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026-270-010
Y 1 026-270-010 PERMIT#96-2081 LSEY, Catherine a , 7 "1 Irwin Ave. , Palo r// MHI 026-270-0 PERMIT#9 HOLSEY, Cath ine 7851 Irwin, Pa mo% Mobilehome Uti ties ELECTRIC 6 GAS LINE Q COMP ION TEST REQ No S PORT STRUCT REQ NO 026-270-010 PERMIT#97-0062 HOLSEY, Catherine '785JIrwin Ave., Pa ermo Open Deck/MH 11 ' 4 RESIDENTIAL 026-270-010 PERMIT#97-0062 HOLSEY, Catherine 7851Irwin Ave., Palermo 1. I Open Deck/MH i 4 F . i -1 1� 4 7` �s i F + s. r4iy 4 r, �L JOB FINALED (Date t 9$ignature it r' xw y N, V=OK O = Not OK , NootReady " MOBILE HOMES - - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/D-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 [ 31 MISCELLANEOUS Date AECKS, COVERS, CARPORTS, GARAGES lana OK except #'s Zoning Requirements -Setbacks -Easements tz 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rhrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date ✓ ` - . C rd B-1 Date Card B-1 Date tard B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ P" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts4Nrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev.12,196) .. ._, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ---7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��- [Cr��� ASSESSOR PARCEL NUMBER 026-270-010 ZONING BUILDING PERMIT � OWNER CATHERINE H TELEPHONE SO, PT, - OCC. BUILDING AL T – OWNERS MAILING ADDRESS 785 IRWIN 180 1,260.00 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' •'� Fireplace Total Valuation $ ARCHITECT OR ENGINEER- LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 7851IR14IN Energy Plan Checking Fee $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeA Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 2 3. 00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Newx Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK 9' X 20 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE 4 ELECTRICAL PERMITFling Fee 20.00 Main Service zuonOR�Rs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law,f the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and' Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( 8 ACC. B.S. SO 3.5¢FT. NON -R S DT M JLCTI OUTLUE� @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTUETOR FIXTURES 20 @' 00 BAL O .50 LNS Ex. Occup. OUTLETS ED PRS ,6.0") EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling\ Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. = X _ __ Date —1 1 —9 — _ Signature of Applicant - ❑ Owner ❑ ntractor ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PO HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ;i�W / 1/!� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Q 7An 7 Pate r�e Da4 ReceiptNo. 209669 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I Attention Property Owner: An "owner -budder" budding permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued. until this verification is received. 1. I personally Plan 'to provide the major labor and materials for construction 'of the proposed property improvement YES NO .2. ..1 H-AVEW - HAVE NOT[ signed an application for a building permit for .the Proposed work. .3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 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 NUMBER:. � ( DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible 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 unty. They are also required by law to put their license number on all permits for which they apply. If you plan to do y ur own wo k, with the exception of various trades that you plan to subcontract, you should be aware of the folio g information for your benefit and protection: _ 0 If you employ or otherwise engage an�, persons other than your immediate family, and the work (including materials and other osts) is $300 or more for the entire project, and such persons are not licensed: as contractors or subcon ctors, then you bean employer. _ 0 If you are an employer, ou must regider with the State and Federal Governments as an employer and you are subject to several obligatio�.rinolu&g state and federal income tar withholding, federal social security tares, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. f A frequent practice of unlicensed persons proe"sling to be contractors is to secure an "ownerbiulder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their. own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is. returned. Sinc%rel , Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER �+.awn+Rs�i�'ifcr•e:1fv�'�a�we�raF*am�^Nswi�i+:t7•"�.�iS�"•+a�s�!