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HomeMy WebLinkAbout027-100-036C 27-10-36 CHRISTINE & BO DWARDS 7473 Crosacountre d, Oro1j �jf� C•� • �. Permit## OO��E(utrl., �i ELEC. A 3DA �S GAS 1 SUPPORT._ STRUCTURE REQ h A E COMPACTION TEST REQ. f 2fO 36 q -a y-9 Permit#3649-88 I Issued. ,r t — 27 '10-36 ' � 92=985B " t MATTERN « , r DOr1S ?,,,, f 7473 'Crosacountre'` fRd oville ..; open •de'ck/mh ,4'` „' � °� _ r, A. 1?271}0-36 * " 1 -r 92=986B' i i_ MATTERN; Doris i 7473 Crosacountre :'Rd`, Orille` 2 "'new garage p�� f�'-;' ` 27-10-36 92-1656E MATTERN, doris I 7473 osacountre R&— Oroville ele for garage GEND ©`-'0 P2 'a'Z7 ;100 ,036­1"--y.y� t' A 93 177 F jT..i i af. . K._ CLIFTON;:' BOB ti .. , , ;. 7473 CROSACOUNTRE;'OROVILLE '- EX.E AGRICULTURALMP -I.ON P-ERMIT v GOATS, .HAY TRACTOR ,� 2_ r i � if ,,. BUILDIP"a DIVISION COUNTY OF BUTTE - DEPTMNT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P RMIT NO. Agricultural building is defined as follows: Agricuftural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS�SISOR PARCEL NO.^ D6 ZONING OWNE,D �) , t PHONE NO. OWt6R' I-T�D ESS /� � rOS6c CCS n re— LO ATI O BUILDJA�G (� r�S a ca 9"5 USE_ BUILDING ©✓` Q v 7 i' c- /� ©Q74,5 SIZE OF STRUCTU E �{ v X 0 ' SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF S ING b ROOF COV IN ee, z FLOOR E �� r� f $ESTIMATED COSZOF CONSTRUCTION 7 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 5 (, I S , S FRONT J SIDES -REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a :mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 5E'-3 0 Permit Fee - $60.00 Signature of Owner ` The above described AG Building is exempt from a building per it. Receipt No. J/ l FLOG TPAROL P.D./ ROOFS G ISSy Manager Building Division By. Date d / White — DPW, Yellow Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPART ENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PEFJMITAPPLI OWNER Proposed Building Use AT -ION DATA SHEET /{ A. P. No. W7 /06-03.6 Building Inspector- Date D/ 3 -�- 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. ........... T- 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) 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). ..... o; B4u-eT-- 20. Pre -inspection for required. .. to Building 1nepedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pj k at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by -Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4 PERMIT NO. PERMIT EXPIRES OWNER6.21 S CUR -12 BOB EDWARDS CONTR. owner X11 Ti,d3 ASSESSOR PARCEL 27-10-36 �''LOCATION 7473 Crosacountre Rd, Oroville 4�7 Uf' -- T 0 T ,,,/, yj , o U---, . I & 11-� pg::, - A. 0 MIS IF 44" o /VC TAP. o e le 0 e,, -:— Cio&E n E— —Ism ,,('7,Temp. Elec. Service Called PG&E 'temp. Gas Service Y -r Called PG&E I J JOB FINAL -ED (Date) Signature - OK h i 0 = Not OK - = Not Applicable = Not Ready MOBILE X^t .yMES Date MOBILE HOME UTILITIES (Plans) OK. except #'s Zoning Requirements -Setbacks -Easements Card -B1, Card -B1 Date II -_-2.2 V Card -81 Card -81 2. So' ; Special MH Support -Sketch wer; Location -Test -Fall -C/O -Concrete W@aer; Locatio -T Easement Needed (Ski le tricity; Location-Clearances-Grnd.-/ / as; Location- st-Wraqq,, /� P'L"ft. /_ /"Nat. orXP,L"ftp "LPG Utility Clearance If MISCELLANEOUS Date DECKS, COVERS,CARPORTS,GARAGES, (PlansjOK_ except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Conn$hors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Concrete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh :)ate/QJ - Card -131 Date 10. Roof; Shthg-Roofing 3ate,&',> and -131 Date 11. Ext.; Steps -Doors -Landings .EHOME INSTALLATION (Plans) OK except #'s sing Requirements -Setbacks -Easements Card -131 Date Card -131 Date stings; Size -Spacing -Marriage Line Card -81 Date Card -131 Date s; MH Test -Demand -Valve -Connector stir c t L MH Test -C ossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s kin H Te s F-FIe�Com ctor 1. Setbacks -Easements to MH 1Regulator-Connector t r �S 2. Soils; Compaction -Structure Stability ter an ewe Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining And El4jXlFicity Tagged ts; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI rt. of Occupancy , 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit _ / Date rd -B Date Date . -8 and -131 Date 9. Health Department Approval / 61 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -61 Date Card -81 Date Card -61 Date r i =OK 0=Not OK Applicable =Not Applicable RESIDENTIAL (Single and Duplex) - = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope •45. Hangers -Post Caps -Anchors -Connectors 2. Ftg", Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. $. Ptg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric;. Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -61 Date Card -81 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s _ 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings ' 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting ' 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -61 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75..Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instid.; Drive ;❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish y Card -131' Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -81 Date 92. Roofing Certificate Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date Comments at Final: 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. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) OWNE COUNTY OF BUTTE 'IDEPARTMENT 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 A routine inspection indicates that the following violations of County Ordinance existvat 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 ,o�need additional explanation, pleas contact this office immediately. Inspector \—. , y u-- -)I Date ,tea ^.-`s:s+..s`' : .a �, •i�,..; ...48� :-'�'4$�':a.-rai.i�„n++t.s' :,i;;i y ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 CountyZenter Drive, Orovi Ile — Phone: 538-7541 747 EI{,oit Road, Paradise — Phone: 872-6307 ;x CORRECTION NOTICE OWNER t PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date `y 1 a 4: �ZV -s .a '.7 a „w 3i :F ti � u Inspector Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE L DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (9916)53/8--7541 PERMIT N0 (.! r ` ; Address or location of mobi lehome 47 C A-'�' G 5,4t C ei/ rt, -7 —Zee—,Ie : Owner's name J%O P- Owner's address fi ?° Insignia or hud numbers 1: Manufacturer'sSame 64 E; A4 l `Serial number of V I D _ �* I Year of mannuufactura `s c r .(off ici'aT Kpfrovin_glnstcllation) IF,THEMOBILEHOME 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 while Owner„Yellow'- Installer P,nk DPW.: A �1�.f:..... .,.1 ^. 4..:..-...r +. .. .-..:._1 zw ..-::1.-J.e .ter ..ure.:-.,nti.. is .,�_4: •. ):ik. t>_--. ...e .T x4 i. ..- .. t.wy. y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS6,,�PERM.ITO. (�7 County Center Drive -, Ordti)ilie, California 95965- Telephone: 916/538-75 �CAPPLICATION AND PERMITUU ASSESSOR PARCEL- NUMBER c')%-- D --3 k:, ZON •/G , BUILDING PERMIT owN TEL HOONE ^ 4' 67� 393 SO. FT. OCC. BUILDING VALUATION e e_ Ill Cr Irl/ OWN 'S MAILING ADDR,31QE S ; V C' - 599'1 o V e- Oak- ,f3�� k CONTRACTOR'S NAMELEPHONE W" 4?_J_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ &1Ci ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ O�• �� �{ 77 7 ano 5a d PLUMBING PERMIT Filing Fee 10.00 0. -Alf a Each Trap1 2,00 I Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF ST CTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Permit Fee ; Describe work: Contractor, 3 �w X q&9 ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 • CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.Rd OR ADONS. ACC. , =¢sgft I declare under penalty of perjury (check one): BLDGS. NEWC COR. U T ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business ENST CII.OUTLET NO N.R SID .BRA CH RC ITS POWER APPARATUS s 2,50 ea and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. i License No. Classification Ex. OccU OUTLETS OR FIXTURES P� SAL030 200930 U 1, 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, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors.(Sec. 7044) Misc. Wiring 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling 9 V. 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $-76,o—t) I also agree t in mnify and ep harmless the County of Butte against all liabi ' ' s, judg s, cos expenses which may in any way accrue OCCUP. CONST.TYPEJ scNooL rL PARCEL PD ssu - ag said. C y in con n e�of t ing of this permit. �-��� X This permit is hereby issued under the applicable provi- r�-)/ Date ^1/.-. Signature of Applicant - Owner E2 Contractor ❑ Agent ❑ 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- D T F BLIC WORKS ion of structures over 3 stories in height. — Receipt No. C �- � �® By WNITE-D.P.W.. YELLOW-ASSEasOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date r `- `r•.t�.. r... ,, �t :+�•.. t.y. �-,..c.-.-•vr•.•..,��,..�....._ �k..',.'�..-r.>�,, •,Z�� .`+.r�its�.;K,:.ti..� • _v- ."�'�"„ -.' COUNTY OF BUTTE - DEPARTM, A N,1;OF PUBLIC WORKS - BUILDING'DIVIS,ION Oe- 7 COUNTY CENTER DRIVE -, OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AP LICATION .DATA SHEEIT r� Permit No. OWNER P16ex4 rV G+" LU�`r �J 'S A. P. No. 2 �— l U _3 6 Proposed Building Use /4 HZ_ 11 Building Inspector fZ/5— Date Z/ 72' — At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED When you issue the permit, proces5.as follows: ' M I to owner, Mail to contractor. eIephone 471 and hold for pickup �atQr Q office, Deliver w/inspector. 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_—mail—counter 1. All items.have been submitted. . . . . . . . . . . . �' .. 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , b 3. Complete plansli.n duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans andwcalcs, 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. . . . . . 13. Contractor's License Information (no., name style, classif.) " 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15.: Improvements may be required. • .. • .. .. • .. .. • % �`-k 7y _d16. Mobi lehome Installation Data. . . . . . 17. Pre-Inspec. request to Pre -Inspection for Required. Building Inspector (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the permit, proces5.as follows: ' M I to owner, Mail to contractor. eIephone 471 and hold for pickup �atQr Q office, Deliver w/inspector. 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_—mail—counter by date Contractor, designer, owner, was advised of above required data by —phone —ma II—counter b date Plans checked Sets of plans on hold in Copy—DPW 11 Date Plans approved by File cabinet AP folder Date 1L' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965. Phone: 916-538-7541 OWNER -BUILDER VERIFICATION. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building -.permit will be issued until this verification is received. 1. I personally plan to provide the ma' r labor and materials for construction of the proposed property improvement yes or no) 2. �(hav /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: �/N 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, superviseand provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address , Phone Type of Work Signed: ��', Property Owner C�� Social Security urity Number Date NOTE: This Owner -Builder Verification is sent to you as'required by Sections 19.831 and 19832 of the California Health and Safety Code. This verification ¢iust be completed and returned to our office before we are per- mitted to issue the permit. -cii CDplr :0, 1,1 9. i L i- C) 4 J 8 t TF or means 11D ire 7 1- 00 :Clrwd ac in the' -H - c '13 O'd� f, P _e wYj u, I .1 ..Or- ldrl 6dli �&s 6nd ation :i vil L I I , 1 116&ric 1 7 1 T Fl 4.1:2 Se le I I MVJJ at Im A f ul tio Y fin! OS jo i* jalf atiorij oh am e withoui T mn. S, s l;_A en f of; Pub� va t 'Ic worcs: . -i ­: t -4 lb, S ounfi. y 7, J '0311 Ole 4 41 Tj'r' 00 j,! _j_! 1 -j- - - - i J 'OP/06 Wl -3_ A 1p I n. 50 S�_l _RA! I a I'N Wk t ;.FOR. BJLFS 3. j 4 LA h ah6ll! 1*',��Jjth D' ;..1 1-1 uti A h- 04 �.M 4. �6rtt,6flln ishM cliase pf _PT - I i _: 4 47i xt tpi v $ stryct6�,,espr ment 21 -.0 0�(16.ft).q T, I for.a Ft- ea f H, �, �_;.,.':f: -' i I i !:a T �, f t eos&p neA d, fff C64e T! - OF 7; f 10, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 5. What is the 1. Owner's Name: Z2210 Amps 6. 2. Installer's Name: mobilehome site service rating? ------------- ZOO Yes mobilehome site service? -------------------------------- No F 3. Is the site currently under permit? (If yes, furnish permit number -;�000 — g ) OR load and size: (Load) Is the site an existing site? Yes No 9. What is the mobilehome site gas pipe size? -------------- ?d `� (in.) L0. -What is (If yes, furnish two plot plans.) Natural � LPG 4. Will the mobilehome be located at.least 5 ft. away from septic tank and leach fields and.easements? Yes What is the gas pipe length No and clear of all setbacks (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z2210 Amps 6. What is the mobilehome site service rating? ------------- ZOO Amps 7. What is the mobilehome site circuit breaker rating? ----- 2-0 O Amps 8. Is there any other electric load to be served by the Yes No mobilehome site service? -------------------------------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- ?d `� (in.) L0. -What is ?-------------- ----- Natural � LPG the t e of as service. type g 11. What is the gas pipe length from meter or tank to the mobilehome?------------------------------------- (ft.) * 12. c What is the mobilehome-gas demand? ---------------------- (BTU) 1> � *(This information not•required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA / If other than single wide,' / �yy[�( Mobilehome Mfr. �l��I`'w�0� furnish" Setup Model No. 410 9/.5' f!°' Year Width �d' (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.2. Other (specify) SUPPORTS (check one) al. Concrete block. F] 2. Other (specify) SINGLE -WIDE Pier Footing Sizes and Locations Main Beams Main Beams Lin • — — — — — _ _ _ _ _ _ Line Tag or Triple • _ � _ _ � _ _ �• _ � _ � T.ine 4 Line 1 Piers: Line 1 OoeninAs: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- _ Each Side of Openings From Ends -Max. ------- " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ ?-'Sc 30- Size -Min .------------------ k Spacing -Max.--------- s�_ Spacing -Max.. -------------- From Ends -Max.------- - Q From Ends -Max -------------- Line 3 Roof Loads: Size -Min. 21�"xZq Location (From Front) b- Z _ D •' Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- xZ,t "_4A'k L "x I 'k I "x "x " M �� TA- 5 Piers: (Under BearinR Walls Only —1 7y a we Size -Min.----------- - k.�,x �x Location (From Front) _ Size -Min .------------------ Spacing -Max.--------------- n From Ends -Max.------------- " 'v ukPggTMEtvI A ppb 2rZ.-__. PERMIT MH UTIL.CLEARANCE DATE 16 INSPECTOR0 D - - ELECTRIC GAS Support Struc. Compaction Test Re . vice e Other Load Type Pipe Size Len th YESI NO YES NO 9.0 A- ZOA-?,j hi, L -P &Z COUNTY OF BUTTE - DEPARTMENT OF 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS PERMIT NO.,,/ Telephone: 916/538-754JH �" _ V APPLICATION AND PERMIT AS SSOR PARCEL NU BE ` ZONING BUILDING PERMIT OWNER \ W S TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWNER' MAI I�A� E NTRACTOR'S NAME nup TE EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT 0. SUBDIVISION NAME PARCEL MAP 0 Imo` Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] MobilehomeAM Other "11k,�1k, SPECIFY as piping system outlets Gas 1 - 5 tle5.00 Building sewer 5.00 Mobile Home S G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities t Installation[] Other ❑ _ Describe work: &I,,113 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 10.00 100 AMP OR LESS q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p l y (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. ClassificationFIXED ❑ 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.a , OR ADDNS. ACC. BLDGS. ) �2 QSq ft NEW CONSTR U TI.OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES e20050t AL030 Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agains i ounty in consequen he granting of this permit. Xate Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST pt, oD PARCEy I/ . PD ND ssuE 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. PUBLIC WORKS BY to /9L/�L/J PERMIT E PIRES Date �% Receipt No. WHITE-O.P.W., 7ELLOW-A88E"0R. PIN -INSPECTOR, GOLDENROD -APPLICANT �00NTY OFkPUBLICVV����-�0 |SU��N ' . __ .V � ' rCOUNTY CENTER DRIVE onov NIA 95965 rsLspHow�m � t PERMIT ''O' _^~...._.. DATA SHEET ~_. ,--7- OWNER.' Proposed Building Use�-TBuilding Inspectorj&. Attime oJ permit application, | was advised the following data must be submitted prior topermit processing ` and/oriaauanoe: DATE RECEIVED 4PPnOwso _----- 1. All items have been submitted , . . . . , , , . . . . 2. Plot plans indup|icste/trip|kcote, signed by praponerof plans. . � ------ 3. Complete plans in dup|icate/trip|inate, signed by pnaponar of plans. -----_ 4. Complete engineered plans and oa|os, with wet signature on p|ann. ------ S. Plans with Energy Design Compliance Stotoment. . . . , , -----_ S.' School District '.'Fees poid" Stamp on Floor Plan. r ------ 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . , , , , , , , , `S. Letter of signature authorization� , , ` y��� 1O' Sanitation approval from Health -Dept. . . ^ 11. Planning approval for (A) Use: (B) Parking:_------_-_' � 12. Certificate ofWorkmen's Compensation Insurance , , , . . , ' 13. Contractor's License Information (no., name style, c|uaaif.) . 14^ Owner -Builder Verification (Given tomwner| |' moi|to.qwner��) ^ _15� Improvements may berequired . , , , , , , , 1f� Mobi|ohome |na��U��ion Data. . , , . . , � , . . . p�-I"" , Pre -Inspection for Required, Building + . Recorded copy ofAgricultural Acknowledgment Statement. _77' .TL�1G. Driveway Permit. ' 2C, Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior toplan check). - 2 2. hmcW.-22. When you issue the permit, -process as follows: __!Lmai| to owner, —Mail to contractor. —Telephone and hold for pickup at______offioo.—Deliver w/inupen1or. � Other ' ' /, ~/ � C DPY of plans sent Health Dept., Fire Dept., Oth Date T-iofollowing data must be submitted prior tupermit issuance: (Circle new item not checked above). 1' Index permit for above items No. ' 2. Additional items required: designer, owner, was advised of above required data by—phone---Mai I —counter by___date Clnntmotor, ueo/une,, owne,, was advised of uuw"v ,*9u/reu data uv---nhune—mal /—counter by— date Flans checked by Copy -DPW Date -----_----_'Plans approved Dote Sets of plans on hold in —File cabinet _AP folder TO Buildina Department,` FROM: Environmental Health SUBJECT: Sanitation Clearance ate. Owner Location AP#. Plan Approved for: Hold final for: Sewage Disposal Water Supply Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile(g;. Other COUNTY OF BUTTE - Department ofPublicWorks 7 County Center Drive,:Oroville,.CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building.permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 A&o" 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: 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. .'et.urn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ACCEPTED FOR RECORDING FOR RESIDENTIAL DEVELOPMENT AT 8:01 A.M. Section 26-8.1 of. the Butte County Code _ , SEP:, 5 �98a requires this acknowledgement be recorded WJTH prior to issuance of a building permit. N�j((,6mpotCUMEN OR1G1NA1.00 The property described herein is adjacent' to land or :included within an area zoned for agri.cu.l.tural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing,. spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ;1gr- i rail- Lural zones which have as a priority use for productive agricultural purposes, acid re sidem.; within sai d zones and on adjacent property should be prepared to accept such i nc unvr u i e me or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, desc-r i bv(I ;ts follows: SEE IBSAL DESCRIPTION ATTACHED Date: J 7 ' ..PROPERTY OWNERS:. CHRISTINE M. EDWARDS State of G� ) On this the 14th day of September 19 88 before. nie., SS. the undersigned Notary Public, personally appeared County of s ) CHRISTINE M. EDWARDS ®��oo�tatap�movoA®etato����� Personally known to me. ❑ Proved to me on the basis of satisfactory evidence. SANDY A. STACK sto be the person(K) whose name( is _ 'mom NOTARY PUBLIC -CALIFORNIA • subscribed to the within instrument and acknowledged Lhal. they Butte County to My Commission Expires Nov. 3.1969 ■executed the same for the purposes therein contained. IN WITNI'SS ®ofas���o��oves�oe�ota�acta.WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. c — �' Notary Public i' DESCRIPTION -' ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE' OF CALIFORNIA, COUNTY OF BUTTE, QE$CRIBED AS FOLLOWS: PARCEL 1: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF," SECTION 10, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH') -,A&, PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 13, 1981, BOOK 86 OF MAPS, AT PAGE(S) 43. PARCEL II: A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 83 OF MAPS, AT PAGE(S) 41 AND BEING A PORTION OF LOTS 14 AND 15'AND PORTION OF LOT 7, PALERMO CITRUS TRACT SUBDIVISION #4 OF SECTION 10, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., IN THE UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA. RESIDENTIAL -------------- 4. r27-10-36 -- 92-985$ �7473 MATTERN, Doris Crosacountre Rd, Oroville open deck�mh ` , r JOB F Sign a J=OK O = Not OK = Not Readable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s `. oning Requirements -Setbacks -Easements 2. otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Staff - 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 oof; Shthg-Roofing Ext.; Steps -Doors -Landings ev Date and B-1 �Date Card B-1 Date:Z-'rd 6-1 Date Card B-1 Date POOLS (Plans) OR except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK -=Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------ ------ -- ----------------- - 19. Shower Pan: Test. First Floor -Tub Access --- -- 20. Test Tub & Shower. -Second Floor -Tub Access -- ----------------- 21. Gas Pipe; Size & Anchors ---------- ----------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection -------- ----------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - -------- --- - ------------------------------------------- 24 Size Boxes & No. of Conductors -Stapled --------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------- 26. Equip Ground made up w/Meth. Fastners-Bond Gas & Water ----- ----------------------------------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------- -- ------------------------------- - ---- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. -------------- --- Cu or --- ---AI ------------- --------- ------------------------------------ 29. Range Circ. / / ga. Cu or At -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------- - -------------------------------------- 31. Equip_Clearances Panels- Motors- Mach. Equip. -------------------------- 32. Clothes Closet Light -Shower Light -Spa Light - --- ----- - ------ --- ------ ------ --------------------- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------- --------------- Date ---------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------- ---------------------------------- ------------- 35. Vent Fan: - Exhaust - -above insulation -------------------------------------- ----------------- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------------------------------- - - - - -- --- 37. -.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 -------------- -------------------------------------------------------------------- Dat -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ________ 52. Ext. Doors -One 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 #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------------- ----------------- 64. Bedroom Exiting ------------- 65. -G.F.I.-& Bath Fixtures & Tub Access -Spa ---------------- - 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- ----------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. --A.C.-Duct in -Garage -Damper ------- ------------------------- - -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. 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 ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters EI -Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Disconnect. Electrical, Plumbing ------ ------------------------------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ----------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------------------------ 87. Glass Protection 88. Corrections from Previous Inspections ----- ------- ------ --- ------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric -------- - -------- - --------------- ------ --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- --- ------------------------------- Date -----------------------------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 PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT UO. ems' C C/� ASSESSOR PARCEL NUMBER 027-100-036BUILDING ZONING PERMIT OWNER Doris Mattern TELEPHONE _ SO. FT. OCC. BUILDING VALUAT;10 OWNER'S MAILING ADDRESS 7473 Crosacountr.e Rd., Oroville 95966 1 % CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total valuation 1$4,613.00 LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER T one LICENSE NO. Plan Checking Fee 00 Energy Plan Checking Fee _.$_30. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 105.00 PLUMBING PERMIT Filing Fee 15.00 7473 Crosarountre Rd-, Orovillp Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer —FW 15.00 Mobile Home I S FG @ 15.00 TYPE OF WORK New Addition [I Remodel❑ Utilities❑ Installation❑ Other® Describe work: Open Deck (Already Built) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5 00 (POWER APPARATUS tr1 SINGLE OUTLET CIR. OUTLETS OR FIXTURES Ex.Occup U 20 76 Ex. Occup. OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring .15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. LCA ' 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 15.00 Heating Cooling g Hood 6.50 Ventilation i ] 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 s Coun�y in copse uence of granting of this permit. G� X Date /1-02 1 / � Signature of Applicant — Owner V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $105.00 HAz I DFEES I IMP FLODD CDF PARCEL I PD HD/ V ISSUE vV/ This permit is hereby issued under the sions of the Butte County Code and/or work indicated abo for which fees OReFi UB IC By !�f/ PE MIT EXPIR S Date Zt)—� applicable provi- resolutions to do have beenaid. p WORKS Date -i -LIZ Receipt No. 110287 WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. _ _ .... .-.�....-.�-4^w-'.ter,.,n-,�-::rr•�P:sir,°.�x.sir,�s;:tx'r^-,fr+�3s'wa�Y►,f'.'.,^-� t-.�,•...--- ».x. �.p."v+!' COUNTY OF BUTTE - DEPAFiktMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO LE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 ~ w 1 c'. PERMIT APPC-ItATION DATA SHEET 1 Permit No. OWNER lirl's ACJ( Hero A. P. o. Proposed Building Use 6 P e Building Inspector Date of At time Df permit application, I was advised the following data must be submitted prior to permit processing and/or issuarice: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.chool Dist I t fees paid .............. J Sanitation approval from - M8y i rl ei Health Department vow, nc5,,y� City of Chico plumbing permit ..................................... 6. Plot plan and business license approval from City of , (see City for other requirements) 7. Planning approval for (A) Use: (B) Parking: ...... -8. Improvements may be required. Contact Land Development Section DPW -9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 2 6 6 27. W`you issue the permit, processasfollows: Mail o owner. Mail to contractor. Telephone -4,375 3� t' ^^ind hold for pickup at UPO office. Deliver w/inspector. Other Applicant Date Ccpy of !.az-Mat form sent Health Dept, Fire Dept. Air Pollution Date Ccpy of plans sent Health Dept. Fire Dept Other Date By The following data must be submitted prior to per It issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Coetractor, 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—mall ounter by date Plans checked by I Date�lans approved by Date S� Sets of plans on hold in Copy—D'W File cabinet " AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,`538-7541 APPLICATION AND PERMIT ASSESSORARCEL NUMBER —/0 n - ZO ING BUILDING PERMIT OWN TELEPHONE SQ_FT. OCC.1 BUILDING VALUATION O NER'S MAILIN DDRESS i\0SQQ-04drero QL�� CO TRACTOR'S NAME .) Ir TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER ©-yL UNKNOWN Total Valuation Is Filin Fee 9 $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0.00 ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Q Energy Plan Checking Fee $ AR .CHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BU LO/I�N `�A DRESS rl. f/ Off %� e Q r0 V � permit fee $ �Q p PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Ut' ties Installation[] OtherN Describe work: & _ Ea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 20CATO 1000A) 37.50 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- 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.( OR ADONS. DWELLING ACC. BLDGSoCCUP,tk . 3.54sq.ft. NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS ^ 5 00l ( POWER APPARATUS a' SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d A Ex. Occup. OUTLETS (RESID )FIXED APPLNS. REAT 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation)•or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against d County in c nseq` o t e granting of this permit. X Date Signoture of Applicant — Owner Contractor ❑ Agent ❑ An OSHA on of srruC urestoverr 3gstor�esoin height.Dions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0 111 I IMP I FLOOD _=D PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date j rReceipt,No. / NITC-O.. W., YELLOW-AggC390R, PINI( -INSPECTOR• GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center,Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit willbeissued until this verification is received. 1.) I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction• Name Address City Phone 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: 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. 0 TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation clearance Owner Location --AP# Plan Approved for: Sewage Disposal i- Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply 'C-1-9a-r-qnce,f-oT-, .--\bedrocim-,mobi-l-e—hoxe. Other 'EA15t-VV NOTE Sanit rian /Date w 0 Location of structures & Oqu!Pment shall be as s�,Mjn & clear of all easemet poo r- L. ft) A 7TE9 0 7,q 7 3. i~ eo a tvner R- D �cL �i. 9�'yG� v ji4'rC~"' 5 d 04D sa! / V4 ' I W 3r L—A unl 10!, 1 icali!'� 'fl Poor Pt,a� RESIDENTIAL 27-10-36 _ 92-986B ! . MATTERN, Doris 7473 Crosacountre Rd, Oroville Qarape Ex - ' P Y�ZoAi J=OK O = Not OK, Not = Not Readable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements MISCELLANEOUS Date . DE KS, COVERS, CARPORTS, GARAGES, (Plans)OK except,.#'s 1. Z g Requirements -Setbacks -Easements 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. A Awn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7 lectric 1.Fmg; Sils-Anchors-Studs-Rftrs-Trusses l/ g; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing fit.-C-xt -3teps-Doc rs- Land ings Date d B-1 Date Card B-1 Date and B-1 Date Card B-1 Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date . DE KS, COVERS, CARPORTS, GARAGES, (Plans)OK except,.#'s 1. Z g Requirements -Setbacks -Easements 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. A Awn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7 lectric 1.Fmg; Sils-Anchors-Studs-Rftrs-Trusses l/ g; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing fit.-C-xt -3teps-Doc rs- Land ings Date d B-1 Date Card B-1 Date and B-1 Date Card B-1 Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready. RESIDENTIAL (: = Date RFLOOR (Plans) OK except ti's 1. Ing -Setbacks -Easements -Flood -Slope 4A42. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth T.-Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-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. Plenums & 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 h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- --- - ------------=----- ___ _19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------- -- -- -------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------- -------------------------------------------=------=------- 24. Size Boxes & No. of Conductors-Stapled ----------------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------------- ---------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------- ---- ----------------------------- 28. --------------------- 28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ! / ga. _ Cu or AI 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. -Eq u i p.Clearances Panels-Motors-Mech. Equip. ----------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- ------------- ------- --- ------ ------ 33. ------------------- Smoke-Detector ----------------------------------------------------------------------------- Date Card _B- t Date Card -B- 1 Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except ti'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 it Furnance in Attic ---------------------------------------------------------------------- - ----------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------ --------------------------------------------------------------- -i 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound z------------------- 41. -:------- 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 iF i tingle & Duplex) Date - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------------- --- 64. Bedroom Exiling ------------- ----------- ------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails -------------------------------- ------ - 68. Fireplace or Stove: Clearances -Hearth ----------- -- - ------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------------------------ -------------- --------------------- - - 71.--Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------------------------------------- - 73. -A.C.-Duct in-Garage_Damper ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - ------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps -------------------------- - --------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth - -------- Clearance Looked under Floor-- ❑ Yes ----- - -- --------------------------- 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81 Stucco: Brown -Finish ------------ 82. ------------------------ --- 82. A.C. Unit: Disconnect. Electrical, Plumbing = ------------------------------------------- ------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------- ---------------------- --- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -...-- - ------------------- - 86. Ventilation Throughout House - -- - - - -- - - - - - - - - - - - - - ------- ------------------------- 87. Glass Protection 88. Corrections from Previous Inspections ----------------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------ Date Card B-1 Date ------------- -- -------- ----- Card------ Card -B-t --1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 t '+r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 V 7'Ccunty Center Drive, Oroville, CA - (916) 538-7541' 747 Elliott Road, Paradise, CA - (916) 872-6307 NCORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinarices exist at t 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, 1 please cont t is office immediately. A=LEc /N MSwzal- `�poll i� r v ko If le -d1#171--14 ffi U57 0 -nFII FP X 4-,4 -1 - `- REV 11/91 �' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: y- APPLICATION AND PERMIT WORKS fl6rtc PERMIT,NO. 916/538-754 92-16561 UQ ASSESSOR PARCEL NUMBER 027-100-036 ZONING A 5 BUILDING P MI OWNER DORIS MATTERN TELEPHONE 534-3787 SO. FT. OCC. B LDING VALUATION OWNER'S MAILING ADDRESS 7473 CROSACOUNTRE ROAD OROVILLE 95966 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7473 CROSACOUNTRE ROAD OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME __tPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work' ELECT RF.- 92-gR6 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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- 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. (OR ADONIS. ACC. BLDGS. / DWELLING OCCUP.&) 3.54sq.ft. 16,80 NEW CONSTR. ULTI.OUTLET @ 5.00 I.4 N.R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIS. EX. OCCU 20 7s p OUTLETS OR FIXTURES FIXED Z-PLN,9-. Ex. OCCUp. OUTLETS P(RESID )REA.) 3.00 Temporary service 1.5.00 Mobile Home Facilities 15.00 Misc. Wiring 9 -15.00 Permit Fee $ 31 .80 — 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. ' 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 15.00 Heating Cooling g 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 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 aga)ns aid County in co se ence o e ranting of this permit e X Date / $ignature of Applicant — Owner❑ Contractor❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 31.80 HAz 11 F11 I IMP I FLOOD I COF PARCEL I PD I HD Iss E i This permit is hereby issued under the applicable provi- sions of a Butte County Code a d/or resolutions to do work " ated v for wh" h ees have been paid. DI O P C WORKS ,9 By Dat v P EX IBES Date / ^ co '� Receipt No.—LId I oy !WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE ` PARTMENT OF PUBLIC WO ; BUIL Dr G DIVISION 7 COUNTY CENTER DRIVE - QROVILLE; CALIFORNIA 95965 - TELEPHONE (916) a8 PERMIT APPLICATION DATA SHEE / I . OWNER A. P. No. 1y -3 6 Proposed Building Use >�a 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 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$ .......................................... *, a 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 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). .. ... Pre -Inspection req.uest-- 20. Pre -inspection for required. .. to Building inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. ......... Owner -Builder Verification (Given to owner Mail to owner ) L,5--2oFJ 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% subd(vision 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 the permit, process as follows: Mail to owner. Mail to contr. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant t 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 phon I Counte Contractor, designer, owner, was advised of above required data by' phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY,OF BUTTE - DEPARTMENTiOF PUBLIC NOFKS 7 Coutity Center Drive - Oroville, California 9596P - Telephone: 9115 `59'16-7541 APPLICATION AND PORMIT PERMI N0. ASSESSOR PARCEL NUMBER 027-100- ZO ING 6U:LDING PERMIT OWNER Doris534-3787 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7473 Crosacountre Rd., Oroville 95966 l CONTRACTOR'SNAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNWnnp Total Valuation 5 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nnn- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 7L71 (7r.0--grnlint-rp Rd nrnyillp PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each oas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobiiehome❑ Other Gi3rq sl�'CIFr Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G W @ 15.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 15-J1L QI--- : 7 2 -fB6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 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- 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 reasonPermit Main service 200ATO1000A1 37.50 NEW CONST.(DWELLING OCC OR ADONIS. ACC. BLDGS. ) 3.64 q.ft. NEW CON5TR. M ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES20 @D 75d R FIXED APPLN5. OR EX. OCCUp. OUTLETS IRESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities - - 15.00 Misc. Wiring '15.00 Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th.e 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. - Notice to Applicant: If aftermaking this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 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 agains said Countyconsequen ceof the granting of this pperrmit.X ' ' ! /- '-ir Date 7 t = Signature of Applicant — Owner I 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 5 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ ,3 �— HA E) FEES IMP FLOOD COF PARCEL PD HO ISSUE This permit s h ¢reby issued under the Sions of the ut Ie County Code and/or work indica!ed i bove for which fees )IR CTOR OF PUBLIC By PERMIT EXPIRE ' Date cg - applicable provi- resolutions to do have been paid. WORKS Date -2 0—f Receipt No. m 6 ( 05 WHITE-D.P.W.. YELLOW -ASI ESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE —Department of Public Works 7 County Cebter Drive, Oroville, CA 95965 Phone: 916-538-7541 COUNTY OF BUTTE BUILDING DEPT OWNER -BUILDER VERIFICATION MAY 2 0 Iffig 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 an4t r3aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: I -e. Property Owner Social Security .Number - Date��`� �-- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1.9832 of -the Califor.nia Health and Safety Code.. -- This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY�OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Coubty Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �PERMIT 0 f ASSESSOR PARCEL NUMBER 027-100-03 ZOING BUILDING PERMIT OWNER 0dt Doris TELEPHONE 534-3787 SO. FT. OCC. BUILDING VALUATION S MAILINGADDRESS 7473 Crosacountre Rd.. Oroville 95966 480 PSI 8,640.00 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ g 640.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 90.00 ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ 45.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $150.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage S PCI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New® Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Garage _ (Already Built) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A DOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A To 1000AI 37.50 NEW CONST. ( DWELLING OCCUPI OR ADONS. ACC.BLDGS. 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS R1 \SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS Ex. Occup. OUTLETS ((RESID, IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring "15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 12/ 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 15.00 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 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 agains said County i consequence of the granting of this pirerrmit. X �✓ Date 7 —o? —�� 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 15 .00 HA2 DFEES IMP FL0 CD % L P HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov afor which fees have been paid. DI EC R 05,P"UB IC WORKS By - Date 2(3 PER IT XPIRES ate =LO—r Receipt No. 110287 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO,VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIt APPLICATION DATA SHEET �. +/ Permit No. OWNER&V17"s r V o.Li Proposed Building Use �a1^�.4 Building Inspector. Date a 99 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................ r .............. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... School Di' trict fees paid .............. 14. Sanitation approval from 0 fro 4 Health Department q1 City of Chico plumbing permit...... ................................ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre/Inspec. request to Building Inspector (Cate) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proces as follows: MaU to owner. Mail to contractor. Telephone - -5Wand hold for pickup atoffice. Deliver w/inspector. Other c� Applicant iDate Copy of Hdz-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 p 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—mall un r by date Plans checked by Date Plans approved by Date y�— __�__ Sets of plans on hold in File cabinet ZAP folder Campy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT owN e r TELEPHONE 5-3- - SO. FT. OCC. BUILDING VALUATION OWN R'S M IL NG ADD ESS V10S rf co r ro cl CO AC TOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONJTJtUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 90-00 ARCHI ECT OR ENGINEER LICENSE No. Plan Checking Fee $ D Energy Plan Checking Fee $ A CHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD�,G ADD Ess n �Sa v , �! Permit fee $ !S PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPEC r Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New X1 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: _ rC cc Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESSS S 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS ElD and Professions Code and my license is in full force and effect. License No. Classification Fl 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.( OR ADDNS. DWELLING OCCUPACC. BLDGS. 3.5dsa.ft..t4 NEWCONSTR MULTI -OUTLET NO ESI BRANCH CIRC ITS @ S.00I POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d D APLNS. Ex. (RESID )REA.) Ex. Occup. OUT LE j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si natuA Applicant re of 9 PP _ owner❑ Contractor El ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TV PE TOTAL FEE $ Q I HAz OFEES IMP I FLOOD CDF I PARCEL I Po I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. © WNIT!•D. P. W., 7ELLOW-A9eC»0R, P Nx-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) aJ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: - Property OwnerA"rx Social Security Number ' - Date9wZ 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. TO Buildino.Department FROM: Environmental Health SUBJECT: Sanitation Clearance OY, Vs� Owner Location AP#. Plan Approved for:. Hold final for: Final clearance O.R. for: Sewaqe Disposal 1 - Water Supply Water Supply Water Supply Other✓N.. CZ, C � i NOTE *** 5A 2 - Sanitarian 0 . Date Location of structures & equipment shall be as shown & clear of all easements. CNZ •_ �� ' S6C 7—"q ti P7%�G, s I L:, ,� ,�� /D oa AL- / Is r 7a Ali-_ i APPROVED Butte 'County E-rivironrner`tal Mealth OR ?/Gum f;,fLwtel . date' _Erna'-- e — __ _ ---- -.. _ - --- .. _...-------.--..... fro , � r F4 A4 po�,cs L. ft) A77F-A ) 7 73 `eoalv*ivr 1?,D- a/ s`y f d VI Iv p� r Y K J Location of structures & equipment shall be as shown & clear of all easements. CNZ •_ �� ' S6C 7—"q ti P7%�G, s I L:, ,� ,�� /D oa AL- / Is r 7a Ali-_ i APPROVED Butte 'County E-rivironrner`tal Mealth OR ?/Gum f;,fLwtel . date' _Erna'-- e — __ _ ---- -.. _ - --- .. _...-------.--..... fro , � r F4 A4 po�,cs L. ft) A77F-A ) 7 73 `eoalv*ivr 1?,D- a/ s`y f d VI Iv p� r Y