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Home My WebLink About026-230-0553 CABINS AND ONE TRAVEL TRAILER W/O PERF 9/21/92 00 I 0 0 0 0 _ 0 0 ^e Q 0 0 0 I M 26- 3-55 �/ �� ;^92 194` 026-23-0-055 �/ CARRILLO, Jesus ? JESUS CARRILLO%1 Lguis41�e, alermo ~ V 2424 Loui's AUe, Of 6Y W/S Irwin Ave, 375 —� Perm;r ' Permit#3604-85E(ele for well) hay,. 'f arm equipment 26-23-55 1 026-23-0-055-:: ,.. .rmit#39 6-87P,E(util, MH pyo FXPmPr;on Permit ��,----- FC c.ew, .barn a •GAS -- - ". � SUPPORT STRUCTIJR RE zq e COMPACTION TEST RE a 26-23-55 Permit#3947-87NA:I �D /i1xEA ISsued y-/ v (( �- D +� 026-230-055 94-0676MHI CARRILLO, ERNESTINA 2420 LOUIS AVE., OROVILLE9`l ti MOBILEHOME INSTALL ON EXIST SITE r-- 0 026-320-055 06=1411 CARRILLO, ER.NESTINA 2420 LOUIS AVE, OROVILLE, -., ,, Cont: OWNER 81101 NSF/GAR/DECK(COV) &- I& 6r7 �co, oNQS scai/I op u A v v 0 0 0 0 v � e m 0 J 026-320-055 "-' 06 1411 NOTES CARRILLO, ERNEST 2420 LOUIS AVE, OROVILLE 'o .1 Cont: OWNER ' 1 NSF/GAR/DECK(COV) APN: Permit No. r Owner. Site Address: • contractor t Type of Permit: 3y j l i OFFICE COPY Address GAS Meter By Dat ELECT IC L Meter By Date }} • 4 SPECIAL CONDITIONS CHECKED BY FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIdNS PB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE y -1 c - Z' DATE JOB FINALED: �`' 0 SIGNATURE: wY rl i t' 't j{ V i OFFICE COPY Address GAS Meter By Dat ELECT IC L Meter By Date }} • 4 SPECIAL CONDITIONS CHECKED BY FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIdNS PB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE y -1 c - Z' DATE JOB FINALED: �`' 0 SIGNATURE: +=OK a = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION Lj SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/0-Concrete 4 Wtr; Loctn-Test-Easement Nedded-Regulator 5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line S Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy .16 HUD Label/insignia Numbers Serial Numbers '—.--DATE ID E C K S -C O V E R S -C A R P O R T S •G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteei 3 Decks, Girders/Jolsts-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4fts-Cnnctrs•Shthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-lU rs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Rooting 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis yo- ys DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 EIec.Encisrs; Conduit Entries Terminals-IJsted 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Encisrs-pniboards4nsultn to Main Conduit 9 Health Dept App' M 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide ds Pool Drawing 0 = Not OK / .,:RESIDENTIAL (Single & Dupl, _. DATE JUND RFL0OR'—:. DATE I'Zon setbacks-Easements-FloodSlope tr Htr; Vent Acc-Cmbstn Air Baffle n Soils -Flee Gmd OZ Ftg DRth UAW Pipe' Test & Anchr-Nail Prtctn 3�Ftg Garage; SoilsSteel-Flee Grnd %L Ftg Dpth SO -OW; Test Fittings & Anchr Nail Prfctrt 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 56 Shwr Pan; Test, Fust flr-Tub Ace 5 Stemwalls:IMain; Steel -Blackouts -Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Ace 6 St Ils Garage; Steel -Blackouts Wrapped %Gas Pipe; Sz & Anchrs 7.Z • vro old Downs and Special Anchrs 59 Fire Sprinkler; Test Slab, Steel Wrapped 60 Yard Gas.Piping 8 Piers-Frpic Ftg-Steel 10-Z-O(o r_A.. G fDA3WV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 W pe; Test-Anchrs-RgitrService Test 12,Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insults & Support " 14 GirdersSills-Anchr BoltsJoists Vnts-Cripples(II)Vent Fan. Exhaust abv Insultn 15 Ace & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic 120`s' DATE I FRAMING <!:::Z,Sills Proper Materials & An DATE Its Studs -Nailing Spacing & Braces -Plates -Sound -Door & SideLt Prtctn-Landings 19 Bearing Wails over Girders & fir Nailing moke Detector 20 Draft Stop in Walls (rat proof) 68 FunnVnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops,'Furred CeilingsStairs-Chasers-Tubs I arage; abv-flr-Ducts-Meth Prtctn eaders B Beams -Si &'Bearing' Broom Exiting angers -Post Caps-Anchrs-Cnnctns 7%F th Fxtrs &Tub AccSpa U -Ming Joist-Rftr Tes-Purlin-Roof Brac-TrussShthg 7 c Fault 25 F 1 ,Ties or Type A Flue=Frplc Throat Clmc Elec Trim & Subpnl, Breaker Szs & Labels cc; Sz & Rmz .P(n-D rtcraf " Stop -Ins Baffles 73 Stairs, Guard/Handrails rm Wndws .c Ezitlng Doors -Sill Ht & Dimensions 74 Frpic or Stove, Clmc-Hearth Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, int & Ext 29 Prprty Line Firewall & Opngs76 Ktchx r & Appinc; Gmd-Air-Gap-Cooking Clrnc STCd Doors -One X -Check Garage 3rd Story, 2 Exits c Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing=Fire Prtctn i ge Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 79 AC ct in Garage -Damper. _ ding -Nailing Veneer tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace . Mee ctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic . lee & Mech Eqp Listed for Lactn 36 S ar Walls; NaWhg-Bolts ec tcis in Garage (GFI) Romex Prtctn /D I I 37Brace IntlF�ctVlall pnls�%-ultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cim - Dmge Planters ❑ Yes ❑ No 87 St eco town -Finish 4 �� o' °�� it Dscnnct, Elec-Plmb nts abv Roof, PImb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 91 E.)�d c Trim, GFI Rcptcl-Undrgmd 41 c Rcptcls Spacing-Lts & Switches at Doors 9, i2"�jn thru House " ti�z Boxes & No Of Cndctrs Stapled Vctnddress ome Installed Close to Edge of Studs & CJ from previous Ihspctns Grnd made up w/Mech Fstnrs tars Tagged, Gas-Elec �dng Electrode Bond Gas &Wtr Cnnctd-C/0 to grade -HD Apprvl 2 Apptnc Cires in Ktchn & Cndctr Sz GFI inc Cert -Other Certs ubfeed Wire Sz oa ❑CU or❑AL ted ue Sz qa ❑ CU or ❑ AL 99 Fire Sprinkler Range Circ w ❑ CU or ❑ AL Oven Circ ❑ CU or ❑ALL_Z Insulated Neutral ❑Yes El No °a';�-/ °`�`�—�` �6ervice-Riser Cndctrs & Gmd Main Dscnnct '' 50 E� Clrnes pnls-Motors-Mech Eqp S1'Cl�thes Closet Lt-Shwr LtSpa Lt =oke Detector :.: COUNTY OF BUTTE `{ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector s indicated below. i' 1 h V N6— ,a rr/ e% Date Inspector REV 4/05 / Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 `. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA - (530) 538-7541 CORRECTION NOTICE 77' 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. I Date 4) Inspector 4� L4 -.— REV 4/05 Phone #`�Zg. 1:3zK FOR RE -INSPECTION CALL: 538-7636 OR 1891-2834 k:x ;COUNTY OF BUTTE BUILDING DIVISION ¢_ DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE E OWNR :•=. PERMIT NO. -: A routine inspection indicates that the following violations of Butte County Ordinances exist at kt' the abovedress and should be corrected. Please call for re -inspection when correction of work is c. pleted. If you have any questions pertaining to this matter, or need additional explan on, please contact the Building Inspector as indicated below. A j I cA -i— 0 C- r c . . t�JG4er u rs vy e r C ' Date Inspector vvGa ( c� I--r,r e� d( REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 U.S. DQPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Y. s OMB No. 1660-0008 y Federal Emergency Management Agency ExDireS February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Jesus B & Ernestina L Carrillo ^A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 2420 Louis Ave. O"rty Palermo State CA ZIP Code95968 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-230-055 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 39 25.64 Long. 121.31.80 Horizontal Datum: ® NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number/ A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) jVA sq ft a) Square footage of attached garage NA sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b NA sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State Butte County Unincorporated Area I Butte CA 7-7 B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 06007C0995 C June 8, 1998 June 8, 1998 AE 165 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation Date . ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. t3 tterirs below according to the building diagram specified in Item A7. �� G �,�`Si� Benchmark Utilized RM7 Vertical Datum v i Conversion/CommentslN OQ Check the rr+eisd L �! a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 175.®feet ❑meters (Puertop o' nly) b) Top of the next higher floorI` 6. ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NA. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA. ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NA. ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) fj Lowest adjacent (finished) grade (LAG) 175. ❑ feet ❑ meters (Puerto Rico only) g) Highest, adjacent (finished) grade (HAG) 175. ❑ feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ,��`► I ❑ Check here if comments are provided on back of form. Certifier's Name Jim Pursell License Number 60924 Title RCE Company Name Jim Pursell Engineering I Address 2360 Baldwin Ave. Signature rte Telephone 530-321-6118 01V046 ZIP Code 95966 Nq C 60924 9 C1 VI OF F CALF ,,lM)?ORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite; and/or. Bldg. No.) or P.O. Route and Box No. Policy Number 2420 Louis Ave. City Palermo StateCAZIP Code 95968 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Building is on a hill above the area prone to flooding. The building is in no danger of flooding and no flood insurance should be reqired Signature Date ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sectlons A, B, and C. For Items E1 -E4, use natural grade; if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2, For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Jesus B & Ernestine L Carrillo Address 2424 Louis Ave. CityPalermo StateCA ZIP Code95968 Signature Comments Date Telephone ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign.below. Check the measurement used in Items G8. and G9. G1. ❑ . The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who . is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. tilevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments 1 Title Telephone Date Check here if attachments lye` • nus, Id ub Ui: cap i • Western Woods Ewp Rick 5303431124 IQ�IQ t�wic� Certificate of conf6rmance Certificate 054-10-0 THIS IS TO CERTIFY that Engineered Wood Systhe glued laminated timber products identified with a collectivemark of tems 0 -WS) were manufactured in accordance with thea licabfe and associated specifications indicated below: s PP standards ANSI Standard A190.1-19927For Wo Laminated Timberod Products —Structural Glued NER-486 Glued Laminated Timber Combinations And "GAP" Computer program For Pet,ermining Design Stresses RITC 117-93 — Manuf� ctudng —Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWStrademarked structural glued •' were produced in a manufacturing facitit�raubject to regular audits in accordance with the Engineered g d lamina�ed timber. members Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection manufacturingf the S ed process and evaluation of the in -plant QA program with adequate sampling tooverify conformance to industry standards for lumber grade and glueline bond Guafity. ``rtt't>►II t?rlt 10 woo 1. r 2� iCA i ��• :,At X22 5 I L i SF LA1 SHIN r 31-7 s by'.