�"�"`�-<��i"''n'JKy'r�?i9l'k��t`Y'�i���+���`T.,'FeFfi+4w.;•r. COUNTYOF{BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT OWNER Proposed Building Use LICATION DATA SHEET Building Inspector No. 001t/a ��� ^0/) Date 1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All ritems have been submitted. ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ..... ............. . 8. Engineered truss detail's and layout in duplicate (required prior to plan check). ...` 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ..............:........ . 13. Flood elevation letter (100 year flood�y lifornia Engineer .............::::: 4. Sanitation and plot plan approval Health Department. . 4 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.a bout (A) Improvements (B) Drainage. .......•... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for Fre-Inspection request required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner, ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of -legal access . ..................... ! ................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When issue the permit, pr esS as follows: Mail to ow r. Mail to contractor. Telephone S� &nd�hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant C R ' Date _ Copy of Haz-Mat form sent . Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.er Date By The following data must be submitted prior to permit issuan r e ew item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required databy _ 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 -Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works H.H. USE ONLY Plot Plan Aft—I-A Smt to S.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance v Ow Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance, for bedrouni0imbite hompother Hold final for:. Final clearance O.K. for: NOTE: I Environmental Health Specialist 2/07 Date r _ , APPROVE-U Butte County Environmental Health Date -- - Signature f3 he-11V y GUJ 113- z o-c' COUNTY OF BUTTE Department of Develoyment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number 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 permitted to issue the permit. 0 CLES PN G�'RpF � ��� Sta � ���� O, F� • s Biu 04 Co. '01 -4 ------------ -------- ;;� u 417 ,LY,1aU+`<SE�3�jOtt4�.ry�• .�vr!'`"s'�''�`. C�:"�`�3y+��+�.1"isr�'cc ..w �Y-- � 4 •d 1 a 11 : 1 11 : 1 ]� COUNTY OF BUTTE- DEPARTMENVOF DEVELOPMENT;SERVICES-BUILDING DIVISION 7 County,Center Drive - Oroville, California 95965;- Telephone (916) 538-7541 /^ ERMIT No. APPLICATION AND PZRMIT ASSESSOR PARCEL NUMBER 026-270'010 ZONING U BUILDING PERMIT OWNER = til'alMINE HOLSEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESs 7851 IRWIN AVE PALL W e 7-7960 .. CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee - $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee F TIfy$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'e;MAIUNG ADDRESS Penalty $ BUILDING ADDRESS +r" IRWI 78Jl 51 N illw .l PERMITFEE $ PLUMBINGPERMIT 'Filing Fee 20.00 PALERMO Each Trap 7.00 LOT NO.'} SUBDNISION•SNAME PARCEL MAP Solar Or heat pump water heater 23.00 . . Water piping 15.00 USEOFSTRUCTURE - SF ❑ Duplex ❑ Mobilehome B Other • SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe"'Work: — �I'� ^" pj 'S; - ,, (J —(P// Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service eoov OR LESS ( 20 A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 •. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of'Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 9/will do the work, and the structure is not intended or offered for sale. 1 , as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR s0. OR NS. ( 8 ACC. 3.5¢ FT. NEW CT CONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS 97.50 WERUS (aPs NGLE OUTLETTC R. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 fiAL a .50 Ex. Occup. (ounEEDrs RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor -• WORKERS' COMPENSATION DECLARATION 1 hereby affirm,under)penalty of .perjury one of. the, following declarations:- ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as, provided for by section 3700 'of "the Labor Code, for the performance of &I work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code; for the performance of work for which this permit is issued. My workers' compensation insurance; carrier and policy number are: • 1 Carrier 1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation T PERMITFEE $ Contractor Policy Number < (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. G/_ X 1_pQ_ L -- Date —! �L�--_ —Signature of Applicant - ❑ Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories -in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166. 