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HomeMy WebLinkAbout027-220-084' AP 27-22-84 7JX4ES DUNN n/s Cox Lane, 4 mi. E. of on T e Rd., Palermo Permit# 2723-75P E(ut�l.- , -+� A �� SUPPORT URE REQ. no i a CMPA EST RQ.�.; I AP 27-22-84 _" Leland Buz'elle ��� n/s Cox ane approx. 1/4 mi. E. of Lon ree Rd., Palermo ``. CO English John MH Salil-PT `r.Xise v {� P__ if 2589-7 MHI,G2� ' ssued - 27-22-84 �ts3 Cox_ ne.,_ 0, V.,ii ,i.e Permit #10 7P,E(util, MH) ELEC �j GAS LPA U - na.QCOMPACTION TEST REQ SUPPORT STRUCTURE 27-22-84 -Per 97-87MHI I ed 27-22-84 3724-89B ' 'BUZZELLE, Leland r 943 Cox Lane, Oroville (new decks) 2, ; 027-220-084 -Y - PERMIT#97-1752 BUZZELLE, Leland 943 Cox Ln., Oroville New Pri Det Garage j 027-220-084 02-2766 ' BUZZELLE, LELAND 943 COX LN., OROVILLE DETACHED GARAGE/CARPORT A Ire I • _- V �' M1 • .. --- _ c _- r `� .��� . r h j w 1.1C1A U ill. ,. .._ PERMIT NO. 2723-75P,E i P >y E M MH UTIL. PERMIT NO. PERMIT EXPIRES —� J —74 OWNER James Dunn 'CONTR. LOCATION (A.P. 27-22-84- ) n/s Cox Lane, 4 mi. E. of Lone Tree Rd., a� Palermo 6 k' 11 X - V A Y G Temp. Power Pole E:�r V 7 J Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E - FINALED �� V Patio FIREPLACE Final `moi 7 (5— -- Footin s Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels. Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. 044a - Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final--�-1%"� DATE ARKS OR CORRECTI u 14011 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping5 �S� Piers Roofing Sewer J` Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Tes J Temp. Gas Slab Final Sanitation Patio FIREPLACE Final `moi 7 (5— -- Footin s Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels. Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. 044a - Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final--�-1%"� DATE ARKS OR CORRECTI u 14011 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome locatedwith equired separation from lot lines and buildings and generally coriform..to plot plan? Yes No 2. Does the mobilehome have required clearances.above ground? (Sec.5085) Yes✓ No 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note . possible variation at spring shackles.) (Sec. 5082 & 5083) Yes' No ' mobilehome level? Sec. 5088 'Yes' No 4. Is ..the mobi.leh ( ) - 5. If mor han a single unit, are crossover connections properly installed? (Sec: 5088) Yes No 6. Water A. Is fie le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand worki essure or 50 lbs. air test? Yeo .,OM1 -C. Backflow - If coach is not Stadl� forni approved, does station have.backflow device and pressure -relief valve? Yes No 7. Wastes and Drains . A. Is connection made with Schedule 40 DWV and have flex connectors at each end? s No B. Does it hav!,.minimum 1_4 per foot slcpe and is'it properly supported? Yes No. C. Are any leaks detected in drainage system after run ng 3 -gallons of wa3er rough each fixture including washing machine standpipe?, .Yes P No D. If c0oaisifornia a-. not State of C roved, does station have required trap and vent? Yes' No 8. Gas .Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/.4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to beat least as large as the mobi ome gas line irilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. .Shut off appliance burner and ,pilot valves. 3. Air test with'manometer to 10"-14" water column, or test with slope gauge (minimum. 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all.appliance vents properly installed? Electrical A. Is service Targe enough to provide adequate amperage -to mobilehome-(must equal ratitwg'of mobilehome with a minimum of � amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeses No B. Is there proper clearances.around panels?' Yes V No C. Is power supply cord or feeder assembly properly fused? Yes L" -No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in.the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5.- All non-current, carrying metal parts of the mobilehome (aluminum siding; gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors -shall be -connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 1O..Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyl/ Length Cv Width Vehicle Serial No. State Identification No. Additional, Information or Commen ., ��f e.,4 �. Al COUNTY dF, BUTTE DEPARTMENT OF PUBLIC WK 7 County'Center Drive, — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT cUc2,3-75— authors rep sentatives of th purity of Butte to enter upon the above -men a roperty for inspe ion purposes. 100 aX Date nature of Permitee of Agent Receipt No. White-D.P.W. — Yellow-Assesso — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date ding permit expires Date BUILDING d_.vt� ,\ /,//L/ � Owner ���r���rll U SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address v Telephone No. Fireplace Contractor Total Valuation Mailing Address WW/Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address /(/S j PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,00 tiC/x,� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping •#:59 10.00 �� E ��� 14 Each gas water heater or vent 1.50 �4 A. P. No. — — VToF � n , a n Gas piping system 1 - 5 outlets 1-5f? Q -,0 U Each additional outlet .30 F Ts S on Fi�eDept. FireZone Use Permit Building sewer •OU EQA Parkin Pla arcel Declaration Parcel a P 60' R/W Im roveme is P Lawn sprinkler system 2.00 Bldg. Plans Recd "or Porce Approval Plans proval Permit Fee $ sU NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 _3.00 Main service incl. 1 meter ` --5-100 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 :'O� s / F� ��U Water Heater or Space Heater 21.00 Light fixtures b a 10 Receps., switches & fix outlets 20 P 23, CONTRACTORS LICENSE. LAW'- I am licensed under the provisions of Chapter 9, -Div. 3, of the State of California Business & Professions Code Order the name style of: ~ • s . Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump t Z& Mobil Home Facilities Temp. Power Pole 5.00 License No. Classification Misc. wiring . . C CAI am exempt from the Contractors License Laws of the State of California: Permit Fee.'*— • WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 1 certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILIN(4FE-E $3.00 Heating' Cooling Ventilation • Hood 2.00 Permit Fee I certify that I.have read this application and state that the above rmation is agree to comply to all County Ordinances and ate L ws relatin building construction, and hereby TOTAL PERMIT FEE d authors rep sentatives of th purity of Butte to enter upon the above -men a roperty for inspe ion purposes. 100 aX Date nature of Permitee of Agent Receipt No. White-D.P.W. — Yellow-Assesso — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date ding permit expires Date this set of plan: -&!Icu10 MUST be Rept on the job at all times and it is,,Wawf4 to make any changes or atterations on satho vokheul written permimon from the Department of Pub& Works," Cowrty of Butte. d o it k,(4 Septic system and location cfbctttd=r _EmA to be as per Butte County Health Dept. Re- quirements. permit w9I be required fot fhei" installation of the .mobilehome.. All utility connections shall be located within 4 ft. outside the rear third section 'of the mobile home on the left (road) side of the mobile home.. 7 P the :. Setback shall be- 5 -tt. t.e side property line and" 5Q ft, f..rom It centefline of .the road, per.mKti .' 4- maximum of '. 2 ft. eave 0 erhar ' , BUTTE. COUNT BUILDING DEPART ENI APP ZOV D 4 i COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. - Oroville, California 95965 Telephone: 534-4541/� APPLICATION AND PERMIT (q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date j; /7 /7--�— Signature of Permiittee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR OF OF UBLIC WORKS By r Date V —,7_r ung permit expires Date B DI' G Owner Z 77 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor — Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty _ __ Telephone No. s— Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 yyyr, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ` Z_ Z _ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s S=Lta_Uora Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Map,60' R/W Im vements P Lawn sprinkler system 2.00 jPlannss Bldgs-P114r eco Parcel Ap oval ons Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S Al Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 (d Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 11 cc �l.S/Y �iO H /tJ /'�%r /. ��S Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 t/ �,`� f License No. oLf Classification_ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date j; /7 /7--�— Signature of Permiittee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR OF OF UBLIC WORKS By r Date V —,7_r ung permit expires Date X11 v 7 -2, Z, • This set of plans and snr�r. t'--Minn . s MUST be 4,nt on the fob at all tures and it is unlawful to me c- any changes or alterations on sante without. written permission from the Department of Public Works, County of Butte. �J Th Setback shall be 5 ft, from the side property line and So ff. from, the centerline of the road, permitting a maximum of a 2 ft. eave ovenc",g. fe+- moo -� BUTTE COUNTY BUILDING DEPARTMENT APPROVE® COUNTY OF BUTTE - Department of Public [forks 7 County Center Drive, Oroville, California PHONE-:- 534-4541 p — utility: 20' n ' cn to b l.7 • rt a N w n• r, n a1 H ` r0 °rt O ;3' w 9 ►-� m r ty 0. (D Ln9 Length = ■� r+ 0 Z z .y ' O MOBILEHOME INSTALLATION INFOMI ATION Lot Facilities Mobilehome Data H 1. Plot plat_ dimensioned, location of .mobile 1. LengthS(cj Width 2— and — a,d utility connections?Manufacturer x. Yes 4--1 No Vehicle Serial No. .2. ..Electrical. service am equipment acct gnia Control No. /S1{ %`4 p y� Insi Circuit breaker ampacity Id -O ..2. Feeder assemblypacity /1-0 ANI /� Permanent Wiring Connection Z/ Conduit size "7-/q— -)r— Ampacity Power supply cord (amps) Receptacle 4!t---"'—Anpacity - 3: Gas inlet size 3. Gas: Naturat-- LPG Mobilehome connector size y Gas riser size Capacity. 4. Drain inlet size 3 4. Drain connector: describe on reverse side 5. I''a_r_er riser. size ' 3/t< " 5. Water' connector: describe on "reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehome within, Roof live load `- psf. 4 feet of t._e left wall? , Yes c/ No Wind load psf. � Z If not, sho.a dir.^.ensions.above. (only for rObilehones manufac -r•'ed after 7. Is the mobilehome.cl.ear of septic tank, October 7, 1973). leach fields and located outside public 7. Manufacturer's installation instructions? .utility easements? Yes ✓ No Yes No Z� 8. Do you propose to do other work on the --- property other.than the mobilehome 8. Will the mobile home be installed on a separate support structure? installation which will require a permit- Yes No Yes No If so, specify apQ 'yd LOAD BEARING SUPPORTS .. J(0`.�W-5 ADDITIONAL COI,91:.?,;TS Drain Connector, DescribeSal�� Water: Connector, Describer -IR LOAD BEARING SUPPORT AND VOOTING INFOPd4.,,TION Pier Spacing Used Maymum Pier Load�_�o-o Maximum Column Load (multi -units only) Soil Bearing Capacity /a Footing Dimension UscdV-/i TYPE OF PIER. USED Steel Concrete Concrete Block Other . TYPE OF FOOTING MATERIAL USED Pressure Treated Wood 2�kf4.-V3 d Concrete Al' 7H- 6,9' L,^,,- vz c Redwood (Grade) Other Approved Type BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1 C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 -A % roo (Rev.12/96) . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-220-084 IA ZONING -9 BUILDING PERMIT OWNER , R1 TET AND 1533-4673 TELEPHONE SO. FT. OCC. BUILDING VALUATION 768 U 13)824. OWNER'S MAILING ADDRES 941 MX T& 0-ROVITIE, CA 95965 288 COV 3 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 17.568 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 189.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 122.85 BUILDINGADDRESS 943 QQX LN. 7 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPT Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other T' Describe Work: DET-A(`uF� i GARAGE Q4RF=.j:` Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service0V ES q OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force and effect. L ansa Class Lic. No. OWNER -BUILDER DECLARATION I h reby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) �9111 certify that in the performance of the work for which this permit is issued, I shall --not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �� 7 11—d�� SidKature of A can - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service sow To +000A 46.00 NEW CONST. DWELLING GCS. s0 OR ( a aCC. BL 3.5QF ICONS LE No IDT' MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES so p 1.00 BA .50 LNS Ex. Occup. o XLITLEEDTs PPR IEs °E.- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 46-89 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 1378,170, HAZ. D. FEES ICYJ D I CDF Pt;�L HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By AW PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 1 D p 6 Date (Dfe) ReceiptNo. n �Z74 WHITE-D.D.S.-B.D. C N A S OR PINK -INSPECTOR GOLDENROD -APPLICANT ,.r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville; CA 95965 Phone (530)538-7541 Fax (530)538-2140 Gi /PERMIT APPLICATION DATA SHEET OWNER: / U S S O CE i UMB R Proposed Building Use: ec'c' Date: . Items required in order to,apply for a permi I boxes M ST be check d O marked NA in order to apply. Plot'pla s, 3 or 4 sets, signed�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ` ngineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. _All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By w ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ "�❑ 9. Plot plan and business license approval from the City of Biggs .................................... ,10. Letter.of intent for non-residential buildings........................................................ " Detached Accessory Building Form filled out by the owner ....................... . ............. 12.'�Hazardous Material Form............................................................................... - ` ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... j❑ �5. Statement of Intent for Non -heated and A/C Buildings ...............................tj &L6-Sanitation and plot plan approval from the Environmental Health Department in ❑ r17. City of Chico Plumbing permit........................................................................ —� a-'1 i California Departme41of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A)',Use: Dy, (B)Parking: (C) Parcel Check: )y—brz- ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22: Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 24 Worker's Compensation Carrier and Policy Number ..............:............................... . Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits........................................................ ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. k I have been informed of the above items and requirements for obtaining a building permit. Applicant: ' 7� ', rj r°1 I' Date: 1. Index permit application for the above items numbered: p�A�/G.K i .I Plan Check Letter 2. Additional items required Contractor, designer own , was advised cf the above data by ❑ phone, mail, ❑ counter, by 2./a, Date: Io 0 p z Contractor, designer, owner, was advised of the above data by ❑ phone, ❑"mail, ❑ counter by Date: Plans reviewed by: Rio Date: d' Plans approved by: Date: oz— Structural ZStructural reviewed by: Date: Structural approved by: Date. or__ Note transfer by: Date: VAnw• 11.61dino nivic n .. v + � _r �•'v � s c f�... - r _r..�._ r o _ _., .. .. _ � �.- ��. .r. ..-r+ i h "V ... �-�Y•'^ _ �r -I Rat Plan AttecMd r.4 Roar Plan An4chad Smftt to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Dispo Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environ 8/96 alth Specialist Location Water Supply: AP# Public Private Well Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER. ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All Nxes MUST be checked OR marked NA in order to apply. l( 1. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ Complete plans, 3 or 4 sets, signed by the preparer of the plans. V3 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. C�7 4. Engineered truss details and layouts in duplicate. No faxes! ' ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑Plot plan and business license approval from the City of Biggs. ❑Letter of intent for non-residential buildings. Detached Accessory Building Form filled out by the owner. 12. Hazardous Material Form. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 15. Statement of Intent for Non -heated and A/C Buildings. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit. 8. California Department of Forestry plan approval ❑ paid. 19. Planning approval for (A) Use:(B)Parking: � (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required. ❑ 23. Contractor's license information. (Number, Name Style, Classification). ❑ . Worker's Compensation Carrier and Policy Number. 5. Owner -Builder Verification ( ❑ Given to owner, ❑ Mailed to owner). 26. Letter of Signature authorization. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement. ❑ 28. Manufactured home utility clearance. ❑ 29. Existing violations and/or expired permits. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. APPI_ Date: OF�XRAA IOAPPLICATION l� Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request, must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant Al OWNER: 1" P e .�+`Y` r; +' i...I+�� j^c'..0 r�'�..�..J�/t+L ...:ryf.^ - -• _ . _ , i�l� 't-3 {r } 1 • j at. a`+ � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovilld, CA 95965 Phone (530)538-7541 Fax (530)53'8-2140 ' *., PERMIT APPLICATION DATA SHEET .r.. / ASSESSOR PARCEL NUMBER Proposed Building Use: L/ L U.41ul Counter Technician: Date: Items required in order to apply for a' per'mit. All 9,6xes MUST be checked OR marked NA in order to apply. Z/ 1.. Plot plans, 3 or 4 sets, signed,ty�the' reparer of the plans. 0--//2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. [�1 Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. C' 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. - 0 i"" T. Metal buildi"(A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate,, (D) Floor plans in triplicate. All of then must be stamped and wet -signed by the en ig neer. i Items required for'dnitial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-yp when required items are received. Date Received By ❑ 8.'%Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................."` �❑ f�. Letter of intent for non-residential buildings....................................................:.. . Detached Accessory Building Form filled out by the owner ..................................... ❑ 12: Hazardous Material Form............................................................................... ❑ 13. Other, Remaining items needed: to issue the permit. (May require additional plan review upon receipt of th1p following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit.........................................................................8. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information.. (Number; Name Style, Classification) ...................... ❑ 4'Vorker's Compensation Carrier and Policy Number ..............:.............................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed; ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ .. ❑ 31. Other: r" When issued Telephone and hold for pickup. ". I have been informed of the above items and requirements for obtaining a building permit. APPIipax;:�nr�� l7J_ Date: 7 `J — L• 1. Index permit application for the above items numbered:— = 2. Additional items required lam' Contractor, designer, owner; was advised cf the above data by Contractor, designer,;gwner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by:- Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date: _Structural approved by: Date_ Yellow: Buildine Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSDRPARCEL NUMBER BUILDING PERMIT T111NE � :SS 1r _ io&eYy- LZL L,C--F ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS q 91 LAT NO. I SUBDIVISIONS NAME PARCEL MAP USEOFSTRUCTURE y0. lA SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑�R/emodelel ❑,� Utiillities/ ❑ Installation/ 0 Other ❑ n / Describe Work: /-7 T'7'fT'A/�/A /57/I/7� J(�[ L.ari> b- -)e, o�') Q Q-- L F'Ir@ lace Total Valuation E t I Permit Fee Plan Checking Fee Energy Plan Checking Fee $ 20.00 E ' Ex. OCCU OUTLET OR FwruREs b PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 5.00 Each gas water heater or ve 1 5.00 Gas 1 In stem 1 - flats 15.00 Building sewer 15.00 Moble a I S I G I W @20.00 Ex. OCCU OUTLET OR FwruREs PERMIT FEE S Ex. OCCU FIXED APPLNS. OR oLmzr5 RESID. EA ELECTRICAL PERMIT Fling Fee 1 20.00 Main Service 22°0°. on LEss 23.00 Main Service 200A TO IOOOA 46.00 /' NEW CONST: ( pWEl.LWO OCCUP. SO. OR ADDNS. 8 ACC. BLAS. I 3.5cFT. ;{/� MIN O NON,RESID. MULTI -OUTLET BRANCH crow r I 1 97.50 Ex. OCCU OUTLET OR FwruREs I B20 ® I., Ex. OCCU FIXED APPLNS. OR oLmzr5 RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 23.00 PERMIT FEE $ tJ MECHANICAL PERMIT Fling Fee 20.00 Heatina Hood I 6.50 Ventilation PERMIT FES I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ %6n, HA2. D. FEES CCOF I II EL N H 6Sjs This permit Is hereby Issued u�der the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner -,4,c'- /,j3 e, Z 2 L e, Phone: Mailing Address 9112 e —>o 2–.6U/,C O h c, i I L z CJl SVSG j— Site Address: qZI_? CA 21- 9 Assessor's Parcel Number:�0O Z7 —. 0 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL MOR1NIATI0N: 1. Is there a primary dwelling on the property? Yes No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes [ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will anv advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? -5 16. What type of wall covering will the building have? �2� 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. a Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirelv open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked ##4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room [1 Canning Kitchen ❑ Music Room ❑ Family Room C3 Sun Room E] Private Office ❑ Workshop 1 C3 Home Occupancy Z ❑ Other — Use = 1. Desmba type urworlohop '.. Ntust be appmved by the Butte Co uuy Pluming Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. : Additional Information: 'Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. ` I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Owner's Signa Date:? /5— 2 of 2 O`VNER-BUILDER VERIFICATION Aztencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sipugU e. Please complete and return this information at your earliest opportunity to avoid umeoessarydelay 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 Voperty improvement : YES NO E3 HAVE �e' HAVE NOT 0 signed an application for a building permit for the proposed ago& ave contracted with the following person (firm) to provide the proposed eonstrum"k-Mm H NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO., I plan to provide portions of this work, supervise, and provide the major work: NA�NJ E: but I have hired the following person to coordinate, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO., I will provide some of the work but I have contacted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 o Ae California Health and Safety Code. This verification incest be eotnpleW and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFOR VIATION Cea: Procerri Ower: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if chat person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various stades that you plan to subcontract„ you should be aware of the following information for your benefit and protection: if you employ or otherwise engage any persons other than your immediate family, and the works (including materials and ocher costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ (f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may ! e financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Scace Law, concac, the Department of Benefit Payments and the Division of Industrial Accidents. If the strucrut is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or throuy4 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020.N1 Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I!�Nt rely, X&11 - el C. Vi Ara, C.B.O. ger, Building Inspection NOTE: Tris Owner -Builder Iirjormatioa-if required by Section 198Jo of rhe Calijornla Health and Safety Coda OVER 1 24 a COUNTY OF BUTTE - DEPARTMENT OFi(EVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) l APPLICATION AND PERMIT 9,7_ ASSESSOR PARCEL NUMBER 027-220-01 084 ZONING A5 BUILDING PERMIT OWNER LELAND KEN BUZZELLE TELEPHONE 533-4673 SO. FT. OCC. BUILDING VALUATIO 768 11 13,824.00 OWNER'S MAILING ADDRESS 943 COX LANE OROVILLE, 95965 CONTRACTOR'S NAME SAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER N/A Fireplace LENDER'S MAIUNG ADDRESS N/A Total Valuation ARCHITECT OR ENGINEER N/A LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 943 COX LANE Energy PI Checking Fee $ OROVILLE, 95965 PERMIT FEE $ 979-45 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY ach Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Oth ❑ Describe Work: GARAGE (24X32) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ' @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service foo OR LEss 23.00 LICENSED )U'RACTOR' D ATION I hereby affirm under penalty ofy that I nse under provisions of Chapter 9 (commencing with Section 70ivisio 3 f siness and Professions Code, and my license is in full force act. License Class . No. OWNELDER E ARATION I hereby affirm under penalty of that I exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property,mpl ees with wages as their sole compensation,Mobile will do the work, and there ' not intended or offered for sale.1, as owner of the propera clusively contracting with licensed contractors to construct the project❑ 1 am exempt under Sec.Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BUDS. SO 3.50so. NON -R StID.T ANCH CIRCUITS QG 7.50 POWER APPARATus d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES YLQ I.00 BAL Q .50 NS OR Ex. Occu . ouTEitDrs(RSD.)5.00 Tem orar Service 23.00 Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S 46 S5 WORKERS'OMPENSATION DECLARATION I hereby affirm under penalty perjury one of the following declarations: ❑ 1 have and will main in a certificate of consent to self -insure for workers' compensation, as ovided for by section 3700 of the Labor Code, for the performance of th ork for which this permit is issued. ❑ 1 have and will ma' twin workers' compensation insurance, as required by Section 3700 of the Lab Code, for the performance of work for which this permit is issued. My workers' c mpensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Nu er (The abo sections need not be completed if the permit is for work of a valuation of one undred dollars ($100) or less.) I certi that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date ��'— gna ure of Ap nt - ❑ner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 319.30 HAZ. D. FES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dete Receipt No. ZZ x/27 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT {'v -.. ,,� /r.<'a•••rJ n..�+1 ,; COUNTY OF BUTTE DEPARTMENT VRP 4ELOPMENT SERVICES - BUILDING DIVISION +T COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L , / >����' �A_ ASSESSOR PARCEL NUMBER: G 2- 7 - Z Z O - o Proposed"Building Use: � s� Building Inspector: r /4- Date: At time of permit application, I was advised the following data must be submitted prior to perm' pro ssing and/or iss nce: Date Receiv By ❑ 1�.A11 items have been submitted .------------------------------------------------------------------------------------- 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------ ------------------------------------------------ ❑3. Corsiplete plans, 3/4 sets, signed by the preparer of plans . ----------------------------------------------------- . Engineered plan, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------ ----- ❑6. Energy Design Compliance and supporting,documentation.--------------------------------------------------- ❑ 7. Statement of Intent, for Non -Heated and A/C Buildings .------------------------------------------------------- ❑8.-Hazardous Material Form .--------------------- ----=-------------------------------------------- ----------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specificat' ns.------------------ ❑ 10. Fees of $ ❑ 11. Impact fees. as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------ 4. Sanitation and plot plan approval 0,M Health ] ❑ 15. City of Chico plumbing permit. ------------------------- ❑ 16. Plot plan and business license approval from the Ci�z ❑ 17. Planning approval for (A) Use: yi ❑ 18. Contact Land Development about ❑ Impr ve Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (co4tru- on proval prior to occupancy). --------------------- ❑ 20. Pre -inspection for ❑21. Contractor's license information. (11 ❑22. Workers' Compensation carrier and 023. Owner -Builder Verification (Given ❑24. Letter of signature authorization. - r ❑25. Recorded copy of Agricultural kn 026. Letter of intent on building . ----- El 27. Manufactured Home ❑28. Existing violations a ❑29. 0433 A, ❑GrantD E130. Other: required. Request to Building Inspector on ame Style, Classification). ----------------------------- number - ---------------------------- num er. ------------------------------------------------- ---- +r ❑, Mailed to owner 0) - -------------------------------- --------------------------------------------------------------- Aent Statement. ------------------------------------------- --------------------------------------------------------------- --------------------------------------------------------------- expired permits. -------------------- ❑ M.H. Title, ❑ Check to H.C.D $ (Date) When you issue thAp, , process as follows ElMail to owner, ❑Mail to contractor. AIephone.S 37 3 and hold for pickup at (9e -e> office. ❑ Deliver with inspector. Date Copy of Haz- at form sent ❑ Health Department, ❑ Fire Depar4e ❑ A�Pllut�ionDate:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. . 6l'65 • ' 27-22-84 3724-89B BUZZELLE; Leland 943 Cox Lane, Oroville • (new decks) . PEE --- - PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL OCATI ON �v Al n , Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature R = OK 0=Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date . MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel - 2. Soils; Special MH Support -Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / PV'ft. 6. Carports; Windows -Doors / /"Nat. or/ PV ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -Bt Date - Card -B1 Date 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -81 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector - 1. Setbacks -Easements _- 6. Water; MH Test -Regulator -Connector _ 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining - 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. 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 .__--Card-B1 - Date Card -B1 Date --•- 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enc losures- Panel boards -Ins. to Main in Conduit -" Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date `' Card -B1 Date Card -B1 Date 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s pate _ FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Irlangers-Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffle. S. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bd'rm. 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 T -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 -Fre 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 -Mate rial-Su pprt-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. SO- Infiltratinn-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -B1 Date Card -81 Date - Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -81 Date Card -81 Date Card -81 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels -67. Stairs & Rails w 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 ir-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 Protec. 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 ❑ Nc Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO, ASSESSOR PARCEL NUMBER ,2_7-� XONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC.1 BUILDING VALUA ON r O ER'S MAILING ADD SS J C NT ACTOR'S NA 4 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 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 NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ Other f )e S CIFV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00e TYPE OF WORK New. ] Addition❑ Remodel❑ Utilities❑ Installation❑ Othe* Describe work: / _ /p jL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , /z¢sgft NEW CONSTRESID, BRAN CH NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 20®SOQ eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t s ve, indemnify and keep harmless the County of Butte against all I' ie judgments ts, and expenses which may in any way accrue ' aga st d �nty in c n -e of a ranting of this per418q %� Date Si7oturrepplicant — Own Contractor ❑ Agent❑ Anitis required for excavations over 5'0" deep and demolition or construct- ios over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ "' cuA PARK scHL FLD PAR PD Ho Issu This permit is hereby issued under Bions or the Butte County. Code and/or work indicated above for which fees DIRECTOR F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date" —4 �.�'� , eceipt No. �7c3 F:gITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTM,ENT:OrPUBr'_IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APRUCATIDN DATA SHEET /� Permit No.�L1_/a _ IN OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE 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 ....................................... 2. Park fees paid .................................................... School District fees paid .............. 4. Sanitation approval from 4:>� �. Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of s (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 (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 o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wyou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone"!$hand hold for pickup at office. Deliver w/inspector. Other (� C1 Appli'can as 1( X&Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mail_countel by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date TO 'Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance C LLA A Ake Owner Location AP# V 'ung^ -e -C Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,"Orovil;le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION ,r 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) �N& ' signed an application for a building permit for the proposed work. . 3. 4. I have contracted with the fol owing person (firm) to provide the proposed construction: Name Address City Phone Cont actors License No. I plan to provide portions of this ork, but I have hired the following person to coordinate, supervise, and provi the major work: Name Address City Phone CoPtract64 License No. 5. I will provide some of the work but I ha persons to provide the work indicated: Name Address . Sign contracted (hired) the following Phone Type of Work 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. a Warh+P Shall Be in. qmdf 44M Newt, A=ord��e with Reeagn;®' Practices and �e�d on tfro Ro, 4 all $ia°a,5s cad it as unkmadui fe ;:. ., c : �.: for 0'a - ��� iv t «se in the R d19'r ch"—?C"3s or r'L•!foratikl i5 on SCAM i � Of d q�jt$iii as' FdPe.S.,:a oiftn p nisaic�ta from the D Uniforn Bujs-jir�g, Noumbi€�g 4'v�e :;:a :c i C.od®s and x A setback of 5 ft. from the ' C A -C G property lines and a setback f� of 50ft. from the'road centerline shall be clear of / structures ©r equipment ex For a 2r ft. e/aveoverhana• 1� �? X �l cam` as °uo s Stan -rb PERMIT NO. -S,4 PERMIT EXPIRES OWNER 7 E TD BUZZET T E ' a�rD-�vzzaa s , CONTR. OWNER ASSESSOR PARCEL _ t- u 27_27_$4 LOCATION Q4'A (.nsr T anp , nrn.,i 11,- Lf 1e tA D r p Temp P �OFFICE COPYr� I. taiRZ41-2-1" C.'ddress{�±s".t."_'%`Y'�i'3ray �y Temp ni r Meter7By� -;Da e� ELECTRICS ` a Meier By'� � y Date"�`�} r '` Tempt CaIle dPG&E i JOB FINALED (Date)_ Signature J =OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS r" Date MO LEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. ning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements . §01s; Special MH Su rt—Sketc 2. Footings; Size—Depth—Spacing—Connectors KYISeww; Location ,--6a(4-0—concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails G a er; Location est—. asement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing �,� 6 lectricity; Lo io learances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as ocati — rap:/ /"L"ft./ /'Nat.ar "L"ft./ "LPG. 6. Carports; Windows—Doors tility Clearance 7. Elec. Card-BQgp Datey,/ , Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOB LEHOME INSTALLATION (Plans) OK except #'s ning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements F tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 92s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI D'in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed /Mater and Sewer Connected—C/0 to Grade—HD Approval _ 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. as and Electricity .Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards— Ins. to Main in Conduit . Exits; Insp.—Sketch 10. Cert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Dat_Card-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK ' NotRable = Not ReadyeadyRESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks;,Soils-Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access . 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection _Water 15, Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _18. 19. Gas Pipe; Size & Anchors 62. Stairs & Rails Card -BI Date Card -BI Date 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit: Counter Date ELECTRICAL Permit OK except tl's 67. Garage Fire Door; Swing -Landing -Closer _ 68. A.C. Duct in Garage -Damper - 20. 21. 22. Fixture _& Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25_2 26. 27. _ 28. 29. Appliance Circuits in Kitchen &Conductor Size Subteed_Wire Size_/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral _-,Yes .]No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Pane ls=Motors-Mech. Equip. 73. Guard Rails & Deck Construction -Post Caps 74. 75. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ONO 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B-1 30. Clothes Closet Light -Shower Light ---- --- - - --- Date Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts: Insulation & Support _ Vent Fan; Exhaust above Insulation-__ _Condensate Drain & Overt low: Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI _Date _ - Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases-Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_ Bdrm. Windows or Exiting Doors -Sill Hgi. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) t MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE s, } DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome 4 nwnAr'C n -n -p CEJ -Z/11 r Z/ PERMIT NO. 117 1 � 7 Owner's address .+Insignia or hud number_ Manufacturer's name )i 111 1h� Serial numb r of VAI -:N. Year of manufacture , t / (Official Approving IbstaIlotio m "z IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 1 -5138 White - Owner, Yellow - Installer, Pink - D:;P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE , 11(17.7 OWNER PERMIT NO. A'routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please corktact this office iWmediately. • n Al %, i r r Inspector ��WDate_': COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWN PE MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immedialely. M : Inspector_ C!�` Date_ i c� �Z�.W . - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS C 7 County Center Drive - Oroville, alifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O.. /�- a ASSES O PARCE UMBERZONING _ BUILDING PERMI OWN rJ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S M ILIN DORESS pp , A CONT OR'S NAME M e- TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 LEN S MAILING ADDRESS Permit Fee $ ARCHI CT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ �S Energy Plan Checking Fee $ ARCHIT T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '^ l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 eq V ` Cl-- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE.OF STRUCTURE SF ❑ Duplex❑ MobilehomeSQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS G W Oea TYPE OF WORKk__z New❑ Addition 'Remod I❑ Utilities Installation❑ Other❑ Describe work: , _ %-" %-,- ?�' Permit Fee $ I Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;Dao AM LR S Main service EA. ADD'L 100 AMP 10.00 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- 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.ad\ OR AODNS. ACC. BLOGS. / , /20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050¢ BAL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , U, Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 s d County in cons que of the granting of this permit. X Date Ignature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -LIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPEJ FLOOD ARCEL /Pa MD Issu This permit is hereby issued under sions o the Butte County Code and/or work )n icated above for which fees OF PUBLIC BY PERMIT EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date`10L17if4 to Receipt NO. �6L—(n `/ WMIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �-rr -.r`+�..,;. .,. r+n:*.y�ir^+y,'Y r •- r,., r ar.7 ., r +rte rm,�-,+g �.�,f -as �. a• yl ...,�„ _ . �,. •. v -rte w COUNTY OF BUTTE - DEPARTME.Iy,T OF. PUBLIC WORKS - BUILDING DIVISION w 7 COUNTY CENTER DRIVE - OROVILLE,"CALIFORNIA 95965 - TELEPHONE: 916/534-4541 - PERMIT APPLICATION DATA_ SHEET ✓` Ile Permit No. OWNER e7c 2 ('A. P. o. / Proposed Building Use /Tn C IC- Buitlding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED All items have been submitted. . 2. Plot plans in duplicate riplicate, igned by preparer of plans. . 3. Complete plans in duplicate. triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . W. Letter of signature authorizatiQ� J 10. Sanitation approval from CJ�O.V 1•/ 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`ow,nee❑, Mail to owner ❑ ). _15. Improvements may be required. . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Dote) 17 Pre Inspection for Required. Building Inspector aA_(; Recorded copy of Agricultural Acknowledgment Statement. ,19. 'Driveway Permit. / 20. Plot plan approval from city of 21. 22: When ybu issue the permit, processus follows: Mail to owner, Mail to contractor. Telephone�'A/4;-3and hold for pickup atic_.office, Deliver w/inspector. Other _ Applliic„an,t .t�� �. ._® Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted. prior tQ^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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by ' date . Date y Plans checked by Date Plans approved by If f� Sets of plans on hold in File cabinet AP folder r r — Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW , TO Buil;rdina Department FROM: Environmental Health SUBJECT: Sanitation Clearance t L Ile Opener gocation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for:* \ Water Supply Final clearance O.R. for: We Supply Clearance for _3 bedroo mobile ome. Other Return, to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RtORDEtl RUTIE COUNTY FOR RiJSIDEftIAL DEVELOPMENT OFFICIAL, RECORDS BY . Section 26-8.1 of the Butte County Code requires this acknowledgement- P/1n,n SHOWN be recorded prior to issuance of a building permit.�'7 13Q 1 198 OR 10 � 11: 0° The property described herein is adjacent to land or included CANUCE j.GRU+3BS within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEEi_ the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but.not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: E/ //- o/ State of e111;,-, llA ) /� SS County of NOT COMPARED WITH OR-IGtNAL DOCUMENT PROPERTY OWNERS: On this the 1()71' day of /Q/,�ll 19before me, the undersigned Notary Public, personally appeared ,Ce4vd 8 . & ;2.i62/le to executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal.. Notary Public Present A.P. No. RICHARD FEL-ERSTEIN a / / Personally known to me. � / / Proved to me on the basis NO`rARY PUBLIC -CALIFORNIA m of satisfactory evidence. ® ® r Butte Count, My Commission BxpiresJan. 24,1983 a e to be the person(s) whose names) /S subscribed the within instrument and acknowledged that ,,Lle to executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal.. Notary Public Present A.P. No. �4 3a<-='�.':�rs,..•?�y:�•4 - •_ynteF"17:.�..{,' +aj..:.- r - . . "'•'•?q"�', ''!j � {i�?•'• A'',A •..r.�.: , t .1 Oyer No- 43593-4352 ':.. w Me. iL -rr no. ..'t:!1 RECORDED MAIL TO: Mr. LeiAnd B. Bussell• 637 Cherryatons Driye loo Cat-- Callforata 95030 MAIL TAX STATEMENTS TO: O/nCIAt RECORDS BUTTE CousTY•/at'F. .��€?�tr�til�D� E3C>ZON ccea'iwl M14 942 MM 1971 COUMTY REU,F:• A E JL SPACE ABOVE T -W LIN( FOn of C0.D1.1 Ln,.- DDfxI.QFTARY 'MAFaffR TAX t 77 _ eq �p(] C -,V .rd r.. the—Ldar.wb. a vO- a p,.pwwy —".d: OR C.nb.,bd e.. — Or.11en a wiva lr Ila.r a ...ra,.rbrla.a .T�v.�� ✓n w AM^r O^.'rwW^E tr - Nrn. M1 d y.11— Tit'). ...d W...,-..., GRANT DEED FOR A VALUABLE C(NISIDERATION• receipt of which n hereby acknowledged, T. T. BICELOI and IMOC$(S BICMOV, his rife hereby GRANT(S) to LELAXD BUZZEW . a single aaa the real property in the KXLD= unincorporated County of Butte • State of California, described aE The Southwest quarter of the Northeast quarter of Section 30, Township 18 North, Range 4 Fast, M.D.B. a M. Dated OQ:tober 26, 1977 7C/ fit/ T. T. Bigelow, STATE OF CALIFORNIA COUNTY OF Butte I Ortaauslow on Xoveaber 11, 1977 _ _ b.r.re Im• dH u -%w V%.q a Novy Public In wW fw ..td S-.• Dwtn...r1y p.arw _ T. T. BiaY.1R CA B11 loo b1use►wCmL MAL tmwn b Im b b. e.. p.rwon .L wl.ob ram d✓— wubvl0ad b M wlww.M W --.m .W ectnowl.de.d U..w IIOrAR� we'LK CAl• OORUN ' RaMOrA� Oii4Q {yl but, Coe" 1M TNESf web end orfictr bel. My CO A6110M WWW A" 19. 1m .-i. ow. 1002 110,601MAIL TAX STATEMENTS AS DIRECTED ABOVE fiD Of DOC3A./" J L NOTE -,All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the..,National Electrical Code. This set of plans and specifications. MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. over�ianq. A permit will be required =or the installation of the mobilehome. tility connections shall be within ft. of the mobilehome, either irectly behind or within the rea, If 4 she-reTgm le*fh of the mobilehome. G -/o- /q (-, BUTTE COUNTY BUILDING DEPARTMENT APPROVED AP # 2 1. —*k2O OWNER p �� 1 LrZ `L 2 PERMIT'lk I O Nei UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Stzuc. Compactior Test Req. Service Size OtherPipe Load I �T a Size Length YES NO YES NO 3/q .4 ' L---, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or6ville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AS,� SSOR P/{RCEL NUMBER vf!') O'CJ ZONIN BUILDING PERMIT OWN R 4 n TELEPHONE SO. FT. OCC.BUILDING UA M N OW yE S AA LING DRESS p CO CTO.'S NAME `4 C TELEPHONE CO TRUR'SL G ADD ESS LV Oe ireplace CONSTRUCTION LENDER UNKNOWN otal Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I ig Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2�S Cox LI Permit fee $ 4Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG FWJ 10.00ea TYPE OF WORK New ❑ Addition ❑ Rem el ❑ Uti hies Installation Other ❑ Describe work: 17 i ! � � _ F ///>> 6� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): C9-1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license Is In full force nd effect. License No. '� ��� Classification C ❑ 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.pI , New CONSTR.(A , �z¢sgft UC TII-OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 1. ALO eALO 30 EX. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 again id Cc ty in c nsequ nce of the granting of this permit. L! y X Date 7 —� Signature of Applicant — dwner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ (? Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCU P. CONST.TYPEJ FLgo� A L PD No Is9 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1 CT R OF PUBLIC BY ^'Date4-/ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-D.P.W.. YELLOW -^SSC OR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER ..�.,,, . _ _ ,. _ :;w: ... �,�. '"'"F:y:..;.t.`.•. i' ;i��.`.,,`f sa .1' t ti D"K a'».r� +r3W COUNTY OF BUTTE - DEPARTMENT,QFjPUBLIC•WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV ILLIS' CALIFORNIA 95965 - TF= FPHnNF• g1RIRIA-drdi ti Le l PERMIT APPLICATION DATA SHEE Z&//E Proposed Building Use - MAY- Building Inspector 6QV9 Date At time ofermit application, I was advised the following data must be submitted prior to permit processing and:/or I UanCe: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. °• 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: - (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•), Improvements may be required. . . - . . . . . . . . ot<6 Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- guilding InPre-Inspec.srequest to (Dote) pector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to wrier, Mail to contractor. Telephone .533 - G 9&and hold for pickup at �rnffice, Deliver w/inspector. Other Applicant dOXJZZDate 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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by ate - Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 P.M. C Copy—DPW MOBILEHOME SbPPORT DATA If other than single wide 7 Mobilehome Mfr. furnish Setup Model No. j(P 7s Year ,J I Width 2 �' (ft.) Box Length ( a (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)F-111. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 21. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams Tag or Triple Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- , From Ends -Max .------- Line 2 Piers: Size -Min - ------------ Spacing -Max.--------- From Ends -Max .------- Line 1 Openings: Size -Min. ------------------ ux u Each Side of Openings With Width Over--------- �� Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.--------------- From Ends -Max .------------- Line 3 Roof Loads: /� Size -Min. ---------- Zq xZ�k„ SO Location (From Front)/ _O „TL,S_7 (,rl,_ y „ 6o,_ Size -Min.-------- ---- 'k " Spacing -Max .--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min .------------ nx u Location (From Front) _ e i riers: tuner nearing Waits Unly) Size -Min .------------------ Spacing -Max.--------------- r_ n From Ends -Max .------------- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: (If no, clarify 5. What is the mobilehome FI 3. Is the site currently under permit? Yes F-1 What No the mobilehome _ (If yes, furnish permit number ) OR 7. Is the site an existing site? Yes No mobilehome site circuit breaker rating? ----- ,(If yes, furnish two plot plans.) Amps 8. Is there 4. Will the mobilehome be located at least 5 ft. away from septic, tank and leach F] --------------------------------- Yes -1.. F F1 F� No fields and clear of all setbacks and easements? mobilehome Yes site service? No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------.----- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the --------------------------------- Yes -1.. F F� No mobilehome site service? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service. - -- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- -(BTU) *(This information not required if pipe.length less than 6 ft. on ,natural gas or less than•50 ft. on LPG.) MOBILE'HOME SUPPORT DATA ti V If other than.single wide, Mobilehome Mfr. , furnish Setup Model No. ��7 S p_ Z Year 5 % Width Z L (ft.) Box Length G a (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)[11. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)[:a,- Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - --------- , From Ends -Max .------- Line 2 Piers: Size -Min - ------------ I Z,cy„ Spacing -Max ---------- From Ends -Max .------- Line 3 Roof Load@: Size -Min ------------- Location ---------- Location (From Front) / Line 4 Piers: Size -Min: ------------ Spacing -Max---------- , From Ends -Max .------- , Line 5 Roof Loads: Size -Min. ------------ Location (From Front) � u,e Main Beams Main Beams Line 1 Tag or Triple Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- s �� Line 3 Piers: (Under Bearing Wall.Only) Size -Min .------------------ Spacing -Max.-______________ ,- From Ends -Max .------------- 0 „ „x3 Go „x : o „x o k „ Line 5 Piers: (Under Bearing Walls only) Size -Min ------------------- Spacing -Max --------------- From ------ ------From Ends-Max-------------- f- J , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Ll 2. Installer's Name: 3. Is the site currently under permit? Yes F-1 No G_ (If yes, furnish permit number f Q 7 %- y3? ) OR Is the site an existing site? • , Yes No D (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes ID No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------.----- ZOO Amps 7. What is the mobilehome site circuit breaker rating? ----- 5 C7 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes D No El (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 (in.) 10. What is the type of gas service. Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than,50 ft. on LPG.) 't" I hereby GRANT(S) to. ' . LELAND" B. BUZZELLE and SHIRLEE K.BUZZELLE�HUSBAND ., ANDWIFEAS JOINT TENANTS j j , 1 .the real property In the•k`X9XX Unincorporated area of the ! County of Butte - County State of California, described as I. THE SOUTHWEST QUARTER ,OF THE NORTHEAST QUARTER OF'SECTXON 30, ' TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. i 6 i .:9'ali 0 8 66 .. :1. 1:8 Order No. MID VALLEY TITLE -s;t}.pig) • Escrow No. 104450 I WRYRx APN27-22-84 89-010966 1 Roo Fee 5.00 I Total 5.00 Recorded I WHEN, RECORDED MAIL TO: Official. Records I' LELAND HE County of 1 Butte 1 MIDVALLEY ME CO. 943 Cox Lane Lane Candace J. Grubbs 1 Oroville, CA 95966 Recorder I COUNTY OF -- I BIOOam 29 -Mar -89 I VS i on Marcli 28, 1989__ _._. SPACE AHOVC THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: N/A INTERSPOUSAL DOCI,'INENTARY TRANSFER TAX S.»..,.,..»»..,»,..».,,_ .................. tonally appeared.—1 EE.L.ai`lp_B--B.U=Ll' Computed on iho confideratfon orvalue of property convayodl OR same as above Computed on the consideration orvalus less lions or encumbrances ***********,t********************** r In Ing a Im o} w I.,; _ i, b(a16NX00Xd6iilMN K(or proved to me on the bails of satisfactory, S pnatun ovok1joytt or Agent datennlnlnp'teR •- Plrm Nam. ' evidence) to be the person$) whosa'name(KIs4lr)(eubecrlbed to the MID WkSLEY TITLE.COMPANY wllhin Instrument and acknowledged to me that he/4(4M executed GRANT.D'.EED FOR A VALUABLE CONSIDERATION, receipt. of which Is hereby'eckhowledged,' \� I LELAND B..EUZZELLE, a married man, who acquired .title as LELAND BUZZELLE, a::sing1e man 1002 (8/82) 't" I hereby GRANT(S) to. ' . LELAND" B. BUZZELLE and SHIRLEE K.BUZZELLE�HUSBAND ., ANDWIFEAS JOINT TENANTS j j , 1 .the real property In the•k`X9XX Unincorporated area of the ! County of Butte - County State of California, described as I. THE SOUTHWEST QUARTER ,OF THE NORTHEAST QUARTER OF'SECTXON 30, ' TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. i 6 i -s;t}.pig) • C Dated MARCH 28, 1989: n 1 STATEOFCALIFORNIA Butte �N COUNTY OF -- I on Marcli 28, 1989__ _._. before me, the underelpned a rlolery Public In and for said State, per - tonally appeared.—1 EE.L.ai`lp_B--B.U=Ll' ***********,t********************** rr■sesaNereiree:eNlM■ee■■ee�. b(a16NX00Xd6iilMN K(or proved to me on the bails of satisfactory, SANDY A..STACK evidence) to be the person$) whosa'name(KIs4lr)(eubecrlbed to the ■ "NOTARud Y FLIC•ceLIFORNIA ■ wllhin Instrument and acknowledged to me that he/4(4M executed ■ - 6,eta County ■ WCanmft4on Expfree Nov. 3, I9e9 ■ ' the same. ■ r■■��■■�■�■��■■�■■e'■■�O�f� . WITNESSmyhendand Iflctaisea-f.n �" IThll uo' toi 'olflalsl notarlal leaf) Signature_ rCil st.,�I 1002 (8/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE GNh f1R hflt^I lh'AFNT CALIFORNIA ALL-PURPOSE AC NOWLEDGIv M State of California ) Optional Section llltfrvrt� County of Butte ) Capacity Claimed by Signer Though statute does not require the notary to fill in On / .199 before me, JUDITH M_ WILLIAMS the data below, doing so may prove invaluable to a Notary Public, ers y appeared: person(s) relying on the document. INDMDUAL CORPORATE OFFICER(S) to be the person(s) whose name(s) is/are Title(s) M subscribed to the within instrument and (] PARTNER(S) [ ] LIMITED INN ��? acknowledged to me that he/she/they [)GENERAL executed the same in his/her/their authorized pY P0, [ ]ATTORNEY-IN-FACT capacity(ies), and that by his/her/their (] TRUSTEE(S) n N signature(s) on the instrument the person(s), (]GUARDIAN/CONSERVATOR X or the entity upon behalf of which the. t OTHER: toperson(s) acted, executed the instrument. [ ] Qb 104 Yflu M� �THi;' EFhTIFICATE MUST BE ATTACHED TO 0*&f OFUMENT•DESCRIB`ED AT RIGHT. •... +T0b;u"e.data requested heie is not required by law, `:.'.'it could`prgggnt fraudulent attachment of this form.` hSIGNER IS REPRESENTING: and andtial seal. Name of Person(s) or Fntity(ies) tture of Notary OPTIONAL SECTION TITLE OR TYPE OF DOCUMENT NUTAPER OF PAGES: DATE OF DOCUMENT SIGNERS) OTHER THAN NAMED ABOVE APN: 027-022-084 QUITCL4IM DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SHIRLEE K BUZZELLE, a woman, do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to LELAND B. BUZZELLE, a married man, his sole and separate property. The real property in the unincorporated area of Butte, State of California described as THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. "It is the express intent of the grantor, being the spouse of the grantee to convey all right title.and interest of the grantor, community or otherwise, in and to the herin described property to the grantee as his/her sole and separate property. Dated 13 May 1996 MAIL TAX STATEMENTS AS DIRECTED ABOVE (Notary Certificate on Reverse) 96-0296891 Rec Fee 9.00 WHEN RECORDED, MAIL TO: I Total 9.00 LELAND BUZZELLE Recorded I J 943 COX LANE Official Records I OROVILLE, CA 95966 County of I Butte 1 Candace J. Grubbs 1 Recorder I 9:03am 12 -Aug -96 1 PURL XX 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $_-O- Interspousal Transfei LELAND BUZZELLE _X Computed on the consideration or value of property conveyed; OR 943 COX LANE _ Computed on the consideration or value less liens or OROVILLE, CA 95966 encumbrances remaining at time of sale. UNDERSIGNED Signature of Declarant or Agent determining tax - Firm Name APN: 027-022-084 QUITCL4IM DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SHIRLEE K BUZZELLE, a woman, do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to LELAND B. BUZZELLE, a married man, his sole and separate property. The real property in the unincorporated area of Butte, State of California described as THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 30, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. "It is the express intent of the grantor, being the spouse of the grantee to convey all right title.and interest of the grantor, community or otherwise, in and to the herin described property to the grantee as his/her sole and separate property. Dated 13 May 1996 MAIL TAX STATEMENTS AS DIRECTED ABOVE (Notary Certificate on Reverse) STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Cades and Standards .�.® qm n 'Title Search Date Printed : 11 /04/2009 Decal #: LAJ4102 Manufacturer: 09578 KAUFMAN,,BROAD Tradename: BAYWOOD Model: 167 Manufactured Date: 04/15/1987 Registration Exp: First Sold On: 04/28/198-7 Serial Number KBCASiNB87321642 KBCASNA87321642 Registered Owner: !"IUD Label / Insignia PFS141830 PFS141831 Use Code: SFU Original Price Code: AJL Rating Year: Tax Type: LP T Last ILT Amount: Date ILT Fee Paid: IL l Exemption: NONE Length Width 52' 12' 52' 12' LELAND B BUZZELLE SHIRLEE K BUZZELLE (Joint Tenants with Right of Survivorship) 943 COX I_,N OROVILLE, CA 9965-9670 Last Title Date: 05/22/1987 Last Reg Card: 05/22/1987 Sale/Transfer info: Price $32,507.00 Transferred on 04/28/1987 Situs Address: 943 COX LN OROVILLE, CA 95965-9670 Situs County: BUTTE Pending Owner: LELAND B BUZZELLE 943 COX LN OROVILLE, CA 95965-9670 Reported Sold Oen; 12!12/1996 Legal Owner: CONSECO FIRTANCE SERVIC!NG CORP 350 UNIVERSITY AVE STE 107 PO BOX 255524 SACRAMENTO, CA 95865 Last Title Date: 05/22/ 1987 Lien Perfected On: 05/11/1987 15:55:10 * * * END OF TITLE SEARCH * * *