Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-310-006
r 3 0 J' 7 AP 3/ % Patrick A7-31-06 42-90 V. Bettinger JONES, Berneice 8090 Melvina St., Palermo 8090 Melvina Ave -(AUNT-MINNIE. APPPOVAL - 5/9/78)°- ,,Oroville -4 Exemption Permit., storage, farm equipment) �T� t Permit # 2669-78P,E(util.,MH)' ..027-310-006 r PERMIT#95=125AG ELEC . JONES, Larry C. r t 8090 Melvina Ave., Palermo' GAS SUP&RT STRUCTURE REQ. ; Ag exempt' Permit-Stg,trac, tor; Feed r �' COMPACTION TEST ]E�. �Qg2027-310-006 r" / &4*3/- 1p PERMIT#97-0891 JONES, Larry,& DixiePe1 443-80E (_e le _ser 99 & 8090 Melvina, Palermo - n well circuit) MH_2__.,/�d "Ald � Laun L g y 27-31-6 1 k k _ n Permit#1848-86E(100 amp ele ser ch SF j i 27-31-06 P.H. BETTINGER 8090 Melvina Avenue, OrovillR du 1�4 Contr: Feather River Gas )0131 hermit#3027-86P(gas--piping/MH-)-- � 27-31-06 L Y JONES 8090 e-1vina Avenue, Oroville Permit#883 8P,E(util, MH) ELEC r,GL7�w. GAS q.._c SUPPORT STR REQ COMPACTION TEST REQS g :.,�,7 1-06 Permit#884-88MHI ISsued 27-31-06 Contr it w ls5n" Permit#885-88B(reinstall awning/MH) 027-310-006 PERMIT#97-0676 JONES, Larry.& Dixie 8090 Melvina, Oroville MHI Ex Site. - ,- a F)W,4-14� JOB FINALED (Date) Signature J=OK O =Not OK Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3.Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Ay.='3'+ . -�• .MISCELLANEOUS US___--- , 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.-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.; Grouriding; Equip. w/5' Circulating Equip. -Pool LgMg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftq., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg.. Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftq.. Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17 Water Pipe: Test & Anchor -Nail Protection -- ---------------- - 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----- ----------------------- ------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -------------------------------------------- 21. Gas Pipe: Size & Anchors ---------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------_- -------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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 Giouad made up w%Piech. Fasiners-Bond Gas & Water ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SlzerGFI - ---- ------------------------------ -------------------- - ------ 28. Subfeed Wire Size - ga. Cu or AI-A.C. Wire Size ga. Cu or At ---------------------- --- ------------------------------ 29. Range Circ. r r ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------ ---------------- -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ..... ........ ..__.--------- I ----------_..-.---------------•--•------------ -- 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 ------ ------ --------------- ------ I ----------------------------------- 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. -- - ----------- 36 Condensate Drain & Overflow: Size & Grade -------•--- -- --------------- ------ -----... - ..... .... _ - 37. Furnance-Vent: Access-Cornb. Air- Return Air Vent -115 outlet 38. Attic Access & Platform it Furnance in Attic -- ---- -- - ---- - --- ---------• Date Card B-1 Date Card B-1 - - - _ ..------- ----- -- --- - - Date Card B -t Date Card B-1 Date FRAMING tPlans) OK except #'s 39. Sits. Proper Material & Anchors 40 Walls Sluds-Nailing Spacing & Bracing -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) ------ -- ----------- __. - 43 Fire Slops. Furred Ceilings -Stairs -Chases -Tub 44 Headers & Beam -Size & Beannq Date r 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 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 Date Date 60. Infiltration -Walls -Windows Card B-1 Date Caird B-1 Card B-1 - Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- - ------------------- 64. Bedroom Exiting ---------------------------- ---------- 65. G.F.1. & Bath Fixtures & Tub Access -Spa --------------------------- -- 66. Elec. Trim & SubP anel: Breaker Sizes & Labels ------------------- 67. Stairs & Rails ------------- 68. ---------- ---- -------------- 68. Fireplace or Stove: Clearances -Hearth -------------- �--- - ----------------------- 6J. Elec. Outlets at Wood Panel: Int. & Ext. - ....-------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -- ----------------------- 71. - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------ ------------------------------ 73. A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location - -- -- -- - - -- - -- ---------------------- - 76. Elec.-Receptacles-in Garage_ (G_F.I.)-Romex Protection 7.. Insulation-Foam-Looked--Looked in -Attic-----El Yes ---------------------------- -- 78. Guard Rails & Deck Construction -Post Caps - - ---- ------------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------- -------- 81. Stucco Brown-Finish ---------------------------------------- 82. --------------------------------------82. A.C. Unit: Disconnect. Electrical. Plumbing --- -------------------------------------------------- 83. Vents Above Root: 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 -- -----------------91 Energy Compliance Certificate -Other Certificates ------------------ --- ----------------------------------- Date Card 0-1 Date Card B-1 - -- ------ ---------- ---------- Date Card -B- t ............. Date________ Card B_t - Date Card B -t Date Card B-1 Comments at Final: r COUNTY OF- BUTTE • BUILDING DIVISION !` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 'AaN-e5 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ✓QNf- n-er efOjs-e— Date q ` fl Inspector� U!$ ( ( REV 10/92 COUNTY bF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 jf7`�VI, O (Rev. 12/96) APPLICATION AND PERMIT 4 ASSESSOR PARCEL NUMBER 027-31 ZONING ARMH-5 BUILDING PERMIT OWNER 1ARRY AND DIXIE JONES TELEPHONE SO. FT. OCC. BUILDING VALUATION 64 U 1,152 OWNERS MAIUNG ADDRESS 100 0 700 CONTRA T R'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION.LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1,852 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 8090 MELVINA, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 86.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 7.50 USEOFSTRUCTURE LAUNDRY BLDG SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00t5.00 Each gas water heater or vent 15.00 TYPE OF WORK New 1X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: LAUNDRY BLDG BUILT W/O PERMITS Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ 42.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service zooA To 1000A 46.00 NEW CONST. DWELLING CUP, OR ADDNS. ( a ACC. BLOS. SO 3.52FT. NON•RESIDT M NCHOUTLET CIRCUITS �a 7,507,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL 9 I. 0 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27.50. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) "I*certifythat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensati laws of California, and agree that if I should become subject to the workers' pensation provisions of section 3700 of the Labor Code, I shall forthwi comply wit those provisions. _ ___ Date J � __ ature of pf t - ❑ Owner ❑ Contractor ❑ Agent PAnSHApe it i quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspectio Fee $ occ lJ CONST. Tv E TOTAL FEE $ 155.3:1710 HAZ. D. FEES IMP ,� _ FLOG CDF _ FARCE PD D SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /Y ��j By Da Q/ PERMIT EXPIRES ON / I J(D,1,f Receipt No. WHITE.D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��X .,r .c�.., ,_' -=r'r�y� .e . ..{�i`.ti'•.-.t ��f'�.'TJr _ - �,,,,.'�i-�^'".'r f!� ���j.���v �.r-....✓i,;��4•�ti.....r..-__�_..,_,`��_�,y !}._..� .. COUWTY OFBUTTE DEPARTMENT OFDEVEL PMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAM 00 A 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: L_. In yli q ASSESSOR PARCEL NUMBER: D —p n Proposed Building Use: Building Inspector: (- Date: �r,4 // 7 At time of permit application, I was advised the following data must be submitted prior to pe�rocessing and/or issuance: Date Received By ❑ 1. All items have been submitted. ❑2. Pl plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ plete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 00 � 04. FEnggmineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. --------------------------- =------------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --'-7 ----------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------ ------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12�Eon California Department of Forestry plan approval/fees. ---------------------------------------- ❑ levation certificate. ----------------------------------------------------------------------- and plot plan approval ( y Health Department. -------------------------- ❑ 15. City of Chico plumbing permit.--------------------� -------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.------------------------------ 1117. ----------------------------- ❑17. Planning approval for (A) Use: (B) Parking ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- i Owner -Builder Verification (Given to owner ❑ Mailed to owner 0) - --------------------------------------_ 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑26. Letter of intent on building use. ------------------------------------------------ ------------------- ❑ 27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------------------------------ 0 29. 