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027-330-008
D-330-08 01-0435 WALKER, LOWERY297 DACK WY OROVILLE CONT: HAROLD BALOZ ,`� MHU TEMP 2ND DWELLING W 027-330-008 06-1767 WALKER, LOWERY 297 DACK WY, OROVILLE c Cont: SIERRA MHS MH PERM FND (NEW) E'.7-33-08 826-91MHU eY t WALKER Lowery S�� f " q� ®� 4 CONTR: Harold Ba z ®..�001f 297 Dack Way, Pale o (MHU) le -8' ELECaC� CIOD-mv C�r�ier1 ` 027-330-008 01-0539 GAS 1.106 q/ „ y� Ji COMPACTION TEST REQ d ALKER, LOWERY 99 DACK WY OROVILLE *11, 0 CONT:UNK SUPPORT STRUCT REQ ,2 � -4-31 4H INSTAL TEMP 2ND DWELLING' 33-08 Permit#1323-91 >" _- 027-330-008 �`' ` 03-1304. (installatio mh) WALKER, NORMAN 299'DACK WAY, OROVILLE- 270.1989-91B--- - 1 Clint: BLUE HAVEN POOLS !NAL - POOL -MASTER #517-97 WALKER, Lowery 297 Dack Way, Orovi B07-1909 027-330-008 (deck & -steps/mh) MISCELLANEOUS Room Addn-First Stry ENCLOSE.DECK INTO LAUNDRY AR 027 ,33-0-008 j92 -3265B _— 6 ;. 297 RACK WAY WALKER, Lowery ,, , ., WALKER LOWERY N & VI, 297 Dack Way,,,Oroville c6mplete/g1' 1989 f - Q27-33-0-008 93-2963 BPE WALKER, Lowery & Virgie _253 Dack Way, Oroville �zll9 ELEC / GAS COMPACTION TES REQ' e.1.t1)J)0PT ST_RI.I _REQ /<%Cl . 027-33-0- 8 93-3878 MH�>.� WALKER; ERY , 253 DA WAY, OROVILLE-� CON : FEATHER RIVER HOMES 1" g 9� 027-330-008 P IT# WALKER, Lowery N. G 297 Dack Way, Ofo lle New Ramp/MH 7=330=008" "- w "-" 01=0540 ALKER, LOWERY 3 DACK WY OROVILLE )NT: -HAROLD BALOZ �, t T ELEC SERVICE %---4 �-moi � � �:��(J Yom._ _�.._ 14 �.-., a c SITE PLAN REVIEW APPLICATION Date: S-) Z GAP# � - S3 0- 3(3 8 Permit Number (if applicable) D) - Q y 3 APPLICANT INFORMATIONParcel Size: � f 0 t A Lo 1��62�) L,�faLiz�2 Owners Name: -' OwnersAddress: ` 2�1 `�I `bia Cid Wy9 SC�} (o Telephone No.: 'Situs Address: OaC-L- ' lw Proposed Use• Residential ❑ New Single Family Residential ❑ ❑ Single -Family Addition Mobile Home ❑ Single Family Remodel ❑ Residential Accessory ❑ Permanent Second Dwelling Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer EI. Multi-family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑' Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): p Q) DO NOT WRITE BELOW THIS LINE ❑ Approved Site Plan Stamped Approved By lip. Date 3 - 12,6 C� 1 Page 1 of 5 _ _solve Problems Prior to Approval Parcel Is In: ALL ITEMS CHECKED APPLY TO THE PROPERTY Snow.Load Area: Land Conservation Act Minimum Acreage: Nitrate Action Plan (See Environmental Health for standard Verify residence can be built per contract Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) ' SRA - (CDF to determine specific requirements) , 100 -Year Flood Plain: (See bhed) • Flood Zone: 1 • Flood Panel No.: _) p 2� Index Date: Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) Feather River Reclamation District. (Approval must be obtained from the California Reclamation Board) North Chico Specific Plan (See Development Fees Section and attached standards and requirements) Chapman/Mulberry (See attached standards and requirements) Cohasset Area (See attached standards and requirements) Use Requires: ❑ Use Permit ❑ Minor Use Permit In El Minor Variance Administrative Permit ❑ Variance --------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:—,A---5-- Applicable oning:, —5 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention 3 Z3 Subdivision Map Front Side Side Street r- L Rear Height _ 30 Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Ni. Applicable Development Fees:' Standard Fees °` y Amount Formula ❑ Fire ❑ . School* ❑ Parks/Recreation ❑Roads ❑ Sheriff. k. ❑ Drainage ❑ NCSP/CSA 87 ❑ "Chico Urban Area = Road ❑ Thermalito Impact ❑ Other -----------------------------------------------------------------------------------------------=----------_------------- Subdivision Map Special Fees _..3 y. ❑ Water Tender ❑ Road Improvement ❑ North Orovilie Area - Other (per map) . ' Check with school district to verify actual fee if pre=application review. A final determination will be made at the time of the building permit. Parcel. Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required_ _ ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify. Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance. ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by.zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision IVfa /Parcel IVfa Map Date of Recording: (;_—) - 6 S" Lot: 6 ❑ Use Permit/Minor Use Permit Permit Number: Book: S7 Page: AL)rl() Of - 0 L� Date of Approval: � — S — p ' ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed 'in dance . with the National Fire Protection Association Standard for installation of sprinklerrsystems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Departm the parcel. ent specifications, serves ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the e requirements of the California Clean Air Act of 1988,aamended. mission ❑ Provide an erosion control plan for building and land disturbance on .slo es steeper th 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where Possible. A mature tree shall be defined as a tree with a diameter, 4 feet from ground level. Mature trees removed shall be replacedmeasuring n inches 3 to-1 ratio, utilizing existing oak tree siock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 Summary of Specific Requirements: ' hJ 0 2 r 8-J2 H d Y S g OW I N ti F>G jq t -60/x- 1,0174-a -t-l-4 >✓ k -n R,,,o D�jr--z g jo& , 7fa G . �}� � d 2� � Y � • J-,!, i5 �4 LZ-D),J�L7 �Y ��tJt�y 1�)1 C,�41J . This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documems\Building Permit Site Plan Reviewl.doc Page 5 of 5 1 see. A-Drv) C�1- Oto . a APPRO. W F- -s E E �, sDevalwimls n DATE S USE PERMIT�.VAAf _.. io Com... Mffm U-Rld �ADKPER 'LAWMG COM .-DIRECTOR OF DEVELOPMENT. I CES 1-k N3 O U► P-- z _ Lowe, rn ZPAJe. F . u He uftrs LAND OF NATURAL WEALTH 'AND BEAUTY y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - r; •.3_`; .;' • „ _: ;:.`.'• 7 COUNTY CENTERDRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601. .FAX: (530) 538-7785 `/ e s l(I n, T' eVmi- o ��cs Ud�Pl� 315--)6 OL Iryl c vl �S� T c -e) e �cvC (>�1 i � �L ®vim secoj� �. �3 a-2�d � �f' � • ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Lowery N. Walker FROM: Thomas A. Parilo; Director of Development Services DATE: February 27, 2001 PURPOSE: Administrative Permit on Lowery N. Walker027-330-008 for a temporary second dwelling to be located at at 297 Dack Way, south Oroville., on property zoned A-5 (Agricultural, 5 -acre parcels). File number: ADMO1.-06 PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile.Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Teresa and Larry McDonald.. An affidavit .attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the.primary unit, and shall not be placed on a.permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. Thepermit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one, year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $:1,500 for a single -wide mobile home or $2,000 for a double -Wide mobile home. l 4�a Permittee Sign e Date Randy Wil on, Principal Planner Date APPRQV D W GATE Deve!°pment an, S L N USE PERMIT VARf "C r MMM U.P.',.N�ADM.PER "t PLANNING COM I DIRECTOR OF 1 ` , DEVELOPMENTS RVICES . -v m 4). '7 D- Gk ._ S7 330- �+ . x _• ZA/UG • � 5 5 e s 5 O is -- • �l.7d � � ��.-...,.•.,..__.,..w_.....,.�...__.. N AP.PROV. f p8veiopment an W E-- --} E DATE t� - V 7E 1 �� CRIM oA _DIRECTOR OF. - -�:y d DEVELOPMENT .S RVICES 0 v Al �: s JDD . N Lo - ORo.i't 1 a-7-.330- ZPAIC IgSS�ssOrs 23 7— Nw ----�-' _.APPRO.I p .. .... psvelopment . an E (r DATE _ 41-7- o. . o . -� S. USE PERMIT �L 3 f .. '....� e cr:.... .. & llJ1NFN G .-DIRECTOR Of DEVELOPMENTS] RVI CES 1 -a1il STP �F ... .� 26 o cr L6�✓T"` Q A.}G,k 1 1 �0 .fir "I I eC.X. !'N'do2,7-33a- . u -- Q 1 PAJ ! i • assessor's _` E A c,3 C j 0 0 �l i CI off AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-21.020 Agriculture Employer/Employee (Applicable only in zones A -S, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, of will be, employed at least thirty-two (32) . hours per week for at least sixteen (16) weeks per year, or that his primary. source of annual income is, or is anticipated to be, derived from any of the following described occupations: (a) The preparation,, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; t (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing,' field packing and placing in field containers or in :the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any` agricultural or horticultural commodity including but not limited. to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish; frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. This affidavit is valid only for the named employee. Any change_ of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. AGRICULTURAL AFFIDAVIT EMPLOYEE Employeef� 17. �� Phone M %,A� 533-917,3 Employee's Address (Present) 3q NQAWDQD Ayetwe SA( -TO Q9&3S Name of Property Owner L.WERY Property Owner's Address 2q-1 J7ACV, Jk)A V OROU1 L>✓ q Sq& (y Owner's Assessor's Parcel Number 27 - 3 3 Parcel Size S 01 Ac. do declare, subject to the penalty of perjury, that I am the employee of L.Qhl)e-12.\i ]� . LyaLKa� address (present) Zq - I ACK LAA Y 000 t,L6 95gbL and that I will be employee under Section 24-21.020. for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# 2 7 3 3-6 Signed: Dated: Environmental Health Approval: Permit Description and Number Date Issued. A u Planning Approval: Date1y3 Zone A -S 'Dwelling on AP# 02,71 - 330- CSO? 0 Crop/Commodity Produced CAXV Le_ l (ADZ 10 �, AGRICULTURAL AFFIDAVIT EMPLOYER Employer J—c ,J e -r H A), Phone S�338 / %3 Employer's Address c� 117 ACL. ct L4 0,ee.c) I Name of Property Owner 'Sa Property Owner's Address Owner's Assessor's Parcel Number 3 _ Parcel Size �. O / Ac. I, �' %� . �e , do declare, subject to the penalty of perjury, that I am the employer of l %� , geh r y address (present) c��3cj �C����,�yQQ ,.0 , %-y3and that I will be employer under Section 24-21.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# �-3 -- Signedated: Environmental Health Approval: Permit Description and Number XV U Date Issued u l [ y 3 By . . —&1%4- te Planning Approval: Date Cd cm _ Zone A-5 Dwelling on AP# O2-7 -_ -?>5C-) - p By. �4Q, Crop/Commodity Produced BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 297 DACK WAY Owner: Permit No: B07-1909 APN: 027-330-008 WALKER LOWERY N & VI, Issued Date: 11/01/2007 By KCG Permit type: MISCELLANEOUS 16656 FORD OAK LANE Subtype: Room Addn-First Stry JUSTIN, TX 76247 Expiration Date: 10/31/2008 Description: ENCLOSE DECK INTO LAUNDRY (940) 648-1444 Occupancy: Zoning: A-5 Contractor Applicant: Square Footage: TOM COLEMAN Building Garage Remdl/Addn 2585 MCCLELLAN AVE OROVILLE, CA 95966 Other Porch/Patio Total (530)533-4887 336 336 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $186.77 DBFIRE Fire Inspection (SRA) $205.40 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Add -1st Story 250sf $280.15 DBOMSCF Fire Safe Standards Re $115.98 Total Charged: $966.70 Fees Paid: $966.70 Balance Due: $0.00 Receipt No: B4553 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 11/01/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). _ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the - Contractor's License Law.). - Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: 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'11/01/2007 compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date - provisions. X6?011/01/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro" owner or ut rized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY IZ 1411 Co /,9,, ,d V11/01/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Peittee[SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ,,ee-- ff3� Owner Contractor OR: I ylAgent for O gent for Contractor FILE COPY Lenders Address City State Zip Reference Number Location Parcel Number: California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95.965 (530) 538-7888 Office, (530) 538-2105 Fax B07-1909 Date: 9/7/2007 297 DACK WAY By: GLB ' 027-330-008 Sub Type: Room Addn-First Str. Owner Name: WALKER LOWERY N & V1, Phone: (940) 648-1444 Description: ENCLOSE -DECK INTO LAUNDRY AREA AND STORAGE ROOM 336' To meet the requirements of .Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property. owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A . ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the' construction site with two hard copies of the site plana r I have read and understand the above pre -inspection requirements. 9/7/2007 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireOreventidn/protplan/protplan.html FILE BUTTE COUNTY FEE SUMMARY Printed: 9/7/2007 7 County Center Drive 11:22 am Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1909 Job Address: 297 DACK WAY Contractor: Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 9/7%2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments . for a protest are specified in Government Code Section 66020(a). Fee Description . Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010' $75.70 9/7/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $205.40 9/7/2007 $205.40 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 9/7/2007 $115.98 ' DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 9/7/2007 $102.70 DBMSC Room Add -1st Story 2509f 0010-440001-4210500-1010 $280.15 9/7/2007 $280.15 DBF Room Addition - First Stor 0010-440001-4210500-1010 $186.77 9/7/2007 $186.77 966.70 $966.70 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 9/7%2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments . for a protest are specified in Government Code Section 66020(a). Butte - County ;Department of Public . Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty,net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water. Pollution Prevention Plan (SWPPP) Acknowledgment By signing below, I the project owner/owners' "agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction. Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting` false and/or inaccurate information or failure to apply for a Construction Storm Water . Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. FILE • [LESS THAN 1 ACRE 1 9/7/2007 Reference Number: B07-1909 Date: Location: 297 DACK WAY By: .' GLB Parcel Number: 027-330-008 Sub Type: Room Addn-First Str Owner Name: WALKER LOWERY N & VI; Phone: (940) 648-1444 Description: ENCLOSE DECK INTO LAUNDRY AREAAND STORAGE ROOM 336' By signing below, I the project owner/owners' "agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction. Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting` false and/or inaccurate information or failure to apply for a Construction Storm Water . Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. FILE Butte County .Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1909 Location: 297 DACK WAY Parcel Number: 027-330-008 Date: 9/7/2007 Owner Name: WALKER LOWERY N & VI, Phone: (940) 648-1444 Description: ENCLOSE DECK INTO LAUNDRY AREA AND STORAGE ROOM 336' Signature of Property Owne . Date: 9/7/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1909 Date: 9/7/2007 Location: 297 DACK WAY By: GLB Parcel Number: 027-330-008 Sub Type: Room n` -First Str Owner Name: WALKER LOWERY N & VI, Phone: 0) 648-1444 Description: ENCLOSE DECK INTO LAUNDRY AREA AND STORAGE ROOM 6' ❑ The above permit application has the following Clearances required prior to permit issua e. Please contact each department indicated below regarding specific requirements pertaining to your permit. application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 9596 - (530) 533-0740 ❑ ❑ LOAPUD; 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895 711 ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, C ' o CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447/Paradise ,?Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park DistricMyers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skywa CA 95969 - (530) 872-6393 ❑ ❑ l District, 300 B eet, Biggs CA 95917 - (530) 868-1281 Biggs Unifie/D6 ❑ ❑ Chico Unifiel District, 116 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unihool Distric , 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley Schrict, 429 agnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville Sistric 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville EleS ool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ Oroville Uni211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ ❑ Paradise Unhool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded cogricultural Acknowledgment Statement -'See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ Other: ❑ ❑ Other: ❑ ❑. Other: Signature of Property Owner: Date: 9/7/2007 FILE �V T TF BUTTE COUNTY 0 0 r DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS = 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 _0 OFFICE #: (530) 538-7541 0(j Nay A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last NameL _ irst Name Address , s- . City ;— v S / ry State Zi oc f7 Phoney,`1 lb _ ! _ ! `i y Fax E-mail? APPLICANT SIGNATURE X � For office use CONTRACTOR Name a Im Cie: //)"),d /L) Address — 1 Com•. LF - GL � v E _ CJ City L _ V ( L f: State Zip Phone Page Fax E-mail CP V i a w Ca Lic. # Class APPLICANT SIGNATURE X � For office use ARCHITECT/ENGINEER Name a Im Cie: //)"),d /L) Address — 1 Com•. LF - GL � v E _ CJ City L _ V ( L f: State Zip Phone Page Fax E-mail CP V i a w Ca State License Number APPLICANT SIGNATURE X � For office use APPLICANT NAME Name --'%I a Im Cie: //)"),d /L) Address — 1 Com•. LF - GL � v E _ CJ Cit L _ V ( L f: Stat Zp Phone Page Fax E -ma' CP V i a w Ca APPLICANT SIGNATURE X � For office use Zoning I KJ I Flood Zone Cross Street SRA Yes No Occ. I Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. � BIN # LOCATION c Property Address City Cross Street ❑ Structure Built without Pe its<r ❑ Proposed Change of OcMncy WORKER'S COMPENSATION 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 . Description o Scope of Work: , Ccb�� � , Amount Y Kms' l/ yn Sq. Footage ❑ Structure Built without Pe its<r ❑ Proposed Change of OcMncy a D (Note previou sey. Sheriff 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 REQUEST FOR REFUNDS Refitnds 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 L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount Bldg. ' SRA Receipt #: Sheriff SMIP Date: /�� Other l/� n Tnfal REV 6-16--04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININ% Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). '❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ S. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GR, PHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. _ 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). - ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 rr ® O� $q,�Xeihber.,5, "200-7 ,9:wr ori�nar a11er!io`�'as o�e� ap1 p M. - C x:97 fa r may; C roy %11°e C 6: X40- � 444 PRC -ECT PROCESSING RF -CORD APPLICANT: ; �`� a t OWNER: PERMIT A. P. WORK DESCRIPTION: DATE D- S ON OF STEP_ C d'= Ok O = Not OK Not Applicable Not Ready MOBILE HOMES . =" Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements especial MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete • titer; Location -Test -Easement Needed (S etch) ectricity; Location-Clearences-Grn mp-Concrete . as; Locatio est-Wrap�:: / /"L"ft. 1, / at. or L"it./l�YLPG 7. Utility Clear nce _7 Date, and B-1 j Date Card B-1 Date Card B-1 Date Card B-1 Date MODME HOME INSTALLATION Plans OK except #'s 1.Z ox4rrg-Requirements-Setbacks Easements 2. Foot i ; Size -Spacing -Marriage Line I Gas; MN Test-Demand-Valve—Connector L lectricity; MH Test -Crossovers -Breakers -Clearances ain; MH Test -Fall -Flex Connector 6 er; MH Test -Regulator -Connector iter nd Sewer Connected -C/O to Grade -HD Approval as a Electricity Tagged 9 14 sp.