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Home My WebLink About027-320-030Q2732=0=030 93-119 (MH) `CHIRCO, Dont 153.°Rail' Bridge- Road-, Oroville (util, MH GAS COMPACTION TEST REQ SUPPORT STRUCT 'REQ' 027-32-0-03,0 93=1241 MHI , CHIRCO, -Don 153 Rail Bridge Road, Orovllle a/�o/y (MHI/1.194-93 027-320-030 06-1338 BOUCHER,DONNA 153 RAILBRIDGE RD, PALERMO Cont: OWNER ELECTRIC b •8.Ob Butte County Department of Development Services NOTES .02.7-320-030 , 06-1338 {BOUCHER, DONNA ,�. 153 RAILBRIDGE RD, PALERMO Cont: OWNER ELECTRIC (. APN: Permit No. Owner. Site Address: Contractor. Type of Permit: OFFICE UO P 13� r Address�! Gl, S Meter By Date ELECTRIC % I., Meter B D a 1 O SPECIAL CONDITIONS CHECKED BY Q SRA r Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE Fl GATE JOB FINALED: SIGNATURE:,/ • F 0 - Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Soils-Elec Grnd Ftl Dpth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12, Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation o'$ �� o'� o`s• DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop In Walls (rat proof)_ 21 Fire Stops,'Furred CeitingsStairs-Chasers-Tubs 22 Headers & Beams -Si &' Bearing" 23 Hangers -Post Caps-Anchrs-Chnctns 24 Ceiling Joist-Rftr Ties-Purtin-Root Brac TrussShthg 25 Frplc Ties or Type A Flue=Frplc Throat Clmc 26 Attic Acc; Sz &'Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IntiExt Wall pnis 38 Insultn-Walls-Ceilings 39 I nfiltration-Walls-W ndws 40 y� DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appine Cires in Ktchn & Cndetr Sz GFI 47 Subfeed Wire Sz , 0 C or ❑AL AC Wire Sz ga QCU or ❑ AL 48 Range Circ aa Q CU or Q AL Oven Circ 93 OCU or DAL Insulated Neutral QYes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping up►�t MECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrrn if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handralis 74 Frpic or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Mr-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 PImb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cirnc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnck Elec-PImb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, PImb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous 16spctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler +=OK 0 - Not OK MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION SOFTSET . 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrnrs-Grnd Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 6 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 1S Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers —DATE D E C K S'C OV E RSC A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-DnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4Utrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 6 Fang; Sills-AnchrsStuds-Rftrs Tnuses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wail pnls DATE 1POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 1S volts-GFI 6 Elec.Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Grndng; Eqpw%5', Crcitng Eqp Ightg Boxes-En61 rs-pniboardsansultn to Main Conduit 9 Health Dept Ap'60 10 Plmb; Clr Test-Wtr Supply Test 11 Lt Niche ,. 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 4P #,s. c dye dye Pool Drawing 1r__;. 1k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061338 . PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.' LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/05/2006 APN: 027-320-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 153 RAILBRIDGE RD PAL Dale: Contractor: OWNER -BUILDER DECLARATION I hereby a m under penally of perjury that I am exempt from the Contractors' State License Law for the follovwing reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicght to a civil penalty of not more than five hundred dollars ($500).): MI I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner. of the property, am exclusively contracting with �� licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does Rot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a'contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Articlee33 of the Business and Professions Code Date:2-�� Owner;' t . '-*,—WORKERS' COMPENSATION DECLARATION I hereby Affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy O( I)certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Map Index: Description: ELECTRIC SERVICE REPLACEMENT Owner: BOUCHER DONNA LYNN 16686 CHIRCO DR LOS GATOS, CA 95032 Applicant: BOUCHER DONNA LYNN. - 16686 CHIRCO DR LOS GATOS, CA 95032 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 - This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutio B ns.to do Date: work indicated bov for which fees have been paid. r PERMIT EXPIRES ON: o ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code_ which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectlo4 purposes. Print Name: Signature: Signature: Y �l/Li `C( Q !