00 HAZ. D. FEES — ( IMF V FLOOD -r CDF PARCEL` PD HD ISSUE, — , This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By /�� Vrj�lr�:� Date PERMITEXPIRESON I (Date) Receipt No. 206304 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE,,. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.. 's: C/ TW,fQNE �6LSE� Name: Owner's: Address:Ov .71 MobilehomeYear.of E hi v6. -7) Aj IManufacture: Manufacturer Serial number Insignia or - or V.l.W* HUID nu' Official approving installation: Date: If the mobilehome is moved o"r"relocated, the mobileho'me installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundabo'n,!!Tstem. 513B # White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor !k; .1 "tk 0 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •�`— f - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541 -PERMIT NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 026-270-010 ZONING U BUILDING PERMIT OWNER CATCATHERINE>TOL•SEY E CATHERINE TELEPHONE SO. FT. OCC. BUILDING VALUA ON OWNERS MAILING ADDRESS 7851 IRAdIN AVE PALERMO, 95968 CONTRACTOR'S NAME UTNKNOI N 1V IV 1V TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee l, $ 23 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 7851 IRWIN PERMITFEE $ PALERMO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome It! Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: —Contractor -y- ��q '�''�% Mobile Home ISI GI W1 920.00 PERMITFEE $ ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Vwill do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. i Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 6AL 0 .SO Ex. Occup. ( OUITELETS(R LNS. OR D.) ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 workers' - compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. I,—of X Qum Date nature of Applicant - ❑ Owner IQ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction0 of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ ILL6. 00 I HAZ. D. FEES IM FLOOD CDF PARC PD HD ISSU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Da z� /�n� PERMITEXPIRESON �0 �l 7 < (Date) Receipt No. 206304 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wxra.�eF�StsA"h"rX�"••aw^nsti%mSt"�Ris"'I*W�R9i"""'Yiry�"�y��,g`�^rt� �i'�1i'�+4+'1t°''"w""'.��`. � �' ' ` :� � , ;� � � -,lay • t ' COUNTYOF BUTTE - DEPARTMENT.I� PEVELOPMENT,SERVICES - BUILDING DIVISION 7COUNTY CENTER DRIVE- OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 Y 7 w ( _ PERMIT APPLICATION DATA SHEET OWNER � � •J�, ,� ` P No. ()aco -a70 a Proposed BuildingrUse 2�-SE Buildirig`;Inspector Date 91/11 'p'^` 4` At time of permit, application, fwas 'advised the following data must be submitted prior to permit processing and/or issuance: I '. DATE RECEIVED BY QXL/ 1, � II items hNe been submitted . ........................................ "Plot plan 4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ................... . . 8. Engineered truss -details and layout in duplicate (required prior to plan check). . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. ees of $ .......... . ...... t rr , .Impact fees as shown on attached schedule. .�"�)�................. 12. California Department of Forestry plan approval/fees. ....................... . 1 lood elevation letter (100 year flggd�by Ca ifornia Engineer. . . Sanitation and plot plan approval l t/1 I Health Department . ............ 1 City of Chico plumbing permit. of plan and business license, approval from City of Biggs/Gridley. Planning approval for (A) Uqe: /rave) %«t(-je,r (B) Parking: ....... /(' 6 18. Contact Land Development aboutt (A) Improvements (B) Drainage. .......... . 1 riveway permit (construct n apl,i I re�qufred prior to occupancy). Pre -inspection fore t.` ( required. .. o Building ns edo� (Date) 1. Contractor's license inform tion. (No., Name Style, Classification) . .............. - �� 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... r 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. .... . 2Lett er of intent on building use: ....................:................ . .. . I.Mobilehome utility clearance . .............................................. 29. Documentation of legal access . ..................... :........ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. ExAting violations/expired permits ........................................ . 32. an check list. .............. ................ '. �)S:2�rieAflot� 6F �c(STrnl� SrT£. Whe ou issue the e mitp�roc�gss as follows: Mailt.� ,to owner, Mail to contractor. Telephone �- `Y'(Uband hold for pickup at �?-— office. Deliver with inspector. Other Parcel Creation Q _ r Acreage Applicant `l' Date �' _! w 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 t p r it i anc Circle w lemcheaked above). 