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027-310-028
027-310-028Q� 94-0774P,E(MH) CARILLO, JESUSVrr4ll�p//q 2255 LOUIS AVE.,.PALERMO -9 MOBILEHOME UTILITIES ELECTRIC Q6) 0 GAS LINE •1 G Wii 0 - COMPACTION TEST RE SUPPORT STRUCT REQ 0 027-310-028 94-09919HI ' CARILLO, JESUS 2255 LOUIS AVE. , OROVILLE I�IZ3'9y :�IOBILEHOME'INSTALLATION l 027-310-028 01-2972p;. ' CARILLO, TonyFjy a21� ��Q3 2255 Louis Avenuei, Palermo .New Singl "Family:.replaces MH,,. 02"7- 31440ro, 027-310-028 AG -129 JESUS CARRILLO 2255 LOUIS AVE. OROVILLE 24 X 12 HAY BARN t .R c ir MC, I Butte CountyDepartmentofDevelopmentServices YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING 3 April 2003 Mr. Tony Carillo P.O. Box 363 Oroville, CA 95968 Re: Refund Error Assessor Parcel No: 027-310-028 Dear Mr. Carillo: Building Permit: 01-2972 Building Address: 2255 Louis Avenue, Oroville Thank you for your phone call of this afternoon. As we discussed, due to a clerical error you were issued a refund of $889.63, (Check 578111 dated 2/20/02). The clerk mistakenly thought you had decided not to build and issued a refund based upon that assumption. Our records show that we finaled the permit on 2-19-03. To recap, you paid $1357.25 (Receipt 337136) on 11-24-01. A refund of $22.32 was due to a change in your plans to not install an evaporative cooler and wood stove. An additional $89.00 refund was due because of an overcharge of State Responsibility Area (SRA) fees (the property is not in the SRA). The total refund due you was $111.32. $889.63 R6fiinded -111.32 Correct Refund Amount $778.31 Amount Owed Please pay the amount owed of $778.31 by April 10, 2003. Make the check out to the Butte County Treasurer and remit to Development Services, 7 County Center Drive, Oroville, CA 95965. Should you have any questions, please feel free to contact me at 538-7464. Sincerely, Deborah DeBrunner Principal Analyst Cc: BP 01-2972 File :: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 04-03-03 Tony Carillo P.O. Box 363 Palermo, CA 95968 Re: Building Permit 01-2972 2255 Louis Avenue, Oroville, CA 95966 I N V O I C E Overpayment of Refund — 02/20/02, Check Refunds Due: $889.63 Modification of Plans to Install Evaporative Cooler and Wood Stove (22.32) State Responsibility Area Fees (89.00) BALANCE DUE JZZ8.31 Terms: Balance Due by 4/10/03. Please make check payable to the Butte County Treasurer. Remit check to Development Services, 7 County Center Drive, Oroville, CA 95965. Questions may be directed to Deborah DeBrunner at 538-7464. CLAIMANT: ADDRESS: CITY £r STA Oroville, California GENERAL CLAIM ,y DATE OF CLAIM: IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE T DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT •DBUILD AP#'027-310-028, BP# 01-2972, REG# 337136. DATED: 11-20-01 TOTAL AMOUNT PAID: I41 VO�C£�C,' 3-�3 1.357.-'25 RETAIN REFUND PROCESSING FEE: rr2 V .�h ftp u�{25. 00 RETAIN BUILDING PERMIT FILING FEE: 20. 00 RETAIN PLUMBING PERMIT FILING FEE: i 20. 00 RETAIN ELECTRICAL PERMIT FILING FEE: 20. 00 RETAIN MECHANICAL PERMIT FILING FEE: 20,100 RETAIN ENERGY PLAN CHECKING FEE • �23, 00 RETAIN PLAN CHECKING FEE: 33 UNT TO BE 0 I ITOTAL AMOUNT M BE REFUNDED* TOTAL ' I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this c aim is true and as stated. � i Dated thiay of 20 at C'%Pd4�w� Calif. Signature of CI mans I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specifiW above hav bee p or d or delivered and that t Budget Appropriation [ ] or Specific Board Approval [ I (Check one) for the same. Dated this 1 day of FEB 20 02, at OROVILLE Calif. artment Heid or Authorized DeRuty. Dept. Code 440-002 Exp. Code 4210500 PAYABLE F OM BUILDING PERMITS Dept. Code Exp. Code PAYABLE FROM Dept Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. ft SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I REFUND CLAIM APPLICATION CLAIMANT'S NAME ✓dam y �� l ���/A MAILING ADDRESS ASSESSOR PARCEL #: a �� 02 p ;o 0 RECEIPT NUMBER(S) �., 3 C� Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees (�) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. `SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT. FORM. FOR BUILDING DIVISION USE: d7. Receipt Information: Number: Date: Issued To: Amount: a5 Fees Retained: ZProcessing Fee: Bldg Filing Fee: $ Plbg Filing Fee: $ �Elec Filing Fee: $ /Mech Filing Fee: $ d V -/Energy P/C Fee: $•� ✓Plan Check Fee: $ 3 9 Inspection Fee: $ SRA Fee: $ Total Amount Retained TOTAL REFUND DUE $ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovillb, Califbrnia 95965 - Telephone (530) 538-7541 l P RMIT NO. Rev. 12/96) -�- APP L•ICATION AND PERMIT -a�-- ASSESSOR PARCEL NJM6p1•" 7 l _ Z raAallo BUILDINGPERMIT OWNER_ � C �e� t c � o THo/��"`E � - o63S' SO. FT. OCC. BUILDING VALUATION OWNERS MAUNO AD ° r- 2z s �o� s o����j/� �s' 6 G . / • . CONTRACTOWS NAME TELEPHONE COMRACTORS M0WN0 ADDRESS CONS TRUCTON LENDER ' LENDER'S MNUNG ADDRESS Fireplaced Total Valuation E ` ARCWTECTOREN(UNEEA �L) �J�r%Ci C� "g Ciz� j 1. Filing Fee $ 20.00 Permit Fee $ AACMECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee S 2- -OULD040ADDRESS L V r f to J L Energy Plan Checking Fee _ — S PERMIT FEE _ W 2 S ,OTNO SUBOWISDN'aNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE ►/ SF ja'I Duplex ❑ Mobilehome ❑ Other / I °P�� Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 l Each as water heater or vent 15.00 / Jf TYPE OF WORK New KAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ D scribe Work: d ti &AZI& IV _ e -Mobile _p �tiN�v Gas piping system 1 - 5 outlets 15.00 / r Building sewer 15.00 Home I S I G I W @20.00 PERMIT FEE f s� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 6.00 on mss 23.00 3 ` � ii11 J (%� (/�� • / ✓^' *PERAAIT FEE P�� SRI SHERIFF � OTHER s AAkbt# rr RECEXVEb *RECEIPT NVAAM / * TO Be PVT zwo CommPERMIT Main Service ]soli To IoaoA 48.00 NEW CONST. DWELLCC. OCCUP. SO d OR ADONS. 