-Sketch t ert. of Occupancy Date —Ig— Card B- Date Card B-1 Date'—Card B-1 Date Card B-1 �t MISCELLANEOUS 4y Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = NdOK = Not Applicable = lJot Ready RESIDENTIAL *(Single ' Date UNDERFLOOR (Plans) OK except #'s 1 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Fto.. Main: Soils-Elec. Grnd.-/ /" Fta. Death 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth .5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45.'Hangers-Pest Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exitina Doors -Sill Hat. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire. Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip, Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Fib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 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 O Yes ❑ No; Walks O Yes ❑ No; Planters O Yes O 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. Ventilaticn Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER — HERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contac this o e i e ately. 5 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE , OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 r^ - PEfiMIT NO. Address or location mobilehome Owner's name 4 V� Owner's address / Insignia or hud number /' ` A O ll Manufacturer's name / Serial numbeaf V.I.N. Mffilial-ATpr6'ving Installation Year of manufacture (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MQBILEHOME.IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W V COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —,Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 f' CORRECTION N`OTIC.E A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this .matter, or need additional explanation, please contact this office immediately. - • Date Inspector f COUNTY OF BUTTE - DEPAR10MENT OF PUBLIC WORKS 7 Count�Canter Drive - Orovllle, Callforh.lia 95915 - Telephone: 916/538-7541 APPLICATI(Mi A{vD-PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 27-33-008 ZONING A5 BUILDING PERMIT OWNER Lower Walker TELEPHONE 924-9175 S0. FT. DCC. BUILDING VALGATION OWNER'S AILING ABER ESS 4845 Amber Leaf Way, Sacramento 95838 CONTRACTOR'S NAME trolden Pacific Homes TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 297 Dack Way, ville Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeNy Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK XXrrXX,, New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiodM Other ❑ Ck Describe work: /�13�`T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p I y (Check One): of perjury ❑ 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 CONSTDWELLING OCCUP.81) OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20®506 BALI 30 Ex. OCCUp. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent'to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 ag in said County in consequence f the gra ing of this permit. Ce /r Q� Date / Sig arure of Applica r — Owner ( Contractor ❑ Agent ❑ An OSHA permit is quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAL CUA PARK SC FAD DF PAR Po I HD. ISSUE• This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated VabOV for which fees have been paid. DI R OF PUB IC WORKS By Date PERMIT EXPIRES brate Receipt No. 89034 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r.. � COUNTY OF BUTTE --,DEPARTMI� ,. - - ,SIC WORKq - BUILDING DIVISION 7 COUNTY CENTER DRIVE ORO-VIALIFORNIA,95965 - TELEPHONE:'916/538-7541 .:FER IT. APPLICATION DATA SHEET ' Permit No. OWNER !�J IN/�—"r vV �F— �l�v No. ��� 3-:75— Proposed Building Use Building Inspector �p Date 4L� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..................... ................. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC -Buildings ............... PL Engineered truss details and layout in duplicate (required prior to plan check) —(Z 0 .,Mabilehome installation data including man'ufacturer's installation v Instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... Park fees ppaid .R.,..... .. ._Ghe Scof I rict fees paid ......... Health De artSanitation approval from m..e.n.t / 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit, (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization ................................... 26. rn l U CQ" am Q 27. _ When you issue the. ermit, pces as follows: Mail to contractor. _ Telepho%Y' and hold for pickup at Q& off Deliver w/inspector. Other C /_i t---_.__ . Applicant Date Copy of Hdz-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�p'r r to perit Issuance: (Circle new item not checked above). 1. Index permit for above items NO. k 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone_LZtlail—counter by..date5 10191 Contractor, designer, r, was advised of above required data by_phone_mailc9iunter by��date A. I. _ . tiT 10 , i Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ga? '� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply • i Hold final for: Water Supply ^incl clearance O.R. for: Water Supply. Clearance for bedroom 6obil ho Other NOTE * * * Sanitarian Dat® 7`•t-4'^`i�-ayr'1*�hR!!�^s"'X'':.�..Ir :s�^`ismer_.,..r�-�wp�*:��ip;3S+ity�vsw't+rl't*�...�r s'.�f'. 'Tf'W1fail������ �•a'�'_n r�r��%�;r+l�•w'r,4,;.`, BUTTE COUNTY SCHOOLS DEVELOFME•NT`1FEE CERTIFICATION FORM ;,. (One Form per Building) A.P.ti•Numb6r , %— J"�00 Building Department No. School District/ o QiW1City County Jurisdiction Property Owner 0�q7 z>1 e__,xe:::� V vA Project Location/Address - WA �,V_ e-/?,- Subdivision Lot Number Residential Development: Sq. Footage 0;060 # of Living I Addition (Group R) Units Commercial/Industrial: ` a New artment Representative Sq. Footage/f Addition (Including Exterior Roofed Areas) _-�// ate ******************************************************************* (Floor Plans reviewed by School District Personnel) District' Id No. School District certifies that (Appl' ant Name) (Phone'Number) (Street Address) / 0"A (��c 'i (City) (State) (Zip Code) has complied with the requirements of Resolution No. �79-�PD -D l 0 by the pa ment of $ ,�� �y representing square feet. CIA/ School District Re esentative- Date 4 •f � ` PAID BY CHECK NO. :9 BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllls, Callf(Yrnla 95985 - Telephone: 918/538-7541 APPLICATION AND PERMIT AaeE eOFR� PARCCL NuM8914 z ONIN BUILDING PERMIT - owNER, Du),154 l 1C� l� (.. 1 /iC� T�fiPH ES S0. FT. OCC. BUILDING VALUATION OWNS 'S MAILING ADOR S9 Gs. CONTRA S NAM ^ � � C_O�� TEL N CONTRACTOR'S MAILING ADDDRRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD1?R s /C �47(ti Off) Permit fee $ vZ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 UXOF,TRUCTURE SF ElDuplex[]MobilehomOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea TYPE OF WORK\ ' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio5 Other ❑ Describe work: Z���% \\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BuslnesS 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) /`¢ut I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai OR ADONS. ( ACC. BLDGS. �20sgft NEW CONSTPL MUTI-OUTLET NO •R SID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20930t SAL@3o FIXED APLNS.❑ Ex. Occup. OUTLETS P(RESID.)REA.� 2.00 Temporary service 10.00 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. Fn I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee f Contractor I certifythat I have read this application and state that the above information . is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAL CLIA scr+L FLD c0F PAR PD I HD• ISSUE permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid.' DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovil'le, CA PHONE: 538-7541.` MOBILEHOME INSTALLATION SHEET Installer's Name: ✓" / &17 FIs the site currently under permit? Yes No (If yes, furnish perm,'it number ( ' ) 'OR" ' �e; .� ur,. ;nom �, �r a �'{• �i Is, the site an exis_ting_szte2 deNo (If yes, furnish two plot plans.) 4. Will the mobilehome be. -located at. least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify What is the mobilehome electrical rating?--------------- at'is the mobilehome site service rating? ------------- f7: What is the mobilehome. site circuit breaker rating? ----- �3.-�' Is there any other electric load to be served by the -------------------------------- mobilehome site service. Yes Lj J0 0 Amps 0�6 0, Amps 0Q Amps No (if yes, identify the load and size: (Load) 9.�`What is the mobilehome-site gas pipe size.? ---- (in.) 1� O:�What is the type of gas service? ------------------------- ---- Natural LPG 1 11. What is the gas pipe length from meter or tank to the J � r mobilehome?---------------------------------------------- ��I ft 12.. What is the mobilehome gas demand? -------------------- *(This information not required if pipe length less than 6 ft. on natural-gas or less than 50 ft. on LPG.) (BTU) MOBILEROME SUPPORT DATA _ _ If other than single wide, � (Mo 5-ilehome Mfr. $ '/�S furnish Setup lModel No. � Year 'kT-id th i -0 (ft. ) Box Length 00 (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). APO- ING8 (check one) 1. Wood -pressure treated or foundation grade F 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 \\ tfain Besms� _ line 2 incl i... Main Beams Tag or Triple Line 1 Piers: Size -Min. --------- Spacing -Max. --------- From Ends -Max. ------- (Line-2—Piers Size -Min.------------ 2 V 30 Spacing -Max. ---------_0 .. From Ends -Max .------- Line 2 i Tine 2 Line 1 . Line 1 Line 1 Openings: Size -Min ------------------- x Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ . "x Spacing -Max.--------------- From Ends -Max .------------- ._ line 3 Roof lnads: Size -Min. ------------ ?.' O 'J"f I d�..3 ' C! x x y Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only Size -Min.----=------- Spacing -Max.--------- —� From Ends -Max .------- ._ . Line 5 Roof Loads: Size -Min. - ----- ------ Location (From Front) Size -Min ------------------- 'k Spacing -Max.--------------- ._ n From Ends -Max .------------- - d.. . x .. x k ..x .. ..x RX 020'_ Sti/.. _ 0�.. ._ - _ u _ •_ •- lfr tX3o &-c-),Dc Y'( o Le PLCAS6 QP_0)�06 r)jj �ufrs `j)JA6r ftM SRoW iQr, M�a'._�iA6C UNE OPO Iro6 SCH C-v0L6 (COCAI)ON OF COAD t WEiCl tr AT 'fiOS6 ep0 I N %) 1-4A '121 -Lf_od SalP�ocT 1ow.flv.TS�` C ED __- - - -- __- ---- - --I- .FLF-x. iIk 2 L O M1�.iSZ •' SZ O,5z Orli. L M I� P 11 2 CMF / � u UM - - -� rlZ O - — - - M riz.C' a - - - - - - I 03 I ( .� , al -moi t(.' -OI IL Iz,- 1 �/ Sii'-'✓rrCIZ'-p' ✓'-O"iL 12 A' Ii' -L t -v Mfi ori r. j� G _� Cn gaud �Ze� �x 11.7. V, OHz c 7✓ 14, '• r lC I ��_.� ,�� I �,' • C.I'L tZ' e rr. • r1. P>at^ri : `,'• of .c IZ'-� I -_ SUPPORT PIERS Jlz-e GOLOEM „01[ES 0(") F�1C f17�c��r1 SO. FT. Ifn nl rluul[n CAPACITY [I. I FOOTING SIZE CAPACITY I FOOTING St7.E �•oo,. .a. [Icll/u1[, IWI 20008 12"x24" (4) DOOOn 48"x24"• L.u. CARPET LAYOUT AND RIDGE. V n:rw•:u[ 4000= 24"X24" m 10,00 60"x211" BEAM FIELD SUPPORT PIERS 7 I� L f/ 6000: 3b x 24 FOR FIELD SUPPORT. DETAILS. SEE 0WG-S. S-] and 5-3 OF INSTALLATION MANUAL'.. atvnco[. i!.I K _._►:= • .J CD COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Lowery Walker 4845 Amber Leaf Way Sacramento, CA 95838 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER PHONE: 916-538-7541 DATE Ilay 16, 1991 RE: Mobile Home Installation Data A. P. # 27-33-08 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced / vg/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ _ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in _ Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XX Sanitation approval from Butte County Health Department at: 196 Memorial .Way, Chico _XX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X.X/ OTHER 1. Please fill out the enclosed Mobile Home Data Sheets (2 sides each) and return to this office. 2. Mobile Home Utility Permit to be cleared prior to issuing Installation Permit. Should you have any questions concerning the above, please contact Barbara Wilding of this office. 'TER 3 P.M. Yours very truly, William Cheff Director of Public Works JFG/aj J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r _ 7 County Center Drive, OrovAlle, CA 95965 PHONE: 916-538-7541 IOLUC-ky UJPUCE2 DATE �5-16'91 49¢5 Ami LCAT WI\q RE: I'1'106IL6 FbYnE 1NSTN_LATi0k1 AppL(CA OO S/�Cr��(�►EN� 95 838 A. P. # 2-7- 33-08 With reference to the above subject: / / Attached is: Application for -permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: f' Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage'improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. (% Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning.Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact 8_LjL,_ of this office. Yours very truly, William Crieff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector All that real. -property: - situate in.the County of Butte, State of California, described as follows: Date: State of _ (fA) County of 5—AtIM) On this the SS. undersigned Notary PROP RTY OWNERS: 1, A1C_/a-Z-AL day of /%%Aloe 19'?/ , before me, the Public, personally appeared /s /,J P2N YIRC1� WftL� � � Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) :S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and officialOFFICIAL SEAL /I (ARME E SAWYER Present A.P. No.. Notarv,/Public OjbR`("UBUC • CALIFORNIA SACRAMENTO COUNTY Comm. Expires Sept. 5. 199 �Retur, to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County. Code' requires this acknowledgement be..recorded prior to issuance of a building permit. The property described herein is adjacent i 91-012662 Rec Fee 7.00 to land or included within an area zoned ' Check. 7.00- for agricultural purposes, and residents �. of this property may be subject to incon- ' Recorded' r veniences or discomfort arising from the Official Records use of agricultural chemicals, including, I County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder '3 XX 2 but not limited to cultivation, plowing, 10:31am -Apr -91 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept_ such inconvenience or discomfort from normal, necessary farm operations. All that real. -property: - situate in.the County of Butte, State of California, described as follows: Date: State of _ (fA) County of 5—AtIM) On this the SS. undersigned Notary PROP RTY OWNERS: 1, A1C_/a-Z-AL day of /%%Aloe 19'?/ , before me, the Public, personally appeared /s /,J P2N YIRC1� WftL� � � Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) :S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and officialOFFICIAL SEAL /I (ARME E SAWYER Present A.P. No.. Notarv,/Public OjbR`("UBUC • CALIFORNIA SACRAMENTO COUNTY Comm. Expires Sept. 5. 199 12662 MAm1k '- - DESCRIPTIO!) 90-4 4 9 18 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL. X, 2 7 - LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH HAP 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(t) 36 AND 37. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON SAID MAP. PARCEL II' K:c:oivl�ic:.w.. .;" A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES ;+ .'' OVER DOCK COURT AND DACK WAY, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION" IN THE OFFICE OF THE RECORDER OF THE COUNTY WHICH BUTTE, S ATE DED CALIFORNIA, = J;I*IE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL 22X- A 60 FOOT WIDE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE I PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. &'M.; THENCE SOUTH 63 DEG. EAST, 419.40 FEET TO A TANGENT CURVE 15' 23" CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEG. 30' 26", AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 64 DEG. 14' 11" EAST, 249,28 FEET TO THE CENTER OF A 50 FOOT RADIUS CUL-DE-SAC; THENCE NORTH 75 DEC. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL Z, DESCRIBED HEREIN. sTm or clmnMR trA ) flxauty of Bum )a'' On thio day ofOt•raoK+i- . 19 0 before we, the r undersigned, a aota%Y lie it and for the State of CALIFORNIA' duly comissimned annd sworn, personally appeared HENRY T. . RUNGSJ0._ - . personally k�mc nown to Re 70=gv3vmdcse•_UNG:;_tgpL�aClsfa�pp,p�;: • 2MAdemelr to be the Individual described in and who executed the foregoing instnnent for Him self and as attorney in fact of cywrNtA A. Rtn+rr also therein described, and acknowledged to ane that _he signed and sealed the sore as wts voluntary act and deed and as tine free and voluntary act and deed of the said a . for the uses and purposes therein mentioned, and on oath stated that Power . tto au zing the exttvt.lon of this In strunent las not been that is now living. writ=my offis ?fixed the day and year in s certificate above written.■r■rre■:w■■■■■■■r■■■■///■ o �� D?:JIL F. NJP1T e Signature na'A1 11-34 ■ ■ (This area for official rotgsL►aaal/wa■■■r■sa■wor■■///� EN® OF DOCUMENT END OF DOCUMENT a 014NER Oen 2' PERMIT MH UT IL . CLEA NCE DATE INSPECTO ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe- YES NO YES 'NO Size Load Type Size Len th,. t F - � COUNTY OF BUTTE - DIROARTMENT OF PUBLIC WORKS PER IT N ~._ (0 - / 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATIOW AND 'PERMIT ASSESSOR PARCEL NUMBER ZONING_27-33-8BUILDING PERMIT • Lowery Walker TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS � 4845 Amber Leaf Way, Sacramento 95638 CONTRACTOR'S NAME Harold Balaz TELEPHONE 534-1190 CONTRACTOR'S MAILING ADDRESS 3070 Louis Ave., Oroville 95966 ; Fireplace CONSTRUCTION LENDER UNKNOWN None LENDER'S MAILING ADDRESS Total Valuation $ FilingFee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. None ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee - Penalty $ $ $ BUILDING ADDRESS '7 Dack Way Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 8 SUBDIVISION AA NAME (� � la1 LLS ��+�-�L� i SU l3� PARCEL MAP /UU — 3C/37_Each Water piping , 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeoK Other SPECIFY Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 0.00ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ti lities n Installation❑ Other ❑ Describe work: _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in fullorce and effect. ULJ _ Classification. License No. ; 'J ❑ I, as 'the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as -the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.8d) OR ADONS. ACC. BLDGS. // , /20sgft NEW CONSTR. MULTI.OLITLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50C e ALO 30 FIXED P(RESID )REA.; Ex. Occup. OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. �Yirin g 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (�! I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g {Hood 3.00 Ventilation �ermlt Fee $ Dontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X_11VA.��Cd Date Signature of Applicant — Owner ❑ Contractor,K Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ =c CONST TYPE TOTAL F E $ 2, 50 H c„A- �' PAy,< ✓ scyL / F� coF PAR � I HD• S u khis permit is hereby issued unoer the cions the Butte Cont Code and/or work In ate 4,abov or which fees CT PUBLIC BY�4 PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ate / I eceipt No. 88235 NI TE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT F i WJ� iAwV 44'�i;+'i+, 1 trt ^Ti' q TY.i�--r%'r ��,, tI e'{ ';�%a-,r F- `I•` 4 t. ` *`u�! ''- COUNTY OF BUTTE - DEPARTMENT QF, IL WORKS'.- BUILDING DIVISION -... _ . 7 COUNTY CENTER DRIVE - oR0.1FfLe, F© NIA 86888 - TELEPHONE; 818/838.7841 f / PERMIT APPLICATION DATA SHEET � .......... PArmit Nn_ OWNER L pW 15,i2- -I W A L111 55 L A. P. No. ;�L 7 —3 3 -- 9- Ll Proposed Building Use—r<M1 L)ML 1 T''JFS Building Inspector � Date ! _� 7 � t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: + DATE RECEIVED APPROVED 'I ti 1. All items have been submitted. ............