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HomeMy WebLinkAbout027-230-089li� 11 27- '-89 1 �51 - 9 �IP. E WARNER, ry- `92A6 f�p. 46 Ea �.027-230 089 PERMIT#94-' Eastman r-6v:ille 4-' D (utiliti' WARNER, CHARLOTTE,& GARY 46"-OROVILLE,EASTMAN'LN.,j, Vo 6 GAS - AG' EXEMPT' � PERMIT -HAY, GRAIN & CATTLE. COMPACTION TEST.,RERE SUPPORT STRUCT*-RE Permit 11-5 27-23-�-89. (installati0 X27-23-89 - 1587-91-B - --------- WARNER, Gary -- 46 Eastman Ln,'Orovilie (openjdecks/mh) All, 0 BUILDING DIVISION COUNTY OF BUTTE -,DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER dRIVE-"OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTS -" ---"""- Agricultural building is defined as follows: Agricultural building is a structure designed and cdnstru6ted 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 -��� �_-�i _ ZONING OWNER/ h,,, ,, PHONE NO. / c/S�✓ OWNER'S4072TS LOCATION OF BUILDING USE OF BUILDING / SIZE OF STRUCTURE ' X � ' � SO. FT. TYPE OF CONSTRUC N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING . a a ROOF CS?oWN � FLOOR TYP 11� ESTIMATE rSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �✓ r FRONT J 5 SIDES REARSp I 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 occupant Date Signature of Owner Perm' Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. 111,1-16 FLOG I PARC" I ROOFj14G I ISSU Manager Building Division By Date i White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTEFiDThff12 - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Ar p>��-7-�3 Building Inspector Date At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ................ 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached.schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. pre -Inspection request - 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 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 Acreage Applicant Date 601, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works RESIDENTIAL 27-23-89 1587 91B WARNER, Gary Oroville 46 Eastman Ln, S _-2 (open decks/mh) JOB FINALE Signature M J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s ' Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 8. Frmg; SiIs-Anchors-Stu ds- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements DatCard 2. Footings; Size -Spacing -Marriage Line oe B- Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 9. Health Department Approval MISCELLANEOUS Date KS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s a 1 oning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing IT 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; SiIs-Anchors-Stu ds- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DatCard oe B- Date Card B-1 Dat 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except It'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 -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- - ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------- - ----------------- 19. Shower Pan: Test. First Floor -Tub Access ------------- ------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date - - -Card B-1 - Date - - Card B_1 ---- --------- ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------- -- ---- -------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water -------- - - - ------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / ! ga. Cu or Al ------- ---- -------------------------------------- --------=--------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------ --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip. Clearances Panels -Motors -Meth. 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 P's 34. A.C. Ducts Insulation & Support - 35. Vent Fan: Exhaust above insulation - ------------------------ --------------------------------------- ___________ 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet --------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- -------------- ---------------------------- ----------------------------------- Date Card -B-1 Date Card -B-1 ------------------------------------------------------------------------------- Date Card B-1 %Date Card B-1 Date FRAMING (Plans) OK except h.'s ------- ----- 39. Sils. Proper Material & Anchors --------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- ---------------------------------------------------------------- - 41... - -Walls 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 tingle & Duplex) -. Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cling. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic ------------------- _ _ 58. Shear Walls; Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- - 63 --------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ------------------ 64 Bedroom Exiting -------------------------- ---------- - - --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------ 66. Elec_ Trim -& Subpanel_Breaker Sizes & Labels ---------------- 67. Stairs & Rails ------------ 68. Fireplace or Stove: Clearances -Hearth -------------1.-- ------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71.-Elec.-Outlets & Receptacles at Kit. Counter ---------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -- ----- ------------------------------------ 77. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------- --------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes _❑ N_o_____ ------ 81. Stucco; - Brown -Finish- -------------------------- --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------------- --- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings . - ... -- -- - ------ ----------------- -- -- 84. Water Well. Disconnect, Electrical, Plumbing -------------- ------------------------ --- 85. Exterior Elec. Trim; G.F.I. Receptacle- Underground -------------- ------------------- - --- ------ 86. Ventilation Throughout House 87. Glass Protection -- - - - - ----- 88. Corrections from Previous Inspections ------ ------------------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- ---------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ - --- 91. Energy Compliance Certificate -Other Certificates ----------------------------------- ------ - Date Card -B-1 Date Card B-1 --------------------------------------------- -- - Date Card B-1 Date Card B-1 ------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER MI NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR;7EL NUMBER 027-23-G-' 089 ZONING A5 BUILDING PERMIT OWNER Gary Wrner TELEPHONE 534-6855 SQ. FT. BUILDING VALUATION _nOCC. 140 V pen 980 OWNER'S MAILING ADDRESS 46 Eastman Lane Oroville 95966 CONTRACTOR'SNAME Owner TELEPHONE y CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $17.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 1 5,00n Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 46 Eastman Lane Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [_1 Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition a Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ()Pen Berks _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR*11 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. icense 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, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5d OR ADDNS. ( ACC. BLDGS. , /2Osgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR, Ex. ccu EOo p UTLETS OR FIXTURES z0®s0C eAL(P30 FIXED APLNS Ex. OCCup.' OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Ivirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Consent to Self -Insure. ZICertificate of Workmen's Compensation Insurance or a Certificate 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 10.00 Heating Coolin 9 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue age. st said County in consequence of the granting of this permit. XThis Date Signature of Appl ant — 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 $ 42.50^ E HAz. CUA -1 `-iZI PARK r scHL FLD PAR PD I Iss E: permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY ate % 7-41 PE T EXPIRES Date Ll i �Y%.• Receipt No. 89171 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �, -• --� _,-rr-,r..c,.•..w., ^..,,,r 'K. -x --e �.�4,,,,'.,,,x.t*St;r"+^`-ti'K"j�',F.`'�.�'."Y'*��iwtYyr�'912`'�?J''nr*lf^iP'+�R',:Y.".'i',' COUNTY OF BUTTE -.DEPARTMENT OF' PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,ACPORNIA 95965 - TELEPHONE: 916%538-7541 PERMIT APPLICATION DATA SHEET OWNER _0/, , Permit No. a r v GHQ r n c -A. (� Q P. No. Proposed Building Use U&A ATS z9hL Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED All items have been submitted . .................................... APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... , 13. 14. S ool Distrlc fees paid .............. Sanitation from �✓'D V r / �� approval 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. 21. Pre -Inspection for required Pre-inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... (Datei" 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... l , 25. Letter of signature authorization ................................... r 26. 27. When you issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone- 6?55` Orn -3 and hold for pickup at office. Deliver w/inspector. Other Applican Dat � —C' Copy of !