�( Ci P-✓• Date: kh� 2—, M Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor n. V. nunoing rerrnn Vi-io-V4 yy 6 Ii BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS 24'HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.neddds "PLEASE PRINT CLEARLY* P02 OWNER INFORMATION Last Name Bo First Name Address o Fax City State Zip Phone �U0 $ ax' E-mail _ P02 APPLICANT INFORMATION CONTRACTOR Name - Address Tp City Fax State Zip Phone Book Fax E-mail _ L'ic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name - Address Tp City Fax State Zip Phone Book Fax " E mail _ State License Number APPLICANT INFORMATION Name Address City State Tp Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Propert*�yAd2dfe Flood Zone Cross Street SRA I Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP(, BIN # PROJECT LOCATION h AP# O a ! — o �0 Propert*�yAd2dfe Cross Street WORKER'S COMPENSAT40N Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descripti n or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS 11 11.1--lr...1. ... .. .-.. ..r...,i�_�__ic..�o......... 4-- 0-1of9 Received by: Amount: Bldg SRA Receipt #: Date`. r Sheriff SMIP Other Total RFV R-1 ?-n5 + I SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). 117. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 1-1--- ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer,, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 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 prgyide the jor labor and material for construction of this proposed Oproperty improvement: YES [ t NO I HAVE [ V] HAVE NOT [ ] signed an application for a building permit for the proposed work.. , 3. I have contracted with the following person (firm) to provide the proposed construction: 4 I► ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I plan to provide portions of the work,,but.I have, hired the following person to;cootdinate, supervise, and provide the major work: NAME: ADDRESS: 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: .. .. . , . .. • ' . '. . �. .. � -, ._ .. -;, .... ,' �... . , . � � ' ' ; • i� � � ". X PROPERTY OWNER:DATE: Tt c ✓t e- �4. o o h i NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pennit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 contractor 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 contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, 7__ Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. " RESIDENTIAL. ' ! 027-32-0-039. CHIRCO, Don 93-1194 P,E (MH) 153 Rail Bridge (util, MH) Road, Oroville ?1r 3,y j, r .k L } j E COPY i f:. o..�� Les D e I• JOB FINAL -ED (Datal Signature-. . V= OK i O=Not OK Q = Not Readyable .. MOBILE HOMES Date/Initial O ILE• HOME UTILITIES Plans OK except #'s on ng Requirements -Setbacks -Easements ; Special MH Support Sketch er; L ion -Test -Fall -C/O Concrete 4... oration -Test -Easement Needed (Sketch) t -6. Iectricity; Location-Clearencea-Grnd-/ /Amp -Concrete as; Location -Teat -Wrap: / /"L"ft. /'Nat. or/ P'L"ft./ /"LPG 7 ell Clearance & Disconnect 8. Util' earence Date/Initials LE HOME INSTALLATION Plans OK exce t #'s Hing Requirements -Setbacks Easements o gs; Size -Spacing -Marriage Line as; -Teat-Demand-Valve—Connector c ; MH Test -Crossovers -Breakers -Clearances reinTest-Fell-Flex Connector et H Test -Regulator -Connector r and Sewer Connected -C/O to Grade -HD Approval as ctricity Tagged tlgw4viti�, Insp.-Sketch 1 rt. of OCCU nc j t i 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; 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 j 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses i 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability i 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 i V=OK O= Not CliL - = Not Applicable - Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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 #'s 18. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Neli 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 #'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/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 #'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 (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. 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 -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/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. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., 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 instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 t PERMIT NO. Address or location of mobi.lehome 2 4 1l� 6 Owner's name Owner's address k Insignia or hud number Manufacturer's name_ Y Serial number of V.I.N. (Official 56 ving Installation) Year of manufacture ate 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. odd 513B White - Owner, Yellow - Installer, Pink - D.P.W. .. — . � . �, w...r.s.ti,. v ,r.,,t_» '`r^_9"a-.i `F. ".cy�l �._ u,t ., �,,,- •'�.�A.rLY COUNTY OF BUTTE BUILDING DIVISION Ar DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 4 747 Elliott Road, Paradise, CA - (916) 872-6307. 2 R CORRECTION NOTICE 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. y� W - 7 < A T�tZ7r4 T LAI irLC_. T V Date REV 10192 Inspector :I All I.---" COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - PERMIT Ni A routine isiepect n indicates that the following violations of Butte County Ordinances exist at the above ad s and should be corrected. Please notify this office when correction of work is complete . H you have any questions pertaining to this matter, or need additional explanation, please ct this office immediately. ►l ff-MMIRMA C Date nspector REV 10192 e COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 6 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 iscorrplieted,-If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r-7 Date- i C% — 9 7 Inspector REV 10192 �4 COUNTY OF BUTTE •BUIL'6ING DIVISION DEPARTMENT OF DEVELOPMENT,SERVICES- 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Orville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r CORRECTION NOTICE ��I - J/9< 'PERIVIII—NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at . ,I 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. Date rG & Inspector REV 10/92 ;�- J j COUNT'S OF BUTTE - DEPARTM.gNT OF PUBLIC WORKS PERMIT NO. !/ 7 County Center Drive - Oroville, California•95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-32--030 ZONING A-5 BUILDING PERM T 17 OWNER Don Chirco 408 TELEPHONE 545-3013 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 416 West Cliff Dr., Santa Cruz 95073 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT FilingFee 15.00 153 'Rqil Rrid$Zp Rd-, Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 30 NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New, ; Addition D Remodel L__; Utilities O installation Other ❑ Describe work: MHI (2 Bedroom) % _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS j $.50 Main service 200A TO 1oo0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification LLLL�� 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 DWELLING OCCUP.g\ NEW CONST./ ACC. BLDGS. // OR ADDNS. ( 3.60 sq.ft. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS ^ 5 00 POWER APPARATUS (SINGLE OUTLET CIR.b Ex. Occup(OUTLETS OR FIXTURES 20 @ 7611 FIXED APLN Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 id County 'in con eque ice of the granting of this permit X Date S Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excav tions over 5'0" deep and demolition or construct - on of structures over 3 stories in S' 9 X. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 I I,Az DrE IMP -s- FL00 CDP —� PARCE PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Bute County Code and/or resolutions to do wor n i ed above for which fees have been paid. I EC1'OR OF PUBLIC WORKS BY Date -iq�1✓ PERMIT EXPIRES Date 141070 Receipt No. WNITE-D.P.W., 7ELL0 W-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �- �r->�yrr ivr�+roarw•l•" ►�x*"'�F�T �'y"i�s{Y�vYt's"1'r"'ar Al COUNTYOF'BUTTE - DEPARTMENT OF DEVEL�PMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET [*]MyIN,1-:1V A. PAA.�o2_1r.3-::�O ;"' Proposed Building Use 1 Building Inspector Date ZZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). . . ��9. M. Fees data and manufacturer's installation instructions, 2 sets. ........... / ----�Fees of $ ........................................... .......... 