The URL can be used to link to this page

Home My WebLink About027-230-08802723-"b-088 " 92=4356P,E t r Oa 7 2,3 ^a r :WARNER;;Gary- 1181 Way e'bCh'arles Rd,;,, Oroville;,�- ��Y xs027=230-088." �� .,., PER14IT#94191 Gf {, mh utile es: �`' ,�+ `, _~ j" w, WARMER, CHARLOTTE &'GARY � � 181 WAYNE CHARLES RD.,; OROV,ILLE. , . ''AG {EXEMPT PERMIT -HAY STALLS , TACE .GAS ; L,A 3 .,a ,3 p ' . COMPACTION TE `REQ' EQUIP STG + SUPPORT" STRUCT : y'" . F � ^ • . - �}''� � •t. •x" .:, -027-23-0 88 � 92-4357' MHI ` WARNER Gary ff .181 ayne, Charles Rd,. Orovill� V �� RESIDENTIAL 027-23-p-088 92-4356P,E WARNER, Gary 181 Wayne Charles Rd, Oroville mh utilities 1 OFFICE COPY Address i GAS Meter By Date ELECTRIC / ur Meter By Date c r w t� 1, Date JOB FINALED (DX- Signature Signature I J=OK O = Not OK = Not Applicable I = Not Ready MOBILE HOMES 4 MISCELLANEOUS Date MOBILE HOME UTILITIES. (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s I 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Oecking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements o' ; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete , ocation-Test-Easement Neede Sketch) 5. EI ctricity; Location-Clearences- p -Concrete Gas; Locati -Test-Wrap: ; . /"L" ft. r " 'YLA`+'CPG e - earance & Disconnect utility Clearance Dat — and B-1 D Card B-1 Date aid B-1 Date' Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s i6 Zoning Req u ire ments-S!.!g2cI6 Easements I ootings; 2ak--159— g -Marriage Line 3. G Fi =D and-Valve—Connector I:!!55;city; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 7. Wat nd Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged xits; Insp.-Sketch 10. Cert. of Occupancy ( Dat and B- Date -7, —3 and Date Card B-1 Datd Card B-1 `1 I 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Oecking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :g I 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Oecking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK =Not.Aead Noy`�teadyble RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except f#'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- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. - Water Htr.: Vent -Access -Combustion Air -Baffle -------------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection --- --------- - ---------------- - - - 19. Shower Pan: Test. First Floor -Tub Access -- -- - - 20. Test -Tub & Shower. Second Floor -Tub Access ------------------------- ------- ---------- 21. Gas Pipe: Size & Anchors Date Card B-1 DateCard B-1 ---------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - ---------------------------------- ----------- --------------------- 23. Elec. Recept-acles Spacing -Lights & Switches at Doors ----------------------------------- ------------ 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------- ----- ---- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------------------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----- - --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - ----------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ---------------------------------------------------------- 29. ------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes CINo ------------------------------------------------- -- 30. Service -Riser Conductors & Ground -Main Disconnect ------- ---------------------------------............. 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- -- --------- - ---------------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 ------- - - --- --------------------------- ------------ ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support --------------------------------------------------- ---------------- 35. Vent Fan Exhaust above insulation ------------- --------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ------------------------------------- -------------- 38. Attic -Access-&- P.latform if Furnance in Attic --------------- -------------------------------------------- --------------- ----------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - - - - - ---------------------------------------- -- - - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------- ---------------------------------------------- 42. Draft Stop in Walls (rat proof) - ------------------------------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------------------- ----- 44. Headers & Beam -Size & Bearing 'ingie & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Bra c-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------- --------------------------------- Date ______ ---Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace. Vents -Clearance -Comb. Air -Connector- A In Garage: Above Floor-Ducts-Mech. Protection ------------- ------------------- 64. Bedroom Exiting ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. ---------- 67. Stairs & Rails _ 68. Fireplace or Stove Clearances -Hearth --------------------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing- Land ing-Close r ------- ------ 73.--A.C. Duct in Garage -Damper ----------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75 Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- -------------- 7 ---------------7 Insulation -Foam -Looked in Attic O Yes _ 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 0 Yes O No: Walks ❑ Yes 0 No; Planters ❑ Yes 0 No -------------------------- ----- 81. Stucco: Brown -Finish - - --- -- 82. A.C. Unit: Disconnect Electrical, Plumbing - - -------------------------------------------- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------ ----------------------------------- ------- 84. Water Well: Disconnect, Electrical, Plumbing ------------- ----------------------- - - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- ------------------------------ 87 -------------- --------------87. Glass Protection - ---------------------- -------- 8d. Corrections from Previous Inspections ------------- ------- ------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric__ 90. Water & Sewer Connected -C/O to Grade -HD Approval - ------ - ------------------------- 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- -- -- Date Card -6:1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: `a COUNTY OF BUTTE BUILDING DIVISION 1-- DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine ewpection 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 _ r` iscoir4pfeted.-Ilfyo ave any questions pertaining to this matter, or need additional explanation, please conta is office immediately. � _'.,�[ " fir' 7 R— /�? " GvrTd 4zo2 r REV law MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE f �+ DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OVILLE,CALIFORNIA 95965 — T LE HONE: (916) 538-7541 4p as a 0, YMYN 10 _ Address or location of mobilehome + 11 Owner's name Owner's address jL!� Insignia or hud number Manufacturer's name Serial_Rurpber of V.I.N. OfficiaTApprovih4'1r+ Pal lotion Year of manufacture––'. IFpOBILHOME IS MOVED OR RFLOGATED, THE MOBILEHOME INSTALLATION ACCEP AGE ,ALL -.BECOME INVALID. THISFORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSZ+.LED—ON A FOUNDATION SYSTEM. 5138 White - Owner, Yell-1W5tallerf Pink-- D,F. N. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,..Californja 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-230-088 ZONING A-5 BUILDING PERMIT OWNER GAr Warner TELEPHONE 534-6855 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 147 Wa ne Charles Rd., Oroville 95966 CONTRACT OR• S N AME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 20.00 $ r ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.00 181 WqVnp Charles Rd.. Oroville 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 Wl:::] @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation KI Other ❑ Describe work: MHI 500 sq. ft. Min. _ rpm N—U Gi 5j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V LESS Main service 200AORLESS 8.50 +37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification IY'fl I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) F] 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI NEW CONST. ( DWELLING ocCUP. tti\ OR ADDNS. l ACC. BLDGS. / 3.64sq.ft. NEW CONSTR. UL I -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 01 (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Perm Fee ee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I'abIIIt'es, judgments, costs, and expenses which may in any way accrue agai st said Co nt in consequence of the granting of this permit. f Datej '� signot o plicant — Owner Contractor ❑ agent ❑ an 5Ha permit is required for excavations over 5'0" deep and demolition or construct- ion f structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HA2 OFE IMP FLOOD �� COF PARCEL V PO HD Issu This permit is ereby issued nder the siol of the tte Cou' C de n wor is d abov r h' h ees U B PERMIT EXPIRES Date applicable provi- /or resolutions to do have been aid. KS /� Datec "f 7 130138 Receipt No. WNITE-D.P.W., YELLOW-ASBC9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�w.—u�.. ,,�'' .*,c+�,.r,i•f'�'^- .,+' �f'6""-:,�.''r'��^',•.ti�+. �•r�r.Iv�'t,�,�►�,�"'""�"'"2'„�"��' .-�.,.�.--- / t COUNTY OF BUTTE - DEPARTMENTOF�E1iiELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 4 PERMIT APPLICATION DATASHEET OWNER /�!� G v l�/� A. P. No. 027 - (jdo9 Proposed Building Use Building Inspector Datei8 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ............... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ...... ............................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... 9 Mobilehome data and manufacturer's installation instructions 2 sets. ........... 0. Fees of $ ................. __// a................. Q Impact fees as shown on attached schedule. ,�r�? . ................... California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to,occupancy). .. ... . 20. Pre -inspection for to Building Ins re Inspector required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner j. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use. ..� _-- 28 Mobilehome utility clearance . ..................:..................... Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W��Whe ou issue the permit, pprocess as follows: Mail to owner. Mail to contractor. Telephone S3 S' -(o1#"5!5 and hold for pickup at office. Deliver with inspector. Other Parcel Creation 8 Acreage Applica WQAA,� Date Copy of Haz-Mat form sent Health Dept. Fire Dept.�Air Pbllution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuafce/(Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone }t mail Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone mail C i nter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder ' Copy - Department of Public Works COUNTY OF BUTTE — DEPAMMEN'T-OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 ,WNER "DOPOSED BUILDING USE X//' A.P. N0. DATE IZllf5� REC .j DATE_ REC 1. School Distric Fees 000 (paid at District Office) .... Sheriff Fees (paid. at Building Department) : Residential 1 unit amt. Commercial(per sq.ft.) X =$ sa .ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) % _$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other � a9 _= time of permit application, I was advised the above fees are required to be paid pr=o= =o issuance of the permit. APPLICANT DATE X COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in pro-tessing.and *issuing your building. permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no).: _. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I'have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address. City Phone. Contractors License No. _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: - Name Address Phone Type of 'Work Ced: Property Owne Social Securi _Num Date J C{ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 o.f the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS •' 7 County Center Drive - Orovilire. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. .-- ASSESSOR PARCEL NUMBER • / ZONING _� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S -I S MAI LIN MM ,41-/e5 CONTRACTOR'S E b/W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 16 (1AN- A�/� Permit fee PLUMBING PERMIT 15.00 Each Trap rFilingFee 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❑ Mobilehomel/I Other t�'� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G I W0=0 TYPE OF WORK -New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationY Other ❑ Describe work: All - �01O ----PF "C' AW /�— _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-R 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 L_! 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 Main service 200A TO 1000A1 37,50 NEW CONST. ( DWELLING OCCUP.g) OR ADDNS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONSTFL ULTI_OUTLET _ ID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 Qcl 760 FIXED APPLINIS EX. OCCUp. OUTLETS (RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ /D> HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �3ol3o WNITC-D.P.W.. 7ELL0 W-AS3[370 A, PINK -INSPECTOR. .:OLDEN ROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: [f,4r, 2. Installer's Name: 3. Is the site currently under permit? Yes �. No F] (If yes, furnish permit number)X OOR Is the site an existing site? . Yes F-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at -least -5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 6. What is the mobilehome site service rating? ------------- 7. What is the mobilehome site circuit breaker rating? ----- lo C) Amps `2'C'0A1'1e Amps Ojt:�> Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- ^Yes ® No .(If yes, identify the load and size: �� (Load) ? (Amps) 9. What is the mobilehome site gas pipe size? -------------- MY(in.) 10 What -is. the ,type of_ gas_ service?__ -- -- _. -- Natural+ _ LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ------- ==--------- --- (ft. ) (BTU) *(This information not required if pipe length less than 6 ft. on 9� natural gas or less than 50 ft. on LPG.) (3,� BUTTE COUNTY NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPROVED �hql!! MOBILEHOME SUPPORT DATA ''// If other than single wide, Mob ilehome Mfr. �liq ,4 `fo furnish Setup Model No. Year «7,92-" Width 12- (ft.) Box Length 6-0 (ft.) Tagalong or Expando Size g ft. x. /Z ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation. manual and structural -setup sheets (if not on file with the County of Butte): FOOTINGS (check one)s�_1 Wood -pressure treated or foundation grade. F1_2. Other (specify) SUPPORTS (check one)Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Line — — — — — — — — — — — — — +Line 2 — — — — — Main Beams — — — — - tine 2 — — — — — — — — �Llne 4 Tag or Triple Line 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ---=-------- Size -Min. ------------------ Spacing -Max. _ "-'---- _ Each Side of Openings' From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- -----------Spacing-Max.--------- i_ .. From Ends -Max.------- = ' Line 3 Piers: (Under Bearing Wall Only). Size -Min .------------------ Spacing -Max.-------- ----- From Ends -Max -------------- Line 3 Roof Loads - Size-Min.x x x k "x x11 Location (From Front) Line 4 Piera:. Line.5 Piers:. -(Under Bear.ing.Walls.Only).- Size -Min.--- -------- „ Size -Min ------------------- Spacing-Max ----------- ------------------Spacing-Max.--------- Spacing -Max .--------------- , From Ends -Max.------- ._ From Ends -Max .------------- Line 5 Roof Loads: Size -Min ------------- Location (From Front), •ter it ii COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. i ASSESSOR PARCEL NUMBER 027-230-088 ZONING L A-5 BUILDING PERMIT OWNER Gar Warner TELEPHONE 534-6855 SO. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 147 Wa ne Charles Rd. Oroville 95966 CONTRACTOR'S NAM E Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee .20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 i lle PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ) elo 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 W @ 15.00 45.00 TYPE OF WORKrX� New ❑ Addition ❑ Remodel ❑ Utilities u Installation❑ Other ❑ Describe work: M Permit Fee $0.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.507.50 .50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 3 NEW CONST. / DWELLING OCCUP.gd) OR ADDNS. 1 ACC. BLDGS. 3.64sq.ft. NEW CONSTRULT'.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED . OR EX. Occup. OUTLETS TS (RES(REST D.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 1 -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County, n consequence of the granting of this permit. IX Date q�� `7 ignatur App 'cant — Owner' Contractor ❑ Agent ❑ An os A permit is required for excavations over s'o" deep and demolition or construct- an of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 12 .50 rlAz DFEES IMP FL000 coF PARC PD Issu This permit is hereby issued un sionS of the But -County C e d/or `Mork indica d bo fo hi fees F BLIC By PE M XPIRES Date he applicable provi- resolutions to do have been paid. WORKS i Date Receipt No. 130138 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF DE,VELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFQ�Y1,495965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER /Alzllyelz A. P. No. d 2 -7- 2 30- 080' Proposed Building Use Building Inspector /2c) Date e!4,6/W/7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, sets. ........... 10. Fees of $ 11. Impact fees as shown on attached schedule . <. 12. California Department of Forestry plan approval/fees. ................... 13. Flood elevation letter (100 year flood) by California Engineer. . . ................ 14. Sanitation and plot plan approval Health Department . S 3 ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required.prior to occupancy). .. .. .. . 20. Pre -inspection for to Buil Ing Ins ream p required. . to Building Inspector .y (Date) 21. Contractor's license information. (No., Name Style, Classification);;':.... ,......... . --�-- 22. Certificate of Workmans Compensation Insurance. - 23. Owner -Builder Verification (Given to owner Mail.to owner _) ; ' 24. Recorded copy of AgriculturalAcknowledgement_Statement' ... U )t_ 25. Letter of signature authorizatio,n> .:::', 26. Copy of recorded deed of parcel creation and 60 right of way.to a public road. .... . 27. Letter of intent on building use . ......................................... is 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ............ .........:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements: ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .............................................. ... . 33. 34. When u issue the permit, process as follows: Mail to owner. Mail to contractor. I Telephone __5,3V-G8S5 and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation Acreage Applicant' U4 � A11J\ / Date Copy of Haz-Mat form sent . Health Dept. Fire Dept. ` / Air Pollution Date Copy of plans sent • Health Dept. Fire Dept. Other ' Date By The following data must be submitted prior 1. Index permit for above items No. 2 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by ;Zphone _ mail ' Counter bxo`!/Date c5 Contractor, designer, owner, was advised of above required data by _phone _mail Coun e� by _Date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works s TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.11. I IS 1: ON 1.), Plot Ilan Attached Pleur flan Attached _ Sent to IS:I). !7,3 1_ C -?a. 1;Jcwne- rh(A OwnJr ion Plan Approved for: Sewage Disposal Water Supply: Public Clearance for. a bedroom mobile home. Othcr Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 02'7- A P/1 Private Well X Date COUNTY OF BUTTE Department of Public Works 7 County Center Drive,+Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay'in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I. personally plan to provide the major labor and materials for construction of, the proposed property improvement (yesor no) 2. I (have/have not) �!— signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work Name .Address City _ Phone Contractors License No. _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide.the work indicated: Name Address Phone Type of Work Signed: Property Owner�� Social Security Nu er _ � Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed.and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE -DEPARTMENT OF 2Z2 �-1fVflRi S PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephoner: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING "�� --S Io BUILDING PERMIT OWNER ;7 f1 -- N 6, e -- TELEPHONE SO. FT. OCC. BUILDING VALUATION III OWNE%S �1% ILINW' I R/VV ✓ X1/"1/(�_J / /� D /� t I /� //�J�/J /j CONTRALTO 'S NAME TELEPHONE CONTRAC R'S MAILING ADDRESS F i rep lace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ - 15.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 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❑ Mobilehomek Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home. 61 _@ 15.00 Z/5. f.. I TYPE OF WORK Newl(❑ Addition[] Remodel Utilities Installation❑ Other ❑ Describe work:— U I Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 fig- j o CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I1 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.SINGLE License No. Classification 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❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 137.50 ' NEW CONST. DWELLING OCCUP,& OR ADONS. ACC. SLOGS. 3.6d sq.ft. I NEW CONSTR ULTI.OUTLET NON -RESID BRANCH CIRC ITS I @ 5.00 I POWER APPARATUS e OUTLET CIR. Ex. OCC[] P�OUTLETS OR FIXTURES AO 76d FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) j .3.00 � Temporary service j 15.00 Mobile Home Facilities 15.0011 S • C� Misc. Wiring15.001 j Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑I The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 j Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE p TOTAL FEE $ ZO -= HAz 1 0FEES IMP — CDf I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS I Date 1 Receipt No. / 3�� v4HITE-D.P.W., YELLOW- ASSE74o R, PINK -INSPECTOR, GOLDENROD -APPLICANT AP fir` 21 OWNER/�V PER141T �k � �=�{ '� �L Nei UT IL . CLEARANCE DATE — INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq.___ Service Other Pipe YES NO YES INO Load Type Size Length _Size L 31 v r 4 U State of I County of _62 f a On 511,0 before me, iM • f 0tar-!1 Pv (p(f C DAT NAME, T LE OF OFFICER - E.G., 'JANE DOE, NOTARY LIC' personally appeared EI personally known to me - OR - K LANDERS NOTARY PUBLIC -CALIFORNIA - NAME(S) OF SIGNER(S) J to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), orthe entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. OF NOTARY CAPACITY CLAIMED BY SIGNER NDIVIDUAL(S) ❑ CORPORATE OFFICER(S) _ TITLE(S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ SUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) iY �PTEXP'R SEPTEMKR22,1945 N ttO?a4&YAlihvri krtkre w#o equested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized docum nt. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED Number of Pages Date of Document TO THE DOCUMENT ' DESCRIBED AT RIGHT: Signer(s) Other Than Named Above Qsasa r„d tnPao•� naec�er, C 1991 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave. • P.O. Box 7184 • Canoga Park, CA 91304-7184 (+ s� A;-! FO RN IA K LANDERS NOTARY PUBLIC -CALIFORNIA - NAME(S) OF SIGNER(S) J to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), orthe entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. OF NOTARY CAPACITY CLAIMED BY SIGNER NDIVIDUAL(S) ❑ CORPORATE OFFICER(S) _ TITLE(S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ SUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) iY �PTEXP'R SEPTEMKR22,1945 N ttO?a4&YAlihvri krtkre w#o equested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to unauthorized docum nt. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED Number of Pages Date of Document TO THE DOCUMENT ' DESCRIBED AT RIGHT: Signer(s) Other Than Named Above Qsasa r„d tnPao•� naec�er, C 1991 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave. • P.O. Box 7184 • Canoga Park, CA 91304-7184 Ct. Return to DPW AGRICULTURAL STATEMENT OF AC.IIOWLEDGE` EN'T 1 FOR RESIDENTIAL DEVELOP.'"MNT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. _ 1 93 -.215 5-6 /1 All that real property situate in the County of Butte, State of California, described as follows: Date: -� �� PROPERTY OWNI ERS : State of ) On this the day of 19 before me, the SS.. undersigned Notary Public, personally appeared County of ) Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I h6reunto set my hand and official seal. e Present A.P. No.�—� -= Notary'Public . The property described herein is adjacent 93-0215561' Rec Fee 8.00 to land or included within an area zoned 1 Cash 8.00 for agricultural purposes, and residents Recorded I COUNTY ii: of this property may be subject to incon- Official Records I pI � DEPT veniences or discomfort arising from the including, County of I JUN. 0 2 1093 use of agricultural chemicals, Butte , but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 1:51pm 27 -May -93 I PUBL JJ 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: -� �� PROPERTY OWNI ERS : State of ) On this the day of 19 before me, the SS.. undersigned Notary Public, personally appeared County of ) Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I h6reunto set my hand and official seal. e Present A.P. No.�—� -= Notary'Public . &.44 }_T 1 fit if71 /SLS �_ .(-. il__ � ._- -' 1 - 1 1 1 - __�•--i I I �S -.-�-._1- 1 _-i�Yir-Flizo.YY".-� I Ti-^ "_..QI tlVffd_ _.. llmental t -le 1 �-- 1 I-iT 1 --'- - •�1'� �' i I f� �1 ' _ Ir i _�!-I--T -�...' I i`_i __(�2-1. ��I +.- } -1 f^ -� %— - + ! i _ I I i--" i% tom! ! i 1-Ia`�+e�{ _f , t z --- D I ! I __ _ s■a au�i3�Ot��ua7®gym®■D■ ■�Q�Q�os■m®■■ v®uc■e s�e��a■=�■es■■ m®o�®®nary@�■s mum■mms ■■w■o■■v ■EWOMMs■ ■■ ®0e a®a mom SEE ®®® m®a �`' �✓�+' �'rr` ° rY �. V. r, 9 to F&#r ` � �� ' # " �►7f f�(� 4'x " ari f t I +*e's. 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) r School Distric& Building Department No. A.P. Number �Z?" Z ' OW Jurisdiction 0 City County Property Owner (Ty Property Location/Address Subdivison Residential Development Commercial/Industrial M 0 Sq. Footage _ of Uving MHI Addition (Group R) A. Units 0 . 0 Sq. Footage New Addition (Including Exterior Roofed Areas) i8 Q 2 Building Department Representative Da ' (Floor Plans reviewed by School District Personnel) District Identification No. ��j' / QOVLtLAJ (�{NL0M ph) School District (CRY) (State) has complied with the requirements of Resolution No. /a 5 -- representing — representing square feet. i:2�. School District R Paid by Check Number Bank Number Paid by Cash Remarks: 0 1/0 (Applicant) (Phone Number) : (Zip Code) by payment of $ /l :7V t4khj. to If, subsequent to the School District Representative signing this Butte County Schoolslmpact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. .£ White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) BUILDING DIVISION ';-A&OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 . AGRICULTURAL BUILDING EXEMPTION PERMIT PE IT NO. -91 Agricultural building is defined as follows: Agricultural building is a structure designe and constru d 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.0 9 _ Q ZONING OWNER Q r/D � PHONE NO. 3y � OWNER'S ADDRESS QS LOCATION OF BUILDING USE OF BUILDINGL�<; SIZE OF STRUCTURE ' X O. FT. TYPE OF CONSTRN: WOOD FRAME UCSTEEL CONCRETE OTHER (Specify) TYPE OF I Its oD ROOF V /' ` f� FLOOR TYP !tet / ESTIMATEDCOSTO O TRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR J AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 -feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupan c Date Signature of Owner Per t Fee - $60.00 The above described AG Building is exempt from a b ilding permit. Receipt No. f.2 k FLOOD/ PAR , L I P.D. / ROOFl G 1 ISSUE Manager Building Division � By ��:�0� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNWOF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE -'OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ING�VY " A P Nom v D Proposed Building Use Building Inspector Fete At time of pe it application, I as advised the following data must be submitted prior to permit processing a d/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). •Pre!Aspedtonreque�s 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ f 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization .................................... . 26. Copy of recorded deed.of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation O 9 Acreage Applicant Date �J Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. a 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans. approved by Date 61 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works y