-Idz-Mat form sent Health Dept. Fire"Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, w'as'advised of above required data by _phone_mail•1._counter by date Contractor, designer, owner, was advised of above required data•:by•_phone-_mall_counter by .date Plans checked byDate4 111 _Plans approved by `� Date 5LZA Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department 'FROM: Environmental -Health SUBJECT: Sanitation Clearance / ofter Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: water Supply 7inal clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other_ NOTE **" Sanitarian Aate S COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) -,61— 2. I (have/have not) 1.)T_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner -L 11 A A AI), Social Security Numb _ Date D �� 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. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R _)3_0 -D g" Z 0 NIN BUILDING PERMIT OW ER �� 1 nr lit/ r yt c- y- TELEPHONE SA6 SO. FT. OCC. BUILDING VALUATION OWNER'S AIL NG ADORES ( 0 tzn 9a_Q CQNTRACTOR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO/NS/jRUCTION LENDER /VC i NKN UOWN Total Valuation $ LENDER'S MAILING ADDRESS - ARCHITECT OR L.� ;(;JEER LICE.`:SE r,O. C- Filing Fee $ Perm;! Cce Plan Che- "cing Fee - $ 0 $ - O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING AD E55 f rt �n roVt /a Permit fee $ 1�ta_S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[g Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Ilnstal ation❑ Other ❑ Describe work: 1:s S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OV OR R LESS 10.00 COMTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUP.af OR ADDNS. ACC. BLDGS. h¢sgft NEW CONSTR -WUT NF BRANCH CIRC ITS 2.50 ea --••^ (POWER APPARATUS e1 (SINGLE OUTLET CIR. I EX. OCCU OUTLETS OR FIXTURES P 20050teAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 10.00 Heating Cooling Hood 3,00 Ventilation perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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. XThis Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Energy Inspection Fee Mobile Home Installation Fee7��; occ CONST TYPE TOTAL F1 ryqZ. CUA I PARK I SCHL FLD I HD. IssuE permit is hereby issued unoer the applicable provi- sions 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 PERMIT EXPIRES Date L3ostories Receipt No. n Z / WHITE-D.P.W., YELLOW-ASeE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 6�-)513 c 00 Sa'- QN -A I A) P\q�t U Accordcncs Recognized=GoodTPractices and _ �� cribed=#or t6 S eci use-in the / --and fkations MUST-be-) (yn_iwld'inq,:Ptumbinq_3c=Macban�d f Tis`set of plans and'speci ihi �ta`fion"fol id.Ctri_eal Cod kept an the job at all times and�it is unlawful tc� . _ - _ make-any changes of alterations on-sarn -with outfwr-ittewp`ermission fromthe Department of Public-WoAs County af:Butte. �4 E h - 40w Jc K A setback of 5 ft. from the +B i LAMING ' aTrif NT - property tines and a setback , ft m;the"road 54i :fro �;� :. y� ,� � ,..` t centerline shall be clear of (structures-or equipment except for a-2 it..eave.ovefianfl.! -� 1 nGVE CN61� (p 6 !cp rail IG ha 6 ill. high Wltil int^rrrr di�fe rails to l.)e I., over9 ii -l. apari. 40 it y r ..,.I . Y Max. Rse V,ii. Run Run tae to toe. max. tolerarpoe between largest & smallest rise6nm. havJrails , lamdvny Vii, Ut3C 3366 ?' aye a', J A (��is vet oecrs 5' ape- � rtA�F��a M0)1\1?D � lc�UNI� w.11.dlING ®EPARTMEN) PV Co. 1 1/--, -rl: n r)l nn CVT . 6' TYF j C -rUAM ?RAIL DEC,Y,lklG p R E Cl A ST ,FIEK T x1l"MIN. GIRDER 4"x 6" FINN 6 STAIR 'STRINGER'. 49"o -c -MAX. RS -TDF VIEW HRUWAIL NOT SHOW IJ. F07, CLARITY. Ar\, r 34' BOLT 11 ! . --\ MOBILE HOME OF, PC( -Yl 4")( A " POST F) R R C I H G). F" Li 'TMEN( _pA P q- M I iJ. All. MAX.' MTL. FRMU CLIP (ER. SIDE A', L� (D" OST- - 4",x4POST- . ll2DF � (2) 3/g' 8� D 0 LT.S 4")( A " POST F) R R C I H G). F" Li 'TMEN( _pA P q- M I iJ. All. T- M Yc� ro i -,n r\) T g ' S�' . �c „� b.>ns� s OF Pv rJ� 3 ,�C-: P STM it r\� C�)� tOREs—�%Materials workmaOMP Shall 8� Accordm+ca with Recognized Good Practices and .of a quality prescribed for the.. S eel .Of and Uniform juiwng, plumbing & M� !ia National Electrical toR MI A setback'�� and a �� 01property 50 ft. from the road centerline shall be clear structures or equipment except for a�ft. ---ve "g�� � 1 This set of plans and specifications MUST be kept on the job at all times and it is unlawful tc- make any changes or alterations on same with, out written permission from the Department of Public Wotks, County of Butte. BUTTE COUNTY gtlILQING DEPARTMENT gppROVED b' Pct 1- Lr I 'R • -- . - c � and � ,u Z s ao; • /F-- 1• bIr� UWxa uew8 dmbe jo � n se/s �oealy eq Items �el o -a3AO)3d�� PBa eui woilum put &cull Apedoid P XOBges N3VUHVd3Q ONKIIIn3 510 XMaieS d AiNnoo.auns cy,C—A�Q!