—=� Thomas G, Williarnson Executive Vice President - - �� rrvvU SYSTSLlS is a related corporation a,` APA - TNc ENGINEERED WpO0 ASSOCIATION 7011 South IBth Sreet • RO. box 11700 •Tacoma. WA98A11-0760 Telephone: (253) 565-6606 • Fei; Number. (253) 565-7265 . i INSULATE N CERTWICATE Job Number: F 8808 TONY Q ARRILLO ' 1 K 2420 LOUIS AVE., OROVILLE CA Contractor/Owner Name Job Address (street, city, state) e BUTTE , County Subdivision Name Lot Number DESCRIPTION OF INSTALLATION ROOF Material: Thickness (inches): 2. CEILING Brand Name: Thermal Resistance (R -Value): l Batt or Blanket Type:l I Brand Name: Thickness (inches): I Thermal Resistance (R -Value): Loose Fill Type: I Fiberglass Brand Name: I Knauf I Minimum Installed Weight/ft I .569 I lb Minimum Thickness: I 13 f inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): I 38 1 3. EXTERIOR WALL Frame Type: I A. Cavitv Insulation Material: Fiberglass Thickness (inches): I 61/4 I B. Exterior Foam Sheathing Material: Thickness (inches): I I 4: RAISED FLOOR Material: I Thickness (inches): I I 5. , SLAB FLOOR/PERIMETER Material: Thickness (inches): I I Perimeter Insulation Depth Inches: { I 6. FOUNDATION WALL Material: Thickness (inches): I I DECLARATION Brand Name: Knauf Thermal Resistance (R -Value): I 19 r Brand Name: Thermal Resistance (R -Value): I I Brand Name: Thermal Resistance (R -Value): I I Brand Name: Thermal Resistance (Ft -Value): i Brand Name: Thermal Resistance (R -Value): l I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. , 2&3 �('�l ��I'Chico Insulation & Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061411 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/17/2006 APN: 026-230-055-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 2420 LOUIS AVE PAL License Class : License Number: Map Index: Date: Contractor: Description: nsf (952), gar (602), COV (40) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CARRILLO JESUS B & ERNESTINA L JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2424 LOUIS AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): A' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CARRILLO JESUS B & ERNESTINA L JT owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2424 LOUIS AVE sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95966 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business Pry/offeesssion/s Code -wand l 7 )Olo [`Yse ��r �L2.� Date: Owner: AA/A.L✓1 (J WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 1594 S.F. Policy #: 'A- I certify that in the performance of the work for which this permit is Valuation: $76,968.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -) 0� Date: 7) tf;7 _ Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her/eb-ynssuued un er the applicable provisions of the Bulto County Code andlo-r.... - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions joi4oWft indicated bove for which fees have been paid. I 1 ,6 Name: By: Date: I l0 V Address: PERMIT EXPIRES 0 Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533; and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code.is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property fur inspection purposes Print Name:} Y! F'S �'r7 t✓�� k -i %�C� Signature: L'yyyLQ JGLz-i�CG.r1 /%— 06 t Date: .I Owner ❑ Contractor Y ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 Wednesday, September 20, 2006 Development Services BUILDING DIVISION Ver. 1.0 Counter Curtis Person Payment Date Permit Number06-1 Receipt Number Check Number or Cash Parcel Number Applicant Received From 6/13/2006 I t;1?� 455764 026-230-055 I carrillo, ernestina same Total Received L $988.78 Total Fees To Collect $988.78 Notes: A Fund 10 (Bldg Permits) $0.00 :8:71 '--A SRA Fees (Fire) NCSP Roads/Bridges $0.00 SHR Fees (Sheriff) $0.00 $0.00 I SMIP NCSP Parks $0.00 J Copies/Document Sales $0.00 $0.00 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) F $0.00 Water Tender Bin #= $0.00 West Chico Fire Station $0.00 AVA Restitution Payment $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System $0.00 I NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 REQUEST FOR AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 6/14/2006 BAG NUMBER: 330 RANGE OF RECEIPTS: 455744-455768 MONEY COLLECTED: 6/13/2006 DESCRIPTION FUND TITLE FUND CODE DEPT CODE ACCT CODE CASH CODE AMOUNT BLDG PERMITS BLDG INSPCTN 0010V'_440001 4210500101001 $ 6,019.86"") REMOVE NOTICE OF VIOLATION GENERAL FUND 0010 440001 4350903 101001 $ CHRG ON RET CHECK BLDG INSPCTN 0010 440001 4610105 101001 $ AVA COURT ORD RESTIT REIM AVA CRT ORD 0010 440001 4617252 101001 $ COPIES COPY SALES 0010 440001 4711910 101001 $ WITNESS FEES BLDG INSPCTN 0010 440001 4712523 101001 $ RECORDERS FEES GENERAL FUND 0010 470001 4613701 101001 $ DEVELOPMENT SERVICES - CWIF PROC FEE DEV SRVCS - CWIF PROC FEE 0010 440001 4617999 101001 $ AUDITORS - CWIF PROC FEE AUD - CWIF PROC FEE 0010 050 4617998 101001 $ FIRE COMMCL PLNG REV FEES FIRE PROTECTN 0100 4617237 101001 $ FIRE PLNG APPL FEE (SRA) FIRE PROTECTN 0100 4617240 101001 $ SMIP FEES SMIP FEES 1001 280 1011298 $ 22.97 SHERIFF DEVELOPMENT (SHR) SHER DEVL FEE 1800 280 1011811 $ CHICO URBAN STREET IMPROVEMENT CHICO URBAN AREA 1800 280 1011815 $ OROVILLE AREA TRAFFIC OROVILLE TRAFFIC 1800 280 1011817 $ CHICO VECINO DRAINAGE TRUST CHICO VECINO 1800 280 1011821 $ THERMALITO DRAINAGE THERM. DRAINAGE 1800 280 1011822 $ DRAINAGE DEPOSIT TRUST DRAINAGE DEP. TRUST 1800 280 1011823 $ SUBDIVISION DRAINAGE TRUST SUB -DIV. DRAINAGE TRUST 1800 280 1011824 $ NCSP - TRAILS SYSTEM NCSP - TRAILS SYSTEM 1800 280 1011888 $ NCSP - ROADS & BRIDGES NCSP - ROADS & BRIDGES 1800 280 1011889 $ NCSP - STORM DRAINAGE NCSP - STORM DRAINAGE 1800 280 1011890 $ NCSP - FIRE STATION NCSP - FIRE STATION 1800 280 1011891 $ NCSP-PARKS NCSP-PARKS 1800 280 1011892 $ CWIF - GENERAL GOVT. FACILITIES CWIF-GEN. GOVT. FACILITIES 1808 280 101001 $ CWIF - GENERAL GOVT. EQUIPMENT CWIF-GEN. GOVT. EQUIP 1810 280 101001 $ CSD #770 - BUTTE CREEK CSD #770 BUTTE CREEK 1821 280 1011970 $ CSD #771 - COMANCHE CREEK CSD #771 COMANCHE CREEK 1821 280 1011971 $ CSD #772 - LITTLE CHICO CREEK CSD #772 LITTLE CHICO CREEK 1821 280 1011972 $ CSD #773 - BIG CHICO CREEK CSD #773 BIG CHICO CREEK 1821 280 1011973 $ - CSD #774 - LINDO CHANNEL CSD #774 LINDO CHANNEL 1821 280 1011974 $ CSD #775 - S.U.D.A.D. DITCH CSD #775 S.U.D.A.D. DITCH 1821 280 1011975 $ CSD #776 - MUDD-SYCAMORE CREEK CSD #776 MUDD-SYCAMORE CREEK 1821 280 1011976 $ CSD #777 - P.V. DITCH CSD #777 P.V. DITCH 1821 280 1011977 $ CWIF - LIBRARY - FACILITIES CWIF-LIBR - FACILITIES 1825 280 1011826 $ CWIF - LIBRARY - MATERIALS CWIF-LIBR - MATERIALS 1825 280 1011827 $ CWIF - LIBRARY - VEHICLE & EQUIPMENT CWIF-LIBR - VEH & EQUIP 1825 280 1011828 $ CWIF - ROADS & BRIDGES (NCSP/CUA) CWIF-ROADS & BRIDGES 1831 280 1011001 $ CWIF - SHERIFF - FACILITIES CWIF-SHR - FACILITIES 1840 280 1011841 $ CWIF - SHERIFF - VEHICLE & EQUIPMENT CWIF-SHR - VEH & EQUIP 1840 280 1011842 $ CWIF - FIRE - FACILITIES CWIF-FIRE - FACILITIES 1851 280 1011852 $ CWIF - FIRE - VEHICLE & EQUIPMENT CWIF-FIRE - VEH & EQUIP 1851 280 1011853 $ WATER TENDER FEE BATTALION #7 1851 280 1011867 $ TOT 'L $ 6,042.83 Revised 11/22/2005 PREPARED BY: Revised 11/28/2005 DATE 6/14/2006 BAG # 330 RANGE OF RECEIPTS: 455744-455768 MONEY COLLECTED: 6/13/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 4 ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 1 of 4 Revised 11/28/2005 DATE 6/14/2006 BAG # 330 RANGE OF RECEIPTS: 455744-455768 MONEY COLLECTED: 6/13/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 2 of 4 Revised 11/28/2005 DATE 6/14/2006 BAG # 330 RANGE OF RECEIPTS: 455744-455768 MONEY COLLECTED: 6/13/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 3 of 4 ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 3 of 4 Revised 11/28/2005 DATE 6/14/2006 BAG # 330 RANGE OF RECEIPTS: 455744455768 MONEY COLLECTED: 6/13/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION GRAND TOTAL TO BE DEPOSITED I I I $ 6,042.83 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 6/14/2006 FIRE FACILITIES ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ GRAND TOTAL TO BE DEPOSITED I I I $ 6,042.83 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 6/14/2006 4 Wednesday, September 20, 2006 1. Counter Karen Person Development Services BUILDING DIVISION Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant Received From 7/17/2006 I 06141;1 456224; T 026-230-055 carrillo I isarne I Total Received $1,325.90 Total Fees To Collect $1,32 Notes: Ver. 1.0 Fund 10 (Bldg Permits) $1,318.20 SRA Fees (Fire) SHR Fees (Sheriff) SMIP $7.70 Copies/Document Sales $0.00 CUA (Chico Urban Area) F-- $0.00 TUA (Therm. Urban Area) -$0.00 Water Tender Min #= $0.00 West Chico Fire Station $0.00 AVA Restitution Payment $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) Notice of Violation $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 I NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks Type $0.00 Value $0.00 REQUEST FOR AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 7/18/2006 BAG NUMBER: 328 RANGE OF RECEIPTS: 456223-456242 MONEY COLLECTED: 7/17/2006 DESCRIPTION FUND TITLE FUND CODE DEPT CODE ACCT CODE CASH CODE AMOUNT BLDG PERMITS BLDG INSPCTN 0010 440001 4210500 101001 $ 8,493.50 REMOVE NOTICE OF VIOLATION GENERAL FUND 0010 440001 4350903 101001 $ CHRG ON RET CHECK BLDG INSPCTN 0010 440001 4610105 101001 $ AVA COURT ORD RESTIT REIM AVA CRT ORD 0010 440001 4617252 101001 $ COPIES COPY SALES 0010 440001 4711910 101001 $ WITNESS FEES BLDGINSPCTN 0010 440001 4712523 101001 $ RECORDERS FEES GENERAL FUND 0010 470001 4613701 101001 $ DEVELOPMENT SERVICES - CWIF PROC FEE DEV SRVCS - CWIF PROC FEE 0010 440001 4617999 101001 $ 50.00 AUDITORS - CWIF PROC FEE AUD - CWIF PROC FEE 0010 050 4617998 101001 $ 50.00 FIRE COMMCL PLNG REV FEES FIRE PROTECTN 0100 4617237 101001 $ FIRE PLNG APPL FEE (SRA) FIRE PROTECTN 0100 4617240 101001 $ 285.00 SMIP FEES SMIP FEES 1001 280 1011298 $ 26.81 SHERIFF DEVELOPMENT (SHR) SHER DEVL FEE 1800 280 1011811 $ 257.00 CHICO URBAN STREET IMPROVEMENT CHICO URBAN AREA 1800 280 1011815 $ OROVILLE AREA TRAFFIC OROVILLE TRAFFIC 1800 280 1011817 $ CHICO VECINO DRAINAGE TRUST CHICO VECINO 1800 280 1011821 $ THERMALITO DRAINAGE THERM. DRAINAGE 1800 280 1011822 $ DRAINAGE DEPOSIT TRUST DRAINAGE DEP. TRUST 1800 280 1011823 $ SUB -DIVISION DRAINAGE TRUST SUB -DIV. DRAINAGE TRUST 1800 280 1011824 $ NCSP - TRAILS SYSTEM NCSP - TRAILS SYSTEM 1800 280 1011888 $ NCSP - ROADS & BRIDGES NCSP - ROADS & BRIDGES 1800 280 1011889 $ NCSP - STORM DRAINAGE NCSP - STORM DRAINAGE 1800 280 1011890 $ NCSP - FIRE STATION NCSP - FIRE STATION 1800 280 1011891 $ NCSP-PARKS NCSP-PARKS 1800 280 1011892 $ CWIF - GENERAL GOVT. FACILITIES CWIF-GEN. GOVT. FACILITIES 1808 280 101001 $ 489.89 CWIF - GENERAL GOVT. EQUIPMENT CWIF-GEN. GOVT. EQUIP 1810 280 101001 $ 225.94 CSD #770 - BUTTE CREEK CSD #770 BUTTE CREEK 1821 280 1011970 $ CSD #771 - COMANCHE CREEK CSD #771 COMANCHE CREEK 1821 280 1011971 $ CSD #772 - LITTLE CHICO CREEK CSD #772 LITTLE CHICO CREEK 1821 280 1011972 $ CSD #773 - BIG CHICO CREEK CSD #773 BIG CHICO CREEK 1821 280 1011973 $ CSD #774 - LINDO CHANNEL CSD #774 LINDO CHANNEL 1821 280 1011974 $ CSD #775 - S.U.D.A.D. DITCH CSD #775 S.U.D.A.D. DITCH 1821 280 1011975 $ CSD #776 - MUDD-SYCAMORE CREEK CSD #776 MUDD-SYCAMORE CREEK 1821 280 1011976 $ CSD #777 - P.V. DITCH CSD #777 P.V. DITCH 1821 280 1011977 $ - CWIF - LIBRARY - FACILITIES CWIF-LIBR - FACILITIES 1825 280 1011826 $ 177.51 CWIF - LIBRARY - MATERIALS CWIF-LIBR - MATERIALS 1825 280 1011827 $ 119.41 CWIF - LIBRARY - VEHICLE & EQUIPMENT CWIF-LIBR - VEH & EQUIP 1825 280 1011828 $ 3.56 CWIF - ROADS & BRIDGES (NCSP/CUA) CWIF-ROADS & BRIDGES 1831 280 1011001 $ 709.87 CWIF - SHERIFF - FACILITIES CWIF-SHR - FACILITIES 1840 280 1011841 $ 230.64 CWIF - SHERIFF - VEHICLE & EQUIPMENT CWIF-SHR - VEH & EQUIP 1840 280 1011842 $ 112.54 CWIF - FIRE - FACILITIES CWIF-FIRE - FACILITIES 1851 280 1011852 $ 269.96 CWIF -FIRE - VEHICLE & EQUIPMENT CWIF-FIRE - VEH & EQUIP 1851 280 1011853 $ 521.11 WATER TENDER FEE BATTALION #7 1851 280 1011867 $ TOTAL $ 12,022.74 Revised 11/22/2005 PREPARED BY: Gwyn Benedict ext 7604 Revised 11/28/2005 DATE 7/18/2006 BAG # 328 RANGE OF RECEIPTS: 456223-456242 MONEY COLLECTED: 7/17/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 4 10 F-0100 -1001 -10 -10 -10 -10 -10 -10 -0100 BUILDING PERMITS FIRE - SRA SMIP FEE COPIES PUBLIC SALES REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION WITNESS FEES RECORDERS FEES FIRE - COMMCL PLNG REV FEES PERMIT# RECEIPT# 4210500 4617240 280 4711910 4350903 4610105 4617252 4712523 4613701 4617237 101001 101001 1011298 101001 101001 101001 101001 101001 101001 101001 061706 456223 $ 1,110.32 $ 95.00 061411 456224 $ 1,318.20 $ 7.70 061696 456225 $ 110.00 061708 456226 $ 110.00 061710 456227 $ 137.50 061709 456228 $ 1,403.04 $ 95.00 061712 456229 $ 219.96 061711 456230 $ 109.98 053085 456231 $ 54.99 061707 456232 $ 55.00 061713 456233 $ 395.93 $ 95.00 061714 456234 $ 714.87 051263 456235 $ 1,288.20 $ 6.36 060767 456236 $ 54.99 060647 456237 $ 329.94 $ 11.93 051917 456238 $ 255.71 $ 0.82 052056 456239 $ 54.99 061715 456240 $ 110.00 061716 456241 $ 109.98 061717 456242 $ 549.90 $ 8,493.50 $ 285.00 $ 26.81 $ - $ - $ - $ - $ - $ - $ - Page 1 of 4 Revised 11/28/2005 DATE 7/18/2006 BAG # 328 RANGE OF RECEIPTS: 456223-456242 MONEY COLLECTED: 7/17/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 2 of 4 Revised 11/28/2005 DATE 7/18/2006 BAG # 328 RANGE OF RECEIPTS: 456223-456242 MONEY COLLECTED: 7/17/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 3 of 4 DRAIN AREA DRAIN AREA Little Chico Creek Big Chico Creek ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 3 of 4 Revised 11/28/2005 DATE 7/18/2006 BAG # 328 RANGE OF RECEIPTS: 456223456242 MONEY COLLECTED: 7/17/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION GRAND TOTAL TO BE DEPOSITED $ 12,022.74 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 7/18/2006 MATERIAL ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ GRAND TOTAL TO BE DEPOSITED $ 12,022.74 PREPARED BY: Page 4 of 4 Gwyn Benedict ext 7604 DATE: 7/18/2006 BPO61411 APN#026-230-055 OWNER: CARRILLO TOTAL PERMIT COSTS $2,154.70 Building Permit Fees SMIP FEMA REVIEW Receipt #455764 Dated 6/13/06 Receipt #456224 Dated 7/17/06 $2�`1a7!o0 $7.70 $109.98 $2,264.68 F10 -BLDG $988.78 $988.78 $1,325.90 $1,318.20 2,314.68 2 Sin I P F1001 $988.78 $7.70 $1,325.90 UVtr(-tve--cz _ PA�� Status: ISSUED_____J APN: 026-230-055.000_ - _1 Bin #:FA -20J Site Address: 12420 LOUIS AVE. PAL _ i Map index: Owner (Title): ICARRILLO JESUS.B & ERN_EST Project Title: t Contractor: I I Applicant: ICARRILLO JESUS. BA ERNE' Contr Phone: I I Architect: I1 Contr. Lic. tt _ I Engineer: 1 Description: Insf_(952),_gar (60-2), cov,(40) 1 Fee Summary Construction Permit Fee: _$2,147.00 F1 __J Planning:: -.t Misc. Permit Fees: $0.00, Fire: $7.70 Strang Motion: W I I— FW -Land Dvlmt: Investigation Fees: $0.00 FW Encroach: _ Other Agency/Impact: $0.00 Ag buffer: Other Fees: ____$0.00 Ag Statement: J TOTAL FEES: ^$2,154.70 Pre-Insp: Soils Rpt Eng. Found: Fees Paid: $0.00, Other: rj Balance Due: 50.00 Key Dates Applied: 06!13!2006 _ j Approved: _!_!_ J BP Renewal: Issued: 07/17/2006) Expired: Finaled: _!_/_ J Voided: Census Data Census Class Code:r— I r_.._ 11 _ ,. �soaD 11 Updats J 1 4 1 Exit I Back I I Construction Information Permit Category: BLDG -RES) Construction Type: VN __J Total Valuation: ,$76,968.00) Total Square Feet: _1,594___J Permit Type: NEW__ _ _ Required to Issue Contractor's Lic.: F-IJ� NPDES:.r It Workers Comp: J Water: I Owner/Builder: r Health: J Sign Authorization: Sewer: Erosion Control Plan: School Fee: J Chico Plumb: J Deed Restriction: Recreation Dist: r Plan Check: Fire Sprinkler: EJ AQMD: J TRA: 092007TH High School District: JORO,HI 1 MH Docs: Elem School District: 1PALERMO_ I Grant Deed rl rl Water: I 1 MH Title/Statement 'j Sewer: I I Ltr-legal owner J Rec Dist: I 1 HCD check $$ ri Intialized: 0 411 3/2 006JCSCHNURR) oQ� County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Ernestlna Carrillo ADDRESS: 2420 Louis Avenue CITY & STATE: Oroville, CA 95966 DATE OF CLAIM: 09/21/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - Over charged on permit APN: 026-230-055 Permit No.: 06-1411 PAID RETAINED REFUND Develo ment Services $ 988.78 $ 938.78 $ 50.00 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ - $ - $ - TOTAL $ 988.78 $ 938.78 $ 50.00 ... :`.BREAKDOV1!N:::`::::::::a3UDG:ET:- ::ACCOEJNT::`A-MOCJNT:: 101001 DVLPMNT SVC 440-001 4210500 $ 50.00 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTALF $ 50.00 $ 50.00 i, me undersigned, deciare under penaity or perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2006, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2006, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND UV NV I YYRI I C 6CLUYV I IYID LINt - AUUI I UK-, U5t UNLY DEPT & SUB PROD I SUB. OBJ I CLAIM NO. I INV NO. F INV. DATE I ENCUMB. GROSS AMT. J-4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061411 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/17/2006 APN: 026-230-055-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 2420 LOUIS AVE PAL License Class : License Number: Map Index: Date: Contractor: Description: nsf (952), gar (602), COV (40) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CARRILLO JESUS B & ERNESTINA L JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 2424 LOUIS AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CARRILLO JESUS B & ERNESTINA L JT owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 2424 LOUIS AVE sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95966 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Co e O (o 2 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 1594 S.F. Policy #:- I certify that in the performance of the work for which this permit is Valuation: $76,968.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �Y _ a - .�, .. �—/�.•.�/mac .. � �•-CJ.�. _1-�V CONSTRUCTION LENDING AGENCY This permit is hereby ssued uner the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions rk indicated bove for which fees have been paid. )) Name: , -6 By: Date: CO - Address: PERMIT EXPIRES O v Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes -a— Print Name: !� 7 -YJ P9��✓7 l.a�� Y�i C7 Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name I 1 0 irst Name e 41 Address =� b L-vkt_,� Avv— City 0�-0\j \\\ State CA Zip Sq Phon%53o 511a_Dg35 Fax E-mail APPLICANT SIGNATURE X &f �� For office use only: CONTRACTOR Name �LNNL� Address Occ. City Subdivision Name State Zip Phone Planner Fax E-mail Lic. # Class APPLICANT SIGNATURE X &f �� For office use only: ARCHITECT/ENGINEER Name G J W Address t Occ. City Subdivision Name State Zip Phone Planner Fax E-mail State License Number APPLICANT SIGNATURE X &f �� For office use only: APPLICANT INFORMATION Name G J W Address Occ. City Subdivision Name State Zip Phone Planner Fax E-mail APPLICANT SIGNATURE X &f �� For office use only: Zoning Flood Zone Property Address �)yao AvQ- SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP O6/ V// BIN # PROJECT LOCATION J Property Address �)yao AvQ- City O r -6.,,11e Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living c'a Garage/I2-Open ov[(o El Structure Built without Permits U ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made, upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other d, l�a tment costs are not 2c 7n C refundable. _ ( , t -,. Received by� Amount: rC Receipt #: i N 6� Date tom' Bldg Sheriff SMIP nlhor Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a It. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK, 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Ile 3. Engineered truss details and layouts in duplicate (if required). No faxes! W 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. , ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �`�,.Y"y+Y ` r. {} ;� ..� 3 - - -, ;� -. . r,�' -. • � r w,�.+`�':`ri trr �g �d'`d �y;�;g:Ft? i�,j' "`�' jh,"M`�"r i� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET iN OWNER: !� ASSESSOR PARCEL NUMBER O 2- 6 2�D -a Proposed Building Use: / V Si� Permit Technician: Date: Items required in order to apply for a permit All boxes MUST be checked OR marked NA in o er to apply. \ N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ry 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. r ry 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. �j I^/ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in 1 duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these li must be stamped and wet -signed by the engineer. I 1 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. \ ❑ f 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Rem ' s needed to issue the permit (May require additional plan review upon receipt of the following items.) ` '' Sanitation and site plan approval from the Environmental Health Department in EWbico ❑ Oroville as a ble ❑ 15. Fire Sprinklers......................................................................................... `4- 0 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... \ O_Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ Site plan and business license approval from the City of Biggs .............................. j.. 22. California Department of Forestry plan approval 1:1paid. Sent by: ( 1( Planning approval for (A) Use: Q)L(B) Parking: (C) Parcel Check:.!...... p 24. Contact Land Development about _Improvements, _ Drainage ........................ i < •r F',: ` = 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... \ /IV 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... �p / /J 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. O 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... 35. ❑ Legal scdption, .H. Tifle, title searRh, r stration or MCO............ �] 36. Other. �j> ❑ 37. Other. When issued Telep e '�' ` 4c-Z'Zz and hold for pickup. ii I have been informed of the above items and requirements for obtaining a building permit. Nt'5iT/N ;WAW 1�0�.4 �3 `/- y at Applicant �Date:: 1. Index permit application for the above items numbered: Plan Check Lefler 2. Additional items r f Contractor, design r, owner, as advised of the above data by ❑ ph6e, ❑ mail, Kcounter, by Date: fT1 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, o dvised of the aboveAaLtalby ❑ phone, ❑ mail, Date: Plans reviewed by. Date: 7MICA,Plans approved b Date: / Structural reviewed Date: Structural approved Date: Note transfei by: Date: Yellow: Building Division JE.H. USE ONLY Plot Plan Attadied _ Floor Plan Attached Sent to BD/DS TO: Building Division = Development Services \ �v 53a-o�� FROM: Environmental Health SUBJECT: Sanitation Clearance EA N=4- d) tjA a Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well 1 Clearance for dwelling. Other J2Leo::z)-),ti Ll- zj L2 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner App Date: carillo 911 Znnncz APN No: 26-230-055 Permit Type: Subtype: Permit No: BP 06-1411 Permit Desc: 1 41.1 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,197.00 Plan Check portion of Permit Fee $878.80 $1,318.20 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 _ (State Responsibility Area) Building Inspection $109.98 0 - $204.98 NON-REFUNDABLE portion of fees due at application $988,78 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION PPPC /RFI nW1 III 15= PDIr1D TA ICCI IAKIr P (1C DPDMIT RECEIPT!/ DATE (Teecchh//A�sst� $988.78 � 1 L> LJ At the time of permit application, I was advised the above fees are required to be paid prit issuance of the permit. These fees may be changed during the plan checking process. Applicant: ��!�/ L Date: �Q 1 �3 I o�. Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 BUTTE COUNTY DEVELOPMENT EEE CERTIFICATION FORM )0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number`- . Property Owner (s) Project Location /Address U �l �2 Subdivision Name Assessable Sq. Ftge —7 �2--0 Type of Residential Development (check one) ew Development ✓Single Family -Detached Single Family -Attached Iteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued 5J) verified by Building Department ( Comments: >A - Building Dep e t Representative Date 0 FRRPD D CARD ❑ PRPD D DRPD certifies that: C53�� S 301- U 8 3S Applicant Name Phone Number LA aL� Lc�>� k ; s A\)(2- 1 l c-- C—A Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ q PYb_y` Cash: per unit for a total of per sq foot for a total of $ N Receipt No: R PrrPation and Park District Representative Date = Feather River Recreation Date: 07/17/200;1- k— � t,t #: 19681 Pfl) l_.r.: i l r : r; 4A Ti ON ER\TESTI' -:'-. 2424 LOU `::> Oroville, C Customer 532-0'3-5 (: 1200 Myers Street Oroville, CA 95965- 0 (530) 533-2011 Registration Receipt User ED: 002 Site: PAYMENT INFORMATION Amount Charged ....................... $ 239.00 Total Amount Due ....................... $ 239.00 Amount Paid ....................... $ 239.00 BalanceDue ....................... - (30) Prior Balance ....................... $ 0.00 Used To Pay Fees ....................... $ 0.00 Current Balance ....................... $ 0.00 Cash Check 3,1 Bank #: Card S Card Type: Memo $ O.i`.' : T"! PACT FEE FUND 2620 Eiv 1Z0LLEE,- (S) - -_ - - AT,,' !_kNt - STii;:', C:o;'`. -- '- -Activity: 912'4.105 MISC. REVENUEFees: $ 239.00 CI:stonier f '2 :52 Local ion:TVIUNICIPAL AUDITORIUM Amount Applied: $ 239.00 l rom07/!) I OG Times OS:OOA 05:OOP Amount Owed: $ 0.00 — ........ FPATHEIt, !;l `.'I_l'. ._.. :`„D PARK DISTRICT':'-\GRr'�MENT WAIVER, AND RELEASE I have carefully rc:I,! River Rec-c•: tion ar:;: 4 Y. ;ivii_i. or ccnu,_.:::: n p:ur t o.' :: r� .• : r.•.v heirs or exl,cnsc: \%:iich i!:: Parcn!A Consc;n: Stu;:; u y or pr"; :::v T1- I class(es) for which I/\vc ore registering and in consideration for being permitted by the Feather !- trticipate in the ac!ivity listed, I hereby waive, release and discharge any and all claims for damages u„age whic', I r.:a ::vc, or which may hereafter accrue to me, as a result of participation in said (li<..l,:irge in advance FRRPD (its officers, employees and agents) from any and all liability arising out .>:: ticipation in <: id even though that liability may arise out of negligence or carelessness on r.cd above. 't is :•::.1•_:-s,.00d ;hat this activity involves an element of risk and danger of accidents those risks. Tt is !1 !: r a;rrcd that this waiver, release and assumption of risk is to be binding to and to ho'd t!::::',ovc persons or entities free and harmless from any loss, liability, damage, cost :t r_sult of my i:.1-Jry or property damage that I may sustain while participating in said activity. -.l signed by parcnti -,.!:irdi n if applicant is under 18 years of age). I hereby consent that my partici.-,;it:: i:: il::: ;tbovc activity. I hereby execute the above Agreement, Waiver and Release r is physical:. ab'.c it, ;Tarticipate in said activity. I herby agree to indemnify and hold the persons n.; loss, liahi:i!y, i'.::r.a^c, cost or expense which they may incur as a result of the death or any may sus!:::n p::rticipating in said activity. EMEN`:-, \'1:11 i� AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM . r,.; LIABI1_ C`:' A CONTRACT BETWEEN MYSELF AND FEATHER RIVER :.'T AND I SIG:, Gl 0\VN FREE WILL. !�!Inture Date BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District Building Department No. ion- -city County A.P. Number Property ler Property Location/Address C L_1C__j 'Subdivisionil Lot No. ....................................................................................... :: Development No * Sq. Footage of Living Mobile Home Addition/ *Supplemental to (Group. R) Units Installation Conversion Permit # tioninspeefion) ..... .......... ..................................... *(.N.o..found.a .............................. <:��' cl Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), New Addition Building Department Sq. Footage (including Exterior Roofed Areas)* p C7 Date 7- DistOct Identification No. 17000-9 "i_ 1141 b -X— 4} School District certifies that U (Applicant) ii 1uh, (Sr726V- Ad dress) I� (Phone Number) c2sq�s� (City) 11 (State) (Zip Code) has complied with, the requirerhents of Resolution No. 95 square feet. School District Representative Paid by Check # Remarks: by payment of $ iL fB 2926 $ ul-L MITIGATION $ b7 /1-7 -Date You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from.challenglng the Imposition of the few In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District to notified by tha applicable Local Planning Agency that this project Is being reviewed under the California Environmentel Quality Act (CEQA). this Project may be subject to additional school fees to fully midoate its Impact on the school White (school district), Yellow (building department), Pink (applicant). i. feelbrmads (305)dr= �4 L I I 01 son ct- IL as oR I .4az ` � i■ ■:I �, ■ • ,`!r .�` to - ,' '" �', is ' •' ' • LL ' • as ' • ...D�i I O' -' � I • illlIi : l ■ ... • ' ■ + • �i no • ■ � .� ,4 VE VrN .J _.MEL _ MI44 1 _.. :r •i• ` L .' �. :r _•,'`•, - � � •� .:�-•--�, ..1� , r T�': -' . __�,� lir' In F9 a a In OL . I , �` `.,_ _ . _��: _ _ _ • •.. _.�:-_- 1. ' � ...:. : a .. .� N• ��.� , �,1 . ; , • • ; • f■ c ds ! O n �, on jo JIM zE.•�z `� �1 � �•s �� 47 / � i��'. t�• - - _• � iii' ..,.`,. :I i 't t' A v - �'• ITRU — its F 121033'45" 3026, 6- - M 7A'N 5" LIPAtT£O 18M. FM, M, 7r % O E 'fly, B" v ZONE x • C T I/S ZONE X Q 18 L126 ROAD I 'M'T OF gg� ggL UMN. FLOODWA�tea{ !2A t F 0 z --0 AVENUE 44 .7 CCIDEWAL ZONE2" Palermo fributa 7. 7.<-. A M ZONE X ESPERANZ-' 0. ESPERANZA �ESM vt A 0 z . . . . . .. .. . 0 < [ NE XM � ZONE ........... D z ccPALERXIO "wguggg NE M X -5, A d � A I - - iimok OF z M PALMERS AVE OMER, , I litl�t -n. a I LOODWAY KENILWORTH AVE ,ZONE � X X .ZONE WILLIAMS' WILLIAMS AVE x ROAD I 'M'T OF gg� ggL UMN. FLOODWA�tea{ ZONE At LUDLUM F 0 z --0 AVENUE 0 z c: M 152 SOUTH . . . . . . . . . . .... s9V link VILLA z LIMIT OF NE XM � ZONE u 8 z< J0 A M PALMERS AVE 7ZONE X ZONE X .ZONE x 1 \�O. ZONE AE ZONE X ZONE X %,-,j LIMIT OF FLOODWAY ZONEXE LIMIT OF . . . . . . . . . . .... s9V link DETAILED STUDY z LIMIT OF > MM RAILROAD AVE ALICE M ZONE X ZONE X AVE cc D 0 Z O0 17 LIMIT OF DETAILED STUDY LIMIT OF DETAILED STUDY AVE cc D 0 Z O0 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic andlor well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, . without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will.void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: (EYY-%-s�thA APN: Da (o 43O _ CESS Building site address: c, 'A -AD Lc ws AyQ. Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: '106 06 SIGNATURE OF APPLICANT DA1 E Copy to ApplicanVEH/File Y-:FonT s/BldePermitwithoutClmranca 020705 Butte County Department ofDevelopme 2t. Se.,vzces 7 County Center Drive o Oroville, CA 95965 �' (530) 538-7601 Telephone o 0 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic andlor well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, . without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will.void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: (EYY-%-s�thA APN: Da (o 43O _ CESS Building site address: c, 'A -AD Lc ws AyQ. Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: '106 06 SIGNATURE OF APPLICANT DA1 E Copy to ApplicanVEH/File Y-:FonT s/BldePermitwithoutClmranca 020705 CY,V.Olo g l V c- r vin i anon bar 3a s3a-y8 F— CcoYr` o. O�QPSTMENT Oa 1� O O A�eClC WORDS Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN.1 ACRE1 Project Description: 7F Project Location and/or Parcel Number: 626 1- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land- and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total. more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: OU ->,c) Pay - Date: - b -y( Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storrs Water Management Program . Revised 5/24/04 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 material for construction of this proposed property improvement: YES .[ ✓ ] NO[ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have -contracted with the following person (firm) to provide the proposed construction: M ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and- provide the major work: { NAME: ADDRESS: 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: I NAME ' ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE: WNERDATE: G -)3 -OL NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Tt,:._+ l,o r r,.,,.,lo+eri Qnrl rofiirnorl to noir niMr`P vvP nn- T.Prrn;"Prl tr%;vmp tl1P Butte County Department of Development Set -vices 6iJjT� ADMINISTRATION ` BUILDING ° GIS ° PLANNING o ` o 0 o o / o 7 County Center Drive - ` Oroville, CA 95965 0=` a (530) 538-7541 Telephone (530) 538-2140 Facsimile CSU µ� OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you pian to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wisp, 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 contractor is to secure an "owner -builder" building permit erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector WOW- This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. i RESIDENTIAL .w x026-230-055 94-0676MHI CARRILLO, ERNESTINA 2420 LOUIS AVE., OROVILLE MOBILEHOME INSTALL ON EXIST SITE I 3v�'4YM 6. JOB FINALE Signature ki y i RESIDENTIAL .w x026-230-055 94-0676MHI CARRILLO, ERNESTINA 2420 LOUIS AVE., OROVILLE MOBILEHOME INSTALL ON EXIST SITE I 3v�'4YM 6. JOB FINALE Signature ki rs V=OK 1 O = Not OKNot t ' = .. Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 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 8. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/-•./"L"ft./ /"LPG 7. Well Cle0ance 8 Disconnect 8. Utility Clearance i ans) OK except #'s Easements r Une s; MH Test-Demand-Valve—Connector C' 0dc►ty;-MH Teat-Crossovers-Breakere-Clearances Drain; MH Test -Fall -Flex Connector '`I Y ter gnd Sewer Connected -C/O to Grade -HD Aooroval I MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacke-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 S. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses g. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 8. Elec.; Enclosures; Conduit Entriea-Terminals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Pane lboards- Ins. to Mein in Conduit . 8. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V= OK O = Not OK Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning:Setbacks-Easements-Flood-Slope ' 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6: Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and SDecial Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -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 -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18:'D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Shgle & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -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 T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection! 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Flnal: �Sd.Ti �. n.i5�G-. 4+i.i f'.� .A �..:}✓ Y` -+-[Z h.i� TY,i=='.'�.^ �..:T�;,�.4 �u.� F.. _...:-r.,y .f".. �:� _ ., ^ F=.:? = ,.. MOBILEHOME INSTALLATION' ACCEPTANCE COUNTY OF BUTTE 3 DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 u PERMIT N0. =� Address or location of mobilehome �""� � .f1 w �a �� j Tr .urw. MY1. ,•:r7 rrelS' )�,A/ 1 Owner's name ii CC Y� Y Owner's address Insignia or hud number t Manufacturer's name t� ' �Xd ' numbe.I.N. l71 Year of manufacture ,Serial cle,l Ap rov' irnsba44bFion) (Date) -' f w� IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION'S ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE: p MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. C; o 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75,41P ERMIT NO., APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 26-23-55 U ZONING BUILDING PERMIT OWNER ERNESTINA CARRILLO TELEPHONE 533-0273 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2420 LOUIS AVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OA ENGINEER LICENSE NO. Plan Checking Fee $ I 6D ARCHITECT 0.4 ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 242 PERMIT FEE $3. 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 SFO Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition C3Remodel 1:1Utilities O Installation Other O Describe work: REPLACES EXISTING _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 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 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 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 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. NEW CONST. MULTI -OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( PoW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00, Misc. Wiring 23.00 PERMIT FEE S ' Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count In consequence of the granting of this permit. �/ X: lgrat'l Date 3'�S��i Signature of Applicant -;K Owner O Contractor Cl Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Q Energy Inspection Fee $ OCC CONST. TYPE TOT $ ��3 HAZ. D. FE IMP(��PARCEL Po -- ISSUE This permit is hereby issue&ncior the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. L I'C"'o BY ate z PERMIT EXPIRES ON �a c{ 9S' r etel Receipt No. 156541 WHITE-D.D.S.-8.0.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�"°""y,�►f.e,...rt1p++Ht4;7gw�,f"i.asi;tf,2i'�1�1�*�i�+lbw.L.�+=«IATt:{k.�ts'alr.a+�r'!y�,T++xtwv-e►es"+.9�3 ;� Jr!(iss�T`2arrw+,,.4hcyy�.�,.,t,,;.. r ..rY.;� ' .. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL'IFORNIA95965 -TELEPHONE (916) 538-7541 1 �' V PERMIT APPLICATION DATA SHEET OWNER l 1 l� l� C/ -::. A. P. o !� Proposed Building Us Building Inspector Date At time of permit application, I was advised the following.. data must be-s.dbmitted prior to permit processing and/or issuance: DATE RECEIVED BY items have been submitted . ............ ` N,., ....................... 6t plans, 3/4 sets, signed by preparer of plans. ... :.................... . Complete plans, 3/4 sets, signed by preparer of plans ...... . ng f! plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ _. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . .................... . ngineered truss details and layout in duplicate (required prior to plan check). ... f Mobilehome data and manufacturer's installation -instructions, 2 sets. .......... Feesof $ ..................: .................. . 11. Impact fees as shown on attached schedule�-5. 0�..O.,t/.... 12. California Department of Forestry plan approval/f es. ...... y.1. !. . 3. Flood elevation letter (100 year flood by Ca ' ornia Engineer..%!�.t Sanitation and plot plan approval �� Health Department . ............ 15. City of Chico plumbing permit . .......................................... Vit. F 16. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for (A) Use: (B) Parking: ......... ' 1$�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. .i 23. Owner -Builder Verification (Given to owner , Mail to owner )............ . 24. Recorded copy of Agricultural Acknowledgement Statement. ...................... r'. 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 din -building uso`-......................................... 28. Mobilehome utility clearance. .."...................................... . `�. 29. Documentation of legal access..................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed k: and (B) Parcel meets zoning area and frontage requirements . : :::........ . 31. Existing violations/expired permits. . : Plan check list. .............. . When you issue the'perridt, process'as follows:yMail to owner. Mail to contractor. Telephone and hold for,;pickup at office. Deliver with inspector. Other Parcel Creation.3 Acreage Applicant (a�11 � Date Copy of Diaz -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. Index1permit for above items No. 2. Additional items required: Contractor, designer, owne ,was advised of above required data by _phone _mail Counter by EDate G6 Contractor, designer, her, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by g� Date3 Sets of plans on hold in File cabinet AP folder /Q� 3 9 Copy - Department of Public Works •,fir.. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ir Owner Plan Approved for: Sewage Disposal Clearance for �— bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Pr s T N n P�, Environmental Health Specialist 8/92 /10 V�, f .s PI/ -JR., Location Water Supply Public E.M. 1111: ONLY Plot Plan Auachcd fluor flan Amichcd _ lcnttu U.U. AP// Private Well 4,9am- Date • � �, .� .`-,�.�'�, ts.ti^ _,/'k.l.•'�-:�1i-r�.--+�-1i�..--�'��RXS{7s+ryc`s�n...r--'-,..��iry s..l�. �:t-J�.r�i COUNTY OF BUTTE fj(( BUILDING DIVISION DEPARTMENT OF DEVELOPMENT, SERVICES s° 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 SIU►1;W PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at V 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. IJ %i f / 17—el- I A i AL1 AL //1i bL- SCAR � JA�- g�— Date ' nspector REV 10/92 OWNER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 _ A. P. PROPOSED BUILDING USE / DATE L �a:2 REC. # DATE ; �— REC 1. SCHOOL DISTRICT FEES (paid at District Office). ........................ 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x -$ . sq.ftamt. ,��3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x _$ 4 4. sq.ft. amt. RECREATION DISTRICT FEES' 4/ 5. (paid at District Office) ......................... DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. �. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER 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 OF BUTTE - Department of Development Services 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 2. I (have/have not) d -e- signed an.application for a building permit for he proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work a Signed: Property Owner Date 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 per- mitted to issue the permit. .r MOBILEHOME SUPPORT DATA • If gther than single wide, ;Fobilehome Mfr.& furnish Setup Model No. Year 4 �idth_(ft.) Box Length 66 (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) K1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)FX 11.- Concrete block., *1 2. Other (specify) C.(/, Pier Footing. Sizes andi Locations SINGLE -WIDE MULTI -WIDE Main Beams net ------Line I ------- �o in Line 1 Main Beams — — — — — — Tag or Triple Line 1 Line 1 Piers: -, �� Line 1 Openings: — Size -Min. ---------- Size -Min !x t'. Spacing -Max. - �„ Each Side of Openings From Ends -Max.- ---- '- O" With Width Over --------- Line 2 Piers: Size -Min. - ------ Spacing -Max. ----=---- �,_ „ From Ends -Max .------- -Line 3 Roof Loads: Size -Min ------------- Location (From Front) .. Line a Piers: Size -Min.--------- -- Spacing -Mak.--------- From Ends-Max.----� Line 3 Piers: (Under Bearing Wall Only) Size -Min. -------- ---------- "x Spacing -Max.--------------- From Ends -Max -------------- . . ------------- Line 5 Roof Loads: Size -Min.-------=--== "x "x 'k " Location (From Front) e S Piers:- (Under Bearing Walls Only Size -Min .------------------ 'k " Spacing -Max.--------------- From Ends -Max .------------- Y N1 „x „I k �� Ix i N .4x w BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA , PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: t,-2.�-, tt,S d}✓ j,� 5-�'� a (�4. r '��t) ',c 2. Installer's Name: A „q C -1-y- 7 3. Is the site currently under permit? Yes 1-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes Fkl No (If yes, furnish two plot plans.) , 4. Will the-mobilehome be located at least 5 ft. away from -septic tank and leach fields and clear of all setbacks and easements? Yes �] No F-1 (If no, clarify 5. What is the mobilehome electrical rating?--------------- mps 6. What is the mobilehome site service rating? ------------- /Oy Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------" ----------------- es -No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -- -------- 10. What is the type of gas service? --------------- --- Natural 11. What is the gas pipe length from meter or tank to the (in.) LPG [;] i mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- 5!1:5 <4 -aa -Q, (BTU) . 1 *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. .. 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-75 APPLICATION' AND'RERMIT ASSESSOR PARCEL �NUER 3 ZONI BUILD G PERMIT OWNER TELLVIS, NE S0. FT. OCC. BUILDING VALUATION OWNER' ILI14G A DRESS CONTRACTOR'S NAtAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ _40--w LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSC%g / tel! Permit fee = O PLUMBING PERMIT Filing Fee 10.00 y� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT, SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas 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 S 0.00ea TYPE OF WORK New❑ Addition[] Remodel[:] Utilitiesr Installation❑ Other[] Describe work:_T �f%%��% Permit Fee $ Q,C%b Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LES 10.00 Main service EA. ADD'L 100 A 2.50 CONTRACTORS LICENSE LAW I declare under penalt of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification T-� 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. / ACC. BLDGS. DWELLING OCCUP.61I , �20sgft OR AODNS. 1 NEW CONSTR. U I.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS S SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t eAL0 30 FIXED EX. Occup. OUTLETS PNS (RESID )REA.I 2.00 Temporary service 10.00 115-0Mobile Home Facilities 15.00 Misc. INirin 15.00 9 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. 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 Hood 3.00 Ventilation penult Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse u=ncef thegranting of this permit. X ��J�� .1l�_ / ! Date Signature of Applicant - Owner a 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 $ TOTAL PERMIT FEE $ U OCcuP. CON ST7T sc L 1701 PA!7 Poi ✓ %Hyl IS o! This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC / PE #T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' -T—/ 0 ��`� /� oBy Receipt No. �r WHIT[-O.P.W.. 7lLLOW-ASel330R, PINK-IN9P lCTOR, aOLOlNROD-APPLICANT -Ov �e'' `T \\,_ Aril "StLi�i1.