0�i 0 11. Impact fees as shown on attached schedule . ................................3 RD 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). .. . Freanspe .A r6g59 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance . ................ *......... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27 etter of intent on building use . .......................................... r 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: ail to owner. Mail to contractor. Telephone and hold for pickup.at office. Deliver with inspector. Other ~` Parcel Creation 61'�-� gad Acreage Applicant Date e 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 permiffor above items No. 6�12 rat= Ag:_e czo 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _mail Counter by Date Contractor, designer, owner, was advised of above required data by _phone _mail ounte _Date Plans checked by Date Plans approved byDate / Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worms COUNTY OF BUTTE - DEPARTMENT OF PUBLIC .WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)53 87541 OWNER A.P. NO -32 U a PROPOSED BUILDING USE %?iI DATE A-3 REC. # DATE REC School District Fees (paid at District Office) ..... 2. Sheriff Fees .(Ij (paid at_Building DepartmJent) Residential ... ( X unit . ' amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees' (paid at Building Department Residential.(per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. -. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of 'permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department -of -Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541° OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder'' building permit has been. applied for in your -name and bearing your signature. Please complete and -return this information.at your earliest opportunity to avoid, unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) '� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.° 4. I'plan to provide portions of this work, but I'have hired the following person to coordinate, supervise, and provide the major work: Name. Address City Phone Contractors License No. 5-. I will provide some of the work -but I. have -contracted (hired) the -following - persons to provide the..work, indica-ted:- _._ , Name Address Phone Type of Work Signed: r Property Owner Q'n� Social ecurity Number Date _I/e4 --r _ 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT I FOR RESIDENTIAL DEVELOPMENT —Section of. the Butte County Code' requires 'this acknowledgement be recorded prior to issuance of a building permi The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- ' I g3-017638 veniences 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 including, but not. limited to cultivation; plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and- odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. ce All 'fist :rzal :prop`erty..`sit:uate i follows: n -. the . County of Butte, State of California, described as Date: _ 4/30/93 , State of Ca ) SS. County of _gLLIIF ) On this the 30 day of undersigned Notary Public, 7NZ RS,•• ' APRL 19 93 , before me, the personally appeared • . o "' ° ° ° ®' • ° • ° • • • Personally known t oFFtCtAL SEAL o me. Proved to me on the basis ANG' e FIAD.MA"TELOTTO • of satisfactory evidence. a VOP.TARY PUB! IC_CAUFORNIA • to be the persons) whose name(s) .-081afirsinBUTTECounty ® subscribed to the within instrument an acknowledged that ® My Commission Expires SEPT. 14, m • executed -.the -same for the purposes therein contained. IN WITNESS' WHEREOF, I hereunto set my hand and official seal. Present A.P. 0 x ORDER NO. BU -135025-3 DESCRIPTION: ALL THAT CERTAIN . REAL. PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I- LOT --30 __ AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGES) 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE" COUNTY RECORDER'S SERIAL NO. 86-37964 AND RECORDED MARCH 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON SAID MAP. PARCEL II• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER ALL ROADS, AS SHOWN ON. THAT CERTAIN MAP ENTITLED, ""PARHAM SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7,. 1985, IN BOOK 100 OF MAPS, AT PAGE(S), 31, 32, 33, 34 AND 35. CERTIFICATE OF CORRECTION RECORDED OCTOBER 24, 1986, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 86-37964 AND RECORDED_ MARCH 15,. 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-9992. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN :THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III• ALL THAT REAL PROPERTY SITUATED IN SECTION 23, TOWNSHIP 18 NORTH, RANGE 4.EAST, M.D.B. & M., AND BEING A NON-EXCLUSIVE EASEMENT FOR ROADS AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF f LAND, 60 FEET IN WIDTH, LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 23 FROM WHICH THE NORTHWEST CORNER OF SAID 'SECTION 23, BEARS SOUTH 87 DEG. 43' 56",WEST, 30.00 FEET; THENCE SOUTHERLY AND PARALLEL WITH THE WEST LINE OF SECTION 23, SOUTH 01 DEG. 24' 40" EAST, 967.90 FEET; THENCE SOUTH 44 DEG. 40' 28" EAST, 409.87 FEET; THENCE ALONG A TANGENT CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 125 FEET; A"CENTRAL.ANGLE OF 37 DEG. 15' 14". THE ARC LENGTH'OF CONTINUED PAGE 5 0 ai, rt '%:r=+ a- �- ,..a,: ' ." s i.'4.t}a`e+S! ,.S.ia his fnK�Y yJ' A•SMfNL C � Y:,'b::. ORDER NO. BU -135025-3 PARCEL III: CONTINUED WHICH IS 81.28 FEET; THENCE SOUTH 07. DEG.. 25' 14" EAST, 144.20 FEET TO THE SOUTHERLY LINE OF THAT CERTAIN PARCEL CONVEYED TO R. A J. HUNTER DEVELOPMENTS LTD, BY DEED RECORDED MARCH 9, 19701 IN BOOK 1605, PAGE 104, OFFICIAL RECORDS, AND THE END OF SAID LINE. !' PARCEL IV: ALL THAT REAL PROPERTY SITUATED IN SECTION 14, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, AND BEING MORE PARTICULARLY DESCRIBED AS A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, ON, OVER AND UNDER THE FOLLOWING DESCRIBED PARCEL: ?: BEGINNING AT THE' SOUTHWEST CORNER'OF SAID SECTION 14;. THENCE EASTERLY ALONG THE SOUTH LINE. OF SAID SECTION 14, NORTH 87 DEG. 43' 56" EAST, -60.00 FEET; -THENCE LEAVING SAID SOUTH LINE NORTH 01 I' f" DEG. 36'.04" WEST, 30.00 FEET; THENCE SOUTH 87 DEG. 43.' 56" WEST I a' 60.00 FEET TO THE WEST:LINE OF SAID SECTION 14;' THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 01 DEG. 36' 04" EAST, 30.00 FEET TO THE POINT OF BEGINNING. PAGE 6 j II f M This set of plans and specifications MUST be kept on the job at all times and.it is unlawful to make any. changes or alterations ori same with. out,written permission from the Depa rtmerit of Public W8.iks,'County of Butte. NOTE.—M, W*Qck WorlimanshIp Shall Be In Accordancei, with, kecognized Good - Practices and of a 'quality :prescribed for the Specified use in theUniform Building, Plumbing & the. Codes and the, National'Electriic, of Code. IT -1 r, IJ J 500 SQ. FT. MINIMUM FOR, MOBILES 00 Lr- AC H 1, tY :7 ...... Location of structures & ewipment shall be as showh & clear of all easements. ALL mucyruRep AND EQUIPMENT INCLUDING --.0WRHANGS SHALL 13E CLEAR OF ALL EASEMENTS. `A 89t ®ACK OF FT. FROM THE SIDE `AND FT.. FROM THE REAR PROPERTY LINES AND Ft' FROM THE ROAD CENTERLINE SHALL BE EA OF STRUCTURES AND EXCEPT' FOR A 9 FT, EAVEOVERHANG 1q.4 BUTTE COUNTY BUILDING DEPARTMENI N EC 0tB *11MICr 11 v V� A PP ED; APR 3 493 113 EXHIBIT "A" Water Line Easement Chirco to Chirco An easement 15 feet.wide for water line purposes lying 7} feet on each side of the following described centerline; Beginning at an existing water well from which the Northeast corner of Lot 29 of the Parham Subdivision, as recorded in Book 100 of Maps at Page 32, Butte County Recorders office, bears North 12' 27' 58" East, 271.21 feet; thence South 800 14' 25". West, 306.73 feet to the Southeast corner of Lot 31, (also being the Northeast corner of Lot 30) of said Parham Subdivision and the end of this description. The sidelines of said centerline shall be lengthened or shortened as necessary to intersect the East line of said Lots 30 and 31. The easement includes the area within a circle around said well having a radius of 10 feet. It also includes the right of the grantee to enter upon said easement at any time to inspect, repair, replace, service and maintain said well, water line and appurtenant facilities. This easement is appurtenant to said Lots 30 and 31 and shall apply to all future heirs, owners or successors.' The Basis of Bearings for this description is the same as shown on said Parham Subdivision map. chirco [cam; � Q�' Gg9L 9G O :0 s BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's .Name: irvc D - 3. Is the site currently under permit? Yes No., 93 - 9S "(If yes, furnish permit number ) OR Yes a No Is the site an existing site? (If yes, furnish. two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach No f fields and clear of all setbacks and easements? Yes (If no, clarify 5.- What is' the mobilehome electrical rating? --------------- .d Amps r J 6. What is the mobilehome site service rating? ------------- aD o 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 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size.? -------------- 10. What is the type of gas service? ------------------- Natural LPG LN 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------y (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.) BU E COUNTY BUILDING DEPARTMENT APPROVE? If other than single wide, Mobilehome Mfr. rl-� y (U_ V1 furnish Setup Model No. Width 0 (ft.) Box Length _S, —(ft.) Tagalong or Expando S� tfUa �l w � ft. �'r�y On all mobilehomes manufactured after October 7, 1973, furnish manufac't�urez'1"s,CynsAtal1lation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)�l. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)�1. Concrete block . 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE ��• � Hain Beams — _ ._. _ — _ �+ Line 2 Main Beams Tag or Triple i Line 1 Line 1 Piers: Line 1 Openings: Size -Mir.. ------------ ,k Size -Min. ----------- Spacing-Max - ------------------Spacing-Max.--------- ,_ Each Side of Openings From Ends -Max.------- '_ " With Width Over --------- Linc 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ Size -Min .------------------ . n Spacing -Max.---- ---- ,., Spacing -Max. r_ u --------------- From Ends -Max.------- From Ends -Max. ------------- Line 3 Roof Loads: Size -Min. ----^^---- „y ., ..x .. .k ., .1X ., .,x ., .k n ,k „ .k „ Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ , Size -Min------------------- .k .. Spacing -Max- ., Spacing -Max .--------------- 'From Ends -Max --------._ „ From Ends -Max -------------- Line 5 Roof Loads: Size -Min ------------- x "x1. 'k " "x 'Sc Location (From Front) _ _ ,- „ - ,- „ 1� 7,��3 i;� } AP #k w OWNER 1 r PERMIT 4 J MH UTIL.CLEARANCE nATV INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YESI NO YESI NO 1-10 r 111A F;rcorded at the Request of Mid -V.. y Title & Escrow, Company JJ !J1 U'J der No ECrow No. 137105AM-3 t 93-0497631 R e c Fee 8.00 Lan No. I Check 8.00 WHEN RECORDED MAIL TO: Recorded I I Official Records I DON CHIRCO and BEN CHIRCO County of 1 11 416 WEST CLIFF DRIVE Butte I f SANTA CRUZ, CA 95060 Candace J. Grubbs I Recorder 8:00am 9 -Nov -93 I MVTC JJ 2' r MAIL TAX STATEMENTS TO: DOCUMENTARY' TRANSFER TAX $ -0- w Computed on the consideration or value of property conveyed; OR SAME AS ABOVE _ Computed on the consideration or value less liens or encumbrances remaining at time of sale. ThA iind in ntor r prl?Le Signature of Declarant or Agent determining tax - Firm Name I EASEMANT GRANT DEED AP NO.: 027-320-029-000 I i FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, P JEFFREY L. COOPER, an unmarried man hereby GRANT(S) to man, DON CHIRCO, an unmarried man AND BEN CHIRCO,an unmarried as Joint Tenants the real property in the UNINCORPORATED AREA County' of BUTTE , State of California, described as ****************SEE ATTACHED LEGAL DESCRIPTION*************** Dated t7 t— nhpr 21. 1 AW t JEF ) STATE OF.CALIFORNIA )ss. COUNTY OF BUTTE ) On OCTOBER 22, 1993 bebre me. ANGELA -1). MASTELOTTO personally appeared JEFFREY L. COOPEE( 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 signature(s) on the instrument the persons) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. Sign,Cie-�� • OFFICIAL SEAL • • ,.i; c.. A;jf]Fi►. 0. fMA11TEI.1070 • 11 f~ �.1��..r. Nr�TASY �!!ELIGa;AL1,�11�tW • i •--1: 'yi' I'i; r E�ai ;?r;:ca In BUTTE Cotxity • • My(:omnilsa�onExplra98EPf.14,ie9• V. a EXHIBIT."A" . Water Line Easement Chirco to Chirco 93-49763 An easement 15 feet wide for water line. purposes lying 71 feet on each side of..the following described centerline; Beginning at an existing water well from which the Northeast corner of Lot 29 of. the Parham Subdivision, as recorded in Book 100 of Maps at PagP 37., Butte County Recorders office, bears North 12° 27' 58" East, 271.21 feet; thence South 80" 14' 25" West, 306.73 feet to the Southeast corner of -.Lot 31, (also being the Northeast corner of Lot 30) of said Parham Subdivision and the end of -this description. The sidelines of said centerline shall be lengthened or shortened as necessary to intersect the East line of said Lots 30 and 31. The PasPrnent includes the area within a circle around said well having a radius of 10 feet. It also includes the right of the grantee -'to enter upon said easement at any time to inspect, repair, replace, service and maintain said well, water line and appurtenant facilities. This easement is appurtenant to said Lots 30 and 31 and"shall apply to all future heirs, owners or successors. The Basis ofe B arings for this description is the same as shown on said Parham Subdivision map. chirco S��NP�' LANs Ln _, ➢lo. 8 , ,9rF QFC A�\�UF: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541. RE: Building Permit Application #93-1241 DATE: A„ghGt 17. 