1 iXa ACC. °LDS. 3.50 ._.... I NEW CONST. MULTI -OUTLET NON REsio. ARCUITS @7.50 PowER APPAwvue a SNOLE OtlRET CRR. Ex. Occup. GIBLET OR fDRWEB 1L 0 I.50 aAL .1 Ex. Occup. L/TLETs'LPPWS,DEc )0E- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 HeatingS Coolingt Hood 8.50 Ventilation 5-::f 12,5 PERMIT FEE S Mobile Homs Installation Fee = Energy Inspection Fee ti - OCC Z S COAST. Tv.s TOTAL FEE s 16,9 NAL D. PEO IMP imandCOP PAAClL ro Ao eau This permit is hereby Issued under the applicable provisions of the Butts County Cods and/or Resolutions to do work Indicated above for which fess have been paid. By Date EXPIRES ON Ingle) NOTES RESIDENTIAL J� -310-028 01-2972. CARJILLO, TONY 2255 LOUIS AVE.,611=,t CONT: UNK OQO v /LLE ' 2 BR SF REPLACE MH FIRE DESTRU SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address v GAS r Date Meter By I ELECTRIC ��Z, •Z Meter By Da I t JOB FINALED Signature { l i i.' 1 1 �r { r, s y(( �1 • s Is SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address v GAS r Date Meter By I ELECTRIC ��Z, •Z Meter By Da I t JOB FINALED Signature J = OK 0 = Not OK - = Not Applicable • MOBILE HOMES " = Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS _ Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s t!zo -Setbacks-Easements-Flood-Slope "17— Fig., Main; Soils-Elec. Grnd.-/f Ftg. Depth g., G rage; Soils-Steel-Elec. Grnd.-r P' Fig. Depth tg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth .,,.,�emwalls, Main; Ste el-Blockouts-Wrapped JarStemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pi!.,rL Fireplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17�/Jater Htr.; Vent -Access -Combustion Air Baffle 1E Oater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 29!55ower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 3@-15a's Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled Wo.--gomex Installed Close to Edge of Studs & C.J. 2J, -Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI !Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect Date 3�uip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light 3 moke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support —r 36. Vent Fan, Exhaust above insolation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -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 FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors 4 . alis Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs . Headers & Beams -Size & Bearing Date FRAMING (Continued) jt- gers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,a9!6iirm. Windows or Exiting Doors -Sill Ht. & Dimensions Tr 'Garage Fire Protection Framing rop rty Line Firewall & Openings 63,15-xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits ai s; i -Headroom-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ng -Nailing Veneer 57 .Sieeee-Mush-Drip Screed -Fd. Vents-Underflr. Access 58. Gla ' Are -Glass Protection -Skylights -Plastic ,b Z.hear Is; Nailing -Bolts 60. B e Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s Ext teps- Door & Sidelight Protection -Landings 64*'S-moke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 5�,/ droom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels Ao_t3RS@"Rei1S 10. li4 epioee-er6tove, Clearance -Hearth 7 ec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter wing -Landing -Closure 7. C in Garage -Damper 7P.01 -ft. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garaae: Above Floor -Meth. Protection 77 b., EI . & Mech. Equip. Listed for Location 8. ec. Receptacles in Garage (F.F.I.)-Romex Protection 7 anon -Foam -Looked in Attic onstruction-Post Caps %,-Fdff'VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes ollowing Inslld./Drive J Yes ; iP alks D Yes j0IM ranters D Yes Mnish I isconn umbing ents bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings at Well, Disconnect, Electrical, Plumbing xt r Elec. Trim, G.F.I. Receptacle -Underground 89'VeaWation Throughout House Glass Protection orrections from Previous Inspections ,04 as Test -Meters Tagged, Gas -Electric Paler & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ddress Posted 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 i DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751, 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE Ci rL I LLa 7Z OWNER PERMIT NO. A routine inspection indicates that th ollowing violations of butte county Ordinances exist at the above address and should be rected. Please notice this office when correction of work is completed. If you have questions pertaining to this matter, or need additional explanation, please corl, this ce immediately. COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ,41 r CORRECTION NOTICE 614hiu-o OWNER PERMIT NO. W A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co¢ta t this office immediately. Ino v f Oc ,�/--f Cl -t- 1,4 &iL L. -3a47- ;'oo—'.