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027-060-063
27 -06` -fit) F�'Lhl%z PearsonCyn-,y-L-atie, -:app--250''-.S,;,a.of, Bohemi'�Way, Orovlle "3®05 Oo�1[-NuA A Permt # 960-82P,E(titil/MH) Electricyn- .�: � .. Gas .�. -'114N�T® Support structdze re p_ Compaction test re r 27-06-6 i Permit # 2349"-82MIll(MHI)A07?2-- contr obile Dome C�nter.,.0roville Ids 'ued - ( G 27-06-63 Permit#,'1456-83B(new open decks/MH) 027-060-063 04-1.846 PEARS ON 3005 BOHEMIA AVE,. PAL�� Cont: OWNER 77 O ELE SER CH/SF I a �I f ��_ , � ��_ �� I� �� � �J - _ _1 ��a r u I f PE M 1456-83B R IT NO. - /t�i Q� PERMIT EXPIRESAl ,. OWNER — UNTZ �PaRSON CONTR. owner i ASSESSOR PARCEL 27-06-63 LOCATION W/S.Cynthiann ny 250'S Bohemia Way 3005 Bohemia • x F I - t . Temp. Power Pole Called PG&E s P. Temp. Elec. Service Called PG&E _ Temp. Gas Service ) Called PG&E a JOB FINALED (Date) ' s Signature t _ OK'. t } 0= Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready I I r, Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS,.ETC.:(Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements s 1. Zoning Requirements.-Setbadks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth _Spacing=Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3.` Decks; Girders and/or Joists—Decking—'Bracing—Stairs—Rails 4. Water; Location—Test-Easement. Needed (Sketch) A. Wood Awn.; Posts-Beams—Rftrs.—Connee.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -Bl, Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date _ Date Card -B1 Date _ POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 1 r 2. Soils; Compaction—Structure Stability 3. -Gas; MH Test—Demand—Valve—Connector ` 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures: Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged. 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date - Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date s J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / • /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access ,_ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. _ A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection -- 20. Fixture & Transformer Clearance -Ins. Protection 21. Flet. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. -------------- ---- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date_ _ Card -BI Date -_ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric `- 31_ A.C_.-Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overilow; Size & Grade 34. -.Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --- _ ---.- -- - D_ate - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except Y's Comments at Final: Proper Material & Anchors _36. 37. 38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders &Floor Nailing___ - Draft Stop in Walls (rat proof) _ __40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdr_m._Windows _o_r_Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .''j, •• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR YP,ARCEL NUMBER ZONING BUILDING PERMIT OWNER Y a»� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER t UNKNOWN Total Valuation Is Filing Fee $ 10.00' LENDER'S MAILING ADDRESS Permit Fee $�.(�D ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ lS' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING /S IE C h-� I I.a V\ V -N P ) v� ) �t PLUMBING PERMIT Filing Fee 10.00 rri "`�-�,t ' 1 y� �` �� a Each Trap 2.00 Solar Water Heater 20.00 / l ) y. Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ® Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition © Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �� ��_-/`� --- 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification Q 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 NEWCONSTR, ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS IN) (POWER OUTLET CIR. / EX. OCcup(OUTLETS OR FIXTURES 200530 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 0 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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_ onsequence of the granting of this permit. against said Count PeCA X // Date _� I� ' f�_� �iit 1" ^ Signature of Applicant — Owner ❑/+ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresoverss}t-o�ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. ,rIPARCFLI [- },i i PD. I/ MD /ISSUE. ✓i This permit is hereby issued underthe sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By_ 1-70 PERMIT EXPIRES Date' applicable provi-t7 resolutions to do fees have been paid. WORKS Date 1✓ -�- '�� p,_ -Z_ Q i/ ,3 Receipt No. 'tp,� ) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspecto�4�� Date � E -{-I --'` - L:AN:D. .OF NATURAL WE.AITH AND B.E'AU.TY DEPARTMENT OF Puptic WORKS .7 COUNTY CENTER 'DRIVE, ORO.VILLE, ^CALIFORNIA 95965' . Telephone:. (06) 534-4541 L WILLIAM ( iI1) CHEFF' Acting �irector July. 1.6;. 1.984 Lantz' Pearson • TtE; Building Permit No... 1-456r83 P..O. Box 1625Expi.res. . 8./3/8 — Oroville, CA .95965 (Asp...�o Dear Mr. Pearson: With reference to the above subject, our records indicate that your Building Permit will expire on the above date•. Building permits are valid for one year. And should construction be started but not completed by the expiration date of. the permit, the permit' shall be renewed for. 1/2 the original Building Permit Fee (plus A $10.00 "Filing Fee"). The renewal permit will extend. the Building Permit. for an:additional year f.rom.the original expiration date.. Should you not renew your permit in.a tamely manner., it, cannot be renewed and 411 work must cease until anew building permit, is issued.. :I.,your_ construction–is.:completed. or should you have any :question concerning . !thig matter, please contact the Oroville office.. For your convenience, -we are. enclosing a renewal application .form 'and an owner - builder form t6 be completed and signed by.you where indicated and returned to. this office together with the.fee shown Pleasereturn all copies. of th:e application forma Thank,you for your prompt attention concerning, this matter..' Yours very truly, Wihiam ,Cheff Acting Director of Public Works F. Glander JFG:aj Chief Building Inspector Attachments.: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville_ Chico 196 Memorial Way/891-2751 Paradise 747 Elliott R/872--2961; Ext. 57 h BUTTE COUNTY DEPARTMENT'OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter; improve, demolish, or repair any structure, prior to its issuance, also -requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of. Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their* / \ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct It pr ct (Sec. 7044, Business and Professions Code. The Contr o ' State License Law does not apply to an owner of property h u ds or improves thereon, and who contracts for such proje s i h a contractor(s) licensed pursuant to the Contractors' State c n Lbw.). ❑ 1 am Exempt under Article 3 of the EVO fts and Professions Code Date: 72'41>" ?1 r-' r Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I PAUId become subject to the workers' compensation provisio s Section 3700 of the Labor Code, I shall forthwith comply With � s rovisions. Date: = /r7 ✓ f `� Applica WARNING: Failure to Secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in..Section. 3706..of the. Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP0418x46 Issued Date: APN: 027-060-063-000 Site Address: 3005 BOHEMIA AVE PAL Map Index: r Description: RE -TAG MAIN ELECTRIC SERVICE Owner: PEARSON LANTZ SS 3181 RICHTER AVE OROVILLE, CA 95966 Applicant: PEARSON LANTZ SS J COntraCtOP:. P 1( License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: OFFICE COPY Address 19tet8P-8y Qata— ELECTRIC Meter By Date This permit' a by sued under the applicable provisions of the Butte County Code anWor Resolution do c indicate above fon r whichfees have been paid. j -a C PERMIT EXPIRES ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the sche ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the c all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o authorize representatives of Butte County enter upon the above mentioned property for inspection purposes. Print Name: ! i� tJ ��/�/ r-__ Signature: Date: /iL rip j ❑ Contractor ❑ Agent for Owner e det Code, which regulate the storage, uction of this project. ,ent of the owner. I agree to comply with currient of Butte County. I hereby ❑ Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 411 Main Street - Chico, CA (530) 891-2751 7 County Center Drive * Oroville, CA o (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butt, county Ordinances exist at the above address and should -156 corrected. Please notice this office when correction of work is -completed. Jf you have any questions pertaining to this matter, or need additional explanation, please,contact this office immediately. K4 n DateInspector _7 7 �REV 10 92 r .-- r. ,,�, . Y � S� y�L y � �� �-.� � �k tf; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Y. Y.. A Date O Inspector" 4 REV 10/92 .. O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 4a• completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. &4.( rt s 4�4 `( rw" I - s -e— (A-3 �' r Y. Y.. A Date O Inspector" 4 REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041846 LICENSED CONTRACTORS 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 Issued Date: APN- 027-060-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3005 BOHEMIA AVE PAL Date: Contractor: Map Index: Description: RE -TAG MAIN ELECTRIC SERVICE p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PEARSON LANTZ SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 3181 RICHTER AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their ' \ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PEARSON LANTZ SS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are.sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct th pr ct (Sec. 7044, Business and Professions Code. The Contr idloolState License Law does Contractor:• not apply to an owner of property whill lbuilds or improves thereon, and who contracts for such projec s i h a contractor(s) licensed pursuant to the Contractors' State L c n L w.). ❑ 1 am Exempt under Article 3 of the s and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ . I 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation:. $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I PAUId become subject to the workers' compensation provisio Section 3700 of the Labor Code, I shall forthwith comply s rovisions. Jwith / Date: O✓1 Applicant: i WARNING: Failure toecure workers' compensation coverage is t ,\ unlawful, and shall subject an employer to criminal penalties and one I V hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.✓1 / U CONSTRUCTION'LENDING AGENCY This permit' r3 by sued under the applicable provisions of the Butte County Code.? rUor I hereby affirm that there is a construction lending agency for the Resolu ' do c indicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES nse Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California;�n�d Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the schof this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or thent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ment of Butte County. I hereby authorize representatives of Butte Countyennter upon the above mentioned property for inspection purposes. �_ Print �i� � Name: S (� Signature: < Date:- np I t ner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME • Name l�� GAJ Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class Planner Date Approved: APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use onI AP# Zoning Flood Zone SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\Bld A IS bR is d PERMIT NO BP' BIN # LOCATION AP# P7? .e 0 Cross Street WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address D c ' ti or Scope k: (al -0- - Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupa c (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. li V pp u qm . oc Page 1 of e- RCV o-I0_V4 "RDOVived by: Amount: NO Bldg SRA eceipt � � Sheriff 4uSMIP D te: _ Other 6 0 ZZ J Total V pp u qm . oc Page 1 of e- RCV o-I0_V4 SUBMITTAL REQUIREMENTS The follwing drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature'on plans AND 2 sets of stampe'd-and signed calculations. ❑ ` 3. 2 Engineered`tru' s details and layouts (if required) (1Vq FAXES!).. - ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not requiredfir additions -to.. mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. r ❑ 4.' 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundafion plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. p 7.4 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site .Plans; signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc ' Page 2 of 2 REV 6-16-04 r .. '• r., w''.a..{ A �., - T - �� e ":M.r,>� J/-'e� • • r,, • .: �.•�i z. �` � �A �y`�..rr •�,;_-„�--.-�-„" _ :......�,.,�:. � :•,-•-t �. ... � . l T�p 04- IMP COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �(,- V ASSESSOR PARCEL NU O� Proposed Building Us Counter Technici v` Date: r� Items required in order to apply for a permit All boxes MUST be checked OR marked N ! order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .......................:........ . ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 4 ❑ 26. NPDES Form............................................................................................ ❑ j 27. Encroachment Pe mit or i w from the ubfc Wog pt ..................... - l� 28. Pre -Inspection fo required....... ❑ 29. Contractor's license information. (Number, Name Style, Class' ation)................... ❑ 30. Worker's Compensation Carrier and Policy Number ........................................ ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to her) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: , When issued Telephone 25 en 6 1 and hold for pickup. I have been informed of the OtyoVelems and requirements for obtaining a building permit. Applicant: 1. Index permit applicationr th ov items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: .-r,..a Cl DLl Plan Check Letter Yellow: Building Division Date: Date: Date Date: s.. : PRE:INSPECTION REPORT .OWNER: LOCATION:�� (. CONTRACTOR: REASON FOR PRE-INSPECT1ION (i DATE TO INSPECTORL' PERMIT HISTORY S BUILDING INSPECTOR'S REPORT Building Description: c Commercial/Usage: , Y Residential # of Units: Mobile home # of Units: Currently Occupied ( ) Yes ( ) No a . Abandoned/Vacant: Electric: * t n Electric Currently ( ) On O Off E Condition of Electric Gas: Currently ( ) On Condition Sanitation: Plumbing Working ( ) Yes 'Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: Hold for permits or verify: ISSUE Off Inspector: 11 Date: nTAT T!',TT TTTiT T\TAT!'�['� 111►T TTTTl�TlCT A xry% TATT1yd" l TT T BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone Cross Street SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO BP' BIN # LOCATION APIJ�A / /_� '%,,D SRA Cross Street eceipt � � Sheriff 4u SMIP WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K.�FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 ui 2 e ived by: Amount I Bldg SRA eceipt � � Sheriff 4u SMIP D te: Other lo+ z z Jl Total K.�FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 ui 2 GUUN I Y U17 t3U I I C- utrrrn i IvICry t yr ryDL.IV yvvnr\a 7 County Center Drive - Oroville, California 95965 -Telephone 916/53^4-454 APPLICATION AND PERMIT ,✓:..� 71� ASSESSOR PARCEL NU.MBE.R 27=06'-63 ZONING 533-6193 BUILDING PERMIT. OWNER - Lantz Pearson TELEPHONE SO. FT: QQC. BUILDING VALUATION. OWNER'S MAILING ADDRESS.. CONTRACTOR'S NAME - :T ELEPHONE '. .CONTRACTOR'S MAILING ADDRESS F i rep l ace - CONSTRUCTION LENDER'-- - UN KNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _ Permit: Fee k .or final $ .1-2.50 ARCHITECT OR ENGINEER ,' LICENSE'NO, Plan, Checking Fee Penalty ARCHITECT OR ENGINEER'S MAILING ADDRESS .. `Permit fee $ ...22:50 -BUILDING ADDRESS - - 3005 Bohemia Way., Oroville PLUMBING.PE RMIT Firing Fee 10.00 Each Trap _ 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME .. PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobiiehome❑ Other o eft decks/NH -- SPECIFY Building sewer, 5.00 Mobile Home _ S . G W O.00e TYPE. OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesEl .Installation[] Other ❑ 1st renewal/1456-83 Describe work:. — •600 Permit Fee $ . Contractor ELECTRICAL PERMIT FiaingFee 10.00. V OR LESS —Main service, too AMP OR LESS 1 O.00 ' Main service EA. ADD -L 100 kMP 2.50 NEW CONST. DWELLING OC.C.UP.'&` OR ADDNS. ( AC,C. BLDGS. / I�Z. 2 CSgft CONTRACTORS LICENSE.LAW I declare under penalty of perjury (check One): ❑. I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions. Code and my license Is in full force and effect. License NO. - CIaSSIfICatlOn - ❑ 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 Prof essions.Code for this reason NEW CONST,R ULTI-OUTLET 2,50 ea. NON-RESID. BRANCH CIP.0 ITS. 'NEWCONSTR PO'tiER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. Ex. Occup (ourLETs OR FIXTURES 80053 C FIXED APP LNS, OR E.X. OCCUp. O.UTLETS (RESID:) EA..) ,.2.00 Temporary' service 10:00. Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT. Filing Fee 10.00 �YORKMEN'S COMPENSATION INSURANCE. declare under penalty of perjury (check one): ❑ The permit is for$100.00 _(valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a_ Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I .shall not employ any person in any manner _so as to. become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply With such provisions or this permit shall be deemed revoked. Heating Cooling Food 3.00 Ventilation Permit. Fes $ ' Contractor I certify that I. have read this application and state that the above information is correct. I agree to comply to.all County Ordinances and State.Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned.property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities., judgments, costs, and expenses which may in any way accrue against said County'in consequence of the granting of this permit. X Date Signature of Applicant — Owner.❑ Contractor EJAgent ❑ 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 $ . TOTAL PERMIT FEE 22,50 OCCUP. cRouP TYPE OF CON5T. PARCEL PD' MD ISsuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to. do. '-work indicated above for which fees have been . paid. DIRECTOROF PUBLIC WORKS By Date PERMIT EXPIRES Date 8/3/85 Receipt No. YINITE'-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT "IN COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i N1 ASSESSORP RC L UMBER - ZONING ga BUILDING PERMIT O WNETELEPHONE e ►s� .33- 3 SO. FT. OCC. BUILDING VALUA N O R'S MAILING ADDRESS T CONTRACTOR'S A w TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER t9�19 UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ^ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S^160 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ SNO BUILDINGDADR s .Ia PLUMBING PERMIT Filing Fee 10.00 r.A1 P WSolar Each Trap 2.00 Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00 e �/ TYPE OF WORK New ❑ Addition LI Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 0 nate" c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCuP.& OR ADDNS. ACC, SLOGS. 2/1ZQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y �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 NON.RESID R BRANCH CIRCUITS. 2.50 ea NEw CONSTR POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURES 20@50C BAL030 IXEDTs Ex. Occup- our OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. J l 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti g, judgments, costs, and expenses which may in any way accrue against C intyA consequence of the granting of this permit. X Date- � -� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP ��� TYPE OF CO ST. PARCEL PD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY ,OF BUTTE - DEPARTMENT OFA PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�; C..AL.I,EORNIA 95965 - TELEPHONE: 916/534-4541 i PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. _0 �7-7 Proposed Building Use .Permit Fee Based Upon: Complete Contract Price DPW Valuation Other -(Explain) Building Inspector. Date 73 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED :4.1. All items have been submitted. . . . . . . . . . . . Plot plan 'n-"dupl ipl icate. - s 3. Complete pl'an's—i'rrdTipllcate./triplicate. 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ iv . . . . , Letter of signature authorization. . . . . . . . . . . Sanitation approval from �i �n t Health Dept. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner �•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (pole) 18. Other 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 ' Applicant .1/hLJ ���/l,�//)'(. Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desig , O n lwas advised of above required data by Telephone Mail Other By Date Plans checked Date Plans approved by Date ` Other: Copy—DPW . COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA.� ;95965 Phone: 9.16-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: y' An "owner-builder"'building permit has been applied for in your nage-and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay. -'in processing.and issuing your build- ing 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) 6,p/ o, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. - City Phone 'Contractors License No-.• 4. I plan to provide portions of this work, but I have hired the followings person to .coordinate, supervise, and provide the major work: Name Address - City Phone Contractors License No. 5. I will provide some of the work but I have.'contracted (hired) the following persons to provide the work indicated: Name Address. Phone Type of Work , Signed: Property Owner_ Social'Security number Dates NOTE: This Owner-Builder•Verification•is sent to you as required by Sections 19831 and 19832 of the California Health and''Safety'Code. This verification must be completed and returned to our office before we are permitted to issue the permit. n 'NOTE—All' & Workn- :7� '`4:_ a Accordance wish Recognized Good of a quality prescribed for site Specified use _ ! Uniform Building, Plumbing a M k:h-Mica! Cosies w':l � 2 Fhe National Electrical Code. . bio" ,. �jUtility conn ns h� it i��•.�ry�ithin i _ '�+ ft. of-the mol;il:2i•��ri��c;iher L sof 55 f� the �� directly behind cr v ithin '�h.� rear A ermit will / n�s:and a s half of the roaaside (ieh-) oi• the ' oer'y It � � A i L•e reci;;ir�d. feir the pro. , road i'nsfcllation of �!?r r���?el^orne.. mobilehome. . fro „ dear of ne shall �,. f; c 5 rnent ex ep UC or ei StrU ri1c� t 500 Std. FT.-;i.�'�►!�1URIr i for % I i FOR M .OS11 p5 ,. Thtsset.�if`plans and speci�i�ry!'irr?s MI) kEp+ nn t job at•all times a,ci it is t.tryict�,t�7�.ii ma a any changes or alterafions oc SO:MD wrii•ten ermtssion from the De artmen-'r of ;�j;'• ! p p I .. Works, County of Bufte. B 1 : COUNTY. BUILDING LEPARTMEN. � � c VMX APPROVEL) x� This set of plans and specifications MUST be kept on the job at all times and it is unlawful 'tc make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NOTE:' All Materials & Workmanship Shall Be in ices and /accordance with Recognized Goodfed�� e in the of a quality prescribed for the Sp Uniform Building, Plumbing & Mechanical Code and the National Electrical Code- 4 ode. AS - -- 20 _ ' of 5 ft. from A setback the property lines and a setb'ck , v , the road of 50ft. from �'�� '�'�,i �5',�� centerline shall be clear f+_— 2� ui ment except structures or eq P _ t = for ®2 ft, save overhan S'1'p�IR�S pER- 9 EGT'tOA� � `��1�E COUNTY v MAx t��se aallo e*A s �o �3 ` p-SOVE WILDING, DEPART MEN1 Nose mF -MEAD, APPROVED_ NOTE:—All Materials & Workmanship Shryll 8s in Accordance with Recognized Good Prrncrices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanica! Codes and fhe National Electrical Code. F p setback of 5 ft. from sSthe propdrty lines andoad of 50ft• fro a clear of ne shall ent exceP' structures or ' O\/ hano- fr%r a 2 ft. eave o V Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear Permit will be required for thehalf of the roadside (left) of the installation of the mobilehome. mobilehome. This set of plans and specifications MIDST be - kept on the job at all times and it is unlawful to matce any changes or alterations on same without written permission from the Department of Public Works, County of Butte. 500 SCS. FT. MINIMUM FOR MOBILES TG 4 �4— BUTTE COUNTY BUILDING DEPARTMEN vi z ✓IA S 3W -9" .PERMIT NO. PERMIT EXPIRES OWNER Lantz Pearson CONTR. Owner s ASSESSOR PARCEL 27-06-'(p3,?�,.�.� LOCATION W/S Cynthiann Lane,•app 250' S _ of Bohemia Way, Oroville r F n=, L: Temp. Power Pole S Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led P"IL JOB FINALED (Dated r G-- i �. C SigLure i = OK O = Not OK , a - = Not Applicable ' MOBILEHOMES MISCELLANEO'tc = Not Ready + 'ti Date MOBILEHOME UTILITIES (PLr& except -#'s' t t Date DECKS, COVERS, CARPORTS,'ETC. (Plans) OK except #' hmg Requirements—Setbacks—Easements t 1. Zoning Requirements—Setbacks—Easements ,Soils; Special MH Support—Sketch ; 2. Footings; Size—Depth-Spacing—Connectors er; Location—Test—Fall-C/0—Concrete 7 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails lLVlaler, Location—.Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg.—Bracing 54---Wc-tricity; Location—Clearances—Grnd.—lowAmp—Concrete 5: Alum: Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L" ft./ P'NaLor-90'L"ft./% /"LPG 6. Carports; Windows—Doors Ulity Clearance 7. Elec: r G -BI ate ward -Bl Date i Card -B6 Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s -Card -BI Date _ . Date i Card -BI - "Date _ POOLS (Plans) OK except #'s o g Requirements—Setbacks—Easements . 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability MH Test—Demand—Valve—Connector 3^ Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Ele city; MH Test—Crossovers—Breakers—Clearances 4•- Elec,; Receptacles.and Lighting; Distances—GFI rain- H Test—Fall—Flex Connector , 5. Elec.; Pool Lighting; 15 volts—GFI MH Test—�egulat Oonnector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed W nd Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosure's—Panel boards—Ins. to Main in Conduit xi s; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval ^ Plumb; Cir. Test—Water Supply Test rr d B-1 &4,i Date .ta: �+erd'-BI Date Card -BI Date Card -BI Date Card B-1- . Date Card -BI Date Card -BI Date Card -BI - Date r ! + • 1 J = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOORPlan.1OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe: Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's r 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65, Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes No. of Conductors -Stapled 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes ❑ No; Walks ❑ Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI -_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except N's Card -BI Dale Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing_ _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in -Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45.Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1 - F .-for the following location: /-gl<r'//.�,17/71//3s1�� I /),OAF ?i i f _ =- ft7/1! ,5 11, i .'1 `. . r ,� �1 f An Owner � /f r(/� Owner's Address Mobilehorrie Mfg. RYQ",(f L /A/1� Model Year n Insignia No:",4,, .T2/Sr/ too /, /4 / Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directo^r ofiPublic Works 1 Date -��- �1 gyY►X(>s11 a •/'/t . s //' —....-.THIS CERTIFICATE IS VOID WHEN MOBILEHOME4S RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE I_ A,QrZ 't�r�rt Sam 0YN71 1A1vW 4 W, 7*t-A3v5;-J"2- BUILDING OR PROPERTY ADDRESS 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. cS 7M 4S K0 F_ (X1 (20D 42 1774/ 60 fL,,)Vq �S Inspector. il& Ze,14-C�Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovi.lie, California 95965 - Telephone 916/534-4541 �. APPLi0,�T1,0 `AND PERMIT ASSESSOR PARCEL NUM - 9 Olv - �- ZONING BU ING PERMIT OWNER / �L/� AI T,2- E owl TE. PHONE 3 '9. SQ. FT. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TRACTOR'S,E (/�,, O/31I I-4M� �e"T£IZ T�jELEPHONE 3 o7sZ� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADD RE - # Permit Fee $ ARCHITECT 0 '7R (NEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITE7 OR ENGINEER'S MAILING ADDRESS Permit fee $ 5 BUILDING A fSS .j PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP ?_3 —c,? Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Re ode ❑ Uti Iitie/`s [IInstallation Other F-1 Describe work: 'f; 4- 1 ! b0 =n, ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 2 Main service EA. ADD'L 100 AMP 2;50 NEW LING O OR ADDNST % ACCLBLDGS.CCUP,pj\ / 20 sq it CONTRACTORS LICE SLAW I declare under penalty of perjury (check one): j� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Noi A6 190't7' 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 RE NO BRANCH ciRCTITS 2.50 ea NEW CONSTR. IPOWER APPARATUS e) NON-RESID. \SINGLE OUTLET CIR, EX. Occup OUTLETS OR FIXTURES 50 @ 25 IXED APPLNS, OR EX. OCcup.�OUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 S 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabiliti-es, judgments,_qaV, and expenses which may in any way accrue againstssaid un in � equence of the granting of this permit. ig_'-f X DateSignature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ s', Q TOTAL PERMIT FEE $ , 0-0 OCCUP, GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under of the Butte County Code and/or work indicated above for whic DIREC OF P LIC r5 By PERMIT EXPIRES Date the applicable provisions resolutions to - fees have been paid. WORKS Date � Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I ASSESSOR PARCEL N � —0(0 Z NI % DING PERMI OvyNA A)i2 /y c, J Y-�S� SO. FT. OCC. BUILDING VALUATION O RO'S MAILING O ADDR ,SC�'Ze6wV �r O��V I CONTRACTOR'S NAME 11A DkA�11 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace r CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEJER LICENSE NO. Plan Checking Fee ,$ �� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIGADDRESS e✓�/�/ /J )qpp Z!g.O S, PLUMBING PERMIT Filing Fee 10.00 n.��T �+ Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 10,00 LOT N -. SUBDIVISION NAME PAgCtL M, PP SS O Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets /0, 6V USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ-_`Other SPECIFY Building sewer ,pn Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Instal lation ❑ Other ❑ Describe work: Permit Fee $ �tJp Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 2" iJ NEW CONST. ( DWELLING OCCUP.8J OR ADDN.S. % ACC. SLOGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044•) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R.BMULTI RANCH 'OUTLET 2.50 ea NEWCONSTR. (POWER APPARATUS e1 NON -R ES I D. 1 SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES B @� IXED APPLNS, OR Ex. Occup.(ouTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 v Misc. Wiring 7.50 31* ZLC�O Permit Fee $ 3 ' Contractor MECHANICAL PERMIT Filing Fee 10.00 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 of Consent to Self -Insure. V1Certificate of Workmen's Compensation Insurance or a Certificate 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. 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 sai County i consequence of the granting of this permit. %� Date Signature of, Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC Po HD 55D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PU o BY 4111 PERMIT EXPIRES Dater_/ the applicable provi- resolutions to do fees have been paid. IC WORKS ate 1 .+{� Receipt No. Y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT All that certain real property., situate in the County of Butte, State of California, described as follows: Parcel 4, as shown bn Parcel Map of a portion of Section 4; Township 18 <t North, Range 4 East, M.D.B. 6 M., which Map was filed in the office..of the Recorder of the County of Butte, State of California, on September 1, 1981, in Book 83 of Parcel Maps, at page 98. RESERVING THEREFROM a 60 foot right of way and public utility easement as shown on the Map referred to herein. ALSO RESERVING THEREFROM a 10 foot pipeline easement as shown on the Parcel Map referred to herein. TOGETHER WITH a non-exclusive easement for road and public utility purposes over a strip of land 60.0 feet in width, lying 30.0 feet on each side of the following described line: BEGINNING -at the Southwest corner of LotA 3 -of Subdivision No. 2. as shown on that certain Map entitled, "MAP OF THE SUBDIVISION NO.and 2 of the P. .1 C. DRESCHER TRACT", which Map was filed in the office of the Recorder of the County of Butte, State of California, in Book l of Maps, at page 25; thence following along the Westerly boundary line of said Lot 3, North 00 17' 00" East, 89.58 feet to a point located in the centerline of an existing roadway and being also the true point of beginning for the centerline herein described; thence from said true point of beginning, and following.. along the centerline of said roadway, South 300 44' 40" West, 432.63 feet; thence South 350 16' 10" West, 496.53 feet; thence South 650 27' 00" West, 713.80 feet; thence South 41° 02' 00" West, 228.54 feet; thence North 750 30' 35" West, 106.02 feet; thence North 30 04' 55" East, 225.42 feet; thence North 130 29' 35" West 367.16 feet; thence North 66° ll' 05" West, o 558.40 feet; thence North 530 07' 05" West, 186.77 feet; thence South 780 04' 25" West, 285.73 feet; thence North 75° 36' 15" West, 245.53 feet; iv thence North 540 19' 45" West, 283.57 feet; thence North 61° 31' 05" West, 255.29 feet; thence North 73° 35' 45" West to a point that bears South 60.0 feet from the centerline of the Easterly extension of Bohemia Avenue; thence West and parallel with the centerline of the Easterly extension of Bohemia Avenue to a point on the Easterly boundary of Citrus Avenue and the Jt �• end of the herein described line. END OF DOCUMENT -N-01 COMPARED win-+ 82--2 481. Return to DPW AGRICULTURAL STATEMENT OF ` FOR RESIDENTIAL DEVELOPMENT 0FF1,_(AL REU-()R0 SG? , F C0UN- y -!ICM ;F ORDS R Section 26-8.i of the Butte County Code requires this acknowledgement ��rSy'1"p be.recorded prior to issuance of a building permit. UL 3 28 Ari 19E�2 The property described.herein is adjacent to land or included ELEANOR H SFCKER within an area zoned for agricultural purposes, and residents of - REcORpEft this property may be subject to inconveniences or*discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, PEE '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 residents within said -zones and on adjacent property should be prepared.to accept such inconvenience or'discomfort from normal, necessary farm operations.. All that real property.situate in the County of Butte, State of California, described as follows: Date. s State of ) On this the _113de.�— day of .(I SS. before me, the undersigned Notaky Pu lic, personally County of ) appeared Kim Pearson Lantz Pearson known to me to be the person(s) whose name(s) subscri ed to the within instrument and acknowledged "RGERY L. TAY! ®R that executed the same for the. purposes NCT44Oy Pf;R.iC therein co tained. 8ut`e County., IN WITNESS WHEREOF, I hereunto set my hand and official State of Caiifornia + seal. . + My Comm1hicil Expires Sept: 4' 1994 ',�- N16tarJ Public Present A.P. N0. 27 i`i `•., .r.. � Jn •A •�, ,• - -� 4,o-. ,.'' tC. `... .. '. . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS .'� •� .;.7 '7 County Center.Drive, Oroville•', ;CA. PHONE: 534-4541' MOBILEHOME-INSTALLATION SHEET j.. ,Owner's name. 2. Instahler';s name: •3. Is the'site'currently under permit?' Ye5 No. ` OR (If yes, furnish permit number - Is -the site an existing site?. Yes / / No (If'yes,-furnish two (2).plot plans.) , ' 4. Will the mobilehome -,.be located at least 5 ft. away f ''"septic' tank and leach fields and clear of; all setbacks .and easements?'- Yes No (If no, clarify ) • ) 5.. What ,is the mobilehome,electrical rating? ------- =------------ /O/� Amps �do 6. What is the mobilehome'site''service rating? --------------------- Amps 7.. What is 'the mobilehome site ,circuit" breaker rating? ------------- Amps .8. Is there any`.other ,electric: ,load:to be ..served by the mobilehome site'service? ------------------------ r-------------------------- Yes No (I£ yes,identify the load and size:, Gy�C(�(Load) o�U (Amps) ,9. What is the mobilehome site'gas pipe size? --------- ------- /� (in.) 10.1 ,What is�the type of gas service? -------- --------------------- Natural / / LPG % 11.; What is the gas pipe length,from meter or tank to the mobilehome? (ft.). 12. What is the mobilehome gas demand? -------------- ------ (BTU) (This information not required if pipe length' -less than 6 ft. on natural gas z or less r'than 50 ft. on LPG.) �' MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Mo,pu A)Q, furnish -Setup Model No. Year % Width _2.4 (ft.) Box Length_(ft.) Tagalong or Exparido Size ft. x _ ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single ® 1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) Ej 2. Other' (specify) enter support Center support locations* footing sizes Supporta (check one) (in:) © 1: Concrete block. .2i Other. ( specify) (in:) (in.) <---Tagalong or Expando,' J o?.4 X.?U * show support details. 3 ' y'1' (ft.)(in.) (in.) (in.) /x 10 -- Typical Support (innin. Footing Size (ft.)(in.) (in.) (in.) �, -- Max. Pier Spacing Max. Overhang (in.41(n.) 23 19- $2 BUTTE COON 1 Y BUILDING DEPARTMIEt41V _-Am)ir�nw:r k. If center piers are other than drawn above, draw in. -locations, spacing,. and dimensions. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 .,� CORRECTION NOTICE ice_ lel�z -.oG. a 1,00-5- 4:Z c00S BUILDING OR PROPERTY ADDRESS 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. )z Com, �, : v FE Inspecto.�C� Date �! �.f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Z S A.P. Address Date of Insvodfi n' Tenant Inspec Building Location: J 61 11W AV -e -4- P T Type of Inspection requested: 1. Housing. —7 7 2. Financing 77 3. Chi 4. Other (specify) Present use of building: A. Sanitation (Housing) .1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4.� Kitchen sink: 5. Hot and cold water to fixtures: ..6. He'ating'facilities:* `7. Natural light and ventilation: 8. Room and space requirements: .' '9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents:: 11. Connection. -to sewage disposal: 12. Connection to water.supply: 13. Rubbish and garbage facilities: 14. .Ccaments: of Occupancy;to c t B. Structural 1. Piers and footings: 2. Floor construction: 3: Wall construction: roof construction: 4: Ceiling and 5. Fireplaces: 6. . Comments: - C. Electrical. 1.. Service and ground: 2. Receptac es• ' 3. Fusing: 4. Comments• D. Plumbing g 1. Futures connected and vented: 2. Gas water heater: 3. Gas heating vents: - 4... Comments: E. Other 1. Maintenance and repair: 2. Fire hazards:. 3. Safety hazards: —� 4: Weather protection: 5. Underfloor and attic ventilation: 6: Comments:' 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. rest:-omi floors anti 4,411s: 5. Exits: _ 6."" Improvements: 7. Zoning:_ 8. Cormnentr. - Field Probleofs or Viclatiovs 1. Problem,.o-- !.Lolatiori (give compl te. description): .2. What action taken (gi:,;e complete description) _ 3. What action recommended: %-7 A. Info -miction only - f i k�-I. B. Hold for ten (10) days, then wri;-u I.e.tter. C. Write letter. 7 D. Other: