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HomeMy WebLinkAbout027-050-03627 '05-36 902-90E JACKSON, John Y 90 Katie Ct, Oroville (elec sery/.sf) 27-05-3 j Permit#4133-90P,E -- (utilities MH) �t - _ (k ELEC���P�- _ � �� 111\ 9 GAS L� 60� 1 COMPACTION TEST RE J SUPPORT STRUCT RE 27-05-36 Pefmit#4134-90MH (installation/M 027-050-036 PER14IT#96-1440 • FINWICK, Rick & Melody 90 Katie Ct. , Orovil el New Single Family a L 171 ,� � �. �. }F; � RESIDENTIAL 027-050-036 PERMIT#96-1440 FINWICK, Rick & Melody `• i 90 Katie Ct., Oroville New Single Family 1' • F Ab f w - . � �s ► v `.rte...—^^'�"' . OFFICE COPY Address k; Date . GAS Meter BY it ELECTRIC ate Meter BY 4,S rtFt,- if Y 1' .! r JO8 FINALED (Date Signature V=OK 0 = Not OK Not Applicable '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / / L'ft. / /Nat. or/ /'Lt./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/0 to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 w MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 J=OK* O=NoTOK = Not Applicable = Not Read_ , RESIDENTIAL (Single & Duplex) Date UN LOOR (Plans) OK except »'s i g -Setbacks -Easements -Flood -Slope 2. X., Main; Soils-Elec. Grn tg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.- tg. Depth 'A. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 7 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Bfockouts-Wrapped 6. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D. .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF. Gas Pipe; Size -Anchors and ga ip' size- st Water Pipe; Test -Anchor -Regulator -S ice Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15 ccess & Ventilation 16. Insulation Dat rd B-1 Date Card B-1 Date Card B Date Card B-1 Date PL ING (Permit) K except ✓r's IT'- --_ Water Htr.: V t -Ac CombuW —------- -------------------- ater Pipe: Test & Ancho Naiion ------------ - ------------------- --- pe: est ----- - - 1 W.V.; Test -Fittings & Anch r- -- -- --- -9.hower Pan: Test, First Floor -T -------- - ------------------------------------IF ------------ 20. Test Tub & Shower, Second Floor -Tub Access ------------- - - - --------------------- ---------------- ---- -- ---------- as Pipe_Size & Anchors ------------------------------------------------------------------------------- Date j/ j- j - ,4 _ Card B -)V_/6-- - ---Date - -- Card B-1 Date Card B-1 ( Date Card B-1 Date ELECTRICAL (Permit) OK except a's &Transformer Clearance -Ins. Protection ------- - Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------ ----------- -- ize Boxes & No. of Conductors -Stapled ----- ---- airRb''ex Installed Close to Edge of Studs & C.J. quip. Ground Fastner ondWa ----------- ----------------------- - ..... _. ?7i2'ippliance Circuts in Kitchen & Conductor Size,GFI feed Wire Size ya Cu o A A.C. Wire Size ga. Ci or AI a ang Com+ . u or AI -Oven Circ. , r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ervice R ser Conductors & Ground Main Disconnect 1 Equip. Clearances Panels Motors-Mech Equip. --- - - lot es Closet Light -Shower Light -Spa Light moke Detector Date �%Z g Card B 1 Date .....C.a. ard B-1 --- -�---- - ------------- ..... ... ... ... ... ... .. Date fl -j3 -9t, Card B-1 I H, Date Card B-1 Date MECHAN AL,(Permit) OK except n's C. Ducts Insulation & Support ------------- -.� ---------- --._....---------• .............. 3Yve Fan: Exhaust ovensulation _ ondensate D in & Overflow: Size & Grade Furnanc - Ac Comb. Ai - elurn Ai(Vent-115 et -'--- J A. Y Access & Platform if Furnance in Attic Date / Card B-1 lgj Date Card B-1 Date -1 I-)7- b Card B-1 Date Card B-1 Date FRAMIN • (Plans) OK except a's ls. Proper Material & Anchors ._........ _.. .................. alts Studs -Nailing. Spacing & Bracing - Pla tes-SOUnd ring Walls over Girders & Floor Nailing 1��11 Draft op in Walls Irat pro Stops: Furred Cel -Stags-Chases-Tub --------- . . ... . . .. 4'. eaders & Bea -S & B4a ng Date MING (Continued) angers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties- Purlin-roof Bra<T ShfArfg.-Fj�p 4r.F4eolace Ties or Tvoe Ague -Fires ce Throat clearance / Attic Access; $r� -R e roteec onJDraft Sto ns 4 dr endows or Exitin o Hgt. & Dimensions �� i 7 �y�------ arage Fire Protection Framing )4-C L11 CZ zt •..vQ p�'�- rewall & Openings 6 6—t. Doors -One T -Check Garage -3rd Story, 2 Exits _(Y Width -Headroom -Rise -Run -Landing -Fire Protection -----------wood_on Ro?Overhan Attic Vent�Raft tri _ triggers . Siding -Nailing Veneer ----------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- ----------- - azing Area -Glass Protection -Skylights -Plastic 5j SFear Walls: Naili- _Bolts -- 59. In tion -W s -Ceilings /L 3 6_Inf ration -Walls -Windows -------------- -------- --------- - - --- --- --- -- . —_ e�{ipG _A/u Date- 5_-)X-`�V Card B_f--9_h -- Date Card B=1 Date rd 6-1 Dat6 Card B-1 Date FINAL tarns) OK except rr's xt. Steps -Door &_Sidelight Protection -Landings - Smoke Detector — _ ,,�6 urnace: Vents -Clearance -Comb. Air -Connector- " In Garage: Above Floor -Ducts -Meth. Protection ------------------------- Bed - - - Bedo_om Exiting G & Bath Fixtures & Tub Access -Spa Ele _ -rim-& Subpanel_Breaker Sizes &Labels - tags & Rads --- 6- lace or Stove: Clearances -Hearth ...... .... re lec. O tlets at Wood Panel: Int. & Ext. --------- ----------------------- it.F . & Appliance: Grnd.-Air Gap -Cooking Clearance -------------- --- - -- -- --- ---- --- lec. Outlets & Receptacles at Kit. Counter ...... ... .. - - --- -- ---------------------------- arage Fire Door: Swing -Landing -Closer uct in Garage -Damper -- --------------------------- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection -- Ib- Elec. & Mech. Equip. Listed for Location --------------------------------Elec Receptacles in Garage: (G.F.I.)-Romex Protection .. ... .--"------ =----------------- ---- ----------- nsu tion -Foam -Looked in Attic ❑ Yes uard Rails & Deck Construction -Post Caps --- ----' --------------------------------- -- Fdn Vents &Crawl Hole Ooor-Drainage &Wood -Earth Clearance Looked under Floor Yes .. - ------ -� 80. Following instld.: Drive Yes - No: Walks ❑ Yes W; o: Planters ❑ Yes No . . . ... ............. ------------------------------------ ---------- d co: Bi�Wr1 Finish A Unil: 1;L. -' D sconnect. Electrical, Plumbing vents bove Roof: Plbg. Appliance Fireplace. -Clearance to nings Wal r Well: Dsconnect. Electrical, Plumbing nor Elec Tnm: G F.I Receptacle -Underground ---------------- -------------------- ��,Glass atiOn Throughout House Protect on - - --------------------- iSd Corre Ons irOm Previous Inspections 89 s Test -Meters Tagged: Gas -Electric ------------------------------------------------- 90 Wate ewer Connected -C/O to Grade -HD Approval---- ---- nergy Compliance Cert ficate-Other Certificates Date Card B -t Date Card 6-1 la " .. " -- --- - ------ Date ,t qj Card B-1 / Date Card B-1 Date Card B-1 Date Card B-1 Comments: at Final COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�j// PERMIT 0. APPLICATION AND PERMIT (( ASSESSOR PARCEL NUMBER 027-050-036 ZONING ARMH5 BUILDING PERMIT OWNER RICK & MELODY FINWICK 533-3746 SO. FT. OCC. BUILDING VAL ION 1768 R 95,472 OWNERS MAILING ADDRESS 2995 LOWER WYANDOTTE #2 622 U 11,196 CONTRACTOR'S NAME OWNER TELEPHONE 7/. C 962 �F CONTRACTORS MAILING ADDRESS Fireplace I A 1 1,500 CONSTRUCTION LENDER UNMOWN Total Valuation $ 109,130 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 674.