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: _ When you issue the permit, process as follows ❑ Mail to owner, ❑Mai to contractor. �4elephone�3 " %% / 3 and hold for pickup at ® o ❑Deliver with inspector. plic Oma' Date: �I/(7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep , ❑ Air Poll Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, it O er: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above requi .red data by ❑ phone, ❑ mail, ❑ Building ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. ,,-111gteytansfer by: Date: Yellow Copy - Department of Development Services, Building Division. p TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance w s a E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. / 010016 jqV IL;),k 7,21 04vner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other _ Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist -.,,Water Supply: Public Private .Well �,f-%-P> Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ` ASSESSORPARCILNUMMM2ON1NO ©2 -5 /D _c"0 BUILDING PERMIT OWN" ` I (� t' n "E SO. FT. � OCC. � BUILDING VALUATION 6 17752-- 0-ER'ss �� Oaz,�,9_D o rJ :CCWWCTORI NAME /�"� k— TELEPHONE . CONIRACTOR7 MA41NG ADDRESS �1�TR{�C710N-I.fr'�P� Fireplace LENDER'S IWLING ApORE89 . Total Valuation s Z ARCI1RECr OR ENGINEER LICENSE NO. Filinci Fee S 20.00 Permit Fee S.06 ARCHITECT OR ENGINEERS MACJNG ADDRESS Plan Checking Fee $ O BUILDING ADD RESSq � i � �_ / Energy Plan Checking Fee $ S 14, V'.0 PERMIT FEE $ LOT No. 3UEDN�SONSWINE PARCEL MAP PLUMBING PERMIT Fling ee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome & Other 1 C Solar or heat pump water heater 23.00 Water piping 15.00 ".04 Each gas water heater or vent 15.00 nit TYPE OF WORK New f,Additian ❑ Remodel ❑ Utilities ❑ Installation ❑_ Other ❑ ��� /1 Describe Work: Gi %y_�L�_ �Gi' s�1 frJ/d i�fif_Y3 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 - -- PERMIT FEE S eO Z% ELECTRICAL PERMIT Fling Fee 20.00 O oilOR LES9 2,.3.00 Main .Service pout OR LESS LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter P tY. P J` n vs Q D 9 (commencing with Section 700C) o Civisicn 3 cl the Business and. Code, and my license Is in full force and effect.PowER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My 'workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.)occ O 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main .Service 20" TO 1000A 46.00 NEW CONST. DWEu.a1G occvP. FT OR;DONS. ( a AeC. a S. 3.50' NEW CONST. MULTFOUTLET 07.50 NON-RESID. rAcyrrs APPARATUS a BARGEE OUTLET CIA. OUTLET OR FIXTURES 20 � 1.00 Ex. Occup. SAL 4 .501 FLYEO APPLNOR S.00 Ex. Occup. ovnETsI...16.,EA Temporary Service 1 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring 23.00 PERMIT FEE $ Filing Fee 20.00 MECHANICAL PERMIT 9 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee 3 CONST. TYPE TOTAL FEE $ --� HA2. D. FEES IMP FLOOD C PARCEL PO NO sSLE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B y Date PERMIT EXPIRES ON Dial Receipt No. Z WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT This set of plans and sPecMcations kept on the. job at all times .and it is unlav O / e / �siily make any changes or alterations on 8�.me v�` /�/ ��• written permission ( from tbiq � �P�aent of Public Works, CounW of gutom vow Odaand ' l)d^�l WAY mgt 16�e co�ygd ec�ea va titi , I10�E'cetb �i,e �e D Acord Wegcti. orrb g(dof 7 -TT 0 n � '� _EQUP INT UDIN® RH�il�bus S4;A CLEAR OF ALL IErA��lflfr � A �ET M44C-- C, = ��� ' l �. AN0 i . _. 9 ?�:::.,� I'a'n' REAR PROPEFTrY LINES AND Ri h1ROM THEOAD CENTERLINE SHALL .BE 'LEA OF &RUCTUR S AMC EQUIPMENT EXC ` A 2 n. rE OVE14HANO. it 7, Proposed 00611 J� ,►�a �,;I -o x x Z., , k, :v i T W.4 S Neo t�4 •1 r � J he 1�� U�27-- 3/ - C) ooh i o- 7I res rA, k Fs4, a 3 A)l p A'ST , T w j I f- /0 v� a ► __ _� �00Y' m 4x y c6� .ADf:6 tAT6 BRACjW Lc r+G N Provide '/2• x 10" ancidr bolts' @ W O.C. Max, and wfthin 12eo" oints: 1) la& ,a iovi� r - 0,,relAAflt 7 Councy Cancer Drive, Orovilte (.1+ y�so7 Phone: 916-538-7S41 LARRY AND DIXIE JONES 8090 MELVINA OROVILLE CA 95966 RE: PERMIT APPLN. #97-0891 LAUNDRY BLDG DATE: 3/25/98 A.P. # 027-31-0-006 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner-Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by prepareraof plans. Hc4pineered lete plans, 3/4 sets, signed by p p P plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's instte tallaty n instructions, 2 sets. Fees of $ . payable Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Health Department. XXX Sanitation and plot plan approval OROVII.IF P City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for ' Drainage. Land Development (a) Improvements (b) Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of SO% subdivision developed or (a), Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Should you have any questions concerning the above, please contact LINDA SEXTON of this office. 4ner ery t , C. Viefira, C.B.O. MCV.ahb , wildingInspection 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; NO ❑ 2. I HAVE -6, HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (_farm) to provide the proposed consq=ction: - NAME: ? . ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: A PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE` T G� SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Budder Verification -is -required by -Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER - - I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry ofirecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you planto do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than—your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracgrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification".0n the reverse side of this form so that we can confirm that you, are aware of these matters. The building permit will not be issued until the verification is returned. 4irely, l C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code OVER RESIDENTIAL 027-310-006 PERMIT#97-0676 JONES, Larry & Dixie 8090 Melvina, Oroville MHI Ex Site JOB Sig V=OK O = Not OK Not `=NotRepadyble MOBILE HOMES Date MOM HOME UTILITIES(Plans) OK except #'s 9. Siding; Nailing -Veneer -Stucco, -Mesh Zoning Fteguirements - Setbacks - Easements 10. Roof; Shthg-Roofing 2. s; Special MH Support Sketch 11. Ext.; Steps -Doors -Landings 3. Sewer; Location-Test-Fall-CY"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 1 Card B-1 Date Card B-1 6. Gas; Location-Test0rap; / I'Uft. / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MOBILE ME INSTALLATION (Plans),OK except #'s Hing Requirements- Setbacks cements 2. Footings; Size -Spec' ' ge as; MH Test-DemandValve-Connector 4. 'city; MH Test -Crossovers -Breakers -Clearances I rain; MH Test -Fall -Flex Connector I ater; MH Test -Regulator -Connector ; 7. ter and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged t I owns -Type -Installation Cert. xits; Insp.-Sketch l 1 Cert of Occupancy 4 Date - and B-1 Date Card B-1 ; Date Card B-1 Date Card B-1 t MISCELLANEOUS - - f_ Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -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. Fnng.; Sils-AnchorsStuds-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 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 V = 0 0 = - = = OK Not No OK RESIDENTIAL (: Not Applicable Not.Rea-4 r Date UNDERFLOOR (Plans) OK except #s Hangers -Post Caps -Anchors -Connectors 1. ZoningSetbacks-Easments-Flood-Slope Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ J' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance -Material -Support -Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Ran. !e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes Q No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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 BUILDING DIVISION �r DEPARTMENT OF DEVELOPMENT SERVICE .a ;,±ar 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 J9 7-o OWiXIR PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, phase cpytact this office immediately. I j -A �f> Date C Inspector REV 10/9 1 J � I J _ �f> Date C Inspector REV 10/9 1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY,CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN'g,7 •� j .... o©6 PERMIT NO.: Owners: [� Name: Owner's: Address: Mobilehome f � � f Year of ! („J Manufacturer V i ! Manufacture: Serial number , or V.I.N. Insignia or CA � 1 ?41 g � � R — f HUD number: Official approvingnnstallation: 1 Date: •% �� 5- 7 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-310-006 ZONING ARMH 5 BUILDING PERMIT OWNER LARRY & DIXIE JONES TELEPHONE SO. FT. OCC. BUILDING VALVA OWNER'S MAILING ADORE 9090 MELVINA OROVILLE, 95966 CONTRACTOR'S NAME UNKNOWN UNKNOWN TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 8090 MELVINA Energy Plan Checking Fee $ $ OROVILLE, 95966 PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome jp Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationyU Other ❑ Describe Work: MH EXISTING SITE 2 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W= 0.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VOR S9 Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( a ACC. BLDS. 3.50FT. NEW CONST. MULTI -OUTLET NON•RESID. ,=OUTLETCIRCUITS @7.50 POWER APPARATUS d SINGLE OUTLET CIR. 20 Q 1.00 OUTLET OR FIXTURES Ex. Occu BAS @ .So Ex. Occup. ouTEitDrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi comply with those provisions. G Date =7 ature of p'c t ❑Owner ❑ Contractor ❑ Agent EAn SHA p it is equired for excavations over 5'0" deep and demolition or construction ructures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOT FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD _ i HD UE , This permit is hereby issued under the of the utte County ode and/or Resolutions indi to b e for ich fees have ByWJAA_� PERMIT EXPIRES ON applicable provisions to do been paid. �6 to Q �G / 8 Data work G/� Receipt No. 210394 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �•` .'. q ' , S. ��A. T _ ..,,. **4 - y •�-q'. -rR.•sv�. w` �Ylv r .TY k COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ' PE"IT APPLICA TION DA TA SHEET v - OWNER: ASSESSOR PAR=submitte�dprior Proposed Building Use: Building Inspector:Date: At time of permit application, I was advised the following data must be to permit p ce sing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by, the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.----------------------------------------------------------------------------------------- c i ar�. Manufactured Home data and in'stallation. instructions .------------------ ❑ 10. Fees of $-------------------------------``------- ---------------------------------------------- G,--Impact fees as shown on the attached schedule�0a-- - ------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees--------------------------------------------------------- ❑ 13 Flood elevation certificate. ---------------------------------------------------------------------------------------- V 90"tation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 6. lot plan and business license approval from the City of Bi gs. ----------------------------------------------- -447 ------ ----------------------------------- Planning approval for (A) Use: (B) P�G�fre�% r)� ��� b- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• El 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement.-------------- 1--126. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- 1128. Existing violations and/or expired permits. --------------------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: of q-rs--vl 4/& - When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to IIco,,ntractor. ?(Telephone 533 — r7� 13 and hold for pickup at 0(N\' W o e. ❑ De 'ver with inspector. Applic t: Date: / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollutio D-'^"" Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division Plans reviewed by: Date: Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: / Yellow Copy - Department of Development Services, Building Division. (Date) "El Plan Check List counter, by Date: pdrriter, by Date: counter, by Date: counter, by Date: Date: — Date: E.H. USE ONLY Plot Plan Attached a Floor Plan Attached L� Sent to B.O-[_ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IA -/1 C-), ur,-)A 0,;2 7 3r 0 --CSG Owner > Location 0A,01 AP# Plan Approved for:3ra a Disposal c/ Water Supply: Public Private Well c6/4e Clearance for a dwelling Other !�' � � �%�•F.tJ T o-2� �� Mt Ogt c c �� Hold Fin NQ Environmental Health Spe 8/96 list Date OBD\ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (O 0o Z "MNG I S gm BUILDING PERMIT - DINNER A'�;1� ��J ( TELEP"G"E SO. FT. OCC. BUILDING VALUATION :cola 'S NAME T O . CONTRACTORS WILING ADDRESS •cOMT�'TTpM..�� Fireplace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER - - LICENSE NO. Flin Fee $ 20.00 Permit Fee .$ ARCWTECT OR ENGINEER'S MOU ING ADDRESS Plan Checking Fee -$ BUILDING ADDRESS/'� v_( Energy Plan Checking Fee $ $ PERMIT FEE _ Ll 'J. DT ( No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome 0� Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation _ Other O Describe Work: l ( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ( ELECTRICAL PERMIT Fling Fee 20.00 ooALEss.Q Main Service . 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700C) of Divisicr: 3 c`. 'he Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for -the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Cj I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workare' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ______ Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 NEW CONST. DWELLING oceuP. sa OR ADONS. ( a VC BLDS. 3.5¢FT; NEW CONST. MUITI.OUTLET ^7 .0 ,,GN AESID. ,wc CIRCUITS POWER APPARUS 6 SINGLE OUTLETATC10. Zo & I.00 EX. OCCU . OUTLET OR FIXTURES SAL 4 ,,yo flXED APPLNS. OR 5.00 Ex. Occup, ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST. TYPE f 2 TOTAL FEE $ HA2. 0. FEES IMP FLOOD I COF PARCEL PO I HD I ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Derol Will ReceiptNo. WHITE-O.O.S.-B.O. CAN RY• SSESSOR PINK•INSPECTOR GOLOENROD•APPLICANT School District A.P. Number Property Owner J V t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ,, (One form per Building) 1 Building Department No. �—• J'lJ� �,r Jurisdiction: ` City County Property Location/Address Subdivision Lot No. Residential Development �✓ Sq. Footage No of Living Mobile Home Addition(Group R Units Installation i'n Commercial/Industrial New Sq. Footage Addition (Floor Plans reviewed by School District Personnel) jmcwuing txtenor �jRoofed Areas) C Date @a trio Identificatio. No.970119 Vf #aa School District certifies at " '4" \ - (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # (State) (Zip Code) !Q6 --,?6 by payment of $ IIF2 ULLMITIGATION $ / v:a Date / ! IJ l hof/ A I Nodce: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this: Butte County Schools Impact 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) feeform.xls (2/97)dmm NOTE; AU Materials Y Workmanship Shall Be M Moordanoe With nNogzvir ed good Practices and of a Nesoribod for the Specified use . the Ut9ftm BuM=d, Plumbing V MeobanXW 04fto and the HMIowl diad Qof. .v9U..MtIV/NA '7 Cou I I I ealth th c z 3 It ,495e551)'''S 70 . '5'E 1) k" set of plans and. speci![catirms MuRr- 'P,+veel kept on tha job at all times and it is unlavfu make any changes or alterations on same w written permission from the Deportment -of Works. County of Butbe. v17-3�'-v-caoG- o r'YereN� zvivi►,��. � U z 1NCLUOINC� � NES AND EpUtPN���SEMEN� R ®f AV' Au S' . „ —'4. SE,, THE SIDE AND S VT. rH®M ovSET 13A, "Y" ' } � CAN PROPE .Ty LSHAL FS N A ¢N®M THE H S AND E�VoPMENT or- STNUCTU ENN�ya, P,�F�,.EAVEpV I T BUTM N'Ty BUILDING 016- WE A- Pa p �d �s APPRO'Ag Butte Count vir me tal Voll ! -XZ� 7 I �o 1.40 R �v �1 a •Z I rN 5q( oo) Zj 1� -7) -1 q Tit I OLZY ---Tl9hl5p Z IR I C? L rN M.H.I.-2 1. Owner's Name: /-A R KY 414 D f x[ E J olif S 2. Assessor's Parcel Number: A P" Dp,%- 30®- oo(o 3. Installer's Name: -Re A/ 4. Is the site currently under permit? Yes No[ jQ Permit No. FFY-F'TTMW / 5. Is the site an existing site? Yes[ X] No[ ] ``(If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? p O Amperes. 7. What is the mobilehome site circuit breaker rating?1®0 Amperes. 8. What is the electrical rating of the mobilehome site? Z-00 Amperes. 9. Is the main service remote from the mobilehome site? Yes U(] No[ ] If itis, what is the rating? —� 9 0 - Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No' `0 If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[)(] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?�(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than,6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION Cou '47 DF May 1995 8.5 M.H.I.— Z Mobilehome Manufacturer: MERRY RY IYOA?C Manufacture Year: c� If other than single wide, furnish Setup Model Number: Z 4 lDejk-4 . Width:_,ft (ft.) Length: 60 (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973,. furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[,M Other: SUPPORTS: Concrete block[C] Other: Provide Tie Down Specifications for all Mobilehomes: ?RDo1MD -TD a% Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE . Line I Line 1 Line 2 Line 2 ................................................................................................ Main Beaus Line2 ............................. ......................................................:........... e 2 Line 1 Line 3 Line 2 ............................. :...... :........................................................... Main Beams ...........................................................................:...................: Line 2 Line 1 .............................................Line ine S Tag or Triple ine 4 1 Line 1 Piers: Size minimum: r, -- i x Spacing maximum:` From ends -maximum: '— ` ` Line 2 Piers: Size minimum: [�;�] x Spacing maximum: I 5 O ` From ends -maximum] 'a Q ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: v Location (from front): Line 1 Openings Size'minimum: [ ► ] x Each side of openings with width over: I Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` ,ax3o �-jx3o �ax3o 2�IX3o ��3 � a . 13, 3►.$� y p IVO k OVER NOTF;—ATI Materials & YrLoCManship Shall Be vh Accordance with Recognized Good Practiced and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & NleChaNcal Codes and 4*C0ft- �0 9 o phis set of plans and specifications MUST be kept on the job at all times and itis 4nlawfut to the %" make any changes or alterations on same 9!2,.. thoouut )j j,, �l W y written perrrrlsston from Works, t;�uirty a eut�_d u_ ME 1 v N �... Q f` 3v v 17' ,►l G %i l l�uM t' x o �Y" Proposed Mo6�l C14; I s Neo -qo �SSfxi � e .. Q ssessol� s i�,4,,e(ZUj4bP►- 0b7-3/ o 066 - o �q �� , I Ito, ALL STRUCTURES D EQUIP DING OVERHANGS SHALL E CLEAR OF EkSEMENTS. A SET BACK OF l , Fr. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALLBE CLEAR OF'STRUCi'URES AND EQUIPMENT EXCEPT F01% A 2 FT. EAVE OVERHANG. 1 0 t V 0 BUILDING DEPARTMENT' BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-75 �/� AGRICULTURAL BUILDING EXEMPTION PERMIT r / ERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and,6onstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure s all 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 PAR 6 L� . — 3 1�_ PD � �� ZONING H OWNER J r no, 0 n e� PHONE NO. �r 3 3 "77/3 77/3 OWNER'S•/_pQ 7E�S, Il� % S / �PS. - �J ((JJ � x Ore a.' LOCATION OF BUILDING 0 D i a- ✓'!� USE OF BUILDING . t e S C d�C% ,- 4D �f SIZE OF STRUCTURE V ' ' X — = 1 L" r. SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME t STEEL CONCRETE OTHER (Specify) TYPEOF,sIDING ROOF CO�RING FLOOR TVP, G( ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 16 fir) SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. A Date Signature Signature of Owner 0 .. an .0 Permit Fee - $60.00 The above described AG Building is exe*p om a building permit. Receipt No. l xs-9* FL I PARC P.D. ROOF G I ISSU Manager Building Division By 2'�"4-%Vgw)— Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 - AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. eat) Agricultural building Is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. ✓ �1-016 /_016 FLOOD ZONING OWNER �- ROOFING PHONE NO. OWNER'S ADDRESS A LOCATION OF BUILDING I USE OF BUILDING d 1Z, d v� SIZE OF STRUCTURE �y TYPE OF CONSTRUCTION: WOOD FRAME _,(k_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED >COST OF CONSTRUCTION $ l✓/ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows �' I :-5LFRONT Sb �' SIDES v� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as 'stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. G 3 g 3 6 Signature of Owner The above described AG Building is exempt f m a building permit. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Public Works By Date i=n FLOOD PARC P.D. ROOFING ISSUE JEJ I I Director of Public Works By Date i=n ♦ti' t" .r �y.� .st�.ii.�.y.��i�"'-r-:' `.!7C.y ,n♦,...,V. �'`"�^i°'�%'vYjhKY'�M1i'�F1 ••h✓�es.�T''�'���i•^- i',�•}.!'�`1'�°�T�ti'��'Y.''•' j��%l�'At"';Yh1�r ' S/rrvw•-.ft.._ a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION \` ' �' Z 7 COUNTY CENTER DR JVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t PERMIT APPLIC"AT40N DATA SHEET Permit No. OWNER / FRNF�'�E ZAf/FS A. P. No. _2-7 Proposed Building Use 46v"6(6 d Building Inspector Date Attimeof permit application, I "was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted . ..................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............,... '" 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ........ .. . 14. Sanitation approval from Health Department 15. City of Chico'plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection forrequired Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. 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---nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date PERMIT NO. 2669-78P,E PERMIT EXPIRES OWNER Patrick Bettinger :CONTR. owner LOCATION (A.P. 27-20-65 ) 8090 Melvina St., Palermo G .r g `l ,NH � r :y ' k \4 . Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FOB NAL (Date) (Signature) RE SPRINK T M Mesh -.d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fa t Prot. BUILDING BUILDING (Cont'd) PLUMBING Set ck Aewall S I Piping Forms Par ets Xt Floor Main dg. Restr in Finish 2n Floor FootNes Window 3rd Xloor Stemwa Siding To out Slab Roof Sheawaing Water PI Piers Roofing Sewer Garage Fdn. Vents N Fixtures Footings Garage Vents X Water Htr. Stemwa I I Insulation X Heaters Slab Carport Footings Prov. for ph e.1 handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final A Sanitation Patio IR LACE Final Footin s Footing EJOECTRIkAl- Masonry Walls Throat I Rough Reinf. Steelf Final I FIYf..rnc RE SPRINK T M Mesh MECHANICAL Grd. Fa t Prot. Scr ch Heatird X Servic BqAn cool'Ag Te p. Pole nish Du s der round I rior Lath V ntilation ennanent door Closer anal �, inaI MOBILEHOME UTILITIES ------------------`Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 67-6� 5?, � 9 — &f J" — Y - eq (NOTE: An entry must be made on this form each time you visit the job site.) t.. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive — Oroville, California 95965 Tel6phone: 534-4541 APPLICATION AND PERMIT 6 9-7� AA autnonze representatives or the 1;ounty or tsuite to enter upon ine above-mentioned property for inspection purposes. r= - 7L Date Signature iof Permitee or Agent 69 Receipt No. / ! 77:33 V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By Dates, 7 �Iling permit expires Date 79 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 4 T epfjprye o 63112?rbrNn Contractor 'a Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 1/1n Repair drainage or vent piping 1.50 A. P. No �� O —� Q. � Zoning & Planning Water piping 1.50 flr Each gas water heater or vent 1.50 F Sa n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50-- EQA Parking mgr Plans DAM' Parcel Map 60' R/W Improv is Each additional outlet .30 Building sewer 5.00 Ip,Ip Bldg. PI Recd Parc royal Pans Ipprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES Wr OTHER ❑ Permit Fee $ 33.$ ELECTRICAL No. @ T FEE PERMIT FILING FEE $3.00 001 OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS,LING CCUP. S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR ( (BRAMULTNCH CIRCUITS) NON.RESID. `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCCUDI.OUTLETS OR FIXTIIRE5 BAL0100 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID'.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 3 kit WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this KU permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ autnonze representatives or the 1;ounty or tsuite to enter upon ine above-mentioned property for inspection purposes. r= - 7L Date Signature iof Permitee or Agent 69 Receipt No. / ! 77:33 V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By Dates, 7 �Iling permit expires Date 79 P, NOTE:—All Materials & Workmanship SW Be its Accordance with R.Pr:^,n,Ted Gnr,d practices and of a quality Ell 4P C.re-47,Pd +lse in the Uniform Buildinn. R Mochanical Codes and the National Electrical Code. OV Me %ve/'14 441 1 g � Y09 5' , 7- v�.356-GGe� NV --peptic system aF444 1grzatogq of btpH O i�� drain �tGa;; to be as per '►� Butte County Health Dept. Re- quiremen,ts. fz �� 7- N /1 Un All utility connections shall b :Se�T,e located within 4 ft. outside the rea 17 third section of the mobile hom on the. left (road) side of the, mobil ,home. . _ The shall be 5 ft. from the . d fox®e side. property line and 50 tfi, from the A\,e hoc Ff centerline of the ro�►i3, ,permitting a maxl- �`�\bei fob\ S 0 J mum of a 2 ft. eave Overhang but entirely. OS k p` out of all easements. o /�� x y M� this set of plans and specifications MUST bo kept on the job at all times and itis. unlawful to / make any changes or alterations on same without BUTTE COU written perrnisson from the Department of Publir Morks, cont„ of B+1tte. BUILDING DEPA I:� �� 78 ENT APPROVED May 15, 1978 tyre Patrick H. Bettinger 80:00 Me1•r n2 Street P:; le -r P Cni ifo.rnia 95968 L''--, Mr. Be-[.Un7aer 'this is to a.Jvise you that pursuant to Section 19-19 of the Butte Cou:lty C( -'.l_ - ( -'ale;: .1',i! c<! Board of Supervisors has approved a variance to Sections 19-10 and. 19-12 they Fuate County Code for the placement of a mobile home on your property at 8090 Me yina Street, Falem. o 27 20a65 Street Address AP; T i s gar .ance was granted on May 9, 1978 and includes the fol l - inrr Date 1)'Tine variance is granted only for a tern of one year. At the end of one year you rust apply for a new 1•ariavice if the use is to continue. 2) If the applicant residing in the rob:ile home or conven Tonal residence moves to another location or is deceased, the varia-ce automatlCally expires and the. mobile home shall be reTo,iact Within, 120 d3 -s. If the mobile home is not removed within 120 days., the Co>_nty may remora said mobile home and store it at the. o-�n=r's expe,zse. 3) The r::obi 1_ h^ne shall be place' an the property without vlolatin_ anv of : muttz OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT, Peggy Pearch ADDRESS: 8090 Melvina Ave. CITY & STATE: Oroville, CA 95965 IMPORTANT: SEE INSTRUCTIONS October 13, 1986 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #3027-86P, Receipt #69310, dated 10/9/86, A.P. #27-31-06). Owner: P.H. ettinger. Plumbing permit fees paid ---------------------- $25.00 Qtain filing fee ------------------------------$10 00 Refunddue ----------------------------------------------- $15.00 Building Permit Appin. #3028-86MHI, Receipt #69310, dated 10/9/86, A.P. #27-31-06. Owner: Peggy Pearch. Total fees paid ------------------------------- $70.00 Retain filing fee ----------------------------- $10.00 Refunddue ----------------------------------- ------------ $60.00 TOTAL REFUND DUE----------------------------------------- $75.00 TOTAL $75.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. i Dated this . de of , 19 et ali ' i et ofeClali.. 1, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval O (Check on f he Dated this ,,,,,,,,,,,,,,13.th........... day of ........O.c.tobjez. 19.86 at ......OnQmille.. . Calif ..'.'C] /....... ..................... t.-:......... Department Heed or Authorized.peputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCU MB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT10N MD PERMIT ERMIT N0. - / ASSESS r ARCE 7L ,MB R� p•�J -- / ZON N BUILDING PERMIT OWNE '^ TELEPHON SO. FT. OCC. BUILDING VALUATION OWNS 'S MAILING DR SS e m CO RA 'S NAM lit1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 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 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS IVZZr Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ma Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomePVr Other LINSPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is W 10.4 ea ,0 TYPE OF WORK New ❑ Addition ❑ Rem9AeIE1 Uti 'ties ❑ Installation❑ Other r c Describe work: G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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) � Lye I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. OR ADONS. ACC. BLDGS. /20sgft NEW CONSTR. ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS el (SINGLE OUTLET CIR. i0®a0e EX. Occup(OUTLETS OR FIXTURES eAL@30 FIXED PR EX. Occup. OUTLETS IRESID IEAJ 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. 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 FiIirig 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 cons quence of the granting of this permit. C� X Date `� '/ F� Signature0f Agqlidnt - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 t ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. C014ST.T77 PLOOD PARCEL I PD I HO 59UE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date LA3 Receipt No. WHITE-D.P.W.. YELLOW-ASeCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT vw.r Apr, � ]w'K.x' r _ usr: .3f . •�: :c ,`!t.r ,.�.ri, asxa�r, _ . ra l„�, '•- ...'x ,:w. try' ';` 4 COUNTY*`yOF BUTTE - DEPARTMENTiO ;PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL,,�FORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use e Permit No. Y A. P. No. Building Inspector 6 Date Q At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 / 1 . 10. 11. 12. 13. 14. __15. 16. 17. 18. 19. 20. 21. 22. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . CUSD "Fees Paid” Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . Letter of signature authorization. .�t;8�.yea✓c, . Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to ownerE]). Improvements may be required. . . . . . . . . . . . Mobi lehome Installation Data. .. ... . . . . . . Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of When you issue the permit, pro//ce Telephone -S [oe Other v ec as follows: —Mail to owner, —Mail to contractor. .end hold for pickup at_o_r_ ffice, Deliver w/inspector. Applicant Copy of plans, sent Health Dept., Fire Dept., Other Date .(Date) The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: F Contractor, designer, owner, was advised of above required data by_phone�naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. �- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cealiforniy 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS RPARC L NUMB R ... ZONIN BUILDING PERMIT OWNER TELEPH E St]. FT. 1. OCC,1 BUILDING VALUATION 27-31-06 PEGGY PEARCH 8090 Melvina Ave, Oroville Permit#3028-MHI(existing site) Fireplace Issued NER'S G DD SS r N OR'SNAME Y` [CONSTRUCTION TELEP O NTRACTOR'S MAILING ADDRESS LENDER UNKNOWN LENDER'S MAILING ADDRESS n� I'I ARCHITECT OR ENGINEER LICENSE NO. Total Valuation is Filing Fee $ 10.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v' V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V -NA 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[] MobilehomeUl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea. TYPE OF WORK �,( New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationtL� Other ❑ Describe work: o C _ �o� X ( O Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 g 1 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS Lt NSE LAW I declare under penalty of perjury (check One): ❑NON•RESID 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.&) +/zQsgft OR ADDNS. \ ACC. BLDGS. NEW CONSTR. ULT'-OUTLET2,50 ea BRANCH CIRC ITS) POWER APPARATUS eI SINGLE OUTLET C'R. Ex. OCcup(OUTLETS OR FIXTURES ew 090 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains County in conse ence of the granting of this permit. X Date,�V_ Signature Ap Ic — Owner Contractor 11Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ I occup. CONST.TYPC I IFLOOOIPARCELI PD I NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. tla U0 WHITE-D.P.W.. YELLOW-ASSr3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t k 1 COUNTY OF BUTTE - DEPARTMENT OF -PU,BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CM01'FORNIA 95965 - TELEPHONE: 916/534-4541 ry PERMIT APPLICATION DATA SHEET f- ,� Permit No. OWNER 9 P �C_�'1 _ - A. P. o. a�1 f —0 Proposed Building Use 2 l t 'M'q Bmjlding Inspector Date IM At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED -h X. All items have bee. submitted. . . . . . . . . 2. Plot plans in uplicate./ riplicate, signed by preparer of plans. . 3. Complete plans in uplicate./triplicate, signed by preparer of plans.