`L'ti+i(1'tshi!!� t'�it 9��* 4 % • trj;' COUNTY OF BUTTE - DEPARTMEN=T OF PJBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �e..a'•,.'..s 1' '. PERMIT APPLICATION DATA SHEET / Permit No. OWNER QV`'��/U' t A.?P:/No. !w � �F I. Proposed Building Use l`f Building Inspecr- to•�� 0 Date / - %- C 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 submitte.d�. 2. Plot plans in-duplicat /triplicate, signed by preparer of plans. 5 F%cJ.��%�'� t' 3. Complete plans in duplicate/triplicate, signed by preparer of plans. w 4. Complete engineered plans and calcs, with wet signature on plans. / 5. Plans with Energy Design Compliance Statement. . . . . .- 6. School District "Fees Paid" Stamp on FIoor,PIan. t 7 Statement of Intent for Non -Heated and AC Buildings'.. 8. Fees of $ .Y 9. Letter of signature authorization. 10. Sanitation,approval from _ Health Dept. ' 11. Planning approval for (A) Use: (B) Parking: X12. Certificate of Workmen's Compensation Insurance. +13. Contractor's License Information (no., name style, classif.) ". —i14.'`Owner-Builder Verification. (Given to owner[], Mail to owner ❑) _ _—...._�15. Improvements may be required. . . . . . . . . . +16. Mobilehome Installation Data. . . . . . . . . . . . 1171 1 Pre-Inspec. request; to (DotA) . Pre -Inspection for__..__ _ �; . _. _. _ Required. Building Inspector 1 18. Recorded copy of Agricultural Acknowledgment Statement. X19. Driveway Permit. 20. Plot plan approval from city of 1 _ 21. — — 22, tr-1 When you issue the permit, process as follows: Mail to owner, Mail to contractor. ti t TelephoneSand hold �foa.ickup atO�office, - Deliver w/inspector. V { Other t A p p l i c a n t ( l //y[.ymr" t o Copy of plans sent Health Dept.; Fire Dept., Other Date iThe following data must be submitted priper it nce: (Circle new item not checked above). 54 11. Index permit for above items No. —__ 2. Additional items required: a. Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date — .i Contractor, designer, owner, was advised c: above required data by—phone —mal l_counter b date Plans checked by Date Plans approved by Date �� 00 Sets of plans on hold in File cabinet AP folder Copv=DPW To: :-)wilding Departm-ent. s From: :.,-,nvironmental ifc:lth Subject: Sanit tion Cle;ar:u:ce Otmer Location AP;'/ Plan Approved for: ::ee;a e di;:po: al rater .upply Hold final for: Final clearance O.I. for: Clearance for bed.ro �1ir.e. OU101. �. anit ari an supply alter :supply Datc: l 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 r 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) X 2. I (have/have not) r, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address ' Phone Type of Work Signed: ------' Property Owner Social Security , rity Number� �' Date � ' Q 37 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 per- mitted to issue the permit. Form No: 1056.4 All Policy Forms SCHEDULE C The land referred to in this policy is situated in the State of California County of Butte and is described as follows: PARCEL I: Lot 2, in Block 61 of SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT, according to the Official Map thereof, filed in the Office of the Recorder of the County of Butte, State of California, on February 28, 1888. PARCEL II: A right of way for road and public utilities described as follows: COMMENCING at the Southwest corner of Lot 3 of Block 61 of the above described subdivision, being also the centerline of Louis Avenue; thence along said centerline of Louis Avenue South 89° 55' 16" East a distance of 20 feet to the true point of beginning of the parcel 'herein described; thence from said point of beginning North 000 03' 17" East a distance of 206.00 feet; thence North 89° 55' 16" West a distance of 20 feet to a point in the West line of said Lot 3; thence along the West line of said Lot 3 North 000 03' 17" East to the North- west -corner of said Lot 3; thence South 890 55' 50" East along the North line of said Lot 3 a distance of 60 feet; thence leaving said North line South 001 03' 17" West a distance of 138.61 feet; thence South 890 55' 16" East a distance of 20 feet; thence South 000 03' 17" West and parallel to the West line of said Lot 3 to a point in the centerline of Louis Avenue which lies South 89° 55' 16" East 60 feet from the point of beginning; thence along said centerline of Louis Avenue North 89° 55' 16" West 60 feet to the point of beginning. 11 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY NuT CCS: it .�R��'�wi C.r�' GN -2 -%- ��C#�ySbyY FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY Section 26-8.1of "the Butte County Code requires'this acknowledgement be recorded prior to issuance of a building permit. 88— 7814 .The property described herein is adjacent to land or included 1968 4911 "9 PM 4: 2 t within an area zoned for agricultural purposes, and residents of thisCAPdDACE J.GRUBBS property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herb icid94ERKp`89GQMeKF_,_ and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S Date: 3-ci'Z�� PROPERTY OWNERS: State of C AZ i r ) On this the Ci T-4 day of [(A VA-VtC 4 , 19_J�L before ) SS. me, the undersigned Notary Public, personally appeared County oflel n7 — ) n % /Personally known to me. / / Proved to me on the basis of satisfactory evidence. sl _ DANI1Ei. F. �(;abe � person(s) whose names) I S subscribed to ;, �:* ± :,�� to be the �! '4�a. s" fr °the within instrument and ackno ledgef at f�f� .F�-. . _ .. r.C_ ,.4RY i Ui3iiC CALF flN� f.,' v executed the same for the purp s s thi; co t i d. flutte Ccurt `c°`#ci t,"Y Ccrhrusscn Cxpire� Oct. 1, 19?}0 la IN WITNESS WHEREOF, I hereunt si t myq�d a d/6 falcial seal Notary PAI Present A.P. No. IVn 'bill" "''} V' ' TOUNTri CY,OF BUTTE 4,WPARTMENT OF'PUBLIC WOF""� - BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538.7541 'I r f OWNER Proposed"Building Use_ 11 e PERMIT APPLICATION DATA SHEET i1/ A. P. No. dao" �30-v�' Building Inspector P Date jL At time.of permit a lication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY A 'terns have been submitted . ........................................ plans, 3/4 sets, signed by preparer of plans . .......................... mplete plans, 3/4 sets, signed by preparer of plans. t' Engineered plans and calcs, 3/4 sets, with wet signature on plan �. DW , o &JV- 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation . .................. r`- • i 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. ... ......1� 'A 10. Fees of $,it 11. pact fees as shown on attached schedule . .............................. 'f aliforriia Department of Forestry plan approval/fees. ....... ........ Kod elevation letter (100 year flood) by California Engineer. /�: 8B a nitation and plot plan approval Health Departm . ............ i7. 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. ........ I. 19. Driveway permit (construction approval required prior to occupancy). . 20.; Pre -inspection for required. . to Bu;id;ng;nsPector (Date) 21. 'Contractor's license information. (No., Name Style, Classification) .............. 4. 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 . ........................................... f I I 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 . ...................... i ............... + 32. Plan check list . ................................. .. ........... . 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office{ Deliver with inspector. Other Parcel Creation ,v Acreage Applicant` °`' Cc�n�.�a 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 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 G u COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 Count Center Drive y r)•II CA (916) 538 7541 rove e, - 747 Elliott Road, Paradise, CA - (916) 872-6307 -t: CORRECTION NOTICE _ 4 OW ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at = i� the above address and should be corrected. Please notify this office when correction of work is If completed. you have any questions pertaining to this matter, or need additional explanation, - please conta t this office immediately. ` w 3 itis 7'.��4 T U � L • f�cJ � � G � `V.Uiy • oq�9 . P+ 1_ `4' Date 2—"-) ( — g= Inspector REV 11/91 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) 11 School /y S Building Department No. (District—JQ��(�/�' -k.;. A.P. Nuri�ber.26" ,-) l Jurisdiction 0 City County PropertyE Owner iJ� C -A P= Property Location/Add ess V S I (/ Lot No. Subdivison Residential Development � � 0 Sq. Footage Tao� No. of Living MHI Addition,. (/{AG��r(o/,u/p{//R')% Units. tS f]�/\///� (374117� ,,Commercial/Industrial ,i. 1, Sq. Footage NewAddition (Including Exterior � Roofed Areas) Bui Date r (Floor Plans reviewed by School District Personnel) i 94 122 Districilldentfication No. ® A � School District certifies that r� LAW, 1 t$ (Applicant) (Street 'Address) (Phone Number) l a� CA (City) 4I - (State) (Zip Code) has cc lied with the requirements of Resolution No. 0 �qU by payment,of $ representing. square feet., V } 0 l �- School Dis is presentat a Date Paid by Check Number Bank Number Paid by Cash Remarks: 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 White (applicant), Yellow (building department), Pink (school district) feeform.Al (4/92) v { (4" WT PERMIT NO. / PERMIT EXPIRES ! Y 1 OWNER iCONTR. a ASSESSOR PARCEL 20 23 55 LOCATION �ZfTFwin A ye,�� n ��e��, Pale. OFFICE COPY I Address f GAS Meter By %f ELECTRIC Date= Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service / Called PG&E ' JOB FINALED (Date) Signature i t = OK 0 = Not OK Not Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements oils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. ater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearanc -Grnd. //oO Amp -Concrete 6 Gas; Location -Test -Wrap: / /" ] , / /"Nat. or//cf/"L"ft./ —/"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 COD Dat Gard -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date3a Card -81 Date 11. Ext.; Steps -Doors -Landings Date OP&EHOME INSTALLATION Plans OK except #'s W�toning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date !,W. Footings; Size -Spacing -Marriage Line Card -1211 Date Card -B1 Date 1/ s; MH Test -Demand -Valve -Connector JV'Jgectricity; MH Test -Crossovers -Breakers -Clearances . Date POOLS (Plans) OK except #'s K. ain•rMH Test -Fall -Flex Connector i 1. Setbacks -Easements LKvofer; MH Test -Regulator -Connector j 2. Soils; Compaction -Structure Stability ter and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining S. Gas and Electricity Tagged zits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy i 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed I 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 Card -13 Date C rd -B1 Date Card-196(2A_Datei/—Card-81 Date 7 9. Health Department Approval Z 10. Plumb.; Cir. Test -Water Supply Test t { Card -131 Date Card -131 Date ( Card -1211 Date Card -B1 Date , C)`? 0 1 = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Su pprt- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date. Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protectidn-Skylights-Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65: Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) Fri COUNTY OF BUTTE - DEPARTMLNT OF PUBLIC WORKS PERMIT N0�/,�, 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 F APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ✓ „V -✓ ZONING BUILDING PERMIT O WNE.fiR,1 I sem^ /� TELEPHON�E/s SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME• TELEPHONE CONTRACTOR'S MAILING ADDRESS if Fireplace CONSTRUCTION LENDER (MAILING UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S ADDRESS I Permit Fee $ ARCHITEC II`T` OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 00 .Energy Plan Checking Fee $ y ARCHITECT OR ENGINEER'S MAILING ADDRESS , 1M Penalty $ BUILDING 11 ADDRESS/ -� �' � ,1 .7 04 1 / '_�: � /� `�i.{,i • L.C. f. r t.. / %1,J.<'?� / :. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap1 1 2.00 r ( Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or .vent 5.00 j USE OF STRUCTURE }' SF ❑ Dlluplex❑ Mobilehome[g Other ! if SPECIFY s Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea ti TYPE OF WORK f, New F-1(Addition E:1Remodel ❑ Utilities ❑ Installation. )Other ❑ Describe work:_ f . r, t>%1 li Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 �1 6 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I ❑ li, am licensed under provisions of Chapt. 9, Div. 3 of then Business and Professions Code and my license is in full force and effect. �icense No. Classification L �FIXED � 1 compen- ❑1, as the owner, or my employees with wages as their sole sation, will do the work,and the structure is not intended"or offered for sale. (Sec. 7044) i ❑ Ij' as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I ❑ 1,�am exempt under Sec. , Business and Professions Code for this reason 1 NEW CONST. DWELLING OCCUP.eI) OR ADDNS. ACC. SLOGS. , /20sq ft NEW CONST) TI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050t eAL030 APLINIS EX. Occup. OUTLETS PIRESID.)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee $ Contractor h WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. i ❑ Ili have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o1 Consent to Self -Insure. If hall 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r �I +� Date k' / X '' r,- ` "L ' Signature of Applicant — Owner[T 'Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct --DIRECTOR ion of structures over 3 storiesinheight. ' Mobile Home Installation Fee $ .4 Energy Inspection Fee $ TOTAL PERMITFEE r $ Occup. I CONST.TYPE SCHOOL vLo D PARCEL PD I NO I ISSUE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which fees' OF PUBLIC By —�� "- PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Aly Receipt Nol. WNITL-D.P.W.. YELLOW-ASEE330M, PINK -INSPECTOR. GOLDENROD -APPLICANT J MOBILEHOME INSTALLATION ACCEPTANCE 1"t ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0..99q7-e7 1 Address or location of mobilehome 1AJ I vN "37S n-�U/S Owner's name) �l s� ✓ S) � c") 1rYi ' b Owner's address pp`t kz U 1—C. kJ 'p— r0 Insignia or hud number- Manufacturer's umber_Manufactureri4 name l Y1'OS�O in i Serial numberiof V.I.N. _ ? 0 I Year of manufacture [ (Official Appro ing Installation). (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. IS 1 f 513B White - Owner, .Yellow - Installer, Pink - D.P.W. sk _. — ._ {;l MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE itDEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 t PERMIT NO.RSIA/ I" Address{or location of mobilehome �S --rna 1 1n -3.7s ?)-- ' uf4 A f -� 1 Owner's name �i o S 6 S C {{ Owner's address ::ay !� A U I S ky %e K) 0 Insignia or hud number AA_ Manufacturer's name kik YP -stn In Serial' number of V.I.N. i f% n 1 Year of manufacture 7 r r (Official App, ing Installation) (Dote) i Ji IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE M061LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEARTMrENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC`EL NUMBER ZO"' BUILDING PERMIT OWNER ,a �� TEL ONE 7 SO. FT. OCC. BUILDING VALUATION , OWNER'SIMAI-LING ADDRESS CONTRAC TOR"S NAJME"` ff"' j. r TE EPHONE ' CONTRACTOR'S MAILING ADDRESS II Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1.0:00 LENDER'S MAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty, •- $ BUILDING ADDRESS . - ^ _ 6<)/4 Permit fee $ /�[7 PLUMBING PERMIT Filing Fee 10.00 _ p Each Trap 2.00 r •• Solar or heat pump water heater 20.00 LOT�O�.,r � SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ;'S; G. W; 0.00ea. J 11 TYPE OF WORK New ❑ (Addition ❑ Remodel ❑ Utilities❑ Installation[] Other ❑ Describe work: �� •A.e_ Tr )�yJ 1 i Lr Permit Fee $% ;�? , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 100 AMP OR LESS A�.(i,., r 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 and Professions Code and my license is in full force and effect. License No. Classification 0, 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.81 , OR ADDNS. 1 ACC.IBLOGS. / h2Sgff NEW CONSTR U T1.OUTLET2.50 ea NON.RESID BRANCH CIRC., TS (POWER APPARATUS el SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20050t eAL030 FIXED APLNS. \ EX. DCCUp. OUTLETS P(RESID )REA.? 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �� II {I +' �'�-- �F.� • tto Date % - /''� Signature of Applicant - Owner 2' Contractor ❑ Agent ❑ An OSHA 'permit is Irequired 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 $ / TOTAL PERMIT FEE $ OCCUP.CONST.-T77CONST.TY SCHOOL OOL v D PARCEI,r PD i ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO , OF PUBLIC By PERMIT EXPIRES Date I •I the applicable provi- resolutions to do fees.' have been paid. WORKS '"T-/J',Y�.� -I Receipt No. r'I l P� WNIT!-D.P.W.. YELLOW-ASSESSOK. PINK -INSPECTOR, GOLDENROD-AP►LI CANT J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial. Way, Chico — Phone: 891-2751 7 County Center Drive, Prov iIIe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER i� PERMIT 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 ii when correction of work is completed. If you have any question pertaining to this matter, '!or need additional explanation, please contact this office immediately. "Lti r Inspector Date-17e— O 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 1' {' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 l {� CORRECTION NOTICE - -- OWNER 4i� PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist atithe 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. �—. �l j _ _ A . A i C.JsU` ii I 1� !I Inspector` C Date_ I COUNTY OF BUTTE 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 '7 -XI 7 OWNER 7 PERMIT 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. JAt Inspector n Date %/� U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMI 0� 7 County Center Drive - Oroville, Calif(rnia 95965 - Telephone: 916/538-754 3 j APPLICATION AND PERMIT CR EL NUMBER - ASSESSOR PA �'L) J . ZONIN G BUILDING PERMIT OWN!TELEa-HLO (� RkrIj E O' SQ. FT. OCC. BUILDING VALUATION I� OWNER'S A�ING DDR CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0' Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS &,J+ Permit fee $ J � 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[] Mobilehomeo� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 'Installation; Other ❑ Describe work: _C:2&dal j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e100 oov OR LESS AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50a CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 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 NEW CONST. DWELLING OCCUP., OR ACDNS. ACC. BLDGS. /zQsgft R. NEW CONSTU LET 2.50ea NON-RESID .BRA NCCH CICIRC S /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES eAL990 Ex. DCCUp. OUTLETS P(RESID )FIXED APLINIS.REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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. 5' 1 shall not employ any person in any manner so as to become subject 1 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. t� �c�7 X Date Signature of Applicant —Owner Contractor 1:1 Agent El An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �� occUP. CONST.TYPE SCHOOL I F 01 PARCEL PD ND 1 'E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR CTO O P BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS Date V�CX� Receipt No. L,� WHIT[-D.P.W., YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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. X 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) f„ QyQ signed an application for a building permit for the proposed wor�— 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired'the following person ,to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but.I have contracted persons to provide the work indicated: Name Address ` Phone Signed: Property Owner Social Security Number Date %• — 7 2-7 (hired) the following Type of Work 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 per- mitted to issue the permit. 0 OWNE �Asi{rziJ+,ird;;�y trc,t�,l�� .iwl� a+, ,�..�,•i"�.+wT�s; i''";T�t,'��"`•.(.'..�Fatx.C1;ti i ♦�''?t;}•* '7 *< COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOAIA*95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /1 - i Permit No. i/0 r0110 d A . No. ,��/r, - 1,2 s? —!Z Building Use -� Building Inspector Date !7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or";issuance: DATE RECEIVED 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. it 1�1. Planning approval for (A) Use: (B) Parking: 112. Certificate of Workmen's Compensation Insurance. . . . . . 113. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 1,5. improvements may be required. . . . . . . . . . . . 4��1'6. Mobilehome Installation Data. . . . . . . . . . i1 Pre-Inspec. request to 1�7. Pre -Inspection for__._.-_ _.. _ _ Required. Building Inspector 118. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of io 21. — 22 . 1 hen you issue the Dermit, procle s as follows: Mail to owner; Mail to contractor. T lephone 5AF / 7� Y and hold for pickup at�bffice, Deliver w/inspector. Other Applicant 65v`to- 70 lzDato ,zJ_=, of plans sent Health Dept., Fire Dept., Other Date he following data must be submitted prior to Index permit for above items No. Additional items required: — ancrrcle new item not checked above). tractor, designer, owner, was advised of above required data by_phone---nail—counter by tractor, designer, owner, was advised ct above required data by—phone —mai I_counteylSy Plans checked by �l Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder — date — date d Date -O Dote) 0 MOBILEROM- SUPPORT DATA If other than single wide, Mohilehome Mfr. 2 2,6 furnish Setup Model No. Width— 1.2_ (ft.) Box LengthA�o (ft.) Tagalong or Expando Size Year / r/ w ft. x ftp 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). FO(rIINGS (check one) 01., Wood-pressure treated or foundation grade. 2. Other (specify) �I SUPPORTS (check one) 121. Concrete block.a 2,. Other (specify) Pier'Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line' a ,. Line 1 Lin. 2 — _ — — _ — — _ Line 2 p Main Beams �•y r i nc ( ,—Line 3 ! Line 2 Main Beams � — — — — � Line 2 - -- — — ---^— �-"—Line I Tag or Triple Line 1 _ n Llne 121 ers Line 1 Openings: Size -Min.--------"--,-� Size -Min. ------------------ a „x _... ��. Spacing -Max. -•------- nx l +� Fr m Ende Max. --- --- 'i— Line "! -Li— Slxe-Min.------------ Size-M111. . � IV Spacing -Maxr----------- 1J'• From Ends -Max.---_--- Line 3 ILrof loads: Size -Min .