1. Index permit for above items No.: 2. Additional items required: Contractor, designer, caner, as advised of above required data by'_)g- 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 (; t G(3o-X5 Date 10-2fYg6 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works - .. .. y � +.. Y.: ,:«x.. �: �i.r'�� �•.M ,„iv +v., Y-��4f"A{ �r 'i:�+i 1rf li' .. ..4 .j,"�"qA .,:��.�` �•,w" rv� 4! 7'e. �YJ`Y,'� .. ;�y • � f a f E.H. USE ONLY , Plot Plan AWched Floor Plea Ameched Sort to B.D. /. TO: Building Department *FROM: Environmental Health SUBJECT: Sanitation Clearance Ov6er Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Q bedroo mobile home. Other Hold final for: ” Final clearance O.K. for: NOTE: Environmental Health Specialist . Q /ro1) +_ p - Mobilehome Manufacturer: tit A �t Manufacture Year:>aa),� �-�' If other than single wide, furnish Setup odel Number: to M Width: (ft.) Length: (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. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ v] Other:(? �y %tom c'tio�n� Arou�� fS Provide Tie Down Specifications for all Mobilehomes: �ll i h ul P /No n E'7 / c9 _ 1 Pier Footings Sizes and Location SING WIDE TI -WIDE Eine 1 Line 1 Line 2 "" L ne 2 ... .......... ...................... ..:.... .. ......... Main Line2 ....................:.......................... .......:............... .............. e 2 Lice 1 Line 3 v Line 2 Main Beams Line 2 " Line 1 ........................................... e5 Tag or Triple e4 ine 1 Line 1 Piers: Size minimum: r i x. Spacing maximum: I ` ` From ends -maximum: 4` Line 2 Piers: Size minimum: [ la -1 x DO ]- Spacing maximum: ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): '.1 Line 1 Openings Size minimum: [ IZ ] x Da ]. Each side of openings with width over: I ` 0 ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` AIRTMENT OVERFILE COPY 1. Owner's Name: ♦ __j . 2. Assessor's Parcel Number: O oq (o `a-7 0 — O l 3. Installer's Name:. h k no to c� 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site -an existing site? Yes[ No[ J (If yes, furnish two plot plans): 6.. What is the electrical rating of the. mobilehome?peres. — . ..7. What is the mobilehome site circuit breaker rating? G0b v Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes r\/1 No[ ] If it is, what is the rating? _ 2 d d Amperes. 10. Is there any other electric load to be rved by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ;(f yes, please identify the load and size: a) The mobile home -site: Load- 1 " Amperes- 1 uCO b) The main service: Load- Uk \ Amperes- 26 11. Type of gas service at mobilehome site: Natural[ 4 Propane[ ] None[ ] a. 12. Size of, gas pipe at the mobilehome site from the meter or tank: 3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? � (&). 14. What is the mobilehome gas demand? kA5,QW B.T.U.* A *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION • .(_67�rSCCX Z0nr\"-c°r` 120'ayo vot+ 3 Pok 4 w, r� May 1995 8.5 Fe -Avtov-v 4 14)CI 0 31 C �w- q_l( —9co -6 L OCVL ' s o `� Ln c Butte Cour Y alth En�ironmentat He .1 V�S�gnat�91 re . o. k FY Ula M, DEPAM o -1 � ED 5a 'Y' _ '200' _'-��+�� Y�-;-I�A�I F I��'k�t���� IP�tEi�`T-.��i�1�i__c�c�c�v�; — E{:EG�vr�s:, �`i EF-i4EC'F.$�ili�{r* rl SE A1::CC�Ni�° �W - UR D 1 -?- i , ; ' , + •, r _ _ ; ; � UMCAND� 180F44-LINE 'NEE,: , -- LINE sHic EQWM_•EW EXCERT - -_ - Thi"et-afpjQW_ -kept-on-the• job -at -all -times_ ' d i %6 4 c1Aanges-or-;e1#,eraU, as_` _ - tten�� issm_1~rom.thi. p anC of itbita_ Works, Coin tte:- -- - . r �r,_ 74 N(JTE: AllMaterials &"Workm p 9hs11 e -�_ �_ _ ���+ L_= _; T —'---- Y=_ iT - i �_ I__ A�coordanee-with-Recognized-Cl d PracUe-es-an of duality in the Uniform BuildW,L Plumb' . & Mee Cedes and the,Nationil electric .Code - .1 — 120' - - �-- •--- �L 3. _ __ - 100' —`�' - _�� — 0 20 80' _ . _ - __! ' `t7� AEP G➢V E_ �_ - -`—-Butte Butte Czunty - - .9 -Enviror�m al -Heath r t _r_ .__t -- Z70-(D10 �- rt , ri nature; 1 OU r 117 l r 1- ; e08- 160' I. N Cit., I.P aildt"q T; -'tl - I . .4 'U I-, '. 7p, I. N Cit., I.P aildt"q T; -'tl - I . .4 'U I-, '. RESIDENTIAL 026-270-010 PERMIT#.96=2117? HOLSEY,. Catherine 7851 Irwin; Paleruio!ll ' 1 Mobilehome:Utilities r 9/30�9� C d All 4#/ �M1 _ •F ! 4 S _ 1 `Yr A OFFICECOPY l Address GAS/j= Date L� Meter BY� ELECTRIC Date Meter BY < 2 JAB FINALED (Date) ,Signature pec ' iy; location-Clearances-Gmd-/ /Amp -Concrete as; Location -Test -Wrap; / JUL / L or/ / L*ft./ /LPG ell once & Disconnect tility Clearance 1 Date' %/a Card B-1 Daae Card B-1 Date Card B-1 9/ Date Card B-1 LAl Zoning Requirements- Setbacks Easements + Footings; Size -Spacing -Marriage Une j GasLW Test-DemandValve•Connector lectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 6. Water; MHTest-Regulator Connector # ater and Sewer Connected -C/O to Grade -HD Approval j and Electricity Tagged Tie Downs -Type -Installation Cert. Insp.