— / ` 4 Cov-. /,ATom. C 6 Nc7 T D c,r I2 °�— Date-7 REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orowlle,' California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D� �� 2ZL- ASSESSOR PARCEL NUMBER 027-310-028 ZONING AR 5 - BUILDING PERMIT OWNER CARRILLO TONY TELEPHONE 532-0835 SO. FT. OCC. BUILDING VALUATION y 121 . OWNERS MAILING ADDRESS 2255 LOUIS AVE. OROVILLE CA 95966 CONTRACTOR'S NAME LINK TELEPHONE S CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.y Filin Fee $ 20.00 Permit Fee $ 599-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 2255 LOUIS AVE. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each gas water heater or vent 15.00 TYPE OF WORK New CX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW 9 RR REPTACE MR 1HA2C RTTRNM Gas piping system t - 5 outlets 15.00 i5. QQ Building sewer 15.00 00 Mobile Home I S I G W 1@20.00 ° PERMIT FEE $ (� SELECTRICAL O (11 PERMIT Filing Fee 20.00 800OR LESS Main Service 200A OR LESS 23.00 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, YA"o the work, and the structure is not intended or offered for sale. 00"01, as owner of the property, am exclusively contracting with licensed contractors to construct the project. - ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 1@/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 forth w' h compl with those provisions. X _ Date - Z/6-- 0/ Signature of Applicant - Of Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SG OR ADDNS. ( a ACC. S.3.5¢FI, NON. 0115T.MULTI-OUTLET @7,50 PowER APPARATUS a SINGLE OUTLET CIR. CII Ex. OCCU OUTLET OR FDC, �0 ® 1.000 Ex. Occup..OUTLEFIXTS qa D•) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Qa Q0 MECHANICAL PERMIT Fiing ee 20.00 Heating Cooling Hood 6.50 -17 6.50 Ventilation 50 PERMIT FEt S55 00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ R3 CONST. TYPE VN TO AL FEE $ 1, _45. 3 HAz D I FLOOD X CDP — CEL HD SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been 0 -Aqc" By Date PERMIT EXPIRES ON 3 provisions to do work paid. �D 102, to ReceiptNo. hiZOfZ- `I c3 WHITE-D.D.S.-B.O. CANARY -ASS SSOR I K -I PECTOR k GOLDENROD -APPLICANT r-'��..�.f.,J�'4i'ski...-..f"'Pyr,'-%�.�.:�..�vi''�.`'�''.�'•'� �,,, ��•�.fir..:���1'L}w..�"�•i.i.-iL.-...�--•51��'i'1w,+`*Yr.���...:+r'�.�'I'•u...�-.w�:t��41 !:h-r•r'=..�..,,,..,,�""�...- :r• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILtE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET �Y OWNER: �a^I C�z�t LL ASSESSOR PARCEL NUMBER: Proposed Building Use: 314 NC`J ;Z.64-- Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior topermitpessing and/or issuance: -tie- to ��G 2 -,01 Date Received By ,� �, ❑ 1. All items have been submitted.................................................................................................� �- . 2. Plot plans, 3/4 sets, signed by the preparer of plans. ....,.^................................................................... 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 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.................................................................................................................... ❑ Manufactu Ho a Data and Installation Instructions including Tie Down Specifications .............. 10. Fees of $ r•'•.zr........................................................................................ Impact Fees as shown on the attached schedule...... / / „1 2. `ia Department of Forestry Plan Approval/Fees....................................................................... 13. Flood Elevation Certificate.............................../I. . ' Sanitation and Plot Plan Approval ago✓r .........E...nr entyal Hea epartmentyrGlT ._ 15. ty of Chico Plumbing Permit............................................................................................................ tQ Plot Plan and Business License Approval from the City of Biggs ....................................................... 17. Planning Approval for (A) Use: (B) Parking: "'2_1 D ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel .....................:..... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector bate) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. Xfelephone 62.Y- gQSg and hold for pickup at U� ✓���� office. ❑ Deliver with Inspector. 5TYLtj4r. 2Ev t (ZW 1 z't 7%01 P-1-6 Applicant: � Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire DepartAir Po ion v e_�° Date: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ t r Date: 1. Index permit Application for the above items numb red: TtL 2. Additional items required:�WWtt di V By: By:�Check .. Pla �.00l ► a`d Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counfer, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: L] phone, Ll mail, (j Building Division counter, By: Date: . Plans reviewed by: 1/1/`�� Date:21 T A Plans reviewed by: C Date: ' 1 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: �'� Date: J Yellow Copy - Department of Development Services - Building Division /� A TO: Building Department FROM: Environmental Health \i SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan A eehed\ Sent to B.D. -% !iz '� N ► �� -ass LDLA'LS, Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other s Hold final for: 0 Final clearance O.K. for: NOTE: Water Supper. Pubec Private Wel Environmental Health Specialist Date 1 �1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER y �j% (f.'MA/ ��/� A.P. # 77-5)) PROPOSED BUILDING USE v� /iY�l(.SJ/LJ�) `+ , DATE RECEIPT # DATE .REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ c -- Additional Fees Due ........... $ \ - Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $. #Units Amt. Commercial (sq.ft.) .. x =$. Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES 10.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER ?-)--7007 V,4 I At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 1 0 ` Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) '. Michael Mooney 'Civil Engineer Land Surveyor R C E 20647 L 5 Madrone Ave. Suite A Oroville , Calif. 95966 (530)533-2131 0 o e INVOICE Fax (530)534-0902 oe♦ TOTAL DUI 415.00 REF NO. QTY DESCRIPTION PRICE EACH TOTAL 7 1 Engineering Drafting Administration 50.00 40.00 25.00 350.00 40:00 25.00 PLEASE PAY THIS AMOUNT TERMS: Net 30 days 415.00 415.00 December 17, 2001 Tony Carrillo 2255 Louis Ave. Oroville, CA 95966 G _ Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX �a Assessor Parcel Number: 027-310-028 Building Permit Number: 01-2972 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will f expedite the re=check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: NON-STRUCTURAL COMMENTS: Provide truss layout, in duplicate, for truss package. Provide location of evaporative cooler and all requirements for the evaporative cooler are to be on the plan. Requirements are found in the energy manual and they include ridge venting. Show all details. Location of wood stove must be shown on the plans. Plot plans are inadequate as drawn. Please provide property dimensions, an accurate depiction of the house is to be drawn and a north arrow is to be drawn on the plot plan. Energy calcs: if house faces Louis Ave, then the correct orientation of house front is North. Please provide manufacturer's specifications for the wall furnace. Most wall furnaces do not have an AFUE of .73, the average is .68. AFUE must be confirmed by specifications. House wrap is not detailed on the plans. Please provide detail. Slab edge is modeled with 117 feet r and with 26 feet. Where are these measurements taken? As in number two above, evaporative cooler must meet requirements of energy code. Provide details. Make any adjustments required per these requests/inquires. STRUCTURAL COMMENTS: None 1 of 2 r PART - H The items identified below must be submittedprior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Provide engineered truss details and layout in duplicate (required prior to plan review) Please do not fax! 2. Impact fees: 2.1. Complete and return the Butte County School Impact fee certification form. 3. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. If you wish to discuss any non-structural requirements in PART - I, you may me at (530) 538- 7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural questions should be directed to the Plan Check Engineer. The attached PLAN REVIEW RESPONSE FORM must accompany corrected items. Sincerely, Martha Christy Philo Hunt, P.E. Plans Examiner Plan Check Engineer - 2 of 2 l PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete tale following information and return this form with your re-submittaL If this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valid response to every item requested in our plan correction letter. "By others" is not considered a valid response... please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS OWNERS ..._ ... _ _ .. _ . __ _.._ .. _ _.. DATE: / j ASSESSORS PARCEL NUMBER PERMIT NUMBER 31 - RESPONSE FOR PLAN CHECK LETTER DATED: PLAN CHECK ITEM # G' ✓e RESPONSE BY: //V -t "o LOCATION ON PLANS/CALCS: COMMENTS: Re- r,' n ��G� _✓ 4 f PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: n ��G� _✓ 4 f AN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: f PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: f PLAN CHECK ITEM #/ �we- ; RESPONSE BY: sal/')l LOCATION ON PLANS/CALCS: COMMENTS: f RESPONSE FOR PLAN CHECK LETTER DATED: '+ ` PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: COMMENTS: PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: - COMMENTS: i r PROJECT PROCESSING RECORD Applicant: C&4 -n, /to Permit #: 01-297--7 Owner: ' A.P. # Q 2g 3(0 --o 2, E Work Description: Date Description of Step - r- C (,P-VeA- L/ f 0- e I �Gu l v �ejf e - 1�i5.02 f�e�o s�-%�ly� ao o ,1�013T;TF0 ' O RESIDENTIAL PLAN ° `.. ° REVIEW GUIDE o ' c SINGLE FAMILY, DUPLEX AND n.. �•l MISCELLANEOUS ONLY Owner:�i�t Building Permit Number: O f ^ 20! 1_2— Plans Examiner::Vfartha Christy A. P. Number: (' d `7 GENERAL: 1. Zoning requirements — (number of permitted living units). 2. Plans signed by the designer. 3. Proper description of work on the application. 4. Existing violations on the property. 5. Recorded notice of violation. 6. Building permit valuation. LOT PLAN: i0+ (� Q Complete parcel size and dimensions. v �� P Setbacks, side vard, easements, etc. Other buildings or structures. i 6 C,- c� Grading, fills and/or drainage. Flood hazard. 6. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ i. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. S. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLA`: X. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 1 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet. The minimum net clear operable height dimension shall be 24". The minimum net clear operable width dimension shall be 20". When %vindows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). `� t Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest prosection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). �& elX Garage firewall separation -required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). ,R' Under, no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). 