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 438.43 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 KATIE CT PERMITFEE $ 1,155.93 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 63.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF [)X Duplex ❑ Mobilehome ❑ Other `SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ff Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDROOM - 22X28.5 Mobile Home I S I GI W 1 @20.00 15.00 PERMITFEE $ 143.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service OOOV OR LESS ( z00A 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 Oom the Contractors License Law for the following reason: KI, 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. I ❑ 1 am exempt under Sec. -Business -and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. 8 ACC. BLAS. 3.50 SD . ( ) FT. 83.65 NEW CONST.MULTI.O UTLET C NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOUTLETUS ) & SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. (-OUTLETS APPLN .OR 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 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 9 Heating 15.00 Cooling 15.00 Hood 6.50 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, 1 shall �forthwithhyith those provisions. X Date Signature of Appli ant Owner ❑ Contractor ❑ Agen An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is c CONST. V- TOTAL FEE $ 1,509/8 HAZ. I D. FEE I IMP FLOOD I CDF PARCEL H IS 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 py Date PERMITEXPIRESON / (Date)WHITE•D.D.S.B.D. Receipt No. - A p�$ b RYAS PINK -INSPEOR NROD-APPLICANT ;Tx .'�"'s*�f"'�''�,»�'STiiLRWi.c+a+r�*w+^'a*+ver..-.,xt^��"'�'T�4'rt"7'";{c:.:.-r+�nw..s•.r*�«.w-,--Kr-•;r»_....... 1'';6OUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BiJILDING DIVISION a. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET G f! W _� i C: IP WNER . N . 'Proposed Building Use S Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: t DATE RECEIVED By ' 1. All items have been submitted. ..................................... . Ff Plot plans, 3/4 sets, signed by preparer of plans . .......................... F 3. Complete plans, 3/4 sets, signed by preparer of plans. ...... 4. Engineered plans and calcs�, 3/4 sets, with wet signature on plans . ............ . i Hazardous Material Form. Energy Design Compliance and supporting documentation . .................. 12�— t Statement of Intent for Non -Heated and A/C Buildings . ...................... pry 8. Engineered truss details and layout in_duplicate -(required-prior to plan -ch k).--7-- -9. Mobilehom--d at��tta d , anufacture ' m ttallation instructions, 2 sets. 10. Fees x'11. Impact feess shown on attached sche 'dule. 1. California Department of Forestry,plan approva /fees ... . 1 lood elevation letter (100 year flood) by Californ' gin'eer......... . 4. Sanitation and plot plan approval "- Health Department . ............�- 5. City -of Chico plumbing permit. ...... ................................. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: "(5) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... / ' 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection 2quee 20. Pre -inspection for required. . to Building Inspector (Date) 21.' Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................ . Owner -Builder Verification (Given to owner , Mail to owner ............ ` 24. Recorded copy pf 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. .... . t 27. Letter of intent on building use. .. . ..................................... . .28. Mobilehome utility clearance. .... ................................. Documentation of legal access. . �•t• 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. .....I ............. : . . 33. in 34.. 6 43 Whe�;-you issue the er. it -pd�o e s as follows: Mail to owner , Mail to contractor. �. �C/ Telephone.3 4and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage . Applicant Date - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail _ Contractor, designer, owner, was advised of above required data by _ phone _ mail _ Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date by _ Date. Date H.H. USE ONLY Plot Pion Muhed 5! Pkw Plan Athched X Sent to B.D. —7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance P0 Owner Location AP* Plan Approved for: Sewage Disposal , Water Supply: Public Private Well X' Clearance for bedroom m• ome. Other Hold final for: Final clearance O.K. for: NOTE: PAY] /99�2' Envuonmental Health Specialist/U bate ago" COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER T41 -C 1e-1 f dU PROPOSED BUILDING USE A. P. # (5cP 3 DATE 6 —?6 REC. # DATE REC SCHOOL DISTRICT FEES ` (paid at District Office) _fQ-" SHERIFF FEES (paid at Building Division)'"""� Residential...... x _$ �Q �1�17�C� % 13 A unit amt Commercial (sq. ft.) . x $ - 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES - $400.00 (paid at.Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) — (� 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. �// APPLICANT G�-�v, DATE 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 V] NO( I. HAVE NOT signed an application for a building permit for the 2. I HAVE] t ] proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: - Com' PHO114-E• 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: NAM E: ADDRESS: CITY: CONTRACTOR'S LICENSE NO. but I have contracted (hired) the following persons to 5. I will provide some of the work provide'the work indicated: NAME ADDRESS- PHONE TYPE OF WORK SIGNED:�-- PROPERTY OWNER: - SOCIAL SECURITY NUMBER: � DATE: (O-oZ NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before Nye are permitted to issue the permit. OVER 6 a�76 7 pCOUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 536-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 5O _ ZONING BUILDING PERMIT OWNER �1! TELEPHONE 3 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS D CONTRACTOR'S NAME ^ , A TELEPHONE •1 ! 