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 1 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) - 9. Mobilehome installation data including manufacturer's installation instructions........................................................ , —10. Fees of $ ....................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 7rt 1" 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ......................... ....... . 16. Plot plan nd b�urtess license approval from City of (see C yr o�ZtTser requirements)}- I 17. Planning approval for (A) Use: (B) Parking: ...... 118.: improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. weer -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . Recorded copy of Agricultural Acknowledgment Statement ......... 2 . Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. . Deliver w/inspector. a Other + Applicant Dates 7—� Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date t Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). \-Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner„ was advised of above required data by—phone—mall ounter by—date I Plans checked by ' Date Fans approved by _Date 4T Sets of plans on';hold ins File cabinet AP folder Copy—DPW t 0 11 TO Building Department FROM:: Environmental`he lth SUBJECT: Sanitation Clearance aA _33. own'".Location AP# Plan Approved for: Sewage Disposal Water Supply"L Fold final for: ' Water Supply Final clearance O.K. for: Water Supply Clearance. for bedroo mobile ome.. other R'et"r to DPW AGRICULTURAL STATEMENT bF ACKNOWLEL`GEMENT FOR RESIDENTIAL DEVELOPMENT Sec On 26-8.1 of the Butte County Code teq " es this acknowledgement be recorded # prior to issuance of a building permit. 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- veniences or discomfort arising from the 81-012f}�a2. 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. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort .from normal, necessary farm operat-ions. Butte County has established agri.cul- agricultural purposes, and residents prepared to accept such inconvenience d� ea property situate in the County of Butte, State of California, described as 'V folloiws : S'P: ^F A TTA C, H - ID Date: State of CA ) SS. County of �G7-0_) Present A.P. No. 1n -iii.s the undersigned Notary el'-- Date: '% PROPERTY OWNERS: day of 195_L, before me, the Public, personally appeared /S 1. 2 1--2- % Gc1.'4 /— E/'-) - r 910, i GO'q L- k r P' Personally known to me. El Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) --Z'S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN KTPiE-S 6vHEREOF, I hereunto set my hand and official _ nccrrrer cc w, otary/Pub7.ir_ P W UC•CAUFORMA SACRAMENTO COUNTY Comm. Expires Sept. 5, 199 DESCRIPTION 90-44918 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: 7 IAT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. 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 DACK COURT AND DACK WAY, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, =1 j -1 -NE 7, 1985, IN BOOK AND 37. 100 OF MAPS, AT PAGE (S) 36 EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL TTI• A 60 FOOT WIDE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. &'M.: THENCE SOUTH 63 DEG. 15' 23" EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEG. 30' 26", AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 64 DEG. 14' 11" EAST, 249.28 FEET TO THE CENTER OF A 50 FOOT RADIUS CUL—DE—SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. STATE OF OILrFC MTA County of Syne ) as. On tads � dry of OLID 4�.r - 19�� , before we, the undersigned a Mary lic 111 and for the State Of CALIFORNIA duly commissioned and sworn, personally appeared MERRY T. RUNG. JR. Personally known to me 70ofltt�mas�c7mc>n".J�xSmbrsAs.ACcertlsfaeWtle:= IWA49mele to be the individual described in and who executed the foregoing instrument for Him self and as attorney in fact of 93MMIA A_ RUur.F also therein described, and acknowledged to me that he signed and seated the same as HIS voluntary act and deed and as the free and voluntary act and deed of the said r , for the uses and purposes therein mentioned, and on oath stated that fflat au zing the execution of this instrument has not been is now living. WITNESS my to ffixed the day and year in t�icertificate above written. Is certifcate ao■ow a■wasaaaar■aai D,'11=L F.},Ufff e Signature % . _ - .. , n:1,A r f his area for official r+otailattsaat�wrawarwrawroaaaat•�� END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A94E35 RCEL NUMB R ZONING BUILDING PERMIT OWNER'' ��....�� !!''W O 1/A TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS GJq?G S F w 5 lJo CONA ACTOR' NAME L A NE �� p /�gtJ CONTRACTOR'S MAILING ADDnRESS -3d % a L O U Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $� LENDER'S MAILING ADDRESS P-_,71;. c, $ ARCHITECT OR L. .ItJEEQ LICENSE rIO. Plan ChezVang Fee $ ID Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ IR BUILDING ADDRESS r CI ' Permit fee $ PLUMBING PERMIT Filing Fee 16.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N_O. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mob ilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ftV I 10.00ea m TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 61 OR 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ , a (Sete owner, 0 4)r, am exclusively contracting with liceA'sed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. eLOGs. ) , /z¢sea NEW CONST R. BRANCH NON•R ESID BRANCH CIRC ITS 2,50 ea ' ___-_- /POWER APPARATUS e (POWER OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES 20®SOt eALO 30t FIXED APPLNS EX. Occup. OUTLETS (RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Iess. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTALFEE $ '7c;2, HAZ. CUA PARK SCHL FLD cOF PAR PD j HD ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. r WNITC-D.P.W.. YELLOW-ASeC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Y 1 so 9�0 r 9191 / _ 00,0"zt etQ) (` his set.of plans and specificatio s MUST be j N k t on the job at all times and itis nlawful tc V x ke any changes or alterations on me with- Q� (� o t written permission from the Depa ment of Cb 00 Q I V P blic Works, County of Butte. 0 4r`to �� , • ft. the- A setback of 5 ft , F property lines and asetback ofco 5� 50 ft. from the road ".� 9, centerline shall be clear, of - 6 fh structures or equipment except e N fora 2 ft. eave overhang; Mh� % OO Z-;nom of AL- Pr) LL V C)0) Czr � O NOTE-,All Materials & Workmans� Shall Be i in �BUTTE COUNTY I Accordance with Recognized G004 Pr ctices and of a quality .prescribed for the Specifie use in the BBI ..lNia DEPARTMENT . Uniform Building, Plumbing & Mechbnical Codes and ' iFhe National Electrical Code. { . . V E D 00199P - 9010/0 • - \ -. � X64'151 - Z�'9L9 f� . r RESIDENTIAL,, L. Walker;;,,,; 297 Dack�`Way, Oroville s.t (deck &ephs/MH) X { t. tiTZ e . K� 0 • I� JOB FINALE k a Signature ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ti's 1 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation C 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection - 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -- ------------- -------------- 19. Shower Pan; Test, First Floor -Tub Access -------- 20. Test -Tub & Shower. Second Floor -Tub Access -------------- ----------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------- -------------------- -- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. -Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors - --------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------- ------------------------- ----------------------------- - 25. Romex Installed Close to Edge of_Studs & C.J. 26. Equip. Ground made 'up w/Mech Fastners-Bond Gas & Water --- ------- ----------------------------------------- -------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------------------- 28. Subteed Wire Size i r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- ------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - - -- ------------------------ - ----- -- - ------------------------- 33. Smoke Detector --- --------- ------------------------- --- ----------------------------------- --- Date Card _B- 1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except a's 34. A.C. Ducts Insulation & Support -- -- ---- -------------------- ----------------------------------- 35. Vent Fan: Exhaust above insulation ------------ ------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------- ---- --- ----..... ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------- ---- --- -- ----------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors -------- --------------------------------------------- --------------------------- ------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- --- -- 41. Bearing Walls over - Girders- -& -Floor Nailing ------------------ ---- --- -------------------- 42. Draft Stop in Walls (rat proof) ---------------- --- ___ ___ ------------ ----- ---------- ----- -------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub - - ------------ ------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 -------------------- Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- -- ---------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -------------- ---- ----------------- 64. Bedroom Exiting ------------------------ -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels - - ----- -- --- --- -- --- 67. Stairs & Rails _ 68. Fireplace or Stove Clearances -Hearth ----- ---- -------------------------- 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 Gara a -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ..------------------------- ------------ 75. Fib- Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ - ---78.-Guard-Rails & Deck Construction -Post Caps - -- ------------------ 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------------- 81. Stucco: Brown -Finish ------------ 82' ------------------------- - 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. - ----- 89. Gas Test -Meters Tagged: Gas -Electric - - - ----------------------------- --- - '--- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------..------------------------- ------ ---- - -- De Card B-1 Date Card B-1 ---at------------------------------------------------ -------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O=Not OK NotReaable= dyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except V's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9.Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 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. x Date Inspector REV 11/81 � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1*69 Humboldt 33ad, Chico, CA - (916) 891-2751 .1 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE �a OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. x Date Inspector REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI NO. g z� T , ASI ASSESSOR PARCEL NUMBER 027-330-008 ZON .NG a 1 BUILDING PERMIT OWNER Lowery Walker TELEPHONE 533-8173 SQ. FT. OCC. BUILDING VALUATION 500.00 OWNER'S MAILING ADDRESS 297 Dack Way, Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 297 Dack Way, Oroville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I WH @ 15.00 TYPE OF WORKI New ❑ Addition ❑X Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Completion of Deck & Stairs RE: B.P. #91-1989 I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A To 1000AI 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/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP-8\ 3.60 sq.ft. OR ADDNS. \ ACC. BLOGS. // NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCI, IITS @ 5.00 APPARATUS &1 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESL. 760 FIXED APLN Ex. Occup. OUTLETS PRESID.)REA.) ( 3.00 Temporary service 15.00 . Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W.,C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g rHood 6.50 Ventilation permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against $aid County in c nsequence of the granting of this permit. y / X C��-�r � Date %—,/ to - r� ❑ ❑ Signature of Applicant — Owner � Contractor Agent 1 i n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 30.00 HAz 1 OFEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE i This permit is hereby issued under the applicable provi- work of the Butte County Code and/or resoluti®ns to do work indicat ab ve f hich fees have been paid. 1 T F PUBLIC WORKS BY Date 5;'-/7 9 PERMIT EXPIRES Date 7_93 —� Receipt No. 123263 1 WNITE•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I/ • r ��'+� ��V t,. P. ¢:��.. ram �,. .��Yy"Y^,1 i1"c� Y�'��.'S`16 ��I(Y..exl "f `�'tit�,y0 .-`""u� �.rT,.,�.f�7T..c M�L�4'�!u!"''axl.ky'��1T.:w�R.(iT' �,:./.w�.+- � -.. _ . - ` COUNTY OF BUTTE - APARTMENTS OF PUBLIC WO A'ta=. BUILDING DIVISION �]/� Y7 COUNTY CENTER DR.[ OROVILLEo0' rLIF`0RNIA 95965 - TELEPHONE (916) 538-754 ,6 PERmi,T, APPLICATION DATA SHEET OWNER lr O IA(c 1r` `. a � I'i� r��P o. Proposed Building Use vVt 1© Yl Building Inspector exz Date At time f t application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent,,for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ............ 10. Fees of $ . .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... Pre -Inspection req.uest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner--) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ' r Acreage Applicant `�'"�- Date ;l. 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. Il. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT A550ESso�PA RCEL NUMBEI0©� Z I- ._• BUILDING PERMIT OWN ^ f^ TELEPHONES SO. FT. OCC. BUILDING VALUATION O WNL'S AI LI ADDR 55 O'1' I.tia Cir (2 C0 TRACTOR-5NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C O,,NN TT CTION LENDER V1 UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee g $ 15.00 Permit Fee $ 0 AR CyI�ECT ,OR ENGINEER WARCC�tH`IITECT LICENSE NO. Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee - $ - Penalty $ BUILrDIy�G /1�DDR ES /yAV/ (- ;� Q - - Permit fee $ Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[p Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G W 015.00 TYPE OF WORK New ❑ - Addition 1v Remodel ❑ Utilities ❑Installation❑ Other ❑ Describe wo �19�V1 C_ _ 4 �t ° r — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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 F -1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUP.01) oR ADDNS. l ACC. BLDGS. I 3.66sq.ft. NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 6d 20 7FIXED EX. Occup. OUTLETS (RESID )KEA.) I 3.00 Temporary service 1 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 FiIingFee 15.00 Heating Cooling 9 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHAwork permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30 HAz DFEES IMP FLOOD CDF PARCEL PD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 5a6By WNITC-O.P.W.. YELLOW-A33C330R. PINK•I 3PECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE Department -of -Public Works 7 County Center DrVe`,'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) 1aw-e_ 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 Licens.e 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 j Z6, G% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our.office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT,ION._,AND PERMIT PERMIT NO. 1989— 1 s `. A .� ASSESSOR PARCEL NUMBER 27-33-08 ZONING " _ BUILDING PERMIT OWNER Lower Walker TELEPHONE — SO. FT. OCC. BUILDING VALUATION 192 0 1,344 OWNER'SMAILING ADDRESS 297 Dack Wa Oroville est 200 CONTRACTOR• S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,544 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 26.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 51.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeRR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I WO.00ea TYPE OF WORK New ❑ Addition [h Remodel ❑ Utilities [:1Installation ❑ Other [I Describe work: deck & stairs _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.01 , New eONSTR.� A ULTBI.OUTLET .50 ea NON•R E.BRANCH CIRC ITS 2.50 ea /POWER APPARATUS .&) I SINGLE OUTLET CIR. Ex. Occu 20@50t Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS ED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, nd expenses which may in any way accrue against County in consequenc of the gr nting of this permit. � _ / I �/ Date Signature of Appli nt — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE E $ 51.50 HAz. CUA- PARK scHL FLD PAR PD I� Is0 This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R OF PUBLIC WORKS By Date//fr' PE IT EXPIRES Date (s Receipt No. 94143 WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k ti COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE4CALIFORNIA 95965 -TELEPHONE: 916/538-7541 '4e.apc.. ^arsaK3 PERMIT APPLICAT,),ON DATA SHEET Permit No. OWNER �� i.� � L� ( A Ll ESL ay A. P. o. Z�_ 3 3 —00 Proposed Building Use ��iC�K )2Building Inspector nate-6�7 7 y r requiremen At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and talcs, with wet signature on plans .. 5. Hazardous Material Form..: ....................................... 6. Energy Design Compliance and supporting documentation ......... j 7. Statement of Intent for Non -Heated and AC Buildings .............. ,rte 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13.Sch�-U istrict fees paid .............. —!'1114. Sanitation approval from Health Department `. 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see Cit fo oth or t s) 17. Planning approval for (A) Use:_(P), Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit fop above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mail counter by .date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by 40 Date (��29�91 Plans approved by & Date L22/1 Copy—DPW Sets of plans on hold in File cabinet AP folder TO FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance _ Dw Owner Location AP# Plan Approved for: Hold final for: Sewage Disposal _ Water Supply Water Supply Final clearance O.R. for: 4 ater Supply oa a �.ell Clearance for bedroom mobile home. Other NOTE Sanitarian D to ASSESSOR PI OWNER_ OWNS $ MA. CON nCTC CONTTR CONSTRUCT LENDER'S M ARCHITECT ARCHITECT BUILOING A' —62 LOT NO. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT :EL NUMBER ZONING -OO 1BUILDING PERMIT E [/ 'S. E3 j3E SO. FT. OCC. BUILDING VALUATI"ON J L (� NG AODRESS 00, I 5N M TELEPHONE S MAILING AOORESS A INE ER INEER'S MAILING AOORESS UBOIVISION NAME UNKNOWN PARCEL M USE OF STRUCTURE SF [IDuplex ❑ Mobilehom T Other SPECIFY_ TYPE OF WORK New ❑ Addition, Remodel ❑ Utilities ❑ Installati9n❑ Ot Describe work: /� �\u�� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE ' I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building, sewer Mobile Home S G W S S s S Filing Fee 2.00 20.00 5:00 5.00 5.00 5.00 0.00 ea I -Permit Fee S. ,I Contractor ELECTRICAL PERMITFiling Fee io.00 Main service aoov OR LESS t00 AMP OR LESS 10.00 Main service EA. AOO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.4i OR AOONS. ACC, aLOGS. , hcsq ft NE.W—C.ONSTR ULTI.OUT LET uoN,rE°slD BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS 4 1 SINGLE OUTLET CIR. J / Ex. Occup\OUTLETS OR FIXTURES 209701 e AL9 30. Ex. Ddcup• pU LETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify tnat I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee S to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE O Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstTOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAL. CUA I PARK I tLML i FLO i COF I PAR I PO II HO. Issue against said County in consequence of the granting of this permit. X This permit is hereby issued under the applicable provl- Date sions or the Butte County Code and/or resolutions to do Signature of Applicant — O.vner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in heigFft. Receipt No. l By Date WMITC-C. r. W.. TELLCW-ASEES]o.. PI-I.SPtc7o.. Gal �evono.