------------ Each Side of Openings With Width Over--------- Line 7 Piers: (Under Bearing Wall Only) Size -Min •-----------------+_ Spacing -Max---------------- , From Ends -Max .------------- _ "x "x "x11 N 1. "X "x "x "X I. Location (From FronL) _ 11_1. 1- 1._ _ _ ' _ Line 4 Piers: Line 5 Pie ( g Walls Only) Size - Min.------------ z Size -Min. %pAv Spdciug-Max---------- l�I• '� From Ends -Max. ------- ,_ �, From F da r . A L 1 Line_ 5 Hoof Loads: b d Sizc-Min.------------ location (From Front) ��x.---•— nx nx .,x ..x ..x .,x ..x — . V7/ J ® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: _ su5. �- �rnc��n4 2. Installer's Name:ya=� ��P,�,�t��y�ar-r��%h 3. (Sls,the site currently under permit? Yes ❑ No (If yes, furnish permit number ) OR Is the site an existing site? Yes ® No F1 ,Q (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Le<r No (If no, clarify \J 5. What is the mobilehome electrical rating? --------------- L';:`e) Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 5 Amps 8. Is there any other electric load to be served by the -------------------------------- ❑ mobilehome site service? Yes (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? - tX--------- 10. — -------- 10. What is the type of gas service. ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the I mobilehome.------- -`------------------------------------ % (ft.) 12. What is the mobilehome gas demand? ------ 0-------------- -c)r S�'a � (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or .less than 50 ft. on LPG.) A }O .pnod-invo -Iva+3 A S a "Vol �e: Ji1tE�.1 t �'1G4'�C3�1 moi. r •r i A }O .pnod-invo -Iva+3 A S a "Vol �e: Ji1tE�.1 t �'1G4'�C3�1 moi. CA . . r This set of plans and sperificaations MUST be kept on the job at all times and it is unlawful to make any chconges or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for e 2 ft. eave overhang. jew N q vi� 4 - A insfollation of ; E.; r.)oL Utility connections shall be within 4f 4 ft. of the mobilehome, either directly behind or within the rear J half ) of the mobilehome. 40%—Ail Materials & Workmanship shall * Ip Accordance with Rerognired Good Practices Ono of a epeality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Cadiz an4 -he National Electrical Code. BUTIM: COUNTY 3946-97 HNu ?q7K7 M"r *i- z p AP # _ 11 OWNER_^�... PERMTT-�k �q�6 " r7 MH UTIL.CLEARANCE DATE d INSPECTOR . ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO 1 s -t) A- 3604-$:i ' JESUS CAS:? -T, 2250 Louis Ave Palermo 11 OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By , ^ Date ,r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • "� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A#JO PERMIT ASSESSOR PARCEL NUMBS , �?3 - j j ZONING BUILDING PERMIT OWNER I` �U S � ,1?4 / `� TELEPHONE J a`/�,� / �`J' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 1)/Z— Each 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❑ OtherE-'(. L C7 5t.0 a.- SPECIFY Ga's piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New�] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: '- fi r= C 7 fy 4- W ft. t- C. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 100 AMP ORSLESS 10.00 /r), f)D Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. f 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d , OR ADONS. ACC. BLDGS. / 2/20sgft NE w CONSTR U TI.OUT LET NO N•RESID BRANCH CIRC ITS 2.50 ea �•S('1 / POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30 FIXED PR Ex. Occup. OUTLETS (RESID )EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.�Yiring 15.00 r�/leh / N ;. "e- 1/i. t1n Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 El of Applicant — Owner Contractor ElAgent❑ F 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 $ TOTAL PERMIT FEE $ occuP. I CONST.TYPc IFLOODIPARCELI PD I ND I ISSUE J This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC , B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date iy Receipt No.� '%� / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE IIS DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 ICC Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 +�I n CORRECTION NOTICE VINI PERMIT 1`40. I A�routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 : APPLICkVID r�AO PERMIT PERMIT NO. 4/1 77� ASSESSOR PARCEL NYEZONING �� BUILDING PERMIT OWNER I Z, u S t4J0_ l 1110 TELEPHONE c a -l7 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING` ADDR S�� "O 104, Z, CONTRACTOR'S NAA�ME� TELE PPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADPRESS /4ufz. SPP, �� N6, OF Permit tee $ PLUMBING PERMIT Filing Fee 10.00 �. D1AiS (�-VEL. Each Trap 2.00 JP 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❑ Other F-i,EG1- 6&twIC,6 , SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New $. Addition[]. Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ai, ,T Fooc Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 �/a 0-0100 Main service EA. ADD'L 100 AMP 2.50 D 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.SINGLE 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCcuP..' OR ACDNS. � ACC. BLDGO , /22Sgft NEW CONSTR U TI-OUTLE NO..RESID BRANCH CIRCT ITS 2.50 ea .7.,50 POWER APPARATUS o- OUTLET CIR, Ex. p(OUTLETS OR FIXTURES ezAL@AL030 3 NS Ex. Occup. OUTLETS ED (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 /ZIPL P S�aO 1,5.. tib Permit Fee $ O p 8 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 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 reelitieto save, indemnify and keep harmless the County of Butte against li s, judgme ts, costs, d expenses which may in any way accrue agai s said County onsepu of the granting of this permit. %� Date Si tore of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ tj, DID occu P, CONST.TYPcJ FLOOD PARCEL PD ND ISSall This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which fees DI TOR30F UBLIC By PERMIT EXPIRES Date the applicable pro vi- resolutions to do have been paid. WORKS ' Date-D.P.W., �% LReceiptNok5!90- YELLOW -ASSESSOR, PINK-INBPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTME`ATj OF PUBLIC WORKS - BUILDING DIVISION l 7 COUNTY CENTER DRIVE - OROVILI� CAL�.I',F NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA -SHEET Permit No. OWNER SScrS Cf�-rt?/2/LZ b A. P. No. Proposed Building Use FZe-6 �� wh L�---- Permit Fee Based Upon: Complete Contract Price x DPW Valuation �I f Other (Explain) Building Inspector Date �2 At time of permit application, I was advised the following data must be submitted prior to permit processing ' and:/or issuance: DATE RECEIVED APPROVED I 1 1. All items have been submitted. . . . . . . . . . . . 2.,, Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . `6. State Energy Forms No. i7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ .. .. 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 1ii 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 114. Owner -Builder Verification (Given to owner, Mail to ownerE]) 15. Improvements may be required. . . . . , , , . , 16. Mobilehome Installation Data. . . . . . . . . . 1:1.7. Pre -Inspection for Required. Building Inspector Pre-Inspec. request to ei ) 1I Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PERMIT & CONSTRUCTION APPROVAL REQUIRED PRIOR Tb OCCUPANCY When you issue the permit, process as follows: Mail to owner. Ma-i•I to contractor. i I elephone-5c;,,-J7��i and hold for pickup at R { Other Applicant office. Deliver w./inspector. Date Copy of -plans sent Health Dept., Fire Dept., Other Date (During the 1� +III plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Z Mail Other i By Date Plans -checked by Date Plans approved by Date Other: tI Copy—DPW !; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT ASSESSOR PARCEL NUMB S� ZONING BUILDING PERMIT OWNER z, u S /u J LL 0 TELEPHONE a -l7 S0. FT. OCC. - BUILDING VALUATION OWNER'S MAILING ADDRSS b b c../ t S J4 U f #04 L. CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee R$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD I G ADDR Ss 140 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / S Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. IUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ELECT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I GJWJ 10.00 ea , TYPE OF WORK New54 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: C I t - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000v OR LESS 100 AMP OR LESS 10.00 ID dD Main service EA. ADO'L 100 AMP 2.50 a CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i ❑ 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 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) 1 ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason i OCCUP.EI\ '/�2sgft NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET ea —1 - NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. zo®eoa Ex. Occup OUTLETS OR FIXTURES eAL&30 FIXED PR Ex. Occup. OUTLETS IRESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 (5-. &D Permit Fee $ ,V a Contractor WORKMEN'S COMPENSATION INSURANCE f I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. t 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 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 ree to save, indemnify and keep harmless the County of Butte against all li lities, judgme s, costs, d expenses which may in any way accrue agai said County onses�u of the granting of this permit. X Date Si tura of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a, DID OCCUP, CONST.TYPL IFLOODIPARCELI PD NO ISSUE This permit is hereby issued under sions of the Butte CountytCode and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt f ,rte 7& / WNIYE-D.P.W.. YELLOW•ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES .--� 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT N Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 6( ZONING J OWNER S f,. l PHONE NO. 53 S _ ®Z73 OWNER'S ADDRESS Zy Z� /_vocs Aur— LOCATION OF BUILDING USE OF BUILDING utee S 7 J SIZE OF STRUCTURE ' X _ SO. FT. TYPE OF CONSTRUCTION: 05— S' WOOD FRAME STEEL --K— CONCRETE OTHER (Specify) TYPE OF SIDING � / ROOF COV � � FLOOR TYPE ESTIMATED COST OF CON(STT-RUCTION $ C> AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: N� r �, 1 FRONT J 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 conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee — $50.00 / Receipt No. { gt� % Signature of Owner �1lice� Gfi2Zc The above described AG Building is exempt j/om a buildinq permit. Manager Building Division By White - DPN, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant F PAEL 16 Py RooFl ISSU 1 Date 161.;?. (,/g--7 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 �— AGRICULTURAL BUILDING EXEMPTION PERMIT r Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.®SS ZONING 0 ) OWNERSUS �� PHONE NO. 3 3 % OWNER'S ADDRESS Zl—z—`J ). outs AUC Or'D LOCATION OF BUILDING USE OF BUILDING r, 0 SIZE OF STRUCTURE X _79277 SO. FT. TYPE OF CONSTRUCTION: (o WOOD FRAME A1-- STEEL CONCRETE OTHER (Specify) TYPE OF SIDING„ ,_, / ROOF VE INLG FLOOR TYPE ESTIMUED C ST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � , r✓ � FRONT S� 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 conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �_i` Permit ee — $50.00 Receipt No. r Signature of Owner The above above described AG Building is exemptrom a building permit Manager Building Division By Date 10 /-2 6 9 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant u F119 cod c eCAJ 1 P<o10 Joey �_ lu CL xpp R `n I I d L