-Sketch 11. Cert of Occupancy r' r Dat Card B Date Card B-1 Date —!V -Gy Card B-1 QA Date Card B-1 i f I MISCELLANEOUS Date F V=OK ' 2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel •=NotNot Redypalble MOBILE HOMES 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing Date MOPM HOME UTILITIES(Plans) OK except #'s i Z" Requirements - Setbacks - Easements n 9 nitss4 t 1 MH Sunmrt Slrotdh l pec ' iy; location-Clearances-Gmd-/ /Amp -Concrete as; Location -Test -Wrap; / JUL / L or/ / L*ft./ /LPG ell once & Disconnect tility Clearance 1 Date' %/a Card B-1 Daae Card B-1 Date Card B-1 9/ Date Card B-1 LAl Zoning Requirements- Setbacks Easements + Footings; Size -Spacing -Marriage Une j GasLW Test-DemandValve•Connector lectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 6. Water; MHTest-Regulator Connector # ater and Sewer Connected -C/O to Grade -HD Approval j and Electricity Tagged Tie Downs -Type -Installation Cert. Insp.-Sketch 11. Cert of Occupancy r' r Dat Card B Date Card B-1 Date —!V -Gy Card B-1 QA Date Card B-1 i f I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distance-GFI 5. Elec.; Pool Ughting; 15 Volts-DFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I' t• it f T O = Not OKN RESIDENTIAL (Single & Duplex) - = NotAnOicahla Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. Shear Walls; Nailing -Bolts 12. Electric Underground Brace Wall Panels 13. Pienums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -W indows 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V.; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 23. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 24. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 25. Size Boxes & No. of Conductors Stapled Plb., Elec. & Mech. Equip. Listed for Location 26. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Insulation -Foam -Looked in Attic 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Guard rails & Deck Construction -Post Caps 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 30. Ran3e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect Stucco Brown -Finish 32. Equip. Clearances Panels-Motors-Mech. Epuip. A.C. Unit Disconnect, Electrical -Plumbing 33. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 34. Smoke Detector Water Well, Disconnect, Electrical, Plumbing 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 35. A.C. Ducts Insulation & Support Gas Test -Meters Tagged, Gas -Electric 36. Vent Fan, Exhaust above insulation Water & Sewer Connected -C/O to Grade -HD Approval 37. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Comments at Final: Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -W indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure _ 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES " 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 _ CORRECTION NOTICE WNER PERMIT NO.' ?. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addre and should be corrected. Please notify this office when correction of work is complete you have any questions pertaining to this matter, or need additional explanation, ;= please c tact this office immediately. t . f-1 .41- l i i Calvi I 1 �S, COUNTY OF BUTTE - DEPARTMENT,OFroDEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9& -2u ,% ASSESSOR PARCEL NUMBER 26-27-010 ZONING U BUILDING PERMIT OWNER CATHERINE HOLSEY NE4406 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7851 IRWIN AVE PALERMO, 95968 CONTRACTOR'S NAME01,.T'ATER 1YY 11VV TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 7851 IRWIN PERMITFEE $ 23.00 PALERMO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities l] Installation ❑ Other ❑ Describe Work: 2 BEDROOI'f 2 BATH 14 X 70 Mobile Home @20.00 60.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law I the following reason: W' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. ' Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR ( a ACC. ) O. 3.5¢ FT. CNS. MULTI.OUTLEBLDS NEW CONST. / TLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUfLEr CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 EX. Occup. I FIXEDOR E APPUN A OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ,,bf one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallT not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date �� Signature of Applicant - Owner ❑ on tor ❑ Agent An OSHA permit is required for excavations over 50 deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee is Occ CONST. TYPE Al_ FEE $ 1 .00 HAZ. D. FEE IMP FLOODCDF — ARC PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Q ate!