- 4. lans.4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 91 Letter of signature authorizatio . 10: Sanitation approval from %0.0 1'/ Health Dept. V11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.), XImprovements may be required. . .. . . Mobi lehome Installation Data. • . • . Pre-Inspec. request to (Date) 17k. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 2 . Plot plan approv I from city of 21. ; Pe er -)rowl ArOlgPry OWYI� ✓' Q u -f- D✓ Z ilii 22. When you issue the permit, process as follows:,ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector,. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required:% Contractor, designer, owner, was advised of above required data by—phone ___nall=counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS m 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANQ PERMIT _PERMIT NO. ASSES O ARCEL NUMBER ZONING — :) _ - BUILDING PERMIT O WPyTELEPHONE 0'ir SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI D sS 1 CONTRACTOR'S RAME F TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD.QF3ESS >� ,,.._. r7j I 1rt "' PLUMBING PERMIT Filing Fee Filin Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Wateri in PP 9 ` LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR�<Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ RRenrodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:J - d SP if V t t' 2 CIA `t+ av? 1 W � C\ r -C V , �.. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 00 Main service 100v OR LESS100O 10AMP OR LESS 5•00 e Main service ADD'L 100 AMP 2.50 2 NEW CONST. //EA. LING OR ADDNS. l DACCLBLOGS.CCUP,&) 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@250 BAL@10Q FIXED APLNS. R Ex. Occup. (OUTLETS P(RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring -7,.� , t Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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 againsj said Country in co sequence of the granting of this permit. ') X�'t %1,i�,-+ r� Date, �v 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 $ Land Development Fee $ TOTAL PERMIT FEE $ 0'O OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC�ORt OF PUBLIC B �c �' '� y—I--- — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r ) Receipt No. _11141J1__1 i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO. OA 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 f � APPLICATION AND PERMIT A ASSES50 =RCEL NUMBER ZONIrAr 9BUILDING PERIJ ow T TELEPHONE 153(f -- SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIM AIDMESSId I O CO TRACTOR'S NAME ppr TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RESS I h PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[j?00000Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: F=� y °l., e- S r C: W L 1� U Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee3 00 Main service 600V OR LESS 100 AMP OR LESS 5.00 d� Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP.&) 20sgft 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 m license is in full force and effect. Y 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 CONSTRULT'-OUTLET 2,50 ea NON-RESID BRANCH C'RC ITS NEW CONSTR. POWER APPARATUS .&) NON.RESID. (SINGLE OUTLET CIR. 50@au Ex. Occup(o OR FIXTURES BAL.@1OQ PTs FIXED R Ex. Occup.(OUTLETS (RESID )E A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring u K , Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If 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. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia 1 'es, judgments, costs, and expenses which may in any way accrue again t sai County in cc9seq uence of the granting of thisperm; . X !�.Data/ �D Signature of Applicant — Owner ontroctor ❑ 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 $ Land Development Fee $ TOTAL PERMIT FEE $ , ocCUP. GROUP I TYPE OF CONST. PARCEL PO HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES 'Date/����/ the applicable provi- resolutions to do fees have been paid. WORKS Date //— -7- d Receipt No. o49 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroviII4, Calif(3rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT iASSESSOR CEL YMBE ZONING BUILDING PERMIT OWNERr r TELEPHON SQ. FT. OCC. BUILDING VALUATION OWN 'S (LING ORES • CO TR TOR'S NA I TEL HONE CONT4 iPKcrOR'S MAILING ADDRESS +I Fireplace j CONSTR TION LENDER UNKNOWN �• Total Valuation $ { LENDE 'S MAILING ADDRESS - _ , - } - Filing Fee - $ 1000 Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS r Penalty $ BUILDING ADDRESS t �+ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r e ra-iO 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 i USE OF STRUCTURE ,I SF [ Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea i TYPE OF WORK j New Addition ❑ Remodel Utilities nstall tion❑ OtherX Describe work: i I _ -0�o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 60001 OR 0 AMP OLSLESS 10.00 119. M CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I ❑ 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) El 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 EA. ADO•L too AMP 2.50 NEW CONST. DWELLING OCCUP,�t2sgft OR AODNs. (ACC. BLocs. .a ) NEW CONST R. U TI.OUT LET NON•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR.L Ex. Occup(OUTLETS OR FIXTURES eALo90 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mis . OVirin 15.00 Ere os 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. # 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. i Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, and expenses which may in any way accrue agai id County in consequence of the granting of this permit. X .It 7�3/ Date Signature of Applicant — Owner (,� ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCUP, CONST.TYPC IFLOODIPARCCLI PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITC-O.P.W., YELLOW-ASeE,SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '.� �' � � � ~.� �K� �' s �—�—��- 6 ..���� . 1848-86E PATRICK BETTINGER 8090 Melvina Ave. Palermo OFFICE COPY I Address GAS Date_ Meter By ELECTRIC Meter By - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, .^.alifornM 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL -NUMBER,• ZONING BUILDING PERMIT OWNER- 11� #, fl; �E` EPHONE r., 4 ., -r �. SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS l r - V 0 ,� /_ r �. r CONTRACTOR'S NAME r j.` TELEPHONE CONTRACT'OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /r UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A/4) i'd F LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heJater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or ve5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out 5.00 Building sewer 5.00 Mobile Home S G 10.00ea TYPEOF WORK New ❑ Addition ❑ Remodel❑' Utilities ❑ nstallation❑ Other Q �. / /;T G, �! r^ r C Describe work: f ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r l io0v OR LESS Main service a 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 BuslneSS and Professions Code and my license IS In full force and effect. License No. Classification +❑f t, 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.& , ) h¢sgft New CONSTR.� AMULTI-OUTLET NON•RESID BRANCHPC IRC ITS 2.50 ea /POWER AARATUS tr (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES SALO 20@30 FIXED EX. QCCUp. P OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring_ 15.00 L Y QTS /rt Ir Permit Feev $ YJ ( Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig 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 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 J. r 1 . 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 $ TOTAL PERMIT FEE $ occu P. CONST.TYPC JFLO11JP*R111J ITT—P-07--sur v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC { By : ��-+_� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " / � ` - � j L, r Receipt No. ? I WHIT[-D.P.W., YELLOW -A38 [380R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: .872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date — �J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calffiornia,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE IT N W` ASSESSOR CEL N MBE ZONING BUILDING PERMIT OWNER r r r TELEPHo,NSQ. OS,FT. OCC. BUILDING VALUATION OWN 'S (LING DRES ier kA CO TR TORS NA TEL HONE CON C R'S MAILING ADDRESS Fireplace CONSTR . TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10-00 LENDE 'S MAILING ADDRESS Permit Fee $ ARCHITJEAJT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS p i Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 �e D Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ RemodelD Utilities nstalltion❑ Other Describe work: T r ( C--� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason LIN CCUP.ad) oR ADDNST DWELGS'/z¢sgft / NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS a� %SINGLE OUTLET CIR. 20 0 Ex. Occup(OUTLETS OR FIXTURES 0t SALI AL030 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis byirin 15.00 . on an -zs Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 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 liabi 'ties, judgments, costs, and expenses which may in any way accrue agai id County in consequence of the granting of this permit. �/3/� Y X Date �S Y Signature of Applicant — Owner � ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! I IFLOODIPARCELI PD I ND ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS O Date 7-0 At Receipt No. WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER .r • ;.�,._ �+! ` .....4..�..,.��;o;�a s�'tF` a`Krx.,i`!=.+•'..i;tr)��yit,��,;..,_ .a. a s, e' a ' j 6 COUNTY OF BUTTE - DEPARTMENT .:��PUBLIC WORKS - BUILDING DIV�IS+ION a 7 COUNTY CENTER DRIVE - OROVILLE,�C�'rA 'SF(<} NIA 95965 - TELEPHONE. 9165 4-4541 PERMIT APPLICATION DATA,SHEET Permit No. Q � ►SI C /-.,, A,n. —0 C A. P. No. Proposed Building Use. Permit Fee Based Upon 41t's, . Complete Contract Price DPW Valuation Building Inspector e_1 /V io �uwv� uate - t v/ " u - At time of permit application, I was advised the fpllowing 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. . . . . . . . . . . 3. Complete plans in duplicate/tri,plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Mobi lehome Installation Data. . J Pre -Inspection for C� ��' C 1 t C_ Required. i,62 9 P re,ro (Date) <18Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other p Applica t �/L a... Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by Plans approved b,, Other: Copy—DPW By Date Date Date P i PERMIT NO. — PERMIT EXPIRES OWNER LAd JONES CONTR. Phil Wilson ASSESSOR PARCEL 27-31-06 LOCATION 8090 Melvina Ave, Oroville Temp. Pour Called Temp. Elec Called Temp. Gas Called JOB FINAL Slgnatu = OK - = Not'OK NotNot Readiyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except ft's Date 11 DEC",COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoe Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete /or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)- 6sts-Beams-Rftrs.