13 Wood stove location - Alcove — UNIC section 205 confined space & 223 unconfined space & 304.2). 0�Ov1Gr2 �� h Smoke detectors (Uniform Building Code section 310.9.1). Pagel of 2 &6LA_4�'- 609Lq 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. X Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C). 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. --I'�j �T) Fireplace construction details and calculations if necessary. (�J A." Garage door header size(s). 0. Porch header size(s). JT. Typical header size(s). 12. Stud heights. 13. High expansive soil — special foundation design required. 14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. ,1.&.'If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively. certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. .Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on thibuilding plans. .Y<Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). r4 ` Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1&- 2, 15-D-1 & 2). ,6� Foam insulation — protection. i7" 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). •� Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). ^ ' Attic access and ventilation (Uniform Building Code section 1505). SCLC, y� _ Z�,J 1 (7, Sound requirements. �� Cz� 6 2. Energy design compliance and supporting documentation. `� l,; �/rt,c�n-, CDF responsible area -requirements. QVY n �Q t riQ� BUILDING PERMIT REQUIREMENTS: 1 �J 1. ❑ SRA.d1� 2. ❑ Flood elevation certificate. UUi6F}� , 3. ❑ Fire Sprinklers required. J k/ 4. ❑ Special Inspection requirements.�- 5. ❑ Use Permit conditions./ 6. ElSub-StandardHousing lener. r �307 ,W^a 0 r d 2 Yh-&1VLA-f, • �d'b�� urc-�? — �� 6�-rl n Pale _ cif _ (qn it �,v�cludrn.y .1/��0 November 14, 2001 Butte County Development Services Dept. Building Division 7 County Center Dr. Oroville, CA 95965 RE: Truss Design, Tony Del Carrillo Dear Sir: I have reviewed the truss designs for this project. My review includes identifying and locating loads in excess of 3000 pounds. Where inadequate, foundation elements have been revised to reflect. a maximum design bearing load of 1500 pounds per square foot. Thank you for your consideration. Sincerely, Jim Pursell, P.E. of -7-677 .:.. { J `150 BUILDING DEPARTMOI &PPQOYEQ i=-i�-. Ae-� Job Number Job Name Assessor Parcel No. Date Analysis UBC 1997 Dead Loads Roof Comp 1/2" plywood Framing Insulation 1/2" Gyp Wall 5/16" Siding Framing 1/2 gyp Insulation JIM PURSELL. CIVIL ENGINEER RCE 60924 101-10-114 Tony Del Carrillo 10/26/01 6.0 1.5 5.0 1.0 2_5 16 psf. 1.5 2.5 2.5 1.0 7.5 psf. Live loads 16 psf. Page 1 Floor Concrete 50 psf. 50 psf. Lateral loads Wind P = Ce Cq q I where Exposure B Q = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76s @ 30 feet 0.5 out leeward wall Seismic V=2.5CgIW/1.4R C8=0.36,I=1,R=5.5/4.5 Soil Bearing 1500 pounds per square foot .Friction = 0.35 Lateral bearing = 250 psf/ft. G"VtT`d �OAW,�lr5 m P\ 67-4 Ik9d �CJ�L Ca M �1L.o AT ,mom F = ,b -F. u -'s- Li 2&4= 3(= 85 � M9 5 -Cr., to (:D 7) --;? I W 5/7S - - `1 AGE (9/Zl IX4, _ ��'� ql �L _ �xS�},��h 9 F L +• -�r9 �` d CO -7-,VM �s S� sq/ 7hGlZ Irl 17 l7bMNj 9oZ + Ss �Z d CD -r'vLN Cy/ s��� 4y n►c�!Icrab' 4rrl�y_ y�c/ scrr� A� 4 cyl M = 9� s =d . 91 G�•'171�R1 V� '�-�� 0 -nv(l (� * �YD 9-7-'y(4 O _ D �4 r �c r � C s s CC 8 /v Z � � b 6 c �' • � ��R/ LLA / ��i� J �r�� `YNa L.Ys rs 2NZ6 /b -2-q Cgs 2.s 8 + (3) Z.J r� ' - ►� RCS?.«� z z i 1 � � /Z = G � 3 lbs Lam_ /✓�w�� �3" N� !JA 5 Z — `i ! �A ti7�L S Q S7- Zle BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District !��%( 1'� �,ti�L(G`»�C� Building Department No. A.P. Number �%� �' '310 -,0 U Jurisdiction: � � City County Property Owner f, f 1 CA Y Y( Ito Property Location/Address a 5z s,5 (_ Subdivision Lot No. Residential Development 0 .................................................................................................................... 0 Sq. Footage /33 No of Living Mobile Home — Addftion/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)! ........................................................................................................ Commerpisl/Industrial / i�4, `r Sq. Footage New Addition' ^, r 'Ii (Including Exterior ! Roofed Areas) l /2 .Or Building Department Representative Date ivioor dans reviewed uy Scnool uistrlct Personnel) District Identification No. 020 0 76 0f Uuj l le Uin l 10VI 410.b 10.b School District certifies that l( q i (Applicant) (Street Address) (Phone Number) CA '95alfc' (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School•District Paid by Check # ) QP 14 by payment of $ '"�_J AB 2926 $ FULL MITIGATION $ Date 0 -- Remarks: �y '7 a7 I ,&, !,-C Notice: 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 (10/98)dmm w • �1 i C � 1 } I f 11 m RESIDE NTI/AL 027-310-028 94-0774P,E(MH) CARILLO, JESUS 2255 LOUIS AVE., PALERMO MOBILEHOME UTILITIES OFFICE COPY Address ------------------- GAS Meter By Da �e- ELECTRI i Meter By Dat JOB FINALED•(Data) Signature V=OK ' O= Not O.K - = Not Applicable ' =Not Ready MOBILE HOMES Date/Initials MOBJA HOME UTILITIES (Plana) OK except #'a ning-Requirements-Setbacks-Easements . S 's §peclal MH Support Sketch cs'. S er; Location -Test -Fall -C/O Concrete . W r; Location -Test -Easement Needed (Sketch). . Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; LocatioorTest-Wiao: / /"L"ft. Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a &1—ZoqJng Requirements -Setbacks Easements 45to-2!lngs; Size -Spacing -Marriage Line .. Gas; MH Test-Demand-Valve—Connector Ali ectricity; MH Test -Crossovers -Breakers -Clearances . Drain;_MH Test -Fell -Flex Connector telyfvlH Test -Regulator -Connector a"_LoLand Sewer Connected -C/O to Grade -HD Approval 2of end Electricity Tagged A,,, 6it-s e I Ks -p: Sketch of w MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmo: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landing§ Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except k'a 1. -Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouta-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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil 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/initials ELECTRICAL (Permit) OK except 8'a 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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except N's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width-Headroom-Rise-Run-Landing-Flre Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yea ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7N County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 94-0774 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-310-028 ZONING BUILDING PERMIT OWNER JESUS CARRILLO TELEPHONE 533-0273 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2424 LOUIS AVE. OROVILLE CA 95965 COWNERONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2255 L UIS AVE., PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. 2 SUBDIVISION'S NAME 1 PARCEL MAP 89-92 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome IN Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TOK \,x I @20.00 60, 00 TYPE OF WORK New O Addition O Remodel ❑ Utilities KI Installation ElOther O Describe Work: .m00 1BEDROOM PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification -9'I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63-00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Count m consequence of thegranting of this permit. X2�d�� Date /— Signature of Applicant -,0" Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE 166.00 �- D. FEES IMP FLO .TDF PARCEL eD H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. %� , /� �112A( By i��N t' Date,_5 I PERMIT EXPIRES ON (betel Receipt No. 156677-146.00//156678-20.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . COUNTY OF BUTTE Department,of Development Services `- Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) ,�ej 5 . 2. I (have/have not) hove signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone City Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address. Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is 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 permitted to issue the permit. COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use At time of permit application, I was advised Building Inspector 1. All items ha a been submitted......................................::�L 2. Plot plans, sets, signed'by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ................... . 4. Engineered plans and calcs, 3/41,sets, with wet signature on plans. ......... . 5. Hazardous Material Form. `':��..1........ . 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate.(required prior to plan check). .... 9. Mobilehome data and manufacturer's installation n instructions, 2 sets. ........... 10. Fees of $ ' 11. Impact fees as shown on attached schedule. 12.California Department of Forestry plan approval/fees. ................. . 13. Flood elevation letter (100 year flood) by California Engineer. ...... Sanitation and plot plaDjapproval Health Department . ............ 15. City of Chico plus ing permit. ........ ...................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: jJ8. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... . �Prean. spedion requ Pre -inspection for required. . to Building Inspecto (Date) 21. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance .......... ........ Owner -Builder Verification (Given to owner , Mail to owner ........ 4r25. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27. Letter of intent on building use . ....................................... .. 28. Mobilehome utility clearance . ......................... :................ 29. Documentation of legal access . ..................... :.................. My 30. Documentation of 50% subdivision developed or (A) Road improvements completed { and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list ....................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel CreationCi�`001, Acreage Applicant '-'�'�-�rZto 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 iss 1..Index permit for above items No. 2. Additional items required: u Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by o6a Date 9 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works e7 TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Al �2d ��lr i /� 2 -2-,(-o GDS/S ltd 2'% -7�--Z owner location AP # Driveway permit i-/� 3 �/ has been issued for the above property. 4 si ature date I'La Plan Attached { Hour 1'Lm AtLichcd Scot to B.U. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �125c�� cav-ICt1L a qay ,en()L5 Ave, 0 7 31 " 4 - Owner Location AP// Plan Approved for: Scwa-;e Disposal Water Supply: I'ublic _ Private Well ✓ Clearance for —Lbedroom mobile h(me. Other Hold final for: Final clearance O.K. for: NOTE: / Environnientfil) Health Specialist 8/92 Date V-) k6 Q*�-3)-<Qg Environmental Health MAY 10 1994 Oroville, California APPROVED Butte county Environmental Health lltmt4te Sign re g 1 65 Lok i s 4ps /lA. OAS ALL STRUCTUpES AND EQUIPMENT INCLU� � OVERHANGS ' 's -,kl-L BE CLEAR OF ALL I-ASEMENTS• A SL.T RA *K r;� FT. F Chl THE SIDE AND /D FT. FROM THE ;TEAR PROPERTY LINES AND E SMALL 8E �Q FT. P 100 THE ROAD CEe�TER� R OF. STP•UCTURESAND EQUIPMENT EXCEPT FOR A 2 FT- EAVE NOTA: All Myate�r4als & Workzmanship Shall Be In 4ccordar_c� SV�•.IL: i�J�irjo`;,:�ze� �;co� I.;,a,^.ticcs and Lzi Vho U.-l.fJ.orL: B9j1�dL119, 1711-ciniing I,J 1111�tilJLi14�{ Codes and tae National Electrical Code. i — rALsPO cats mw kept on tha job at ail tixces and it UWawful make �y changes or aite.r-atiors on sante written Permission bom tho De with ut . Works, County Of Butte. Partment of 1w 13 k Aid - kw F,*-_ b#14 I/ 1 F BUTTE iDEPT 1131994 Return tos AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Build>ng.Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. &A" --- The property described herein is adjacent to land or included APR 111994 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations r 94'013749 including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain Parcel Map entitled, "A portion of Lots 2 and 3, Block 55, Palermo Citrus Tract, Sub. No. 1, lying in Section 8, T18N; R4E, M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on June 20, 1983, in Book 92 of Parcel Maps, at Page 91. Date: 4111.194— PROPERTY OWNERS: ERNESTI Q CARRILLO State of California ) County of BUTTE ) On 4 / 11 / 9 4 before me, ANGF.T.A n _ MA GTEI_OTTO personally appeared ERNESTINO CARRILLO personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the erson{s), or the entity upon behalf of which the person(s) acted, executed the instrument. • • • • • e • • • • • • • o • • • WITNESS my hand and official seal. • ANGEIA per. MWELOTgo NOTARY PUSUC.CALIPORNIA •%MAO Prgtclpei Office In BUTTE County yCommleelon ExPlm SEPT.14,19 • e Seal: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address orloc Owner's name PERMIT NO.. / 4-4;77-�K- Owner's address Insignia or hud number AA- At: 17 (/ O Manufacturer's name Serial number of J N._I S l _ Year of manufacture _ ffi;41 proving Installation 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. 7 3/0 - 0.2- 7 5138 White - Owner, Yellow - Installer, Pink - D.P.W. / 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count/ Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P RMIT o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-31-0-028 ZONING ARMH5 BUILDING PERMIT OWNER JESUS CARILLO TELEPHONE 533-0273 SQ. FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS 2424 LOUIS AVE OROVILLE 95965 CONTRACTOR'S NAME OWENR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit' Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 211-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS MUM PERMIT FEE $ 43.00 2255 LOUIS AVE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 OROVILLE, 95965 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME P RCEL MAP -' 2 g� Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome, Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition C1Remodel 1:1 Utilities Utilities ❑ InstallatiorOther O Describe Work: MI 1 BDRM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 FST,O. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0500 ! Ex. Occu p• (ED OR OULETTSS (RESRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Bf I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I C X Cl� zo`� LG(/Z Date Y / —�9, /y Signature of Applicant - P 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. Mobile Home Installation Fee $ 160.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 I HAZ. 1 D. FE IMP `-- F100 CDF .�. PARCEL PO NO I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByACACIV*� ate PERMIT EXPIRES ON 2 ( are) Receipt No. 162454 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ///=+7'►��.-.,� r�'['wau^�.� �`+^•ti'",'h`x��'"�'lnC,iy rrr/+WGYYt�* -*"c1�'���i��.,r+v.'WHi,+`14'�'uY�t1�\,.lr`V�Iwr'sbt�is'.ti✓.-.�.%y�.�.�....�.`�Y V i •i ,A R' G�=..'K COUNTYOFBUTTE - DEPARTMENT`�F,UV;ELOPMENTSERVICES -BUILDING DIVISION � ► a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 . PERMITAPPLICATION DATA SHEET - OWNER C l�— �iV o. �D Proposed Building Use n4N Building Inspector Date C1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ...................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ........... :........... a8. ngineered truss details and layout in duplicate -(required prior to plan check). ... — Mobilehome data and manufacturer's installation instructions, 2 sets. . Fees of $ `........................ . Impact fees as shown on attached schedule.'. H .C -.:..5f. T. (.�. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ...........' 19. Driveway permit (construction approval required prior to occupancy). .. ........ 20. Pre -inspection for Preans�action request required. .. to Buii ing Inspector (Data) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Wor mans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ i 24. Recorded copy of_Agricultural Acknowledgement Statement. .. , .... . 25. Letter of signature authorization . ........................................ 26. Copy of recorded;deed of parcel creation and 60 right of way to a public road. .... . 6744 Letter of intent on building use. . Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. .34. When you issue the permit, process as follows: v Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation �u1/ate• a�ivly Y—/ Acreage -� � Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date ; Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit i suance: (.C4cle, new.item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required Idat;Cby _ phone _ mail Counterb _ Date Contractor, designer, owner, was advised of above required data by _ phone _ ma' Coun r _ Date Plans checked by Date Plans approved by Date 1' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION' 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538=7541 OWNER / 1 V l�� A. P. # O PROPOSED BUILDING USE ! DATE REC. # DATE REC IV \ SCHOOL DISTRICT FEES 1 0y `� (paid at District Office) ......................... 2. SHERIFF FEES t (paid at Building Department) Residential...... x =$ 3n unit amt. e Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential -(per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) ........:..... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE _COU ME OF BUTTE Department of .Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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)'_ 2. I (have/have not) hw-g.... signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ownery2, Social Security Number 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 permitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,•CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name : CG'[ d' I Wo 2.. Installer's Name: 3. Is the site currently under permit? Yes I /\I No (If yes, furnish permit number ! - / ) OR Is the site an existing site? Yes F� No (If yes, furnish two plot plans.) 4. Will the mobilehome be located -at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F (If no, clarify P • 5. What is the mobilehome electrical rating? --------------- 5 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- �� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes ® No F (If yes, identify the load and size: W Fl (Load) �C� (Amps) 9. What is the mobilehome site gas pipe size? -------------- `i (in.) 10., What is the type of gas ---------------- service. • --- .Natural 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------=------------------------ �'o (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.) g NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT a Qt ►PPLICATION_ j TTE COUNTY BUILDING DEPARTMP"' A P P R 0 V e -/aa 14 'e -f MOBILEHOME SUPPORT DATA L / If other -than single wide, Mobilehome Mfr. ( �L✓(9Ci I furnish Setup Model No. Year ol— Width1A ('Lt.) Box Length__6��ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE it.a 1 _ Line 1 Line Line 1 Piers: Line 1 Openings: Size -Min. ------------ k Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- �_ Each Side of Openings From Ends -Max. ------- '- " With Width Over --------- Line 2 Piers: Size -Min. ------------ k O -Spacing -Max. ---------- From Enda -Max.------. Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .----- Spac.ing-Max.--------------- From Ends -Max -------------- e 4 Piers: Line -5 Piers: (Under Bearing Walls Only) Size -Min.------------ k Size -Min ------------------- Spacing-Max ----------- ------------------Spacing-Max.--------- ., Spacing -Max ---------------- From Ends -Max.------- �_ From Ends -Max. - ------------ Line 5 Roof Dads: Size -Min. ------------ ..x Ixx Ix II .'x d x yx I ..x Location (From Front)I L -� �?H7i-,'�.","'."_ `Tu4.1i.+Y1%1"�l'nfi`w"�1'�- T�jnfi�.,t/ '. l,F.+�i�'T-�) . •• ioht�ii�IX �,[�nwK..p\y+�,�/.w•ry..w 4� �,.f,�{T.y....}r T•' Sh-� 'BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Q �y V,40/ N Building Department No. A.P. Number ;?7-31-0 —O -P �5' Jurisdiction 0 City County Property Owner J C-iA f`-' L- L .D Property Location/Address C>� 5 400 —v IF 0kz) Subdivison Residential Development w Commercial/Industrial Depa No. of Living Units MHI New Lot No. 0 Sq. Footage 9 O Addition (Group R) Sq. Footage Addition (Including Exterior Roofe Areas) Date (Floor Plans reviewed by School District Personnel) ' J! Identification NO. 940153 i`—School District, certifies that (p licant) dress)y r (Phone Number) (City) (State) has compli d with the requirements of Resolution No. IV representing square feet. School District Rep Paid by Check Number Bank Number Paid by Cash Remarks: (Zip Code) by payment of $ Date s, v v 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) feeformmkl (4/92) BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.© �'/ 7 ^ 31D O � ry O ZONING OWNER �— PHONE NO. S up ' v s c� OWNER'S ADDRESS // LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE i ' X .- = SO. FT. TYPE OF CONSTRUCT[ CONSTRUCT[ WOOD FRAME CONCRETE OTHER (Specif )— TYPE Of SIDING ROOF COVERING )FLOOR TYPE A ESTIMATE COST OF C , CTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:r t 6 r �`� y FRONT �'�`^`� SIDESREAR' 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. Date ' z? - Permit Fee - $60.00 Receipt No. �P I - Signature of Owner ,4 The above described AG Building is exempt from a building permit. r— 7$ZD I PAR L I P. ROOF[ [SSU Manager Building Division 41 �c f a LO u [ S By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant i