Loading...
HomeMy WebLinkAbout027-230-039• f. `� � _.... � _ �. _ _- , . —. _ ....., i.., r y � M 4'� rnwy .... .r.. i'fr .. �... �r...yilL.'�i�-s-.-:-..�"'�„-- ... �� �. -. � _ � « .. -r - a a -a v d9 oc' TRAVEL TRAI',LERS AND MOBI-LEHOMES n Meloy Lane WITHOUT PERMITS Oroville�P _ 027-23='0-039- 4/2/93 stallation of ele agmSgj138-89A(Agricultural.SBldg'Exe. } c 1575E 27-23-39 RODERICK Rodne 410 Melody Oroville electric repair/sf 027-23-0-039 95-1204 E 4 RODERICK, Rodney 280 Wayne Charles Road, Oroville . I. (re -tag elec ser)- ,027-230-039 03-0651 RODERICK, ELIVIER 408 MELODY LN, OROVILLE Corit: MHU r�� ECTRIC f;200,4 GAS LINE % cJ 3o L y COMPACTIO ST REQ �( SUPPORT STRUCT REQ N v } 027-230=039 03-0650 RODERICK, ELMER 408 MELODY LN, OROVIL��L((E�/ OLP MHI s 027-230-039 04-1802 RODERICK, ROD ;;280 WAYNE CHARLES RD, OROVILLE Cont: OWNER ELE ,SER CH 1 027-230-039 . AG0�8 RODERICK, ELMER I�''` 408 MELODY LN, OROVI AG. BLDG 3 8' ft ®_ N AND EQUIPMENT INCLUDING ALL EASEMENTS OVERHANGS SHALL BE CLEAR OF FT. FROM THE SIDE AND A SET BACK OF -32-- EAR PROPERTY LINES AND �0 FT. FF"" T"'E FTEAR SHALL BE --- � t - I FROM, THE ROAD CENTERLINE EXCE XA— - - 'TURES AND EU C'LEAR F STRUC 4AFiF CtIR A 2 Fr. EAVE OVERHANG - 37Y Lapp q 5 L �Joj !2 Pf o, [)Ate --- --------- .ALL STRUCTURES --- ,gnatured ti (4�) UN the attached Fire Sate requirements must be compWW as speofiW and QW0v8d by C.D.F. NOTE: See the attached �esiden#tat 7"--" Raquirements 2- ::4 -----Pages FILE Co Pi \ (, T (\. d -731 77 BUTTTE"TY BUILD114G DEPARTMEW! APPROVIED. - FF Alk fit c000 - fa ooe �-�- - 01-- -G N. -� s JA - _ a 7 -i m - i m i �. �-.,_ i _ _ _ _1.__�...L_ _� .__`_...� __.:__ _ ..__► __.I _ , .. _ �_.__��-vim ._. _ __ _ _l __ __i__ 9 I C!/Y,,�-� r irsc� �(J I AJ i7 b C�� sic r.. i /i 2. Assessor's Parce 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome?_/ e2'_2,Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes:`""` 10. Is there any other electric load to be erved by the service (i.e well,,�ggogee etc.)? Yes[ ] No If yes, please identify the load and size: ��`a)�Themobile,home,site, Load Amperes- T7 mperes- b)The mamservice. Load Ainperes- 11. Type of gas service at mobilehome site: Natural[ ] PropaneN None[ ] 12. Size of a pipe at the mobilehome site. from the meter or tank: inches. 13. What is the gas pipe length from the meter or t4nk to the mobilehomez�.Uft.). 14. What is the mobilehome gas demand^ B.T.U.* *(This information is not required if the pipe length Is less tho 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO WISI_/,1 G ONr T11 )d1oo aLLn May 1995 8 8.5 Mobilehome Manufacturer:aZ&MLOI�Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length:__ZeD (ft.) Tagalong or Expando Size (ft.) x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block) Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location Y SINGLE WIDE MULTI -WIDE Line 1 -1 Line 2 , Line 2 ..................... ..................................................... a................. Main Beams Line2................................................................................................ e 2 Line 1 Line 3 ......................................................... Main Bearns Tag or Triple Line 1 Piers: Size minimum: r 1 x .Spacing maximum: 1 ` From ends -maximum: ` Line 2 Piers: Size minimum: [/a ] x Do ]. Spacing maximum: b- ( ` From ends -maximum: ` o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): i Line 2 Line 2 I' Line 1 5 4 1 Line 1 Openings Size minimum: [12 ] x [2-q ]. Each side of openings with width over: d ` Line 4 Piers: Size minimum: [ ] x [ J. Spacing maximum: I` From ends -maximum: I` I NOISIAIG JNla1ln8 a E =Z TiE:__q_OWN SYSTEM i DESIGN lAAIIS: r *WIND LOAD.— 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACIUREO HOME INSTALLATION INSTRUC110NS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENOEO TO BE USED FOR MANUFACTURED HOMES UP TO (.3) SECTIONS IN WIDTH, CONTACT THE DESIGN ENGINEER FOR DESIVNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO RISC SPECIFICATION. WFtD ACCORDING TO AWS SPECIFICATIONS. ELFCTRODES-370 PLATED -ASTM A36. BOLTS=ASTM A307 6. THE E-•1 TIE ASSEMBLIES ARE CAPABLF. OF THE FOLLOWING LOADS: HEIGHTHORl7_0N1AL 1 VERTICAL '(b 7. f 1 " 2010 (Ib) 6000 891 Ib 25" 1825 (Ib 1510 Ib 6000 Ib 6000 �Ib 801 ib 664 Ib 7.8.1 36" 1419 Ib 6000 (Ib 679 Ih) 867 Ib 6000 (lb) 385 (lb) 7. ALL METAL COMPDNENIS AND ATTACHMENT ITEMS S HALL BE PROTECTIVE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2' SLEEVE ANCHOR BOLTS MAY BE USF0 TO SECURE PIER BASE PAD. 9. ATTACHMENI METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. )F2. 10. THE LONG DIRECTION OF THE G -Z TJ[.PAD (37") MUST BE INSTALLED PERPENDICULARo30,sNA'Mk S85I FL OF&q . PERXMS ROAD SACRAMBN7n, CA 95823 PH: (600) 362-8831 FAX: (916) 383-5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / B' MAX. E= 2' ON, / 1 F' MAX. VARIES to' -70' EVENLY SPACED BETWEEN IliiTi 0 n RIDGE BEAM . SUPPORT AS REQUIRED BY MANUFACTURER 30 I/ (TYPICAL) 0 0 0 O £7 E—Z TIE SUPPOR7 PAD (TYPICAL) i I r -i 0 c CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME. MANUFACTURER, . LENGTH ___. NU6A3ER_OF TiES OF HOME 18"HT 2!"NT 25"HT 28" 'T 36 -40_ 4 4 4 -- - - --- 4 b - so _..__4 60' 4 _— _. _ 4 6 0 d --6 STATE APPROVA ENGINEERED TIEDOWN YSTqM APPROVED SUB}ECT TO CORRECTIONS rl0TED.! Appioval Roos not suthadre or approve say omission or eeriatioo from 1`64virerassts of OPOicable State Imrs and re6vAalWns. Stale o1 ('Sr.(':nla Delta hent of ITousirg end 6:::.- Ttv Deve!g?mNtl 1YSDF O'COO[SPST7Si9.:'"'::Ds y $16Ifir* } This Plru Approw Eapres 1 f THIS TIE DOWN SYSTEM MEETS . THE REQUIREMENTS -OF SECTION 1336.3 SUBSECTION. (a). WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET I of CHASSIS FRAME �- 2"x2":3/18' STL ANGLE 1/2" DIA. HOLE (B) PLACES - 3/8" CAD PLATEO BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED_ 1/4" STAND BAST` 4 , ABESCO ABS PAD #503 10.50 18.75 3/4" DIA. x 18" LG. (4) REQUIRED 4 9 DETA)L °A" -- 30.00 '---- �IZT`Vrl FRAME - i/4" GRIPPER PLATE -• `y' • ~+" (2) REQUIRED 114" GRIPPLR HARE 1 /2 - 13UNC-AJO'/ x 4" BOLT WITH NMC (4) REQUIRED 01 1/2" SCH 40 PIPE. RISER WITH 01/2" ADJUSTER HOLES ARD 3/8" THICK TDP PLATE 02" SM 40 PIPE STAND WITH TWO 0.1/1" ATIJUSTER 1IOLFS �r ARESCO ABS PAD 8503 • .., St EEL FRAME—,. \ j TOP VIEW 1/2"x3/I5 x2- T.S. ...................(4) (4) REQUIRED PLCS i 36" MAX ..y TO BOTTOM ` -- - hdOr PAD ..:._:•.-:_:., _._.... - .. _. _...a , ,�:. �:_.. / 11�1 r r� SIDE VIEW / 3" C.R. ! LOCK PIN WITH Of/6' BRIDGE PIN \ h /•� 37,E ti 18 1/2' - ABESCO-Gly 1 5851 FLOM • 1 SACRAMMM 10.00 00/16 HOLE (TYP) STAND BASE .. TOP VIEW 1/4"x1-1/4" TEK STS (2) REQUIRED 1/4" CRIIPPER- COACH "C" FRAME 1/4 GRIPPER PLATE ' ' 2" CHANNEi. — �- COACH "J" FRAME 1/4"x1-1/4° TEK STS (4) REQUIRED i/2" A307 BOLI (2) REQUIRED 1/4' GRIPPER -�j BASE 1/2` A307 BOLT- L_`- 1 { A307 BOLT (4) REQUIRED 6J 2) C_OEA 3-13EA�ii! ATTACHMENT -ATTACHMENT MW kn. E—Z TIE_ OOWN_SYSTEM WAYNE T. POLVADO, PL -LISTING NO. .99001. SHEET 2 oI 3 INSTALLATLOIV INSTRUCTIONS E_Z TIE DOWN SYSTEM t. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET. DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAO AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I -BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGF.iT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE rHE TOP OF THE PIER UNTIL THE PLATE IS -AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN, 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST "THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE 'THE GRIPPER PLATES OVER THE FLANGE OF THE SEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEIK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE' GRIPPER"PLATE. 9. FOUR (4) STEEL `TAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WrFH THE CUID1L. ALTERNATWE: (2) #12 S.M.S. OR WELD Vis (2) At;? S.M.S, 41E ANGLE IRON NOTE: USE STIFFNER IF OUTRIGGER OR =— CROSS MEMBER OO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESC 4M OUARD CoreAl 5851 KOM • PEAKM ROAD SACLUGNTa CA 93823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE-11571NG; NO. -.99001 SHEET 3 o1 CDF FIRE SAFE REQUIREMENTS y3 -b61S-7 ed/WA.:cg , ELw1� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for.in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, / 1273. 07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [1 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical. curves in, roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ["fl 1273.05 Turnouts. Shall be a minimum of '10 feet wide and 30 feet long with a minimum 25 foot taper on each end. .] 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3 27 , 1-3 -30% -&.St edD4etCK_( AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�() 1. Gate entrances shall be at least two feet wider than I- the roadway it serves. 2. The gates must be located at least 30 feet from the I roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ 3. Where a one-way road with a single traffic lane Iprovides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parQels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_tal inspection of a building permit. Page 2 of 3 { 7- a-::!> - *3 2- 6tykte-K, F�nc=� AP # PERMIT # NA74E Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10k of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 oof 01, }1-- i i �-�--�---I----�-----i l._. :___!._—c_ _tel—'— � - I- ` •.-�- I_A — — L_. ' . ; wl OVApin — — --f— Other-� YG-F- AW, V)IPF ,� ' ignAure t i ,— — /) Ile 'rU i I Address4"FFIC�EC60PY GAS Meter By -- y Dat_ ELECTRIC Meter By Date o yQ s M, 1 r FFICE COPY Address LT b 7 GAS Meter By Dat' ELECTRIC �, f Meter By Date Cl • TV, Address -,GAS Meter By i ' �—�� EL'ECTRLC Date's Meter LE(_'T t �' Dat ` 01 �•�, saj' .b +l •� c . �,,� W 'Y� c'`� 1� �: �� � ` � _ ,' , � x o; or 7— APW dill Wr oil 41m or 7— APW dill Wr oil y ;~ �'� �. ,' y. M�l I � t � ' P i y� / ^ . � � A �,• �'. � � 1 •v • , -A ©� y. � � $� � . y�\� . . . }� \1\\� � <� .� ,� � � : � «� v� «� .�� : ? :� � � � � � y � y� >. :<� � � � � :�� � . .. » ct �� s «. .. «� � �� � <� «� y .. . < . � 2� � . . . .?<� � � 2\ 2» a ? \ <� � � � \\\� \�/� \� � }� y §�� � /�� � � `� 2 .� . « . .. �al;3z\zGeX�- - ^� \ � \� }RSo» %�-\ BUTTE. COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE.#: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): m I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date?' - '� Owner: ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: PERMIT NO. BP041802 Issued Date: 06/23/2004 APN: 027-230-039-000 Site Address: 280 WAYNE CHARLES RD PAL I Map Index: ' Description: CHANGE OUT ELECTRIC BOX Owner. RODERICK ELMER P & JANE A FAMILY TRUST C/O RODERICK ELMER P.& JANE A TRUSTEES 408 MELODY LN OROVILLE, CA 95966-9641 Applicant: RODERICK ELMER P & JANE A FAMILY TRUST Contractor: License Address (JtC-e- OFFICE COPY Architect: " i��e--- Engineer: ELECTRIC Dat Meter By -,4y-Jd Policy #: 41 certify that in the performance of the work for whichthis permit is Total Square Ft: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: i ri'� Applicant: 19— _441, -C l!r✓a,-L1'�Ov WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred .thousand .dollars .($100,000),_ in, addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ,000��� �Al -4,:::5(r, 47 ¢ ' -V 55 G/s 1/,=1 -+ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods anrUor I hereby affirm that there is a construction lending agency for the ReYE do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date:O¢By:Name:PERES ON: 3 - S Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represent ves of Butte unty to enter upon the above mentioned property for inspection purposes. So ", �� Signature: /' x- ?a G ,Z20 N C f" Print Name: �W11 - f Date: 6 e A 4 AOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor In BUTTE COUNTY DEPARTMENT.& DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP041802 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/23/2004 APN: 027-230-039-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 280 WAYNE CHARLES RD PAL Date: Contractor. Map Index: Description: CHANGE OUT ELECTRIC BOX OWNER-BUILDERDECLARATION I hereby affirm under penalty. of perjury that I am exempt from the penaty.of p p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RODERICK ELMER P & JANE A FAMILY to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section C/O RODERICK ELMER P-& JANE A 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 408 MELODY LN violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): OROVI LLE, CA 95966-9641 Lfh. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: RODERICK ELMER P & JANE A FAMILY provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one TRUST year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Contractor: Date Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to -self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: A licent: PP WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor interest, fees. 4 —7 ¢ -15s.— 15s—code, code,and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrvor I hereby affirm that there is a construction lending agency for the Resolution o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 3 04— �' (�--� ¢ Name: B y Date: PE EXPIRES ON: —n 3 - O S Address: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represent ves of Butte unty to enter upon the above mentioned property for inspection purposes. Print Name: �/ D C/ /-f"' P Signature: �G eo Gtr`r/ Date: Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor PRE-INSPEC N REPORT �-- DATE: LOCATION: `�'�Q Y �C,� A.P. # S CONTRACTOR: ZONING: REASON FOR PRE- INSPECTION �2 I 0 v DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE EE BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Electric Currently _.� ( ) Off Condition of Electric Gas: Currently ( ) Off . Condition Sanitation: Plumbing Worldng ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No t ACTION RECOMAMNDED: ISSUE ( ) Yes Hold for permits or verify: Inspector• ( ) No 0 Date: 27-23-39 ROD ....�� ,VEL TRAILERS AND MOB app 2000' S �-79E(reinstallation pri rd y-Lari� I RIM CHOUT PERMITS off PalermOroville 027-23-0-0393 2/93 Permit#of ele Permit #138-89A(Agricultural Bldg Exer>p ser-& change) MH ag stg) 27-23-39 cTL-- 157 5E r------- R DERICK, Rodne 410 Melo Oroville ric re air/sf���� t� P-��� 027-23-0-039 95-1204 E x RODERICK Rodney/V 280 Wayne es oad, Oroville 027-230-039 03AG038 (re- elec ser) RODERICK, ELMER 408 MELODY LN, OROVILLE ¢ ?'AG. BLDG �� 027-230-039 03-0651 RODERICK, ELMER 408 MELODY LN, OROVILLE tr+ 7 Cont: MHU ELECTRIC 00.4 . J � t ��. w GAS LINE ] ]o 1-Nc y G z, fi�� v .7 !" i.y tF, S•t Jn..F X COMPACTTONTEST RAl c) E Y,i T T'x` -trf Y r,,s Y X2 s+..:- i =1 t r...F $ S is•N h, ' F ;SUPPORT STRUCT REQ Ivws T 027-230-039 03- 1 RODERICK, ELMER v 408 MELODY L OVILLE A1 3 MHI 3 r ' I E , i_ I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS [OUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION • CONTRACTOR j- � 1 — li�T 9_ - raMOM �_ AM SRA City I No State Fo y: CONTRACTOR Name — li�T 9_ - raMOM Address SRA City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class Fo y: ARCHITECT/ENGINEER Name — li�T 9_ - raMOM Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number Fo y: Zoning AFORM — li�T 9_ - raMOM SRA I Yes I No Occ. Type Const Subdivision Name Fo y: Zoning Flood Zone SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION PERMIT B - BIN # • .. �. "%� !'_1'' &I, of0!4 W IN �tiff., NumberWORKER'S COMPENSA TION Policy Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: L � 1_§q_.Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. RVt- Amount: �'" ~� Bldg SRA Sheriff ,4t,SMIP Date Other Total V-\r-nPhAC\RI III nlNr', r-nRM.R\RlrinAnnl.OithRnmts.doc Paae 1 of2 REV 4-30-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS [OUR INSPECTION#: OROVII.LE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Mr CONTRACTOR Name Flood Zone Address SRA I Yes City Occ. State Zip Phone Page1 Fax E-mail Date Approved: Lic. # Class Mr ARCHITECT/ENGINEER Name Flood Zone Address SRA I Yes City Occ. State Zip Phone Page1 Fax E-mail Date Approved: State License Number Mr are avow 0 0. PVT, . - IM7,00ma-, 0 Fo y: I��2� , • • -- 7. a�� �. / /.I v 1 9F 0 Flood Zone SRA I Yes EVI• Occ. Type Const are avow 0 0. PVT, . - IM7,00ma-, 0 Fo y: Zoning Flood Zone SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page1 Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT B BIN # LOCATION AP# � Property A (/"0zWz1f _n Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: L � Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Vecei: A t4 Date 1.0') SRA Sheriff SMIP Total KAFORMSIBUILDING FORMS\BldaAoolSubRamts..doc Paae 1 of 2 REV 4-30-04 19 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3.Complete sets of plans, signed byethe preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ' calculations. - . • s . ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. w ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ ` 6. - Sanitation'and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review: , ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from'the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 430-04 w 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: <1l i ,L ASSESSOR PARCEL NUMBERS / ( • a - -V / Proposed Building Use: Counter Technician. Date: �/ G Items required in order to apply fora it. All boxes M ST be checked OR marked NA in ordto apply. El1. Site plans, 3 or 4 sets, sig the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ , ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ / 27. Encroachment Permit Lof drive y fro the lic Works De ........................... CX 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, am le, Classification) ................... 34/0. Worker's Compensation Carr'e nd Policy Nu ............................................ 31. Owner Builder Verification iven to owner, -Mailed to owner) ..................... 0 32. Letter of Signature authoriz ion......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits........................................................ ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have bVV informed the above items and requir%eme�n.�ts for obtaining a building permit. _ Plan Check Letter 1. I exgi5 ligtrfor the above items numbered: 2. Additional items uired Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 S HEDULE OF RECEIPT OF FEES.2 OWNER C�` A.P. 71. EDBUILDINGUSE DATERECEIPT # DATE REC. BUILDING PERMIT FEES � � --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X _ = $ Sq. Ftg. Amt. 10. OTHER At time of pe t application, I was advised above fees are requto a paid prior to issuance of the permit. These fees may be ch ged during t a kin ocess. APPLIC N DATE --r Pursuant to Government Code Secn 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) A.P. # 0 Z7 —230 — 0 OWNER 2.0 D t"7Z/ L(e,' PERMIT #_ d 3_ 6 6 S"-/ MH UTIL. CLEARANC DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHER LOAD TYPE PIPE SIZE LENGTH YES NO YES NO z.oy 3� low y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754y� + (Rev. 12/96) APPLICATION AND PERMIT 1��_') ASSESSOR PARCEL NUMBER 027-230-039 ZONING A5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 40Rnrl)z Lane OroWlle CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 408 MelodyLane Oroville CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI (ag workpx) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Serviceao.v, oR LEss 2IOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereb affirm under penalty of perjury that I am exempt from the Contractors License Law Kr 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5¢FT: NEW CONST. MULTI.OUT II NON-REsio. 97.50 POWER APPARATUS 6 SINGLE OUTLEr CIR. Ex. OCCu OUTLET OR FIXTURES 20 00 BAL @':50 Ex. Occup. oFl EE%A A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Policy Number (T above sections need not be completed If the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Calffornia, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply w' ose visfbns. X Date Signature of Applicant - caner ❑ Contractor ❑ gent An OSHA permit is required for excavations over 60" deep and demolition or nstruction of structures over 3 stories in height. Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINIIQSPECTOffL EN LICANT Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 HAZ D IMP FLOOD CDfi PARCEL 1.�/ pp H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date /:2W/Cl M /4&7- a L/Z/ 9,/r S- 7-6 3 TCOUNTY Of BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :.:T 7 County Center Drive • Oroville0., California 95965 • Telephone (530) 538-754e):3�►� ► yo• (Rev.12/96)3. r_ , APPLICATION AND PERMITif ( J ASSESSORPARC0.NUAlBEA 027-230'039, ZONING A5 BUILDING PERMIT OWNER •O -El Roderick 532-4931 TELEPHONE -"SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 408 Melody Lane Ormille CA 9%66 CONTRACTOR'S NAME owner TELEPHONE f CONTRACTORS MAILING ADDRESS I � CONSTRUCTION LENDER Fireplace - LENDER'S MAILING ADDRESS ' Total Valuation Is (ARCHrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $23.00— 23.00—Plan ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BU, WR%lody Lane Oroville CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. i SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT i Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other i SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 " TYPE OF WORK )'New ❑~`A dition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Wor r, �(ag wor' ;r� Gas piping system 1 - 5 outlets 15.00 Buildingsewer � 15.00 Mobile Home S G W @20.00 PERMIT FEE $ f �,r ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS ; 23.001 -.---•- r 'N*�1,0LICENSED CONTRACTOR'S DECLARATION + I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter -9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m"license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION `I here V affirm -under penalty of perjury that I am exempt from the Contractors License LaV6r 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ' O . I am exempt under Sec. Business and Professions Code for this reason / WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ �l 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. FA❑� 11have and will maintain workers' compensation insurance, as required by Section f ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workerscompensation insurance carrier and policy number are: Ca'rrle "•Main Service 200A TO IOOOA % 46.00 NEIN CONST. DWEwNG OCCUP. SO. OR ADDNS. ( a ACC. BLDs. 3.5¢FT, NEW CONST. MULTI -OUTLET NON•RISID. 97.50 POWE. APPARATUS Y 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 pQ I...00 .....-�.... "Ex. Occup. OtliAll q IES p.OERA .1 �` 5.00 Temporary Service { 23.00 Mobile Home Facilities 20.00 Misc. Wiring d 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ' PERMIT FEE, $ Polic Nu" ber 1-- aboyy�e sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) er I certify at in the performance of the work for which this permit is issued,'I shall not errrr��loy any person in. any manner so as to become subject to wo"rkers' compbnsation laws of California, and agree.that if I should become subject to the workers' compensatio provisions of section 3700 of the Labor Code, I shall > fo with comply w' ose ovisibns. X _ Datt �' © Signature of Applicant - 1310wrier ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition o nstruction of structures over 3 stories in height. i U Receipt No. WHITE•D.D.S.-B.D. CANARY -ASSESSOR PIN)(-VNSPECTOR GOL ENPZUPLICANT Mobile Home Installation, Fee $ 100.00 Energy Inspection Fee $ occ corsT. TYPE 143.00 � TOTAL FEE $ HAz 1 r IUP f1AOD Il(` cgF ✓ PARCEL �,/ Pq/ (/ ISSUE This permit is hereb *issued�un the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. u By Date PERMIT EXPIRES ON Date Kx-piu Le ac r C l C/l/ e/r, .5- 7-199 S - j;N- c r1 t^,03�0650 , E R '408'M E y M HI: r . ;.F • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .1 * 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754r;7 ERwk N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-230-039 ZONING ` BUILDING PERMIT OWNER TELEPHONE "SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 408 me Orysille CA 9%66 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNa ADDRESS Plan Checking Fee $ BUILDIN-TDR�_�S 10dy Lsm Oroville CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Moblehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH1 (dg worker) Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and mylicense is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION / LI hereby affirm under peealty of perjury that I am exempt from the Contractors license aw 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 oroperty, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt uncle• 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier- Policy Number R above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, l 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 fo with comply with ose lovislbns ' Oof X _ Date' / Signature of Applicant - Owner ❑ Contractor O gent An OSHA permit is required for excavations over 60" deep and demolition od9onstruction of structures over 3 stories in height. U Main Service 200A 1000A 46.00 ToNG NEW CONSTDWELLING . P. OCCUCLI OR ADDNS. ( a ACC. BLDS. SO 3.5QFT: NON•H6lp. MULTI.OUTLU @7.50 POWAPPARATU' 8 SINGLEER ourLET CIR. Ex. Occup. ourLET OR FIXTURES 20 ® 1.00 BAL Q .50 FIXED APPLNS. OR Ex. Occup. ourLtTs RESID, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ IUU.Uu Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 HA2. 1 D Es IMP FLOOD CDF PARCEL �' ISSUE This permit is hereby issued under 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 (Date) rReceiptNo. .� /� T.D.S.-B.D. CANaRY-ASSESSOR PINK -INSPECTOR GOL EN �PLICANT L (Rev. 12/96 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 pERMt FtO. APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER ZONING ' BUILDINGPERMIT OWNER Eldw Rod�eriek 532-4931. TELEPHONE ~ISO. FT. OCC. BUILDING VALUATION ••• .OWNERS MAILING ADDRESS 408 Melodv Lane Orwari•lle CA 95866 CONTRACTOR'S NAME Oi� Jer TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER • r • , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $23.00, ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDIjJGA R,�D ,ody Lane Oroville CA 95965 �{�/ Ener Plan Checking Fee gr g $ $ PERMIT FEE $ 43.04 }. IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IHY (ag worker) Gas piping systern 1 - 5 outlets 15.00 Building sewer r 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200,,OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my'license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A y 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. KIDS. so 3.5¢FT: T. —NON -RID. MULTI.OU CIRCUITS T @7,50 PONfERAFPARATUS 8 SINGLE OVrLbT CIR. Ex. Occup. OUTLET OR FIXTURES)�0 p 1.00 FRIED APPLNS. OR Ex. Occup. GvrLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number e`above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued,' I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with'tt ose p-rovisions. X �i' t Date'' Q "' Signature of Applicant - O'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition o"onstruction of structures over 3 stories in height./I. % —0 Mobile Home Installation Fee $ LUU.W Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 HA2. .., �EE¢ // IMPFLOOD COF pgROEL PV 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 - Date ReceiptNo. ` %ozx)C !4 - %IriC �,� /r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD`APPLICANT f,i c k-fI, r' P /r. t f r J l ' /// /1, •/(- `1- Y r, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 6 ILDING. DITISlON 7 County Center Drive a Oroville, California 95965 ► Telephone ( 30) 538-1541 - PEN&T No. APPL(CATIONAND PERMIT� ' c 5f) 115 BUIMNG PERMrr �., A Q Z2=may q sa FT. occ SUU043 VM-Uk ON • U mom acaac-snxs w+�n+� an a oae� • oA e� � �an�as . USEOFSTUCTIIRB ;F f7 Duplag D MobDehome O Other 1'5.3 (r;,iye- TYPE OF WORK Otis Ngo f7 Addann 0 Rem:dd D Uu= 0 hafm&3r= f7 Offer D &A Demos Work T I **SWT FEE ?Alb SRS A#bV i RECUVIEb c v 17 63- 0am ant PJTZN"Com Re:eiptf�io, ' ' w�.e_e.:.a_e e�.u6rn.nssssoa Pt►i6-uSP�GTOR GOLG�ta�0.l�PPL1CANr Yaluadon ' Fee S 20.00 t Fes mleckino Fes A y Pfau Chug Fee IS PSR m 1 S PL.UE13ma 'PERMT FiG69 Fee 20.00 Trap7.DD or hest water heater 23.0D pig 1 S.DD es roster heir or vent t S.DD - s muijets 1 s.00 19 sawar I 1 S.DD 1 f loma 131GIWI @20.DD PmWT f m S rRICdl_ P-�RMIT ( FM a Fee 20.00 am% SD mm" 1 1 4S01) P%mm 9EP-EFT- 'Oy� @7.0 P7WSi A°�AA4Y9 6 SB76LE t7311t� 670. MMEr DA FC L _MS BOL @ J' C Fj A oAE9L' CttfiEtS 10...1 S.DD ice 23AD soiiffies 20.DD 23RD PERMIT Fri S 2AL PERMIT FEmg Fee 2.0.00 6.50 Nbble Home hedWaftn Fee Enargy bgpecion Fee Is 1 c= 00"--L7vE ITOYAL FEE $ • e'° z C r This PWmfl is hereby Issued under The appt:able provsroas of the Butte County Code and/or RemohMons to do work h cleated above for wW=h fees have been Paid By - Dste PERMIT ExPIRES oN 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 n OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use�� /� /(� / S J r� Counter Technician: Date: Is Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply' ' Y2. 1.. Plot plans, 3 or 4 sets, signed.�y the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer oft ' he plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on pins AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5 Energy compliance de si a d supporting documentation in duplicate. ( 6. Manufactured homes: Wta sheets and installation instructions,Wrri 1'in n o ation (44 loor Plan, (�,ie down or foundation plans, all in duplicate. 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 ❑ 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 ................................ ❑ 11. 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.) Pf 1 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... . Statement of Intent for Non -heated and A/C Buildings................................. 6. Sanitation and plot plan approval from the Environmental Health Department in fl / 3/1' 3 17. City of Chico Plumbing permit..... ....................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: _(B)Parking: (C) Parcel Check: ❑ 2 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 ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... -Letter of Signature authorization.................................................................... W2 ecorded copy of Agricultural Acknowledgment Statement .................................... ufactured home utility clearance............................................................... . Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, Q Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed he above ite nd requirements for obtaining a building permit. L ^ Applicant: Date: 1.� 1. Index permit application for t v twirs bere : Plan Check Letter 2. Additional items required AV 19 % Contractor, designer, owner, wa abo a data by ❑ Oone, ❑ mail, ❑ counter, by Date: _ Contractor, designepplWila0fwas advised of the abovp data by Wphone, O mail, ❑ counber, by _Date: // r It --&3 Plans reviewed by: PJ25, r Date: 03 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer 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 N SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE t ► I H T 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ / j 2. SCHOOL DISTRICT FEES • 1' v ' o el I (paid at District Office) (Available after Plan Check) (91001 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.0 = Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) J 7. SRA FIRE INSPECTION AND PLAN CHECK on C ► � 14 " $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # DATE 3 —6 RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checkitIMcess. -A DATE 0 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available _on -the _Job site. A.P. No. _ 027-230-039 y 03-0650 RODERICK, ELMER' Owner 408 MELODY LN,- OROV ILLE -- -- ..--.�-- Contracto• MHI Permit No PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Pre-Gunite Underfloor, Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framin Slab Rough Electrical Rough Mechanical Framing Shower Pan Oo ................ Insulation =ID Fireplace Footings Fireplace Throat Nott. Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ,... Addresses Informattor►... Z4 Hi tnsp :: Oroville - 7 County C6nter Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 Building Permit Number 15L Owner Name: Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and worlananship shall be in accordance with recognized good practices and cf a quality prescribed for the specific use in the 2001 California Building Code (1997 U.B.C.), 2000 California Plumbing Code (2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.), and the 1999 National Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A-C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements.: 1- Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. S. .The bottom of the openings shall be no higher than 1 foot above grade. 6. .The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 SD �O St 4S1 BuildingPermit Number:! Owner Name: r ;� Parcel lies,.within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements: A setback of _ feet from the side and '?)Q- feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang.- Expansive verhang: Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 it"91 . Yll 1 7' CC -Woo, IT, Slk 7 FT jC r �Drrf?/ ol I G !�N Az _2 a PL M�VG use: i r qVIS EN-Mul ING',-. NAP ov L' iii—_ Da,,e: I - —�__-� �--1�li _I 1--- .- _ �f.— -1 i —�(' - - - -� - i— —1I _ I _T -'�-- {�-� -,,�' .—�' ►-- - - - -�-r �---'��-�— I _ ; • `'-^— —_9_• - -: -Pdi --un g__: -00 el Sig iatur3_-__- andcapmg, J_ tI L.—� L �{ I -4 Z A I � -A --1 -- - — - am L. _ -- — - -- _.i - - .01 • cc� i {u � a u� ., , .. :.,,x, t r- 2. Assessor's Parce 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the- mobilehome?-/L22­Amperes. . 7. What is the mobilehome site circuit breaker rating? Amperes. (18. What' is the electrical rating of the'mobileliome site? Ampere• s. Is the main service remote from the mobilehome site? Yes[ 4] No ] If it wh t is` the rating? Amperes.t� -. . 10. Is there any other electric load No) be erved by the s service. (i.e. wekgarage etc.)? Yes[ _] If yes, please identify the load and size: •�'a)-The mobile home site: Load Amperes - The main service: 1 I . - % Load- Ainperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane<None[ ] 12. Size of qapipe at the mobilehome site from the meter or tank: .5 inches. 13. What is the gas pipe length from the meter or t4nk to the mobilehome,�(ft.). 14. What is the mobilehome gas dema d". - T B.T.U.* *(This information is not -required if the pipe length Is less th 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO Fro UJ -e 03AO8ddV NOISIA g,E)NfallnNnq - j1 in1P Way'-6�5 Vt .,1 s A) /0OA a we 8.5 Mobilehome Manufacturer:Tp ���/ V Manufacture Year: If other than single wide,'furnish Setup Model Number: - Width: (ft.)jLength; 66 (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. FOOTINGS: Wood pressure treated or foundation grade[ ' ] Other: SUPPORTS: Concrete block, Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI•WIDE Line 1 F-e Line 2e 2 \, .....MainBeam4...................................:�.,..t... ar.............................................................2 Line 2Line 1e 3 2 .......................................................... Main Beams • ti ........: . ....................... .............. ................................ Tag or Triple ................................ Line 1 Piers: Size minimum/ r i x .Spacing maximum: ` From ends -maximum: ` Line 2 Line 1 line 5 Line 4 Line 1 I Line 1 Openings Size minimum: [ j 2 ] x [ _l ]. Each side of openings with width over: p ` Line 2 Piers: Line 4 Piers: Size minimum: UA ] x 130 ]. Size minimum: [ ] x [ ]. Spacing maximum: 5 (a • Spacing maximum: ` From ends -maximum: p From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER NOIM 3P `,,,)N'1C1iine A, lNn ne a E-Z_T1E;__D9WN SYSTEM *WIND LOAD— 15 PSF 1. THIS TIE ,DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MFNIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". .3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) • CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHF.•.N 11 WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (.3) SECTIONS IN WIDTH, CONTACT THE DESIGN ENGINEER FOR DESII:NS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO RISC SPECIFICATION. Wfi.D ACCORDING TO AWS SPECIFICATIONS. ELFCTRODES-370 PI ATED-AST1I A36. BOLTS=ASTM A307 6. THE E-4 TIE ASSF.M13LIES ARE: CAPABLE. OF THE FOLLOWING LOADS: .Hf IGHTHOfONTAI AERTICAE �l,IET ,� 2010 (lb) 6004 - (Ib 891 Ib 7t" 1825 (lb) 6000 Ib 801 ib 25" 1510 (Ib) 6000 lb 28"664 664 Ib 28" 1419 (Ib 6000 (Ib 629 Ib) 36" 867 {{,lb 6000 (lb) 385 (lb) 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHA!! BE PROTECTIYE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE ANCHOR BOLTS MAY BE USFO TO SECURE PIER BASE PAO. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2. 10. THE LONG DIRECTION OF'THE C -Z ILE. PAD (37") MUST BE INSTALLED PFRPFNniml ADsT U---.��. r P1i14 1791 %x% • •••••• _wljo %julu%" LAJAWA 5851 FLORIN • PERKWB ROAD j SACRAbUMM. CA 95823 ! PH: (600) 352-$831 FAX: (916) 383-5207 (IF CAi% ;d0 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' WK / B' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' ' EVENLY SPACED BETWEEN E13 ri RIOCE BEAM -SUPPORT AS REQUIRED BY MANUFACTURER n FJ (TYPICAL) O n L -- O --6--- 0 0 E -Z TIE SUPPORT PAD -- M �; r -i (TYPICAL) cif O U CHASSIS BEAM SUPPORT PIERS --SIZE. AND SPACING AS REQUIRED BY THE ICOM!-. MANUFACTURER. LENGTH ___ NUM!#R_OF E" Z TIES OF HOME 18 HT 21"HT 2S"HT 28"HT 36';NT - 4- 40 4 .. M1 4- _ ._...6... 5O0' -�4 4 - • -44 - 4 -6.._.. 60' 4 4 .- 4- - - -- 66' 4 r4 70' 4 p STATE APPROVA ENGINEERED TIEDOW-N SYS APPROVED SUEKCT TO CORRECT04S NOTED.1 Appioval d08s met euthsdte at approve say omissbn or deiiation from rapuiremesta Df oPoirable Stale I'ws and re6vdatlwi6. - Stale of C2Illimla D"tment of IIoutikg P.RG i .'..'•"itv Dcvn!crmant TVaIJ!' O'CODESP'S:ilSi+.."'%!)5 EPA f40-% ThisPlugppwratfapires 1� _....__.. THIS TIE DOWN SYSTEM MEETS . THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION. (a). WAYNE T. POLVADO, PE -LISTING N0, 99001 SHEET 1 of 2"x2"x3/16" STL. AITGLE 1/2" DIA. HOLE (8) PLACES - 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER 80RED FLUSH WITH BOTTON (8) REOUI RED — 1/4" STAND BASE ¢ = / /- ABESCO ADS PAD X503 lo 50 DETAIL"A" CHASSIS FRAME i/4" GRIPPER PLAFE (2) REQUIRED 1/4" GRIPPER BASE - .. 1/2--13UNC-ASD'/ a 4" BOLT W1iH NLII' (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLIES 41111 5/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 0,1/1- AI7JuSTER IIOLFS ARESCO ABS PAD #503 .. 8 ' 18.75 3/4" DIA. x I B" LG. ._ (4) REQUIRED + -- 30.00 ---- STEEL FRAME - TOP VIEW (4) (4) . (4) REQUIRED SCS r 36" MAX \ TO BOTTOM -- 0r PAD---.---- \ SIDE VtEW I� 10.u0 - �{ 10,00 04/16 HOLE (TYP) STAND SSE . . TIDP VtEw 1 /4" x 1-1 /4" TEK STS (2) REQUIRED 1/4" GRIPPER - BASE - 1/2" A307 BOLT - (4) REQUIRED COACH "C" FRAME 1/4' GRIPPE PLATE 2" CHANNEZ C -BEAM ATTACHMENT """1 "J" FRAME /4"x1-1/4" TEK STS 4) REQUIRED 2" A507 BDL1 ' REQUIRED 1/4' GRIPPER - BASE `- 1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE_ DOWN_SYSTEM WAYNE T. POLVADO, PE -LISTING NO. - 99001 SHEET 2 vl 3 INSTALLAIM-NSTR.UCTIONS E__Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER OH CHASSIS BEAM. 2_ MAKE LEVEL THE PLACE WHERE THE PAD WILL SET. DOWN TO UNDISTURSEO SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE TPAD. AND PLA Witl LINE UP WITH CE THE PIER. THE HOLES IN THE BASE PLATE FITHE STUD BOLTS. REPLACE THE NUTS AND WIASHERS ANO TIGHTEN DOWN. I—BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS. AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS FUSSIQLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE .COTTER PIN, 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP 15 TIGHT AGAINST 'THE BOTTOM OF THE CHASSIS QEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. _C_.:_:BEA. A�tD._.a.-F3l�MS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THF. BEAM IN ADDITION TO ONE' CRIPPER'PLATE, 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) #12 S.M.S. OR WELD vmmcm (2) f t;? S.M.S.. ANGLE IRON I % I k 1'121 V46" NOTE: USE STIFFNER IF OUTRIGGER OR -- CROSS MEMBER DO NOT OCCUR WITHIN, 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-OM GUARD COMPANY 5851 FTARIN-PERKM ROAD SACRAMBNTa CA 93813 PH: (600)'382-8531 FAX: (916) 383-5207 'WAYNE T. POLVADO, PE-4IS71NQ., N0, ..99001 SHEET 3 of f 027-23-0-039 95-1204,.E RODERICK, Rodney 280 Wayne Charles Road, Oroville (re -tag elec ser) Address OFFICE COPY GAS Meter By Date ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Cointy Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 027-23-0-039 ZONING AS BUILDING PERMIT OWNER RODNEY RODERICR TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 410 MELODY LANE OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRBSS Penalty $ BUILDING ADDRESS 280 WAYNE CHARIES ROAD, VILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSroN'S NAME - / PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehone ❑ Other SPECIFY ► Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ TR Describe Work: RE -TAG ELECIC SERVICE >r Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 23 • Main Service ( 200A TO 1000A ) 46.00 LICENSE? CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.; License Class Lic.No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of,perjury that I am exempt from the Contractors License Law for the following reason: %Mobile 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and Ile structure is not intended or offered for sal$. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the proje•--t. , ❑ 1 am exempt under Sec. Business and Professions Code for this reason i WORKERS' COMPENSATION DECLARATION I 1 hereby affirm under penalty of perjury one of the following declarations:a ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL a .50 Ex. Occup. FIXED ) 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the perormance 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 compl with those provisio}.qt /�J X f r , �tt �,`� Date { Signature of/Applicant - C Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 0. FEES I IMP I FLOOD I COF PARCEL I PD I HD ISSU SO This permit is hereby issued under the of the Butte County Code and/or indicated' bove for which fees v - B PERMITEXPIRESON I applicable provisions R, olutions to do work Been paid. Date 6/6/95 6/6/96 (Date) ReceiptNo. 180172 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTc- DEPARTMENT OFIDEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Orovtlle, California 95965 - Telephone (916) 538-754 �� ✓��MIT NO. APPLICATION AND PERMIT y - ASSESSOR PARCEL NUMBER ZONING A5 BUILDING PERMIT V027-23-0-039 • OWNER RODNEY RODERICI: TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 410 MELODY LANE OROVILLE CA 95966 CONTRACTOR'S NAME OIAINER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE, UNMOWN Total Valuation $ Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER nnNn LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 980 WAYNE CHAIRUES ROAD DROVILLEPLUMBING PERMITFEE $ PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1-1 Installation ❑ Other ❑ Describe Work: RL -TAG ELECTRIC SERVICE Mobile Home IS I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:0//0 Main Service ( 000V OR LESS ) 200A OR LESS 23.00 23 . li Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 10 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BEDS. ) SO. 3.50 FT. '. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 50 Ex. Occup. (oFIXED PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 3. Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisos.^ G` �✓�/ X Date 'i Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PO HD ISSU This permit is hereby issued under the of the Butte Count Code and/or indicat bove for which fees v B PERMITEXPIRESON applicable provisions R solutions to do work een paid. Date 6/6/95 6/6/96 (Date) Receipt No. 1,90172 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 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 LK. NO[ ]. -2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have .contracted (hired) the following persons' to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: � SOCIAL SECURITY NUMBER:. !� DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection; you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the`exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: - 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. SL. ncereLy, Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER NOTES RESIDENTIAL 027-230-039 rr 03-0651 RODERICK, ELMER PERMIT NO.., _ _ -T 408 MELODY LN, OROVILLE [Ei Cont:MHU f Z 11 SPECIAL CONDITIONS /S RA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER MMme' (Rev -12/96) 'APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-230-039 ZONING a-5 BUILDING PERMIT OWNER Elmer Roderick 532-4931 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 408 Melody Lane Oroville CA 95966 CONTRACTOR'S NAME otitex TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2;0100 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADD Ess �Uti Jody Lane Oroville CA 95966 Ener Plan Checking Fee sv s $ $ PERMIT FEE $23•00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 3Ls GI W 920.00 50.00 PERMIT FEE $ 80.()() ELECTRICAL PERMIT Filing Fee 20.00 vo Main Service zoOA OR LESS 23-0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: Ef I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To +000A 46.00 NEW CONST. DW %NG OOCUP. OR ADDNS. ( a ACC. S. So 3.5¢FT, µq�IDT' MULTI -OU CLET 97,50 8 OUTLET CIOWELER APPARATUS R. Ex. Occup. ourLEr OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED AI Ex. Occup. oin ASID °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wirina 23.00 PERMIT FEE $ .. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number e above sections need not be completed if the permit is for work of a valuation onehundred dollars ($100) or less.)occ Zthat 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' compensa 'oq provisions of section 3700 of the Labor Code, I shall forthwith complywfthAose p visions. X Date 4-1 t Si nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPErtify TOTAL FEE $166.00 HAZ. D. F GD cD �gp�I Issu rao 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. ey !" Date 4)'s PERMIT EXPIRES ON49% / A Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N J=OK 0 = Not,OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soilsl,,%pecial MH Support Sketch 4. wer; Location -Test -Fall -C/O -Concrete W cation -Test -Easement Needed (Sketch) '1010Gas; ectricity; Location-Clearances-Grnd-/ /Amp -Concrete Location -Test -Wrap;-/ /" L 'ft. / or/ /" L "ft./ P LPG Idjality Lr �Mz Voe Date 5. ell gjpararnce & Disconnect Clearance Card B-1 Date Card B-1 Date 6. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh 3. Gas; MH Test -Demand -Valve -Connector Roof; Shthg-Roofing 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged . Date 9. Tie Downs -Type -Installation Cert. 1. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card.671 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows=Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 17. Water Htr.; Vent -Access -Combustion Air Baffle Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 18. Water Pipe; Test & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 19. D.W.V.; Test Fittings & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 20. Shower Pan; Test, First Floor -Tub Access Property Line Firewall & Openings 21. Test Tub & Shower, Second Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 22. Gas Pipe; Sixe & Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 24. Fixture & Transformer Clearance -Ins. Protection Elec. Trim & Subpanel, Breaker Sizes & Labels 25. Elec. Receptacles Spacing -Lights & Switches at Doors 70. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Fireplace or Stove, Clearance -Hearth 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 72. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 74. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Garage Fire Door; Swing -Landing -Closure 34. Clothes Closet Light -Shower Light -Spa Light 76. A.C. Duct in Garage -Damper 35. Smoke Detector 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 80. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Guard Rails & Deck Construction -Post Caps 38. Condensate Drain & Overflow, Size & Grade 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors A.C. Unit Disconnect, Electrical -Plumbing 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 86. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Water Well, Disconnect, Electrical, Plumbing 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 88. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks 0 Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 ,rp R►N . (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-230-039 ZONING -5 BUILDING PERMIT OWNER Elm r Rndprir-k 532-4931 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAKING ADDRESS 409 CONTRACTOR'S NAME ownpr TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation s ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ f00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 408 MelodyLane Oroville CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: lv1HiJ Gas piping stem i - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60, 00 PERMIT FEE s ELECTRICAL PERMIT I Filing Feel 20.00 Main Serviceeoov OR'Ess 2o0A OR LESS 1 23.00123.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law �rar the following reason: Nf I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Gbe above sections need not be completed if the permit is for work of a valuation L./1.6f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensqiR provisions of section 3700 of the Labor Code, I shall forthwith comply ose p visicoe. X Datev Si at re of Applicant - Gebwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demoliti or construction of structures over 3 stories in height. OO Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -INSP OR OL D -A ANT Main Service 200A TO 1000A 46,00 NEW CONST. DWELLNG OCCUP. SO OR ADDNS. ( a ACC. Bins. 3.5¢Fr: NEW CONST. MULTI -OUTLET NON.RESID. @7.50 POWER APPARATUS &SINGLE OUTLET CIR. Ex. Occu OLmJeTOR FMFIES aAL 9:50 Ex. Occup. oPUL TS pus oREA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET_ $ Mobile Home Installation Fee s Energy Inspection Fee s occ CONST. TYPE TOTAL FEE $166.00 HAz. D PE i P P P Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By f Date D 1_�;q PERMIT EXPIRES ON Dete . "R ;.:.„', :•��-t� = ..i.. , t'.'1.1'�'� ...,�, :fir ::h%+t.+'�'v-wn*"sR'R n`�7'1Hri'i"i�'" „'T ... ..7•'" • - t �u t CO(}NiTY OF BUTTE-DEPARTMET'O� DVEL•O!WMENT SERVICES -BUILDING DI MON �d 7 County Center Drive, Orovil1e�A 95965 Phone (530)538-7541 Fax (530)538- 40 PERMITAPPLICATION DATA SHEET rr OVER: 1 1 (� z`'((�' h ASSESSOR PARCEL NUMBER_(_J� P '7' Proposed Building Use: (/IHV Counter Technician: � Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order &apply. 1.. Plot plans, 3 or 4 sets, signeclk the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. " ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. s ❑ 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 ofthese must be stamped and wet -signed by the engineer. Items requireddfoNnitial plan review. If checked items have not been received, plan review cannot proceed. The:permit will be indexed and returned to the plan n w line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificat�w`et-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......................................................:.. 0 X1'1. :, etached Accessory Building Form filled out by the owner ..................................... .1 Hazardous Material Form..............'................................................................. , ❑ 13. 'Other s Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following itemis..) 11, ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... e ❑ 1 Statement of Intent for Non -heated and A/C Buildings .................................. ........ �� 1 Sanitation and plot plan approval from the Environmental Health Dep rtment in U (oo City of Chico Plumbing permit .................................... :.... California Department of Forestry plan approval i 'paid. Sent by: ` z ,❑ 19. Planninglapproval for (A) Use: � k (B)Parking:(C) Pa cel Check: ❑ 20:- Contaci Land Development about ❑ Improvements, ❑ Drainage .............................. �yl -.21. Encroac"nt Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for .Lw required ................ ❑ 23. Contractor'klicensd information. (Number, Name Style, Classification) ...................... F❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. .❑ 25. Owner -Builder Verification (I] 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 oflFacts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 53 5 q :5 = and hold for pickup. I have been ins formed of the ve i em*and re irements for obtaining a building permit. Applicant: Date: V 1. Index permit application for the above items numbered Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ !� Contractor, designer, owner was advised of the ab, v data by L"- o po mail, ❑ counter, by Date: a Plans reviewed b �J _ Dat _, approved by: /Z✓j,_ Date: Structural revia3ve D Str�c�al approved b Date: Note transfer by: Date: rI G! Yellow: Bit m i t. ,,/i e tfX /`l'( L /�••!/ TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H.14isE ONLY Slot Poen Anoch d Row Plan A cttT Sen% to If Owner Location AP# Plan Approved for: Sewage Disposal Water Su ply: Public Private e1 Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 kth.s 3--) b3 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 1 t PROPOSED BUILDING USE TZ u 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................ $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 9�A SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed 4aTipg the plan checking pya4ss. n l- A APPLICANT DAT 4= v Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner * (Rev. 6/00) TO: Building Department FROM: Environmental Health . SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Ran Attached - Floor Ran A Chad Sent to B.D. l �� OwnerLoc'ation Plan Approved for: Sewage Disposal W Clearance for dwelling. Other Y -11S, Hold final for: Final clearance O.K. for: NOTE: EnVironmen 8/96 ealth Specalist AP# ly: PublicPrivate Well Date FLEETWOOD, SU/17/JUL99 Ca. 25,_61 OPT. BATH kRN�R AY SUncreSt Series Model 5603B 3 Bedrooms • 2 Baths • 1,539 Square Feet z *Rendering shown is a typical elevation OPT. RECESSED ENTRY JRRPNI L1 ,L ik ' I , v 1 S v k _ i OWN COUNTY OF BUTTE AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT OROVILL•E, CA RECEIVED FROM TREASURER ATR MG CREDIT DEPOSIT DATE BUTTE COUNTY APR 0 7 2003 DEVELOPMENT SERVICES 62512 41412003 FUND FUND DEPT ACCT CASH DESCRIPTION TITLE CODE CODE CODE CODE AMOUNT DEPOSITOR I DEPARTMENT CHECK #1 NAME DESS 14451 BYERS WLF DIST 0020 590 PUBLIC GUARDIAN 80198M I Aldi EXPRESS PUB GUARD LIBRARY 1026 7 SAGE PUBLIC WORKS 11611 MCFARLAND . ��DEVELOPPt1ENT SVCS 12651 RODERICK SUPERIOR COURT 10311 PADDEN 551 101001 (25.00) . 1090 290 101001 (3,150.00) LIAR 0110 4616600 101001 (12.00) BCT r 7510 4613017 101001 (20.x) BLDG INSP 0010 440001 4210 . 101001 (475.00) FIRE PROTECT 0100 4617240 101001 (43.00) CT JUD SUSP 1001 280 1011229 (/5.00) 1 TOTAL $ (3,740.00) APPROVED BY: RECEIVED BY: AUDITOR -CONTROLLER TREASURER Bp: By: white -treasurer pink --auditor canary --depositor golden rod=fiIe 04-03-03PO4:51 FILE l5 DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 317/2003 BAG NUMBER: 312 - DEPOSIT NUMBER: 171 FUND FUND DEPT ACCT CASH DESCRIPTION TITLE CODE CODE CODE CODE AMOUNT BLDG PERMITS FIRE PLNG APPL FEE SHERIFF DEVELOPMENT COPIES WATER TENDER FEE CUA CHRG ON RET CHECK STREETIMPROVEMENT WEST CHICO FIRE STATION WITNESS FEES RECORDERS FEES THERMALITO UA THERMALITO DRAINAGE OROVILLE AREA TRAFFIC REMOVE NOTICE OF VIOLATION MONEY COLLECTED: BLDG INSPCTN 0010 4210500 101001 $ FIRE PROTECTN 0100 4617240 101001 $ SHER DEVL FEE 1800 280 1011811 $ 0010. 4711910 101001 $ COPY SALES 280 1011807 $ BATTALION 7 1800 280 1011815 $ CHICO URBAN AREA 1800 101001 $ BLDG INSPCTN 0010 4610105 CHICO URBAN AREA 1800 280 1011815 $ 1800 280 1011809 $ GENERAL FUND 0010 4712523 101001 $ BLDG INSPCTN 0010 4613701 101001 $ GENERAL FUND 280 1011816 $ THERM. URBAN AREA 1800 280 1011822 $ THERM. DRAIN 1800 280 1011817 $ OROVILLE TRAFFIC 1800 $ GENERAL FUND 0010 4350903 101001 316/200Dn Cheryl SPOOV Ext. bu f 1 PREPARED BY: 8,286.83 43.00 1,357.24 TOTAL $ $ 9,687.07 00 4.3°v .7 550 r9ulb 90 T�Gl>G7 AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity°Jncluding but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. Signed: Dated: 03-0051 "L d�� 03-OeSaM� AGRICULTURAL AFFIDAVIT EMPLOYER Employer _Y► e, /z FL 1 0, K 1Pho I Employer's Address Name of Property Owner s Property Owner's Address Owner's Assessor's Parcel Number Parcel Size_Ac. I, 5 LS P, do declare, subject to the penalty of perjury, that I am the employer of address (present) and that I will be employer'under Section 247305.020 - . for at least thirty-two (32) hours per `''a) t (g) week for at leas ixteen (16) weeks per year on AP# e Signed: izmeDated: Environmental Health Approval: Permit Description and Number Datelssued 3 --�� Planning Approval: Date,/g4? 03 Zone — - Dwelling on AP# Od i - AS,0— &jF BY Crop/Commodity Produced R a,; Employee Employee'! Name of F Property C AGRICULTURAL AFFIDAVIT EMPLOYEE Owner's Assessor's Parcel Number Ems, 0 —Mq- Q60 Parcel Size Ac. r. I, L n do declare, subject to the penalty of perjury, that I am the employee of address (present) and that I will be employee under Section -24-305.020 for at least thirty-two (32) hours per (a) tb (9 week for at least sixteen (16) weeks per year on AP# Signed: FDated: ~ *************************************************************************************** Environmental Health Approval: Permit Description and Number Date Issued 3 -- Planning Approval: Dated 444,Lo 7. Zone A - Dwelling on AP# i �AW Crop/Commodity Produced BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT NO. 08 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.: ZONING OWNER E PHOT OWNER'S ADDRES LOCATION OF BUILD .� USE O BUILDIN CY SIZE OF STRUCTURE - X SO. FT. TYPE OF CONSTRUCTION - WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPESI tom iyLV W ROOF_ , OVERI FLOOR TYP I. ESTI T COS F , t0PCTION uluo . 01 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Or as follows: �50 2®� REAR -Z N'wn/ FRONT SIDES V AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and' obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date -A '� Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt frorrya- llding permit. Receipt No.l FkD Pj\ fft, S 3 V /l 1 3 -7 & 4-0 /„ &/; � Manager B ding Division -- 7-Q3 lam/ '0 �. U �a / , r Cay/ _ /By Date White — DPW, Yellow — A/sssesssor�hnk —moi (B. I.�, Golde�nrod — Applicant 2A, VIOLATION CHECK LIST A.P. # 2.7- Address r/O fil/� �yc_ Owner Owner's Address S'O,z 7 _ST Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 7-rs 4169 Specific Plot -Plan with C/V Noted- .' yes no Penalties Required 1st. Notice SentZ.1!2nd. Notice Sent ate Date Comments and/or Determination 411 - iLp� 7/93 3/43 O Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT,OF DEVELOPMENT SERVICES 1469 HumboldfRoad, Chico, CA- (916) 891-2751 Aounty Center Drive, Oroville, CA - (916) 538-7541 747 ElliottRoad, Paradise, CA - (916) 872-6307 ry CORRECTION NOTICE V Amy. PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is corr.pleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. LAJ t7 r a m P,1- A f FvT Tff 4 7- N) Nl 1)cJ t44L)Z• S o2 Mao! Iff 41amiL- i - ^ - _t_ --p- ./I A , . _ , "7"y/2 A I / 11 d tr A - ..7r� GW—Wv= TTf% 1 ��4 1 t 1 Date �—/ ` / g Inspector REV 1092 ♦ :sSHawKoo UaHso : ,daswnNI aN6Hd : ssaaaQY S7 7 / / n�� ' SNPdNIIEi'IdidO� 1 _ :sSHawKoo UaHso : ,daswnNI aN6Hd : ssaaaQY S7 7 / / n�� ' SNPdNIIEi'IdidO� April 2, 1993 Rhonda Davis 1502 7th. Street Orovill.e, CA 95965 RE: Code Violations A.P. #027-23-0-039 410 Melody Lane, Oroville Dear Ms. Davis: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Placed additional' living units' on your property that' -are not permitted in an A-5 zone. Only one (1)_living unit is permitted - ince additional living units' are not' permitted in, the zone, 'the Mobile homes and travel' trailers must be removed from the property or the -occupancy' and use must' cease and desist immediately and the units be placed in dead storage. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued throuh the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty _ 01 days to voluntarily comply smri.th the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Dave Purvis or Bill Barron in this office at the address or telephone number listed above. Sincerely, David Purvis Manager, Building Inspection cc: Assessor May 13, 1993 Rhonda Davis 1502 7th. Street Oroville, CA 95965 RE: Code Violations A.P.#027-23-0-039 410 Melody Lane, Oroville Dear his. Davis: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated April 2, 1993 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections"and approvals' -from this office for installing .several mobilehomes" arid -travel -trailers on your property"in violation of Mobilehome-Parks`_Act-'of Title -`25,' California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections Required for Mobilehome Installation Installed travel trailers and mobilehomes in violation of the Zoning Code as follows: (a) Section 24-72, A=5 zone allows one single family dwelling per parcel. The above violation shall be co`rrected"'or' abated 'by-6easing and -desisting occupancy or use of the additional mobilehomes and" travel tralers'and re- moving them from the property or converting them to dead storage. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten JL01 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Letter. to Rhonda Davis RE: Code Vi,olati6ns.�A.P..,u027-23-0-039 Page 2 May 13, 1993 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the`date- of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact David Purvis or Bill Barron in this office at the address or telephone number listed above. Sincerely, JFGdms ` - David 'Purvis _ Manager, Building Inspection PROOF OF SERVICZ BY KAIL I am over the age of IS and not- a party to this cause. I am a resident of and employed in the county where the mailing occured. My business address is Building. Division. Department of -Development Services 7 County- Center Drive. Oroville, CA 95965 ' r served. the- foregoing. ;Frnyn V! =rF NzTnr.e-rrnu- rT-r-r:o, (027-23-0-039) s -- by enclosing- a- true copy is a. sealed. envelope and depositing. said envelope - in the United' States mail with -postage fully prepaid. on 13th. of May 19 93 and.addressed as -follows: Rhonda Davis '1502 7th. Street Oroville, CA 95965 I. declare under penalty of perjury under the laws of the State of Calififornia that the foregoing is true and correct and that- this declaration was executed on 5/13/93 at Orovtlle California. David. Purvis Manager -Building Inspection 23' ^"W Yr►• 28 COUNTY OF BUTTE - DEPAnTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE# CAL•I�ORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ER IT N Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. ... ZONING 0 R ` PHONE NO. zz OWNER'St,06RESS LOCATION OF BUI ING 'LTSEOFAUILDING a SIZE OF CTURE ' Xa _ / Z ZJ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDLNG ROOF rPVERING FLOOR TYPE ESTIMAT8ErCOST OF CONSTRUCTION $ A Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: - I � J FRONT `S3 — SIDES .�� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of, perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Dater'—'� Permit Fee - $25.00 r - Signature of Owner The above•described AG Building is exempt from a building permit. FIL PARCE P.D. ROOFING ISSUE Receipt No. 5 `k 53 Director of Public Works By Date Z"Z--7—,P9 White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant ...r.��11✓�v'�"�''[!r'i^+ '7 3C.•{ .( _ 'e, C ' » COUNTY OF BUTTE - DEPARTMENT• OF`PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILUE __gALI1494NIA 95965 - TELEPHONE: 916/538-7541 _ PERMI1T APPLICATIONp;DATA SHEET Permit No. OWNER I'(-OZ2 OC-) 1LODLE LIC -L- A. P. No. a? 23 Proposed Building Use Ar �u 27-23- 39 G Building Inspector Date 1?-- 6 -,Pq 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 .............. 8ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation r.- instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. . 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon and hold for pickup at _office. Deliver w/inspector. Other 5 3 3/ 2 3 V. � l� aY- ✓d /Z-2- Applica Date Copy of plans sent Health Dept., Fire Dept., Other Date The fo.l'lowing data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked.by er -* Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW {�— \ J• • �'" xl' +..M r r s All. `.1 .-� . w...•r. _ .r' .'4..{ cK• x ! G ti'f \ ' y - _. :: •.a r ra 27-23-39 ROD RRIC�C�'� app 2000' S on pri rd, on Meloy Lane off Palermo Honcut Rd, Oroville �a Permit#5101-79E(reinstallation of ele ser & change) MH 27-23-39 c1575E' � RODERICK, Rodney 410 Melody Ln, Oroville �� , ✓ _ Z electric repair/sf r C ` .. ¢r..r., � � �tlA�r";.i' r 41/( .. t f f` '. I �`��tt• t._£^4r .tv , frr ,y`X }� ,a � M j_4 'n ��� ..�„IS �;. k J '� 'n�'1� �q � E � �,+ `�• • �+- � _.,; �- s:aC t;'�� r., S: � r•'7.�_ � .. +'" 'e: � +.. x t �'�y � . rJ.:v ;X'� �y :"`,� . •+Ar''�t .� {+ x;! .•F - � `r- F is ry. Aly.:• �_�; c r.*'.•3f� .w.• J,rr��•:,5/t�7i%,,�(�'`i^22y, +r.� kr'. - W• fr. .•i `' .. 4. _ j rr ,-,i ";� '•C° 'y .^:.r '7 r t++r��at !•.A. �,�'b i'��+'-'rR �•��. '` ��.h� +�' 't l � t ir_ �� s r`��ti ,4. � .�• r ,r t 5' -\':,° r.r-t r•i ..f .;tf'�j t '.rte ��1;'t` T }�, i ~ �. 7 ,. .. . + . ' }; ,j�.. rte. � t �.,♦ r ' - - ,' +-' .i:: ' � r !.. ,t. • _ .� { .. � + r, .. :i � i .r r e t. t' �, < t '.{< �4:. '•+ x < chi• � ai i ,� t .; - ' t,. =.. t. t� -.G � .. i' ~ it �.rr t Y. ! \ tat •0 w ,ti.; t .t'r "� - < r a- fir) • x ,y t k,� } -) -+ Y �.,, Z �!' ?_'. i.(ys�'jt'_'t y:' til' i t • _ , r _ . � '.� i.'r '�'� F >�r,t t' �' H"°t, i,�...`�', t r s '. �.•� 'rix`'6 '� # ��x'.,{.�. 1P�`. � ,} t+•r. �'� N ~ � • t j . ,s r . ,' n:t' , ti� ,,�•)}(R�,;�,Y K�t`� x' lr qr, .�x..x'i�v r,.t:�,��i,Lt,:xf�..•., 1� !� • h }� S a, ,fin •.,✓ �.�� '1 L aiiy +.w,f?i !'�1 �-.� fr �.d ' }�� v S yP•�;t � w f.Gr r� ,t r. 1'a A'4 i i } , ; v0 t 1i , .'} � �: � r, 4 .fi ,, ra��'. + t �. x•" r l r .r � _ _ _ rr t ? �'. '.ti.\ {� h'.P✓ � +j ryr'} i - r r =r r. .. _ i .i .i•t i' " aI � f '••N r � _ ,yt}a,`r� t ,. ,: . �: j4'�. ,h ,,,•,. t 1 : � l .. ` *� '�t .-�.ta v + .� tl ` "y',, r :4',•r i. ,. 1-, ;v!ct�', e• e:' {' 4 - ,4 - a• ,." t_'� �;.r. { t �? ?���� -t� r '� .��•t: 1L ?� � `*�: ''t �x ,;Yi Gt h` tt. _.' A'4 •.'4 - +:h: `.,� Jit: i ..-r;_ (t;.'7"�p S�I.. i I;. .r ° '... 'S, i• -7: :r^: .'j - @` cM . r• 'r �i: s" •r.'�' '\ . ''� ' ,, !i�„� •C fM' v - r " . � . ,c;Z d+f, '. f �' � ,,sp �'' '.::':. � -.!:r k, r\"5.;'._�, �• � ., t _;: P r L.'.s . gg k r' r I'�'!•G "i{ ` ii:� ,Yr� ,r. r ` �`� � r.. r S• � , . •'"' _.'r,� 'S+ �+ �t a '1'9 i,r:- �.,r.' i+k.: _1;.,j ''�. '}; :i. ! ,�Itt ��?3i �vr .�• ',14�� �e-i �' .,� S fu� v :!'✓Y :.jr`.M:;if�i r . �!,'F x •-t ✓'K._ /. ':F i C ir•r 1: +'','.N' t?f'i= tt l r ' r x�� f ¢' sda rfT7 A. ri,_t •` .i ! .. �aub7- x i� .. r .t, i .tl 5.... r a t� f� -�r.r+ 1' '• r - r ` - + - rr * '/"4 r -t +`� a.� e � _ , i �S"r1S '1'��J x 9 z �� � :,� .`! t. � .. ' r I � ' 'r - 1 � �' �r:'K}'�t✓ a�' 4 COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• ,' a. ,` i f✓y `> � t'.�l� \�> \M1 t l'. � ..A}• > > `.\: . .. � �l .x l+l • > 4 r COMPLAINANT ADDRESS: PHONE NUMBER:. OTHER COMMENTS: COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• t ALL OWNERS FOR THIS ASMT HAVE BEEN DISPLAYED PD010 COUNTY OF BUTTE 02/03/93 ASSESSOR INQUIRY 9:02:18.0 lCRRRENT:OWNERSHI_P:' ASSESSMENT: o ;234s _Q39 QOQ r FEE ASSMT: 027 230 0 000 OWNERSHIP: 100.000 ASSESSES: DAVIS RHONDA — — — — — — — — — — — — — — — — — — — — — — — — — — — SEL OWNER NAME TYPE PERCENT DOCUMENT R&T SECT DIRIONp_ ,400Q2R30492 — — — — — — — — — — — — — — — — — — — — — — — — — — — SEL FIELD. = X AND PFI FOR DOCUMENT HISTORY (RECORDED) ENTER = RETURN (AS 13) APN: 027 '230 039 000 DAVIS RHONDA # * # * * # VA6UES.%SECURED TA -X'- `RQLI''� VALUES AMOUNT LAND RESTRICTED: N 6,931 IMPROVEMENTS STRUCTURAL 5,913 GROWING 0 FIXED 0 PERSONAL PROPERTY 0 BUSINESS INVENTORY 0 EXENIPT�IOPI f Ci 0 0 ------------ NET VALUE 1'2,844 ACRES: 0.00 506 INTEREST DATE: 00 00 00 F4=MAIN SCREEN F5=TAX AMT F7=RETURN/MENU F'3=SUPL VALUE NOTICE PDO07 COUNTY OF BUTTE PROPERTY SYSTEM 2ASSESSOR;' I NQU I_`RYN� z FEE PARCEL PARCEL: 102 230%02"s00�* .STATUS: A 00/00/00 SEC TRA: 09�U01 DESC: 015.36 AC MELODY LN ASSMT: 0227 230 039 000 STATUS: A 00/00/00 TRA: 092)001 TAX CD: 000 BASE: 00/82 DESC: 015.36 AC MELODY LN 02/03/93 9:04:05.2 CREATED: 73R1823440 00/00/00 KILLED: CREATED: 73R1823440 00/00/00 KILLED: CUR DOC: 92R30492 07/08/92 TU,'VZSj RRONDPi"== . ROLL ASSESSEE: N RETAINED OWNER: Y T502 7a H ST ACRES: 0.00 2D RO LL "�CA95 65' _" ET AL OWNERS: N RI_.. SUPL CNT: COMMENT: '2723003900 CONVERTED 09/08/88 SITUS: 015 36 AC MELODY LN PAL OPTION: NXT OWN PCL SIT EXP TAX PRE RET SC2 ATT HON APR MEN HLP PHY PB6501 COUNTY OF BUTTE s�2/03/93 PROPERTY SYSTEM 9:0.4:21.2 PtfY ICA CH.aRACZER`I8�1I,C— I U -FRY°= ASSMT: U27230z039 000_ ".:~ .: OWNER: DAVIS RHONDA DESC: 015.36 AC MELODY LN COMMENT: 2723003900 CONVERTED 09/08/88 CODE AREA: 092001 USE CODE: R, DWELLING: 0001 ACRES: 0.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ZONING CONFORMITY: Y EFFECTIVE YR: USE CONFORMITY: Y YEAR BUILT: 00 BUILDING CLASS: SQUARE FOOTAGE: 0 NUMBER OF BEDROOMS: 0 NUMBER OF BATHS: 0.0 LAND TYPE: GARAGE: Y POOL: N FIREPLACE: HEATING: COOLING: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PAI = NEXT PA2 = PREVIOUS PF7 = RETURN I I -7q �� _ : �� � opo � S o� �✓� 6ac� �� � a� 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 T'el ephone: 534-4541' APPLICATIAN ANP PERMIT authorize representatives of the County OT t3utte to enter upon the above-mentioned property fir inspection purposes. X Signature of Permitee ar Agent Date 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. NO. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fi-eDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No -1 @ FEE _ PERMIT FILING FEE J$3.00 Main service 100 AMP OR0V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUP. 4) 20 Sq ft CONTRACTORS LICENSE LAW I am licensed under the )rovislons of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS)l 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. BAL�j Ex. OCCUP(OUTLETS OR FIXTIiRESFIXED ALINIS Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contactors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisiors of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensaticn. ❑I 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ s 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 Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County OT t3utte to enter upon the above-mentioned property fir inspection purposes. X Signature of Permitee ar Agent Date 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center D�ve .. Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �J authorize representatives of the County of Butte to enter upon the above -mention d proper for inspection purposes. ((�� X Date v` Signature of Permitee or Agent Receipt No.2-91W� 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. DIRECTOR/a PUBLIC WORKS BV Date� Z7,— 7 ilding permit expires Date BUILDING Owner 2bDC-;E16r- SQ. FT. OCC. BUILDING VALUATION Mai Iing Address RT 2 22-2-az\1 '' Telephone No. Contractor ou) -' F— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �QQ�� 2�I S QOL) Pp� Plan Checking Fee&/or Penalty Permit Fee ampm /' G LAA)6 PLUMBING No. @ FEE j/I�b PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. W.G.7 2,3 3 cr Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes I VPCf 4aP4W&4FireDept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration parcel Ma pBuilding 60' R/W Improvements_ Each additional outlet .30 sewer 5.00 CI.1 CI a a._ ,...,g Parcel Aroyal Plans Approval Lawn Y Lawsprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ 9105 7-At4A K (>-- aus-'C;7SeS"tGff ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others El Main service EA. ADD'L 100 AMP 2.50 'ZS'Z Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. S� 2�Sgft 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: NEW CONSTP- MULTI.OUTL T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B L@; Ex. QCCUp. OUTTS PP2.00 (RESID IR Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S $ ,5C MECHANICAL No. @ 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 Workmen's Compensation. ❑I 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 to become subject to the Workmen's Compensation Laws of California. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ Is TOTAL PERMIT FEE $ rJ 5( authorize representatives of the County of Butte to enter upon the above -mention d proper for inspection purposes. ((�� X Date v` Signature of Permitee or Agent Receipt No.2-91W� 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. DIRECTOR/a PUBLIC WORKS BV Date� Z7,— 7 ilding permit expires Date 'i�y.'...�iF::�.:e7'•r1Mf`r. [u`S'.l'Gf•16♦.'vi!T� ";%Silk�i���y.. J.A. "Y����1.4'�.�4'.ii�•`'rya`'�%file."+j��•�•�'-��•i�f•_i:'W;.'ti'^'!y�.SYK "f•riti"rq +n �.' _• 2.7 -23-39 T-1575E RODERICK, Rodney 410 Melody Ln, Oroville electric repair/sf OFFICE COPY Address v G AS Meter By. Date ELECTRI Meter By Dat COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovl)le, California 95965 - Telephone: 916.'538-7541 15 —"-)— APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027- ZONING - BUILDING PERMIT OWNER e TELEPHONE q SO. FT. OCC. BUILDING VALUATION O'S MAILING ADDRESS fte 410 Melod Lane Oroville 25966 CONTRACTOR' NAME Owner TELEPHONE . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADORES! Filing Fee $ 15,00 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 15.00 b Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobileh:)me❑ Other SPECT FY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G IW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Renode1 ❑ Utilities ❑ Installation❑ Other ® Describe work: Electric Repair Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR 0V OR LESS 18.50 Main service 200A TO 1000AI 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.SINGLE License No. Classification Irir{ -r x71 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. DWELLING OCCUP.6 3.64 sq.ft. OR AODNS. ( ACC. BLDGS. NEW CONSTR ULT' -OUTLET @ 5 00 NO N•RESID BRANCH CIRC ITS POWER APPARATUSe OUTLET CIR. EX, OCCUp(OUTLETS OR FIXTURES 20 @ 760 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 18.00 Permit Fee $ .00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $130.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned/property for inspection purposes. also agree to save; indemnify and keep harmless the County of Butte against, all liabilities, ,judgments, costs, a4expenses which may in any way accrue against said County in consequence of the granting of this permit. X Ar Date ', —'�/ Signature of Appticant - Ov�ter❑ Contractor ❑ Agent❑ y , An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories it height. Mobile Home Installation Fee S Energy Inspection Fee $ occ i CONST TYPE TOTAL FEES 30.00I HAz 1 DFEES I IMP I FLOOD COF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do ? work indicated a9aoveor which fees have been paid. / D CTOA OF PUBLIC WORKS � Bye'" Date PERMIT EXPIRES Date Receipt No. %/5 R y S WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF. -PUBLIC WORKS 7 County Center Drive - Oroville, California 95,265 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-230- ZONING '' BUILDING PERMIT OWNER Rodne Roderic. TELEPHONE S0. FT. OCC. BUILDING LU ION .534-9784 OWNER'S MAILING ADDRESS 410 Melod Lane ro i CONTRACTOR' NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: Electric Repair _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification o�f 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDG S./ 3.64 sq.ft. NEW CONSTR.ULTI.OUTLET NON.RESID BRANCH CIRCUITS) @ 5 00 POWER APPARATUS (SINGLE OUTLET CIR.e Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $ 30.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subjectHood to the W. C. laws of California. Notice' Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the abb//ve-mentione roperty for inspection purposes. I also agree to save; ingefnnify and kq harmless the County of Butte against all liabilities,judgmen`ts, costs, an a penses which may in any way accrue agaigst sa' >County`in consequence hf he granting of this permit.` X'/ Dat /— !/1.1 ignoture of App 'cant — Owner❑ Contractor ❑ Agent AnCOSHA permit is required for excavations over 5'0" deep and demolition or construct- Ioof structVres over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PO I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indi ed ov r which fees D OF PUBLIC By PERMIT XPIRES Date / applicable provi- resolutions to do have been paid. WO KS Date -sem i [Re',ceipt No. //5 8 %'S TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive - Oroviller California 959F5 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO.. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER {{�� y� K�md h,c 1` co( 4_9 41111,4- 1L TELEPHONE �1.� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - - - ._c 2 CONTRACTOR'SD NAME TELEPHONE r_ CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS _ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fel PLUMBING PERMIT Filing Fee 15.00 - Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 S Duplex ❑ Mobi lehome ❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK - New U Addition ❑ Remodel CI Utilities ❑ Installation[] Other Permit Fee $ Describe work: Contractor C_ �e pa,Y ELECTRICAL PERMIT Filing Fee 15.00 _ Main service 200A ORLESS 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NEW CONST. DWELLING OCCUP.h OR ACDNS. ( ACC. BLDGS. NEW CONST R. MULTI -OUTLET NO N.R ESI BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ou TLETS OR FIXTURES 3.60 sq.ft. @ 5.00 20 764 151 4F;4 01 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. OR Ex. Occup. OUTLETS PIRESI M., FE I 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc.�Virin g 15.00 15.00 15.00 / f ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 3 U — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation it Fee ractor $ I certify that I have read this application and state that the above informationbile is correct. I agree to comply to all County Ordinances and State Laws relatingInspection to building construction, and hereby authorize representatives of the Countyot to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Home Installation Fee S EEnergyFee $ PButte c I CONST TYPE I I TOTAL FEE $ 3 O� HAz DFEES IMP I FLOOD CDP PARCEL PD I HO ISSUE X Date This permit is hereby issued under the applicable provi- Si nature of Applicant – Owner 9 pP ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'fl" deep and demolition or construct - ion of structures over 3 stories in height. work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. //,S" fr-- BY PERMIT EXPIRES Date Date WHITE-D.P.W.. TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L±�_ 27-23 - 32' Carf4ftrw..«.� -�-he �(Zcl le sr%&C ,o6• p\OG.- Fr^Oj.C%�4 �jlno'�+o$ �hQ7 �� �S �J K.dSi/D•J / `i ��i��� O� R e C %J t cQ- 7-.,,, Cote.,, an! L IV r(Ve c.�C sY CL T� J S G c� P�.4,s L, ! f C�k.�ay@� ��v T o� � Setvrc,e, /vo� vt.Sab C 44U-vrivv / -0 M S - I i+ S pc -A- 014 O .i �/ �.3�f Z P/,L 1^C�fQ e/4 ��d� SL PV rGC a �'1" c&, -s S a -%e wc_ wo wi 4-a q o ♦ - /7e i f" f� c-vc.¢ SG.00, id 'O� f e�iaJled • - l / ` /hC-.��„cS.s•c,�: 4. ��- _ -{a KGS QISc.ON WF v/ ` l �• S�rJI �.4e�. t� !� wl r M.Ca.I P1'�O/'C� -- �•"� s1,7(. C`^-`:cI..IS �N-6 A O l c� b ALab �� er' -'r ee�vs u .r 2 rw�, }-L..-�t�,, 1� PO �• . J �.c-5 � dCr t c�rG• _ ctx (�ec� P M, - � Z e,�P�c.1,JtcY we. ���� .GJoKk �..SI �:' I� �-.- � - _ .� •�.r., ` A.lt l0 �l.1 GON N C <iTs -��0 � �� I N� T _l/ 4. IY�Li.I •J �_y,� �__ - - -S e9�tr-L._ _a _ Ne'^° a` c5 Cd MCS 1�o�ertck. c�.� tvo �Ce.� S NGe�etk rfe..,s s44J -f L4 y t4.PGP-C �pn/5�b�riN� e4,GA-Io— u.tnJS T P cs,0� by �ONa 0"4..C..L AC SLK 55lo'.0 �.-Q/C�G4/w�, �. b,,. �v kal QSv _ y Nee c� yam �"� ci n cam.w cwSpec+,0r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027— ZONING.' BUILDING PERMIT OWNER ARodne Roderick TELEPHONE —9784 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 410 Mel OR Lane CONTRACTOR' NAME Owner TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Electric Repair Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20GATO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License .Jo. Classification �f 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST,/ DWELLING OCCUP.>\ OR ADDNS. ( ACC. BLDG S. II 3.56 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESIO. BRANCH CIRC' ITS I @ 5.00 APPARATUS 8 � SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES AL P 20 @ �6d 60 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g1 15.00 15.00 Permit Fee $ 30.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g - Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the ati"ve-mentione property for inspection purposes. I also agree to save, indemnify and_k p harmless the County of Butte against all liabilities, judgments, costs, an expenses which may in any way accrue against said County in consequence f the granting of this permit. 1 C/v X" el� 'L Oate' r^���1 'Signature of Applicant — Owner ❑ Contractor ❑ Agent / An OSHA ion of structV estoverr 39storiesoineheigvlattion.s over 5'0'deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE 11 TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date I Receipt No. //S-8 r 5� w 1TZ. P.w.- rel . n ........... ................ __. __..___ __. &+'� :,.' ty.;� i:` � •o t;�-, - m'„ar'.��.'', �;�".�. .�.,,�.ptif �'•Ir�a,�;c�' „ari'�LZ��;v"J` ^_ 27-23-39 ° RODIC�CD'�°�jj app,2000' S on pri rd, on Meloy Lane off Palermo Honcut Rd, Oroville t Permit#5101-79E(reinstallation of ele ser & change) MH ° I ° d r n v a� a , ° ° s y , C c h. + c e o Y u+h 4 IM6-rz- LOW r ! 1 Crn►e� �or ce4poa/ C -t. S'z�q z._ __.fie / ('a7 - a-3-.3 Q_ fz - 110 e:� Cry l� -�ro. , tL �a�y w o lde r�� �Yc e✓ /"f,- se (-p os ow AAr s w uT-e Perms.. + -fO e,(ec-�rr c, Servi c,e prope,2 . Shy WO.-Jk[ej '- a-V"e. OLnJ Con. O tw'i 'b e 1. /NS%>e / h r; � -de-41- C,, J l ride, s. t t' TL /7+prrO W ct /�/ p � �<•.� Scv-te -r, ••tie . I S'e. � v ! �.�. wa• 5 0� � S' �.¢_ Su � � S o.s. �'��n; p t., c. S L4 d n1 D t`T tk rep e it 0va-44 wee( eoN �a � � r� r...� / � e.0 ��°'c •t,ep.0 -{'L�-� �e -Ea cc �c.u..�.s I-�.�c4s bey awre L.tr c Wflje<.e LA-PCe.S 14e.+4rl ed/ w oM.(s �a �e eZn/ /�+rS�e c ur Ce^evr� T� Se�vi-G ® r �,o 'z Ier a6-wle,►re- dcQ rvolt- Sce 4ka -- pe -n- ' t 3ROAC. =.63L6AC. --- --- --- - -- t 6O/ I -e 10Ac - - - 21.38 - - - -- — — MAXs¢- t 79 20 _ 7DAC. � a _ -.. - 20AC Q . ,�Sr•, � N K LRIJ � ! 1 29 ,1 Co.... - 10 AC 14. O 4 e oIl�ilrs /OA C IOAC. _ O SOPS C / 1% 9 i I t 0 55 7 L -Aa 54 BOOK 77pu 3 ��I• gZ al 'IV - 66 9 ac 2B-2% .o2AE+- prs 2�-7 5 ! ! ! 4 wt rrs�-�s 10 56 _. 1. 10.14oc 61 '"' yo9 , 1000A: _ /OAC 10.14$ i2 s -a 13 •,1 • O [ Ror►o _ 0 AC �t�W LANE RS 106-17/23 Wil_ k • 13 - --= _ - - -- t eaoay 44 S a -250AC: o� cry - - = - - - , - _ _• - - --- : �. . - -- � - ----•-----�.- -�� 1 -105.24 AC 0 20 AGS rT_ 20 AC v = B awe20 AC �� Q Acl.OO9AC. 03.33'' © li^ • M - r3 P 97 23 1� NA�ur�ETrV .j�J 96 104 106 « O • •� ,�( y.,.,♦♦\ =�o�a.n, ,i' .•..-. _�- 1 lop x',.' re 20.a3s 10-UAC20.!>1(s ��ft tls, � s •.raoo ,,. , �> �W�f May � /p 96 ..4.. AY �• � TN. PCL -BI ... �• ss - \ ssos.34' 1 ` ' PiMS7 Aff.dlClt� pIG fl O O 10T ICS L 117- 44 ' P� _ ? iow Aesr Gr �2 . O �Y v I I 12 O _ 3 O y ,•a so sft insane 20.:2s :osos i.?s-0s uu.o:/ PM -128- so/ss 490AC• 320AC. R 47 "i r> , RS11-0-97 } _ 800/c ( f 'Butte '' •1 •M : ,x. Count , a �'• 28-0/ Y =� _, Colrf OLIA `COLONY •M. O.A. BK -3 ;P6 '99 y;* =REVISED: X3-92 � " "� �*�' s•