1(493 A.P. # 027-320-030 With reference to the above subject: Attached is: Application for permit Mobilehcme Utilities Installation Sheet Building Plans Installation Information Sheet Engineered Calculations Typical.Plan Sheet Owner -Builder Verification Fm List of Codes Enforced FlWe 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 preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered 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. Mobilehcme data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information'(No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. 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 Letter of intent on building use. Mobilehone utility clearance. Documentation of legal access. to a public road. Doctm►entation of 50% subdivision developed or (a) Road improvements (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan checklist data and revisions. sets of plans in accordance with changes marked in red.' r -v-1 Other: 1. Water line easement must be recorded. completed and Should you have any questions concerning the above, please contact Dave Wasney of this office., between 3:00 and 5:00 pm weekdays. Yours v , David Purvis Manager, Building Inspection �'�+•�. �'C�j�;t%�:d`�E?�-�:�i+TD''��4•�`�"'� . .��'� k', + t �,C'•"w"�•4/:�'='T"�'i��v+��'.'.i3a'gpp9,r �P.r,�..^:3Y+^•:�i,.,ay�,+�,�[^a!^'ri ' s • R Thr BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number Q ' 3 g� -0-6�DJurisdiction 0 Property Owner �Q/1� �'�% 12 6— Building Department No. City 0 County Property Property Location/Address /\"rT f �•- �� l �� /`.� • f Subdivison Ag-0fiA'--0 '+ Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R) Units ,,Commercial/Industrial D eprese Sq. Footage New Addition (Including Exterior i (Floor Plans reviewed by School District Personnel) Roofed Areas) Date District Identification No. Z� % School District certifies that (Applicant) v (Street Address) (Phone Number) CA (City) (State) (Zip Code) has complied with the requirements of Resolution No. g/ Cf'� - by payment of $ % representing square feet. C_/lit- a,2 School b istrict Representative -. Date Paid by Check Number Remarks: Bank Number A ... Paid by Cash 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 1(4/92) COUNTY OF BUTTE - DEPARTMEn�f OF PUBLIC WORKS PERM/T40. 7 County Center Drive - Ordvil'Ie, Califi6a'95965 - Telephone: 916.'538-7541 -% APPLICATION AND PERMIT I V1 /J ASSESSOR PARCEL NUMBER 027-320-030 ZONING A-5 BUILDING PERMI OWNER Don Chirco 408 TELEPHONE 458-3013 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 416 West Cliff Dr., Santa Cruz 95073 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ---- ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Rail Bride Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUB��DaaIVISION 30 NAME IIL �. PARCEL MAP ��- 31/35 Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I 15.00 45.00 TYPE OF WORK Newl-, Addition J Remodel ❑ Utilities [ Installation ❑ Other ❑ Describe work: MHU - 2 Bedroom _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 1 18.50 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ' 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 OCCUR.a\ OR ACDNS. ACC. BLDGS. / 3.66 sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS fi (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 f__,'� `" Mobile Home Facilities 1 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 - J 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 I1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such 'Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 I Ventilation Permit Fee $ Contractor I'( ertify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County ' co equence of the granting of this permit. X COY Date Jy Signature of Applicant - Owner Contractor ❑ Agent ❑ An O5HA f ore height.v ons over 5'0" deep and demolition or construct- on Of HAstructuresmit is required Mobile Home Installation Fee S Ener Inspection Fee Energy P $ occ CONST TYPE TOTAL FEE $ 128.50 _ HAz DFEES IMP ^ I F 00 TF PARCELP H SUE This permit is hereby issued under the sions of the B to Cou ty Code and/or work indic d a r which fees DI OF PUBLIC BY PE IT EXPIRES DateHITE-D.P.W., applicable provi resolutions to do have been paid. WORKS Date d' [Receipt NO. Itt YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M E.II* IIs1: ONLY 1'Ln flan Attached Floor flan AIL, •d 5e111 to B.D. i l TO: Building, Department FROM: Environmental Health SUBJECT: Sanitation Clearance Naen— Owner Location AP# Plan Approved for: Sewa,e .Disposal Water Supply: Public Private Well Clearance forbedroom mobile home. Othcr +Hold final for: Final clearance O.K. for: NOTE: Environ I ntal He th Specialist 8/92 Date r �Lr•'``'.----�v..�J � J( �„r""'�V•�"`,�vcip%'� ,'.;�►j"�-cYY{�r—•r`•(""rw�il.-�,.,r,%-•-+ti..�--•.• _"�`� f COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIPIC- N l� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION�;DATA SHEET Building Inspector A. P. No.O 7 2 _-- ""� Date 411 U cl �tZ,,,,/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: M�r� DATE RECEIVED BY J..All items have been submitted . ........................................ -2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................. ........................... 6. Energy Design Compliance and supporting documentation . ................... 7. 'Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installationinstructions, 2 sets. ........... ._ 10. Fees of $ ............................................ 11. Impact fees as shown on attached schedule. ............................. . 19 California Department of Forestry plan approval/fees. ....................... . ,. Flood elevation letter (100 year flood) by California Engineer. .. _ 14. Sanitation and plot plan approval Q& !V Health Department. ..... f .... . 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: Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). ... 20. Pre -inspection for P`�4A. e.d1On,;q est required. .. to Building �nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... a 23- Owner -Builder Verification (Given to owner , Mail to owner _) ............ 424. 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. .... . j 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: _� Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. o:2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor,designer, owner, was advised of above required data by _ phone _ mailounter by _ Date Plans checked by _. Date Plans approved by b� Date�� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works _ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property -Owner: An 'owner -builder" building permit -has been applied for in your .name and bearing your signature. Please complete and -return this information at .your earliest opportunity to avoid unnecessary.delay in processing and issuing your building permit. No building permit will be issued until this verification is received.. 1. I personally plan -to provide the major labor and materials for construction of the proposed property improvement (yes or no) N' 2. I (have/have not signed an application for a building permit - for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone "Contractors License No: 4. I plan to provide. -portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name -- _ Address City Phone Contractors,License No.- -5. I will provide some of.the work but. I have contracted (hired) the following persons to provide the work indicated:_. Name Address Phone Type of Work Signed: f Property Owner Social Security Number Date. .'� 6 c? , 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 60 ' ,P/w c PUE RDD/T/ON.gL ROWD ' NTEN,INCE <IG� bybflr' -'%..�. M4/ . . Ta-IAC,e�ivTdSi� A!/E L. t� `- �e1r /B3lo. 52 Z9 ¢aqa7 0 /F. a o, ir- i88 Y 347.30 Q I j' 59 � i t � I •'� o� / h LOT 3/ ; • 60 /7/tit/ . #/ � . �' lZ .4l' !/..S. D. �J o► 3Sf/EET 2)a p a 5 00"37'04" IS7.90' e 3d 30 / _ _ 1/-O AEcc / V SCALE J=/OD ,` NB7°4q07"E ' 709.97 tat Mh +i 58 At' M �S V: /. A o - .• •- .. :.��'/ •�� . _ ...LAT .?!o / 12.4e- !/..S' D A. 0 QT /O M N - s N f .Q •'i •y "D - R �2 y j -T': 9 1&4S3. �Z " .fEFBAR LS• 4202 /4 / " REBA.P Z.:!Z 4202'YAPS 23,24 4 .v r; O Ste_ =i _ i