�,Jjo�n_ PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.-B. A ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'�`+�+= ►i�v�'�t�+3j� r i�'+�f�F:�H6�r"'"�1,R���t��i�pq!!'�*1�or�''"�ri�?'�'r<r�+�t+*i'�t�+v7��S+�F'[5,f.�"wa^,°,��rev�-^moi-,�^".-T�'� , i COUNTY OF BUTTE - DEPARTMENTOEDEVELOPMENTSERVICES -BUILDING DIVISION is•`�` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION'DATASHEET OWNER A. P. No. Proposed Building Use AIP 6/ Building Inspector Date / 715PJ6 At time of permit application, I was advised the following data must besubmitted prior to permit processing and/or issuance: A DATE RECEIVED BY 1. All items have beeWsubmitted. ......... .............................. 2. Plot plans, 3/4 sets, signed by preparer of plans. ..... w ................... . 3. Complete -plans, 3/4 sets, signed by preparer of'plans. ...................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . ....................... ....... 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year floo�kj by6alifornia Engineer. m ..........:::::: 14. Sanitation and plot plan approval CC//(_ Health Department. . 15. City of Chico plumbing permit ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development, about (A) Improvements (B) Drainage. .......... . 19. Driveway permit.(construction approval required prior to occupancy). . . 20. Pre -inspection for Pre -Inspection requeis required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ................ 23- Owner -Builder Verification (Given to owner , Mail to owner ). .......... - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ...... . ................... ......... . 26. Copy of reco ded deed of parcel creation'and 60 right of way to a public road. ..... 27. fetter of intenon building use. .......! ............................... 28. Mobilehome utility clearance . ........................................... - -•--29. Documentation of legal access . ..................... 30. Documentation of�50% subdivision developed.or (A) Road improvements completed I and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ......... ............................ r °.+ , \ 32. Plan}check list' .... 4;�................. ............................. 33. 34. Whe ou issue the r it,� p��rPpcess as follows: M Ito owner. Mail to contractor. 7 Telephone �� yYD� and hold for pickup at ©�` 0 V t�`e- office. Deliver with inspector. Other Parcel Creation Acreage Applicant +5� 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: . ' �rh 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 G i 43 o,u Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 budding permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major 1bor and materials for construction of the proposed property improvement: YES[ts? NO[ ]. 2. I HAVE[L4 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: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS 'PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: - DATE: � 1-1 Cl It NOTE:_ This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER J '1� O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed.by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sig 'cbrel Micha4l C. Viei a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ?/,Yo/g ct4o //O(g ct S CUFr�e int be- Ck S t. VA. /v Return to: I AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or disc:ungort arising irow the use of agAcultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning; and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have, as a priority use for produc- tive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: a �o- 0/0 9' ra ii 7 950622 M 07/13/95 07/20/95 R2 AMOS HEAVY HAULING 950030 M 01/24/95 01/25/95 R2 DWR 950313 M, 05/08/95 05/12/95 R2 HAMRE EQUIPMENT 951134 U 11/01/95 03/01/96 R3 PG&E 950604 E 07/12/95 08/12/95 R3 BROWN PAVING 950737 M ' 08/03/95 08/17/95 R5 MOBILE HOME SERVICE 950737 M 08/03/95 08/17/95 R5 MOBILE HOME SERVICE 950738 M 08/04/95 08/17/95 R5 MOBILE'HOME SERVICE 950306 M 05/03/95 05/08/95 R6 AMOS HEAVY HAUL ' 951064 M 10/19/95 11/02/95 R5 MOBILE HOME SERVICE 950090 M 02/21/95 02/28/95 R5 MOBILE HOME SERVICE 950'813 M 08/21/95 09/01/95 R5 MOBILE HOME_SERVICE 951066 M 10/23/95 11/03/95 R5 MOBILE HOME SERVICE 951067 M 10/19/95 11/03/95 R5 MOBILE HOME SERVICE 11 M 19135 4 i MTMWE-MAN ANCHM-9, J► C. 704 692 0259 P.01 A��anIAQ. Aw 'Tne pionoor o moblis home tl"OMC MINUTE -NAM ANCKORB, INO. ENGINEERED Tif DORNA state of CeIlifornia SPA No. E. T.S.119 I�csrtify that I hive installed the- Minute -Man Anchors, Inc., anchoring -system as per the , installation Instructions. I :have madly no modifications to the anchoring system or -to t building struct re. a Company N mer Contractors License No. signature�V, D to // .T4 1 ®I DEP✓ ij. 0 EN S APP�ED 186 Wsst Walker. Street *'East flat Rock, Norw Cnrolioia 20720 � Tel ephonalO 4325I LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Bui/ding Permit No. A CM1f- OWNERS ' A.P. NAME: '� ' NUMBER: Da(0 _ '7D —D/ v PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: t YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO .. lfo/'AE? CosMAP INFORMATION: DATE OF RECORDING 160 LOT 7 BOOK ZS PAGE 15' COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THEBU/LD/NG DIVISION UNLESS OTHERW/SENOTED. _�1. Maintain a 50 ft. building setback from centerline of road. ✓ 2. Maintain a 20 ft.building setback from rig ht -of -way/cen line of YL N// ti/ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $_ — 12..Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pfennig Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 12 f2 U 4 t, vN L rL t-5 P 1�Z 17 (2-z r9. L- I N >c 22 23 24 25. 26 /\10 y,q jjo hiNa0D 9661 6 1 d3S LD 7/96 C1WP51 \FORMS.K\BLDGPERM.CLR And when recorded mail to: Building Division ` #7 County Center Drive. Oroville, Ca. 95965 g3 S E P 18 1996 J AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land -or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION ' ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF.BUTTE; DESCRIBED AS FOLLOWS: PARCEL I: LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOPPER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4, 1960, IN BOOK 25 OF MAPS, AT PAGE(S) 15 AND 16. PARCEL II: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOPPER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4, 1960, IN BOOK 25 OF MAPS, AT PAGE(S) 15 AND 16. Date: `"1 _ I -I -- C«t PROPERTY OWNERS: State of California ) County of1ITTe� ) On 2 before personally appeared "AT -#e R l.y e /t, • #cvL se Y ty AartiwiFtipm (or proved to me on the basis of satisfactory evil nce) to be the person(S) whose name/A is/are subscribed to the within instrument and acknowledged to me that lWshe/tbey executed the same in tx/her/0hfr authorized capacity(ies), and .hat by his/her/tiwir signature(* on the instrument, the person(* or the entity upon behalf of which the person( acted, executed the instrument. WITNESS my hand and official seal. GONNA L KNIGHT a Commission # 1075664 Z �� �' • `� (Votary Public — Califomla D Signafui e ; �� /Seal: Butte County My Comm. ExQires Oct 22.1999 A.P.# t,, 96-034743'1 1 RecCasFee 6. 00 ' IRecorded official Records I I County of I And when recorded mail to: Butte I Building Division -! Candace J. Grubbs I #7 County Center Drive. Recorder _ I Oroville, Ca. 95965 11 : 36am 18 -Sep -96 I PUBL XX 1 AGRICULTURAL STATEMENT- OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned.for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents .within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. _ that real propertysituate in the County of Butte, State of California, described as follows: - DESCRIPTION {t'" ALL°THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOPPER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4, 1960, IN BOOK 25 OF MAPS, AT PAGE(S) 15 AND 16. PARCEL II• LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOPPER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 4, 1960, IN BOOK 25 OF MAPS, AT PAGE(S) 15 AND 16. Date: ._A " Cite PROPERTY OWNERS: State of California ) County of rat -rTe, ) On2,/-,ZZ-&9--bcfore me—,96 personally appeared LAE&ER 1 V 9, k, llaZ Se Y ku e (or proved to me on the basis of satisfactory evid nce) to be the person(g) whose named is/ace subscribed to the within instrument and acknowledged to me that Im4sheh(my executed the same in /her/ authorized capacity(, and that, by W/her/timir sibnaturcO) on the instrument, the personC* or the entity upon behalf of which the person(f) acted, executed the instrument. WITNESS my hand and official seal. DONNA 1. KNIGHT CommMon #1075664 Z Notary PUAC — Califomla r Signa a Seal: lamc�&�FteCou* �.t994 y �1 r_UU6112 "Mil NOTE TO RECORDER00 NOT RECORD THIS SIDE A.A. — L AGRICULTi;TRAI1 STATEMENT OF �4KNQL'311''.._:<> Instructions for recording Agricultural. Statement of Acknowledgement: 1. Insert the legal description of the property in the space provided on the other side of f this _ - form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 -1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). •� i1 � � Nr r �•i1J� ( 1)`'�� Y , wap iSVt r � z':.i. I t av)- W. OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ' U► LD Building Department No. V � A.P. Number t46f Qom— O-Oi'blurisdiction: City County Property Owner Property Location/Address ii^ [ 1-2 Y' a Subdivison Lot No. q Residential Development, 0 0 Sq. Footage - / g No. of Living MHI Addition .