�' IWO 30 /4unco ISVOM 3119(d ;o Wou4jedea stilt woi} uolssluued usulim 4n0 A#IIA owes uo suol;eie}!e 10 sef uetip Aug olow .)j !nimelun sl ;1 pue sewlj (le 4e qo( stir uo 3dsj ropwJ p.44008 wus!}°N ;aN aq 1St1W suol�eal}lands pue sueid }odes sltil pao aopo� P*�ori T SURW% 'bu�4j nb a eq; u! �" poglae S 'ati# Jo4 Po9;�asold.1ong o }o. puo soowd poo9 PazuBo�y 9}!� osuopio/ rs;��- I -Z� J Azi ti e'e�1 39) �+o s �s�4;, ►,� ; �1S �&vj,. �Cu (� 1 cr v eo�� u OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Gary & Charlotte Warner ADDRESS: CITY & STATE: Oroville, CA 95966 IMPORTANT: May 6, 1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES /0 DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT Refund due to clerical error. Permit #1340-91 MHI, AP#27-23-89, Receipt #89051, dated 5/2/91. Total Permit Fees Paid ------------- —------------ $70.00 Total Permit Fees Retained ---------- ---- -------- TOTAL REFUND DUE ------- -------------------------- $70.00 TOTAL I $70100 I, the undersigned, declare under penalty of perjury that the services or articI s claimed have been performed or delivered, and that this claim is true �and /correct as stated. Z G .... .. .... Dated this .1.`..Vl....... ....... day of ....�7................ 19...1.. a� r alit ....... sig of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles spa ified above have been performed or de- livered and thatthereis a Budget Appropriation (D or Specific Board Approval (Check one) flepartmen1le.d. �s,Dated this........ Vt!.................. day of ..May................... 1901.. at ...Oroyille.... Cell[.�-r.eputy Dept. /� n Exp. D Code .....44.11-QQ2.................. Code ......... 421.O.5.Q.O................... PAYABLE FROM .... C.Quat.w.... 1..t'..Xm1t,5............................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. o, TIT 'T, ,4 COUNTY OF BUTTE - REPARTMENT OF PUBLIC WORKS 7 County Center Drive- Orovi" California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 27-230-089 ZONING A5 BUILDING PERMIT OWNER Gary Warner TELEPHONE 534-6855 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 147 Wayne Charles Road Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 46 Eastman Lane Oroville Permit fee $ 250 PLUMBING PERMIT Filing Fee t0.o.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomepg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ tilities ❑ Installationg 5her ❑ Describe work: 9RR (� S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification. 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.a+ New DCONSTFL AUC , h¢sgft TBI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea APPARATUS e (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 200501 SAL030 FIXED APPLNS. OR Ex. �CCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Xj I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again id Co ty in c sequence of the granting of this permit. X Date 9 Signature of Applic — Owner Canr.acrar ❑ 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 $ 45.00 Energy Inspection Fee $ EHAZ. CONST TYPE - TOTAL FEE $ 70.00 CUA PARK scHl FlD CDT PAR PD I HD. ISSUE This permit is hereby issued unser the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. 89051 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. a /1- I personally plan to provide the major labor and materials.for construction of the proposed property improvement (yes or no) YAQ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number — — - Date — — !F09 v 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 DEPARTNT-OF PUBLIC WORKS - BUILDING DIVISION 1. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ( / / , / d Permit No. OWNER /2-y V�/ A Proposed Building Use -,441-/2' / ' Building Inspector 2-7-2 Date At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................ ....................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ 11. Chico Ur • an Area fees paid ....................................... �12. Park fees paid 13• School District fees paid .............. 14. Sanitati approval from Health Department 15, Cityo Chico plumbing permit ..................................... 16. Plot Ian 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 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification. (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter f signature authorizati n 26. �S[-i ............................... 