11 It�. CONTRACTORS MAILING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN Total Valuatlon $ aO Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee � 5� $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g, $ Energy Plan Checking Fee $ C d ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ 1� BUILDING ADDRESS PERMITFEE $ - PLUMBING PERMIT Fling Fee 20.0 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFex ❑ Mobilehome ❑ 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 ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 7 Describe Work: �? Mobile Home ISI GI W1 @20.00 PERMITFEE S `-[ Contractor ELECTRICAL PERMIT Flino Fee 1 20:00 Q� y� -0 D-0 V Main Service 200OR LESS ( 200AA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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. 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: O 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 reasonI 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith, comply with those provisions. X Date___ Signature of Applicant • ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is.required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 00�0Cjg112L NEW CONST. DWELLING OCCUP. N. OR ( d ACC. BLDS. ) 3,5t FT. CNS. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRC ITs ) @7.50 193. P0 ER APPARATUS (a SINWGLE OUTLET CR'L ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q I•00 RAL .50License FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor ' H MECHANICAL PERMIT Filing Fee 20.00 Heating/,G— C Cooling 7 S — Hood 6.50 Ventilation LISA PERMITFEE' $ Q Q Contractor Mobile Home Installation Fee X 41 Energy Inspection Fee 1 $ 15cq. 714 62 - OCC CONST. TYPE TOTAL FEE $E71 4` HAZ..r I IMP FLOOD CDF PARCEL PD HD .--. E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �� Date PERMIT EXPIRES ON 17— .2 (Date) � Receipt No. �! S'r 6 �0^��3� � wulre_n n e .o n 4 I^eMeAv ecc GC cflii PINK SPFCTOR GO DENRDD•APPLICANT 76t / -7 )(a �- hkh� .,�,.,'i��'• . ��-1ctL.r���.�1/i��;p�,%J'�i.x!'•r^.r/.�+/ifh�+�,�r;��.,.-d"...:--.�— .. BUTTE COUNTY SCHOOLS IMPACT FEE CIFICATION FORM (One Form Per Building) School District ,9- 41, Building Department No. A.P. Number 0,;O- DSO Jurisdiction: 0 City County Property Owner ei a e— e ea'1(,tJ► Property Location/Address 9�)�.fl� . Subdivison Lot No. Residential Development Commercial/Industrial Building Department [� Sq. Footage / r' No. of laving MHI Addition (Group ) Units ; 0 = Sq. Footage New Addition rso r4 Date District Identification No. 970014 0JLd/yJ,a JJ/UAh � AJ , School District certifies that (Applicant) (Street Address) (City) (Including Exterior Roofed Areas) (Phone Number) has complied with the requirements of Resolution No. to S q0 by payment of $ representing 17b --° square feet. P� I kA 0 School [VisffidRepresentative a ot AB 2926 $ FULL MITIGATION $ -a �,- Q� Date Paid by Check #� Remarks: Bank Number i • Paid by Cash rf 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 undei the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wki (11/94)dmm ,ry... -, �` -_ no-., _. ,.- r... �'.� ,y, .A-, Fi.'_S^+t•"�' f!�"r"�-�"'r'iN+7���``�"�Y'�iY.1s«,.'{�.. `'`�....,.. . BUTTE COUNTY SCHOOLS IMPACT,' CERTIFICATION FORM }F (One Form Per Building) �rl -1' 00 School District Q Building Department No. t A.P. Number 0z:7—D5—,:5(0 Jurisdiction: 0 City d County Property Owner Property Location/Address Subdivison Lot No. Residential Development FT Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) // Building Department Representative Date (Floor Plans reviewed by Schoolp+stfict,,Personnel) trict Ioentific, �QOYcr� (Street A re s has complied representing School District Paid by Chemo Bank Number, Paid by Cash No. 9160160 ( hool Dis rict certifies 'thL'4- k -&J40, 16Le Applicant) (Phone Number) (State) (Zip Code) wit the requirements of Resolution No.i-- �0 © 81" by payment of $: C6 9ct square feet. AB 2926 FULL MITIGATION $ earesentative Date 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) feeformmkf (11/94)dmm 96-02.50061 Rec Fee 6.00 I COP 1.00 Recorded I Check 7.00 Official Records I County of I And when recorded mail to: Butte I Building Division Candace J. Grubbs 1 #7 County Center Drive Recorder I Oroville, Ca. 95965 9: 21am 2 -Jul -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. All that real property situate in the County of Butte, State of California, descnbed as follows: Parcel I: Parcel 6, as shown on that certain Map.entitled, "COWDEN SUBDIVISION" which Map was recorded in the office of the -Recorder of the Countyof Butte•, State of California, on June 20, 1986 inBook 100, at pages 96 and 97. A Certificate of Correction recorded -August 13, 1986 under Butte County Official Records Serial No. 86-26262. PARCEL II: A right of way for road and public utility easements 60 feet in width, shown as Katie Court and Silver Bar Drive on the map of "Cowden Subdivision", recorded in the office of the Recorder of County of Butte, State of California, on June 20, 1986 in Book 100, at pages 96 and 97. PARCEL III: A Right of way 60 feet in width for road and public utility purposes over the North 60 feet of Parcel 2 as shown on that certain Parcel Map filed in the office of.the County Recorder, County of Butte, State of California, on April 19, 1985 in Book 99 of Maps, at page 18, as disclosed in Deed executed by Harold L. Silverthorn, it ux to Gary L. Cowden, et al, recorded January 28, 1985 as instrument No. 85-19380 of Butte County Official Records. AP No. 027-050-036 Date: �e l PROPERTY OWNERS: Lryu eio �v r(-7-4 V:; State of CaliforniA County of _�. _e.e_t_� On tl>/? �� /�,� before me, f T personally appeared 2i'F /r,77Y % / . :'t: i x^ is --r, r- r D. c Ir - personally ksewn-to-me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/2w subscribed to the within instrument and acl: im ledged to me that he/a/they executed the same in hisAser/their authorized capacity(ies), and that by his/her/their signature(s) on the -instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. DONNA L IQVIGFiiI VM Commissioni1075W NotaryPublic — CaBtornis Signature: l ��� c _ Seal: Butte county y Comm. Expires Oat?2.1999 A.P.# RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: Fen I,t>c C.i�— BUILDINGP ER: PLAN CHECKER: Mi IN A.P. NUMBER: GENERAL: �? Zoning requirements: (side yards and number of permitted living units). Mob I / VCmOLtd T/��'►�- Valuation. f Plans signed by designer. Proper description of work on application. Existing violations on property. 6. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. xSetbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. 6. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers; Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). .� Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. 010. Garage firewall, door size and closer (Section 302.4). ,k' Minimum of one 3'0" exterior door (Section 1004.6). 12. Fireplace and wood stove location, alcoves and clearance. ) 3'*� Smoke detectors (Section 310.9.1). 