1713). F/. STAIRS, EXITS, AND OCCUPANT LOADS General Exit Requirements (Sec. 3302 & 03) (Post occ. load, etc.). 2. Number of exits, width and locations (Sec. 3303). 3. Doors (Sec. 3304). AK Corridors and exterior exit balconies (Sec. -3305). -5: Stairways, rise and run, width, winders, and construction (Sec. 3306). Horizontal exit (Sec. 3308). -7: Exit and smokeproof enclosures (Sec. 3309.& 3310). 48. Exit signs and illuminations (Sec. 3313 & 14). •9: Aisles and seating (Sec.'3315 & 16). lk� Exits for occupancy groups A-E (Sec. 3317 & 3320). .ki. Floor level exit signs (Title 24, Sec. 3314). - *F: MISCELLANEOUS REQUIREMENTS Masonry chimney (Chapter 37). �2: Veneer (Chapter 30). ,3: Special Inspection per UBC Sec. 306. (a) High Strength Bolting (b) Field Welding (c) Masonry (full stress) (d) Concrete (fc )P2500psi) Special Certifications - Mill Certificates -5. Expansive soil - Special design .is Cut/Fill slopes, compaction tests, grading -71 Noise requirements (Planning, App. Chap. 35). �:. Weld electrode, welder certificate. G. ENGINEERING REQUIREMENTS 1. Complete calculations, correct design criteria. 2. Complete shear transfer details, roof to foundation. 3. Complete structural material specifications. 4. Shear wall anchorage based upon wall shear. 5. Roof diaphragm chord, collector; drag struts. 6. Combined tension and shear @ steel RF anchor bolts. 7. Braced roof and wall bays. H. OTHER Alo 67- • ooe --JL .0 - - ------------ 'mac. Co - � b- Z✓orks� SGT 8cjL CH MACK �ryr Sfv Jirn NLAi2 SITE Xereg! To DATUM rno A /7C177C /cc af�Ar' , yro v",-,7 d C*/c %s r -e c�' r,� >7r .17a 412e �d avc rh-� /Do y�vr 7'/ord/Aim �o?? OFES•g/d 6R UAli �2 c� P• � cz W -10531 . i �TgrFCl \OF C�X/o /2 -?/-:92) v /7. 9735- -- Oo83 . E.H. USE ONLY Plot Pl. Athched � Floor Plea Attached Seat to B.D. TO: Building Department FROM: Environmental . Health SUBJECT: . Sanitation Clearance OT-., q Owner Location AP# Plan Approved for: • Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 'Y �1 r w Hold final for: Final clearance O.K. for: NOTE: Environmental' Health Specialist Date Y) e PR0?05tD 5TORAG� 13VILDISICT -32"Kl6' Jrovi<<e Lir,cal n' Avg utJ c.,1 rn.ca 0 aV�v��' 1:, _ Ll O 1 APPROVED Butte County Environmental Heal h Dat ------�------------- Signature LI oyJ's Go-.ras) e FLOOR FLAN -t • � .. � tri 2030 - County Butte taI He th Q . � E�viro men � -_-- pa e I�C ,� �r��,•�� Signat�Ce STUCCO a WEST ELEVAT t-, FLOOR FLAN -t • � .. � tri 2030 - County Butte taI He th Q . � E�viro men � -_-- pa e I�C ,� �r��,•�� Signat�Ce STUCCO a WEST ELEVAT AV Ll c4o F1 5 T (-',I LD "ke AV Ll c4o RESIDENTIAL " 26-05-41 797-91MHU NIEMEYER, Judy 6898 Lincoln Blvd, Oroville (MHU) � 4 i t j b y 4 i 9 1 j i. OFFICE COPY J I I Address I I GAS Meter By Dat ELECTRIC Meter By Date { JOB FINALE y Signature ' f -j OK i.• O = Not OK. Not ApplReady MOBILE HOMES • ' Not Ready Date MOJI146 HOME UTILITIES Plans OK except #'s 1 ning Requirements -Setbacks -Easements 2. 'a; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete Water; Locatior[TgrEasement Needed (Sketch) 6. Gas- Location -Test -Wrap: / /" L" ft. 'Nat. or/ 1 L"ft./ /"LPG 7. Utility Clearance 10 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE -HOME INSTALLATION Plans OK except #'s l Zonin equirements-Setbacks Easements ooti s;"Size-Spacing-Marriage Line as; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances j 5.6raln` "Test -Fell -Flex Connector i :,e. -Water- MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval nC Electricity: Tagged Exits; Insp.-Sketch 1&16art. of Occupancy Date (� / Card B- Date ', Card B-1 Dat T - Card B-1 Date Card B-1 r - r 4� e 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-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 !I Date Card B-1 Date Card B-1 i J=OK O=Not O1 + - = Not Applicable = foot Ready RESIDENTIAL (Single = �' & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Dcor-Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Pl,rmbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card 3-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made L� k: iy Ya' r J •F'c r Date 1-1[(�—'/--,Inspector COUNTY OF BUTTE x DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 '« 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE / YYe'•7/% OWNER PERMITNO.