-Connec.- S hg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG Alum. Awn.; Col s-Conne ns -S a -De -E ei 6 - oors 7. Utility Clearance 4-Efec-- rs- u s- rs- russes 9. - e -Stucco-Mesh Card -B1 Date Card -B1 Date 10 e4-6rthRoofing Card -B1. Date Card -131 Date q.a-7 1.. - oors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date//--Card-B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8: Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex), - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s bate FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING Permit OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71: Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes Cl No; Walks O Yes O No; Planters 0 Yes O No 80. Stucco; Brown -Finish Card -131 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card. -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) }. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM)T O 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 G APPLICAT N AND PERMIT V ASS.ES�O�PA C L NZr(FyR QQLL// (//x(/40 ZON IN BUILDING PERMIT ow ER VApA V&S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 'S IL DDR ESS ^� /\ CON CT R•S A c TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ fas ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ✓� C� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W0.00ea TYPE OF WORK I New ❑ Addition ❑ Remodelo Utilities ❑ Installation❑ Other® Describe rk: t E I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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 OCCUP.N\ NEW CONST. DWELLING OR AODNS. ACC. BLDGS. / y�¢sgft NEW NST- MULT'-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS el SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES 20@50 ew Ex. Occup. OUTLETS P(RESID.)FIXED APLNS.REA.7 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. 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 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 liabiliti judgments, costs, and expenses which may in any way accrue against s County i consequence of the granting of this permit. ^� Y *a X Date Signature of piic — Owner Contractor EDAgent11work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3/stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ A TOTAL PERMIT FEE $ ,J Occup. CONST.TYPEJ SCHOOL FLOODI PARCEL POHo Iss This permit is hereby issued under sions of the Butte County Code and/or indicate above for which fees R T OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate / Receipt No. .361 � WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLgv CA A16 IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 40, r'r Proposed Building Use J Permit No. hS�a W N rr" Bui (ding 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 All items. have been -submitted. Plot plans i, d icat Iicate, signed by preparer of plans. s—t plicate,,, signed by preparer of plans. S'PA 7B 7 a 4. Complete engineere plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $. . . . . . . 9. Letter of signature authorGzat,jio .�© vl l f� . �0. Sanitation approval from (�/ (( Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of gi ee're trusses duplicate (required pri -r to Ian check). 0 tit t rvl n a 1 i/l �`A 0 C d✓ I h When you issue the �r it, o s s follows: Mail tt o)wrier, Mail to contractor. Telephone �� J�� and hold for pickup aty raffice, Deliver w/inspector. Other App) ica Date _:7zot ' � V Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.�s�,a 2. Additional items required: �i- Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date_ Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date— Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copv—DPW iG � �NEs NOTE..—All Materials & Workmanship Shall Be2�iPrNn1nor�er Accordance with Reroanized Good Practices a, -r' of a quality prescribed -for the Specified use in the . Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. �v sow jou �30X 1��� Olwu �1/e, �'A, g S`�4 S Flo 90 �E/vitia PA /e gar cy <•9. 9s96 y JW wAy 30' oAd Cep, -0 i � iNcrIgo FT �. A setback of ft. from property lines and a ck of 50ft. from he road 4 '' centerline sha I be Clea of r !`'�E uvFy structures orquipm eP�s' a 0 ft. Aw n� rh � no. t 0. /iQAaYk 4 C z • A (A 3o 1 % p b; HO �O �m�sedob,l S� P 1 i c �SSeSSo°�S j�AyCel q/vat�tr 0,2%—,3l -D-00&- O ZZ>A/Iv This set of plans and specifications MUST b kept on the job at all times and it is unlawful t.. make any charges or alterations on same-,vvith. out written permission from the Departme4�t of Public Works, County of Butte. is � JAN 13 19PR Orovillo, California PERMIT NO. PERMIT EXPIRES OWNER LARRY JONES CONTR. own— ASSESSOR PARCEL 27=31-06 LOCATION 8090 Melvina Ave, Oroville Signature H I OFFICE COPY Address I GAS Meter By Date ELECTRICMeter Temp: Power P+ By Date a Called PG6.. -- - - - ' -- — — -- Temp. Elec. Service Called PG&E / Temp. One Service / Called PG&E JOB FINALED (Date) Signature = OK 0=Rot OK. =otReaiable NdyMOBILE HOMES MISCELLANEOUS ., Date MiDBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements S ils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel Se er; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails ater; Location-Test-Easement Neede tch) 4.. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. lectricity; Location-Clearances-Grnd Amp-Concrete Gas; Location- est-Wrap: / "L"ft. j /"Nat. or"L"ft./✓/"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses y 9. Siding; Nailing-Veneer-Stucco-Mesh Card-12119!pDat s Card-B1 Date 10. Roof; Shthg-Roofing Card-81 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-B1 Date Card-81 Date /2. Footings; Size-Spacing-Marriage Line Card-131 Date Card-81 Date —Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s - Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. ater; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability Wate nd Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining Tagged 9-Exiisrtnsp- Sketch. 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-B1 �j, Date �($-C rd-B1 Date Card-B1 Date _ Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test i Card-B1 Date Card-131 Date Card-B1 Date Card-B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Deptl 4. Ftg., Porches & Decks; Soils -Steel-/ /111 5. Stemwalls, Main; Steel-Blockouts-Wrappe< 6. Stemwalls, Garage; Steel-Blockouts-Wrap{ 7. Slab; Steel -Wrapped 8. Piers -Fireplace Fto.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 13 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor o Yes 79. Following instid.; Drive o Yes O No; Walks o Yes O No; Planters O Yes o No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEYARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ` L' .. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name -----L Serial number of V.I.N. Year of manufacture i (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. :.j DEP COUNTY OF BUTTE �.+ ARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891- 7 County Center Drive, Oroville 747 Elliott 251 Road, Paradise 538-7541 aradise — Phone: 872-6307 CORRECTION NOT ICE A routine inspection exist at indicates that PERMIT N( the above address the followin when correction and should be g V1Olations of Count matter, of work is completed. If corrected. Please Y Or or need additional You have nt notify this office explanation, please y question p contact this pertaining to this 1 do , office immediately. Inspector Da to COUNTY OF BUT;7E - DEPARTMENT OF PUBLIC WORKSN 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 n-521197? APPLICATrON AND PERMIT ASSESSOR PARCEI.AL•J��[[//UMB/ D ZONI UG BUILDING PERMIT OWNER l` TELEP NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI NG ADD SS /7 CON CT R'S NM a TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,t' n 10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ! PLUMBING PERMIT Filing Fee 10.00 n 6 • Each Trap 2.00 ^ a 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[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S G W 0.00 ea d TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti 'tie x Installation[]Other ❑ Describzrk.0 a �� s �' It -5 a C �7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 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)%Lj ❑ 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.ai) ,h¢sgn OR ADDNS. \ ACC. BLDGS. NEW CONSTRMULTI-OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS R1 SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20060t SALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Q Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 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 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 liabilitie judgments, costs, and expenses which may in any way accrue against s ounty i consequence of the granting of this permit. Date r ignoture o ppli an Owner EJContractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 91) J919 Occup. CONST.TYPEJ SCHOOL FLOo PARCE PD ND 13Su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTOR OF PU By / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS //�� _ N Date''T-'� O Receipt No. FL WHIT[-D.P.W.. TELLOW-ADDE390R. PINK -INSPECTOR. GOLDENROD -APPLICANT .:-rte-.`. •.r-, .�-�:+-..�-5+.--��r�y ... '..r'i.SV'-r'ti_ tai- n+-�'�'+" .K`+ :'v'�-�-krit.'• .' � . COUNTY OF BUTTE - DEPARTMENT OF ,PUBLIC WORKS - BUILDING DIVISION - ei rrav 7 , •k3 7 COUNTY CENTER DRIVE - OROVKLE, CAL-GFORNPA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET --� Permit No. I OWNER ✓1I v 0 �`-5 A. P. No. 62 _3/ Proposed Building Use - Building Inspector Date on 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. t . 8. Fees of $ . . , . . . . _�K� Letter of signature authorizaof % . . . . . . o Sanitation approval from ei� (%1 / Health Dept. +ti 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to ownerE]) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 1 -In Prespec. request to (Date)- 110.Pre-Inspection for Required. Building Inspector _Q6�i8. Recorded copy of Agricultural Acknowledgment Statement. X029- 19. Driveway Permit. 20. Plot plan approval from city of 21. Eng* eered tru �es'i duplicate (require , prior to plan)) check). 2. o r^OWJ /atih1 n4 �G e you issue the per_mjt, ,pr/oc as follows: Mail tp .owner, Mail to contractor. Telephone J3 and hold for pickup at��doffice, Deliver w/inspector. Other Applicari24 �J/74 Date - Z�� Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to p rmitis ance: (Circle new item not checked above). 