14.' Plumbing fixtures, water closet clearances and shower size. STRUCT DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). I' Clerestory requiring balloon framing and/or engineering. ,4-"" Three story building requiring engineered calculations and plans. �! Foundation plan complete enough to construct building. / Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. ,8! Roof construction details complete enough to construct building. t3' 0: Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Jud IOC6LA011 Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. ,1*.' Retaining walls requiring design. Special Inspection requirements. 62Z Header size. 7) Sheetrock nailing inspection required? July 1996 3.2 NUSJCELLANEOUS ITEMS TO LOOK OUT O : Stairway details: landings, rise and run, head clearance, handrails (Section 1006). ,2< Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type = (fire hazard). Foam insulation - protection. '36" halls and stairways. YLiving area over garage - complete 1-hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). FYI Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). ,13'' Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15 Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. July 1996 3.3 - _Butte County _ A t... AND .._.;. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (9161538-2140 7/22/96 RICK & MELODY FINWICK _ 2995 LOWER WYANDOTTE #2 OROVILLE, CA 95965 Re: B.P.#96-1440 A.P.# 027-050-036 With reference to the above subject,'attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply With Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above.* Sincerely, MARTHA WHITNEY - PLAN CHECKER I I Permit Applicant: RICK FENWICK Permit Number: 96-1440, Assessor Parcel Number: 027-050-036 Date: .7/22/96 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. ENERGY - PLOT PLAN SHOWS BUILDING ORIENTATION OF FRONT OF HOUSE TO BE SOUTH -FACING. ADJUST CALCS. PROVIDE WINDOW SIZE FOR MASTER BATH WINDOW. RIGHT ORIENTATION SHOWS 24 SQ. FT OF GLASS AREA. THIS IS NOT ON PLAN. PROVIDE EXPLANATION. SQUARE FOOTAGE OF HOUSE IS 1768. 2. CORRECT SQUARE FOOTAGE FOR HOUSE IS 1768. ADDITIONAL FEES FOR PERMIT ARE $59.71. ADDITIONAL SCHOOL FEES ARE DUE ON DUE ON 176 SQ FT. PROVIDE ALL HEADER SIZES. 4. PROVIDE CONSTRUCTION DETAIL FOR SUNKEN LIVING ROOM'S CONNECTION TO REST OF FLOOR. Z: PROVIDE LOCATION OF HVAC. C PROVIDE LOCATION OF FIREPLACE. PROVIDE SIZE OF EXPANDED FOOTING FOR GIRDER TRUSS. 8. STEEL IS TO BE PROVIDED IN FOOTING ALONG LENGTH OF BRACED WALL LINE WHENEVER AN ALTERNATE BRACED WALL PANEL IS PROVIDED. If you wish to discuss any requirements, you may contact me at (916) 538-7511 between 1:00 P.M. and 4:00 P.M. Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER 'r COUNTY OF BUTTE 4 ^�y 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 / Z CORRECTION NOTICE �t • OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at g? the above address and should be corrected. Please notify this office when correction of work F • is completed. If you have any questions pertaining to this matter, or need additional explanation, y. please contact this office immediately. r 0v1.de- q X t� a' li .. s bra L, A'? 'i r w o w�/ ,oVVP.,f moi,,, -c o W1 F ---- c r' Sll�i211k,p- �ro �P��n,r e•v �N �i b ea r ; -me DDi.eJ�S Date Inspector Cu sse ( ,� REV 10192 COUNTY OF BUTTE BUILDING DIVISION ?`. t 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 Z'�f z-- WNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .v p;. �k tF s - . Date (Z Inspector et,5�6) vM REV 10/92 r; - 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 it; iv (,J i C OWNER Sib-/ V yo PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this ice immediately. V Date Inspector REV 10/92 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 '#A . &I PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Alli / i ,I Z� A,—';7,0 C I d9'L /w % ) // 1 42 CJ . i A - Date AInspector REV 1/9 INSULATION CERTIFICATE IC -1 90 Katie Ct. Palermo —Number and Street 1ty ounty Subdivision of Number Description of Installation 1. 2. ROOF Material Thickness (inches) CEILING Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Schuller Tnt. Contractor/s min installed weight/ft'.644 Ib Minimum thickness 13 inches Manufacturer's installed. weight per square foot to achieve Thermal Resistance (R-Valuo) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Material Fiberglass Batts Thickness (inches) 31a" B . Exterior Foam Sheathing Material Thickness (inches) 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 3-12" 5. SLAB FLOOR/PERIMETER Material I Thickness (inches) Perimeter Insulation Depth (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Schuller Tnt. Thermal Resistance (R-Valuo) _ Rl3 Brand Name Thermal Resistance (R -Value) Brand Name Schuller Tnt. Thermal Resistance (R -Value) ­R13 Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) R30 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 (Titlo 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, whero apprr��licablo. LOI I's TNSULATTON CO., TNC. P.O. Box 7927 C.LC.L.g499150—/3-S� Chico CA. 95Q27 Item s Signature, Date ` Installing Subcontractor(Co. ame General Contractor.(Co. Name) OR Owner novise(I iniv 1(i9r, Signature, Date Signature, Date Installing Subcontractor(Co. ame General Contractor (Co. Name) OR Owner Installing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner 27-05-36 � 3902-901? JACKSON, John 9n Kati P CI-, Oroville (elec sery/sf) 27-05-3 Permit#4133-90P,E 27 -05 -' (utilities MH) f ELEC -v GAS COMPACTION TEST'RE SUPPORT STRUCT REO Permit#4134-90M (installation/M 27-05-36 I COUNTY OF BUTTE . , , DEPARTMENT OF PUBLIC WORKS 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 vvvrvrrt PERMIT N0. v j A routine inspection indicates that the following violations of Butte County Ordinances exist at >^ the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ; please contact this office immediately. n Date Inspecto REV 11/ 1 1A j'. ' ! RESIDENTIAL r ' ' 27-05=36 t ; 4133-90P, E - -� JACKSON, John + 90 Katie Ct, Oroville � (utilities/MH) I � ID F2- f Tr . r `S t s ' OFFICE COPY ' Address I \ GAS Meter By 1 %q Dat (P j . ELECTRIC Meter By Da JOB FINALED (D ) e � — Signature CMA -44 J J =;AK O -Not OK -=Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES Plans OK except #'s ' Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3,,"3. Sewer; location -F I -C/ oncrete Water; Location -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location-Tpt-Wrap: / /"L"ft. / /"Nat. or& L"ft./ "LPG 7. Utility Clearance T Da%2 Card B- Date Card B-1 Date J/ Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s 1.�Zoning Requirements -Setbacks Easements ll�ootings; Size -Spacing -Marriage Line as;.MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 1/T.—Water and Sewer Connected -C/O to Grade -HD Approval s and Electricity Tagged zits; Insp.