(Gro p R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roof d Areas) ,// i PJJJ B it ing epartment ep esentative Date (Floor Plans reviewed by School District Personnel) trict Icjentific• oaa No. 7 School Dis •ct certifies that J b, (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �'" V by payment of $ representing square feet. AB 2926 A vl FULL MITIGATION $ School District Representative A.- te Paid by Check # Remarks: 7 �p Bank Number Paid by'Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teetormmki (11/94)dmm OWNER: --7 1 1 -r-V V V LOCATION: CONTRACTOR: PRE -INSPECTION FOR: PERmrr . HISTORY: [V(NONE ]AS FOLLOWS: TYPE OF OCCUPANCY: -4- DATE: �V t A -PA ZONING: DATE TO INSPECTOR " BUILDING INSPECTOR' S REPORT wilding Description: Commercial/Usage: e: Yes[ No[ Mobile Horn Residential/# of Units: I'turrently occupied. Abandoned/Vacant. ',Iectric: [ ]Yes ]No Electric is currently On. Off Condition of electrical? -Tas: Natural L J Propane[ 1 None[ 1 Currently On[ Off[ Obvious problems: 2 Sanitation: Plumbing working Yes[ No[ Well: Yes[ ] No[ Potable water: es[ No Obvious Sewage Problems: Action Recommended: ]Issue [LAflold for: nspecto Date: 1 1. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. _ s'- 7 County Center' Drive Oroville,. California 95965 Telephone (916)x„ 538-7541 �' RMrr NO t; "APPLICATIONANDPERMITg ASSESSORPARCELNU ''1eOi "-•'' m"'"L' BUILDING OWNER CATHERINE . HOLSEY; ' TE EPWNE ' SO. FT. OCC. BUILDING VALUATION. • .,' ,- °"""°'S'""""° Ao°`E8B 7851 IRWIN AVE •PALERMO,_. 95968 CONTRACTORS NAME UNKNOjN -. .. TELEPFIDNE CONTRACTORS MAILING ADDRESS - Fireplace Fireplace CONSTRUCTION LENDER •, .- ". UNKNOWN - Total VaIUaUOD $ _ •. LENDERS MAILING ADDRESS . Filing Fee $ .. 20.00 Permit Fee PRE $ 91 06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCWTECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ suLDwoADDREss ,77851 IRWIN PERMITFEE $ PALERMO PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. . , SUBONISIONS NAME. _ ' r PARCEL MAP _ Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome �1 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: MH EXISTING SITE Mobile Home S G W @20.00 PERMITFEE _ Contractor. ELECTRICAL PERMIT Flin Fee 20.00 ` Main Service eoOV 0R LESS ( sow OR LESS) 23.00 Main Service ( sow TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, /will do the work, and the structure is not intended or offered for sale. 19 1, as owner of the property, am exclusively contracting with licensed contractors' to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �I,, __DateL� ��nLMturef Applicant -•O Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( a ACC. &DS. ) 3.5¢ Fr. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 POWER SINGLE APPARATUS (8SINGLE OUTLET CI0. Ex. Occup. (OUTLET OR FDITUREs) 0 1.00 BALI .SO EX. Occup. OUTLETS RESIO.)E0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) ReceiptNo. 206304 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT 026=270-010 U r V September 16, 1996 Catherine Holsey 7851 Irwin Ave. Palermo, CA 95968 utteCount PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 Re: Temporary Trailer During Construction Permit for APN 026-270-010, located at 7851 Irwin Ave., Palermo. Dear Ms. Holsey, Your request for a temporary use of a travel trailer during the installation of the mobile home located at the above referenced parcel number on property zoned ARMH-1 (Agricultural Residential Mobile Home, 1 -acre minimum parcel size) has been approved pursuant to Butte County Code Section 24-300, subject to the following conditions: 1. That a mobile home utilities and installation permit be obtained from the Butte County Department of Development Services, Building Division. 2. Sewage / waste water from the self-contained travel trailer must be disposed of at an approved dump station or an approved septic system. 3. That the mobile home must be installed within six (6) months from the date of this letter and the travel trailer dwelling must be abandoned. 4. The existing mobile home must be removed from the parcel after the new mobile home is installed. . 5. Applicant shall comply with all other applicable State and local statutes, ordinances, and regulations. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday, at 916-538-7601. Very truly yours, William Farrel Director of Development Services Stephen R. Betts Assistant Planner (;cc: ` Building -Division, Department of Development Services i