11014 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnall—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 byAlf Date Sets of plans on hold in File cabinet AP folder V PW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ow Location AP# Water Supplyd/. Plan Approved for: Hold final for: Sewage Disposal Final clearance O.K. for: Clearance for bedroo mobile home. Water Supply .Water Supply Other r V0 - NOTE Sanitarian Date COUNTY OF BUTTE - Depart-ment'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)G`^s 2. I (have/have not) )Ke"d VC-- 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 Addre"ss 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 m r 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. I USE PERMIT BUTTE COUNTY PLANNING COMMISSION DATE: (Certified MailiRec) - 88-48 PERMIT NO. AP 27-31-06 ASSESSOR'S +PARCEL` NO'j'I ti Pursuant to the provisions of the Zoning Ord i riance w of=they :County =of- } Butte and the special conditions set forth. be low:=':.: } *Larr'y ;-Jones -so hereby granted a Use Permit in accordance with application filed: 2/17/88 to a I I ow a temporary ,mob i I e home as'• a second ' 'dwe l fr g'tun`i t-=dK _ property zoned U located on the ,west side ' of "MeTv I na P-tAve;nue7i.V1, approximately 180 feet north of Alice Avenue in Palermo-.-' 1. Fa i I ure to comp I y w I th the cond I t i ons spec I f i ed here i'n• basis for approval of application and Issuance of. Permit, constitutes cause for the revocation of said perm I t"1i n - 0, r accordance with the procedures set forth In the Butte CountyI� tf-Y Zoning Enabling Ordinance. '" _ r�r :�r -T11 2. Unless otherwise provided for in a condition to a use permit, all conditions must be completed by the permittee within 1.2 months of the delivery of the countersigned permit to the permittee. - - - 3. if any use for which a use permit has been granted -1-s- not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: I. Applicant shall file affidavit of compliance with County Ordinance Number 2277 stating that the occupant of the temporary mobile home shall be his mother. r% 2. No rent Is to be charged to the occupant -of the mobile home. 3. The Installation shall meet the requirements of the Butte County Environmental Health Department. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24-304 of the butte County Code. 5. the Use Permit shall expire two years from the date of Issuance of the Use Permit. Upon application the Planning Commission may grant an extension of the Use Permit for periods not exceeding one f year. C� 7. 8. 9. In the event that the applicant who Is residing within the mobile home or the conventional residence, for any reason, moves to another location or Is deceased, then in that event, the Use Permit granted herein shall automatically expire and the mobile home shall be removed within 120 days. In the event that the,-,,, mobile home is not removed within 120 days pursuant to the terms of the Use Permit, the County shall remove the mobile home ;and store It at the owner's expense. The applicant is to pay a deposit or post a bond good for a -period of two years to be renewed_annua I l y -,-.to -.cover .t.he -:=_dost Qf., remova l In the amount of $1,500 and agrees to leave,the-'running gear, Fess �,' whee I s, attached to the tra i I er wh I e I n- p`l ac. e.;, Meet the requirements of the building Division of -the Butte`County Department of Public Works. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were Imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: �%^ b 0ZZ4�2z0� T74l3p ant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC: Department of Public Works (2) Health Department Department of Forestry 0 PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 538-7601 March 22, 1988 Larry Jones P.O. Box 1757 Oroville, CA 95965 CERTIFIED MAIL Re: Use Permit, AP 27-31-06 Dear Mr. Jones: We are enclosing the original and one copy of your conditional Use Permit No. 88-48 to allow a temporary mobile home as a second dwelling unit on property zoned U located on the west side of Melvina Avenue, approximately 180 feet north of Alice Avenue, Palermo. Both copies must be signed and returned to this department within 30 days from the receipt of this letter. We will then have them validated by the Chairman of the Butte County Planning Commission and the original will be returned to you for your records. Please be aware that failure to return the signed copies within 30 days will result in the use permit becoming invalid. Re-application to this department would then be necessary to proceed with the project. The Use Permit is deemed granted when this permit has been signed by the applicant, with the counter signature of the Chairman of the Planning Commission, a bond or deposit is made, and said permit is received by the applicant by registered mail. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, V A. Kircher Director of Planning BAK:lr Enc. W • '9fteci "BOTH PARTIES BE A4 NOTIFIED, APPROVE OF, AND Sierra Central Credit Union N2 7900 SIGN FOR ANY CHANGES IN STATUS OF !v ACCOUNT, INCLUDING, BUT NOT LIMITED TO, WITHDRAWAL OR CANCELLATION', 'r This is to certify and acknowledge the deposit of the sum of March 24 FIFTEEN HUNDRED************************* 1500.00 Dollars (S in Special Shares Series E1CB Account Number 89814 held in the name(s) of Larry C Jones (and/or) Butte County Planning Commission as 0 joint owners with right of survivorship or 0 joint owners as tenants in common. The maximum number of shares constituting this special shares series is unlimited. The holder of this Special Shares Certificate shall be entitled when and as declared by the Board of Directors to dividends at the annual rate of seven point seven five percent ( 7.75 %) of the par value of such shares, payable in preference and priority to any payment of any dividends on regular shares. Such dividend paid shall be prorated to the number of days the shares are on deposit in this account. The right to dividends on these Special Shares is not cumulative, and no right shall accrue to holders of these Special Shares by reason of the fact that dividends on said shares are not declared in any prior period. Dividends not paid at maturity are credited monthly. Dividends On This Account Shall Be: (Cheek Applicable Box) 0 Paid at maturity 0 Credited to Regular Share Account X Credited to this Special Share Certificate Account 0 Credited to Share Draft Account President/Treasurer/Authorized 0 Other This Special Share Account will be maintained for a period of t- aQn -y four 24 months, days from date of issuance. Amounts add -ad to this account will not extend its maturity. ,. PENALTY FOR EARLY WITHDRAWAL ' Partial or full withdrawal: A penalty equivalent to 90 days dividends at the certificate rate will be assessed on 1500.00 balance) + the amount withdrawn early. If withdrawal reduces the balance below (minimum the dividend paid and payable on the entire Special Share Account balance shall be reduced and penalized as stated above. f PASSED DIVIDEND •y.' 'l "" If Sierra Central Credit Union fails to pay dividends on the Special Share Account within ten (10) days after the dividend date established herein, the member may withdraw the balance of this Special Share Account = t without penalty. DEATH OF MEMBER +: This Special Share Account may be closed and funds withdrawn, without penalty, at the option of the holder. This Special Share Account does not carry Credit Union paid member life insurance. r: EARLY REDEMPTION ' �-.The Board of Directors may direct this Corporation to redeem this series of Special Shares prior to the ex- ' *�tt piration of the stated maintenance period at par value plus dividends at the rate stated and a premium of '/z% of A.- -the balance of this Special Share Account redeemed. AT MATURITY r«`kDISPOSITION At the end of the maintenance period the Credit Union will: "0 Credit the balance in this Special Share Account to a regular share account with the same vesting as the ex f' ` : �: .:_;Ito" • pired Special Shame Account. [Automatically renew"this certificate at the highest rate available for accounts with the same maturity and ._ t mu►imum balance.. ' 2 "i 0 -Mail the piinicipal and earned_ dividends to the members) at the current address carried in the member's regular share account record. +� + O Other,: r :} ?All notices to,the owner of this Special S e Account be sent to the address carried in the member's ...'.a :regular share unt rd. The member 1 notify Cr Union in writing of any change of address. r .. LThy�o shs�allbe pledged�t?giis erred or as t to this Credit Union. President/Treasurer/Authorized Ke -L1.11-11 ?`7' DPW AGRTCUL`1'UR•AI, STATI,"MI NT OF ACKNOWLEDCI MI?NT FOR RESTI)ENTTAL DEVE1.01'Ml:Nrf RECORD D8UTTECO ''IY Sect.' r 26-8.1 of. the Butte County Code OFFfLIAL PECORD5.tSi t'ecl a i.res Lh.i s aclurow'ledgemen L be recorded Prior to issuance of a building permit. The property descr-i.bed herein is adjacent " 194-.KAR:2.4 P u I incl 01' i r,ciudcd within an area zoned .2-:.�.� for agr:icu l tura.l. purposes, and residents CANDACE i1: 3 UBBS ul' dais properLy may be subject to -incon- vc'n i ZL-ERK'-REC0RVER FEE-..._. encc!s or discomfort ar. i.s i ng from the use of agri.cu.ltural. chemicals, including, 1,1.1L not. ..Limited Lo herbic.i.des, pesticides, and ferL.i.'I..i r.ers; and from the pursuit of agr:icu:Itura.l. operations including, but. noL. 'IimiLed to culLivaLion, pl-owing, spray i ni;, prun i.ng, <ind harvesting which uc-c•as.iunal..Ly generate dust, smoke, no:isd, and odor. Butte County has esLab.l:ished af;ric ul Lural zones which have as a priority use for productive agnicul Lural w i I.Ii.in ' i d purposes, and retiidcnl r; sa zones and on adjacent properLy should be prepared to or d.i.sconform from normal, necessary farm accept such i.nc onvc 11 i me c operations. All LhaL real properly s:i t.uate, in the County of Butte, Stale of Cal.i.forn i.a, described Io1:1ows: As per Attached "Schedule C" and a part of this document. CT CC\1r,Pia0GowoA� Da to: per, ��r� PROPERTY OWNERS: St;1r.e! of CA ) On this the 24th day of. March , 1.9 88, before Inc' SS. the undersigned Notary Public, personally appeared County of Butte ) Berneice I. Jones El Personally known to me. Ll -'Proved Lo me on the basin OFFICIAL SEAL of saris fact.ory evidence. E9 :NOTAIRYPUBUC-CILLIE1.HARDIN to be the person(s) whose name(s) is ALIFORNIAsubscribed to the wi.Lhin instrument and acknowledged that sheBUTTE COUNTYmm. ExpiresMoy29,1990 executed the same for the purposes therein contaLned. LN WITN ktis WHEREOF, I hereunto set my hand and official. sea]. Present. A.P. No. ' Notary Pub.]ic :v . Policy Number Order Number S73 646770 28068 SCl I-DULE C The land referred to.in this Polity is described as: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Lot 4, Block 54 of Palermo Citrus Tract, Subdivision No. 1 and 2, according to the official Map thereof, recorded in the office of the Recorder of the County of Butte, State of Cali- fornia, September 17, 1888, and more particularly described as follows: COMMENCING at the Southeast corner of Lot 4, of Block 54 being the intersection of the North line of Alice Avenue and the West line' of Melvina Avenue; thence running West along the North line of Alice Avenue, a distance of 270 feet to a point; thence North and, parallel with the West line of said 'Lot 4, a distance of 180 feet to the true point of.beginning for the parcel of land herein described; thence from said point of beginning continuing North and parallel with the West line of said Lot 4, a distance of 180 feet; thence East an,d parallel with the North line of Alice Avenue 270 feet to the West line of Melvina Avenue; thence South along the West line of Melvina Avenue, 180 feet to a point which bears East and parallel with the North line of Alice Avenue from the point of beginning; thence West and parallel with the North line of Alice Avenue a distance of 270 feet to the point of beginning. EXCEPTING the mobile home located thereon. CLTA f5ondnrd Covernre 11nligy-1')71 APS. OWNER ;4 rU c9'Yi e -Z, PERMIT �k g MH UT IL . CLEARANCE DATE INSPECTOR ervice f Other 6oA Pipe Type Size /—, ?