-Sketch 0. Cert. of Occupancy Oat Card B-1 Date Card B-1 Date , -q/Card B-1 Date Card B-1 MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmo: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ` = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 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. 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 AI. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 j Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound i 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing tingle,& Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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-Mech. Protection 75. Plb., Elec. & Mech. 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 -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 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 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: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE WNER PE 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. /AV te L S^t:12-y/c z? 7-0 Date—/(Z/4 C Inspector CORRECTION NOTICE OWNER PERMIT NO. T. A A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office "s when correction of work is completed. If you have any question pertaining to this " matter, or need additional explanation, please contact this office immediately. 41 :x 9-L 'v ..F 0M �405kr 61,05 x: r COUNTY�'QF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,.Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541'' 747 Elliott Road, Paradise— Phone: 872-6307 W CORRECTION NOTICE OWNER PERMIT NO. T. A A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office "s when correction of work is completed. If you have any question pertaining to this " matter, or need additional explanation, please contact this office immediately. 41 :x 9-L 'v ..F 0M �405kr 61,05 x: r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE 3 DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 —{TELEPHONE: (916) 538-7541 PELT N0. Address or location of ,moobi lehome sOY- Owner's name 1� vwc SO K/ y Owner's address Insignia or hud number Manufacturer's name Serial number of V:I.N. Year of manufacture Z-76 -7 A \.{O i I proving Inst ation (Date) IF7THE 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. 5138 White - Owner; Yellow —Installer, Pink- D.P.W. OWNERdVC�SaGy PERMIT "# 3 l d MH UT IL . CLEARANC DATE INSPECTOR ELECTRIC GAS Support Struc. Compactioi Test Re . Service Other Load Pipe YES NO_ 'COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS 7 County Center Drive - Oroville, Califgrnia 05965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 4134-90 ASSESSOR PARCEL NUMBER 27-05-36 ZONING ¢ ' ARM HS BUILDING PERMIT OWNER John Jackson TELEPHONE 534-8910 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 90 Katie Ct, Oroville 95966 CONTRACTOR'S NAME Owner 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 $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 Katie ct Oroville Permit fee $ 25.00 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❑ Mobilehomeba Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationNX Other ❑ Describe work: MHT (ME11 #4133-90) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,6nd 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 oR ADDNSCONST DDWEACCLLIN GOCCUP.&) S. 2yz¢sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®SOC 9ALO30 Ex. Occup. OUED P TLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® 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 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 nt incon uen a of Date the granting of this permit. X !/ 30 G Sig Ore of Applic - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz — CUA PARK scHL, .V/ FLD P. PD Ho Iss Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC t^ By � 11 ' P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. fi4h40 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1' COUNTY OF BUTTE - DEPARTMENT:OF PU,BLs"C WORKS - BUILDING DIVISION +2 7 COUNTY CENTER DflIVE'' OROVILLE, CALIFORNIA' 95965 -TELEPHONE: 916/538-7541 Y r .. - PERMIT APPLICATION' tA`S.HEET ` 1_ 0_0 Permit No. VOWNER olio YI C_ A. A. P..No. C) '" -3 Proposed Building Use Building Inspector C Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... T. Statement of Intent for Non -Heated and AC Buildings ............... gEngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... (- Zv - `l/ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Park f s�,j?aid �. 13. r L ✓I School District fees paid ..............-�' 7/ 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) t ) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required y Pre-Inrequest to ' '�' Buildinngg In. nspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner 06 Mail to owner ❑!) .:... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 5. LeXtVI at Li a thorization . .................�...... 27. ` When you issue the permit, process as follows: Mail to owner. Mail to contractor.. Telephone and hold for pickup at officei. Deliver w. /inspector. Other Applicant Date ///�o,-"o Copy of Haz-Mat form sent Health Dept. Fire Dept. fir 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_—naiI—counter by Contractor, designer, owner, was advised of above required data by_phone_mall_cj�unter by Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder _..date— _ date _ Date 0 COUNTY OF BUTTE - DEPARTMENTiOF PUBLIC WORKS .7 County Center Drive - Oroville, California 95965 - Telephone: 916'538-7541 APPLICATION AND PERMIT t PERMIT NO. ASS 5 OR PARCEL NUMBAR / Z NJ,(•1 NEW CONSTR. ULTI.OUTLET O` N�'R `�-- f !/ o el !J AGI � TELEPHONE SO. FT. OCC. BUILDING I VALUATION and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. OW DS MAIL NG ADDRESS License No. Classification / Ex. Occup( OUTLETS OR FIXTURES CQ�JTRACTCOR'S NAME C6 . yl l I, as the owner, or my employees with wages as their sole compen- TELEPHONE 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 CONTRACTOR'S MAILING ADDRESS Mobile Home Facilities Fireplace ❑ I, as the owner, am exclusively contracting with licensed contract- 'CO S RUCTION LENDER CV 19 ki -- 15.00 UNKNOWN I Total Valuation 5 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS for this reason Permit Fee $ AR H TE�L�T OR ENGINEER Contractor LICENSE NO. Plan Checking Fee $ i� 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Filing Fee 10.00 Penalty $ BUILDING ADDRESS - f ❑I have placed on file with the County of Butte Building Department Permit fee $ ,S PLUMBING PERMIT Filing Fee 10.00 of Consent to Self -Insure. Each Trap 2.00 ® I shall not employ any person in any manner so as to become subject rc 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[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ a odel Utiliti�Othe Describe work: #Contractor �Italla❑ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Occ Pertnit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 TOTAL FEE $ Main service 100 OR LESS 100 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST.// DWELLING OCCUR.& OR ADONS, l ACC. BLOGS. , Zh¢sgft I declare under penalty of perjury (check one): NEW CONSTR. ULTI.OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. I License No. Classification / Ex. Occup( OUTLETS OR FIXTURES 0050t eAL030 I, as the owner, or my employees with wages as their sole compen- RESID IEA.) Ex. Occup. OUTLETS ED PR 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury. (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑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. Cooling ® I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee. $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Occ CONST TYPE TOTAL FEE $ 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 HAz cuA PARK SCHL FLD PAR PD HD IssuE against said Cou i onseque e o the granting of this permit. Th;s permit is nereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do 'Signotur Applicant — wner CR Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OS A permit is required for excavations over 5'0".deep and demolition or construct- DIRECTOR OF PUBLIC WORKS on of structures over 3 stories in height. By Date Receipt No: C2 7to 7-1 PERMIT EXPIRES Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1' COUNTY OF -BUTTE - Department of Public Works 7 County Center Drive, Ovoville, CA 95965 Phone: 916-533-7541 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 delav 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) ha �-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: Dame 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 perscns to provide the work indicated: Name Address Phone Type of Work Signed Property Owner Social Security tuber _ :�_ 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. BUTTE COUNTY SCHOOLS DEVE�OP'MENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number-- Qj��i" 06 Building Department No. School. District Oro J A ; n 1J City . County rV-1 Jurisdiction Property Owner Project Location/Address t Q_ ( Oro V r Subdivision Lot Number Residential Development: A� El Sq. Footage-2— NGD # of Living MHI Addition (Group R) :.. ifla 1y91 Units Commercial/Industrial': New .� . AA Buil'K' Kg' Department Representative Sq. Footage Addition (Including Exterior Roofed Areas) � q Date e (Floor Plans reviewed by School District Personnel) District Id No.. 9203,57 lI School District certifies that (Applicant Name) V (Street Add. ss) a�a Phone Number (City) (State) '(Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing square feet. School District Retpresentative Date PAID BY CHECK NO._ BANK NO PAID BY CASH white -applicant, yellow -building SCHOOL'.FEE (8/88) rtment, pink -school distri 0 d ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No !� (If yes, furnish permit number c--,5 y ) OR Fx Is the site an existing site? Yes 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? Yesice.; No F� (If no, clarify 5. What is the mobilehome electrical rating? --------------- d 4 Amps 6. What is the mobilehome site service rating? ------------- e -Q O Amps 7. What is the mobilehome site circuit breaker rating? ----- 00 Amps 8. Is there any other electric load to be served by the � I� mobilehome site service. -------------------------------- Yes No (If yes, identify the load and size: We (Load) ��' (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/ '� (in.) 10. What is the type of gas service? ------------------- Natural jLPG iJ 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------60 12. What is the mobilehome gas demand? ---------------------- �.A � 1I 1 0oC9 (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) p g. MOBILENOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /A furnish Setup Model No._ Year /96-7 Width 10- (ft.) Box Length Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural El ssetup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 112. Other (specify) SUPPORTS (check one) RX Concrete block. 11 2. Other (specify) Pier Footing Sizes and Locations o o jur%�G��S O'n pG-r,n SINGLE -WIDE MULTI -WIDE Main Beams > Line 2 _ — _ _ — — — — — — — — — _ Line 2 Main Beams Tag or Triple I inr Line 1 Line 1 Piers: t,ire 1 0penin4s: Size-Min.------------ Spacing-Max - -----------Spacing-Max. ,- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ )I „x O „ Spacing -Mar.. --------- � From Ends -Max.------- Q Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line 5 Roof toads: Size -Min. ------------ Size -Min- ------------------ I ^o�„X I o) „ / �.6, 61G,_ Each Side of Openings od it, of cSAI'r7 , With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ „X ' Spacing -Max---------------- „ From Ends -Max -------------- e 5 Piers: (Under Bearing Malls Only Size -Min ------------------- Spacing-Max ---------------- From ------------------Spacing-Max---------------- From Ends -Max .------------- '.x "X "X "X N "X " N "X Location (From Front) _ „ _ r` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATIONIAND PERMIT PERMIT NO/ ASSESSOR PARCEL NUMBER 27-05-36 ZONING BUILDING PERMIT OWNER John Jackson TELEPHONE 534-8910 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 90•Katie Ct, Oro 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 90 Katie Court Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other electrical for well SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: 200 A Box _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 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 Buslnes$ 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 GOCCUP..) OR ADONIS.( DWELLING S./ 2+/2Qsgft NEW CONSTR.MULTI-OUTLET NON-RESID RC BRANCH CIITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BL@ 30 2ALO 30 FIXED APPLNS Ex. Occup. OUTLETS RESID 1REA.) 1 2.00 Temporary service 10.00 10,00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 32.50 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 FiIingFee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count In cons ue ce of the granting of this permit. X Date 6 Signator Of Appli nr — Ownerfg 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 $ occ CONST TYPE TOTAL FEE $ 32.50 HAZ cuA PARK SCHL ILD PAR PD HD Issu This permit is nereby issued under sions of the Butte County Code and/or work i ' ated above for which fees DI T OF PU L PERMIT EXPIRES Date the applicable p ovi- resolutions to do have been paid. WORKS Date Receipt No. A 76 — u — cin WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Depar`tment`'of Public Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-538-7541 MNER-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. QI personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have nqt) Aca.v-e 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 (yah-� 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 0 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 Nper Date G 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 � • . APPLICATION AND PERMIT tl Yr ASSESSOR PARCEL NUMBER 15 — j ZONING BUILDING PERMIT ., OWNER 0 TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER' MAILING ADDRESS CONTRACTOR'S AMErr �C' TELEPHONE CONTRACTOR'S MAILI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 $ 2 B - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC EL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE - SF ❑ Duplex❑ Mobilehome❑ Other L5K& � �'�- �`41r �a ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK New Addition [I Remodel❑ Utilities -9 Installation[] Other ❑ Describe work:r, deo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 DR LESS 100 AMP OR LESS 10.00 ©O Main service EA. ADD -L 100 AMP 2.50 2 O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR AODNS. C ACC. SLOGS. , �20sglt NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.SOea APPARATUS &) � SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APPNS.❑ Ex. Occup. OUTLETS IIRESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - Date Signature of Applicant-- 'Owner❑' 'Contractor ❑- _Agent ❑ An OSHA permit is required for excavations over 5'0" deep and 'demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ / V HAZ CUA PARK SCHL PAR PD HD IssuE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for -which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6 — 3a WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. 6OLDENROO-APPLICANT PRE -INSPECTION OWNER: �(DU1.In �S©(� DATE _/ LOCATION: ® P/C ' ` Vi �L A . P . # �S � CONTRACTOR: to (L(, ZONING- ---------- PRE-INSPECTION FOR: ', -&-e 'V DATE TO INSPECTOR _ D ------------- PERMIT HISTORY: NONE AS FOLLOWS: BUILDING USAGE: TENNANT: 0 OCCUPIED Q HEATED -COOLED OTHER COMMENTS: ISSUE OTHER: FIELD - INFORMATION DED: Q HOLD FOR HAS ELECTRICHAS PERSO GAS CTED Q HAS SANITATION FACILITIES DED: Q HOLD FOR COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californip 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER 27-05-36 ZONING ARM -5 BUILDING PERMIT OWNER John Jackson TELEPHONE 534-8910 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 0 Katie Ct., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation Is Filing Fee $ - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME put DC,_/li 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 sewer5.00 Mobile Home S G W 3110.00ea 30.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities [3 Installation[] Other ❑ Describe work: 2 Ria-dro , .(500 Minimum) Permit Fee $40,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10,00 Existin 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 BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification pFIXED 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) El I, as the owner, am exclusively contracting with licensed contract-1 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM ACDNS. (ACC. BLDGS. I , h¢sgft NEW TLET NEW CONSTRESID, RANCH CIRCUITS) NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50C BAL@ 30 TS (RESAPPLNS. OR EX. DCCUp. OUTLETS (REST D,1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 bVirin g 15.00 Permit Fee $25.00 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 permit Fee $ - Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in nsequence of the granting of this permit. _./ X Date ��/3G/ G �' Si natur A licant Owner g pp 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 $ occ CONST TYPE E TOTAL FEE $ , O HAZ CUA PARK SCHL PAR HD i% Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated abo for which fees REC R F PUB IC � By % PERMIT EXPIRES to ��/ the applicable provi- resolutions to do have been aid. p WORKS Date �y�^ Receipt No. 84640 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNT Y,OF BUTTE - DEPARTMEN° "4 - 7'COUNTY CENTER DRIVE: OROVILt PERMIT APPLI d LIC WORKS - BUILDING DIVISION 95965 - TELEPHONE: 916/538-7541 ON DATA SHEET "�'J i Permit No. ^� OWNER ( b Yl CJ c- "S �J O Y,1 A. N d os- •Proposed Building Use Building Inspector ( Date At time of permit application, I was advised the following data must be submitted prior Ito permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. Plot plans in duplicate ic` a— to ned by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans ..: --- -- - -- — 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... I A'14 7. Statement of Intent for Non -Heated and AC Buildings ............... /, 0,u /.(LL 8. Engineered truss details and layout in duplicate (required prior to plan check) N 9. Mobilehome installation data including manufacturer's installation GV, CXP,� instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... - 12. Park fees paid .................................................... t3. School Qis r'c fees paid .............. "14. Sanitation approval from V I Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ` (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 9 ements may be required. Contact Land Development Section DPW D iveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 1Owner -Builder Verification (Given to owner 0,.Mail to owner ❑) ..... J Recorded copy of Agricultural Acknowledgmelit.Staterrlent ......... 25. Letter of signature authorization ........ . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other I4 Applicant Date XxAC190 Copy of Haz=Mat form sent Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent ___HealthDept. Fire Dept. Other Date By. The following data must be submitted prior to {hermit. ence: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r t Contractor, designer, owner, was advised of above required data by_phone---rnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date I Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO �p4ij3inc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal A Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobil ome. Other NOTE i O Date Sanitarian . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,.California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT OWN R OWNER'S MAI ING ADDRES Or CO TRACTOR'S NAME 6f c9 &1 e (- CONTRACTOR'S MAILING ADDRESS CO S RUCTION LENDER ®>1 C - LENDER'S MAILING ADDRESS ARCH TECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADORE BUILDING ADDRESS a LOT NO. I SUBDIVISION NAME 11(4 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomex Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litieX Describe work: 46 R ` S'T- EP`HONE_ UNKNOWN ICENS J PARCEL MAP SPECIFY Installation ❑ Other ❑ M-AMENIF%A PERMIT NO. BUILD ING-PE RMIT­ ._:.r7,.., ............. SO. FT. I OCC. 1 BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S Y G W Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 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 ❑ 1, 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.h\ OR ADONS. t ACC. BLDGS. I NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury, (check one): ❑ The permit is for 5100.00 (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 Heating Cooling Hood 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 Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE $ S $ S S Filing Fee 2.00 20.00 5.00 5.00 5.00 5.00 0.00 e Fi I ing Fee 10.00 2.50 '/2csq ft 2.50 ea 10.00 10.00 Butte to enter upon the above-mentioned property for Inspection purposes.TOTAL FEE $ U 1 also agree to save, indemnify -and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in, any way accrue HAz CUA I PARK I SCHq FLD PAR I Po I HD' ISSUE against said County in consequence of the granting of this permit. This permit is nereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which .fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date_ Date COUNTY OF'BUTTE - Department of Public Works 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. I (have/have not) � a�-G 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 si eh,c. 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 hdK(- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following perscas to provide the work indicated: Name -Address Phone Type of Work Signed: Property Owner Social Security ez Date //a 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- itted-to--issue--the"-permit . STATE QF CALIFORNIA OFFICE MEMO STD. 100 (REV. 11.75) ,. DATE I-30 g� T0. / ROOM NUMBER FROM: ffPHE NUMBER p SUBJECT. p� _Ce, Is!r d le Lve h o /o h �r r ire Gh J c i eg ltij ne, h t' y i"Rl / o`J Q y� I`« / f C),—' . f4 lallel&;,hTa �. a, Sig, 4Y i I 16 0 i _ . _ _ . I 'T -J -- - _ -- - _- -- _ -- _-- - - NOTE. --All fateri Is I& rk Ons is h- 'ff- �b i. T with' �C,6gh Z6- — - ! -- - - - } - - - - - I :I. + I I Accbrcla x4 o6d Prcf c4 q k of., 0 -frc i k -S ft Ic m. he of a quclif� es Red for -the Sp' *f d - f� r ecMe u &t1n Uniform 3uildir 9, 1Plu -61 ' &JM _h� -al' d�s.c A )ro )er v 11 ne., ai id 3 s �tb 16 bf ng c nk the National: E cmc 3I.Co0. io L fi Icirr th rc ad ed hethall t te lea,-oi les -or qt ipmer t exoe )t -2 % e p ver hang. /� ; , { T be Ws s6- o-- p an s a id specifica 0.1 s JAUS ful IF e job at all irT es an I it is n w 500 e t __ oh __ tf MiNi F p M _l-_ #i ns on h-1 I OIL al:e Ony cane oi a en sa e;; w It Sb p t wr e n per i s li e t I QJ i sic on mint -"- ­ ­ I i�_f r'- if ii 1) a r I I i Wr rl,r U 13L ttF -A 01 ctt F Tf� A�lp i I, � /Hli eel P3 IAo 7, rl 4- - - -- - - - 0 NM F 13 ut TFAEN" 71 it Na I-ROVI s S ., d w ;, , ,::� M ` ♦ � r�. ('.,_ .:� '� �. .:1� y� Rcturnt-to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 1 - 0 3 6 6 2 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 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 discomfort arising 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 occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and r residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. 7 All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACKED LEGAL DESCRIPTION Date: 11,;2& 121 C 91-003662 Rec Fee 7.0.0, j Check 7.00 Recorded , Official Records County of • r �a Butte A Candace J. Grubbs ! Recorder r ii:48am 29 -Jan -91 X 2 PROPERTY OWNERS: State ofC��7�v..., '<< ) On this the 29th day of JANUARY , 1991 , SS. before me, the undersigned Notary Public, personally County of „ c ) appeared known to me to be the person(o whose name(o is OF'S' subscribed to the within instrument and acknowledged K•yANEE that NF executed the*same for the purposes NOTARY PUBLIC •CALIFORNIA + therein contained. BunEcoJune IN WITNESS WHEREOF, I hereunto set my hand and official Iy (mm, Expires June 20,1994 seal. '74�bz 5V Notary Public Present A.P. NO D — J J 91-03662 � Thea,, land referred to herein is described -as follows: ' All that certain real property situate -in the County of Butte, State of California, described as follows: PARCEL I: Parcel 6, as shown on that certain Map entitled, "COWDEN SUBDIVISION", which Map,was recorded in the office of the Recorder of the County of Butte, State of California, on June 20, 1986 in Book 100, at pages 96.and 97. A Certificate,of Correction recorded August 13,-1986 under Butte County Official Records Serial No. 86-26262. PARCEL II: w v A right of way for road and public utility easements 60 feet in width, shown as Katie Court and Silver Bar.Drive on thel,'Jap of "Cowden Subdivision", recorded in the office of the Recorder of County of Butte, State of California, on June 20, 1986 in Book.100, at pages 96 and 97. PARCEL III: A Right of way 60 feet in width for road and public utility purposes over the North 60 feet of Parcel 2 as shown on that certain Parcel Map filed in the office of the County Recorder, County of Butte, State of California, on April 19, 1985 in Book 99 of Maps, at page 18, as disclosed in Deed executed by Harold L. Silverthorn, et ux to Gary L. Cowden, et al, recorded January 28, 1985 as instrument No. 85-19380 of Butte County Official Records. AP No. 027-050-036 END OF DOCUMENT • _ 04 7/6.30 702-17 1283.63 610.63 332.7 40 !-3' `,�°; 23 5010 AC: � cm! N 1 O 620 20 1 19 QI IA.SAC. 23 5.00 I a O 5 04 AC. I I O r h PM 92-583 �3r �3 �\ 22.6 AC 20.9ACG t r� 630.26 _ CacT� 42.22AC -- QA - .. - RI I 22 IT. 54A ` �� U� 9.16Ac 5.0 ccI , 1R nw89-4 64 T. 27 t 325. 856.64 / / 575.30 I--'sem'" 48 1.6 AC. 300 300 400 783.53 4 N- 4� � � � 0x42 3 ri t J Z 2 33 �* 5.09AC �n 11.01AC � 588AC ?At, i I ? h a 32 gn 5.22 AC / 5 O o _ 5.23AC"' 325"'} 35 h 969.25 / 458.45 15.65 At 3� �.(��'\/ 6 pv 5.03ACOpp N y a s. 4sac 5.01 AC 46 3 �- -! 4 ` '.1494C .3 2. I 6.05AC %►�` B. /) 9'67 33B ,�� I ( 10 299.97 M p 13.55 AC d 11.46 AC 4 a I �. g 8 7 O h I 51 45 o p in 5.31 AC 3.4/ AC O 1a(0 5.30AC PM105-2 +°� ( I 79OAr O 6.00AC 6.05AC 4 COWDEN SUB / 1 PMBgI-- /23-3 72.3__3600 682.15 a 778 29 575 10 -M_SILVER Y n s, Z c� �S 856.6 06 civ 4/ h h 11.01a 999 13 z e. . 22.6 AC. 42.22AC - R;u G� i so0 0 G 4 • 20.9AG4 1 !� 1R 1 Io�s4 1285.63 610.63 332.78 o %b; 23 aOD AG a / fn 19 O s2&on A 3 113.5AG. ',5,OOAC M PM 92-583 630.26 1 9tt 17.54A C .16Ac 5.03 , PM89-449 11 __-_-- 1294.58 64727 325.92 4 575.30 �'-334_ _ _ ` o -� 1.6 AC. 300 3rD. 'N'400 783.53 2 � `�sJ�J j 1 5 3Cj � f►ry O c 5.eeac 12 ;q 33 -5 i> 05e5 . �.dol PRT A ;t� 2 h !32 ; 5.�2AO j ----C 1 °'�` 5 0 0_ I N 325 _ 35 N i't.23 AC 1 O h 25 / 458.45 13.65 Ac a a� 31 �i` \\ 6 N 5.03AC N C26 501 AC 2g 3 �. 4 7070 - 549 • ^2. .19.677~ 3 6.05AC � P 8,70 ids ap CA N s I i !O 9 X299.-97 p 13.55AC a 11.46AC a 1 I C.7. a 8 i 7 O °° ti� 37 5.31 AC 5.41 AC 'la0• co N PM/05-2 +°, I j T.9OAr 45 6.00AC 4 ._ -- -7--.. 6 4�Af �� C -'COW`DE1P/Qr- 9R - �/ " " P1f989-4� 4 3 ' L• 600 682.15 !�- a 1�-� 1 ~ 575 PM 8! - 93 O 9 10 4r \o I' lk ea h I aV 1