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HomeMy WebLinkAbout027-070-070BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2.834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 24 CYNTHIANN CT Owner: �i' N PerinitO: B07-1691 - APN: 027-070-070 PETERS ROXANNE R, Issued Date: 09/05/2007 By TMP Permit type: MISCELLANEOUS 24 CYNTHIANN CT Subtype: Private Garage/Shop OROVILLE, CAy95966 '• Expiration Date: 09/04/2008 Description: DETACHED GARAGE 1196 SQ.FT. (530) 534-9904 Occupancy: Zoning: ARMH Contractor Applicant: s Square Footage: PETERS ROXANNE R, Building Garage RemdUAddn - 24 CYNTHIANN CT 1,196 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-9904 1,196 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Garage -Wood Frame Plan Che $303.55 DBFIRE Fire Inspection (SRA) $102.70- DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S _ $102.70 DBMSC Garage/Shop/Strge Wood F $455.32 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential Total Charged: 52.87 $1,261.52 Fees Paid: $1,261.52 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/05/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: EI 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: • Policy Number: Exp. Date: (This section nee not a completed if the permit is or on�n rdollars ($100 ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS . ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' . compensation provisions of Section 3700 of the Labor Code, I shall forthwith co..._ with those provisions. ' X 09/05/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES— CONSTRUCTION CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: B4523 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed, pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500); e Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). , ❑I, AS OWNER OF.THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Ix� i� 09/05/2007 Owner's Signature Ll Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal. injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property own or am authorized toact on the property owner's behalf. oY.O.� "C\ e S C? )�-7 • e .r 09/05/2007 LPIOwner 0 Contractor �R: Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES UILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY'k OWNER INFORMATION Last Name SZ�CZe� Address First N me �XA'n'Y�� Mailing Address Zip City e Zip9(P� Phone S3 q _q cl 0 i t 'i' 57 �� ±Fa E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE PROJECT LOCATION API Property AdQi / City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Ua (� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name O W 11 e1' Address es City Occ. State Zip Phone 57 �� Fax E-mail State License Number APPLICANT SIGNATURE PROJECT LOCATION API Property AdQi / City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Ua (� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name O W 11 e1' Address es City Occ. State Zip Phone 57 �� Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION API Property AdQi / City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Ua (� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA es No Occ. Type Const. I I T ' BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 08/07/2007 12:00 pm . 0, Permit Number: B07-1691 ' i r Job Address: 24 CYNTHIANN CT Contractor: Fee Description -Account Number_ ; ' Fee Amount Paid Date Pmt Amt DBEH Building Review Fee - 0021-540013-4614901-1010 $75.70 08/07/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 08/07/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010440001-4210500-1010 $115.98 y DBFIRE SRA -Fire Plan Review (S 0100-450001-4617240-1010 $102.70 08/07/2007 $102.70 DBMSC Garage/Shop/Strge Wood F ; 0010-44000,1-4210500-1010 • $455.32 DBF Garage -Wood Frame Plan Che 0010-440001-4210500-1010 $303.55 08/07/2007 $303.55 DBSMIP Residential 1001-0-280-1011298 $2.87 • 19261.52 $584.65 Printed By: Tammie Powell Balance Due: $676.87 At the time of permit. application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 08/07/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above.referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). A i r Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration . of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1691 Location: 24 CYNTHIANN CT Parcel Number: 027-070-070 Date: 08/07/2007 Owner Name: PETERS ROXANNE R, Phone: (530) 534-9904 Description: DETACHED GARAGE 1196 SQ.FT. Signature of Property Owner: ' I � 2Date: 08/07/2007 el FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.,buttec'ounty.net/dds OWNER -BUILDER INFORMATION An application fora building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. , If you 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 $500 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 government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building pen -nit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at.www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. t E OR NO) 2. I (HAVE/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 CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: DETACHED GARAGE 1196 SQ.FT. Reference Number: B07-1691 Applicant Name: PETERS ROXANNE R, Owner's Name: PETERS ROXANNE R, AP # : 027-070-070 Signature of Property Owner: IY14- �. ,� Date: 7,0 9 California Department of Forestry and Fire Protection Butte County Fire Department .Fire Prevention Bureau - 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax B' • Reference Number: B074691 r Date: .08/07/2007 Location: 24 CYNTHUNN CT By: TMP Parcel Number: 027-070-070 Sub Type: Private Garage/Shop Owner Name: PETERS ROXANNE R. Phone: (530) 534-9904 Description: DETACHED GARAGE 1196 SORT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County6 requires a pre -construction inspection to pro -actively provide 'the below, building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte ' County. All development within the SRA is required to meet the below.requirements ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter --7A" - ✓ Butte County Improvement Standards -. - Requirements prior to scheduling the pre -inspection: ° ✓ Full plan submittal to Butte County Development Services -Building Division , Driveway and building pad must be identified on site ` ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line'at (530) 538-6837, ext: 169, (When the recording comes on, enter•the extension- number). r , For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. ' I have read and understand the above pre -inspection requirements. ' 08/07/2007 Date Signature ; All of the Fire Safe Requirements are'posted on the Butte County Fire Department website at http:Hbuttefire.org/Firepreventioh/proti)lan/i)rotplan.html Rev'd 5/7/07 . FILE } Butted County Department•of Development Services TI\538-01. ' DIRECTOR PETE CALARCO, ASSISTANT DIRECTOR 7 er Drive O5965 (51. Telephone (5Fax wn net/dds - TTTA RTT ♦ TTT T!V ♦ TTATT T\ ♦ T ♦ lVTTTTT Reference Number: 07-1691 Date: 08/07/2007 Location: 24 YNTHIANN CT By: TMP' Parcel Number: 027-0 0-070 Sub Type: Private Garage/Shop Owner Name: PETER OXANNE R, Phone: (530) 534-9904 Description: DETAC GARAGE 1196 SOFT. . City of Chico, 545 Vallombrosa, Chico CA 926 - (530) 895-4711 The above permit application has the lowing Clearances required prior to permit issuance. Please contact each department indicated. below regarding specific requir ents pertaining to your permit application: ' Yes No DRAINAGE DISTRICTS F Thermalito Irrigation District, 410 and Avenue, Oroville CA 95965 = (530) 53370740 ❑ 0 LOAPUD, 1960 Elgin Street, Oroville C 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 926 - (530) 895-4711 PARKS & RECR TION DISTRICTS ` 5926 - (530) 895-4711 Chico Area Recreation District, 545 Vallombrosa\(CA 0 Durham Park & Recreation'District, 9447 MidwA 95938 - (530) 345-1921 ' Feather River Recreaction & Park District, 1200, Oroville CA 95966 - (530) 533-2011 E 0 Paradise Parks & Recreation,'6626 Skyway; Para - (530) 872-6393 { SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 8-1281 E Chico Unified School District, 1163 East 7th Street, Chico CA.95926 - (5 ) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 -(5 895-4675 • ' 0 Gridley School District, 429 Magnolia, Gridley. CA 95948 - (530).8461-4723., ❑ El Marysville School District, 1919 B'Street, Marysville CA 95901'- (530) 741-6000 ' Oroville Elementary School District, 2795 Yard Street, Oroville CA,95966 - (530) 532- 00 0 Oroville Union High, 2211 Washington Ave, Oroville CA 95966.- (530) 538-2300 Ext: 105 E] E] Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 = (530).872-6400 k OTHER . 0 0 Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 E D Other: ' Other: El Other: Signature of Property Owner: Date: 08/07/2007 FILE e 3v � `' Butte County Department of Development Services. i y` IN Q T [_ S' 1,` 7 County Center Drive. Oroville. CA 95965 530) 538-7601 vnvw.buttecounty neVdds �uwt 1 rA RESIDENTIAL . TAP N: Permit No. Owner' 4 027-070-070. 06-0646 x PETERS,ROXANNE - - Site Address: 24 CYNTHIANN CT, PALERMO_ (. Cont: OWNER contractor. I ELEC(GARAGE) —..•. - .— -- - - f Type of Permit_ .71 r Y': 42, DATE JOB FINALED: 661"3 SIGNATURE: CHECKED BY Q SRA 0 FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED 0 SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT 0 REINSPECTION FEE PAID Q ENV HLTH CLEARANCE EJ 7-11-G, = OK o = Not OK MA,N'UFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FallIC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPF Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers MISCELLANEOUS DATE IDECKS-C0VERS`CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, GirderslJoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Seams -Rftrs-Cnnctrs-Shthg Frmg-Brcng S Alu 7 Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 ports; Wndws-Doors Electric 8 Frmg; Sills -Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls -l(-�►�- DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 1S volts-GFl 6 Elec Enclsrs; Conduit Entries-Terminals=Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards-Insulin to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr-, Fencing-Alarrns 13 Bonding, Diving board or Slide P OK Not OK RESIDENTIAL (Single & Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth- 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Btockouts-Wrapped- 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16_ Insulation DATE 1FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC CFiannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsultn-W alts -Ceilings 39 Infiltration -Walls -W ndws o,• 0s oma- ds DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled omex Installed Close to Edge of Studs & CJ qp Grnd made up w/Mech Fstnrs Grndng Electrode Bond Gas & Wtr lk2 Appinc Cires in Ktchn & Cndctr Sz GFI 4T ubfeed Wire Sz g ❑ CU or DAL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ]CU or "AL Oven Circ ga ❑ CU or FJ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector �-1,13.cOCo rZ.� DATE PLUMBING �i 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping C \C DATE MECHANICAL 61 AC Ducts lnsultn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinr, Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV- abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters QYes ON 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Wits abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler COUNTY OF BUTTE BUILDING DIVISION 'DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. K A routine inspection indicates that the following violations of Butt County Ordinances exist at the above address and should be corrected. Please call for r -inspection when correction of work is completed. If you have any questions pertaining this matter, or need additional explanation, please contact the Building Inspector as indic ed below. � /?G�L�i'r—r���� � nn Date I V Inspector REV 4/05 Phone # 4— FOR RE -INSPECTION CALL: 538-7636 001891-2834 i BUTTE COUNTY o�UTrgo DEPARTMENT OF DEVELOPMENT. SERVICES O_ o BUILDING PERMIT 0 0 24 HOUR INSPECTION A: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o 3 0 OFFICE #: (5313) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031:5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or.repalr any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and lite, structure' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of properly who builds or improves.1hereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License, Law does not apply to an owner of property who builds or Improves therepn„ and who contracts for such projects with a contractor(s) licensed' pursuant to the Contractors' Stale License Law.). ❑ I aam� �Exempt �u�nderArticle 3 of the Business and �Professions Code . Date: 3-- 2 k Q 6 Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will.maintaln a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: Ca Policy M �] I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: .3 — Applicant• WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of (he Labor code, interest, and attorney's fees. PERMIT NO. BP0160646 Issued Date: 03/23/2006 APN: 027-070-070-000 Site Address: 24 CYNTHIANN CT PAL Map Index: Description: ELECTRIC FOR GARAGE Owner: PETERS ROXANNE R 24 CYNTHIANN CT OROVILLE, CA 95966 Applicant: PETERS ROXANNE R 24 CYNTHIANN CT OROVILLE, CA 95966 (530) 534-9904 Contractor: License #: w Architect: Engineer: Total'Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY •'Thisperniit is hereD issued under theap'pli e I hereby affirm that there is a construction lending agency for the Resolutions to d8, ork indibated bbove fo wt performance of the work for which this permit is issued (Sec 3097 Civ.) Name: ey. PERMIT EXPIRES ON: Address: GC) proOi ioris of=the Butte -County C'dde and!or— fees have been paid. _ Date,? O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies or the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represenlaatDtiy''es of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: T� xr�r� ` Z—� i Signature:-------��—i� Date: 3— Z3 — 0�- Owner 0 Contractor 0 Agent for Owner .❑ Agent for Contractor BUTTE COUNTY ,DEPARTMENT OF DEVELOPMENT SERVICES BUILDIN6 PERMIT 24 HOUR INSPECTION #:. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 14 WEBSITE: www.buttecounty.net\dds,. PERMIT NO. BP042392 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under i provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/12/2004 APN: 027-070-070-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 24 CYNTHIANN CT PAL Date: Contractor. Map Index: Description: ELECTRIC FOR NEW GARAGE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PETERS ROXANNE R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 24 CYNTHIANN CT signed statement that he or she is licensed pursuant to the provisions of - OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division Tof the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): l I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not .intended or offered for sale (Sec. 7044, Business and Professions . Applicant: PETERS ROXANNE R Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑' 1, as owner of the property, am exclusively contracting with { licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Pr fes ions Code Date: Z O Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. 'Valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued,, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of i compensation, damages.as provided.for in_ Section.3706.of the -Labor code, interest, and attorney's fees. -� CONSTRUCTION LENDING AGENCY This permit is hereby issued rider the applicable provisions of the Butte County Cody ancuor I hereby affirm that there is a construction lending agency for the Resolutions to do w m i t d abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: � � Dat Name: Address: _ PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I liereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purposes. Print Name: /�Gr`Yf\Y,,,Z_ S e—�ZeN� Signature: 3e& = 12 — d `� Date: rS *wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 'BUTTE COUNTY o �%J T r� o DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT -.� ° 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 o - - C OFFICE #: (536) 538-7541 o =�> o cov R�� LICENSED CONTRACTORS DECLARATION , . I hereby affirm under penalty of perjury that I am licensed under . provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my.license Is in full force and effect. ' > License Class : License Number. Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section. 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as. fheir sole compensation, will do the work, and the structure' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves.'thereon; and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of, sale.). ❑ I, as owner of the. property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves theregn„ i and who contracts for such projects with a contractors) licensed'- pursuant icensed' pursuant to the Contractors' State License Law.). ❑ I aamm �Exempt �underArticle 3 of the Business and Professions Code Date:Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: Carrier: Policy M I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers', compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 3 Applicant: T WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of (he Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP060646 Issued Date: 03/23/2006 APN: 027-070-070-000 Site Address: 24 CYNTHIANN CT PAL Map Index: Description: ELECTRIC FOR GARAGE Owner: PETERS ROXANNE R 24 CYNTHIANN CT OROVILLE, CA 95966 Applicant: PETERS ROXANNE R 24 CYNTHIANN CT OROVILLE, CA 95966 (530) 534-9904 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereb issued under the Resolutions to dfj ork Indibated/'abov By: v' PERMIT EXPIRES ON:,-? — 2 5�S GCJ County Code and/or Nhi /feces have been paid. �/zz / (� Date;, F � u4 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the'required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:x(7�Y�Y�� \ ZZ r Signature: Dater 3— 23, 0(0 . Owner 0 Contractor 0 Agent for Owner .❑ Agent for Contractor NOTES RESIDENTIAL PERMIT No. 5�_ SET2 ER, ROXXANNE _. 24 CYiqTHfANN CT,'OROVILLE ONT:'.OWIVER. N W DETACHED GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ: FIRE SPRINKLERS 'REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 3, - JOB FINALED (Date - I Signature i V= OK 0 = Not OK - = Not Applicable, = Not -Ready, + MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line A. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG Cert. of Occupancy 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A MISCELLANEOUS Date DEC COVgn, CARPO S GARAGES (PI)ns) OK except #'s - e Zoning Requireme - asements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails i ' 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Y 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses r ing; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ( -y-(% 11. Eo./Steps-Doors-Landings Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date' FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining l 4. Elec.; Receptacles and Lighting, Distance -GF] 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater l 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 11. Light Niche r I ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss -Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive Q Yes til No/Walks ❑ Yes ❑ No/Planters 0 Yes O No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ......... COUNTY OF BUTTE ..... ....... ..... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. - 411 Main Street. * Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE X13- 3-/5% 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 notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ,�.. . ,,.:;- : w:<, ter .�..,.+: -,,.: _ . ='I.r,.:zr^.,�.Y�J+�+f y:r�-.R ti^s�.3t-. _�►. ,. .. .. COUNTY OF BUTTE BUILDING DIVISION -DEPARTMENT OF DEVELOPMENT SERVICES .411 Main Street • Chico, 'CA • (530) 891-2751. 7 County Center Drive• Oroville, CA.• (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. PK. . A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, =r• please contact this office immediately. 12_ O -C 4 x•01 / Co w R �Y n� , ') h�i1. IL �. I s irv�it`M1 Date 21 _ ,Inspector /ln REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042392 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/12/2004 APN: 027-070-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 24 CYNTHIANN CT PAL Date: Contractor. Map Index: Description: ELECTRIC FOR NEW GARAGE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PETERS ROXANNE R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 24 CYNTHIANN CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PETERS ROXANNE R Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Profes ions Code Date: Z _6 Owner: License #: 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Caner: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued,, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued nder the applicable provisions of the Butte Cnunty Code anrVor I hereby affirm that there is a construction lending agency for the Resolutions to do w c m i t d abo a for which fees have been paid. /tom performance of the work for which this permit is issued (Sec 3097 Civ.) ' �� Name: By: DDtat a Address: PERMIT EXPIRES ON: v Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. a Print Name: \'0 --f'o"Y\ Y"2 S eA Signature: e� � 2 bN � Date:�— Owner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor ii 0 a e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Namso_ � \ � first me Y\q Address � '1�lolY�Yt C City O Ifo "s`\e Statuc— Zip c 5-) ( (D Phone _53 _o�(i 0 Fax E-mail APPLICANT NAME CONTRACTOR Name Saari Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Addr s Flood Zone Cross Street SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT N BIN�� LOCATION AP# Q'\,;L7 _... 0—? V - 0-7 b !# Property Addr s City , Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage . O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the .person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been+done. Filing fees,'plan check fees for work plan checked and other department costs are not refundable. Ree bed by: Amount: Bldg SRA Receipt #: ' 1 Sheriff SMIP Date:ill IA / � L^1 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND I7V INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. 1:17. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 1 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION :AFORMSWILDING F0RMS0dgApp1SubRgmts.d0c Page 2 of 2 REV 6-16.04 Attention Property Owner. Y - f An "owner-buildee' bvilding.pemnit has been applied for i . your name aad'bearing your signature. Please complete andretarn this information at your earliest opportunity to avoid unnecessary delay r in processing -and issuing your building permit No building.permit will be issued until this ;finfincation is received.personally plan to provide the major labor and materials for construction of the proposedroperty improvemeat : YES J6 -NO 0 HAVE HAVE NOT O signed an application for a building permit for the proposed work. I have coi acted with the following arson firm to° rovide the * . - g P �. ) P proposed constivction: ., NAMM: , ADDRESS: CITY PHONE: _ CONTRACTORS LICENSE NO. I plan to provide portions of this,work, but I have'hired the following person to_,coordinate;- supmvise, and provide the major world ADDRESS • v C I Y• ' ! ' PHONE:. CONTRACTOR'S LICENSE NO. -.—�w-11��]L�-v�.de�olIlE-0�hS�-0r1�-b�-l-1]fl-Ve-Con�.Cted3�lPrfO�OVJIIig pei50I35-t0�i0vid� '.' f , the work indicated: NAME .ADDRESS PHONE ' 'TYPE OF ;WORK' GNED• PROPERTYOWNER: . 6• DATE: -z-- O NOTA: .. This Owner -Builder Vert kmion is required Iry Sectuon 19831 and 19831 of the California Health and Safety Code. T his've Twaiion, , murt be completed and l , returned to our office before we are permitted to issuce the permit OWNER BUILDER IlNFORMATTIr®N Dear Property Owner o_ .B. -z - - - - improvements pffcafiDn cified fDr a bulling permit has been submitted in your name listing yourself as fire builder of propert3' For your prote OOA You should be aware that as "owner-bunlder" You are the responsible party ofrecord on such a Permit BuiHing permits are not requfivd to be signed by property owners unless they are own work- If your work is being performed s �' personally Pog their by omeone other titan youirseg 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 license from the city or connty. They are also �' Sia$ of California and to have a business apply required by IaRr to ptrt their license nuimber on all permits for which they Ifyou plan to do your own work; with the exception of various trades thatlan t D sub on be aware of the Mowing fi f conation for your benefit and protection; Y p contract; you should Ifyou employ or ofrerwise engage any pemcm other than your immediate fa y, and the work Cmchrding Vials sub, then you may be an employer and oilier costs) is $300 or more for the entire preje� and such persons are not licensed as contractors or If you are an employer, you must register with. the State and Federal Go strbje# to several obligations as an employer and you are ligations and woidm s compensation ice, including � c ow f= wiyumuting federal social secunty taxes, and oymu ni compensaticA cocoas. Tyre may be financial risks for P With to wows Y� ifyon m not carry Out these obligations, and these risks are especially serious ' compensation ice. For more specific infimaadon if yon .wish, fire U.S. Small Bnsines obligations under Federal Law, contract the Internal Revue Service (ce, State Lawcontact tine D Administration)' For more specific information• about your obligations under epart hent ofBenefit Payments and the Division of bubmtrW Accideu, If the st =t re is intended for sale, property owners who are not licensed contractors are allowed to perform their w gip' oonall9 or through their own employees, without a licensed contractor or subcontractor, only tinder limited A fregtieat practice of unlicensed persons Pmf ting to be contract is to secure an "owner buildea" btuffi ing !Pew erro��Y �P� girt Bre PmPWLY owner is providing his or her own labor rad material personalis'. Building Permits are n required to be signed by owners they am pig fir own work ers Pmp�Y unless iximmtmify ar at 1020 m� Y be obtained by the yrs State I icense Board n your Please the Street SacrarCA. 95814. �P "Owner Buildw Veafication" on the reverse side of taus f= so that we can confirm that yon ire aware of dkese matiuc• The building pmt will not be issued unt?11he verification is returned. „ ' V02 7 -- Y" 0wer-8"r7d Iff omuI110 M is reV=ed by Section 13530 ofBre CaFforriia HeaiBc mzd Safety Code COUNTY OF BUTTE - DEPARTMENT, OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 MT NO (Rev.12/96) APPLICATION AND PERMIT �5�` ASSESSOR PARCEL NUMBER 027-070-070 ZONING - BUILDING PERMIT OWNER SETZER RO TELEPHONE - SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 24 CEIA 01, OROVITLE, 95966 _T jj 20,160.00 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 20 160.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 216.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 140-40 BUILDING ADDRESS 24 CYNTRIANN (,r, nRMT IF Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: DETACHED GARAGE 28X40 Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service OO.A OR LESS 2o0A 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: 1Jy�( 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. ❑ 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 Main .Service 200A TO 1000A 46.00NEW CONST. DWELLING UP. NG OCC OR ADDNS. ( 8 C.S. so 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS a swGLE 0 T. C.. Ex. Occup. OUTLET OR FIXTURES B20 g 1.00 Ex. Occup. oFlrL�ETS A oEE E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 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. f X GaM/Y� Date 1 1 — 7- Signature of fApplicant Owner,Contractor ❑ Agent An OSHA permit is requirefd for excavations over 60" deep and demolition or construction of structures over 3 stories in hep ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. n T AL FEE $ 376.40 HAZ. D IMP FLOG CDF PARCEL PD HD SUE 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. /� R By jp [ V PERMIT EXPIRES ON II Date Receipt No. Ja— l%, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PIN NS CTOR GOL E ROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: ` An "owner -builder" building permit has been applied for in your name. and be 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. I ersonally plan to provide the major labor al 'f ,f or construction of the proposed operty improvement : YES NO ❑ 2. VE.❑ HAVE NOT ),signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the'proposed construction: AME. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ~. ^ 4. I plan to provide portions of this work; but I have hired they following+person to coordinate, supervise, and provide, the major -work: NAME: ADDRESS: CITY: h PHONE: - CONTRACTOR'S LICENSE NO. 5: 1 will provide some of the work but I have contracted (hired),the following persons to provide the work indicated: NAME.. + ; ADDRESS PHONE+ TYPE OF WORK a M 1 SIGNED: PROPERTYOWNE - 1 SOS Y NI11MER: . DATE: 11— '% NOTE. This Owner BuildeP Verification is required by;Section 19831 and 19832 of the California Health and Safety- Code. This , verification - must- be - completed and y returned to 'our office before we arepermmittted to issue the permit } OVER QB•_I I 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 ofrecord 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 la_w to put their license number on all permits for which they apply. 11/ 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 ascontractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 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 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. rely, me el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER A Na nal Pollutant Discharge Elimination System'(NPDES) Phase II & SWP . Non -Certification for Project # for Butte County torm Water Permit Compliance By signing belo I, the project architect/engineer of record, indicate that I am aware that a construction proje that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the' State ater Resources Control Board. I, additionally, understand that it is the project owner's/owner' gent's responsibility to submit a Notice of Intent (N.O.I:), a Storm Water Pollution Preventio Ian (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to' obtain such ermit. I, further, certify'that this project will not disturb more than 1 acre of land. I have also r iewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, amento, CA. I certify that appropriate BMPs will be implemented to effectively minimize t negative impacts of this project's construction activities on storm water quality. I acknowledge tha 't is my obligation to make the project owner and contractor aware that the selected BMPs must a installed,, monitored, and maintained to ensure their effectiveness. If, at any time, site condition d/or observations by a County official warrant reevaluation and revisions of the chosen B the appropriate changes will be made without unnecessary delay. I am aware that failure to pr erly implement and maintain the BNTs necessary to prevent the discharge of pollutants from s project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 01), a Storm Water Pollution Prevention Plan (SWPPP) and a check for. $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of myknowledge and belief, that the information submitted is true, accurate, and complete. Signed: V� ( n1 #-'e Er Title: Date: 7 y •� NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan EA. USE ONLY Plot Pian AKachad Flans Plan A s! ad .b� Sant to g.0i TO: Building Department M�i} FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location . AP# Plan Approved for: Sewage Disposah,r Water Supply: Public Private Well' Clearance for dwelling. Other AA Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist UM- Date I.F.::.1.. 'Cir7 .,. ��-�.-.�.-s•r...�-xNLv �.,.,.. y.�•,�v�+.�„ y - ,� � , ,_ ., - r . �,5--'fir--ti._...... _7- w , - , - .. X, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION OWNER: 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 / PERMIT APPLICATION DATA SHEET V ASSESSOR PARCEL NUMBERy'0'1 - 61_G 1 v ( �� 11 Proposed Building Use: LA 11 `( iCounter TechnicianDate: �, e s required in order to apply for a permit. oxes MUAbe-checked OR marked NA n order o apply. . Site plans, 3 or 4 sets, signed by the prepar of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and = returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ Site plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings......................................................... Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form.............................................................................. ❑ 13. Fire Sprinklers.......................................................................................... ❑ 14. Agricultu al Buffer clr and site Ian apr from the Ag Commissioner Sent by 15. Other���P�—1 Pig items needed to issue the permit. (May require additional plan review upon receipt h followi items.)) es as shown on the attached Schedule of Fees Due Sheet ................................... .. atement of Intent for Non -heated and A/C Buildings.......................................nitation and site plan approval from the Environmental Health Department i / -/Q / ❑ City of Chico Plumbing permit........................i..................................... VCalifornia Department of Forestry plan approval paid. Sent by:%YI Z$.......//.:1. _403 21. Planning approval for (A) Use: UtC(B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26.' Contractor's license information. Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrie and Policy Number ............................................. -9 28. Owner -Builder Verification ( iven to owner, ElMailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ etter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone 7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: t: 7— C3 1. Index permit application for the above items numb ed: Plan Check Letter 2. Additional items requi _ ; Contractor, design wn as advised of the, data by phone, ❑ mail, ❑ counter, by VM Date: Contractor, designe , ner, w s advised of the above data b ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by Date:- (� ) Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r COUNTY OF BUTTE , DEPARTMENT OF DEVELOPMENT SERVICES —,BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 _SCHEDULE OF RECEIPT OF FEE_ S OWNER t A.P. # PROPROSED BUILDING USE DATE ' RECEIPT # DAT REC. BUILDING PERMIT FEES ® I� --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) 'Residential ............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) , Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES ' $510.00 (paid at Building Division) 7. FIRE INSPECTION AND PLAN CHECK FEE $89.00 id at Building Division) • JAI ' ' i 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. ' APPLICANT DATEOf _��� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You . have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner i (rev. 2/2003) ,. 15zo COUNTY OF BUTTE - DEPARtMEPJT OF DEVELOPMENT SERVICI=S - BUILDING DI�IISION 7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7 41 PERMIT NO. I 2/96) APPLICATION AND PERMIT����� SORPARCELNUMBER n �2 —7 — A / A ZONNO BUILDING PERMIT GYo NSTRUCnON LMER 131MER'S MAILING ADDRESS Fireplace Total Valuation $ FIXED AMM. Ex. Occup. OMETS (RESID )EA. 5.00 ARCHnECr OR ENGINEER LICENSENO. Filing Fee $ 20.00 Misc. Wirinq Permit Fee $ ^� ARCNTECr OR ENGINEERS LALLING ADDRESS ' Plan Checking Fee $ SUaDING ADDRESS Energy Plan Checking Fee $ / $ SV•f3 PERMIT FEE $ LOTNO. SUBDNISION'SNAMEC'i5-{PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 CJ r �L Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobllehome ❑ Other Water i 15.00 SPEC Each gas water he er or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outie 15.00 New ❑ Addition ❑ Regiqdel ❑ Utirrties Q In lation Other 13 Building sewer 15.00 Q Mobile Home S • G W @20.00 Describe Work: .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED4-04-cl I II� DATE RECEIVED RECEIPT # � ) q PERMIT FEE S ELECTRICAL PERMIT E00V OR LESS Main Service 2. OR LESS Maiq Service 200A TO 1000A ) g Fee 20.00 23.00 46.00 1.5¢x: EED7.50 .a EX. OCCU . 0VnZr OR FDnURES BAL ® .50 FIXED AMM. Ex. Occup. OMETS (RESID )EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 I PERMIT FEE S MECHANICAL PERMIT Fling Fee] 20.00 6.50 Ventilation I PERMIT FEP- $ Mobile Home Installation Fee $ Energy Inspection Fee $ f 1 >z 1 � I;Cr� TOTAL FEE $ This permit is hereby iss ed under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date Department of Development Services.. Building Division , 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY•BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form iscompleted, signed by the property owner, and returned to the Butte County Building Division. Attached' Accessory. Buildings and Additions. will be checked for residential use.. Exception:. Garages and Carports. Owner: Lo &kyw\0— `Phone: Mailing Address k yy``� Site Address: ' 2 C v�'t'v��Ahv� C.' Assessor's Parcel Number: Qa7-0 70 -0.70 Zone: y Please answer questions 1-16, and explain any yes answers for questions 2714 in the space provided on page 2 of this form. GENERAL INFORMATION:' 1. Is there a primary dwelling on the property? - YesNo ❑ 2. Is the structure already built, under construction; or under. notice of code violation? Yes ❑ No 3. Will items produced in this building be offered'for-sale? Yes ❑ No 4. • Will the public have access to this building? Yes C1 No 5.� Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5''of septic tank,or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property, line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road?. Yes ❑ No. 9. Will the proposed structure encroach within any recorded easement? Yes ❑ NoK CONSTRUCTION FEATURES: r 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ NoZ 11. Will this building be heated or cooled? Yes ❑ 'Noa 12. Will this building have a water closet/toilet? Yes ❑ ,Nom, 13. Will this building have a sink? Yes ❑ Non 14. Will this building have a water heater? Yes ❑ NoM + 15. What type of floor covering will the building have? - �% %� if, + t 16. What type of scall covering will the building have? W6 D AJC_ OVER r 11 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed - I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. rivate Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A Raraee door is required. 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely oxen. 4. ❑ Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy Z ❑ Other - Use = 1. Describe type of Worlahop Must be approved by the Me County Planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws requiredisclosureof this information if or when the property is offered for sale. Owner's Name: Please Print 1`6�Ci`l�l(1-n z- S �_ kZ.cr Owner's Signature: ��rt�/Yl/Y�_ '/j�c�/,Q�t Date: �%� -2�6 el 2 of 2 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF-bUTTE DEPARTMENT OF PUBLIC WORKS 1 7 COUNTY CENTER DRIVE OROVILLE„CALIFORNIA 95965 'TELEPHONE- (916) 538-7541 PERMIT N0. - or Address or locatio mobilehome ��..t� C7r— Owner's name (moi* Owner's address �`�% �• Insignia or hud number Manufacturer's name�--- y'. Serial number ofV.I.N. ?P6cL Year of manufacture (OFF pprov' Installation) (D te) r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 't 5138 White Owner, Yellow - Installer, Pink D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calitg0a 959f5 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-070-070 ZONING MHS BUILDING PERMIT OWNER ROXANNE PETERS TELEPHONE 9904 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 24 CYNTHIANN CT OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 CYNTHIANN CT PERMIT FEE $ ' OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome b Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation Cx Other O Describe Work: 500 SQ El MTN_— PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2600101 LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1O00A ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( & ACC. OLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification YL I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET I -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. Q .50 Ex. Occup' (OFIXED APPLNS. OR UTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's i Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X —f 'Q- Date CJ �Cf 9 Signature of Applicant tXowner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ HAZ. D. FEE IMP FLOOD CDF PARCEL PO HD I J 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. ql, BY Date PERMIT EXPIRES ON (Date( Receipt 168716 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Dwelopment Services Buildie nDivision Oroville: 7 County Center Dr., ,Oroville CA 95965. Ph: 916-538-7541 Chico: • 1469, Humboldt Rd., Chico CA 95928 Ph: 916-891-275.1 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. 1 personally plan to provide the major- labor and materials for construction of the proposed property, improvement (yes or no) S 2. I (have/have not) _ oa \j signed an application fora 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 1. have hiredthe following person to coordinate, supervise,_ and provide the, major work: r ! . Name Address City Phone: Contractor's License No. 5. 1 will provide some of the .work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work - Signed: 4 �0� • - Property Owner Social Security Number Date? . NOTE: This Owner -Builder Verification is sent to you as required by Sections. 19831 and 19832 of the California Health and Safety Code. } This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER If 2-2 kk,>v No. o1- / - 07 _ n Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........i�� )� 10. Fees of $ . ......... . 11. Impact fees as shown on attached schedule. ?.�0 1 .....................�-c - 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). •Pre4;sp-edior requ-e5l��, 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 .......,.. . 33. Tl� d rS�A/►� (.vt 34. When you issue the permi ,process as follows: Mail t owner. Mail to contractor. % Telephone an hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 9" 9 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 tqormit 1S.Suanc i len a of checked above). 1. Index permit for above items No. rX 2. Additional items required: Contractor, designer, owner, was adv' ed of above required data by _ phone _ mail Couriter by _ Date Contractor, designer, owner, was ft f above required data by - phone _ mail C e, by _ Date Plans checked b Date Plans a roved b Date y rr y 3a 2� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Govt rt�l C-0 CERUBUTE OF ANCHOR IMSTALLATION = Title 25 CCR Mobilehome Parks Act 'Section `1326 (4)(3) 'i I certify those portions of the tiedown system installed below grade were not damaged prior to or as a C result -of the installation, were not modified,prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer: r Model: GrL 1J 0 t' ' �o�oyr� �e 1,L' Installed by: G1'1nC B ate: � Contr caner: License No.`. y � ...� ��-ww..•. r^ . e.. .. . . .r w . �.A.�.. r+..v. Lam-. e+`4V.`.+...+r f..> r s-- r.'rw�r...^+.�-.wis. T•M1.. +�-. ti+-.e+r-.�..�..�•x'�+..,...-s:..��v�wa�..•+v...��+v .. ti,.. L.. . � .�.r-. � ,._..e_�� r� RESIDENTIAL j 027-070-070 PERMIT#94-2626 PETERS, ROXANNE i. h 24 CYNTHIANN CT., OROVILLE f RELOCATE UTIL EXIST SITE/MH 9,�i J=OK O = Not OK Not Not Readyable MOBILE HOMES Date MOBILE ME UTILITIES Plans OK except If's oiling Requirements -Setbacks -Easements Is: mower, atio all -C/O Concrete a ; Location -Test -Easement Needed (Sketch) lectricity; Location-Clearences-Grnd- camp -Concrete as; Location -Test -Wrap / /"L"ft. O& / /"Nat. or/!/"L"it. LPG 2►WEIQW ernce & Disconnect ility Clearance MISCELLANEOUS Date • DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except If'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- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B -t -Date Card B-1 Date— Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except k's onin Requirements -Setbacks Easements '-'ro-o 'ngs; Size -Spacing -Marriage Line .a11G`as',WTest-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances 5. ain; MH Test -Fall -Flex Connector ate Test -Regulator -Connector ate and Sewer Connected -C/O to Grade -HD Approval B�U_and Electricity Tagged its; Insp.-Sketch ert. of Occuoa c Date III U 'fi;L1' / _---$Hf Card B-1 Date �� Cira B -t Date Card B-1 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 If's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 1 10. Plumb.; Cir. Test -Water Supply Test 1 { Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 i' J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except ff's j 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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 a's Water Hir.: Vent -Access -Combustion Air -Baffle -------------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ---------- ------------------ --- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------- ----------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 --------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ----------- ---- -------- --------- ----------------------------------------- 23. E-lec. Receptacles Spacing -Lights & Switches at Doors ------------- ----- --- - ------------------------------------------------ 24. Size Boxes & No. of Conductors-Stapled --------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. ----------- -------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------ --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------- ----- 28. Subfeed Wire Sizer i ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At - --------------------------------------- 29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ----------------------------------------------- 30. ----------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ----------------------------- -------------- 31. Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----- - ----- - --- --- --------- -- -- -- ----- -- - ---------------------------------- - --- - - - -- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------ --------------------------------- 35. Vent Fan: Exhaust above insulation - - - ------------------------- ----- - - - --- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- --------------------------------------------------------- 38 Attic -Access-&- Platform if Furnance in Attic -------------- --------------------------- ---- --------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------ ------- --• ------- - ----------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------- ----------------------- --------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------------------------------------- ------------------------- 42. Draft Stop in Walls (rat proof) ---------------------------------'------ ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ----------------------------------------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) _r ---- 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root 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 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- --- __-------- _ 55. -Siding -Nailing Veneer _____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-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 N's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Meeh. Protection ------------- - 64. Bedroom Exiting ------------------------------ -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------- 67. Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth -------------- ------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance .-71.--Elec. --Elec. Outlets & Receptacles at Kit. Counter -- --------- - ------------------------- -- 72. Garage Fire Door: Swing -Landing -Closer -------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb.. Elec. & Mech. _Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes - - ---------------------------- 80. Followinginstld.: Drive ❑ Yes 1:1 No: Walks 0 Yes 0 No; Planters ❑ Yes _El N_o------------------- ____ 81. Stucco Brown -Finish ------------------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ----------------------------------------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ----------- ----------------------------- --- 86. Ventilation Throughout House - - - - - - -­--------------- ---------------------------------- - 87. Glass Protection ------------------------------- 88 --------------------------- ---------------- 88. Corrections from Previous Inspections ---- -------- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _.-------------------- ----------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ----- ---------------------------------------- 91. Energy Compliance Certificate -Other Certificates ---------------------- ----- --------- ----------- --- Date Card B-1 Date Card B-1 ------- -------------------------------- --- ------ Date Card B-1 Date Card B-1 --------------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO./ APPLICATION AND PERMIT - �-- qa&�<P ASSESSOR PARCEL NUMBER 028 027-070-070 ZA�I H5 ' BUILDING PERMIT OWNER ROXANNE PETERS OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE fECE&ONE SQ. FT. OCC. BUILDING VALUATION CON TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 77TUNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23. ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 24 CYNTHIANN CT PERMIT FEE $ 23.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME pggC Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome IX Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home I (X I W @20.00 60.00 TYPE OF WORK New O Addition ClRemodel O Utilities Q[Installation O Other ❑ Describe Work: RELOCATE 11TI1. EXIST SITE PERMIT FEE $ 8O. UU Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600VORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLOS. ) 3.50 FT,Sp- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License N0. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I; as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IflESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �11 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the grantin of this permit. /YAMS �Date i Signature of Applicant— ier O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 166.00 HAZ- I D. F IMP I F D PARCEL PO H I E y-� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY j PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /y Date J / / (Dere) ReceiptA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 �'h e'- ��,'`a9`�}Yta'f;:-rF•.,,�,,.r..ryas;�-v-"�N,v�,.,,f:f„�'+�;�vi�+�4rr3r�'di+'�y�;� �, r - COUNTY OF_BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION a. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLMATI N DATA SHEET o),"----' 0 Proposed Building Use 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. All items have been submitted . ........................................ 2. -Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/,4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...........Qii*n3ee*r" ..................... NZ 11. Impact fees as shown on attached schedule. California Department of Forestry plan approv9�0 . 13. Flood elevation letter (100 year flood) by Calif . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit.......................N................... 16. Plot plan and business license approval from City of Biggs/Giidley. 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). .. *Freansp.edion requ_eF_ 20. Pre -inspection for required. .. to Building Inspector (Date) j 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 . ........................................ A 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ` 1 27. Letter of intent on building use . ......................................... , 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue tt�gperm�it,7,pgo)ad s follows: Mail to �owner. Mail to contractor. Telephofie3 (o hold for pickup at _o�m1 j f Lu - office. Deliver with inspector. Other Parcel Creation q Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. 'Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail 16CPvAter by _ Date Plans checked by Date Plans approved by 1 Date Sets of plans on hold in� File cabinet AP folder Copy - Department of Public Works r w E.H. Y Plot Plan ACached Floor Plan Attached * r• Seat to B.D. / r; TO: Building Department �4 FROM: Environmental Health SUBJECT: Sanitation Clearance ke,Xq0IR� e-`74e.fr 5 C vt, 4 A,(- q,PLL ^2-07- 7o Owner ation AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: .NOTE: a 11 Environmental Qro� Specialist Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., .Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph:. 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please, complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally.plan to provide the major labor and materials for construction of the proposed property improvement (yes or no): 2. I (have/have not) Gy e signed an. application for building permit for the proposed work: .3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone- Contractor's License No. 5. ' I will provide some of the work but I have.eontracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date /.c? t7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety. Code.. This verification must be completed and returned to our office before we are permitted to issue the permit. fi 1112 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road,.Chico, CA - (916) 891=2751: h� 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 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, , Rfe se contact this office immediately. r - s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,,Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - Z -41? -4 PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addr s andshould be corrected. Please notify this office when correction of work is complet . If you have any questions pertaining to this matter, or need additional explanation, please,,o6ntact this office immediately. CD v Date /////`'7,.S Inspector /h REV 10/92 [ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine in_pPection indicates that the following violations of Butte County Ordinances exist at yabovddress and should be corrected. Please notify this office when correction of work d. If you have any questions pertaining to this matter, or need additional explanation,act this office immediately. /-�Z Yj 04C %L- /Z Srps al'i't ,Y r �`D S 4% D t/ J46 A / ae•- t '.3 ori S Date D Cf Inspector REV 10/92 Imo+^ uY'V.".T'.r�.,...,,,•ns�:x,,,ynrr-,.v-r•:vs.y,y�',wa�•^s�Rm,..R54�5.'�'AYti'r✓. "`_^.`". _--.-r,.a-��-..;�--. .�^;.eQ'Fx .. ; "r.."...�..,�'K �.. a�=��%".."` . .�•.�..,.—r--f+.r. ... _'v'a.�i :�7`x ;�.k.r« t it r BUTTE COUNTY SCHOOL'S IMPACT!FEE CERTIFICATION FORM ti (Ocie Form Per Building) . School District �� ��� L--�;.• •� C' j Building Department No. A.P. Numbers -O'70- D%D Jurisdictions City County Property Owner C6K Q K A Q Property Location/Address '� Subdivison Residential Development �Fn Commercial/Industrial 0 No. of Living Units Lot No. °Sq. Footage X67}.V MHI Addition (Group R) 0 0 Sy. Footage New Addition (Including Exterior Roofed reas) � /9 9 Date (Floor Plans reviewed by,School Distr cbPersonnel) uist ict Identificatio Nc. J)LSchool District certifies t Q cz We (Applicant) a NN �. (Street dE(resS) r (Phone Number) N, , (� r (City) (State) (Zip Code) has complied with the requirements of Resolution No. C,/ by payment of $ representing square feet. Check here if fee received r presents "Full Mitigation". �a K�z School District Representative bat r , Paid by CHeck # Remarks: f Bank Number Paid by Cash U; 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 (4/94) u -- 1 ` AP # 7 d b ' OWNER g_: - PERMIT PERMTT ZMH UT IL. CLEARANCE DATE /,:P INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. .rvice Other Pipe YES NO YES NO Lze Load Tyne Size Length 3 P w 04 MOBILEHOME INSTALLATION ACCEPTANCE _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE`- OROVILLE, CALIFORNIA — 534-4541 ' PERMIT N0-2-4-6 4-6 / R n�iAddress or location of mobilehome 1 a -'l .Owner's name .S YY1 l Owner's address /di�l.. ".Insignia or hud number 3 °'Manufacturer's name -;;) S! 1 i, % a ;,Serial numb�raf V.�f�h���s��� Year of manufacture �r / (Officio Approving stallotion) (Date) Y IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE �> COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER"DRIVE- OROVILLE, CALIFORNIA — 534-4541 PERMIT,NO.-2-3-6 7' P9 Address or location of mobilehome Owner's name Owner's address Insignia or hud number 'a 3R / _ Manufacturer's name ! ► lc-1� C Serial number of V.I:N� "�� 7 Year of manufacture 4h (Officia-i' ApprovingI�nstallotion (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE _18s7 --g7 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector � l- Date // �! `' ` Card -131 Date Card -E �• n 1 = OK '0 = Not OK �`• .. • MOBILE HOMES ' -MISCELLANEOUS ' yable = Not Ready Date " MOB =E HOME UTILITIES (Plans) OK except #'s ". Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s " . Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements Soil ; Special MH Support-Sketch - 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel e r; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails ater; Location-Test-Easement Needed (Sketch) F 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- lectricity; Location-Clearances-Grnd.-Z((13tAmp-Concrete Shthg.-Rfg.-Bracing L.6r Gas; Location-T st-Wrap: / �"L"ft: 5. Alum. Awn.; Col umns-Con nections-Splice- Decal- Enclosures / /"Nat. or"L"ft./ �PrLPG 6. Carports; Windows-Doors tw-otility Clearance- 7. Elec. - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh _ f Card-131 _ Date j - Card-B1 Date I 10. Roof; Shthg-Roofing Card-131 Date Card-81 Date 11. Ext.; Steps-Doors-Landings Date MOJRLEHOME INSTALLATION (Plans) OK except #'s fining Requirements-Setbacks-Easements Card-131 Date Card-131 Date . Foo 'rigs; Size-Spacing-Marriage Line Card-131 Date Card-131 Date as• H Test-Demand-Valve-Connector e icity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s ;&K- MH Test-Fall-Flex Connector 1 1. Setbacks-Easements ter; MH Test-Regulator-Connector ) . 2. Soils; Compaction-Structure Stability W,04r and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- G and Electricity Tagged Dead Men -Lining 48"Ex' ; Insp.-Sketch ) 4. Elec.;'Receptacles and Lighting, Distances-GFI bD-tert. of Occupancy t 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater Card-131 Date rd-81 Date 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. . Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-B1 Date Card-B1 Date : 9. Health Department Approval .. 10. Plumb.; Cir. Test-Water Supply Test • r 4 F Card-131 Date Card-131 Date Card -131 Date Card -E �• n i Card -131 Date Card -E �• n = OK 0 = Not OK Not Applicable RESIDENTIAL, (Single and Duplex) - = = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -Bi Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 79. Following instld.; Drive O Yes 0 No; Walks O Yes 0 No; Planters D Yes o No (NOTE: An entry must be made each time you visit job site) 80. Stucco; Brown -Finish Card -61 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -81 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 ��JJ APPLICATION -AND PERMIT ASSESSOR PARC L M 6 �7 0 7 DNIN BUILDING PERMIT OWNER T EPHONE H O SQ. FT. OCC. BUILDING VALUATION OWN FJrkS4M HILI G AD R E S S ZZ J 0 �- q5q CONTRA T R'S NAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER , UNKNOWN, Total Valuation $ Filing Fee $ _ - 1�pp— LENDER'S MAILING ADDRESS • Permit Fee $ ARCHITECT OR ENGINEER- LICENSE NO. Plan Checking Fee $ 16- 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Zd D/ V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO SUBDIVISION NAMEARCEL/MAP P 7ppS - Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -FG) 5.00 Mobile Home 75 O.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation[] Other❑ j Describe work: �Q a.& it 1 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10//�� 00 V. . v Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ; ❑ I am licensed .under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees withwages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. .7044) ❑ I am exempt under sec.—, Business and Professions Code for this reason oCCUP.y\ ya2sgft New CONST. ( DWELLINGOR ADDNS. ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS &) (SINGLE OUTLET CIR. E 5220050 Ex. ccup(ourLETs OR FIXTURES AL@3 OOt FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 OO Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( I shall not employ any person in any manner so as to become subject to the W. C. laws of California.' Notice to Applicant: If after making this statement,should you become subject to the W. C: provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County -of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence cl the granting of this permit. X . Date — ll.(A�' I` ' c t Signature Of Applicant — Owner❑, , Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- sslin height. ion of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J. ,occup. CONST.TYPc _=OOL IS P D PAR L P ND 39 This permit is hereby issued under sions of the Butte County Code and/or, work indicated above for which DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — — br Receipt No. (I ��G ^% WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT TO^ Buildinq Department rt FROM: Environmental Health SUBJECT: Sanitation Clearance Owner fi Loca ion L%�, AP# Plan Approved for: Sewage Disposal,_Water Suppl� Hold final for:.;. Water Supply Final clearance O.R. for: Water -,Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitarian Date t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEmCA.LIF,ORN1A 95965 -TELEPHONE: 916/538-7541 „• ��. PERMIT APPLICATION DATA SHEET J Permit No. OWNER �� yI�� A. /PJ. No. %` O T 71,, Proposed Building Use `��%�G� JBuilding Inspector. X// Date ��- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED ,1. All items have been sub/mitle_d-�, . . . . . . . . . . — Plot plans in duplic /� triplicat ,signed by preparer of plans. �e 4 _ 3. Complete tans in du Tica tri licate signed b preparer of plans. P P P P . 9 Y P P 4. Complete. engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. ®� Fees of $ ID Z 6- .9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) G �r O _ Owner -Builder Verification (Given to owner, Mail to owner/[] ) 15. Improvements may be required. , . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for—.------ _ _ Required, Pre-Inepec. P -- —- - q Building Inspector request to (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of 21. — -- _ 22. — — — -- When, you issue the permit, process as follows: M"ai<lo;�o owner, Iv±ail to contractor. TeIephoneS3y 7%% and hold for pickup at ' office, Deliver w/inspec tor. Other Applican� �&,20 JA_ 46 `Date 0'!/ Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. a—__ 2. Additional items required: —_—_ Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised c.' above required data by—phone_mail_counter b date Plans checked by Date Plans approved by VDate Sets of plans on hold in File cabinet AP folder Copy—DPW .4 ,..''COUNTY OF BUTTE - Department -of Public Works 7 County Center Drive,-.Oroville., CA 95965 • o OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will:'be,issued until this verification is received, 1. I personally.plan to provide the.major labor and materials for construction -of the proposed property improvement (,yes or no) 2. I (have/have not) g,�Q , 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 r Address City Phone Contractors License No. 4,,-I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,'and provide the major work: Name 'Address City Phone Contractors License No. 5. I will provide some of the work,but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work r Siped: ; Property Own(Cr Social Security Number Date C�504 CIg� �J NOTE: This Owner -Builder Verification is`sent to you as required by Sections 19831 and 19832 of the California Health and,Safety Code. t This verification must be completed and returned to our office before we are per- mitted to issue the permit. AFFIDAVIT OF COMPLIANCE , "WITH COUNTY ORDINANCE 2277 w. ` '(ADDITIONAL DWELLING IN x SINGLE FAMILY RESIDENTIAL ZONES) Applicant l , . Date , Zone AP # a 7 -tO Building Permit # u�rle , do declare, that the dwelling (Building Permit # ) at address (present) (� �c,v', l� P C on AP # _� -`� -�']-��'�is intended for the + sole occupancy -of one adult or two adult persons who are 60 years of age or, . over, and the area of floor space of the dwelling unit does not exceed�,640. square feet. I also understand that violations of these provisions are subject to the penalties provided in -Section 24-63.1 of the Butte County Code. { Signed 1 ' Dated. y 1 4 AP # OWNER. au r C PERMIT k 026 6 �6 MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YESI NO YES NO Size Load Type Size Leri th G -1}o '14 Y r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i -7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �J�J .. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2 ZONING BUILDING PERMIT ' OWNER TELEPHO �� SO. FT. OCC. BUILDING VALUATION OWN 5 M7 1 G DDRES M D CONT RACTOR'S N.00VIE TELEPHONE CONTRACTOR'S MAI LI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ (C5. 0o 'Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS � Permit fee $ o,s o 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther 77�T SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISFG1 W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Install latioPJ�T Other ❑ Describe work: d Z4yy7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCC UP.') , z� OR ACDNS. .ACC. BLDGS. �SQ f< NEW CONSTR. MUCTI-OUTLET 2.50 ea NON.RESID .BRANCH CIRC ITS POWER_APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 2ALO 30 eALO 30 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 ' Mobile Home Facilities _ 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. M I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XDate / �� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ CJ Energy Inspection Fee $ TOTAL PERMIT FEE X$ �, Occup. CONST.rTPE SCHOOL I PLo D P1IRC EL Po ND sSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC P T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date. r r Receipt No. ll 1=?1 5�1111// 1�17BY WHITE-D.P.W.. YELLOW-ASSEe3oR. PINK -INSPECTOR. GOLDENROD -APPLICANT } "�+5}, RfY fjii yl y4 � Y ' i'�e !+ v � t, 1 y ��` r '"�✓ , + 5 ti ' Y<0 yi k'�"'. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEi C;wLIF&O.f3W 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit No. A. P. No. L� %-0 '7/� Building Inspector Date A7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1.,.All items have been submitted. 2I�N Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 1. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner') g 15. Improvements may be required. . . . . . . . . . . . _gK6. Mobilehome Installation Data. . . . . . g Pre•Inspec. request to 17. Pre -Inspection for-------. -_ __.__ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. — 22. _ When you issue the permit, process as follows: Mail to owner, ti?ail to contractor_ Telephone 533/ 17%D% and hold for pickup at—off ice, Deliver w/inspector. Other Applica Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). (Dote) Contractor, designer, owner, was advised of above required data by_phone_--nail—counter by date — Contractor, designer, owner, was advised ci above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW `COUNTY OF BUTTE - Department of Public Works 7 County Center Drive;••Oroyille., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION W A Attention Property Owner: 'An 'owner -builder" building permit has been applied for in your name and bearing your- signature. ' _ J Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing : -you r'building permit.. No building permit will'be.issued until this verification 'is received. 1. I personally plan to provide the major labor and materials for construction of " the proposed property improvement (yes or no) • --=•ice . 2. I (have/have not)o signed an application fora building permit" for the proposed work 3. I have contracted with the following person (firm) to provide the proposed " 'construction: Name Address City Phone Contractors License No. k -_J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.. 5:• I will provide some of the work'but l have contracted (hired) the following persons to provide the work indicated: Name Address r Phone Type of Work f Signed: Property Owner Social aecurity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'his set of plans and specifications MUSt lept,on•-the job of all times,and if -is unlawful to ¢ - ,�' ,. make anychwges or alterotions on same without y writisn po mission frim "the Repd4rnent'.of Public WarCs, County of Butte. "' s ,' 3• ,, ; .. •s.�.ot.*.sr+.�:,Y•t...,,."'r'i.'i'•t.,•^'n,.-`Mae;•r-1"""n`^�"""'�a.y`i.""X.".',"". "^+ir'- __-r-+M-M— t-Y-�.,N�....,�..r .+..• ...Rtr..�j,w._ ..+..«. ._ R.b.,...�..w..•,_'..•,.:,F,,.,ya.:, 7 CyNf�'i ion ae l.vti S.c� n,; /3N r �� t ..y.+.,+.r1w..arr..:.-ss-e.•t.-..+w.,...,:+1�•.._ .-p...w=_-+.;.��t-•-•., «.�+..r.,. r..,.ti:.-.. _ .._ f,.v+.."r._-bli.-..«;,,.�:..4 y ' 'Y Vis^ rw.,..-...� ..A,r-^..r .,.u•+r`++,..-«..+a.-..'.:.+.mow,-�w+.w.' • ' .,...- _ ~ • � * � � �f +t•�� r �' _,;s,.. r,. _. _ �' 11 c►p !, ....,:..... _ __ .y,.. _ ,.,.�.,,.�1-� /Zocs�S uri'r_„_„ !_.�!0�!,!� ..' ,..• 4 ,'MdI rod W'yrQ})�� qb . ...___.A:+:+w” �+';4w.,.,..i.fii�W�'•-+,.-,.�a.�.a.,..._..y �.�:r*,'�-'w^ yOW�1� �`._.-a•y_ '�`. - '".'.y' �I; �` r�':i�K ��rrill �. f .'.1 �?r'"j r .+rfr- w M ..-1.+•..•..... ,.z x�Jv _ �"n+ar.+ r✓,C'•.i ✓..�. /:. ..r-!- , ,.....w.a +..w.; w......1 .......1+w�:,d .kp.,ry.o,c....,.i.+...w:.y,n� ' 3�__. _. 14 D7 I 07 0 � iy co nnp/ctions.sliall be:witAin r' * s •► permit Will °•e "� nbil w ba. rb - „rt ehome, either, .. g allmtlo--�`�,11, We. rriobilehame. i.. directjq behind or within the rear . '°`'` •� L r ha#)of-the ,tea, obilehom , 14 once with Recognized' Good Prootless: 'p _ ._. +, _ . •_. : _s ._ .... _., .. p of a qty res eaCILIMA ' M }' 11>�wfortr�:.6 ing., Plumbic8c Ma aniwV lfft...from.the... Property lines and a setback ,�..;:.,:..� ..•�.,,_of.5Dft..frorn•.the=road-- ... _ ...:�.:._...:. _ .��.__ _ _ ' • -_ centerline shall be clear of r BUTTE COUP ^ ~�' - structures,or equipmemi eRde0 _ ._ _ _ _.., _._.. _. , for a 2 ft: eave overhang,Y �U• G DEP BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center.D.rive, Oroville., CA PHONE: -538-7541. MOBILEHOME INSTALLATION SHEET U V' C e 1. Owner's Name: 4 6� " �� 2. 'Installer's Name: c it - . 3. Is the site currently under permit? Yes ;No (If yes, furnish .permit number ) OR - Is the site an existing site? Yes- No ❑ . (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away.from`septic tank- and leach . fields and clear of all setbacks and easements? Yes � No (If no, clarify 5. What is the mobilehome electrical rating? --------- - - - --. 1-O . Amps 6. What is the mobilehome site service/rating-------------- Amps 7: What is the mobilehome site circuit breaker rating? ----- a.. Amps 8: Is there any other electric load to be served by,the ---- -------------------------- mobilehome site service? --------------- Yes No. (If yes; identify the load and size: (Load) (Amps) ' 9. What is the mobilehome site gas pipe size?,-------------- - (in.) .10. What is the type of gas service? --'-7 -- ------------ Natural LPG 11. What is ,the gas pipe length from meter or tank to the Y mobilehome?,------ - -----------------------------=------- (ft.). 12. What is the mobilehome gas"demand?--------------------- (BTU) *(This information not required if pipe length less than 6 ft. on..' natural gas or less than 50 ft.. on LPG:) MOBILEAOME SUPPORT DATA C /� A If other than single wide, Mobilehome Mfr. N_q �7 t4A furnish Setup Model No. J Year Width --_(ft. ) Box Length �% (ft.) Tagalong or Expando Size ft, x _-ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte•). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one) 1. Concrete block. a 2. Other (specify) Pier•Footing Sizes and Locations S1NCLE-WIDE MULTI -WIDE Line 1 a .` Line 1 Ito _• _ _ _ _ _ — _ — Line 2 Main Beams J -------- Line 2 — — —Ma — —am — — — — — — — — — — —. —. in Beams — Tag or Triple F- —• — — — — — — — — — — �� Line 1 Line. 1 Piers: Line 1 Openings: Size -Min. ------------ �. to ._15 i Size -Min. ------------------� n Spacing -Mux. ------ 7-- Each Side of Openings Fran Enda-Max.------- '�A ; With Width Over--------- " line "L Piers: Size-Mln.------------ ux r Spacing -Max.--------- r_ ? n From Ends -Max .------- '- Line 3 (pf)f loads: Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x 'Spacfng-Max.--------------- r From Ends -Max .------------- Size -Min.------------ " "x "x "x "x "x "x N N Uw atlon (From Front) _ - - - - - - Ii— 4 tLers: T Line 5 Piers: (Under Bearing Walls Only) Slzc-Min.------------ Size-Mfn.------------------ "x I. Spaciog-Max ---------- .� Spacing -Max ---------------- From Ends -Max.------- �•.FFom,ESU:FT. �� ¢ r / �J TV 5 Hoof Loads: �, ��j .vK1^ Size -Mil .---•--------- Location (From Front) "x "x Ix "x �`'a ' r• : tea. ryxh' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `* w 7 County Center Drive - Oroville!California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL%NUMBER .' f) - ( . ; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 0 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be -corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector__ Date . R / V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califbrnra 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT U CJ ASSESS PAR E UMBE ZON — BUILDING P RMIT IJ OWNER TELE Ho SO. FT. OCC. BUIL ING VALUATION O NER'S MAILING OR SS r v - CO A OR'S NAME TELEPHONE - n CONTRACTOR'S MAILING ADDRESS Fireplace CON STTION�LENDER UNKNOWN LENDER'S MAIL NG ADDRESS Total Valuation $ Filing Fee $ 10,00 Permit Fee $ ARCHI T OR ENGINEER LICENSE NO. Plan Checking Fee $ 90 et Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS i $ Penalty $ BUILDING ADDRESS % ( Permit fee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 D (/ Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE M Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Mobile Home S G W 10.00ea SPECIFY TYPE OF WORK New Addition Rem del[] Utiliti ❑ Installali.on Other ❑ Permit Fee $ Contractor Describe work: Y ` ` 8 l� r VC- ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR L 10000 AMP ORSLESS 10.00 l0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.6 , h2sgft New DCONSTR� A ULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (PO WER APPARATUS e SINGLE OUTLET CIR. ! Ex. Occu 20050c Occup(OUTLETS OR FIXTURES 5AL030 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Fac'lities 15.00 Mg t" - 15.00 oi, ❑ 1 am exempt under Sec. , Business and Professions Code Permit Fee $ S for this reason Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g Hood 3.00 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, I dgments, costs, and expenses which may in any way accrue against id C co uence of the granting of this permit. -cc uP.CONST.TYPE FLOOD PARC PD ND I Is9ury X qD^ Q/ Date d� (Lw Signature of Applicant — Owner Contractor ❑ Agent ❑ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height DIRECTO OF PUBLIC BY WORKS Date /L 7,1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PEFddT EXPIRES Date _-7—:— ` 1 tt t or COUNTY OF BUTTE - DEPARTMENT-,Of,PA)BLwIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -, .. Permit No. OWNER S041 A. P N Proposed Building Use C� �� ✓") C I Building Inspector Date 1111 1 t66 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: - . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerE]), _15. Improvements may be required. . . . . . . . . . . . 'b6. Mobilehome Installation Data. rrPrerequest t - IW. Pre -inspection for C rC_ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, —Mai l to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant /�"�/l Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_<counter by date s Plans checked by Date Plans approved byj Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. 1. h COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: -916-534=4541 OWNER -BUILDER VERIFICATION Attention Property Owner: s An 'owner -builder" building permit has been•applied for in your name and bearing' your, signature. Please complete'and return this in'formation at your earliest opportunity'to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until'this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or`no)• �S 2. I (have/have not) signed an application fora building -permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License -No. 4. I plan to provide portions of,this work;'but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.-. ` 5. I will provide some of the work but I have contracted•(hired) the -following persons to provide the work indicated: , Name Address Phone Type of Work Signed: f' Property Owner Social Security Number Date ' NOTE: This Owner -Builder Verification' is sent to you as required by Sections 19831_and 19832'of the California Health and Safety Code. This verification must be completed'and,re'turned to our office before .we are per- mitted to issue the permit, t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califofnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT " ASSES Q PAR ELI UMBEj _ zoN 1 BUILDING PERMIT OWNER 1 TELEPHOW SQ. FT. OCC. BUILDING VALUATION O NER'S MAILING 'CR.ESS C OVIA OR'S N AM E IV n TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST li TION LENDER UNKNOWN Total Valuation $ FilingFee C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI E•CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS^ .- 1 / L h Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 D (/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME\\V PARCEL MAP Water piping 55.00 Each qas water heater or vent 5.00 USE OF STRUCTURE] SF ElDuplex❑ Mobilehome❑ Other 1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition Remodel❑ Utilitiies❑ Install�Lion Other ❑ Describe work: i" V r — <4-- F Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service X00V 01 LE 0 AMP OR 0LESS 10.00 Main service EA. ADD'L 100 AMP 2.550 JrvJ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license Is In full force and effect. License No. Classification �J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.f)I OR ADONS. ( ACC. BLDGS. , /20sgit NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050* eALO 30 FIXED AP LNS Ex. OCCUp. OUTLETS RESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Fac'lities _ 15.00 ' M 15.00 Ai• i Permit Fee $ S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f. of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, j dgments, costs, and expenses which may in any way accrue against id C co uence of the granting of this permit. �/ X (L Date 1 fP Signature of Applicant — OwnerCK Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ - O=PEJ IFLOODIPARCELI PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date L Receipt No. WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ❑ Complaint -Date ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING RM 14 5� Owner- CTG6cPi tSOJ-7 A.P. # Address: ` P d f3 01C Date of Inspection Tenant (Sa ✓h R u re ke &) Inspector Building Location: 7 y7 7<h , 'O1 ",P7 Q1—a all Type of Inspection requested:. 1. Housing / / 2. [.4. Work W/0 Permit Financing / / 3. Change of Occupancy to Present use of building: A. Sanitation (Housin 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Other (specify')' rn� ala perY;nr1s 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects',.vermin, or rodents: 11. Connection to sewage disposal: " 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural C. 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical •1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: a E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. _Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations /� ArM��� 1. Problem or violation (give complete description): NO 2/ lov�4 2. What action taken (g vecomplete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. = C. Write letter. / /.D. Other: .Complaint -Date ❑ Other -Date -BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS -SPECIAL INSPECTION REPORT 'jC l / j ZOIvItm j7 Owner ^ �Q �Ll ' P A . P. ��)"7 --0-7"70 Address: (-Q' tl/l l J1�01�f I 1'� Date of Inspection/- Y Tenant: Tenant: Inspector Q Ot/J�l �.lQV1 I I Building Location: 1 ✓N I /I�OVI Type of Inspection requested: 1. Housing ".,2. Financing' /_/ 3.. Change of Occupancy to ` 1�4. Work W/0 Permit / / 5. Other (speeify) Present use of building: - A. Sanitaiion (Housing) i r 1. Water closet: " 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: ' 5. Hot and cold 'water to "fixtures-:", 6. Heating facilities: 7. Natural -light and ventilation: 8. Room and space requirements: z" 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. yConnectionito water supply:. w 13. Rubbish and garbage facilities: ,+ ' 14. Staitr�s,:(Rise, 'Run; Headroom, lHR, Tolerances,Handrails)- ' 15. Comments: ` 1. B. Structural 1. Piers and footings: 2. Floor construction: ` 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. 'Electrical ' 1. Service and ground: 2.-. Receptacles: 3. Fusing: 4. Comments: a E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:: 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): ke OA�-Zd g24- 3. What action recommended: A. B. %7 c. D. Information only - file. Hold for ten days, then write letter. Write letter. Other: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE' OROVILLE, CALIFORNIA — 534-4541. PERMIT-NO.�Qy S A, % or location of mobilehome I . Owner's name t- Owner's address l ,Insignia or hud number AManufacturer's name Serial number of V.I.,N,. i 9 Year of manufacture . M (Official Approving Installation) , (Date) 3 a IF,THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ` ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE• _ w, 4r, MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. - f 5138 White --Owner, Yellow - Insta.11er, Pink - D.P.W. COUNTY O BUTTE DEPARTMENT QF PUBLIC WORKS 196 Memorial Way, CY co — Phone: 891-2751 7 County Center Drive, roville — Phone: 534-4541 Skyway and Elliott Road„Paradise — Phone: 872-2961, Ext. 57 CORREIdTION NOTICE R — � �, MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector 2 _Date{="� J = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES r MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements �i f. Soils; Special MH Support—Sketch MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements f. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors wer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances—Grnd. a Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ /"L"ft./ "Nat. /"L"ft./ LPG 6. Carports; Windows—Doors L7�Utility Clearance _ 7. Elec. ` Card -BI Date :: Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date k6BILENOME INSTALLATION (Plans) OK except N's .. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except q's 1. Setbacks—Easements: 2. Footings; Size—Spacing—,Marriage Line 2. Soils; Compaction—Structure Stability Gas; lH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 ctricitM es — rossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GF] 5. Elec.; Pool Lighting; 15 volts—GFI 5 Brain; MH Test—Fall—Flex Connector + 6,,Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec:; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch 0. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date — Card -BI Date Card -BI Date Card -BI Date Card B-1 ff,6 ate Card -BI Date Card -BI Date Card -BI Date r r J = OK 0 = Not OK -='Nt'yable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. -2. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer - 6._Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access_ _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe: Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. _ _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date _ Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fitngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ _ _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B-1 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. _ Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ,_;No _ Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ Date Card -BI _ Date _ _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under -Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks [i Yes ❑ No; Planters El Yes IJ No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Dale MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. _ Gas ;est -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts Insulation & Support _ - _ - _ _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet_ Attic Access & Platform if Furnace in Attic Date Card -BI Date - Date Card -BI Date 85. 86• Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com Tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs_Cha_se_s'-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfti. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE. Anentry must be made each time you visit jobsite) f- `COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'$5965 - Telephone 916/534-4541 APPLICATION AND PERMIT P MST NO. ASS 5 oR PA C _L NU E � z I G BUILDING PERM& JJ� SQ. FT. OCC. BUILDING VALUATION lid 0107- t4 A "oZTI' O S M ILING A RESS y COR OR'SNA E TE EPH ON'E V-' CONTRACTOR'S MAILING ADDRESS Fireplace CONS3F4JCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 0 Permit Fee $ ARCHIT CT OR ENGINEER - LICENSE NO. Plan Checking Fee $ /J ARCHITECT R ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Water piping 5.00 � Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MobilehomeOther Building sewer 5.00 SPECIFY Mobile Home S W 10.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other E] Permit Fee $ Describe work: G Contractor _ ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 r Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OC CUP.. ,z¢sgft 2/ I declare under penalty of perjury (check one): New CONSTR.( A MULTI -OUTLET 2.50 ea F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification EO Ex. ccu Occup(OUTLETS OR FIXTURES zo®sos 9AL(30 X1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, Mobile Home Facilities 15.00 as th(Sece owner, am exclusively contracting with licensed contract- 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 1 have placed on file with the County of Butte Building Department of Workmen's rkmn's Compensation Insurance or a Certificate of Consentto Cooling 'f✓t I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPEJ Plop PARC PD ND ISSUE all liabi ities, dgments, costs, and expenses which may in any way accrue 0 against a y e uence of the granting of this permit. X Date S' � � This permit is hereby issued under the applicable provi- the Butte County sions of Code and/or resolutions to do Signature of 4Wplicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct-' RECT,01YOF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. _ %� ` By PITXPIRES Date 3--7"R% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Date 3--L-7-�,T To: Building Frons . ''nv.irorir;entc;J. }Ie lt,h Subject: `'anitati.on (..%mer Location Plan Approved for. Pk tl:t.er : un;)1y Hold final for:.at c r :..upply Final, clearance O.K. 01': is -ter supply Clearance for home .7-7 Sanitarian a - COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL•IFORNhA-95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER gam V'o a 7Y_ A. P KI o. a2P —O PD Proposed Building Use _ Building 'Inspector ( Date % v 5) At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted, . _ �. Plot plans in duplicate. triplicate, si ned by preparer of plans. 65 3. Complete plans in duplicate rip icate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . „ Pre-Inspec. request to Pre -Inspection for Required. R,,;,a;-„ ,,,�­,,,, Recorded copy of Agricultural Acknowledgment Statement. 9- t Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, rf�oce<js as follows: Mail to owner, Mail to contractor. TelephoneC�f©i and hold for pickup at office, Deliver w/inspector. Other (Date) Applicant Date 3-3_87 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: rmit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---Mall Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked Copy—DPW Date Plans approved by nter by date— nter by date _ c.3 Date � Sets of plans on hold in File cabinet AP folder H'!ours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works T County Center Drive, Oroville,.-CA 95965 OWNER -BUILDER VERIFICATION ti Phone: 916-538-7541 .Attention Property Owner: <' An"owner-builder" building petm'i"t'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 youi.building permit: No building permit will be 'issued until this verification is received.' 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed worrtc. 3. I have contracted with the following person -(firm) to provide the propos.ed- construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work�but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Fu Signed : ' Property Owner Social Security NumSer -: NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of'the California Health and Safety Code. This verification must be completed and returned to our office before -we are per- mitted to issue the permit. r Return -to ,DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT :�`GO ICiA BUTTE DS B COUNTY FOR RESIDENTIAL DEVELOPMENT OFF{Ci�L R�COs;DS BY Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 7-10881 egg 'RAR 25. AM :10: 42 The property described herein is adjacent to land or included CANDACE J.GRUBBS within an area zoned for agricultural purposes,.and residents of this property may be subject to inconveniences or discomfort arising from ,CLERK-RECQRDER,FEE 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 -zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should -be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property 'situate in the County of Butte, State of California, described as follows: ***SEE ATTACHED LEGAL DESCRIPTION*** . c?rr�-,,•,��MQq�'Ep WET Date: 3'�S- �7 State of California ) SS County of $utte ). ■ ■ PROPERTY OWNERS: On this the 25th day ofMarch 19 87 , before me, the undersigned Notary Public, personally appeared ***SAM BURCHETT*** Personally known to me. Proved to me on the basis of satisfactory evidence. to be the personVs6 whose name(Ah is subscribed to the within instrument and acknowledged that he executed the same for -the purposes therein contained. IN WITNESS WHEREOF, I her -1. nto set my hand and official seal. Present A.P. No. %%--u C A. DAVIS Notary Public DEBORAH A. DAVIS i ■ ■ �p ■ NOTARY PUBLIC -CALIFORNIA ■ ■ Butte County ■ ■ My Commission Expires April 30, 1990 ■ PROPERTY OWNERS: On this the 25th day ofMarch 19 87 , before me, the undersigned Notary Public, personally appeared ***SAM BURCHETT*** Personally known to me. Proved to me on the basis of satisfactory evidence. to be the personVs6 whose name(Ah is subscribed to the within instrument and acknowledged that he executed the same for -the purposes therein contained. IN WITNESS WHEREOF, I her -1. nto set my hand and official seal. Present A.P. No. %%--u C A. DAVIS Notary Public PARCEL I: Lot 4, as shown on that certain Map entitled, "CYNTHIANN SUBDIVISION", which Map was filed in the Office of -the Recorder of the County of Butte, State of California, on December 5, 1984, in. Book .95 of Maps, at Pages 69 and 70. .RESERVING THEREFROM a non-exclusive public easement for ingress and .egress and public utility purposes as shown on said Subdivision Map. ALSO RESERVING THEREFROM those portions for a well area easement, a 10 foot water line easement along the outer side of Cynthiann Lane and Cynthiann Court and a 20 foot crossing, as shown on the above described Map. t PARCEL II: A non-exclusive public easement for ingress and egress and public utility purposes, as shown on that certain Map entitled, "CYNTHIANN SUBDIVISION", which Map was filed in the Office of the Recorder of. the County of Butte, State of California, on December 5, 1984, in Book 95 of Maps, at Pages 69 and 70. PARCEL III: A 10 foot water line easement along the outer side of Cynthiann _Lane and Cynthiann Court and a 20 foot crossing, as shown on that certain Map entitled, "CYNTHIANN SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on December 5, 1984, in Book 95 of Maps, at Pages 69 and 70. PARCEL IV: An easement for road and public -utility pur-poses over a strip of ground 60 feet in width lying Northerly, Westerly and contiguous to the follow- ing described line: BEGINNING at a point'on the East line of that.certain parcel described in Deed to Northwest Pacific Resources, Inc., .recorded September 6, 1980, in Book 2539 of Official Records, at Page 38, from which the Northeast ° corner of said Northwest Pacific Resources, Inc., parcel bears North UO. 19' 39" West 60.UU feet; thence from the point of beginning South 890 03' 09" West 254.15 feet; thence South 02° O1' 51" East, 244.14 feet; thence South 040 56' 09" West 655.78 feet to the center of the existing right of way as contained in said Deed. PARM V A non-exclusive easement for road and public utility purposes 60 feet in width over an.existing'road as set forth on that certain Record of Survey filed July 5, 1974, in Book 47 of Maps, at Page 93, the centerline being more particularly described as follows: (continued) PARCEL V (Continued): ;./.BEGINNING at the Southwest corner of Lot 3, of Subdivision No. 2, as shown on that certain Map entitled, "MAP OF THE SUBDIVISION NO. 1 AND 2 OF THE P. C. DRECHER TRACT", which Map was filed in the office of the Recorder of the County of Butte, State of California, in Book 1 of Maps, at Page 25; thence following along the Westerly boundary line of said Lot 3, North.0 17' 00" East for 89.58 feet to a point located in the centerline of an existing roadway;' -thence following along the centerline of said roadway, South 300 44' 40" West, 432.63 feet; thence South 350 16' 10" West, 496.53 feet; thence South 650 27' 00" West, 713.80 feet; thence South 410 02' OU" West, 228.54 feet; thence North 750 30' 35" West 106.02 feet; thence North 30 04' 55" East 225.42 feet and being also the true point of beginnigg for the centerline herein described; thence from said true point of beginning North 130 29' 35" West, 367.16 feet; thence North 660 11' 05" West 558.40 feet; thence North 530 07' 05" West, 186.77 feet; thence South 780 04' 25" West, 285.73 feet; thence North 75° 36' 15" West, 245.53 feet; thence North 54019' 45" West, 263.57 feet; thence North 610 31' 05" West, 255.29 feet; thence North 73.° 35' 45" West to a point that bears South 60 feet from the centerline of the Easterly extension of Bohemia Avenue; thence West and parallel with the centerline of the Easterly extension of Bohemia Avenue to a point on the Easterly boundary of Citrus Avenue and the end of the herein described line. PARCEL VI: A non-exclusive easement for ingress and egress and public utility easements over Parcels 1, 3 and 4, as shown on that certain Parcel Map entitled, "Being a portion of the NE 1/4, Sec. 4, T.18N., R.4E., M:D.M., in the unincorporated area of Butte County, California", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 12, 1981, in Book 81 of Parcel Maps, at Page 40. PARCEL VII: Non-exclusive public easements for ingress and egress purposes as shown on that certain Parcel Map entitled, T.19N., R.4E., M.D.M.", said Parcel Map was filed in Recorder of the County of Butte, State of California, Book 88 of Parcel Maps, at Page 86. and public utility "Lying in Sec. 4, the Office of the n July 6, 1982, in ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load �T " e Pipe Size Length YES NO YES NO s = COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • ASSE S R PARCEL NUMBER /� _ ZO ING s BUILDING PERMIT ow A r TEL P oNg� %D SO. FT. OCC. BUILDING VA A N OW ER•SAILING DORESS (�yn4 Svi Orov' e CON��,ACTOR'5 NAM U ✓-1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$ y ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Al Solar or heat pump water heater 20.00 LOT NO. SUBDIJOjISION NA E /�/ fi (.{ 17 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition Rgmodel,0 Utilities ^❑ Ir}�s+t cation Other ❑ Describe work: I '/ [) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �y I7CI 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN o.CCUP.�� yz2sgft oR ADDNST DWELGS / NEW cONSTR ULT'.OUTLET NON •RES ID BRANCH CIRC ITS 2,50 ea (POWER /POWER APPARATUS .&) OUTLET C'R. ( Ex. Occu 200500 pt OUTLETS OR FIXTURES awL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Home Misc. H g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 54 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ies, judgments, costs, and expenses which may in any way accrue against id C equence of the granting of this permit. %� Date �.5-�% Signatl pp dant — Owner" Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D occuP. CONST.TYPE I FLOOD PARCEL P11 ND s9yE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date G ") ^� Receipt No. C� 7/ WHITE-D.P.W., YELLOW-ASSE SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,� � -R .: sTra. l4lt r. 1:%+i'-,�-nr.F^«+a �r,.: •.:'� �. r .. ��r'.? .. .. � �.` _ COUNTY OF BUTTE - DEPARTMENThOF PVB,L-,!C WORKS -BUILDING DIVISION - m- `,V- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Pn AU ✓C (" ` A F Ki o. C Proposed Building Use /'/ I ?Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed•"by preparer of plays. 3. Complete plans in duplicate./triplicate, signed by preparer o,f plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . i 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner F] _15: Improvements may be required. . . . . . . . �. /- :!?`16. Mobilehome Installation Data. Pre-Inspec. request to 17. Pre -Inspection for Required- Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. - 20. Plot plan approval from city of 21. 22. When you issue the permit, prRRces� as follows: Mail to owner, Mail to contractor. Telephone �3� �iO > and hold for pickup at �� office, Deliver w/inspector,. Other Applicant Date Copy of plans sent Health Dept., Fire Dept„ Other Date 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---mai I counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by— date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: Y 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 youi.building permit: No building permit will be issued until this verification is. received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (:yes or no) Y.2 S 2. I (have/have not) hau e signed'an'application for a building permit for the proposed work. 3. I have contracted with the following person -(firm) to provide the proposed - construction: Name Address City Phone' Contractors License No, 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors. License No. 5. I will provide somelof the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type. of Work signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections.'19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OFPUBLICWORKS 7 County Center Drive, Oroville, CA F PHONEi 534-4541 MnRTT.F.1• r F. TNSTAT.TATTOM SHF.VT 5. What is the mobilehome electrical rating? ----=---------- �8� Amps 6. What is the mobilehome site service rating? --- Amps 7. What"is the mobilehome,site circuit breaker rating?.----- _.Amps .8. `Is there any other electric load to be served by the mobilehome site -service; -=------`-------'----------------- Yes f No El o (If yes, identify the loads and size: -(Load)' (Amps) 9. What is the mobilehome site gas pipe size? - ------ ------ / (in.) '10. What is the type of gas "service? ;-=----------- ----'Natural El LPG 11. What is the gas pipe length from teeter or tank to the mobilehome?-----------=------------------------ � (ft.) 12. What is the mobilehome gas demand? --------------------- (BTU)- . .. *(This information not required if pipe, .length less than ;6 ft. on natural' gas or. less than ,50 ft. on LPG.) ' BUTTE COUNTY BUILDING DEPARTMENT' APPROVED , 1. Owner's' Name : - ' sc? m 6 Gt Y' t he T 2. +Installer's Name. • Sam, 6 ti N Ck 14 _ FJ .3. Is the site currently under permit?, Yes' No (If yes, furnish permit number, ) OR Is the site an existing site?`. .' Yes`' a No (If yes, furnish "two plot plans.) 4. Will the mobilehome be located at -least 5 ft. away from septic, tank and leach J fields and, clear all and easements? Yes No .of .setbacks ,® :(If no, clarify ' 5. What is the mobilehome electrical rating? ----=---------- �8� Amps 6. What is the mobilehome site service rating? --- Amps 7. What"is the mobilehome,site circuit breaker rating?.----- _.Amps .8. `Is there any other electric load to be served by the mobilehome site -service; -=------`-------'----------------- Yes f No El o (If yes, identify the loads and size: -(Load)' (Amps) 9. What is the mobilehome site gas pipe size? - ------ ------ / (in.) '10. What is the type of gas "service? ;-=----------- ----'Natural El LPG 11. What is the gas pipe length from teeter or tank to the mobilehome?-----------=------------------------ � (ft.) 12. What is the mobilehome gas demand? --------------------- (BTU)- . .. *(This information not required if pipe, .length less than ;6 ft. on natural' gas or. less than ,50 ft. on LPG.) ' BUTTE COUNTY BUILDING DEPARTMENT' APPROVED , MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. C19%C' furnish Setup Model No. Year /9�D Width _(ft.) Box Length %O (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)a 1. Wood -pressure treated or foundation grade. El 2. Other (specify) SUPPORTS (check one) ©1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 � Line 2 Main— Beams — Line 2� ► — — —. — — — — — — — — — _ tine 2 Main Beamer — — — — — — ^— — — — — — -- — L ine Tag or Triple _.^--------- Mian Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max .------- Line 2 Piers: Size -Min ------------- Spacing-Max - ------------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 1 Openings: Size -Min. ------------------ „x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ,k Spacing -Max---------------- From Ends -Max -------------- e 4 riers• Size -Min ------------- 'k Spacing -Max---------- From Ends -Max .------- Size -Min.------------------ Spacing -Max ----------------- From ------ ------From Ends -Max .------------- Line 5 Roof Loads: Size-Min.------------ ux nx „x a nx n „a „ ux a nx „ nx „ Location (From Front) e -� i-/ '_'r .27-07-70 7'7 Cynt.4;*r'So ` 500 SQ. FT. MINIMUM FOR MOBILES - -- - -- - 1 Val T; A permit will b'required for the r 4 installation of the mobilehome. a- �L' J 19LIL R.04ds SNeroN„d;7 Pr&P,e,t , or 0rivate, I rs-?-,v7 BUTTE COUNTY aulL ENT Wflill'y connections shall be with 4 ft. of fife mobiiehome, either cllrectly behind or within the MOM half of the roadside (left) of the mobilehome. NOTE.—All Matericls & Workmanship Shall Be in Accordance with Re-ocinized Good Practices and of a rucslity prescribed for tho Specified use in the UnifoFr-�- Evilding, rlu;-nbin (*c Mechaniaal "Codes and the National Electrical Code. A setback. of t$ ft. from the property lines and a setback of.50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft, eave overhang. INS set of plans and specifications MUST be cept on the job at all times and it is unlawful to nake any changes or alterations on same without written permisson from the Department of Publir Works, County of Butta_ fbi-CAN A) L,, 4-1 107q -i I L OOF Z PR epmeD. BY e- r 777 1Y. o ` j i4 • �l,u�CoNc.��'��� �i.1.4►..x �O - 1Q��o � .� * I :+o�'7F',ir � `-_-11�`�M..�r.�!• .Wtitpti� ���M �`\s`��• ,i„ � ^ ti' •�i_ 7 •fir I��OV�M 4j 6 co 6 it i 14 e