� A routine inspection indicates that the following violations of County Ordinance y exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, ,or,need additional explanation, please contact this office immediately. r &V � cv f=0a2 LOf-7��. �T�T _.. s:. l 5 w T�4-L , 4 'A L� k: iy Ya' r J •F'c r Date 1-1[(�—'/--,Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE _A// & M E71&'4 - IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date /l/ / Inspectoe� � .a. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: ((9991166))`5338-7541 ;. PERMIT N0. Address or location of mobilehome /� �1�l r' �'� Owner's name 1-2111-- l?ye- YC /.LJv 15)t!f Owner's address Insignia or hud number_`L,�� Manufacturer's'name��`yAd�l/�ilf�(�t. Serial number of V.I.N,ir- a1 1144 10,67 �1"7f�� Year of manufacture 4 al ApprA]ring Installation IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM'SHALL NOT BE USED WHEN THEi MGBILEHOME IS INSTALLED ON A FOUNDATION SYrSTEM. 4 5138 White - Owner, Yellow -.Installer, Pink - D P *. COUNTY OF BUTTE :DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville, California 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT PERMIT NO,, 026-050-041 ZON1 BUILDING PERMIT OWNER Jud Nieme er TE E HONE 872-5364 SO. FT. OCC. BUILDING VA ON OWNER'S MAI LIN ADDRESS 6644Para alfa Paradise 95969 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess ry r Lincoln Blvd., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 -Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome X r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSJGJWT 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remod�❑� Utilities ❑ InstallatiodM Other ❑ Describe work: MHU# , /`— ! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW •1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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 compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP-8d OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTR.MULTI-OUTLET NON.RESID • BRANCH CIRCUITS) 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2L SOS eA®ao FIXED Ex. Occup. P OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ind. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said Count in co a eAge of the granting of this permit. X Date i2 Sign re of Appl• nt — Owner ❑ ntractor ❑ Agent u An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sttoories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4 .QO occ CONST TYPE TO AL FEE $ 70.00 HALcuA PARK sc FLD CDF PAR PD 1 HD• '— (SSU This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo a for which fees have been paid. D E R O PUBLIC WORKS ✓�'� By Date PER T EXPIRES to 12-co-��2� /, Receipt NO. � 2 v O (/_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT +yrtru+n`41.7+y�e!.'Iptit+irjkrvn►.1+�V{,4�`6".d--th"§.r,'ley*'iLY•TYF�at,.2'i�7�Tio,YA•fi,''�e`M"vrri'`7''txivi BUTTE COUN• Y SCHOOLS,�D�EV�`LOPMENT FEE CERTIFICATION FORM (One Form. per Building) _ O .� t `r i �:,.^.:ram/ 1 Y\• 1 A.P. Number �� 6 odl/ Building Department No. School District (/�, r.-� City D "county Q Jurisdiction Property Owner �+� 4. r:. 4// �.,.,. iProject Location/Address�"�j.��IF7C�p%/� d � Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units1 Commercial/I.ndustrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Delzrdrtment presentative ' Date (Floor Plans reviewed by School District Personnel) District Id No. 920 37 1 WVV School District certifies that QAA & nA /- W V A A �A (Applicant Name (Phone Number) (Street Address) (City)' (State) (Zip Code) has complied with the requirements of Resolution No. 105_- 76) by t T. payment of $ 11,32 60 representing square feet. of District Repr ntative Date PAID BY CHECK NO. �' REMARKS: / BANK NO_11-,;V11�7 E PAID BY CASH white -applicant, yell ;ow -building department, pink -school district SCHOOL . FEB,,, (8 / 8 8)-- _." , Y�iY�����. f'r ` •l.i,,_.� _1 ' (,+' R'��ty, . i �. Ly,. 'Y��I.•+� riT •�4.•�-y$yy^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE,- O,ROt/1C CALIFORNIA 95965 - TELEPHONE: 916/538-7541 , .., PERMIT APPLICATION DATASAFET Permit No. OWNER . P. No. r ti Proposed Building Use - Building Inspector Date ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) _ 9. Mobilehome installation data including manufacturer's installation instructionsi:...................