27. When yo issue the permit, p o es'sgsfolIOws: Mail er. Mail to contractor. Telephone �3 S and hold for pickup at i�ffice. Deliver w. /inspector. Other A pp',l i Copy of .Haz-Mat form sent Health Dept. Fire Dept. v Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional/items required: Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder J ,.7 RESIDENTIAL 1151-91P, E WARNER, Gary 46 Eastman Ln, Oroville (utilities/mh) OFFICE COPY' Addres GAS Meter gy ELECTRIC Da"1- Meter By (� I Dates-� _J JOB FINALE Signature J=OK O='Not OK =Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except irs _ 1.,Zdhmg Requirements -Setbacks -Easements 2 So• s; Special MH Support Sketch S� Location -Test -Fall -C/O Concrete Location -Test -Easement Needed (Sketch) L, -t- Electricity; Location-Clearences-Grnd-/ /Amp -Concrete (__"es; Location -T Wrap: / /"L"ft: / /"Nat. or/ "L"ft.X�G tility Clearance Dated p Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 ! Date MOBILE. HOME INSTALLATION Plans OK except #'s r 1 oning Requirements -Setbacks Easements 2 ootings; Size -Spacing -Marriage Line 8s; MH Test-Demand-Valve—Connector l A!Electricity; MH Test -Crossovers -Breakers -Clearances , rai •-MH Test -Fall -Flex Connector lf�inter: MH Test -Regulator -Connector j 7/Water and Sewer Connected -C/O to Grade -HD Approval T0. Ci#t. of Occupancy t f i 1 Dat Lj;Card B-1 Date Card B-1 Da .r`Card B-1 Date Card B-1 i 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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-Rooting 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 -Panel boards -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 OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop - Ins. Baffles 49. Bdrm. Windows or Exitinq Doors -Sill Hot. & Dimensions 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors -24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 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 & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 (NOTE: An entry must be mac 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;. Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS `..� 196 Memorial Way, Chico — Phone: 891-2751 4- 7 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE L SZSI � .�(<i2 ���- OWNtffR PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .4144Z Q' , �� /Ir, Z` -f 7 - Date - Date Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE �; DEPARTMENT OF PUABLIC WORKS — 7 COUNTY CENTER DRIVE . .5 OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. -1V-7 l Address or location of mobilehome Owner's name s addre nsignia or hdd—numberc141- I go� Manufacturer's name J57 0 4 1) Zvi as (NF ' ierial,nufnber of V.I.N tFz) <Iz o l ..rr Year of manufacture ACL nstallation I IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION., ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOI9ILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 51313 White - Owner, Yellow - Installer, Pink - D.P.W. V COU NTY=t9F BUTTE - DEPARTMENT7 PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMIT OWNER rnpr TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS r I Ps Road, Oravillp Q5Q66 CONTRACT 'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHI CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pias water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomelk Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑J In tallationyu Other ❑ Describe work: .�; OD INi/0 0- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.e,� OR ADDNS. ACC. BLOGS. , �20sgft NEW CONSTR.U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@506 SALO3o Ex. Occup. OUTLETS FIXED P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ib I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. £_►„'� „� , 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE 710T.00— TOTAL FEE '$ HAL. _ cuA PARK _ scHL FL cDF PAR PD I HD, Issu This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY — Date L5-- c�� PE T EXPIRES Date L1 - !— 7 �� Receipt No. 88689/70.00 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orcvlller C3ilfornla 95965 - Telephone: 918/538-7541 APPLICATUGN AND2-ERMIT PERMIT NO.' A53ES30R PARCEL NUMBER �2-7� 0� 8 ONING . BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODRE3 Ll � G%!l NL2 e5 () 9566 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING AODRF-53 Fireplace CONSTRUCTION LENDER Np�/•� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR.F 0, ry,E�Rn LICENSE NO. Plan Checking Fee $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS N n,l CA Permit tee $ 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5,00 Each qas water heater or vent 5,00 USF STRUCTURE SF ❑ Duplex[]Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti'lities ❑ Installatior�§ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main servicei0Do AMP 1 OR ORSLESS 10.00 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. 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) ❑ 1, 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 EA. ADO'L too AMP 2.50 NEW CONST. DWELLING OCCUP.a OR ADDNS.' ACC. BLOGS. , h¢sgft NEW CONSTR. MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea Y""'"- POWER APPARATUS e OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 20050 e SA O30 EX. OCCUp. OUTLETS FIXED APPRESID 1REA.) 2.00 Temporary service 10.00 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PER Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required forxcovations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ r Energy Inspection Fee $ occ CONST TYPE %�j� TOTAL FEE $ V e HAZ. I CUA PARK SCHL FAD I Co PAR pD 1 r+D. ISSUE permit is hereby issued unaer the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No9t,<28 X0.00 WHITI-D.P.W.. TCLLow-A3eC3R, PINK -INSPECTOR, COLD CKRoo-APPLICANT 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 processing and issuing your building permit. No building permit will be issued until this verification is received. d 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement 0 or no) 2. 3. Ihave have not) for t e proposed work. signed an application for a building permit 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 4ork, 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 TXA^ tep _ Social Security Number Date Y — f F—� 1 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. WA 014NER PERMIT MH UTIL.CLEARANCE DATE �C9 INSPECTOR ELECTRIC CAS Support Struc. Compaction Test eq. Service Size- Other Load Type__ Pipe S i�ze Length YES NO YES NO / � l�3� 16" '� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1.. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number /� (- l l ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach 1-1 fields and clear of all setbacks and easements? Yes K\J No n (If no, clarify' 5. What is the mobilehome electrical rating? --------------- n Amps 6. What is the mobilehome site service rating? ------------- `O Amps 7. What is the mobilehome site circuit breaker rating? ----- ( C)D Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) ' - 9. What is 'the mobilehome site gas pipe size? -------------- ` (in.) 10. What is the type of gas service? -------------- - ---- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- - /-5 (ft.) 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) ) ,pq) r,C((D. v. e, MOBILEHOME SUPPORT DATA Pruvj0 P v1C-'UQ-Fb _ -If other than single wide, f Mobilehome Mfr �ep ► j,L"k C� LM.� !Y1fur`nish Setup Model No. Year Width _(ft.) Box Length�(ft.) Tagalong or Expando Size _ft. x_L2L_ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE• MULTI -WIDE Main Beams Line 2 _ , — — _ — _ — — — — -'— — � Main Beams — Line 1 Piers: Size -Min. ------------ S pac i ng-Nax - -----------Spacing-Nax. --------- , From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Mar..--------- From Ends -Max .------- Line 3 Roof loads: Size -Min. ------------ Location (From Frcnt) --------"—Line v Tag or Triple Line 1 Line 1 Openings: Size -Min. ------------------ L - x Each Side of Openings With Width Over --------- " Line 3 Piersf (Under Bearing Wall Only) Size -Min .------------------ y� „ Spacing -Max. --=------------ From Ends -Max -------------- e 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ k „ Size -Min -------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , „ Spacing -Max ---------------- From Ends -Max.------- „ - From Ends -Max .------------- Line 5 Roof Loads: T —� Size -Min ------------- ,.x „ „x „ „x „ „x „ ,X. „ „x „ „x Location (From Front) _ _ k,'_ 0\ 00 %4p- oft, Aft P j N „�•�' j �. ,--'.�,..�,►._ .r'- �s:w,K.r�:e•(g.t"',.�'^-�►, 'Mev*�!'+�''xTai3=tr4�4rtu...nr`4r'”" _"-...--.-'� rw ..s•�»�,.,-:.�rp :..Wmr- _ ...,,� BUTTE COUNTY SC LS DEVELOPMENT FEE CERTIFICATION FORM 7,© ' �Q one Form per Building) A.P. Number ;2-7-23-0'1 Building' Department No. • School District d�U ' l"�'��l City D County P?] Jurisdiction Property Owner Project Location/Address 4CA 5 r114A Al Gl'U 44 Subdivision Residential Development: o a # of Living MHI ' Units _ ,Lot - Number r 'Sq. Footage '7 1/1/ 4� Addition (Group R) Commercial/Industr:6al:1 a a. Sq. Footage j .�� New Addition (Including Exterior Roofed Areas)-sQ �e Building DleparYlinent Representative Date *� (Floor Plans reviewed by School District Personnel) Y - District. Id No. 1 O IL '_.1K_ ��D_) T�.1t11�.iK /!.� G �Sch�ool District certifies that 9+G.. ApplicInt Name) (Phone Number ess) (City) (State) (Zip Code) has complied with the requirements of Resolution No., by the / yment pf,$ representing square feet. !. School Distifict Representative ate s . PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: - white -applicant, yellow -building department, pink -school district SCHOOL.FEE" (8/88) COUNTY OF BUTTE - DEPAR-NEWY OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET G(� %f/�Q� Permit No. OWNER P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............................... f ........ 