(� 7/� 41 5 Support Compaction Struc. Test Rea. /I yo r 'w 14 *r"OUNTY OF BUTTE - DEPARTMIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS SPR P 2CE OW R 4:J(r r OW R' AI ING CbwtACT R'S t CONTRACTOR'S N CONSTRUCTION L LENDER'S MAILIN ARCHITECT OR E OR ENGINEER'S MAILIN ADDRESS E UNKNOWN It MI MAM I C` ro v; lle I DI LOT NO. SUBVISION NAME I PARCEL MAP USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome,& Other SPECIFY TYPE OF WORK New ❑ Addition ❑ R ode 0 Ut(Iities ❑ In to latio Other ❑ Describe work: 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 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. 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 ip consequence of the granting of this permit`., Sjgn lure o ppli — OwnerZ Contractor [IAgent ❑ An OSHA ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. / --/w / tY WHITI-D.P.W.. YELLOW-ASeCeeOK. PINK-INePECTOR. GOLDENROD -APPLICANT BUILDING PERMIT SQ. FT. I OCC. I BUILDING V E TION Fireplace Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS Total Valuation $ Ex. Occup. OUTLFIXEETS APP(RESID )REA.Y 2.00 Filing Fee $ 10.00 Permit Fee $ 15.00 Plan Checking Fee $ Q Energy Plan Checking Fee $ PD Penalty $ Heating Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent _ 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea Permit Fee Cnntractor I ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST*( DWELLING OCCUP.EII y22Sgl OR ADDNS. ACC. BLDGS. /I POWER APPARATUS e SINGLE OUTLET CIR. OCCUp(OUTLETS OR FIXTURES 20@Ex. eA 030 Ex. Occup. OUTLFIXEETS APP(RESID )REA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Energy Inspection Fee $ Permit Fee $ Contractor PD MECHANICAL PERMIT Filing Fee to.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ DCCUP.1 CONST.TYPEI ISCHOOLIFLOJDJWPARCE_Vf PD 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. DIRE,f tOFt OF P��C WORKS By '/LO O`�!< , PERMIT EXPIRES Date .w Je,1's +-� .. r. .: J i,c % >. �hvr •v + fs�' LY,aY`J: " 1 a?:,..t1' " ,"` - <.r 2 n t " �:._ _ '• .i .....r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR9iVIL'LE;,CPLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' 4_� Permit No. OWNER ( r r Vf S ;P. No. Proposed Building Use Building Inspector Date r l 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. Plans with Energy Design "Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) _ Improvements may be required. , . , , , , , , , , ,� 16. Mobilehome Installation Data. . . . . . . . ' . 'a9� Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. WhtAyou issue the permit, Pr ces as follows: Mail t�ca,)owner, Mail to contractor. Telephone��- '��J and hold for pickup a TO office, Deliver w/inspector. Other 17 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 690 Mt1v%,vA A sefback of 5 ft. fro the property lines and a s tback of 50ft. from the roa � of centerline sh II be c r structures or equipme�, t excep• for a 2 ft. ea e overha 0. x e I lb Wility cd 4 ft. of tI directly half mob; h a n ,5erNiC e T, pr /r1Q 7'11c r OAd CPN Ir/3() V() F T incion all be with," e; obile ome, either ehind or within the rear of the mrbposed A9p6i1 ,49Sesso►''5 13o If f U a 70 9a ��/viti�a 9596 S wA y 30' wok This set of �a s and specifidations MUST be kept on the all times and lit is unlawful to make a chang S or alterations on same with- out itten permission from the: Department of bar✓ . w Pi lic Works, Co my of Butte. {C Ia "Ix !c'/ 1 /1)d6,1 HoA?E - I ED SE P i / C j��rCe! NvMdcr 0z7 -3/-o-001.- o ?resecv-;'� zpaiN9 NOTE:—All Materials & Workmanship Shall Be i4ya Accordance with Recognized Good Practices a--' of a quality prescribed for the Specified use in tV, Uniform Building, Plumbing & Mechanical Code!. and the National Electrical Code. F_ s A JC6 tct I .V Qum CO. fun"Ing CORIr11„ JAN C)MvIlle, CaMornia 1. Owner's Name: 2. Installer's Naa BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes U No U (If yes, furnish permit number O d / Is the site an existing site? Yes No 4. (If yes, furnish two plot plans.) Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes IX -1 No El (If no, clarify 5. What is the mobilehome electrical rating? --------------0 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- �Q Amps 8. Is there any other electric load to be served by the n F No mobilehome site service? -------------------------------- Yes �n (If yes, identify the load and size: (Load) (Amps) 9.. What is the mobilehome site gas pipe size? -------------- 3i (in.) F I 10. What is the type of gas service. ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information'not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) MOBILEROME SUPPORT DATA rIf other than single w ie, Mobilehome Mfr._/ ��E- ��00ld furnish Setup Model No. Year 9 Width_ /0?, (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's 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. SUPPORTS (check one) 1. Concrete block.g1. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE j/ MULTI -WIDE Line 1 _ 'K.li[�� Line 1 _ _ Line 2 Main Beams Line 2ne — _ _ — _ _ — —,� Li2 a Line 1 Main Beams — — — — — — — — — — — _ — — — —.- - _17 Line Tag or Triple Ili L• _' — — — — �- — — — — — �1 — Line 4 ` r Line 1 Line 1 Piers: Size -Min. ------------ Spacing-Max - --------- Fran Ends -Max. ------- I.iue 2 Piers: Size -Mill .________--__ oo n x Spacing -Max. --------- From Ends -Max. ------- Line 3 Woof Wads: Size -Min .------------ installation Other (specify) Line 1 Openings: Size -Min. ------------------ x Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) • Size -Min ------------- -- x Spacing -Max.--------- --- From Ends -Max .---- --- -- _ "x "x "x ,x Location (From FronL) I _ 1. . _ _ _ _ '_ '- Line 4 PLers: Line 5 Piers: (Under Bea ing ells only) Sizo-Min.------------„• -------------Size-Min x j x Spa"Jog-Max.--------- a SPa py- �+-�-- - I n From Ends -Max.------- From �yEnds-Max .------------- ' ” Li qe_ 5. Roof Loads: -SUILDING DEPART Size-Mio.------- - - - - - - Location (From Front) WI/ April 7, 1988 Larry Jones P.O. Box 1757 Oroville, CA 95965 CERTIFIED MAIL L A N D O r N A T U R A L W E A L T H A N D B E A U T Y PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 538-7601 Re: Use Permit, AP 27-31-06 Dear Mr. Jones: Enclosed is your validated Use Permit No. 88-48 to allow a temporary mobile home as a second dwelling unit on property zoned U located on the west side of Melvina Avenue, approximately 180 feet north of Alice Avenue in Palermo. Should you have any questions regarding this matter, please contact this office -between 10:00 a.m. and 3:00 p.m. Sincerely, ®r*rchej� Director of Planning BAK:lr Enc. cc: Department of Public Works (2) Environmental Health Department of Forestry r USE PERMIT BUTTE COUNTY PLANNING COMMISSION April 8, 1988 DATE: (Certified Mall Rec.) 88-48 PERMIT NO. ` AP 27-31-06 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Larry Jones Is hereby granted a Use Permit In accordance with application filed: 2/17/88 to allow a temporary mobile home as a second dwelling unit on property zoned U located on the •west side of Melvina Avenue, approximately 180 feet north of Aline Avenue in Palermo. I. Failure to comply with the conditions specified herein as the basis for approval of application and Issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth In the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted Is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: I.- Applicant shall file affidavit of compliance with County Ordinance Number 2277 stating that the occupant of the temporary mobile home shall be his mother. 2. No rent is to be charged to the occupant"of the mobile home. 3. The Installation shall meet the requirements of the Butte County Environmental Health Department. 4. The mobile home is to be a temporary -use on the property pursuant to the requirements of Section 24-304 of the butte County Code. 5. the Use Permit shall expire two years from the date of Issuance of the Use Permit. Upon application the Planning Commission may grant an extension of the Use Permit for periods not exceeding one year. i r 6. In the event that the applicant who is.residing within the mobile home or the conventional residence, for any reason, moves to another location or is deceased, then in that event, the Use Permit granted herein shall automatically expire and the mobile home shall be removed within 120 days. in the event that the mobile home is not removed within 120 days pursuant to the terms of the Use Permit, the County shall remove the mobile home and store It at the owner's expense. 7. The applicant is to pay a deposit or post a bond good for a period of two years to be renewed annually to cover the cost of removal In the amount of $1,500 and agrees to leave the running gear, less wheels, attached to the trailer while In place. 8. Meet the requirements of the building Division of' the Butte County Department of Public Works. 9. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department, permits before starting construction, nor does It waive any other requirements. CC: Department of Public Works (2) Health Department Department of Forestry Butte County Planning Commission Chairman .+..ry .h. ... � .n Y. i^.�. ..a wi. Pt 'TDV!C:'-+.Y.M+�.� .. .•�. N^Cl:.w ♦.. '. D v','v G vi A azo FT. Ar cla"®r 0 v DEVELOPMENT PLAN DATE USE E SE PERMIT VARIANCC U4 ----------- I leg Yj ho \7- c J 0 :T44 c J 0