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... . Park fees paid 13.E fi'1 School District fees paid .............. 40�!::� — �! . Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... ` 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre-Inspection.for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ""- 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... t' tF I When/jou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 2"" and hold for pickup at office. Deliver w. /inspector. Other { Applicant Date_ 3 'ZZ (� 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 ri o e mit issuanc ircle 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—mal l—counter by date Plans checked by Date 4 I Plans approved by AJ Date Sets of plans on hold in File cabinet. AP folder Copy—DPW �' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 918/538-7541 APPLICATION AND PERMIT ASSE33OR PARCEL NUMBER OS`U—Oy ZON NG �M BUILDING PERMIT OWNER �u r TELEPHONE ?72 -S SQ. FT. OCC. BUILDING VALUATION OWNE_R'$ MA L1 ADDRESS i) *q a rokova CONTRACTOR'S NAME V I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee C$ :0.00 ARCHITECT OR L ;TUFF? 71 ENSE NO• Plan Che�;::ing Fee $ �OO ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' Penalty $ BUILDING ADDRESS O�o /►�/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[] Installation jj Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .❑I am licensed under p pfOVlslOn$ Of Cha t. 9, DIV. 3 of the BUSIneS$ 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 compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.aI OR AODNS. ( ACC. BLDGS. ) , Acsgft NEW CONST'. U TI -OUTLET NO'N:RESID BRANCH CIRC ITS 2.50 ea _ (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20030t ewl0 30C FIXED APLNS. EX. Occup. OUTLETS PIRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or con:rruct- ion of structures over 3 stories in height. Mobile Home Installation Fee $,00 Energy Inspection Fee � $ occ CONST TYPE ^D `© TOTAL FEE E S /) MAZ. CUA I PARK sc1,L I FLD i PAR PO ; Ho. I ssuE This permit is hereby issued unaer sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATEmarch 2R, 1 A41 Judy Niemeyer RE: building permit application'WaIR 6644 Paragalia 7? 7- c Paradise 95969 A. P. # 26-05-41 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation -Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. X Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including 'Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. _X Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico X 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for ,Completed Owner -Builder Verification form. Recorded copy of deed _showing ,Recorded copy of agricultural acknowledgement statement. Mriveway permit Should you have any questions concerning the above, please contact Dave Wasney of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: /91.6-538-7541 DATE RE: A.P. # 26 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER \ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. E2Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. =11/ 0Tu Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector AP 014NER PERMIT IRS UT IL . CLEARANCE DATE `l O INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orov311e,,CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 7UJIt13tv /VII 2. Installer's Name: 0 c , Y1 (R. r 3. Is the site currently under permit? Yes a No (If yes, furnish permit number �( 7 OR r Is the.site an existing site? Yes FU No O (If yes, furnish two plot plans.) r., 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach J fields and clear of all setbacks and easements? Yes [\xI No (If. no, clarify 5. What is the mobilehome electrical rating? --------------- ✓ Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 8. Is there any other electric load to be served by the Amps mobilehome site service?--------------------------------- Yes No a (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- C 3%I YYIbRI('in. ) 10. What is the t of as service ? -------------------- NaturalFLPG F� e YP g ll. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (� (ft.) „* 12. What is.the mobilehome gas demand? --`-------------------- , �R.8`9 t. (BTU) *(This information not required if pipe length 1' ''` t�`"P Ax T M MY natural gas or less than 50 ft. on LPG.) Finish floor, electrical, HVAC equipment and services above P VIAE TIL- (a000NS ^ppi oueiD `N rnpr ft, °Qoodelevationof lZ2•a-- USGS. A- LIT m0�11� MOBILEHOME SUPPORT DATA <" °;',.�� e *+-� `�'- �"` is •�- If other than single wide, i. Mobilehome: Mfr: }: ] ('C'tL(> furnish Setup Model No ._ Year /?Q()_0 WidthZI2� (ft.) Box Length(a U (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte)...' FOOTINGS (check one)N1. Wood -pressure treated or foundation grade. El 2:*' Other (specify) SUPPORTS (check one) [Y1. Concrete block. 112. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE + Line I Main Beams � ine 2 � _ _ _ _ _ _ -� Main Beams Tag or Triple I.o Line 1 Line 1 Piers: Line 1 OpeninRe: Size -Min. ------------ „ Size -Min- ------------------ „ Spacing -Max- --------- , Each Side of Openings From Ends -Max. ------- '_ With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min .------ - --- ox i/ Size-Min------------------- Spacing-Rax ---------- ------------------Spacing-Max---------- �- G „ i/ Spacing -Max. --------------- From Ends -Max.------- '_ // From Ends -Max .------------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min .------------ Spacing -Max---------- , From Ends -Max .------- Line 5 Roof Loads: Size-Min.------------ Location (From Front) Size-Min------------------- Spacing -Max ----------------- From ------ ------From Ends -Maxx-------------- ASSE CONSTRU COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -, PERMIT O. 7 County Center Drive - Oroville, Califor r a 95965 - Telephone: 916/538-7541 s, APPLICA�id`N AND PERMIT R ZONING ;.. BUILDING PERMIT s r TELEPHONE S0. FT. I OCC. 1 BUILDING VALUATION LENDER'S MAILING ADDRESS T OR ENGINEER'S MAILING ADDRESS BUILDIN T NO. I SUBDIVISION NAM HONE UNKNOWN Lincoln Blvd., Oroville USE OF STRUCTURE SF ❑ Duplex[] Mobilehomekl Other > TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities) Describe work: 2BR 500 Min PARCEL M SPECIFY Installation❑ Other ❑ CONTRACTORS LICENSE LAW I declare under penalty'of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions -Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fG I shall not employ any person in any manner so as to become subject �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty in consequence of the granting of this permit. X� Date -22- Si ture of A I'cant — Owner ❑ ontractor ❑ Agent ❑ OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories 'n height. Receipt No. WNITE-O.P.W.. YELLOW-ASSr350R, PINK-INSPLCTOR. GOLDENROD -APPLICANT Fireplace 1 1 $% 0.00 Ex. Occu p OUTLETS OR FIXTURES Contractor Total Valuation $ 2.00 ELECTRICAL. PERMIT , Filing Fee $ 10.00 10.00 Permit Fee $ 2.50 NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS COUP M\ / Plan Checking Fee $ NEW CONSTR. MULTI -OUTLET n. r, u_aacln .0A.I. '•lor•...T¢) 2.50 ea Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee X&C Each Trap' 2.00 15XNO Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent' 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00 ea 30.00 Permit Fee 1 1 $% 0.00 Ex. Occu p OUTLETS OR FIXTURES Contractor FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 ELECTRICAL. PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR L SLESS 10.00 10.00 Main service EA. ADD•L 100 AMP 2.50 2.50 NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS COUP M\ / '/Z,tSgft NEW CONSTR. MULTI -OUTLET n. r, u_aacln .0A.I. '•lor•...T¢) 2.50 ea POWER APPARATUS e %SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20®S0C SAL@30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee to.00 Heating TMVMM Cooling Hood 3.00 Ventilation Permit Fee $ - Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE '$ _ /92.50 HAZ.Z. I CUA PARK SCHL FLOD I CDF PAR V I HD. ISSUE. This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated ab.7e for which fees have been paid. L��D 70F P BLIC WORKS �� ��� B Date" y_r .f� PERMIT`EXPIRES— Date w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville., CaMornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R,�a� " ��"�OIL/ ZONING RMF BUILDING PERMIT " OWNER 8L°.?J��� SO. FT. OCC. BUILDING VALUATION OWNER'S M,AILI G A,p ORESS C [iJ CON ''ACT R'S N AM C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS ARCHITECT OR L., ,INEEI__T LICENSE NO. Filing Fee P?r-l; t F --e Plan Che.xing Fee $ 15, S ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee g' Penalty $ BUILDING ADDRESS + D Permit fee, s • OV0T PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea 30.Q0 TYPE OF WORK New[] Addition ❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: rJ ©Q �i rt Permit Fee $ LID, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 80000AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADo'L too AMP 2.50 Im NEW CONST. DWELLINGoCCUP.& OR ADONS. ACC. BLOGS. ,12 /z¢sgft NEW CONSTR. ULTI.OUTLET ,NO *N=RES ID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGOUTLET CIR. I Ex. OccU OUTLETS OR FIXTURES p 2O0SOt eAL030e FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEES 6)? HALCUA PARK scHL I �Lo i ccF l PAR ( PD ; HO - IssuE This permit is hereby issued unaer sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. WNITC-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOCNPOO-APPLICANT TO: Building Department FROM: Encroachment- Permit Section RE: Driveway 'Clearance U <eweV&r ` n AP �k owner location Driveway permit �� !/lPc� has been issued for the above property. m /'-7 -/ at date ure TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ir ' ---T-1 . Owner Location AP# Water Supply Water Supply Water Supply Plan Approved for: Sewage Disposal Bold final for: Final clearance O.R. for: Clearance ford bedroom mobil home. Other NOTE D Sanitarian t® ---T-1 . Owner Location AP# Water Supply Water Supply Water Supply Plan Approved for: Sewage Disposal Bold final for: Final clearance O.R. for: Clearance ford bedroom mobil home. Other NOTE D Sanitarian t® COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROACLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ��(� teAACL4eg A. P. No. l2naG Proposed Building Use A_4 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED - 1. All items have been sub rk It 2. Plot plans in duplicat triplicate signed by preparer of plans ........o 3. Complete plans in dup ' ate riplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material -Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees pai ��4.......................... 12-7yfees aid 061Q�.................................}� 13. r S hool District fees paid . ' 14. Sanitation approval from Health Department ' 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of I (see City for other requirements) .17. Planning approval for (A) Use: (B) Parking: ...... ' 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (constructions approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 9-1 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded. copy of Agricultural Acknowledgment Statement ......... i� �)==A —cam 25. Letter of signature authorization ................................... 26. r 27. r When you issue the permit, prrocceCss as follows: Mail �Q owner. Mail to contractor. —� Telephone"-`� Sr�nd hold for pickup at office. Deliver w/inspector. Other S Applicant ate - 22 �� elf Copy of Haz-Mat form sent HealthDept. Fire Dept. _Air Pollution Date 'Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must..be sub mitte or to permit issuance: (Circle new item not checked above). 1. Index permit for above items N . 2. Additional items required: Ate 0,011M` Contractor, designe , ow�r, as advised of above required data by ✓hone_mail—counter by MJ Contractor, designer,`o�as advised of above required data by —phone _maII—counter by date Plans checked by OW Date ) 0 1 Plans approved by 6W Date Sets of plans on hold,in Copy—DPW File cabinet AP folder l I i AA k9 Vii 3SS X04, 3� - 3 z 7 ± 80 Cr. 6t, t (e 500 SQ. FT. MINIMUM FOR MOBILES N W O c 5 'rt. A �,tZ�-a: o` from i't'te xox//rt !Ines the a €e*back FQM (i7 50) i irorn the road 6� ceanteriine 3ha11 be clear of LIWWJ •tructur_s or bLVp equipment except f f � . , ..t. ���.�� ove►fsartg, �. .GLI o,� �td,l, .eQSP.wte►'1� . 15-S, L Finish floor, elootrical, HVAC ea ,ulpment and services above flood elevation of .,110, 60_ USGS. ?N o2-6 cry B R uj C 10531 71 10- - —/ 70, s 40 — 0000 op L. 1661 6 l AON IM ONialine MAN AO ALMOO a . I . 4 � Aral- S�v/Jirrr : SET ,BEIuCH MASK NtFAP- SITE ).EFEi2 rd DAMM lT'c </vc�y /�iemcycr, G8�8 L%r»-olr� 3�YS , ere 0":5 /70 ,- �c �r�1e;-rte/ I r-� cy�' r,�� � i 76' 'd ave fh� /oo yc or �/oDd �/dura. �C fROFES.g�pM i C-1 04531 CF C A\I-�W �to/ SeOGv/OD f �2. �Lo�/� o� F7, /4 P-,> 6 RO4 I /J e ai � � = L Ii, -77 G/onder' c i • - /� / 99/ . Ilk"V ll c • /�'e TCle�1Cc %S rr70dc 1jo l�v�y %�i C e /� � i ��-opos ed rno�. �o r-ncZO,,7so re X980 p c/'iod /,vropose 7h6i7 Atte f/no o i- e/e y f e i7o. Z w c`r IS 2. o C e aZ-x®h wafe,� .Sir�c e re /y� Voi/i/Ev Cf{'lZL &,m/v Card �3r�vhr� s. lz7h- B73 00 9 5 . Of AIE6� A. �sT��lsfr' G�'OI�iU,d EG�fl�ld� �`lsG S> 2 STATE 71T /Bl� Y� ,cLDaO /S � ` ^ � F8 181 PQ, 42 �l � 2 ����� B-��# . ���v ~ `~ - ---+-----'-------'--- Dlotte&, � []8) �alermo ' ' . � ' Butte Co. Brass Cap (Stamped) l229 / *zriptimo:_______ --__-___--_-___---_------'-----~-----------------------------'----------� . ` ' ` l75,235 �rd rdmn Elev. ������� ----- LOCATION: Butte County Brass Cay set in abutment No. 5 't the Northeast corner of the bridge across Wyman Ravine. On Lincoln Blvd, one half a odIe + North of Meoaioo Avenue. � ( ' LOCATION MAP " 11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center_Dac-iVe'rOroville, CA 95965' PHONE. 916-538-7541 1 tlU_J DATE ' ` eM GSL -U -Q A.P.# ,�� 9.5909 DZ�—o50-a41 With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Ll We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans -in , including plot plans. Plot plans in • Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER TI o Qr2,QQV� MO 1 Lb c C --,(D A Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works .F. Glander ` JFG/aj Chief Building Inspector Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIT IAlm DEVELOPMENT Section 26-8.1 of the Butte County' CodeZ requires this acknowledgement be recorded prior to issuance of a building permit. 9 V7 3225 The property described herein is adiacent I to land or included within an area zoned I 91-043223 1 Ree Fee 5.00 for agricultural purposes, and residents I Check 5.00 of this property may be subject to incon- Recorded , veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of i but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:02am 11 -Oct -91 I spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that real .property., -situate in the County of Butte, State of California, described as follows: E?q9 L Acaln VI vd: 0-r- o V i 1. C, Cu - Parcel 4, as shown on that certain Parcel Map of a portion of Sec- tion 5, Township 18 North, Range 4 East, M.D.B. & M., which map was filed in the office of the -Recorder of the County -of -Butte,,. State of California, on october 22, 1976 in Book 59 of Parcel Maps, at pages 87 and 88. Date: ( ci - -7_ State of Ce • ) SS. County of �� ) PROPERTY OWNERS: On this the 07day of _�c�O�P2 , 19 9/, before me, the undersigned Notary Public, personally appeared soNis twisON0a1i ■ ° RICHARD FEUERS'Ti EIN Personally known to me. Proved to me on the basis © ® ® of satisfactory evidence. © "� NOTARY PUBLIC -CALIFORNIA ■ ® Butte County, �a to be the person(s) whose name(s) m My Commission Expires Feb. 16, 1993 w subscribed to the within instrument and acknowledged that SN ®ae■■sea■■■■■■■■■■■■a■a■o® executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0_2_6_0562-041 62--041 --,5�4 49 Notary Public �IiiLi �,yt ROCU MEN -r COUNTY OF BUTTE DEPT. OF PUBLIC WORKS OCT 17 1991 IN COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, 6alifornia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-050-041 ZONING BUILDING PERMIT OWNER 4" DWANN PHIL TELEPHONE 624-499 SO, FT, OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 169 BARDOLINO LN. OROVIUX , CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6898 LINCOLN BLVD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEV S VICE !1N=-__9200 amp Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 11000,V AOR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Irce and effect. License Class Lic. No. � y U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-insure.for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SG 3.50FT, N..R,D M%T,',OUTLET 97,50 OWE.ROER sCSR. Ex. Occup. OUTLET OR FIXTURES 20 @ '.00 SAL @ .50 Ex. Occup. ourEtDrs ao )eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE -INSPECTION PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HA2. 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 forthw' comply with those Drovisions. " Date c2 Signature of Applicant - Owner ❑ Contractor ❑ AgeYmolition An OSHA p squired for excavations over 5'0" deep and or construction of structures over 3 stories in height. Mobile Home Installation Fee s Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ AA no D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PER EXPIRES ON the applicable provisions Resolutions to do work been paid. ate 2 Dat Receipt No. WHITE-D.D.S.-B.D. CAN ARY•ASSESS K-INSPECTO GOLDENROD -APPLICANT �.j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Qoq -()58S zf ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT vat -.0 56 -0 5// OWNER %� I,., , n TELEPHONE t' p.p� SO. FT, OCC. BUILDING VALUATION Qn� JA .lam 1 hF� V l A Y le � �f ^ LiO sv OWNERS MAILING ADDRESS / _ Q ! �C/ CONTRACTOR'S NAME TELEPHONE CONTRACTORS PMUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS Cf LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomey Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation ❑ Other ❑ Describe Work: *PERMIT FEE PIAU> SRA SHERIFF OTM Amoy IT RECEIVED 3� *PXAXM NV#.M To iE Kir zwo COmFVm t Total Valuation Is PERMIT FEE $ EX. OCCU FIXED APPLNS. OR OUTLETS RESID. EA Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ NEW CONST. OR ADDNS. ( Energy Plan Checking Fee $ NEW CONST. N•R NOE.SIO. MULTI.OUTLET ane cio 7.501 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent _ 15.00 Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W @20.00 Ex. Occup. OUTLET OR FIXTURES PERMIT FEE $ EX. OCCU FIXED APPLNS. OR OUTLETS RESID. EA ELECTRICAL PERMIT Fling Feel 20.00 Main Service 000v OR LESS 200" OR LESS 23.00 3,DL Main Service 200A TO IOOOA 46.0 NEW CONST. OR ADDNS. ( DWELLING UP. a "cc. stns. SO. 3.5oFr. NEW CONST. N•R NOE.SIO. MULTI.OUTLET ane cio 7.501 Ex. Occup. OUTLET OR FIXTURES BAL C .SO EX. OCCU FIXED APPLNS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _ Misc. Wiring_ 23.00 PERMIT-FEE"S`--`�G-p(� MECHANICAL PERMIT Filing Fee 1 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ O=- TYPE TOTAL FEE $ HAZ. D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HDISSUE 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 Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I in.- 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 NO 0 2. I HAVE HAVE NOT 0 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: El ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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: PHONE: CITY: 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: PROPERTYOWNER: � G SOCIAL SEC NUMBER: DATE: Z2 ' NOTE: This Owner -Builder Ver cation is required by Section 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. ` OVER M I OWNER BUILDER INFORIMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 S300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4Mge'1rBuiA1d'Z y, � C. VB.O. , Inspection NOTE: Tris Owner -Builder Information is required by Section 19810 of dee California Hea fib and Safety Code. OVER PRXjN:SPE C r l ORT.:.: - OWNER: LOCATION:' -L-9 S A�vo CONTRACTOR:. /-\, PRE-INSPETION FOR: ) 2-o o (a - DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE Building Description: / CommerciaUUsage:y Residcntial/# of Units: DATE: •Pray^D�L A.P. # D - Q .SO -&,-1 / ZONING: ( FOLLOWS: BUILDING INSPECTOR'S REPORT Currently Occupied Abandoned/Vacant Electric: Yes • �No Electric currently/ � Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems Comments: .. 1 Potable Water ACTION RECOMMENDED: ISSUE: ✓ J MOLD EOR `) Inspect Date — Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville„ California 95965 • Telephone (530) 538-7541 PERMIT NO. der -t 2/96)" APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER � � O � D ZONING OWNER � ;TELEFHO�NE� (�;p �(.�V1,VL1 OWNER'S MAILING ADDRESS _ --_j CONTRACTOR'S NAME TELEPHONE CONTRACTORS KMNr. ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS i LOT NO. I SUBDNISIONS NAME 1 PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome� Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities / Installation ❑ Other ❑ Describe Work: �%1 j,l� �� -� C _C n Y1 (, a)0 c c� � " PERAIT FEE PA10 SRA • SHERIFF OTHER I AbVNT RECEIVES b s� s " TO IN FVr zwo CONI MIR BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace PERMIT FEE S Total Valuation Is PERMIT I Fling Feel 20.00 Filing Fee $ 20.00 Permit Fee $ I 46.00 j Plan Checking Fee $ SO' I 3.5cFT. Energy Plan Checking Fee $ NON-RESID. ( $ - PERMIT FEE S PLUMBING PERMIT Filing Feel 20.00 Each Trap1 7.001 Solar or heat pump water heater 1 23.001 Water piping 15.00 Each gas water heater or vent ' 1 5.001 Gas piping system 1 - 5 outlets 15.001 Building sewer 1 15.00' Mobile Home I S l G I @20.001 Ex. Occup. OUTLET OR FIXTURES PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 1100V OR LESS 200A OR LESS 23.00 3,DC Main Service 200A TO I000A I 46.00 j NEW CONST. OR ADONS. ( DWELLING OCCUP. 6 ACC. BLDS. ) I SO' I 3.5cFT. NEW CONST. MULTI.OUTLET \ NON-RESID. ( IR BRANCH CCunn 1 I @7.SOI Ex. Occup. OUTLET OR FIXTURES l 20 4 1.00 I BAL y .501 Ex. OCCU FIxEO APPLNS. OR OUTLETS RES10. EA 5.00 Temporary Service 23.001 Mobile Home Facilities 20.00; Misc. Wirinq l 23.00 .A -k I 3.vd PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Heating Coolingl Hood 6.50 j PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL 1 PD 1 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 Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date a.�..-,.... _ .y.•;,••<+wr ... r_ ,r y,,�.� - ,. - ,tti.l.. ' �a , � .:, +�.w', 14 +}ri.n :' ��.+-R,,:.,s,".d�'^ri...-.-:.,,...r-s..wr ti. 797-91MHU V r 4 26-05-41 A NIEMEYER, Judy f 6898 Lincoln Blvd, roville N$w V ELEC 10011)9 GAS COMPACTI_N TEST REO �(o SUPPORT STRUCT RE 798-91MHI 26-05-41 _ NIEMEYER, Judi r 1riBlvd, Oroville 6898 Linco .(MHI) / 026-050-041 PERMIT#94-3000 NIEMEYER, JUDITH ANN 6898 LINCOLN BLVD., OROVILLE STG BLDG NEW PRI DET CONCRETE u � �r Y - - r i OFFICE COPY Address GAS Date - Meter By ELECTRIC '7 Dat -Meter By C9 NTY..OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION )'r- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT - a *5 - ASSESSORPARCEL NUMBER - ZONING BUILDINGPERMIT OWNER me FHM TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 169 MUM= Ili. 9 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILLDDIINNG�ADDDREESSS p� VOA LL1R" BLVDCA 9"66 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INIM !Cm1Ra to WV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.A OR LESS 23.00 23.()() LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe jury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of'Dvision 3 of the Business and Professions Code, and my license is n II force and effect;,' ;v' ' ' License Class' ti`" �y U LIC. No. ` , it ' ) f OW HER -BUILDER-: DECLAARATION ^{' ♦ '4-. Oi' 1' I hereby affirm under penalty of perjury thatDl am eicempt from the Contractors License Law for the following reason: ;�1•' I ❑ 1, as owner of the property, or my employees wlth`wages as their sole compensation, will do the work, and the structure is not intended"or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I.am exempt under Sec. Business and Professions Code for this reason Main Service 200A To r000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a acc. sLOs. SO 3.5¢x: NEW CONSTMULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLhT CR. Ex. Occup. OUTLET OR FIXTURES 200 1.00 SAL p .50 FIXEDAPPLNS. OR Ex. Occup. ouTLErs RESID. EA S.DD Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE-AWECTION 23.00 PERMIT FEE S 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers" compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work fo which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier /' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. i�r^`� / X it . R-- Date Signature of Applicant Owner ❑ Contractor ❑ Agent,' An OSHA permit is'required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 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. T_ By PERMIT EXPIRES ON ! �� Defe ReceiptNo.�d�%�/J in��+' WHITE-D.D.S.-B.D. CANARY -ASSESSOR` -PINK -INSPECTOR/ GOLDENROD -APPLICANT