�Pe. ,,,,,_ PERMIT EYPIi7t=S r1Pr0 COUNTY OF BUTTE-'Depaftment 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner ,,,_-tj� 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 per- mitted to issue the permit. 91921 r.._ kD Pie o his set of plans"and specificati s MUST be N k t on the job at all times and it is, nlawful to ke any changes or alterations on me with- ,Q I V o t written permission from the Depa ment of 00 O QQ P blit Works, County of Butte. \� - A setback of 5 ft. from the property lines and a setback of F 50 ft. from the road centerline shall be clear•of 6 structures or equipment except ) nl for a•2 ft. eave overh4ng•AAu CO) &Z-A-2- O : AU-- L NOTEL--.-All Materials & Workmanship Shall Be in I Accordance with Recognized Coo pr BUTTE COUNTY of a qualify .prescribed for the Spp cfices and �• Uniform Builain' , Plumbing & Mechanicecif�a Codes and use in the auiL ..ONfi DEPARTMENT the National Electrical Code. A PROVED. • i �'G'99 - 8O'OIO �'6'l5l OC'9L9 e �/ -IL 7J�tJ1� PC,2C- LO,c?r"-+.J��<_ �oi %2i�bt. � %�c�rt� ' $T -AI IZS t, OK(C 14 s&prcC :.09wec) f09- & rX 12 [ 6k >I 1 tl614 ipfALLc � mo�+tE �. LAWDIN49 7c i -p .e ysc I 330A- 41 Ild j Top rail to be 36 in. high intermediate rails to be not I over9.. in. apart. 41 GfT`eI pppOCQ.�pL�im �pU/�IOE FO re- IIiZOI�c Cy 1710 G! Il f b. -7 yr��ltoF- rneNxFs j SEE Arrk co .: .. Miss. Run Plunt, to's to too. Igrg t & Smallest rtaWnm.. haAr Is 24 = 38" Aboue nosi►�s per 05c. 33040 1 Shy Demi L Ai7)s�ct-keo iVo fig; SRo' •v ST /�/a F:%z •' 1UNNG ULPAR 'E G .APPROVED r� FiJ a' d 'a- clwY.�c�ak Ri,•; L jl Top rail to be 36 inti: high with d s..o.n a)C�• 16mrmediate rails to be w 1 over9 in. apart. 1. x ZT. ,�— p¢eUtoe 14`so Ft)CMOes o¢ CROS-S.l3R�Ce•v� PACE b y Y " IL << - , �-l4.4 I , - PT 1 fcoW Pans ,+y p• 1s/✓oJ �L�r2i�17171 -xH1101 1lya,2>S# -7/0S Q���'I21S10/Yi'> -D 7,3)h (o 22 Y; Yz �,2 87X7 u2 -�12� p2-C:5oZ/ o SI li 125 il.G/Yn 7I PA 5/y/Z/016 :5?Q1/9o''d 1,'YnlY 7 :V�W-51bl Y -751I I�✓.Z410 ez yam/ oa ?W//4 JMoo • 0�1 ��S�voJ i 6' TYF 4"x V He;" Ti PLYWOOD OC DT FRM � � - ELI F- 71 K -A ......... . L=J STAIR STRINGER. IVB*lo.r-. MAX. 'TDF \41EW H RUPk 7AIL NOT cl-18111M FOR EtAgIT"t 2"Y, to" DECKIM(a —7 AN f3DLT -!:'x MIN. f �/ . 2„x4.. � LJ MOBILE NOME OF, DELL MAX. 'MTL� L 4B" } Mt- CUP (EN. WE) N11) \ MAXI 4. 1. POST— 2 D F 3/? (260LTS M f•I, - ,►,�r��w�acl..% .,�F_, �... COUNTY OF BUT -.TE DEPARTMENT OF PUBLIC WORKS 7 Coun�ty,Ceritef Drive — Oroville, California 95965 Telephone: -518---7541 RESIDENTIAL 027-33-0-008 93-2963 BPE WALKER, Lowery & Virgie 253 Dack Way, Oroville c(util, MH) -a W. ,( OFFICE COPY P Address GAS Da Meter By is 1 ELECTRIC D Meter By y JOB"FINALED (Datq • '�gneturo i.F V 6 O = Not OK Not = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s Zon ng Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ,ewer; Location -Test -Fell -C/O Concrete a\ _A --'Water; Location -Test -Easement Needed (Sketch) j--victricity; Location-Clearences-Grnd-/ /Amp -Concrete es; Location Zest -Wrap: / /" L 1 7. W earence 8 Disconnect Utility -Clearance Date/Initials. MOBIL -HOME INSTALLATION Plana OK except #'a Zoning Requirements -Setbacks Easements ootin s;'Size-Spacing-Marriage Line _ 3 ; MH Test-Demand-Valve—Connector city; MH -rossovers-Breakers-Clearances j 5. t -Fell -Flex Connector Water; MH Test -Regulator -Connector ater and Sew•wConnacted-C/O to Grade -HD Approval . G trrci Tagged s ketch rt. of Occupa cy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Pians) OK except #'a 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 #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. 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 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 #'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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GF1 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 -Meth. 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 Walls (rat 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- Puri ln=roof Brac-Truss-Shthng.-Rfng 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. 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-Underfir. 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 #'s 61. Ext. Steps -Door & Sidelight Protection -Land Inge 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. 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 O 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 PERMIT N0. "' 3 7 Address or location of mobil home Owner's name : Owner's address Insignia or hud number, Manufacturer's name Serial numb of V.I.N. _ Year of manufacture'. c A pro ing -ns tallation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513E White - Owner, Yellow.-' Installer,Pjnk - D.P.W. COUNTY OF BUTTE,` DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ,3 R ZONING ' AssE V L / " VE 008 A-5 BUILDING PERMIT OWN WALKER TELEPHONE TE533 -8173 SQ. FT. OCC. BUILDING VAL ION oW"E(K^T{.t)IDtac`rcEWay, Oroviile 95966 CON Tea ss er River Homes TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 253 Dack Way, Oroville PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUB DIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome �X 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 O Addition ❑ Remodel ❑ Utilities ❑ Installation DX Other O Describe Work: MHT/93-2963 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS , ZOO. OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. OLDS. ) so• 3.5C FT. CONTRACTORS LICENSE LAW I decl a under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force �ect. License No.�� ,00 / 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET •NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0000 Ex. Occu FIXED.PPWS. OR p ( OUTLETSIRESID.)EA. 1 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): ��,3/'f 4p / Oa�c ❑ This permit is for $100.00 (valuation) or less. 4)"! 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. ❑ 1 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 -y PERMIT FEE $ Contractor t 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 Aen the bove mentioned property for inspection purposes. ree save, indemnify and keep harmless the County of Butte against all ents, costs, and exp nses which may in any way accrue against said c sequence a gr ti of this permit. Date I Ap li t - O te Contract' per is required for excavations over 5"0" deep and demolition orindicated on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 143.00 HA2. D. FEE IMP FPD CDF —' PARCEL Po — HD Iss This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTO ,�/ ORKS/ 7 By "1/ Date PERMIT EXPIRES ON 7 atel Receipt No. 153600 WHITE-D.D.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT . wt►^v,'l.ina,n�... -Y?`r" v COUNTYOF BUTTE-'DEPARTMENTOF DE-VFLOPMENT SERVICES - BUILDING DIVISION ' "�►� . 7 COUNTY CENTER DRIVE - OROVILLJ,�, CAtI9ORNIA 95965 - Tf ER�HONE (916) 538-75410.2 ` f PERMIT APPLICATION DATASHEET OWNER U •tw A. P. No. (A7-330-- Do8 Proposed Building Use Building Inspector Date )Z.j At time of permit application, I was advised the following data must be submitted prior to, permit processing and/or issuance: DATE RECENED 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 . ............. t* 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 (require'd prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10 Fees of $ . ........................................ 1. Impact fees as shown on attached schedule...............................IZ/V-� 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 P'��nsp�OnfeQU� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ........ :...... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone j�Q1- /%OR and hold for pickup atC�_(t4 office. Deliver with inspector. Other _ ./" Parcel Creation t / Acreage Applicant Date 1,2 i0( Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air P � Ilution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte _ Date Plans checked by Date Plans approved by Date �/-91 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 D �2 ..A. P. # Q27 -3300c6 PROPOSED BUILDING USE DA REC. # DATE' REC SCHOOL DISTRICT FEES (paid at District Office) ........................... SHERIFF FEES (paid at Building Department) Residential...... x =$ 3 Q �= unit amt. Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ —F—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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPM,iEN SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone 538-7541 �3—� PERMIT APPLICATION -AND PERMIT G�' ASSESSOR PARCEL NUMBER 027-330-008 ZONING A-5 P BUILDING PERMIT OWNER TELEPHONE Lowery & Vir ie Walker 533-8173 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 297 Dack Way, Oroville 95966 CONTRACTOR'S NAME TELEPHONE Unknown CONTRACTORS MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS _ Filing Fee Permit Fee $ 1KIK $ 23.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 293 Dark Way, Orovillp Each Trap 7.00 - Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Mobile Home S G W 31 @20.00 60.00 TYPE OF WORK PERMIT FEE $ 80.00 yy yy New ❑ Addition ❑ Remodel O Utilities t�" Installation 1:1Other C1 Contractor Describe Work: MHU (3 Bedroom) ELECTRICAL PERMIT Filing Fee 20.00 ^ A_rL�. 1 Q n G �" /J (�(� /` /� G , ` Main Service , BOOV OR LESS I 200A OR LESS 23.00 23.00 Main Service ' 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I 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 Was the owner, or my employees with wages as their sole compensation, will do NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWERAPPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 620 @ 1.00 Ex. Occup.FIXED APPS. OR (OW UTLETS IRESID.I EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 the work, and the structure is not intended or offered for sale. (Sec 7044) J6 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code Misc. Wiring 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ 63.00 Contractor I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a MECHANICAL PERMIT Filing Fee 20.00 Heating Certificate of Consent to Self -insure. Xf I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Cooling Hood 6.50 Ventilation 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 I certify that I have read this application and state that the above information is correct. Mobile Home Installation Fee $ 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 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all HAZ. D. FEES IMP CD PARCEL PD H ISSUE liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. J.F100D '— This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X� "- Date �� " �� Signature of Applicant - Qr9wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date��� Z Receipt No. 148644 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON � lDatel ia;i._.+Yv1F_dA� .�4A��i'�`�'- is ik: <`}`,: - - :�-�..��.r.r...,,..•rr�..��'=� �''7��''YYf��j�j�i .�►�Ir. I � + �I COUNTYOF BUTTE - DEPARTMENTO DELaPMENTSERVICES -BUILDING DIVISION ' 7COUNTYCENTERDRIVE - OROVILL; CALI'bRN195965 TELEFHOf�E (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER -- L 4 64,) ,e r A. P..I,Io. b 27- 33o -o¢ Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. . RC2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ...... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1p. Fees of $ 11. Impact fees as shown on attached schedule . ............ / 12. California Department of Forestry plan approval/fees .,Mood elevation letter (100 year floodl by Cadifornia Engineer ................... 4. Sanitation and plot plan approval Health Department. 17 1 City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 7. Planning approval for (A) Use:Ao 4/d R(B) Parking: . ........ ?, ' !Contact Land Development abou (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. .. .. . 1,4nspedion r6gde�s Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. C rtificate of Workmans Compensation Insurance . .......................... 2vOOwner-Builder Verification (Given to owner , Mail to owner _) ."-........ . 4. Recorded copy of Agricultural Acknowledgement Statement. .................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... -~ 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. I.,000" Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. s'"� Other I Parcel Creation Acreage Applicant 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 1. Index,permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, ow -"r, was advised of above required data by _ phone_mai Counter by _ Date /-�cl�� approved �L t! Plans checked by Date Plans a rovedyDat b �Uj.,t, Sets of plans Copy 2 Department of Public Works �3 n K. •.. �• I'I�d I'liut Alluchul Mfr^ � �� I'luirr flan Alutrh��J __, __ r tell, W , TO: Building Department FROM: Enviroil mental Health SUBJECT: Sanitation Clearance Locums W a27 bacfw4 �-35 --� Owner Location AP# Plan Approved for: Scx'age Disposal �"later Supply: I'blicI----u Private Well Clearance for bedroom mobile home. Otllcf" Hold final for: Final clearance O.K. for: NOTE: I ' Environmexn 8/92 Ith Specialist uiz'/ A� t ate COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND ,PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ^ Z%S ZONING n �� BUILDING PERMIT OWNER'S MAILING DRESS SQ. FT. OCC. BUILDING VALUATION _,�- ,,.,,;, ivo .--.• C � �_� _ / TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 2 Permit Fee $ ARCHITECT OR ENGINEER uCENSE NO. Plan Checking Fee 8 c Energy Plan Checking Fee $ ARCHITECT OR INEER'S MAILING ESS Penalty $ BUILDING ORESP - ^ U /'�/ PERMIT FJEE .2:? s 0 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S -@20.00 TYPE OF WORK New ❑ Addition O Remodel E)Utilities Installation ❑ Other ❑ Describe Work: PERMIT FEE $ (� Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 800VORL' ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLDS. ) 3.50 gpFT.- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 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 ❑ 1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ K.00 BAL. Ex. Occup' (OPLFIXED APNS. OR UTLETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0, 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. 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. ❑ 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 $ 36 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 enteK 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 aWccrue against s d County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and dem lition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' occ CONST. TYPE TOTAL FEE $ r HAZ- O. FEES IMP FLOOD COF PARCEL PO HD 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON /Dere! Receipt No. WHITE-D.D.S. B.D. ANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT -NOTE; .—.All. Materials. &_Workmanship Shall Be in Accordance with Recognized Good Practices and This set of plans and spe ' ons MUST be of a quality prescribed for the Specified use in the kept on the job at all ' and i! is unlawful t Uniform Building, Plumbin & Mechanical Codes and the National Electrical Code_ 0 nY_Ch _ e�_or-alteraktioason ;e withvat---- -� — - permission from the Department of Public ` County of Butte. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAN OF ALL EASEMENTS. IFT. FROM Sl E-AND -- ---The ed MFire Safe �o FT. FROM THE REAR PRO F_ " i"NsS AND 't8equirements must be compfetsd _ — - - — specified and ap Lei Pw�[— ----- - TkEEr .X NTEA;tLINESMAE=L l��—.. — ----- CLEAR OF 'STRU=JRI=B AND EQUIPMENT EXCEt�� � ''• coo el, FORA 2 FT. JEWOV.ERHANG. Rte _iJ � T �c BUTTE COUNTY . ; BUILDING DEPARTMENT Al ._ Environmental Health glass AUG -.0-9--199-3------ . -- Oroville, California Butte County Envi onmental Health _�- --- �ate Signa re ------ .......... REVIFWED BY DUTiE CO. FIRE.DEPT. i I CAW:. DEPT. of FOR, ' IP approved a� submifted I appii wrath conditions lm per Attached sheet 1 I I j gnalure t Dao 00 00I I / �i gTR 'CTUFiE .AND U ING EQUtf'MENT' ,Ct Rv^iS. O HANGS SHA L BE C�EAR `F ALL i ®F r o !FT. F Oaf (fti� . '%►Ei f83�iD I k AES a� AN FTI. FRO��i THE RNr'-AP. RT`( Lid• a ; F F1t7tJiITHE R AD GET'EI`"L+Ih?E'S 'AL i �EAf t Ofd s�RiJeiURE� AE�EDU1F'h1�NT ZDEE'� OR A kf T. EAV� OVERHANG- I ; (Z I i j i i I i AES a� AN FTI. FRO��i THE RNr'-AP. RT`( Lid• a ; F F1t7tJiITHE R AD GET'EI`"L+Ih?E'S 'AL i �EAf t Ofd s�RiJeiURE� AE�EDU1F'h1�NT ZDEE'� OR A kf T. EAV� OVERHANG- I ; (Z I i j i i Y CDF FIRE SAFE REQUIREMENTS a� -3 3-3 93 _2963 AP # PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of -.this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. l 1272.00 v� Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access. to- conventional drive vehicles, includ- ing sedans and fir_z:.apparatus weighing up to 40,000 pounds.' 1273.03 Grade. Not 'to.exc.eed-'16::*percent unless paved. 1273.04 Driveway Radius-.- 1. adius:1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and -additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ ] 2. The length of vertical curves in roadways exclusive of gutters,.ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ ] 1273.05 Turnarounds. If reg,.,ired, will have a minimum turning radius ,of 40 feet from center of the road. [ ] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 \. feet long with a minimum 25 foot taper on each end. [�] 1270:10 Width. All driveways shall provide.a minimum 10 foot 111 traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 7-33-08 AP # PERMIT # NAME K]-•1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than \ the roadway it serves. ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic.on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance. --a 50 foot. turning radius shall be used. Fuel Modification 11M 1276.01 Setback for Struc-tare: Defensible Space. 1276.02 1. All parcels 1 acre and larger shall provide a mini- mum -30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2.. For parcels less than l acre, local jurisdiction, shall provide for the same practical effect. See Other Requirements below. Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels. caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. J Page 2 of 3 f AP # PERMIT # NAM Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is less Than 15 Feet Choose any 3 of the following: - Metal doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall'area'toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials q-zp-�3 Date Signature 1. -Owner's Name: 2. Installer's Name: r:�p' .. Vii► A BUTTE COUNTY DEPARTMENT OF PUBLIC WO KS ' 7 County Center Drive, Oroville, CA a PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET (/ei2 • / C d /K .��s 3. Is the site currently under permit? + Yes �. No U (If yes, furnish permit number yc�> � ((!L'� ) OR Is the site an existing site? Yes' No G (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-1 (If no, clarify 5. What is the mobilehome electrical rating? --------=------ / 0 C Amps �D� 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating?.----- / O Amps 8. Is there any other -electric load to be served.by the -------------------------- ------ Yes � No EA mobilehome site service. (If yes, identify -the .load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? - - - - - - - - - - - - -= (in.) 10, is the'type service? ------------------- Natural LPG, ..What of gas 11. What is the gas pipe length from meter or tank to the mobilehome?-------------=------------------------------- (ft.) * 12. What is the mobilehome gas demand?.---------------------- (BTU) *(This information not required if pipe length less than 6 ft n�p./�� natural gas or less.than 50 ft. on LPG.) //+��qqA`O i BU. VVU NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT] fla l=M EPA N A-PPROVED i OBILEHOME SUPPORT DATA f If other than single wide, Mobilehome Mfr.j-/--- furnish Setup Model No. L �� J7� Year 11 Width_ (ft.) Box Length `T(/ (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. El 2. Other (specify) SUPPORTS (check one) 1. Concrete block. F12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ ' Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ----------------- Spacing -Max- ,- „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers' Size-Min.------------ -----------Spacing-Max- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min - -------------- Location ------------Location (From Front) Line '4 Piers: Size -Min.------------ 'k Spacing -Max.--------- From Ends -Max.------- „ Line 5 Roof Loads: Size -Min .------------ Location From Front) •%' �yt� � �. i}re. LY.f • a r A •:,4 •- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „ Spacing -Max.--------------- From Ends -Max .------------- x30„ a[�„x� „x „x „x . -x 1 l ( Line 5 Piers;. (Under Bearing Walls Only Size -Min ------------------- Spacing -Max.--------------- From Ends -Max .------------- L r=, — s, rl i=s ra 1 1� f _0 � wF'E'A T HE P � R I ~E F H �1 i•1 E-:- M' .. ., v.. .: u._i uu�J I ,I` i +-P�_-. tJ ,n.; Ly.: . a. -.t t r`' : � _SCS i fl 71:7 -; r J T .JYh {� %1c�� 4',s�1' .,� � / < • -r ' ,�`,Y'i) �T '�! l..L• F - . ._. .. - .. .. _ . _ _..-....1, 0r,1✓' '� At .t`1 . '►'t4 -t �'a-. .��. _- :'may ..,,..rt _, .,. •.�.� .:{..� .- -- ._. .. � ,-y y 1'„. i jJ . � ... +r• i w M.at.+ ., w•�.... � war+- � �... .. v i s-•✓ rJ?':�'� tib”' y �� ir yj f - 1 • { y F i l lf'.i�.ri y'(°t at-1,..� 4;i1 si a t.,1•, ,*'.i '', _ •.�1,JJ�•�•''. -- ,f �.a t;�•�'J +rGl'� �...a •t;il t a pp } l r LF Cl I a' i i r LL- —I -"- a m 01 r" • BUTTE COUNTY SCHOOLSAMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 4�g 7-330 - 009 Jurisdiction Property Owner Property Location/Address City P -Mr County Subdivison Lot No. Residential Development 0 �, No. of Living MHI Addition Units 'Commercial/Industrial Re resentative �t New Sq. Footage C) C7 (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) i / 93 .y .,, rw........, p Date _ (Floor Plans reviewed by SchPool District Personnel) District Identification No. 1,29 Of 0 U /L_ G �2lnet7R School District certifies that 0 GcJe r 4:1 /q )12 _ (Applicant) r S3 )D a GC_ GUG c � (Street Address) T (Phone Number) i t o L); l l cec gS9G (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing /%U square feet. School District Representative Paid by Check Number Bank Number Paid by Cash /e) Date Remarks: 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) feeformmkf (4/92) D27-330-008 1VALKER, LOWERY, 01-0540 53 DACK WY OROVILLE {;.ONT: HAROLD BALOZ .SPLIT ELEC SERVICE I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONAr 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. ,Rev.12/96) APPLICATION AND PERMIT M" Qyn ASSESSOR PARCEL NUMBER _11&rv)Q ZONING BUILDING PERMIT OWNER ' i:WMXER TELEPHONE 533-81 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG'ADDRESS 297 DACK i'1Y OROVILLE CA 95966 CONTRACTOR'S NAME IMOLD BAIAZ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4 A . R F, q Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ',0 Describe Work: SPLIT ELEC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home_J S I G I W 1 1@20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2oov OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, or my employees with wages as their sole compensation, VI , 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 of one hundred dollars ($100) or less.) I certify that In the performance of the work for which this permit is issued, I shall � not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. X .r%t A ate Signature of Applicant Owner ❑ Contractor 13 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 WP.200A CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.5QF.: pgalp, ' MUL 1 CIR UTITS @7.50 INµ POWAPPARATUS 8 SINGERLE OUTLET CIR. Ex. Occup. OUTLET OR FIXRES iD �'DD TU DAL .SO '5.00 Ex. Occup. OFIX S P ORS Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S X3.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST_ TYPE TOTAL FEE S HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE Y This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions icated for indicate bove which fees have been By Date f PERMIT EXPIRES ON/ � �7 provisions to do work paid. D hq ReceiptNo. 11 c;WJ /41 +M WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev.12/96) APPLICATION AND PERMIT o I" o ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER LOWERY WALKER533-8173 TELIWHE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS 020VILLE, CA 95966 CONTRACTORS CTNAME� HAROL TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 'BUILDING ADDRESS 291 DACK WV 01ROVILLE, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)IP Describe Work: SPLIT ELEC SERVICE Gas piping system 1 - 5 outlets 15.00 —Building sewer 15.00 Mobile Home S G W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA 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, will do the work, and the structure is not intended or offered for sale. k1I, 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 �./of one hundred dollars ($100) or less.) I1V I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those pr visions. �LDate�1 n ture of Applic nt - Owner ❑ Contractor ❑ Agent An OSHA permit is r quired for excavations over 5'0" deep and demolition or construction,Oof structures over 3 stories in height. Main Service 4 TO 46.00so E0 OOU000A NEW CONST. DWEwNo occuP. 3.5QF°: OR ( cDNS. MU TcoLErrroiS. NON-=., 97.50 POWER APPARATUS 8 SINGLE OLlfLET CIR. 20 g .00 Ex. OCCU . OUTLET OR FIXTURES BAS ®I.50 Ex. Occu . ovnE p� D,oF, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEU: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsT.TYPE TOTAL FEE $ HAz. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicateLDOV6 r which fees have been By�% ate. PERMIT EXPIRES ON provisions to do work paid. Q to ReceiptNo.�1��� WHITE-D.D.S.-B.D. C NARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0: F� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. P".12%6) APPLICATION AND PERMIT C) O �DNMO 'BUILDING PERMIT W,,.e 7 SO. FT. OCC. BUILDING VALUATION Dense -� N..s oounwcrw� ranaoa aoorsas TaMwna oo��w�cTlou uxrool UDWO s UN.&A eooasa —Fireplace Total Valuation = AACWMCT an ta,owcat ucoeL MO —Filina Foe i 20.00 Mcxrccr OR 04Nmis SAU4 4DOM& Permit Fee t Plan Checkina Fee i SULDMA°okss c 1� Energy Plan Checking Fee S S PERMIT FEE S uorao` susorvenrnwuc. '"R0a _' i USEOFSTRUCTURE SF O Duplex O Mobilehome Other .vec� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each' aas water heater or vent 15.00 TYPE OF WORK New D Addition O Remodel O UtiliUees O InaZalatbn O Other J Describe Work: ( ,Q ILA—, _ Gas piping tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WT— (&20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20M o0R Las 23.00 3. *PERMIT FEE PAID SRA ' ' SHERIFF OTHER $ AMOUNT RECEIVED *RECEIPT NUMBER � v * TO BE PVT INTO COMPUTER Main Service 200A To 1006n 46.00 CO►6 . OWQJ.Rq OCCVP. 3.598 Olt ��• a .oc. el�a. nonars�o. MUITFOVrxlT @7.50 POWER NPMATIA EX. Occup. ovnu oil nffuRO 20 I.Oo aw .2e _ EX. OCCU ovnFrs ESLO.1 [A 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ acc CONST. TMrc TOTAL FEE KAZ o.�a W� �o Oo, PMC6 Po put This permit Is hereby issued under the applicable pnrilsions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Id nl NOTES RESIDENTIAL '1027-330-008 —` 01-0539 WALKER, LOWERY 299 DACK WY OROVILLE �CONT:UNK MH INSTAL TEMP 2ND DWELLING i t ► r i, r SPECIAL CONDITIONS t + SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER LlOFFICE COPY ' Address GAS I Meter By .,Dal 1-01 ELECTRI Meter By Date r JOB FINALED (Date) Signature CHECKED BY = OK ` 0 = Not OK 2. = Not Applicable MOBILE HOMES = Not Ready Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 6. 2. Soils; Special MH Support Sketch 7. 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. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HgME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements ootjwK-, Size-Spacinq-Marriaqe Line . 4!Electric' y; MH Test -Crossovers -Breakers -Clearances rain; UblJest- Fall- Flex Connector YWater and Sewer Connected -C/O to Grade -HD Aooroval .9!Tie Downs -Type -Installation Cert. v xit sp.-Sketch Cert. of Occupancy 1 nse Decal 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- Beams- 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. PoolStructure; 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'Eq'uip.-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 r ,I S ./ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except q's 1. Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except ft's 17. Water Htr.; Vent-Access-Combustion Air Battle 18. Water Pipe; Test & Anchor-Nail Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection 20. Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except ft's 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except If's Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 1 nfiltration- Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except H's 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address 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: IlLy OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541. PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT I(V oisw ASSESSOR PARCEL NUMBER v�.'7 - :33 0 - 0 2 ZONING A5 BUILDING PERMIT OWNER. XQ LOWERY WALKER TELEPHONE 533-8173 SO. FT. OCC. BUILDING VALUATION ADDRESIk 297 Dack Way Oroville CA 5966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 2 0.0 0 —FlingFee Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 299 Dark Way, Droville, CA q5966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43 ,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13) Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Cf Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI Temp second dwelling Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z'o'os oa '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier TG Main Service TO 46. NEW CONST. DWELEE DWOCCUPCU. OR ADDNS. ( a ACC. BUDS. so SO 3.50FT, = RESIN ' MULTI.OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occu ourLEr OR FaTUREs BA0 p 1:00 Ex. Occup. ounFOTs RAPP D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation k�f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the% workers' compensation provisions of sec ion 3700 of the Labor Code, I shall forthwith comply with those pr isions. — -1 — o f ate SignIature of Applic t - wner ❑ Contractor 13 Agent An OSHA permit is ?614uired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FE IMP r FLOOD CD� t/ PARCjEL �/ H ISSUE This permit is hereby Issued under of the Butte County Code and/or in ' t ab a for hich fees have �Date/ PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date ata Receipt No. 315020/143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 G'ounty'Center Drive a Oroville. California 95965 • Telephone (530) 538-7541 PERMIT NO. Rev.t2ly8l APPLICATION AND PERMIT ~•�%� / — 3 �8 -- 4 �01iN0 BUILDING PERMIT i °""M"'� $� SO. FT. OCC. BUILDING VALUATION owras � ooNrMcto Mr! aonnucroae MRM aoasse Ta.snoMa o0►4nxacnW uvoot u000rs MOM aoosese Fireplace Total Valuation = Olt�'Me "O Filina Fee i 20.00 Mcpon= Ow QgNm17 MUM ACORM Permit Fee 8 Plan Checking Fee i s+no.a aooacas Energy Plan Checking Fee t i LWN` e » AAC • � PERMIT FEE S 3o m PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobilehome 1�Other Water piping 15.00 TYPE OF WORK Each as water heater or vent 15.00 Gas piping wetern t - 5 outlets 15.00 New O Addition 0 Remodel O Wales O Installation 0 Olher O Building sewer 15.00 Describe Work: Mobile Home I S I G I W I (P20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service s'ooi o0ni 23.00 Main Service 20"70 9~ 1 48.00 cow . owEui+o occur. 3.Stia CM *oohs. a roc. erns. NOwNOiO. MUITI-0YTIIT 07.50 POYMOI JWAMT{Je EX. Occup. ovnrr on ►xnn+O SAL 0 .f0 oMsAMNS 04,1 Ex. Occup.. 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 1 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 *PERMIT FEE PAID % V Heating SRA ' ' Coolin SHERIFF Hood 6.50 Wntilatlon OTHER $ PERMIT FEI: S Mobile Home Installation Fee is Enefgy Inspection Fee i �Oct � ��.. ��` TOTAL FEES AMOUNT RECEIVED �_ : W I FLMo I coot rm;" puc This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work *RECEIPT NUMBERIndicated above for which fees have been paid. * TO BE PUT INTO COM(Mkt�� By Date PERMIT EXPIRES ON r.� i�.ia i��'d Y:��V �•a'.i;�e�_.s�.s�i"�•a�'�h..a_+h:�.�i���y::ti1'�2� �. _��'' ti:�. C+"oS'��;,.a. �.`:iYr►�i�i�lri'�`'�. _F 4..f• Vii. :��.,. aJ�._+:�rctwri7c ::� 1 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:u)ZAO!?ASSESSOR PAR ER: Proposed Building Use:Building Inspector: Date: --� At time of permit application, I was da vised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. items have been submitted.------------------------------- t plans, 3/4 sets, signed by the preparer of plans. ------ �❑❑❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6' Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑azardous Material Form. --------------------------------------------------------------------------------- AKManufactured Home data and installation instructions including Tie Down Specifications.--------- 1E'r❑ 10. Fees of $ ---------------------------------------------------------------------------- O•Impact fees as shown on the attached schedule. ------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.----------------------------------------------- ❑13 -. Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval O r 0 Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. -lot plan and business license appr val from the City of Biggs. ---------------------- 7. Planning approval for (A) Use: ng:❑ 18. Contact Land Development about ❑ Improvemen!�arki ,Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---. 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification) - ----------------------------- 0 22. Workers' Compensation carrier and policy number. --------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 'Let of intent on building use. ---- ------- . Manufactured Home utility clearance. ---- 28. Existing violations and/or expired permits. ❑ � 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- --C30. Other: ------- WTelWhnyou issue the ermitrocess as follows ElMail to owner, ❑Mail to contractor. ephone G'F> 17 � and hold for pickup a19 office. ❑Deliver with insp tor. Appli t ate: Copy of Haz-Mat form sent ❑ Health Department, 11 Fire Department, ❑ A"PollutionDate: By:. Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: _ 2. Additional items required (Date) r •� ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone,-❑ mail, ❑ B ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet,W.P. folder. Note transfer by: Date: Yellow Copy - Department of Development S ices, Building Division. TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E. U_ 11 SE ONLY Not Pian Attached Root Plan Attached 1 Sent to B.D. ? _! Lowel,�I C�A���2 �� ��ct� �3 �Q —u% Owner Location AP# Plan Approved for: Sewage Disposa� Water Super: Public Priv7ate Well Clearance for dwelling. Other L IYV2� • LIEWI 02P -ALU Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 ialist Date ,. s.r rwF:cr. ..Sv -r. .//.i-r_.,R„m• •q—rr A..'P .wz ... —r . _ ;;...:fr.. S`. • r r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ne form per Building) School District 1 �✓" c Building Department No. A.P. Number aJurisdiction: City County Property Owner 1�u�a IV . LX_4 kQile- Prop" Location/Address Subdivision Department CX -L__,, t ( ) t► v v IN -1 .............................................................................................................. r Sq. Footage rsio .. Supplemental to Conversion Permit # *(No foundation inspection): :................................................................................................................... Sq. Footage �S Plans reviewed by School District Personnel) District Identification No. S iO Ocea��School District certifies that (Street Address) ICity) has complied with the requirements of Resolution No. representing 'No U square feet. School District Representative (State) (Including Exterior -Roofed Areas) Date (Applicant) (Phone Number) JZip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date 3-7-a/ Paid by Check # Remarks:,► 4'Cl'C(lti ZZ �,__ e�1akill-en ..eri r4.a.._.-._.,- J' 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) I feeform.xis (10/98)dmm Residential Development No of Living Mobile Home Units Installation Commercial lndustriil__ '� A New Addition ff 1 A Department CX -L__,, t ( ) t► v v IN -1 .............................................................................................................. r Sq. Footage rsio .. Supplemental to Conversion Permit # *(No foundation inspection): :................................................................................................................... Sq. Footage �S Plans reviewed by School District Personnel) District Identification No. S iO Ocea��School District certifies that (Street Address) ICity) has complied with the requirements of Resolution No. representing 'No U square feet. School District Representative (State) (Including Exterior -Roofed Areas) Date (Applicant) (Phone Number) JZip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date 3-7-a/ Paid by Check # Remarks:,► 4'Cl'C(lti ZZ �,__ e�1akill-en ..eri r4.a.._.-._.,- J' 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) I feeform.xis (10/98)dmm COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ CHOOL DISTRICT FEES (paid at District Office) aZe%3HERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. _x - Sq. ft., Amt. 5. RECREATION DISTRICT FEES 6.. THERMALITO DRAINAGE DISTRICT FEES' $510.00 (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 A.P. # 0 CZ^u-(J DATE "y RECEIPT # DATE REC. 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 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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. 6/00) 19 f; COUNTY OF BUTTE xj. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f. 117 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 41 SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due: ........................................... $ --Revised Plan Checking Fee ................................. $ SCHOOL DISTRICT FEES (paid at District Office) 04?'�3-SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. • 4. URBAN•AREA FEES Residential ............................ -x = $ # Units Amt. Commercial (Sq. ft.) ............. X—=$ Sq. ft. Amt. 5.. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT. FEES 4$510.00 (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 A.P. # DATE � --ff RECEIPT # DATE REC. 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 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 _ (Re . 6/00) ',fir '.t ytJ- • E' M COUNTY OF BUTTE w DEPARTMENT OF DEVELOPMENT SERVICES,- BUILDING DIVISION ,7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES..DUE•' k.. , OWNEW A Z_ f A. P. # 0 r; / PROPOSED BUILDING USE ._ �fI DATE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional -Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 0��_ SCHOOL DISTRICT FEES (paid at District Office) 4-2'3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial(sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. —x—=$ Sq. ft. Amt. 5., RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00.(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) RECEIPT # DATE REC. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) '10. OTHER 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 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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. 6/00)• 3AIC PAU 27 -330 - Oo g' coun!y LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • . OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 T � et 13 e V' Cl �-J -Q �t in p e I"0/0 iG c O 3 a� �(�' � , o" vbL 17 secovJ JWe �((t Uhl, s' /L aS �t c v /rlu �r / 1 1 ` NOTES RESIDENTIAL r2927-330-08 01-0435ALKER, LOWERY?DACK WY OROVILLE INT: HAROLD BALOZ MHU TEMP 2ND DWELLING SPECIAL CONDITIONS CHECKED �t BY 7` SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Date - Me ' ter By EECTRIC D --CEJ Meter By -�- t r If /� JOB FINALED (Date) Signature f V=OK Card B-1 Date Card B-1 0 T Not OK 1. = Not Applicable MOBILE HOMES = Not Ready 3. Date MOBI�ME UTILITIES (Plans) OK except #'s 1. Zo Reouirements-Setbacks-Easements 2!S , Special MH Support Sketch Sew , ocation-Test-Fall-C/O-Concrete a ocation-Test-Easement Needed (Sketch) lectricity; Location-Clearances-Grnd- p -Concrete 6. Gas; Location -Test -Wrap; /.*1lr/" L'ft. or/ /"L"tt.MPLPG ell learance & Disconnect tility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r I MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fring.; 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 B. 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 it. Light Niche Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r' 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address 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: '�`. _ _ ,�""`^�M`�ri ,, a.y��„�✓Ll.,,,�•Kir..rwA,t+,,,..._._„�.-..,,-�.�,�'`I'1s MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, -CA 95965 — PHONE (530) 538-7541 APN: - gym. _ . i . _ - — • , `PERMIT NO.:.. Owner's Name: OwnersAddress: Mobil6o6e Manufacturer: / Year of, Manufacture: K?P/5;V Serial Number or V.I.N.: (�A )�:r Insignia or HUD Number: 9 0 � Official,approving installatiomv' ate: If the mobilehome is moved or t'elocated, the mobilelome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor �— r 4 ri MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE °' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE ' OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: _ PERMIT Owner's Name: Owner'tss Address: Mobilehome Manufacturer: Year of,Manufaacture: Apz Serial Number or V.I.N.: (' 4 r l T 1-74 l q .; <-2_ LJ I?J Insignia or HUD Number: /� _? (i 0 401 Official approving installation: �- ,K� � /1A.�,'C ... Date: r - 1 `� - 3-o/ If the mobilehome is moved or located, -the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is insfalled on a foundation system. -� 513B white-Ovnher, Yellow installer, Pink -Bldg, Gold -A sessor r t ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-330-008 ZONING A-5 BUILDING PERMIT OMR RY WAlKIM 533H 8173 SO. FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 297 DACK WAY OROVILLE CA 95966 CONTRACTOR'S NAME HAROLD BAL42 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILOINGADDRESS 299 DACK WAY OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities It Installation ❑ Other ❑ Describe Work: MM2ND DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (a?20.00 PERMIT FEE $0:; ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zoEOOV OROA 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, ill do the work, and the structure is not intended or offered for sale. /c I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWEWNO OCCUP. DWE200ALLING OR ( S. 3.5QF°: cONS. MUAiTCou�TL No RESID. @7.50 POWER APPARATUS 8 SINGLE OtlfLET CIR. EX. OCCU . OUTLET OR FOMRES BAL O I 0 Ex. Occup. DuT rs EsMED M.D� A 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with thse provisi ns. . � ,4 Date s) '-0 / D g ature of Ap llca Owner Contractor ❑ Agent rAnOSHAperr�L i is require for excavations over 5'0"deep and demolition or construction/W over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. . — I D IMP FLOOD CD PAR H SS This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have Q (/ �fstructures By ,. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D e ? 3161 � �^�v o efe Receipt No. t73 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville. California 95965 • Telephone (530) 538-7541 PERMIT NO. t�,r,y96I APPLICATION AND PERMIT mseaonrwloayKomm aD1"p BUILDING PERMIT ------------- -"1,Qw59 ./1 i/I o-"1,0W591/ 3 / SO. FT. OCC. BUILDING VALUATION oowrValolTe WAN TnsMONe coon irW is ratwa Q0,41wicTm u000a Fireplace uvmOM WAtno A000=2 Total Valuation = Mcmff=on comm umal No. FiUna Fee = $0 Permit Fee = ,,lc�r>DCT all Q,o�,a 12 MAL04 AooNese Plan Checkin Fee E s+aaaoKse Energy Plan Checking Fee = S PERMIT FEE _ 1pT N0. euaolvr N111� hYlCri MAP PLUMBING PERMIT Filing Fso 20.00 Each Trap 7.00 USEO STRUCTURE SF a Duplex O Mobilehome Other sra�r Solar or heat um water heater 23.00 Water piping 15.001/' Each gas water heater or vent 15.00 TYPE OF WORK IJaw O Addition Q Ramodal 0 Utibtlos O InsWatlon O Other O Describe Work: e e Gas tin tem 1 - 5 outlets 15.00 Building sewer 15.00 Moble Hom® S G FWT7 020.00 ao PERMIT FEE S ELECTRICAL PERMIT Film Fee 20.00 Main Service =a Z, 23.00 3 ° C', *PERMIT FEE PAI[ � � SRA - SHERIFF ` OTHER $ $ g d AMOUNT RECEIVED $ S �zJ *RECEIPT NUMBER w? * TO BE PUT INTO COMPUTER Main Service 2044 To 1000 ) 48.00 MW co.a . owELLM occup- oll4oaNa. a ACC. Wt. R. IgN•llaro. ' 11uL7:011:1ET �o I.50 ro+vol �lr►rul�TUA a 00 Ex. Occup. OvT'•!T on WTUNE9 awe 1: Ex. Occup. o myFrors 010. a Temporary Service 23.00 Moble Home Faclities 20.00 Mix. Wiring 23.00 _ PERMIT FEE S l' MECHANICAL PERMIT Filing Fee 20.00.j Healing CoolingHoo_ a.so VenUlayon Vent ._.... _ PERMIT FEE ! Moble Home Installation Fee = —� Energy Inspection Fee i °C` `AN`T' T.PC TOTAL FEB $ KZ1 a. no wo. `°' This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions tz, do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON -- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET 22 22 OWNER � ASSESSOR PARC ER: � " JV ©"� �r Proposed Building Use: Building Inspector: Date: 42 ittO At time of permit application, I was advised the following data must be ubmed prior to permit processing and/or issuance: Date Received By ,All items have been submitted------------------------------------------------------------------t -------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ V. Impact fees as shown on the attached sc 2. California Department of Forestry plan �❑ 3 . El elevation �certificate.------------------------------------------- tation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: 41E (B) Parking: - ❑ 18. Contact Land Development about ElImprovements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). --- 022. Workers' Compensation carrier and policy number. -------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----- 024. Letter of signature authorization. ------------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------------- 26. er of intent on building use. ---------------- - 7. Manufactured Home utility clearance. ---------- 028. Existing violations and/or expir ermits.------- ❑29. El 29. A, El Grant Deed, C3M.H. itle, ❑ Check ❑ 3 0. Other: When°u issue b -Telephone and hold for pickup office. ❑ (Date) -,06 ,0 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution / Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: P 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, *p.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Rev. 12/96) COUNTY ,OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING DIVISION 7 County Center Drive a Oroville. California 95M • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ..1% �saaaoa.s►-ra+r� n�'�_ �� �/`� (��` BUILDING PERMIT a> I _ �✓'v T�"a SO. FT. OCC. BUILDING VALUATION � X111 ppNnlKTOa7 1aun0 Amen OoNsTm 1mumet EFirace Lb oom WLPA Acorn ss Total Valuation = AAcr+r[cT OR 0404MucrJ+c[ N0 —FirmaFee = 20.00 Permit Fee A�cJ�rseT OR Ds MEMS MMJNQ Aoor02e n Plan Checking Fee S WLamAmms _1Energy C� Plan CheckingFee $ S PERMIT FEE _ �T"a sU°°'""DMi"A� MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOF8TRUCTURE SF O Duplex O Mobilehome Other Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O AddNon 0 Remodel O; UG -dee 0 Inslalatlon Other O Describe Work: Gas piping systern 1 -5 outlets 15.00 Building sewer 15.00 Moble Home S G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fiang Fee 20.00 Main Service zoeOYs. °0n =s 23.00 ' . *PERMIT FEE PAID � SRA " ' $ SHERIFF S OTHER $ AMOUNT RECEIVED *RECEIPT NUMBER * TO BE PVT INTO COMPUTER Main Service 20" To 1~ 46.00 Oft AD". ' ° a Ate' e. elD°�i. •. 3/�Sc FT. M7KAOi0. ===@7.50 POYrf11 AMAJNT\e L EX. Occup. ovrL&T om ncruna SAL a rJ' 0 Ex. Occup. mgm a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ Heating PERMIT Fling Fee 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home installation Fee i r Energy Inspection Fee i occ COPAT. TTst TOTAL FEE $ 443 Ca KAZ 1 a no "' 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. By Date PERMIT EXPIRES ON Department of Development Services Building Division 7'County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Residential Construction Requirements ; IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes of alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with -recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C.), 1998 California Plumbing Code (1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.), and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS INDICATED BELOW ` El Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, HVAC equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation'Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation'requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened, or covered with other devices that will permit automatic entry and exit of floodwater. ® Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure.. ' ❑ The following parcel map requirements shall be met: ' ®' All structures and equipment including overhangs shall be clear of all easements. A setback of 30' from the side and 30' from the rear.property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ® Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect.' 13UTTE COUNTY BUILDING DEPARTMEN? BILE OPV , • Page -1 of 1 APPROVE p Owners Name: Walker • Building Permit Number: 01-0435 Plans Examiner: Glenn Gibbons 2 N APPROV W E AF DeMelopment I n DATE S _ ' V,- �3 F. USE PERMITVAR MMW U.P.*dM � ADM.PER .IG PLANNING COM ...DIRECTOR OF . . DEVELOPMENTS CES r r .. _ o; o JDao; t _ xv - � � — O RES ...� ��� E�f�6�'„v,�G�. .�� 1�6��5• ° -o ` p���E�i�Q�OS SHA -� � Z AL D c .\I� 4',�"� CF A 7 ,, A CEP I ~ Lowe, Q/ F��R :� 2 Ff. EAVZ A9.7 D -46k D 1i •� �,C1.( _ APPROVE Butte Coun Environmental �. BUILDING DOARTMENT `,R .:1 FlUiE * COPY �•,� �,D) ... 3 3a - i� D Si n C . ZOAuG � n _�nz. ��n .�--,i ; �y �.veLill,o BUILDING DOARTMENT `,R .:1 FlUiE * COPY r CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements -are minimums and will be superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by, the Butte County Building Department for compliance. 0(] 1272.00 Maintenance of,Defensible Space. To ensure continued ,1 maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273-.02 _S.u-r-face...,Al,l_dr-ive.way_ surface s-and-s.truc.t.ures_ (bridges_,.-. 1273.07 culverts and other app.rteaant structures which supple- ment the roadway bed cr shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet.to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 \/ feet. [](] 1273.05 Turnarounds. If required, will have a minimum turning \ radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum.of 10 feet wide and 30' feet long with.a minimum 25 foot taper on.each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. BUTTE COUNTY Page 1 of 3-, BUILDING DEPARTME APPRQI ED AP # PERMIT # AME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [u] 1273.10 Turnaround. A turnaround shall be provided at all // building sites on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates [� 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3 . Where -a-.one---wa-y- road-.-w>i-t:h--.a--•sing.-l.e--.,t.r-a-f-.:f-i.c-la.ne— provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre ai,d larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�(] 1276.02 Disposal of Vegetation and Fuels. Disposal, including �v chipping, burying, burning or removal to a landfill site approved by.the local jurisdiction, of flammable vegetation and fuels caused by site development and .construction., road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit. BU $at ` j, w. Sul � �t i> [,,age • TV nOLDIN; ' �� by ,� mom M` ' F '•. 4 U r F f AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: —Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet. Choose any.3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not -to exceed 10k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry - -MasonrY:'.. veneer-- ..,..., Metal Other Butte County. Fire Department approved materials Date Signature Page 3 of 3 BUTTE COUNT BUILDING DEPARTh APPROVED A.P. # D7 ` 33 -I)P- OWNER PERMIT # 19 MH UTIL. CLEARANCE DATE L(- Z - INSPECTOR /L ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER' PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH Z- 3 �f 3� NOTES RESIDENTIAL (027-330-008 �03-1304 �. PERMIT NO. I WALKER, NORMAN_ 299 DACK WAY, OROVILLE ` Cont: BLUE HAVEN POOLS POOL -MASTER #517-97 { - 1 1 - SPECIAL CONDITIONS — SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. —SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r; r ',JOB FINALED Signature CHECKED BY J=OK 0 = Not OK . = NotReadyakle 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 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. / P Nat. or/ /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements. 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected. 8. Gas and Electricity, Tagged 9. Exits 10. License Decals 11.Verify #'s with Office Date Card B-1 Date Card B-1 Date Card.B-1 Dater Card B-1 ,MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements,- asements .2. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- 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 POW (Plans) OK except #'s S tbacks-Easements . Soils Compaction -Structure Stability ( of 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- Panel boards -Ins. to.Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Siding -Nailing Veneer 16. Insulation 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Brace Interior/Exterior Wall Panels 17. Water Htr.; Vent -Access -Combustion Air Baffle 62. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Infiltration -Walls -Windows 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 66. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Bedroom Exiting 26. Size Boxes & No. of Conductors Stapled 68. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Trim & Subpanel, Breaker Sizes & Labels 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 70. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Fireplace or Stove, Clearance -Hearth 32. Service -Riser Conductors & Ground Main Disconnect 72. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 35. Smoke Detector 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 37. Vent Fan, Exhaust above insulation 78. 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Elec. Receptacles in Garage (F.F.I.)-Romex Protection 40. 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 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing Following Instid./Drive 0 Yes 0 No/Walks Cl Yes 0 No/Planters Cl Yes 0 No 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instid./Drive 0 Yes 0 No/Walks Cl Yes 0 No/Planters Cl Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 538-7541 ig P MIT NO (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER WAT TELEPHONE SO, Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADD ESS 90q DACK L ,000 CONTRACTOR'S NAME RT.1 IF, TIJAVFN Pom s TELEPHONE 9— 1899-8445 CONTRACTORS MAILING ADDRESS CONTRACTOW 275 FAIRCHILD STE-4100A MIC0 CA (5973 - CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 299 DACK WAY, ()JRM7JJ_J_E Energy Plan Checking Fee $ $ PERMIT FEE $ 295-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL -MASTER 4017-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ao0v OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professions Code, and my license is in full force and effect. --�7 ® License Class Lic. No. 1 ' 4 q O WNER-BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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' co nsepon ins ce carrier and policy number are: g p P y Carrier ��C� �QL-(`rej,p_,,.—+ Main .Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC, BLDS. SO 3.5¢FT; NEW CONST. MULTI -OUTLET NONµAESID. C @7.50 POWER APPARATUS 8 SINGLE OURET CIR. EX. OCCU OUTLET OR FUTURES BAL @':50 Ex. Occup. FUCED APPLNs. OR ouTLETs RESID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number I Z. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation ovisions of section 3700 of the Labor Code, I shall forthwith co ly w' h os ovision X Date 5 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hepht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 160- QO HAZ D FEES IMP _ D CIF PARC PD D rs U 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. By Date IF PERMIT EXPIRES ON 112-10!y tDale Receipt No. .3 &3 7 360,�b WHITE-D.D.S.-B.D. CANARY S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT { COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �! �t ASSESSOR PARCEL NUMBER -7 — Proposed Building Use: PQ 0: Counter Technician:C—\1:00 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order,to apply. 5-1. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. -Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .___ „w Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 18 ❑ 19 ❑ 20 ❑ 21 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................ Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent. by: ...................... Planning approval for (A) Use: o� (B)Parking: . (C) Parcel Check: S _ lb— 0-1 :Vz Contact Land Development about.. ❑ Improvements, ❑ Drainage .............................. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D ❑ 31. Other: When issued Telephone VC and hold for�pickup. I have been informed of t ab ve e s nd requi ments for obtaining a buildin perm'>i. ,Applicant: Date: s r •:I .. Index permit application for the above items numbered: Piy1 a 5 !g D ( Plan Check Letter 2.3A al items required Contrac r, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by �j Date: _ G Contractor, designer, owner, was advised of the abov data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: R,�j _ Date: Plans approved by: p61 Date: S Structural reviewed by: Date: I Structural approved by: Date: Note transfer by: z Date: _ A Yellow: Buildine Division E.H. USE ONLY Piot Plan Attached . Flow Plan Attached lSent to TO: Building Department FROM: Environmental. Health 'SUBJECT: Sanitation Clearance O ner Location AP# Plan Approved for: Sewage Disposa Water Supply: Public Private Weli� Clearance for dwelling. Other 7;� Hold final for: Final clearance O.K. for: NOTE: (Yi �,4 03 Environmental Health Specialist Date 8/96 TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE CAVY Piot Plan Attached a Root Plan Attached Sant to B.O.;6-- -� 1453 Cts (� , Own4r Locati n AP# .Plan Approved for: Sewage Disposals ) Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: - r Final clearance O.K. for: NOTE: Awks- Environmental Health Specialist Date 8/96 GG � s NL Z CD OD, c GG � s RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 r� rr _ Fi ►� rr Recorded I Official Records I Countyy of I But I CANDACE J. GRUBBS I County Clerk-Recorderl 1 i 012:01FIN 01 -Aug -M I REC FEE 10.00 CONFORMED COPY LH LV Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed,to give constructive notice as to its contents to all persons thereafter dealing with the real property. LOWERY N. AND VIRGIE WALKER REAL PROPERTY OWNERILESSOR IZ*l: • . •rl MAILING ADDRESS PALERMO BUTTE CA • 95968 CITY COUNTY STATE ZIP 297 DACK WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT . PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP • 06-1767 530 538-7541 BUILDING PERMIT VO.TELEPHONE NUMBER CC IWAAh -31-OCA SIG TURF OF LOCAL A CY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST HOMES 1991 BD661K4 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMF/NUMBER GW6CALBD8857A/B/C 66'X 287 28'X 14' RAD587624/5/6 SERIAL NUM BER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) ' f p REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 027-330-000 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. DESCRIPTION r 90-44918 ALL, THAT CERTAIN REAL .PROPERTY SITUATE IX THE STATE OF CALIFORNIA, COUNTY OF BU'T'TE, DESCRIBED AS FOLLOWS: LOT 8., AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OPO HILLS RANCH ;.SUBDIVISION", WHICH MAP WAS RFCORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 10C OF MAPS, AT PAGE(S)•36 AND 37: RESERVING THEREFROM A NUt;-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON.SAID MAP. PARCEL .II. A NON-T.XCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DACK COURT AND DACK WAY, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, l:N BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. 1 EXCEPTING THEKEFROM'ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. A 60 FOOT WIDE EASEMENT FOR ROAL` AND PU)SLIC UTILITY PURPOSES, ON, OVER, AND UNDER.A STRIP OF LAND, THE CENTERLINE OF WHICH iS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT" THE NORTHWEST CORNER OF SECTION 23,' T_)WNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE SOUTH 63 DEG. 15' 23" . EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE... NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE.OF 52 DEG. 30' 26", AN ARC LENGTH OF 137.4G FEET; THENCE NORTH 64 DEG. 14' 11" EAST, ?49.28 FEET TO THE CENTER OF A 50 FOOT RADIUS ;CUL-DE-SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. " EXCEPTING THEREFROM ALL THAT PORTION.LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. STATE OF CALIFORNIA ) County of BUTTE )88 On this %i7f day of �tTB 13tl - , 19x40 , before tre, the undersigned, a Notary Public in and for the State of CALIFORNIA . duly COiinliggi0"ed and SMOLTI, per, ..Onally appeared HENRY T. RUNCE. JR. me W Persona l I known to s�xr rte:x r �tocS�asdx Af` �sfiisfaGrAarY: Ryj4Cxrcl1 to be the individ.al described in and who Executed the foregoing instrument for HI H self and as attorney in fact of CYH'tHt� A aNNr.F also therein described, arm acknowledged to Ere that -a, signed and sealed etre same as lits voluntary act and deed and as the free and voluntary act and de --d of the said CYNTHIA A. RUNCE , for the rises and Purposes therein mentioned, and on oath stated that power to au izing the execution of this insttime: t has not been re that i , is now living. VlITNFSS my d off la s 1 to affixed the day and year in i a g o afa ithit a a a to a s to a r a a a a a above written.® �• �.r n. a D^.,1121. F.:.,v.,T to Signature (This area for official notAIIiar�asili#ararRanaaanoa.agaCYp END OF DOCUMENT (-127-330-008 06-1767/ WALKER, LOWERY ur ^.RE^ '297 DACK WY, OROVILLE ,.� `' NOTES `Cont: SIERRA MHS MH PERM FND (NEW) RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit: i I i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE _DATE JOB FINA M: ll SIGNATURE .=OK ' o = Not OK MANUFACTURED HOMES MISCELLANEOUS- DATE ERMANENT FOUNDATION Lj SOFT -SET •_DATE ID E C K S•C 0 V E R S'C A R P O RT S •G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-0pthSpacing-0nnctmSteel. ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Decks, Girders/Joists-0cking-Brcing 3 Sewer;'Loctn-Test; FaIVC/O-Concrete r Stairs-DuardlHandrails 4 Wtr, Loctn Test -Easement Needed -Regulator • 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. 5 Elec Loctn-Clrncs-Grad Amp -Concrete' 6 Yard Gas; Loctn Test -Wrap HatE:] or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-0nnctnsSplice-Decal-Encisrs 7 Blckng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr - 7 Electric r 8 Frmo; Sills-Anchrs-Studs-Rats Trusses 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs 9"Siding; Nailing -Veneer -Stu -co -Lath 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr& Sewer Connected-C!O to Grade 10 Roof, Shthg-Roofing _ 12 and Elect ricity Tagged ` 11 Ext; Steps -Doors -L 1S Downs O Foundation 12 Braced Wall pnls .' 4 Exits 15 C rt of Occupancy is a3 tea' v� �� Labellinsignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements it 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thicknessoot-A - - Dead Men -Lining Z 4 Elec Rcptcls/Lting; Distance -GR _ '_. 5 Elec Pool Lting;1S volts-GFI �� dA vTa 6 EIec.Eticlsrs; Conduit Entries -Terminals -1 fisted oa • 7 Elec Bonding; Metal w15-Crdtng Egp-Htr • 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxess-Enclsrs-pnlboardsansultn to Main Conduit ..,... 9 Health Dept APPS 10'Pimb; Cir Test Wtr Supply Test f 11 Lt Niche , 12 Encisr, Fencing -Alarms s' 13 Bonding, Diving board or Slide 0 qp d�� 0 = Not OK RESIDENTIAL (Sin UAlt JUNOERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalis 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 f: 11 Wtr Pipe; Test-Anchrs-RgitrService Test �. 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-materialSupportansultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & VnUtn 16 Insulation 41 DATE jFrRAMING ' 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders,& flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Fiirreb CeilingsStairs-Chasers-Tubs 22 Headers 8 BearitsSz &'Bearing' 23 Hangers-Posf'Caps-Anchrs-Citnctns ' 24 Ceiling Joist46Ties-Purlin-Roof Brac-TrussShthg € ` 25 Frplc Ties or Type A FIue=FrPlc Throat Clmc i. 26 Attic Acc; Sz &'RrnX PUctn-Draft Stop -Ins Baffles F. 27 Bdrm Wndws or~Fziting DoorsSill Ht & Dimensions 28 Garage Fire Prtchi Framing -RC Chatlnei 29 Prprty Line Firewall & Opng. ' . Y 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4-anding-Fire Prtctn 32 Piywd on Roof Ovrhng-Attic Vnts4ft Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Are PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insuttn-Walls-Ceilings 39 Infiltration -Walls -W ndws i. F: 4 0 ` DATE JELECTRICAL `• 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs 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 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz oa [:ICU or QAL i AC Sz Wire w EjCU or 0 AL 48 Range Circ w Q Cil or ❑AL Oven Circ 'm ❑ W or F1 AL Insulated Neutral EJ Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnts-Motors-Mech Eqp 4 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector i ,. s 40 e & Duplex) UAit PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr_Nail Prfctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tubi & Shwr, 2nd flr - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 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 Acc & Pithin if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI!& Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insults -Foam -looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler `• BUTTE COUNTY 0 �%3 T r 0 DEPARTMENT, OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT 0 0 24 HOUR INSPECTION 9: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) 00 � = o OFFICE M (536) 538-7541 LICENSED CONTRACTORS 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 : License Number. Dale: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following 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 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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.). PERMIT NO. BPO61767 Issued Date: 07/27/2006 APN: 027-330-008-000 Site Address: 297.DACK WAY PRO Map Index: Description: EX MH ON PERM FND Owner: WALKER LOWERY N & VIRGIE P O BOX 296 PALERMO, CA 95968-0296 Applicant: SIERRA MOBILE SERVICE BILL REID 466 CIRCLE DRIVE OROVILLE, CA 95966 530=534-0599 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: SIERRA MOBILE SERVICE and Professions Code. The Contractors' State License, Law does. not apply to an owner of property who builds or Improves therepn„ BILL REID and who contracts for such projects with a contractor(s) licensed' ' 466 CIRCLE DRIVE pursuant to the Contractors' State License Law.). OROVILLE, CA 95966 O 1 am Exempt underArticle 3 of the Business and Professions Code 530-534-0599 Date: owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 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 M ❑ 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 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.) Name: Architect:. Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 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. a Date: PERMIT EXPIRES Address: I (Date) ❑ 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. ❑ 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 slate 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 Inspection purposes. Print Name: t Signature: Dale: 0 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor t' 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. G&- / 7(, r7 03M7W7 LICENSED CONTRACTORS 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 Issued Date: 07/27/2006 APN: 027-330-008-000 the Business and Professions Code, and my license is in full force and effect. y %O 3 g License Class : License Number. Site Address: 253 DACK WAY PAL Date: % a I vG Contractor: K-a--� Map Index: Description: EX MH ON PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following 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 Owner: WALKER LOWERY N & VIRGIE to its issuance, also requires the applicant for such permit to file a P O BOX 296 signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section PALERMO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95968-0296 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 applicant to a civil penalty of not more than five hundred dollars ($500).): O 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 Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does BILL REID such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion, the owner -builder will have the burden of 530-534-0599 proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner. License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Architect: is issued. El have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrierannd. policy number are: Carrier: Tu-" Total Square Ft: 0 S. F. Policy#: /ZS 7 Valuation: $0.00 Census Code: 13I 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. 7/-Z 1 r - Date: 1�C> Applicant: ICd� 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 This permit is hereby issued under a applicable provisions of the Butte Count' Code and/or I hereby affirm that there is a construction lending agency for the Res tions do work Indicate b e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L-1 h Name: By: Date: / (P Address: PERMIT EXPIRES ON: D7 ❑ 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 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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 atter 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 inspection purposes. E fl Print Name: Signature: Date: 0 Owner ontractor 13 Agent for Owner 13 Agent for Contractor Xi2' Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie. Down Engineering 8� BOTTE COUNTY BUILDING DIVI.sgn- K; Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOMO FOUNDATION SYSTEM UALTH AND SAFETY CODE, SECTION 18331 APPROVED SUBISCT TO CORRECTIONS NOTED AMOVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF JWPIXABLE STATE LAWS AND REGULATIONS SAN of California OVWU NW Of RominS and Ca umadq -PP-21W# OF CDQP AND STANDARDS 4, 30336 TIF Xi2 Foundation System Installation Instructions for California for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of_Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5".- 99.5" * Except single sections 95'° minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. . • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no,more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (200 - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.®� �jG ;�, * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed toweath�ri g shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating.... Page 2 of 8TIE DOWN ENGINEERING - 5901 Wheaton Drive Atlanta GA, 3033eiJo 0 0 Installation of.Xi2 Ground Systems 1. Identify the number of systems to be used on, the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Fieure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J -Bolt Nut &Washer 1-3/4 Tube. � Lateral Struts 1-1/2° Tube Tek Screws Figure 1 Fndf N o°►re U -Bolt & mounting Bracket 1 1 -Beam Strut (flag end) Figure 2 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. S r1 Y-• 2.. Xi2 Ground Parts Detail . X2 Ground a a� g ' System Xi2 Ground Lateral System ' Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts)..' -�: . Y ' •'\tri gBt6A�' i-14 isi' ..�.'.i Longitudinal Hardware Kitt uv, Part Number 59331 $ - � Includes: 2 I-beam brackets & ;w 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination--- L-ongitudinal5trut. Part Number 59333\� Includes: 5' Strut, Pad, Longitudinal Strut _........... Hardware Kit (#59329), Lateral and Longitudinal Hardware ®� Kit with all nuts and bolts'. ®® .� c c Struts for Longitudinal Systems Part Strut ' Pier Height ® ® o n it in ��jj oil! Grou d Long udI a No. Length Up To: Strut 59330-44 44" . 4 Blocks or 32" Ground Longitudinal 59330-65 65" 6 Blocks or'48 Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 W. Systems 0 -62' 3 Xi2 Systems" 63'- 80', 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems T 5 2. Page 4 of 8 �o m 0 LO 0 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems,to be used.on the home using the chart provided. 2.. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors..n I provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showingon to of bolt. Using a hammer, to the wedge bolts into hole through p 9 p g bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5.. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over laq the top of the I-beam with the nut & washer provided. (Figum.f next page) r 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of b.lock/pier. 9. Insert strut in frame bracket clamp and attach with nut &bolt. Attach opposite en ete brae rrt..�� 10. Pull the frame bracket clamp with fastened strut outward to remove any slac�t 11. Tighten all nuts and bolts on system. &7TS 1t - z. c r Page 5 of 8 TIE: DOWN,` ENGINEERING Xi2 Lateral Concrete Systems Part #59307 p :u: Includes: 5' Strut, Bracket, &Hardware Kit #59315-1 with all nuts and bolt. g r xx�r t Longitudinal Struts for. ^� %x "Concrete Systems" Part No. Length Pier Heightuf, #59013 44" up to 4 Blocks ' F #59015 - -65 - up to 6 Blocks-- Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, gd0 bolts and washers) Lateral and Longitudinal Combination Part #59332 Longitudinal Includes: 5' Strut, Longitudinal Strut (#59364), strut Lateral and Longitudinal Hardware. Kit with all nuts and bolts. Xi2 Concrete e„iGa-ew. ` Nut &'WaSher o�'J'l e Figure 1 Beam Clamp �nd Of r' tJ ,7 Bracket J -Bolt Lone Xi2 Installation Placement •Beam M ee�e rn7XM> Concrete Longitudinal Hardware Kit rn7XM> Page 6 0 m nta GA 0 0 349-0401l l o 0 Offset Placement .j Diagrams represent examples of double and triple section offsets." Total size is determined by the . length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems (1`{-2. tflr/v5� Page 7 of 8 0 M 0 LD 0 1 I o 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1%2-13 x 2.63 x 2.19 thread Flat Washer 1/2" SS 4 10556 1-3/4 zinc 2 10646Y . 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1%2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-.12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 .10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13. x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w% Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam .Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2:63 x'2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y . Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange. 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc S 11y-2. Page 8 of 8 TIE I: 'DOWN; ENGINEERING ;f m 0 0 0 0 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PENT BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 ff�%OFFICE #: (530) 538-7541 A FEE WILL BE REQUIREDAT TIME OF APPLICATION **PLEASE PRINT CLEARLY** Name Address City State Phone Shy oS9 9 Fax E-mail Name Address City Phone E-mail APPLICANT NAME Name AddreTs— city �a State Phone 3 Fax S`c/ OSG6 E-mail A P01 Id- w �►r n►i.... �.. _ _ X Lor office use only: Zoning Flood Zone SRA Yes Occ. Type Const. Subdivision Name Map Book Page Lot 'tanner Date Approved: OVER FQR SIIBMITTAI RF�]i ilt7�nn�r`rT� LOCATION AP# 0.17 330 00� Property Address City ai 7 09ek LJAr pRpv.tcE Cross Street 5q—`�- �?o - I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 1 -Aug -2006 2006-0039309 • Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LOWERY N. AND VIRGIE WALKER REAL PROPERTY OWNER/LESSOR PO BOX 296 MAILING ADDRESS PALERMO ' BUTTE CA 95968 ' CITY COUNTY STATE ZIP 297 DACK WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE 'CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also Property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS " OROVILLE BUTTE CA . 95965 CITY COUNTY STATE ZIP 06-1767 530 538-7541 BUILDI;NGgP/E�R}M�IT VO. it TELEPHONE NUMBER/ \ SIGNATURE OF LOCAL A CY OFFICV+L DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO 1 GOLDEN WEST HOMES 1991 BD661K4 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALBD8857A/B/C 66'X 28'/ 28'X 14' RAD587624/5/6 SERIALNUMBER(S) LENGTH WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 027-330-008 SEE ATTACHED 90-44918 DESCRIPTION ALI, THAT CERTAIN REAL PROPERTY SITUATE 1*0 THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: gAR - I ' IAT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OPO HILLS RANCH 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 IOC OF MAPS, AT PAGE(S) 36 AND 37. RESERVING THEREFROM A NOK—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN .-)N.SAID MAP. PARCEL II• A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DACK COURT AND DACK WAY, AS SHOWN .ON THAT CERTAIN MAP ENTITLED, "ORO HILLS MICH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, 1'27 BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCET� ,III : ' A 60, FOOT WIDE EASEMENT FOR ROAL` AND PUULIC UTILITY PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH iS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, TjWNSHIP 18 NORTH, RANGE 4 EAST,. M.D. B. & M. ; THENCE SOUTH 63 DEG. 15' 23" EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEG. 30' 26", AN ARC LENGTH OF 137.46 FEET; THENCE NORTH 64 DEG. 14' 11" EAST, ?49.28 FEET TO THE CENTER OF A 50 FOOT RADIUS CUL—Dj-:—SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. SPATE OF CALIFVFJM t County Of BUTTE les. r10 before me, the On this%17>t day of ��TaAI4�— , 19_, undersigned, a notary Public in and for the State of CALIFORNIA duly commissioned and sworn, Per'Onally appeared HENRY T. RUNCE JR. , personally Yjwwn to me ��od, to be the individ,al described in and who executed the foregoing instrumnt for HtH self d as attorney in fact of YH HIA • Q�INGE — also therein danescribed, and acknowledged to me that he signed and sealed the same as eIs voluntary act and deed and as the free and voluntary act and deed of the for the uses and purposes therein mentioned, and said rYed t t ft ; the execution of this instnmle:lt on oaih stated that pohat �torM�S a/&Y#H A Q"xrr , is now living. has not been revok d�a�d that �fhe �a ad'T��/ FIIINFSS my off io s to affixed the day and year intificate �s cereoaosaa�pnasnaaaaoraaoa��+ above written. - ' ; T p n 114 1. F..':;Ue:T ; Signature •,, •:.. ..� I '.t?1 R (This area for official not4Ltai %wi R s s° s x s n s a two a a m: a t a a p lyp US BANK • AUTHORIZED SIGNATURE 1110 .19657118 1:1 21, 1 2-26761: 15340 L40.39 25.Iin 90-2267/12113827 EXPLANATION AMOUNT 19657 SIERRA MOBILE SERVICE SIERRA FOUNDATION H16B LIC NO 470386 466 CIRCLE DR 530-534-0599 OROVILLE, CA 95966 ' - �_.�•.— ..—......... Surry leeN,. PAY .._.. DOLLARS i AMOUNT_ I CHECK — OF GROSS INC. TAX SOC. SEC. ST. TAX MEDICARE TAX - NUMBER TO THE ORDER OF I I '33. o GJ tQATE�� � f ( DESCRIPTION lyp US BANK • AUTHORIZED SIGNATURE 1110 .19657118 1:1 21, 1 2-26761: 15340 L40.39 25.Iin J I BUILDING PERMITS NUMBER: 06-1767 Address or location of unit: 297 DACK WAY, PALERMO CA 95968 Legal Description of Real Property: 027-330-008 SEE ATTACHED (x).Mobilehome/Manufactured Home , O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LOWERY N. AND VIRGIE WALKER Owner's address: - PO BOX 296, PALERMO CA 95968 INSIGNIA OR HUD NUMBER: RAD587624/5/6 SERIAL NUMBER OR V.I.N.: GW6CALBD8857A/B/C MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 z S , H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SINGq. Division of Codes and Standards O 00 ®® ,u Z q®1 n Title Search 3Gw0 W a� Date Printed : 07/10/2006 DEQ Decal #: LAR2279 Manufacturer: 09248 GOLDEN WEST HM Tradename: GOLDEN WEST Model: BD661K4 Manufactured Date: 05/22/1991 Registration Exp: First Sold On: 08/05/1991 Serial Number GW6CALBD8857A GW6CALBD8857B GW6CALBD8857C Record Conditions Registered Owner: HUD Label / Insignia RAD587624 RAD587625 RAD587626 PPF Exempt Use Code: SFD Original Price Code: AQM Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 66' 14' 66' 14' 28' 14' LOWERY N WALKER VIRGIE WALKER (Joint Tenants with Right of Survivorship) 297 DACK WAY OROVILLE, CA 95966 Last Title Date: 04/11/2001 Last Reg Card: 04/11/2001 Sale/Transfer Info: Price $59,149.00 Transferred on 08/05/1991 Situs Address: 297 DACK WY OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: WELLS FARGO HOME MORTGAGE, INC 2865 SUNRISE BLVD, SUITE 101 RANCHO CORDOVA, CA 95742 Lien Perfected On: 02/26/2001 14:42:50 *** END OF TITLE SEARCH *** 4 RECORDING REQUESTED BY A O ' 4 18 '`3,rrt'ti. "` I MID VALLEY TITLE i ESCROW CO 't't Vs ` e . -r ` J : • * .� fOrder No. . x t j • Escr*wNo. 116422-3 •„Loon No. 90-044919 Rec Foo 7.00 DOC 9.25 Recorded Check WHEN RECORDED MAIL TO: Official Records 1 15.25 y, } County of MR. i MRS. LOWERY WALKER t�.1tr' Butte Nr 4845 AMBER LEAF-WAY t r - Candace J. Grubbs -1 { SACRAMENTO, CA 95838 Recorder ! ? .x � rr.*V, _.'t _ 8f00am, 19-Ock-90 !. Z, - JJ - 2 4 h W•.1” 1 APN• 7-_i_3—R 11rt1-: �c SPACE A80VE.T�IS �_tr:E FOR RECORDER'S USE .i y MAIL TAX STATEMENTS T0: 1' DOC;.L:T I/LT],�(X! 6 ., 25�- ;�,;�,4x-t I .... or� I^ due of propMy corneyA; OR d +1;Y;i SAME AS ALO`IE �• Co L•.0value;vn liens or ancumbrarts:a 11 r 1 " �± t f� s elaneture o Oealannt Olr go.nioatarm nlnp tea '—Firm Namo MID VALLEY TITLE i ESCROW COMPANY��t4' . ✓ Y t � . - ,fr G R A N.1, D E E D-,- TUNSF0 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged - , HENRY T. RUNGE, JR. and CYNTHIA A.'RUNGE, husband and wife N� * hereby GRANT(S) to s k1;�=� t•;� Y 't fgw 1 IY >t f LOWERY N. WALKEF and VIRGIE WALKER, husband and wife as joint tenants { the real property Ir the kAi/bf UNINCORPORATED; AREA OF THE » s Y, County of BUTTE t t,: ;+ ti State of California, described as v 1 Yrr:•' Iiia i.. .`^'}. M... S ,i. ,L j r, 'L'.t+1 j.•T i f �• V./.A ti s SEE ATTACHED LEGAL DESCRIPTION '; , • � ' •¢i,;,� �� f .; f . • ii�� l ori -4 4µ ,� y�- .�, r tyl�x'r • t •A r�.r7 'CA q v' .•'y'...o. 7 rt..�y �Yy t r r.>. ." a� y 4•t a..1 _ p. wgter�,yrs r it �t ,• � ' ,'urr� I Dated OCTOBER 10, 19_9_0_ r X.'^yc, STATE OF CALIFORNIA lea } • ` `X i • N • " ^r' J { „t • COUNTY OF s . RUNGE 113 On- before me, the underslgne4 a Notary Public In and for said State, par ,. .• tja�: sonalty, appeared ' , f ��• ci`' "N• 7kG ��. . personally known to me (a proved to rra on the bath of utlshotory _ �; �,��.s i'• evidence) to be Ms genions) whose name(s) Warp subscribed to the witth..N Initrument and acknowledged to me that helthelthey executed �! r f r Ati i jrYr WITNEB$ my hand and official wN. F', t' /. � r x �: � �'.. r1f �yl� y....t�>�*.,. w..x*l ., •,[. 4 + r; 8lgnitura r '� •ti- "-z, . i r.e �,�( (Thb erei ,for official notarial awl) •,•,�`- r r'1sa 1002 (8/82) MAI NTS AS DIRECTED ABOVE 90-44918 DESCRIPTION ALI, THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: gARGEL I• ; , LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OPO HILLS RANCH' 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 10C OF MAPS, AT PAGE(S) 36 AND 37. RESERVING THEREFROM A NOK—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ��N-SAID MAP. PARCEL II• A NON—TACLUSIVE -EASEMENT FOR ROAD AND. PUBLIC UTILITY PURPOSES OVER DACK COURT AND DACK WAY, AS SHOWN ON T11mr CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 71 1985, lat BOOK 100 OF -MAPS, AT PAGE(S) 36 AND 37. EXCEPTING THEREFROM ALL THAT PORTION LYING .WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEJ�,�II•. A 60 FOOT WIDE EASEMENT FOR ROA -0 AND PU)lLIC UTILITY PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH iS MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF SECTION 23, T-)WNSHIP 18 NORTH, RANGE 4 FAST, M.D.B. & M.; THENCE SOUTH 63 DEG. 15' 23" EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE. NORTHERLY HAVING A RADIUS OF 150 FEET, A 'CENTRAL ANGLE OF 52 DEG. 30' 26", AN ARC LENGTH OF 137.4G FEET; THENCE NORTH 64 DEG. 14' 11" EAST, ?49.28 FEET TO THE CENTER OF A 50 FOOT RADIUS 'CUL—DE—SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO THE END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE 5OUNDS OF PARCEL I, DESCRIBED HEREIN. STATE of CALIFORNIA County of BUTTE )ss. T7f day of QcTLl�lt� , 19al) , before me, the On this L% undersigned, a Notary Public In and for the State of CALIFOF.NIA duly comnlssioned and swrn, per, ,onally appeased HENRY T. RUNCE� JR. personally Ymown to me t%i�Cr�e:tr':'rocbasd�7oCeatlsfaoGaG1::: Rvidierza , tobethe individ•al described in and who Executed the foregoing instsnanent for NIM self and as attorney in fact of GYNTur, , vnNrr. also therein described, and acknowledged to me that he signed and tsealed � � Sam of the r eiIS voluntary act and deed and as the free and voluntary said rYN1'NIA A. RUNGE _, _ for the uses and purposes*.therein irentioned, and on oath stated,o+er tto au izing the execution of this instrume:,t i , is now 1!viral. has not behat FIITNFff ._ia sto affixed the day,and year in thl i o ofiwabove �+ritT e ft Signature (This area for official not411& 49W:1kwM6axaneaa91ossa S1151B ' rain nr• nrlrl IRACMT J)j,+ '►,.,' ^.R �7 cel num 111■ ■ ■ ■ ■ ' ` a Q ''" 111 ............... ...................... VIP Ski ------------------------------- :( s ■ - -�, �'- v�� - ,,.r ►�.* � � `°RI�'�� G � �.�, r o. � +' r cr-�'``�..,�,� �', -,�''` �r'�''.�- era ,`.�-�. �r � �' *._ Jr •F a _ RESIDENTIAL" 027-330-008 PERMIT#95-0761 WALKER, Lowery N. 297 Dack Way, Oroville New Ramp/MH a ,JOB FINALED (Date) Signature I` V=OK '' 7 O = Not.OK Not Applicable MOBILE HOMES Not Readyeady Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 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) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Teat -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Footings; Solls-Size-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. 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. Pienums & 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 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii 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/Mach. 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 Wells 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 Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -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 Wells; Nailing -Bolts 59. Insulation-Wells-Ceilinas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -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 -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-Drainagge & 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: 1 l ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMI NO. APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 027-330-008 AS ZONING ILDING PERMIT OWNER LOWERY N. WALKER. Fr A ?17 _/ / SQ. FT. OCC. BUILDING VALUATION 117 OPEN 819.00 OWNERS MAILING ADDRESS 297 DACK WAY OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 297 DACK WAY PERMITFEE $ 66,00 OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61ities ❑ Installation ❑ Other ❑ Describe Work: RAMP Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR. OR ADDNS. ( a ACC. BLOS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLEi NON-RESID. ( BRANCH CIRCUITS ) @7.50 ,POWER ( POWER APPARATUS ) OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 EX. Occup. ( OFIXED APPLN . OR ) UTLE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this'permit ermit 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 rthwith comply with those provisio X ." /L. Date --- ����� — ign ture of Ap li an - ❑ Owner ❑ Contractor ❑ Agent An OSHA perm is r quired for excavations over 5'0" deep and demolition or construction of structures o stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ 3 C ON T.PE ! TOTAL FEE $ 66.00 HA2. I D. FEPf IMP FLOOD CDF PARCEL LIE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BYJ?A%Aie0_241_Dyat PERMITEXPIRESONWHI...-B.D. applicable provisions Resolutions to do work been paid. p // (A.) Rec[__7 175892 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . t 4,!n.; ..v'k.r .-.. -. ,Rry•,•--���=_.mr`v.:T''L7i �`,'�w`4,�-�*a�r`^'"'��ir�lr+''(�'`'nu�.. •.11�..�. - �... ., «.. •^,'•.� .�. .... ` ..rte. ,�^ti (+r^�r.7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOONIA99965 - TELEPHONU916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER a No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flo d) by.� lifornia Engineer. . 14. Sanitation and plot plan approval RAl( Health Department . ............ 15. City of Chico plumbing permit. ...............:........................ . 16. -Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about, (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ..... . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 2,O,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. ..... 3 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 d (B) Parcel meets zoning area and frontage requirements . ............... isting violations/expired permits. ... . . Plan check list. .. + .. rz�csy..r....................... . 33. 34. WheyYou issue the permit, process as follows: Mail to own Mail to contractor. ✓ Telephone and hold for pickup at DMI t 12 . office. Deliver with inspector. ' Other / Parcel Creation Date 11/j_ q� Acreage Ap ican Copy of Haz-Mat form sent Health Dept. Fire Dept. Air F4offution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted priort 4V it iss ance: (Circle new item not checked above 1. Index permit for above items No. _ 2. Additional items required: Contractor, designe owne as advised of above required data by phone -mail Counter by _ ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun r y _ Date Plans checked by Date Plans approved by Date 2, r� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location PlanApproved for: Sewage Disposal Water Supply/: Clearance for bedroom mobile home. Other W /� 4 .e, / Hold final for: Final clearance O.K. for: E.H. USE oxer' Plot Phn Anacboa u Plow Plam Anacnea Scotto B.D. V_ 19 7 - JPS, d � AP# Public Private NOTE: Environmental Health Specialist Date 8/92 z/ -e, cj w 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. I_ personally plan to provide the major labor and materials for 'Construction of the proposed property, improvement: YES NO[ ]. " I HAVE ] HAVE NOT[ ] signed an application for a building permit for the pro posed 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 Y SIGNED: PROPERTY OWNEI��./&, SOCIAL SECURITY NUMBER: DATE: 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. " OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial. Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only i under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License . Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel '.,Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ` �7 /'� _ OO ZONING n s BUILDING PERMIT OWNER - TELEPHO/'N�E— SO. Fr. OCC. BUILDING VALUATION OWN ILING DRESS �<r° O�iif J C MRACTOR'S ME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3 - db Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS "' PERMIT FEE $ un PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ti Describe Work: Mobile Home ISI GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( zooA oR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) 3.50 FSTO.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLETCIR. Ex. Occup. (OUTLET OR FDCTURES ) Q I O0 BAL SO Ex. Occup. ( OUTLETS(RESO.OR ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. —7 rf 9� WHITE-O.D.S.-B.D. CAN PINK -INSPECTOR GOLDENROD -APPLICANT I NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and This Set of plans and �speoD bnbe affM�U.S�s1p of a quality prescribed for the Specifled use in the kept on the job ataA11 Uniform Building,flqff��.& Mechanical Codes and �and i! is unlawful to Pvcs-or-alterations on -same without the National Electrical Code. writtempeftission from the Department of Pub4c County of Butte. . ........ . ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. "A'SET [TACK -OF"' uir 5o Fr. FROkll THE REAR PROPERTY * LINES AND ed F-T.-FROMTHE-11-40 ...ja,GE-NTERLINE- SHALL- 14!--..—_..._..- - -- _ - ..._. _...... _ r9.v ---- - -- - ---- -- — -. _. _ . _ ..._ CLEAR 4!- CLEAR OFSTRUCTURFES AND EQUIPMENT EXCET RoVED FORA 2FT. V OVERHANG. Butte Cou ty En - n 0 ental ... Hei-a—Ith- ---------- ----- .... ...... ...... . ... ---- -- . ......... 0 0V I-t-C!-t7tjbW1 Y A -R=P=R=G=V=E- D t. U ( 1 g - co U-- iq-f - Y- -------- - .21 111 Mlkle% r%rnAr'srJhkLAr-, ADP OVFC) EF r:nvlr , onmental Health Butte County Envi onmental Health Jely 0 oroyll1e, Californiaf ate 1 .2 r Signa re Z it k Q Lul r f...L Z \ O 0. w o LjjZ 0 }� 10 0 LL i i 1 k Q a V 4 a UN LULL LU �c4 d � ® � Q Q � V) w • a vi o! - x Th QQ j_. h C O � 1 CC v x J � 0 t, L4uomuc's f / 3/-� Top sail to be 36 in. high W*" _ '�• intermediate rails to be,not _ �.:. W Y '. ... .: over in.. apart. ub,T�- h,lo�ti�.oNTAL P,pRcN"` �-��� 'Nr. -. 3 �'' , •. , . '_, . � �M - ' • SPR �o .f � A Ai /.3 %Q� vil�4S,!�4�oFlL�R�1�• ' 1 z s �U fj� LU U NI 1 .. &UILDING pEPART E14, 1 ;Qv_. C o T sae i u &, IMF I'Ve- P- r,'4wf j�;' i !O�aaZi Z.0 �r�a te- AP # OWNER A_ PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Re ervice ize Other Load Type Pipe Size Length YESI NO YES NO • of E I , I C7' u� ---- F�Wom QQ r i 049 N o _1DW0 mz� 1110 o�$�_ - 01-17"� . O 2C oQ 0 S231AWS LOOZ L 0 d3S luka0a altmil ll� (in" WW P u. F. 67040 .,-iiiNiNG DIVISION - BUILDING PLAN APPROVAI Date: -2'1-0'1 NN,l Landscaping w: Jther. I-omla-- W bks Signature: BUTTE COUN'61 BUILDING DIVISJk)N APPROVED Owner: BP# A PN: 02-7—OW FILE 0 BliTTE C®U9`� i3UILDIN � DIVISION APPRO-.D \i� 0 40 _i Y cb _i cb • (i. o y I As _i LI 0 fal r 3 Qor� Me- �op 'W" Poo(. 9�o �4 5 Al� /),oat)-( � A *1 .UTTE COUN ILDWG, DEPARRTMM 7 A P P R'O VC c� ' Bl1YER'S RESPONSIBILITY ti •� >* Pool..a�rea `tobefenced per to co a Vis^ Getes togab self closing end£self;lI_ Ings down�GUNIT'E,twfcedaily focseven days j� ils%id A,4w,,� 'T'OIJJer- Po 1� I 0 E lec. pon�.� aoypr� all P BLUE HNUEN POOLS GENE L POOL SPECIFI j 5 Since 1954` - M M H z - j BLUE HAVEN OFFICE: G y1l Oo DEPTNS: Z � EXCAVATIO io' 7, 000 Ov6 E[ l�f�: P, Ac Fr t Bob Cat Sh tle Dig Remove Dirt Q(.Jn2r 0.S Remove Stumps) O �) �e Remove Fence 0 .:t~ -✓ V G� ° Replace Fence t Remove Concrete ! S. F. \ O.o ' Sawcut o rte Ft. `� w `v bp -o RDx g _ LA (P V Omm fJ1 acS2. O' f� { r4 (P . Re��dencr� 140se- g i 6b D �C, L� 3 .A. , L0� ! X0_04 COPING . Type • t TILE Type s7b t $ i Spa Dam ) M Q� `\ Accent Tyle 1301 { 'Approve above ifi�ation ' r 0 1 •- Approveequipmentfo t, �. Understand that decking shown is understand t they are to recei e 3 Signa t Prepaired Especially For" SW — StreetAC 53 • Dec ' 3! 0 t� (Temp.# ) F 'T% SUR. // /I ''`` eaGe•'1�V TURNOVEF DECKING Type S { Color N EQUIPMENT Smart Vac II -4""4 c; le Heater BTU STEEP Expansive Soil Steel Patter H (� PLUMBING a5 F -4\ Filter Run Ftg: re Return Lines rs>aL P -Trap —ash Line �:. PLASTER Gas Line /� Ftg Color Drill Drive r ELECTRICAL Size Run By 3( Ftg Out Plumbing Run Dam Wall Length GUNITE Love Seat S , t}Number of Jets Swim Out Blower Hp Yes Ext. 2nd Step 'Remote Model # R.B.B.in. X RBB�in X t. COPING . Type • t TILE Type s7b t $ i Spa Dam ) M Q� `\ Accent Tyle 1301 { 'Approve above ifi�ation ' r 0 1 •- Approveequipmentfo t, �. Understand that decking shown is understand t they are to recei e 3 Signa t Prepaired Especially For" SW — StreetAC 53 • Dec ' 3! 0 t� (Temp.# ) F 'T% SUR. // /I ''`` eaGe•'1�V TURNOVEF DECKING Type S { Color N EQUIPMENT Smart Vac II <& No Heater BTU Nat Pro Div. Board Slide Water Feature rs>aL �:. PLASTER Color 'At/Um SPA /JOAV, Size In Out Plumbing Run Dam Wall Length t}Number of Jets Blower Hp Yes _ No 'Remote Model # Spa Side Switch Yes No Smart Light Yes No 1 b0 Watt Light Yes No Initials -gip Il�rati purposes only and square feet of deck. 7 Zip v�/• Home Phone �`% 4 3 Work Phone ` Designer-- Job No. Lot Block Tract Mapsco No. ®e III s 7 ; ' � i L� = x • r� v` �d L 1��! ^ �^ `''} ^ •�� .� ejn4euc)jS leo ------- ------ �C7— / -2 – S TleGH MUGLUU0.11AU: AunoD n-31` 0id,&,' tA 0 IV, CAP p u BUTTE COUNTY BUILDING, DIVISION APPROVED cz k)'q C -C ejn4euc)jS leo ------- ------ �C7— / -2 – S TleGH MUGLUU0.11AU: AunoD n-31` 0id,&,' tA 0 IV, CAP p u BUTTE COUNTY BUILDING, DIVISION APPROVED X10 LoweQ7 N, � v�R��e wnlK�� 291 DAcK WNr` 0 R o\j t'- L E C. A °I 51 c 6 ozl-43b-60$ � L tV7 Void BUTTE COUNTY BUILDING DI.VFShON APPROVED i� 4�r at d a4' xs°' x G6 r 35 ' A0NT V I� �y ao pEcK �d 3 R, � c• LoweQ7 N, � v�R��e wnlK�� 291 DAcK WNr` 0 R o\j t'- L E C. A °I 51 c 6 ozl-43b-60$ � L tV7 Void BUTTE COUNTY BUILDING DI.VFShON APPROVED