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HomeMy WebLinkAbout027-070-064TRAVEL TRAILER W/O PERMITS 10/25/95 027-070-064 PERMIT#95-2742 JELLEMA, Raymond & Donna 80 Overhead Dr., Oroville Mobilehome Utilities ELECTRICT00 Rmig 30 '�(I.A7l GAS LINE ��� / / Y / COMPACTION TEST REQ )?O SUPPORT STRUCT REQ II d 027-070-064 PERMIT#96-0886 JELLEMA, Raymo:..d & Donna 80 Overhead Dr.-, Orovill ��Mobilehome Installation ,627-070-064 PERMIT#9 JELLEMA, Donna & Raymond 80 Overhead Dr., Oroville Steps for MH 027-07-0-064 97-1233 B JELLEMA, Raymond & Donna �V 80 Overhead Dr, Oroville (1st renewal/96-1330)steps 027-070-064 PERMIT#98-1162 JELLEMA, Donns & Raymond 80 Overhead Dr., Oroville 2nd Renewal BP#96-1330 JELLEMA, Donns:& Raymond 80. Overhead:: Dr.,; Oroville { 2nd -Renewal BP#96-1330 4. f 7/0 J az, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION,/<. 7 County Center Drive - Oroville, California 95965 - Telephone (916) '538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - . 4 - I 114 Q - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT owN NNA AND RAYMOND JELLDIA 532-0279 SO. FT. OCC. BUILDING VALUATION OwN§ 'WREAD DRIVE, OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER � K UCENSE NO. Filing Fee $ 20.00 Permit Fee ORIGINAL $ 7.50 ARCHITECT OR ENGINEERS MAIGNdADDRESS~ —------_ Plan Checking Fee $ BUILDING ADDRESS - - 80OVERTlE4D 11RIVE, GRO VI Energy Plan Checking Fee $ $ PERMIT FEE $ • 50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 —tUSEOFSTRUCTURE \ SF ❑ Duplex ❑ Mobilehom4rJeJr ` C' SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑� Describe Work: 2", RENEWAL/STETS i\ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 96-1330 ELECTRICAL PERMIT Filing Fee 20.00 R LIE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property\or my employees with wages as their sole compensation, will do the work, and the ptructure is not intended or offered for sale. . ❑ I, as owner of the propertyN.,`m exclusively contracting with licensed contractors to construct the project. V` Busin, ❑ 1 am exempt under Sec. ess and Professions Code for this reason �,� Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. sD OR ADDNS. ( a ACC. BLDS. 3.5¢FT: NEW CONS. NON -R SIDT MULTI -OUTLET CIRCUITS @7.50 POWER APPARATUS d SINGLE OUTLET CIR. EX. OCCUp. OUTLET OR FOCTURS BAL @' 0 Ex. Occup. ouTLEEDTs Aes NS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 �ectign 13700 of the Labor Code, for the performance of the work for which �th.9,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 in9urrance"carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number \ l (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) / I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' y — X Date —1— 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 27.5C HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD tesUE •i This permit is hereby issued under the applicable provisions in the Butte County Code and/or belentp i to do work indicated bove for which fees have been aid. 6/8/98 By s i ;l.' / Date PERMIT EXPIRES ON E/17/99 Date Receipt No. .2 (1 1 WHITE-D.D.S.-B.D. " CANARY-ASSESSOR^PINK-INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE r 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 r CORRECTION NOTICE 14 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, w please contact this office immediately. W M ' }f N L x k .1� )a �l V' ,r A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISKF 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO. (Rev.12/96) APPLICATIONANNNNNb PERMIT ASSESSOR PARCEL NUMBER ZONING "tAV BUI NG PERMIT DWN%NNA AND RAYMOND JELLEMA 532-0279 SO. FT. OCC. BUILDING VALUATION OWNt6 MAJL�LR11liAD DRIVE, OROVILLE vNAME CONTRACTORS TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fllin Fee $ 20.00 Permit Fee? ORIGINAL $ 7.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 80 OVER14EAD DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 27.50 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: _ 2ND RENEWAL /STEPS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 920.00 PERMIT FEE $ 96-1330 ELECTRICAL PERMIT I Filing Fee 20.00 Main Service zoonoRLEss 23.00 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. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 - - vG`_ �.,. X --_ Date —L 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. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCURSO OR ADDNS. ( g ACC. BLDS. 3.5QFT; NEWNON-RESONID.ST gNCI CIRCUITS @7.50 POWER APPARATUS &SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL .50 Ex. Occup. OUTLEEDTs(RESID.DFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 7 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Res lutions to do work indicated bove for whi fees ha ben paid. b/8/98 By Date G PERMIT EXPIRES ON 6/17/99 Dafe ReceiptNo. 12?2261 2 � WHITE-D.D.S.-B.D. CANARY -AS ES OR PINK -INSPECTOR GOLDENROD 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 unnecessarydelay' in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement,: YES, NO 0 2. I HAVE X HAVE NOT 13 signed an application for a building permit for the proposed woiL 3. I have contracted with the following person (firm) to provide.the proposed construction:.:; NAME ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK` - SIGNED: PROPERTYOWNER: `�,•� Q, o, ;,� o- SOCIAL SECURITY NUMBER: DATE:w�- NOTE: --- This -Owner-Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER . OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property, improvements specified. . For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required -by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +1rely, Viira, C.B.O. ,uilding Inspection NOTE: This Owner-Builder.Info rmadon is required by Section 19830 of the California Healilt and Safety Code OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ? (Rev -12/96) , APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 027-070-064 ZONING ARMH5 BUILDING PERMIT OWNER DONNAtRAYMOND JELLEMA TELEPHONE2294 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 2494 OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 7-50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 80 OVERHEAD DR Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE S97 sn LOT NO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STEPS FOR MH RENEWAL FOR B.P.#96-1330 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service za vA R LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby irm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm and r penalty of perjury that I am exempt from the Contractors License Law for the followi g reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 reaso Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BUDS. SO 3.5¢Fr. NEW CONST. MULTI -OUT LET NON-RESID.BRANCH ANC CI u @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'00 BAL @ .50 Ex. Occup. OUTELETS (REwSIU.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby a r u der 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 Fling Fee 20.00 Heating Cooling \ Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with those provisions. Date :DSignat of Applicant Jq Owner ❑ Contractor ❑ Agent permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 27.50 NAZ. D. FEES IMP I FLOOTJ77_[;Zj9 PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By �°` Date f2- 7 PERMIT EXPIRES N 6/17/98 Dale Receipt No.72= WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y �eVvJ� -cA COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-754 fPER. l� o. APPLICATION AND PERMIT - � �� =S ASSESSOR PARCEL NUMBER 027-070-064 ZONING ARM AR �• �•s PERMIT , OWNER DONNA*MYMOND JELLEMA 520-4294 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 2494 OROVILLE CONTRACTOR'S NAME - - •., TELEPHONE -, CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - J LENDER*! MAILING ADDRESS ,, Fireplace t Total Valuation r .' '$ ARCHITECT OR ENGINEER LICENSE NO. - Filing Fee ' $ 20.00 Permit Fee 112 MrG. $ 7.50 ARCHITECT OR ENGINEERS MAILING ADDRESS j. f, , Plan Checking Fee $ BUILDING ADDRESS 80 OVERHEAD DR r , t Energy Plan Checking Fee . $ ^' - - -- - -- - FEE S LOT NO. , _ - • " SUBDNISIONS NAME PARCEL'- MAP ` •��PLUMBING PERMIT - � Filing •Fee20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 1 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STEPS FOR MH RENEWAL FOR. B.P.#96-1330 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home; IS I GI W @20.00 PERMIT FEE $ 1 ELECTRICAL .PERMIT Filing Fee 20.00 - - - Main. Service E00V OR LESS •200AOR LESS 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and,my license is in full force and effect. License Class _ r LIC. NO. — OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: + I, as owner of the -property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ,�� >• ❑, .I amfexempt under Sec., = , Business and Professions Code,for this' reason ."L >r — >• .- .= ._. �' : •x-- . ..-r . �;. , `,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 ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any .person in any manner so' as to become .subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code,. I shall forthwith comply with those provisions: X Date ----- Signature of Applicant D$ Owner ❑ Contractor ❑ Agent An'OSHA permit is required for excavations over 60" deep and demolition or construction_ of structures over 3'stories in height. ( 46.00 Main Service 200A TO 1000ANEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. 3.5¢xso.. NEW CONST. MULTI.OUTLET NON-RoID. BRANC cl cu TS @7.50 POWER APPARATUs 8 SINGLE OUTLET CSR. Ex. Occup.OUTLET OR FIXTURES 20 @ I.00 SAL @ .so Ex. Occup. ouTi�s Aalo.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 i ,-� , .-= `I ;.,-:1PERMIT,F.EE $i- MECHANICAL°PERMIT Filing Fee 20.00 Heating Cooling— Hood `;,-T 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ I colusr. TYPE TOTAL FEE $ 27.50 HAZ. I D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit'is hereby issued under the applicable provisions of the Butte County,Code .and/or Resolutions to do work indicated above for vAch"fees, have been paid. By Date 11-27 PERMIT EXPIRES ON 6/17/98 Date ReceiptNo._ D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing. your building permit. No building permit will be issued_ until this verification is received. 1: I personally plan to provide the major labor and materials for construction of the proposed property' improvement: YES 0 NO ❑ 2. I HAVE ® HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: 7 CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS., PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by, Section 19831 and 19832 of the California Health and SafetyCode. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information. for your benefit and protection: ♦ If you employ, or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please comp!et- the "Owner Builder Verification" on the reverse side ofthis form so that tine can confirm, that you are aware of these matters. The building permit will not be issued until the verification is returned. I4Mage'rC,�BVuiild�irng , a, C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE- DEPARTMENT OF DE4ELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, CA lifornia 95965 - Telephone (916) 538-7 J ! / NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-070-064 ZONING ARMH5 BUILDING PERMIT OWNER DONNA RAYMOND ' e rh a TQF���J ,QVj . E4294 SO. FT. OCC. BUILDING VALUATION 2 224-00 OWNERS MAILING ADDRESS PO BOX 2494 OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 80 OVERHEAD DDR PERMITFEE $ 35 . PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 STEPS FOR MH — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 000 OR LESS ( 200A 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 9 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) so' 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 209 1.00 aAL 0 .SO Ex. Occup. (oFIXEEDrs PLNS. FRa) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) (' I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. ]�— Date �[,��. �7, I"� natur" a of Applicant Owner Contractor ❑Agent T� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF I PARCEL I PD I HD Issu This permit is hereby issued under the of the Butte County Code and/or indicated above for whi s have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Sat4 47,:?,,� (Date) Receipt No. %y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DE°JELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a OWNER OWNERS W MANOJORESS CONTRACTOR'S NAME CONTRACTORS MAILING AOORESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS PERMIT NC � "' BUILDING PERMIT �S I TELEPHONE SO.`FT. I OCC. BUILDING VALUATION --y • G TELEPHONE Fireplace UNKNOWN Total Valuation $ Fling Fee $ 20.00 Permit Fee $ /S --o LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ Penaltv $ , BUILDWGADORESS /'yam />),I '� /� np 9 �� LAT NO. SUBONISIONSNAME PARCEL MAP I USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome a Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 8 7DE2,5 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the COntractors'License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. PERMITFEE 1 $ R PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W I I @20.00 I PtHMITFEt I $ I tractor Fee i 20.00 Main Service 000 GR LESS 200A OR LESS 23.00 Main Service ( 200A TO Io00A ) 46.00 NON•RESID. t BRANCH CIRCUITS I I I (x7.50 EX. Occup. ( OUTLET OR FIXTURES ) Z0 W I'00 i BAL Q .SO EX. OCCU FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA ) I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is J=T. TYPE I TOTAL FEE $ HA2. 10. FEES I IMP I FLOOD I COF PARCEL I PD I HO I ISSUE I 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 ReceiptNz D. d z I PERMITEXPIRESON WHITE•D.D. AN Y•A SESSOR PINK•INSPECTOR GOLDENROD•APPLICANT Date a -4, ,.. .......:::: .......: ,......�: .... ........ .;.,:.�......:::.:.. �,;;..::•.;.:.::;:•: ::>;>� .:aft 1:ii: .:i.:�::5�:90$ ;..'.:..... ..,.::.msµ:.::•:>.::. tu.�..:.w,:•,,,x..,��..:.ar.�w:...a,.......,.:•., .,......::... ;aq O.B.-4 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: YESk,�J- NO[ ' ]. 2, I _ HAVEP<] HAVE NOT[ ] signed an application for a .building permit -for the proposed work 3. I have contracted,with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: COtiTTR.JkCTOR'S LICENSE ti0. 4. I plan to provide potions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAltiIE: ADDRESS: CITY: PHONE: CONTR-kCTOR'S LICENSE NO. 5. I will orovide some o:he work but I have coetracted (hired) the following persons to Provide the work indica:ed: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL-kL SECURITY NUMBER: • DATE: l / 7, 199.6 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 we are permitted to issue the permit. OVER cn .��At:^:tppi,,tr� '�"t�f:_s`! v"le "� � rar3 r �,.,,�,- !fwA4,•r'�;'rry'.�, .n}a,�N: n�:+�s�.b's ",,,�. .�- 1 r w � .x±u' ,�; '�,:y"t;'�,;,=..... 5. C- t ... „'1i» :. ?. F S . a � . - .d• LL : ,� y?V s 1�.8\ i+C L 027=070=064 tPERi`'IIT#96=0886 �.. JELLEMA, 'Raymond• ,& Donna 8Q''Overhead .Dr., Or6ville Mobilehome Installation 2c 1 Y F • -7//d i OFFICE-COPy. . Address L • �+ . GAS Dq •v �. l ( -�� �''t Metes �p ELECTRIC Date /-' Meter syi :Date' 7-7-: ��J�� - - -`i- ' r ......,-ter- . , f�`.�qy.-y y�A�:.'}"i''�+,;';�''^ ?rZ `; �j•<"�:3:''!�(- .v,�q��>p�w.{. . R e . , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7.,Cpunty Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9' ASSESSOR PARCEL NUMBER I ZONING BUILDING PERMIT OWNER RAYMOND $ DONNA JFU.F' M T�lt.M294 SO. FT- OCC. BUILDING VALUATION OWNER'S MAI�NG )L'2494 OROVTLLE, 95965 • ' <� CONiRACTOjji�1�jNµ�M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTfZWNER UNKNOWN Total Valuation $� LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT O�UN(i�EER j� LICENSE NO. Plan Checking Fee $ 21,00 ARCHR n Energy Plan Checking Fee $ Penalty $ BUILDING ADgVS0V1Rf1W DR t�S(U) a PERMITFEE $ � OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q( Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TY WQR New ❑ Addition ❑ Re e ❑ l)Glities ❑ Installation IF, O r ❑ Describe Work: � )3 a 7f.;! Mobile Home I S I G W 1 920.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filin Fee 20.00 Main Serviceeoov oR Less ( L,--AoR LEss ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury -that l am exempt from the Contractors License Lawlor the following reason: [� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. c, Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( a ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. ( ) Ex. Occup. () BAL 50 OUTLET OR FIXTURES Q L Q SO Ex. Occup. ( OUFIXED TLETS(R SESE ID.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor -\ WORKERS"COMPENSATION DECLARATION I here`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' compesation insurance carrier and policy number are: Carrier • � ( MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor * Policy Number �\ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. P , ) v C� XZ- Date -?L _ Signattrre of Applicant Owner ❑ Contractor ❑ Agent 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 $ 1 Energy Inspection Fee $ occ CONST. TYPE I TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF / PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B; r9 Date Y / %% PERMITEXPIRESON '/' ' 2] �, /, (Date) Receipt No. 195503 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I .1. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: �i ..' 071-- a 6 z/ PERMIT NO.: � �' - �'� •(, Owners: Name: eG LI.ps'r .✓ n iOt�N� G� Cr'�1A't 4— Owner's: V Address: L) -e J` t c O 0 Q- Mobilehome j� 1 UO N C Year of / �� Manufacturer " ujo- N c Manufacture: Serial number Insignia or orV.LN. o 3 HUD number: Official approving installation: Date: If the mobilehome Ismoved or r,vdiated, the mobilehome installation acceptance shall become invalid This form shall, r G not be used when the mobilehome is installed on; a foundation system. ' s 5136 .� , ' Whrte Owner, Yellow Installer, Pink Bldg., Gold Assessor ; r. , r • -,c r � r ..r, .'fir r J, 1^�. 2 q . -�' . � ,ti,. r ?y 5 t �t4 .., :. �. 5 �..•zr. c�" -..r �+v.'�.:�'Y%r .��`k'_,'r� v,`i rt .. t. ,... . .. .r.:�s ..t, , .. ., �C COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT NO. APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER RAYMOND & DONNA JELLEMA 520 N4294 SO. FT. OCC. BUILDING V N OWNERS ff8l"2494 OROVILLE, 95965 co..CTT& Mbl .i _ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCT�gt�I1ER fA�DDRESS UNIWOWN Total Valuation Is LENDER'S MAILING Filing Fee $ 20.00 Permit Fee $ ARCHITECT Q�i6�,�,IEER 11V� j LICENSE NO. Plan Checking Fee $ 3-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING AD Ess OVERHEAD DR PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CK Other ❑ �j Describe Work: �t 7/ T Mobile Home ISI GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 0 OV OR LESS ( z00A GR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. KI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ so. OR ADONS. ( & ACC. BUDS. / 3.52 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 Ex. Occup. OFIXEEDTSPR SE .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 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith those pr visions. p 6 _ Date %'��' 7� X �r%eof Signet Applicant Owner ❑Contractor ❑ Agent An OSHA permit is requireJ for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. FEES _— IMP FLOOD CDF� PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date !� PERMITEXPIRESON �1_d (Date) Receipt No. 195503 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT tOUNTYO BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7C . OUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use ra No. o a -a �Q �Z Building Inspector Date '%Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1,�,AII items have been submitted . ....................................:" . fr 2. Plot plans, 3/4 sets, signed by preparer of plans . ...................... s.. 3. Complete, plans, 3/4 sets, signed by preparer of plans. ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's. installation instructions, 2 sets. .......... . --10. Fees of $ ---2 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer. t 14. Sanitation and plot plan approval Health Department. ..........t. . 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. ............... 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval,�required prior to occupancy). . . .P�_spection reqs -t 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ......... `1 .. 34. When you issue the permit, proces as follows: Mail to owner. Mail to contractor. Telephone - 9 nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant „ ate Z-,9 yr/ 1E7 Copy of Haz-Mat form sent Health Dept. . Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G%%i3o j_s Date Y -29 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER A.P. # _DL PROPOSED BUILDING USE DATE REC. DATE REC SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) n Residential...... x _=$ 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 = $ - 4. 5. 6. sq. ft. amt. RECREATION DISTRICT FEES (paid at District Office) 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.-*.`.` 1 { DATE � APPLICANT. '" •'�tr %'1 �.5¢ �.�d. r�� S, - M.. S. �.A k. 'x%361 �' 4 y� ... 1 N: L9• • )x Y%. 5 A 1A f- cz) J A.."o 74 Ale -ae- ;.A' I c' r 4,e. Ae-_r,oz,,, la -So e C_ C_ A gas - 9- g�'0 / _7' Date 14o, inspector REV 10/92 W09 COUNTY OF BUTTE BUILDING DIVISION 0 t7 DEPARTMENT OF DEVELOPMENT -SERVICES 7 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 a, CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter: or need additional explanation, pleaseC/o co tact this office immediately. yr iv (9 GAj e - 5 A 1A f- cz) J A.."o 74 Ale -ae- ;.A' I c' r 4,e. Ae-_r,oz,,, la -So e C_ C_ A gas - 9- g�'0 / _7' Date 14o, inspector REV 10/92 V AV) D LA.) Date REV 10/92 Inspector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT-., ,S!ERVICES 1469- Humboldt Road, Chico, CA - (916),891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 A 747 Elliott Road, Paradise, CA - (910-872-6307 CORRECTION NOTICE Wx6 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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 AV) D LA.) Date REV 10/92 Inspector Y Attention Property Owner: -.An "owner -builder" building permit has been -applied for.in your name and bearing your signature. t Please complete and return this information 'at your eailiest -opportunity' "to avoid unnecessary delay inprocessing 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: YESM NO[.;- ]. 2. ''I HAVE[>J HAVE NOT[ ] signed -an application for a .building permit for the proposed,work. s ' 3: I have contracted with the following person (firm) to provide the proposed construction: ; NAME: ADDRESS:. CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:: NAME: ADDRESS: CITY• PHONE:` CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired).the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK . SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and. 19832 of the California Health,and Safety. Code. This verification must be completed. and returned to our office before we are permitted to issue the permit. OVER 1. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small. Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they`are'perforn-ing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincer �--ti- Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER r Y y . z •r sj�`�i � COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES'- BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 959.65 TELEPHONE (916) 538-7541 OWNERknvynonj 4- /.J o y7 U F /C -_Ma, A.P. # 70ea PROPOSED BUILDING USE DATE /O L95— REC. # DATE REC 1. SCHOOL DISTRICT FEES 000 h o n l (paid at District Office) SHERIFF FEES (paid at Building Divi ion) Residential.......x� unit amt. Commercial (sq.ft.). x 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). #units Commercial (sq.ft.). . sq.ft. x =$ amt. x =$ amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) S INSPECTION AND PLAN CHECK 9.00 paid at Building Division) _7. ATER 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 DATE_ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Dr'4 V i Ile &1,6% ex? /Ti�Building Department No. A.P. Number Q ,,? Pf � D'7- ,�- O64Jurisdiction: 0 City EV County PropertyOwner_j)61, Property Location/Addrec, Subdivison Residential Development Commercial/Industrial , ve r %I aad d r a ui Lot No. (V © = Sq. Footage _ 0 No. of LivingFj MHI Addition (Group R) Units 0 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior / Roofed Areas) Date (Street Address) ` (Phone Number) . has complied with the requirements of Resolution No. r� ''11 repreRenting to(- V square feet. resentative Paid by Check # Bank Number Paid by Cash Remarks: (State) (Zip Code) 5- D by payment of $ AB 2926 $ FULL MITIGATION $ 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) feeform.wkl (11/94)dmm u tteu L A Ill t - \I .� i A I. '+i`. i_ A L I I n I �D B cc ra' IJ i Y ' PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 • TELEPHONE: (916) 538-7601 , FAX: (916) 538-7785 November 8, 1995 Donna R. Jellema P.O. Box 2494 Oroville, CA 95965. RE: Temporary Trailer Permit for APN 027-070-'064,80 Overhead Dr., Oroville r ' Dear. Ms. Jellema, Your.request for temporary use of your already -installed travel .trailer during the installation of a mobile home located at the above referenced parcel number on property zoned ARMH- .5, pursuant to Butte County Code, Section 24-53 has been approved, subject to the following conditions: x 1. That the occupant hassecured a building permit for a residence. 2. That the occupant has secured a sewerage disposal permit from. the Butte County Health Department. 3: That the installation of the mobile home must be completed within a six (6) month period and the travel trailer dwelling must be abandoned. 4. That a mobile home utilities and installation permit be obtained from the Butte County Department of•Development Services, Building Division. 5. Applicant shall comply with all other applicable State and local statutes, ordinances, and regulations. i Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. V trulyy' urs, r Hoga .Ian g Man er , -cc: Building Division, Dept. of Development Services k.\letters\ ellema.ltr ' M.H.L- 2 Mobilehome Manufacturer:' 0 C C A Q Manufacture Year: 9 7 0 If other than single wide, furnish Setup Model Number: ' Width:�_(ft.) Length: 6 0 (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish- manufacturer's installation manual and structural setup sheets. .r.00TP.�IOS �.� �ressu_ e_dreatear. Aa..Eeadatrni1.,grOther —SUPPORTS Concrete block j Other Provide Tie Down Specifications for all Mobilehomes: m e's EO ys rt-Af Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line IL ine 1 Line 2 Line 2 ............................................................................ Main Beams ................................................................................................ Line 2 ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 ine 1 'r - o Line 1 Piers: Size minimum: r I x Spacing maximum: I` From ends -maximum: ` Lin Piers: 1 e minimum: [ 19- ] x [3kc)]. Spacing maximum: I S CG ` From ends maximum] Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: 1 4` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER FILE COPY • 1. Owner's Name:, v f,c,,,►., n t�a�� to w� q- ---r 2. Assessor's Parcel Number: O a 7 - a70 - 0 6 3:. Installer's Name:- . Rc►U mohd 7a �vtc� �l �yvr a 4. Is the site currently under permit? Yeses °:No[ .]'::Permit No. 9S �a 7 �{ Z p V Is the site an existing site? Yes[ ] No['A (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? / 0 D Amperes. 7. What is the mobilehome site circuit breaker rating? /#,o Amperes. 8. What is the electrical rating of the mobilehome site? 2 go Amperes. 9. Is the main service remote from the mobilehome site? Yesk j No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e.e , garage etc.)? Yes[)(] No[ ] If yes, please identify the load and size: a The mobile home site: Load- 34 02 Amperes- , ,3 0 b) The main service: Load- �' �n Amperes- 200 11. Type of gas service at mobilehome site: Natural[ ] Propanekl None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: ,3 a inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2,2 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 1 AP OWNER PERMIT `fir -'-441 � -T MH UT IL .CLEARANCE DATE INSPECTOR OFI&_ r-_iell 61, ELECTRIC GAS Support 'Struc: Compaction Test Re . Service Other Pipe YES .NO YES 'NO Size Load Type Size Length w J=OK O =Not OK - =NotAppdyable' Not Ready MOBILE HOMES ' = its; Special MH Support Sketch Z�v Location -Test -Fall -C/O Concrete der Location -Test -Easement Needed (Sketch) Dat!y" , -JL-r/% Card B-1 12&., Date Card B-1 Date 7 3'-710 Card B-1 t,�,josf Date Card B-1 Date MOBIL,"OME INSTALLATION (Plans) OK except ti's o ' g Requirements -Setbacks Easements . o ng ' Size -Spacing -Marriage Line G , MH Test-Demand-Valve—Connector A!alicit' MH Tes_ ro&ve s -Br s -Clea ces MH Test -Fall -Flex Connector O: Water; MH Test- Reg u lato r-Conperctor 7. Wate nd Sewer Connected -C/O to Grade -HD Apprc as and,Electricity Tagged Occupancy Date i`���fi Card B-1 �' Date Card B-1 Date Card B-1 Date Card B-1 s fZ 1l0 i �'Jon a v -'MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ti's-= 1. Zoning Requirements -Setbacks -Easements 2. Footings: Soils -Size -Depth -Spacing -Connectors -Steel --• 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; SiIs-An chors- 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 q'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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except a's Date 1. Zoning -Setbacks Easements -Flood -Slope 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 & Duplex) FRAMING (Continued) 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 -Bloc kouts-Wrapped 6. Stemwalls, Garage: Steel- Bloc kouts-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. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test 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. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except s'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 ft'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. 26. ---------- Equip: Ground made up w,Mech. Fasiners-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 At 29. Range Circ. I , ga. Cu or AI -Oven Circ. ga. Cu or Al. -.._ Insulated Neutral 0 Yes 0 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-1Date Card B-1 - - - .. .......... ._....---------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except w's 34. A.C. Ducts Insulation & Support ----------- -------- ------------------------------------------------ 35. Vent Fan: Exhaust above insulation --------- ------------------------------------------------------------ 36. Condensate Drain & Overflow: Sze & Grade ------------- 37. --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ------------- ------- ------- .. ...------ ----- - - ---------......---------•- Date Card 8-1 Date --------- -------------- . ......... Dale Card B-1 Date Card B-1 Date FRAMING (Plans) OK except x's 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracinq-Plates-Sound . ....... ------------ ------ __ - 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) _ .. .._ - -------- --------------- --- 43. Fire Stops, Furred Ceilings -Stairs -Chases -Tub 44 Hoadeis & Beam -Size & Bearinq 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear 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 M's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- -------- -------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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. ..---------------------------pp-------------�- 70. Kit.Fixt. & Appliance: Grnd.-Air Ga Cookin9 Clearance ------ --- - - _- - ----------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------- _---73. A.C. Duct in Garage -Damper ----- ---------------------------- 74. -------------------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---------------------------------------------- - ------- -- 75. Plb.. Elec. & Mech. Equip. q uipListed for Location ------------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;'. Insulation -Foam -Looked in Attic 0 Yes --------------------- ----------------------------- -- 78. Guard Rails & Deck Construction -Post Caps ----------------------------------- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes ...... -------------------------------- -------------- 80. Following instid.: Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters 0 Yes 0 No ------------------------------------------- 81. .---------------------- ------ 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-Underg round -- ... _... _. - - -------- ---------------------------- 86. Ventilation Throughout House - - - ------ --------- ---------------------------------- 87. Glass Protection ..---------------- ----------------------------------- 88. Corrections from Previous Inspections --- --------------- ------- 89. Gas Test -Meters Tagged: Gas -Electric ------------------------------------- 90. ----------- ---------------------90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- 91 Energy Compliance Certificate -Other Certificates .. _ ... ................. ------------------ Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dale Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 - Telephone (916) 538-7541PERMIT NO. 6O APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-070-064 ZONING ARMH5 BUILDING PERMIT OWNER RAYMOND & DONNA JELLEMA TELEPHONE 520-4294 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 2494 OROVILLE, 95965 CONTRACTOR'S NAME Uidi�i�I0ir71I TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONEUNI(JOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NOiJE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 80 OVERHAD DR PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OFWORKMobile New ❑ Addition ❑ Remodel ❑ Utilities ❑- Installation ❑ Other ❑ Describe Work: 2 BEDROOM Home j5 �/ @20.00 0.00 PERMITFEEJ $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 600V Main Service 200A OR LESS ( 200A OR LESS ) 23.00 23.0 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOB. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) zo @ 1.00 BAIL50 FIXED A LNS. OR EX. Occup. OUTLETS RESID.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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/t- 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. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE I TOTAL FEE $ 166.00 HAZ. D. FEES _ FLOG � CDF ppR pp H ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By = PERMITEXPIRESON �1 applicable provisions Resolutions to do work been paid. Q� p D tto/l� / O 7E7 (Date) Qg/ p 186260 U �% O �/.Q� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C'OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 s / PERMIT APPLICATION DATA SHEET ✓/ OWNERS GY v vn O to IJ V I P Wl 6L A. P. o. Proposed BuildingUse�fi Building Inspector Date 3 S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, 2. All items he been submitted . ........................................ Plot plans 3 sets, signed by preparer of plans . .......................... . 3. Complete p ans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation. ....... *........... 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9 10. Mobilehome dat d ufacturer's installation instructions, 2 sets. ........... Fees of $ a .......................................... 11. Impact fees as shown on attached schedule. Of' r9 ' ----�2. California Department of Forestry plan approval/fees. ...................... 13. D Flood elevation letter (100 year floo by Ca ornia Engineer . ............:::... q�,� Sanitation and approval r0 V, Health Department. // 7 79- plot plan .. 15.. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. l 17. Planning approval for (A) Use: (B) Parking: . ........ r 18. Contact Land Development about (A) Improvements (B) Drainage. . Driveway permit (construction approval required prior to occupancy). .Pre-Inspe.ction. V*P. 20. ..'` req-uest Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. -. 22.' Certificate of Workmans Compensation Insurance . .......................... 23. 24. Owner -Builder Verification Given to owner Mail to owner ._.._.. , Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization ......................................... - 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and Eatcel meets zoning area and frontage re ui ements. ............... xistin violation expired permits. .TT .... �J/0. Q. Ic m i TS ............. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. I Mail to contractor. Telephone and hold for pic up at office. Deliver with inspector. Other Parcel Creatio �i Acreage Applicant t� Q��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 1. Index permit for above items No. 2. Additional items required: ce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G i C3.0an! 5 Date _L(-_6 •r25 Plans approved by G ( R,B 0,45 Date T- jq^!j. Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY ; Plot Ph n Attached Flo. PI. Attached Seat to B.D. cid /g I ll'errn �. Drnrn- woe( InezA,i')r',(Je Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well_�/_ Clearance for bedroom 6obile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date ILI And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 95-038712 1 Rec - Fee COP Recorded 1 Cash Official Records I County of Butte 1 Candace J. Grubbs I Recorder 2:35pm 1 -Nov -95 I PUBL AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes. and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California. described as follows: Date: j - .� - q5 PROPERTY OWNERS: tN►'�- JVony-,a State of California ) County of ,(�7� ) On - 9S before me, personally appeared 0,-PA1 1,4 /t . �/ �i���/%.� personalh known to me (or proved. to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/thev executed the same in his/her/their authorized capacitv(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. �a .-�� ,yRICHARD FEUERSTEIN 0CUMM. #986104 �I} `\ dale �`>;v.• . NOTARY PUBLIC -CALIFORNIA i5 Ur * o,• BUTTE COUNTY .► Signature '� Seal: _ My Comm. Expires Feb. 28,1997 A.1,.# 03 � - U �0 .. C)4! Y 12.00 2.00 14.00 XX 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes. and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California. described as follows: Date: j - .� - q5 PROPERTY OWNERS: tN►'�- JVony-,a State of California ) County of ,(�7� ) On - 9S before me, personally appeared 0,-PA1 1,4 /t . �/ �i���/%.� personalh known to me (or proved. to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/thev executed the same in his/her/their authorized capacitv(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. �a .-�� ,yRICHARD FEUERSTEIN 0CUMM. #986104 �I} `\ dale �`>;v.• . NOTARY PUBLIC -CALIFORNIA i5 Ur * o,• BUTTE COUNTY .► Signature '� Seal: _ My Comm. Expires Feb. 28,1997 A.1,.# 03 � - U �0 .. C)4! Y s u f c K.-1y3C 1 •t .. Q CC DESCRIPTION: r situate in -the County of Butte, .11 that certain real property -.f California, described as follows: ,ARCEL I: :;arcel 29 as shown on that certain Parcel Map entitled, "Portionlo the etNE 9E. ./4 of Section 4, T.1BN., R.4E., M.D.M , said Parcel Map was State of California, on Df fice of the Recorder of the Pounty f Butte, utt ,P ge23. :.n%,Pmher 16, 1984, in Book 9 RESERVING THEREFROM that certain 60 easement- lying within that 100 foot 'arcel Map. foot right of wa"y and public utility power line easement as shown .on said ?ARCEL II: A right of way for road and utility purposes 30 feet on each side of the centerline of the existing road, extendingrWesterly to a point on the Easterly boundary line of Citrus Avenue, lying ;within a portion of Section Township 18 North, Range 4 East, M.D.B. & M. °ARCEL III: An easement for road purposes over the Easterly 60 feet of the 100 foot Lower line, as described in Deed to the United States of America, recorded February 6, 1947, in Book -414 of Butte County Official Records, at Page 38, as said tower line crosses the parcel of land described as follows: A11 that portion of Section 4, Township 18 North, Range 4 East, M.D.B. & M., lying Easterly of Addition to Subdivision No. 1 of the Palermo Citrus Tract and being shown as Lot B on a Map of Palermo and Subdivsions No. 1 and 2, with addition to No. 1 of the Palermo Citrus Tract, recorded in the Office of the Recorder of the County of Butte, State of California, September 17, 1888, lying Northerly of and adjacent to the Easterly extension of the centerline of Bohemia Aven"ie, as shown on said Subdivision Map. EXCEPTING THEREFROM the Easterly 1200 feet. ALSO EXCEPTING THERFROM the Southerly 975.0 feet of the Northerly 1,950.00 feet as measured along the Easterly boundary thereof. ALSO EXCEPTING THEREFROM all that portion lying Westerly of the following described line: BEGINNING at the Southeast corner of Lot 1 in Block 117, as shown on that certain Map entitled, "Addition to Subdivision No. 1 of the Palermo Citrus Tract,- Butte County, Cal.", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on July 23, 1888; thence South 0° 56' 55" East along the Southerly extension of the Easterly boundary line of said Lot, a distance of 500.0 feet to a point on the Easterly extension of the centerline of Bohemia Avenue, as shown on said Map and the end of said line. (continued) s.r ` PARCEL I V : An easement for Easterly of and road purposes over a stri of land 60�,.,`:.e46 ad ' acent to the f p .�et in width lying 3 ollowing described linen:•; ' BEGINNING at the Northeast corner of Lot 3' f Block ion to Subdivision No. 1 of the Palermo Citrus Tract,acco ding7.toftheditOfficial Map therof, recorded in the Office of the Recordent o r of the Count State of California, July 23, -1888 y of Butte, production Easterly of the South linea f Maple Avenue,as on the Map; thence Northerlyon the shown on said production of the East line of said Lot 3, a distance of 197 feet; thence Easterly at right angles, a distance of 264 feet; thence Southerly and parallel to the East line of said Lot 3 a distance of 330 feet to the true point of beginning of the line to be described; ' thence from said true point of beginning- Northerly andparallel to the East line of said Lot 3, a distance of 133 feet to the end of said line. PARCEL V: Right of way for road and public utilit r Y purposes over the Northerly 60 feet of Parcel 1, as shown on that certain Parcel Map being a portion of Section 4, Township 18 North, Range 4 East, M.D.B. & M. Office of the Recorder, County of Butte, State of California,fed in the il on September 1, 1981, in Book 83 of Parcel Maps, at Page 98. EXCEPTING that portion lying Westerly of the Westerly boundary line of the existing tower line. PARCEL VI: A right of way 60 feet in width for road and public utility Purposes ove Cynthiann Lane, as the same is shown on that certain Parcel Map beingr portion of Section 4, Township 18 North, Range 4 East, M.D.B. & M. in the Office of the Recorder, County of Butte, State of California on September 1, 1981, in Book. 83 of Parcel Maps, at Page 98. filed n PARCEL VII: A right of way and public utility easement over Parcels 1, 3, and 4 shown on that certain Parcel Map entitled, "Portion of the NE 1/4 of Section 4, T.18N.9 R.4E., M.D.M f of the Recorder of the Count ��' said Parcel. Map was filed in the Office 16, 1984, in Book 98 of Parcel MapsBuate9 Statege of California, on November END UF uuCUMENT- F -14 )2707.-D=_5,�1-0 - i %o .', - - ..5 :Veil. Com let . )uvId card Son Drillir�Co. > _ic,# 42560q •� i � J SIoP , �,�� y REVIEWED BY r� c C orr, pi eted `'> ipo BUTTE CO. FIRE DEPT.. CALIF. DEPT: of FORESTRY I- 3[] I �-'` s o� S� -� a s -w pproved as submitted Y I - QJ approved with conditions ul �. N per attached sheets clg nalure p Date, I N / o All STRUCTURES AND .EQUIPMENT INCLUD 1ra�%�°' OVERHANGS SHALL BE CLEAR OF ALL EASEINENTS. ..,. - - ` -A SETBACK OF -36 'FT.- FROM THE SIDE.Wl — I b cow 3 o F1': FROM THE REAR PROPERTY LINE NO T b SD FT. FROM THE ROAD CENTERLINEa- _ CLEAR OF STRUCTURES AND .EQUIP - o C,1 I FORA 2 FT. EAVE OVERHANG. c v V C7 ►�'1 U�j o` .---------- F ro . aCD o� �o oma: o o o' 70 o ,y (Q I I (�D Q N Q bd Off' 5 a CDI n `!oc <OC -n C+ y — C i ;U1 Seg5ono, w- �' a o . IV M. m�• cow o ►. o , 10 0 ,39 a n cn n' ` p CD 0 ® f` CDF FIRE SAFE REQUIREMENTS 'Z-� --07 -� AP# .PERMIT # NAME Under authority-`of'PRC 4290,'the following checked.items are .required by-the Butte County Fire Department and are made apart of this permit. These requirements are minimums_and'wil•1 be superseded by Butte County local regulations which'.:equal'or"exceed these standards. Field inspections will,-be made by the Butte County.Building Department for compliance. M 1272.00.Maintenance of Defensible Space. To.ensure continued _ maintenance of..-properties in conformance with, these standards -and measures and to.assure-continued avail- ability, access and utilization of the defensible space provided for in these•standards, annual maintenance must be provide.'for by the land owner. -Driveway Standards 1273.02' Surface: All driveway, surfaces and structures (bridges, 1273.07 culverts and'other apF•srtetant:structures which supple- ment-the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans andl,firii `apparatus weighing up,to 40,000 pounds [ ] 1273.03 Grade. Not'to exceed-16 percent unless paved:• 127i.04- Driveway Radius t No roadway shall have-a horizontal inside radius of • curvature of, less than 50 feet and additional sur-, face ,width of 4 feet shall be added to. curves of 50- 100 feet radius; 2. feet to-those from 10.0-200 feet. [�'} `2. The-length of veY.i^%1 curves in roadways-exclusive ' of gutters,:ditches and drainage'structures designed. :to hold:'or-divert .water shall be -not less than 100 feet. [] 1273.05 -Turnarounds. If- required, 'will have a minimum turning., radius of 40 feet from'ihe center of the road. [�] 1273.05 Turnouts. Shall be a, minimum of-10 feet wide and 30, feet long with ,a, minimum 25 foot taper on each end." -1270.10. Width. All driveways shail•provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along_its entire length. Q • Page 1 of ? ; BUTtEU BUiL.DN O DEPARTMElff ' A.P?R,O :ED 2-�roA),O - AP # ;PERMIT. # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 80'0 'feet in length, shall provide a turnout near the midpoint of -the driveway. Where a driveway. .exceeds 800 feet, -.turnouts'shall be provided no more ` than 400'feet apart: '. 1273.10 Turnaround. A turnaround shall be provided at all, building sites on. driveways over 300•feet.in length and . shall be within 50 feet of the building., 1273.11 ; GatesAL [} 1. Gate entrances shall be -at. -least two feet , wider than the roadway .it serves.... [� 2. The gates must ;be, :located •at least. 30 _feet from the' • roadway and shall open to allow a vehicle -to stop without obstructing traffic'on that roadway,: Where a one-way.: road. with a ••single traffic' lane." ' provides entrance,,a 50 foot.turning radius shall.be .used'., Fuel Modification. 1276:'01: Setback for Structure .Defensible Space.. [] 1 All parcels 1 ,acre arid` larger shall provide a mini- mum 30 foot -setback, -for buildings and accessory buildings,from ulY property lines and/or the center of the road. [ ] 2'. For parcels. less than 1 -.acre,. local .jurisdiction shall provide for.�the'same practical" effect. See Other Requirements below.,,:., 1276.02 Disposal of.Vegetation and Fuels. Disposal, including chipping, burying,:burning or removal to a landfill site approved by.the 1o.cal,•jurisdiction, of flammable vegetation and 'fuels -caused,•by"site development and ,.constructions"oad and driveway construction and fuel modification. shall be,comple,ted prior to completion of- froad roadconstruction �`r al., inspection of a' building permit. ; Page . 2 of 3 BUILDING DEPARTMENT A,PF " ED._ b sop PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 May 28, 1996 Donna R. Jellema P.O. Box 2494 Oroville, CA 95965 Re: Extension of Temporary Trailer Permit for APN 027-070-064, located at 80 Overhead Dr., Oroville Dear Ms. Jellema, Your temporary trailer permit, issued November 8, 1995, for the above referenced parcel is hereby extended and will expire August 1, 1996. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Stephen R. Betts Assistant Planner -----------------------ti cc: Building DivisionDept. of Development-Seivices—� r -- r......: ._ Sa tte Dunt PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 May 1, 1996 Donna R..Jellema P.O. Box 2494 Oroville, CA 95965 Re: Temporary Trailer Permit for fAPN-027-070-064; located at 80 Overhead Dr., Oroville Dear Ms. Jellema,, Your temporary trailer permit, issued November 8, 1995, for the above referenced parcel is hereby extended one (1) month from this date and will expire June 1, 1996. Should you have any further questions, please contact this office between the hours of 8:00 a.m. and 4:00 p.m., Monday through Thursday. Sincerely, Stephen R. Betts Assistant Planner ccs Building Division; Dept -of Development Services El sotoadsaI S 9lma woo sw2unuoo T=oWp V 1 E El sotoadsaI S 9lma woo sw2unuoo T=oWp V LAND DEVELOPMENT BUILDING_/ ENVIRONMENTAL HEALTH - PERMIT CLEARANCE- BuildingPeimitNo. ' —0-7Y� OWNERS �7 / NAME: �- VYk NUMBER:, � ! O & PRINT LAST NAME FIRST COUNTY ZONING nn n DESIGNATION: /7 M I* FLOOD ZONE: 'X FLOOD MAP: 490 /S APPROVED:. DEED INFORMATION: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP !c DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: MAP INFORMATION: LEGAL ACCESS REQUIRED: YES NO YES NO DATE OF RECORDING ROV �G , yS� LOT Z BOOK 9 g PAGE Z3 COMPLIANCE.WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE,23): YES , )0 NO .-IF.YES, MARK APPROPRIATE, ITEM(S) BELOW: A. Construct road to. B. Meet parcel size•required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. iC 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. y T 4. Maintain a.1 U - ft.,leachfield setback from, SGy l�-G _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply.. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two .family`d Rings and mobile homes, NFPA Standard 13D, unless a pressurized community water system,.with hydrants that meet Fire Department specifications, serves the parcel 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ t+ �, t� 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to bo mad® to dw PICwming Dh skn- _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed'on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _15. Deer Mitigation fees are to be paid, if such fees.have been adopted by the Butte County -Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. _ 21. 22. 23 24 25 niu JNV441303 a"' 6661 ! £ 130 C13AI303H LD 9/95 - C:\WP51\FORMS.K\BLDGPERM.CLR COUNTY OF BUTTE BUILDING'DIVISION. - DEPARTMENT OF DEVELOPMENT SERVICES x 1469 Humboldt Road, Chico; CA (916) 891-275.1 7 County Center Drive, Oroville; CA - (916). 538-7541 747 Elliott Road, Paradise, CA_ - (916) 872-6307-l' CORRECTION NOTICE `OWNER PERMIT NO: M. A routine inspection indicates that the following violations of Butte County Ordinances exist at '+ the above address and should be corrected. Please notifythis office when correction of work is completed. If you have any questions pertaining to this matter, or -need additional. explanation, SF please contact this office immediately. s, f -o 4 Date / / hspector REV 10/92 PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 November 8, 1995 Donna R. Jellema P.O. Box 2494 Oroville, CA 95965 RE: Temporary Trailer Permit for APN 027-070-064, 80 Overhead Dr., Oroville Dear Ms. Jellema, Your request for temporary use of your already -installed travel trailer during the, installation of a mobile home located, at the above referenced parcel number on property zoned ARM H- 5, pursuant to Butte County Code, Section 24-53 has been approved, subject to the following conditions: , 1. That the occupant has secured a building permit for a residence., 2. That the occupant has secured a sewerage disposal permit from the Butte County Health Department. 3. That1he installation of the mobile home must be completed within a six (6) month period and the travel trailer dwelling must be abandoned. 4. That a mobile home utilities and installation permit be obtained from the Butte County Department of Development Services, Building Division. 5. riNplicant shall comply with i all other applicable State and local statutes, ordinances, and regulations. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. Vr truly y urs, ' r Hoga Ian g Man er cc: Building Division, Dept. of Development Services k:\Ietters\jeIIema.Itr - i y DK 3G r9 90 �y 264 Boo (o ` �. 6 513 13 - 2�1Cr. 4 A jso 2 f I 72 476.07.:. 4 3. 4 w9 O t tc I n �y Iq [(487 5.2 Ac.v ��` d 4 p II N �3 3� 6/ ; P6--031 3 4 , 3 42 I '� . �S.OI AC 1 1 5.02 AC. �, = 3 AC. S 2 AC. Q _ ©/ 9. fs AC I 11e RS33-60 ® ►� ` S9/ - 61dAe - I 1 at I.OAC. 20.2 AC1 a 2 4 /`� \T 2 N 645 645 p I as •„ ` `T �1.� z 5.01 AC 1 N 1z90 I _ 4 ►LI V _ s.o/Ac tn ,3/..94 O �i ii Zd M�f EAST 599.54 V II D 600.32 Q 2 IOAC. T �� 16 13 M I I LOT 6 3 i NOV ss s► w a - LOT 4 G a 76 Gas 1.43AC. 10AC. f41 GG 7s I 5.45 �' 4.6/AC f 361.9 O ZI CYNTH 397.68 I 517.77~ 5.02 Ac q�:rt T \c �' 80 1 ' 32 (48�;:,-\7�S 630 -GG err\1 IM _: :�j \ �•e 2 _ — _ 8.08Ac 3 ,�P� I �, LOT 5 \ 0 63 J 64 ' ` 3 • '► 5.20AC 5.03A ' M 85.208� �i 5. OO AC. • .'pireo 1 1 h I �� r>��0 88-863 646.72 O*90 } 3 5 6 � 7 b `'.? 2013 16 �,� ItI41 0 4� I ���63 22 Ac 9.86AC. a us! �i 4 7 eft \i OO `� Q (3') 6 Y` 77 t 5.OlAiGl� '� 4 I .� f -3 1K3 ' s _ : "01* -5O .54 ac. �+ (46 - 8/ °' O g 2 �•..' I 63 ��� O 82 N 66 I S c� .� aNp . 428.39T 2 S 70 q3�6 Ac a 4 ,OO . - I 5.01 AF 6 ,�— ,;• �? G 7 3.00A� S.00Ao �N I a 50 -� � 26-04 3 _,, h�. 7; ,I I z Ac O •. 48Z,S © 490,`1 936 _L_ 55 I 5.02 AC •6�!� - 9.02AC.s. M 43 F 45 o I 2 LOT I '.. to6.SS'12 SAC 5AC d I 2 (�o rt 4 48 ,w,� t o / *AC 67 J b 1 I AN8 `' `ZO 5.01 Ac •. ^ 630 !!T 7 II I OT 5 1 S -z' F .?s6r 660 292.85 r+ \\ ' TRANS. TO PG 6 ..o,. 06 I .oma • NOTE; These parcels are for assessment purposes only h / l.. and may not constitute legal parcels: 1 1 CYNTH/ANN SUBDIVISION M.O.R. 95-69870 121"4 AS SBdr•S Map No. 2T- 07 FALERMO CITRUS TR. SUB. NO. I. MAR— :e. MMLL. NO. 3 �� County of Butte, Calif. ADO TO I . MQ R: 1MALL NO 16 REV 1 S E,'O : 7- 93 :. _ • , , i :. __ a'»€s4?c iii:• .`;'a °i•:ja5#ii ri. • . v r "r — — r _ .r