6. Energy Design Compliance and supporting documentation;......... 7. Statement of Intent for Non -Heated and AC Buildings ...:.......... 9Engineered truss details and layout in duplicate (required prior to plan check) . Mobilehome installation data including manufacturer's installation ` ��ll instructions.................................................. 'S' Ci' I�V 10. Fees of $ 11. Chico Urban Area fees paid ....................................... Park fees paid 1 -Seo���� School Distric_ t fees paid .............. 3 - �? / (Z C 4. 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Ofe 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 94 -,'Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... Afkd CLANG 5 �t' l 27. When you issue the permit, process as follows: Mail t owner. Mail to contractor. _Telephoneq` ''> 5 and hold for pickup at �b office. Deliver w/inspector. Other Appl ican Date l( - f�;- —"L?- Copy of Haz-Mat form sent Health Dept. - Fire Dept. Air Pollution Date 6� Copy of plans sent Health Dept. Fire Dept. Other Date By -- 7 The following data must be submitted pr,'or rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. ' f 2. Additional items required: + �t Contractor, designer, owner, was advised of above required data by_phone_—mail counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_c unter by date Plans checked by Date P ns approved by Date Sets of plans on hold in File cabinet Y AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroyllle, Ctaliforrila 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-230-08 ZONING %r BUILDING PERMIT OWNER Gary Warner TELEPHONE 534-6855 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 147 Wa ne Charles Road Oroville 95966 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C NoneONSTRUCTION LENDER UN KNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 46 Eastman Lane, v'lle Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAMEPARCCrEL MA/P �l—�,t� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeZy Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities]B Installation❑ Other ❑ Describe work: 2$R _ 37-00 /n LA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10-00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty operjury (check one): p yf p I Y hk ( )� ❑ 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, 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.8d OR ACDNS. ACC. BLDGS. , h2sgft NEW CONSTR. MULTI -OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS S OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050Q 9AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agr,50 ee to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag inst said County in consequence of the granting of this permit. (� ` l c' Date Ss , Signature o plicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL F E $ 92 Az.cu PA sc i` FL cDF PA PD r+D Iss This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. 7000R F l U LIC WORKS (% By Date PERMIT EXPIRES 4ate .'S=I ^ 9 Z_ Receipt No. 88689/92.50 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y,r, ., r .. ..- ,-�.••rY� •vf--�n',��..a.•-^wu•-.c J�i�+'�..'�trrr'•� . .�v'� .- - � s COUNTY OF BUTTE-DEPARTMtN`r-OF 'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Applicantk—bnLk. WDate 1-f �1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date Contractor, designer, owner, was advised of above required data y_phone _mail ounter by date Pla s checked by Date P ns approved by Date Sets of plans on hold in File cabinet &,*"' AP folder Copy—DPW Permit No: OWNER /e 1��/VL�� '7 c, Proposed Building Use Building l ispector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. 2. DATE RECEIVED APPROVED All items have been submitt Plot plans in duplicat /tr`i.pli signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. 14. School District fees paid ............. . Sanitation approval from ,fig o Health Department Z� 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:- arking: 18. 18. �19. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) ' 20. 21. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... 22. 23. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... ?Dk24. Recorded copy of Agricultural Acknowledgment Statement /d6 25. ..(�`r Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 534' - r0155_�_and hold for at 6Y0 pickup office. Deliver w/inspector. Other Applicantk—bnLk. WDate 1-f �1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date Contractor, designer, owner, was advised of above required data y_phone _mail ounter by date Pla s checked by Date P ns approved by Date Sets of plans on hold in File cabinet &,*"' AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance �ri.�y �a✓b�Er 416 1&5fman la4i-e Z 7-23 owner location AP # j • r Driveway permit 40 h e iLP�Gf� has been issued for the above property. si ature date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 9 Q r LI /,)- am Lp r— Jolke.— /c,-� :2 7—,�2,3— "" Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for C_---:�::edroo mobile ome. Other M 41 NOTE * * * _7 Sanitarian Dat TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance G�at,-/ CAL r " C, Owner Location APO r Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply o Final clearance O.R. for: Water Supply Clearance for r:�— bedroom mobile ome. Other NOTE * * * Sanitarian Date Return to DPW AGRICULTURAL STATEMENT OF AC10OWLEDGEMLNT FOR RESIDENTIAL DEVELOPMENT Section -26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent BUM COUNTY RECORDER. to land or included within an area zoned for agricultural purposes, and residents ACCEPTED FOR RECOROiNC of this property may be subject toIincon- veniences or discomfort arising from the AT 0:01 A.M. use of agricultural chemicals, including, MAY '1' 1991 but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying,. pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 Chat real property situate in the County of Butte, State of California, described as follows: 4-71 t� �f Y Date: -h--gI PROPERTY. OWNERS: R IA State of California ) On this the 30th day of April , 19 91, before me, the SS. undersigned Notary Public, personally appeared County of Butte ) Gary Warner and Charlotte ,lane Warner Personally known to me. ® Proved to me on the basis OFFICIAL SEA L of satisfactory evidence. ICKERING o be the person(s) whose name(s) are BLIC CALITCRNIA LftaEJEREOF, ubscribed to the within instrument and acknowledged thatE COUNTY'�0prresNOV.22,1991 xecuted the same for the purposes therein contained. IN WITNESS EREOF, I hereunto set my hand and official seal. 4 / Id, . . Present A.P. No. 0111r,- e' Notar Public COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet Callfornla 95965 - Telephone: 916/538-7541 APPLICATID.N-AND PERMIT A53ESSO PARCEL NUMBER In a - _ © ZONING . BUILDING PERMIT OW ER /I1 ci Y, �L/QY` nCZ r PHONE b. SS g0, FT. OCC. BUILDING VALUATION OWNER'S ��AIgqLING ADD//RS 2 r^ /C. S �� O no V i l l 93 (9 C NTRACTOR S N4M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace XRUCTION LENOER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ V ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee g. Penalty $ BUILDING D REss / Permit fee $ PLUMBING PERMIT Filing Fee J 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NL/. SUBDIVISION NAME PARCEL MAP Water piping" 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeC�f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00 ea d 0Q TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities /jX'�^ Installation[] Other ❑ Describe work: �' ` Permit Fee $ 120 o eo Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 1000 AMP 01 OR LESS 10.00 CONTRACTORS LICENSE LAW declare under penalty of perjury (Check One): ❑I am licensed under p pfOVISIOnS 0} Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect.SINGLEE 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 EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.aI` OR ADONS.' ACC. BLOGS. ,/ 20sgfI NEW CONSTR. U TI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea �"'"`" POWR APPARATUS e OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20eSOt BALI 30e Ex. OCCUp. OUTLETS FIXED (RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee s WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ED Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in beight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCCCON ST TYPE nn TOTAL FEE $ Za_ s� HAL CUA PARK SCHL FLo COF PAR I Po 1 Ho.ISsuE permit is hereby issued unaer the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. O Z WHITC-D.P.W.. YELLOW-Asac33o11 ►INx•INePCCTOe. C.LO[NROa-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville-, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. J-1. I personally plan to provide the majo labor and materials for construction of the proposed property improvement yes or no) G 2. Iave ave not) signed an application for a building permit for a proposed work. 3. I have contracted ;with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 0 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 igned: operty Owner Social Security Number "` Date �f — I S -!E� 1 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.