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027-360-124
k �4 4116-89B,P,E CONDON, Robert 395 Melody Lane, 0 ville (MHU) ELEC GAS COMPACTION TE T REQ SUPPORT STRUCT REQ Permit. #4138-89. (MHI)/ 696-90P,E,M CONDON,obert Me Lane, Oroville (utilities/MH) GAS COMPACTION 'TEST REQ -SUPPORT STRUCT REQ - - --------- rmit#697-90 ("'tf7_arI'0r-/MH/6O-640) .��� 0 02/-360-124 03-3003� SAXE, CHARLES 395 MELODY LN, OROVILLE Cont: OWNER CONV AG TO WORKSHOP 41 10 027-360-124 CONDON, Robert E. 395 Melody Ln., Oroville Ag Exempt Permit-Horses,Hay & Tack 027-360-124 PERMIT#97-63AG CONDON, Robert & Berniece 395 Melody Ln., Oroville Ag Ex Permit. -Tractor Stg � � � J� NOTES RESIDENTIAL -%/03-3003 PERMIT NO. 027-360-124 SAXE, CHARLES - 395 MELODY LN, OROVILLE Cont: OWNER CONV AG TO WORKSHOP S f 1. 21 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) p Signature x J'= OK , . . %D = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except ft 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main'Conduit 9. Health Department Approval 10. 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 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ft 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-Con nectors 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 POOLS (Plans) OK except ft 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main'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 . = Not Ready RESIDENTIAL (Single & Duplex) Date 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.-/ /" 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 -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 59. Glazing Area -Glass Protection -Skylights -Plastic Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date 49. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 51. 17. Water Htr.; Vent -Access -Combustion Air Baffle Garage Fire Protection Framing -RC Channel 18. Water Pipe; Test & Anchor -Nail Protection 54. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 20. Shower Pan; Test, First Floor -Tub Access 57. 21. Test Tub & Shower, Second Floor -Tub Access Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 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 O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing 59. Glazing Area -Glass Protection -Skylights -Plastic Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -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 FIN/5Y (Plans) OK except #'s Eft. Steps -Door & Sidelight Protection -Landings 65�-Smoke Detector 'BB: --Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67-'13edroom Exiting 6$.-G.F.I. & Bath Fixtures & Tub Access -Spa PA. Pec. Trim & Subpanel, Breaker Sizes & Labels 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 Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector -0. in Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 72Flec. Receptacles in Garage (F.F.I.)-Romex Protection ,8Q`nsulation-Foam-Looked in Attic al_- Suard Rails & Deck Construction -Post Caps -*P-Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 53 -Following Instld./Drive O Yes O No/Walks D Yes O No/Planters O Yes O No __84. ucco Brown -Finish .91-A.C. Unit Disconnect, Electrical -Plumbing . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings N Suter Well, Disconnect, Electrical, Plumbing M/ Exterior Elec. Trim, G.F.I. Receptacle -Underground 8,q/Ventilation Throughout House gV Glass Protection I9Y, Corrections from Previous Inspections .2.Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval $4. -Energy Compliance Certificate -Other Certificates Address Posted Fire Sprinkler Date '7 Card B-1 Date Card B-1 Date r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE J BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ff� 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. M` A routine inspection indicates that the following violations of butte county Ordinances exist at the above addre and should be corrected. Please notice this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, please co pact this office immediately. ! c di' 1"7 a LQ Q �l O SGP C _ Ja X e C a A. IV/ IT Dater y y Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT EV T SERVICES - BUILDING DIVISION 7 County Center Drive Orovill or 5 •Telephone (530) 538-7¢� P! l/ \ (Rev.12/96) APPLI PERMIT / ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1073 R 573942. OWNER'S MAILING ADDRESS POBOX 540, PALERM CA "M 99968 CONTRACTOR'S NAME 0WLVl.:R TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER "All Fireplace I 12500. LENDER'S MAILING ADDRESS Total Valuation $ 59 442. ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 450.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS LN. MMITI IF Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ 786.33 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21,00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C 01W AI'; Tn TipBBy smp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI G1 W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r 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 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any personi any manner so as to become subject to workers' compensation,Jaws of C ornia, and agree that if I should become subject to the W rs' co pensa n provisions of section 3700 of the Labor Code, I shall ' fo h i o ply w h se provisions. 1 X Date _ �� _ Signatu o ntractor ❑Agent An OSH a itis re i rrxcavations over 5'0" deep and demolition or construction of structures over 3 stories. h ight. Main Service TO 46.00 WEE200A NEW CONST. DWELLING OCC P. SO CC OR ACDNS. ( a ATC. BLDS. 3.5aFr. 37.55 rNiOµgEOSID. MULTI -OUTLET RANCH CIRCUITS @7.50 OWER APPARATUS PSINGLE OUTLET CIR. 20@'.0° Ex. Occup. OUTLET oRFIXTURES BAL @ .50 Ex. Occup. OFlxunFrsRLNS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEt $ 50,00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Gcc cgNs,T_TvpE TOTAL FEE $ HAZ. D. ES IMP TD CDP PARC PD HD S 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. !1 yl�" Datey� V EXPIRES ONff/ V 1TV kyt.) Receipt No. .WHITE-D.D.S.-B. C NARY -ASSES O PIN . NSPECT R G L ROD -AP LI T Irl . ./ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 1`1 jMIT APPLICATION DATA SHEET 1;100 V OWNER: ASSESSOR PARCEL NUMBER n�Q G Proposed Building Use: U Counter Technician: Date: / �� �ms required in order to r apply for a p it. All boxes MUST be hecked OR marked NA in orQ to apply. �Q 1. Site plans, 3 or 4 sets, signed by 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. 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 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. Site 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. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other R¢i . g items needed to issue the permit. (May require additional plan review upon receipf;gthe f I ng item�r.) 16. s shown on the attached Schedule of Fees Due Sheet ....................................... .71 Statement of Intent for Non -heated and A/C Buildings ..................................... 'W' Sanitation and site plan approval from the Environmental Health Department in I G.1/ City of Chico Plumbing permit ......................... ......... ................. ... 20. California Department of Forestry plan approva ❑paid Sent by: ......! ..''....�.�- Planning approval for (A) Use: �(B)Parkin . (C) Parcel Check: ) 0 ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation CarrieVnd Policy Number ............................................. 28. Owner -Builder Verification (VGiven to owner, ❑ Mailed to owner) ..................... �❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ i` - ❑ 34. Other: When issued Telephone �7 �� ( and hold for pickup. l �5 I have been informed of the rbov� it m and requirements for obtaining a building permit. ` ow Applicant: ate: 1. Index permit application for e a ' s n ed: Plan Check Letter 2. Additional items required - Contractor, designer, owner, was advised of the abNe data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above data by phone, ❑ mail, ❑ count y Date: Plans reviewed by: Date: Plans approved by: Date: /' Structural reviewed by: Date: Structural approved by: Date: 9;70-3 Note transfer by: KIW Date: Yellow: Building Division !_ o2 Plan d. E.H.-USE GAILY l�tKechod , �' • ""y �' �'�r Rear Man Atascl:ad \ sant to S.D.tD TO: Building Department p3 -30o3 FROM: Environmental Health SUBJECT: Sanitation Clearance oz(- Owner Locati n AP Plan Approved for: Sewage Disposa Water Supply: Public Priv to Well Clearance for dwelling. Other %Q c %u, r'�; yt Ln j?ter✓ S p V= Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE UII,DING USE 1. BUILDING PERMIT FEES Balance Due ....................... AwAff—> Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. -HERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) I' 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. #61?.'?. 3�90- n_e DATE RECEIPT # DA E REC. D75 At time of permit application, I as advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed duringAlan heckin pro es(. 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) • .■ f COUNTY OF BUTTE - DEPARTMENT OF DEVEL 2F&F' E ICES - BUILDING DIVISION 7 County Center Drive Oroville, Califor one (530) 538-754j.,� PERMIT No. (Rev.12/t'6)PPLICATIO A(JJ ASSESSORPARCEl NU ULV ZONING BUILDING PERMIT OWN _ "5- 77E SO. FT. BUILDING VALUATION owls 1wwL11 v %DaEU� 1 v Q1 k"I rv�v - 1 Sq " _ J -0q 4n CONTRACTORS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCIRTECT OR ENGINEERS MAIUNG ADDRESS BUILDING ADDRESS Q S LOT NO. UBDIVI510ON C J�� -a USEOF UME"�''' ' SF LfDuplex Mobilehom er s TYPE OF WORK NewAddition ❑ Remodel ❑` /Ud fies Installation ❑ Describe Work: v RPERMIT FEE PAID $ gZ6 SRA SHERIFF OTHER P L, AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # v ZO a PERMIT FEE $ ELECTRICAL PERMIT eoov oR LEss Main Service 2.LIA OR lESS Main Service 200A TO 1000A ) a. OCCup. ( OUTLET OR FIXTURES FD(ED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) EA. Temporary Service Mobile Home Facilities 20.00 !ling Fee 20.00 7.00 -- 23.00 15.00 ,OC 15.00 • 15.00 .Of` 15.00 5, O @20.00 ig Fee 20.00 23.00 E3 -OC 46.00 3.50;0. C @7.50 ,Sc 5.00 23.00 20.00 23.00 PERMIT FEE 3 - f�d MECHANICAL PERMIT Fling Fee 20.0 _ Fireplace 1 J v" Mobile Home Installation Fee $ Total Valuation $ CCC LICENSE NO. Filing Fee '$ This permit is here y issuedn er the applicable provisions hh Permit Fee E) V , S$ indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Plan Checkin Fee - Energy Plan Checking Fee $ $ _s I"/- FEE S `' PARCEL MAP PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping stem 1 - 5 outlets / ❑ Building sewer Mobile Home I S G I W P L, AMOUNT RECEIVED $ DATE RECEIVED RECEIPT # v ZO a PERMIT FEE $ ELECTRICAL PERMIT eoov oR LEss Main Service 2.LIA OR lESS Main Service 200A TO 1000A ) a. OCCup. ( OUTLET OR FIXTURES FD(ED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) EA. Temporary Service Mobile Home Facilities 20.00 !ling Fee 20.00 7.00 -- 23.00 15.00 ,OC 15.00 • 15.00 .Of` 15.00 5, O @20.00 ig Fee 20.00 23.00 E3 -OC 46.00 3.50;0. C @7.50 ,Sc 5.00 23.00 20.00 23.00 PERMIT FEE 3 - f�d MECHANICAL PERMIT Fling Fee 20.0 _ PERMIT FES S Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST TM YO ALFJFEE $ s DF CEL H SUE MAZ 1 r,71 This permit is here y issuedn er 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 ere �JEVi�-:Nh"E-D BY I Ul - T'E C,0.:= Ri:-H LEFT. CALIF:. DE-i" cl approved il`,Drd appn-NS �,6dj per aaap, Sig almi ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SH ALL ECL CAROFALLIEASEMENTS' A SET BACK OF FROM THE SIDE AND FT. FROM. THE REAR PROPERTY LINES AND i4 FROM THE ROAD CENTERLINE SRALL 09 OLEARF SThUCTURES AMD' EQUIPMENT EXCEPI '=OR A 2 FT. EAVE OVERHANG. MANNING DIVISION - BUILDING pLp,NAPFRIJVat usw- Date.. pw":-- Larx%caong: ����,- � � d- `��' `� 6 ��,� � G�� �` �� �- � Date: 9-23-03 Job Name Assessor Parcel No. Project: Analysis CIBC 2001 Dead Loads Roof Comp Shingle 1%2" plywood Rafter Insulation 1/2" Gyp Wall 5/8" T111 Framing 1/2 gyp Insulation Floor Concrete JIM PURSELL CIVIL ENGINEER RCE 60924 Charles & Virginia Saxe 027-360-124 Shop (conversion) 4.0 1.5 2.0 1.0 2_5 11 psf. 2.5 3.0 2.5 1.0 9.6 psf. 50 psf. Live loads 20 psf. Page 1 ®3 —3©©3 BUTTE COUNTY 40 psf. BUILDING DIVISION APPROVE® Lateral loads Wind //0 Wind P = Ce Cq q I where Exposure C Ce = 1.06 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 16.4 psf @ 80 mph 1.13 @ 20 feet 0.7 out leeward roof I = 1 1.19 @ 25 feet 0.8 in windward wall 1.23 @ 30 feet 0.5 out leeward wall Seismic: V = 2.5 C,, I W / 1.4 R Soil Bearing: 1500 psf Friction = 0.25 C8=0.36,I= 1,R=5.5/4.5 Lateral bearing = 150 psf/ft. �! 13 7- C - TO TG- i G a t, /G o <- GGA. _ Ps-�- (,-) = 1-33 (l .fIrc) =36 p� i�) IS D�`�, �t��/✓vG N�li s /SAY �r A / ;u 7;4'•=x. i-; x (s - f 11v /�� i` .� • �'s��L'1 � � /rV ,EF�.v7 Gt.=� tom, S• � N O-� =v FR�;�-` ov G�%•f,� 1 c� 7-,i,' �.. ':^�:Ur`� l�j�C��1�2��-�1, �'�--s / J•'- P/Y�- .5 /�c,'rc::� &. oiLcs - .1 ' Ja,�7 // e /Sos GJ E= on Sy ► �., �'v T�G = 2.3 Psis T��� � q,G PSS Mh�ax PDE -a, Mtl, = -3C2-(O %1 -- /y�,c_ ,u PISZrlatju- IY ASOI �l y a = . 2. (::� 7 5 X "c4q L 36 < 7 rya A14— i4?u l ., S akJA LL- UNi,�1 Lai p 14IIA-)IMLAM APA -4,14 C -2A 7- &A-AktQc,-, tA)ALL-,S 1LA-:S-F Aoz-) volk�-r Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked �� for residential use. Exception: Garages and Carports. Owner: �tt�'t'ti �l�(91 �PVCZ`L__Phone: 53-3 —7/0 2 r Mailing Address Site Address: X95– Assessor's Parcel Number: ©27— 12— Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL MO%VATION: 1. Is there a primary dwelling on the property? o ❑ YesR�No 2. Is the structure already built, under construction, or under notice of code violation? Yes Q 3. Will items produced in this building be offered for sale? Yes ❑ No 0 4. Will the public have access to this building? Yes ❑ No ❑� 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No [� SITE CONDITIONS: 6. Is the structure foundation 5' 10' leach lines? within of septic tank or of Yes ❑ No 1311"' 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road?. Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? �,/ Yes C]No lJ CONSTRUCTION 10. FEATURES: Will this building have insulated floor, walls, or ceiling? Yes No ❑ 11. Will this building be heated or cooled? . Yes W, o 12. Will this building have a water closet/toilet? Yes (]/ o ❑ 13. Will this building have a sink? Yes [[o ❑ 14. Will this building have a water heater? Yes El No ❑ 15. What type of floor covering «ill the building have? d'k 16. What type of ti,, -all covering will the building have? C� f -W 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is reouired. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be en lv o en. 4. VResidential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio []'Hobby Room ❑ Craft Room ❑ Sewing Room. ❑ Canning Kitchen ❑ is Room ❑ Family Room❑ Sun Room ❑ Private Office [orkshop 1 ❑ Home Occupancy' ❑ Other — Use = I. Descnbe type or Woe=hop Mot be approved by the Butte Courcy Flazming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question nurryer before the explanatiory� _ v Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with speck requirements per the use indicated. I hearty affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Y'nDr�� Owner's Name: Please Print Owner's Signature: 2of2 Date: School District A.P. Numb` tN�` Property Owner Property L �io� Addrrreess_ – Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) r City xc I 6V- Building Department No. O� '300 3, County _ r Lot No. Residential -'Development I� s No of Living I Mobile Home ABditio 'Supplemental to ' Units Instatlatiori T Coriversio Permit # t t ................................... r ... found Commercial/Industrial ,Addition, & — �,O Building DepaRment.Repre fativerAV.?.�Z/ft3'j7 _ A// (L eN (Floor Plans reviewed by School District Pers" !OiQB'. r '.V District IdentificationIdentificationNo. � School Disfict certifies that � _ 1�� (City) ' nv�3_ has complied with the req/uir`ems�ntss of,Resolution rNo.+� representing /) ( -)7 + square feet.' _ r School District Representative Paid by Check # \\ I Remarks: Sq. Footage 10173 r l (Group R) Sq. Footage ,,,,(Including /,,(Including Exterior V 5 Roofe�Area. . ;k6 /EZZi. ('L[ /F7 �VV 5 • ��G��� � - �� of (Applicant) f— c it L°-s;v L. +di;—e Number) _ t AB 2926 FULL MITIGA i + (Zip Code)► e /u z y by payment of $ 2 zgCP r i 1,1AV /,� Dante 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. /1) If, subsequent to the School DistrictiRe`prese�tative 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 proiect may be subiect to additional school fees to fuily mit gate its impact on the school',district's schools'., s.- White (applicant), Yellow (building department), Pink (school district) ✓ ieefoim9xls (10/98)dmm 11 1/ 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 cation is received. I personally plan to provide th�jor labor and materials for construction of the proposed 20roperty improvement : YBS)ZI NO 0 . , HAVF` HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: 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: DRESS: CITY: HONE: CONTRACTOR'S LICENSE NO. 5. 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 ly IG :P:RiOPERTYOVVNE AJA I/ DATE:Nj NOTE. This Owner -Builder Ver kation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION 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 wo&, with the exception of various trades that you plan to subcontract, .you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300' -or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. 1. 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, wo&m compensation insurance, disability insurance costs, and unemployment compensation contributions. t� 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. 4 For more specific infnmration about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their Work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building 'permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Con Tactors 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. g ,C. Vi ira, C.B.O. Building Inspection NOTE: Ykis Owner -Builder &formation is required by Seddon 19830 of the CaWornia Health and Safety Code. OVER Ma JA ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YESI NO mop D,ci" AP #_ '1221 --A 3-1 1 OWNER PERMIT M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Ron- e .Size Service Size Other Load _T e Pipe Size Len th YES NO YES NO /L-o-o-.`�6-� �Lj IYT This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same -with- out written permission from the Department gf- Pwbik Works, County of Butte. NOTE.—SAA Materials $ Workmanship ShallBe in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in 1l Uniform Building, Plumbing do Mechonkil Coda wild &..National Electrical Code,, gsvtbeick of 5 ft, from the " - - - - - property _lines and -a- setimck of _ - - ��, - - - - 50 ft. -from the road—.----.I&T centerline shall be clear of — - structures or equipment except for a 2 ft. ean-ovedwrig. 4r'777 -9v M4r sp# 6q6 -qo HKc(- BUTTE COUNTY BUILQING DEPARTMENT APPROVED ,01/l 31161 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes ❑ No (If yes, furnish permit number ) OR Is the site an existing site? Yes a No (If yes,.furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septi 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? --------------- �� Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? -----42-Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No JE (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- in. 10. What is the type of gas service? ------------------- Natural F L 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This, information4not required if pipe length less than 6 ft. on naJura'1'gas ori less than 50 ft. on LPG.) 4 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Yezr" l Width (ft.) Box Length __2_k7(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 (iffnot on file with the County of Butte). FOOTINGS (check one jI1. Wood-presslre treated or foundation grade. F] 2. Other (specify) SUPPORTS (check one)��j"1. Concrete block.�2. Other (specify) �—`►\ Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ -----------Spacing-Max. Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Main Beams Main Beams — — — �- — — +Line 4 Tag or Triple i1nw ,i Line 1 Line 1 Openings: Size -Min. ----------------- Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ux „ Spacing -Max---------------- From Endo -Max -------------- Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ k „ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , ., Spacing -Max .--------------- From Ends -Max.------- n From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ „x „ ,k „ ,k „ „x ,. ,k „ „x n „x Location (From Front) BUTTE COUNTY BUILDING DEPARTMENT APPROVED APAN REVIEW RESPONSE9ORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submit this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be valid ttal. H response to every item requested in our plan. correction letter. `By others' is not considered a valid response. Please indicate your response to each item and the location where the information can be found on the plans/calcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RETURN WITH REVISED AND ORIGINAL PLANS. OWNERS NAME // DATE: X 6dM4- 4SSESSORS PARCEL NUMBER PERMIT NUMBER 027 o tESPONSE FOR PLAN CHECK LETTER DATED: 'LAN CHECK ITEM # IREVONSE BY: i ,Q 1 neerinr i .,.1 e, 7 ` V/(� &/ie& ,ezzzo 7 WIR i i�_T C ITEM # RESPONSE BY: LOCATION ON ..v,� v�• rL/Y1Y� 3 C_ # ITEM # RESPONSE BY: LOCATION ON I S" 0 4 PROJECT PROCESSING RECORD Applicant: �� Owner: ! G A.P. Permit #: 3 —30013 Work Description: Date Description of Step or Status i7 .�- �' v� occ �7 n -- IF / 1 4 �I / Ra4tdW*---' S�" h -7 • RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEO US ONLY Owner:Building Permit Number: Plans Examiner: Martha Christy A. P. Number: 09-7 tit GENERAL:1. Zonin r uirements - number of ermitted livin units . Q� CQ6 Zoning � � P g ) Plans signed by the designer. Proper description of work on the application. Existing violations on the property. Recorded notice of violation. Building permit valuation. T OT PLAN: CXh 1. Complete parcel size and dimensions. 2. Setbacks, side yard, easements, etc. 3. Other buildings or structures. 4. Grading, fills and/or drainage.`` 5. Flood hazard.., 6. Special conditions on Parcel Map: Noise ❑ SRA ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. 8. Building or utilities across lot lines (Lot merger approval by Butte County Land Development.) FLOOR PLAN: 1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 1063. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). d -j alyl`� 3. Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The m1b4mOimi net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). �Y Skylights (Uniform Building Code section 2409 & 2603.7). F ,Ff Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ceiling height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). 8. GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). tjGTg-ped�i V Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code section 509.0).] ca%�'► 10. Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in n 11 a room, compartment or alcove opening directly into any of these (Uniform Mechanical Code section 304.5). IT� Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building ode section 302.4 exception #3). ,Under no circumstances shall a private garage have any opening into a room used for sleeping purposes /1", (Uniform Building Code section 312.4). 13. Wood stove location - Alcove - UMC section 205 confined space & 223 unconfined space & 304.2). 14. Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). I- ' no TRUCTURAL DETAILS: 1 16�-Prf'ld u% hO-w 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not c� exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. h� 2 'A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building dC ✓ , �; _ that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, (� registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. f Q 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C). V O 5. Floor construction details complete enough to construct building. 6. Elevations and wall construction details complete enough to construct building. S� 7. Roof construction details complete enough to construct building. aC 8. Fireplace construction details and calculations if necessary. r 9. Garage door header size(s). ,1 p 10. Porch header size(s). U✓ 11. Typical header size(s). d v rO .�/� 12. Stud heights. fA " "an 13. High expansive soil - special foundation design required. , � 0 6M14. Retaining walls requiring design. 15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification may be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. AM'SCELLANEOUS ITEMS: Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509).1401-E- Plaij 4 Brick or stone veneer (Uniform Building Code section 1403). 4. Exterior plaster - weep screeds (Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). 6. Foam insulation - protection. 7. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 8. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3,2). 9. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. Attic access and ventilation (Uniform Building Code section 1505). �1 Sound requirements. (I2� Energy design compliance and supporting documentation. V G (, CDF responsible area requirements. BUILiTG PERMIT REQUIREMENTS: 1. Q' SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. Page 2 of 2 • �0 October 31, 2003 Charles Saxe P.O. Box 540 Palermo, CA 95968 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 027-360-124 Building Permit Number: 03-3003 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. The wood stove may be used as an alternate source of heat, not the primary source. If you wish to heat this structure you muFhitwater ets of energy calculations. You must indicate the heat source you will be using and protion e of he in unit on the plans. If you decide not to heat this structure, you mhe wood ve. 2. Provide the location of theater. /Pro `de t pe waterheating used. 3. You must provide 10 per t of the floor area in window area and the dow stairs room requires 5 and sizes of all windows th�plans 4. Provide staircase details n thding sig note guardrail requireme ts. rea. Upstairs requires 51 square feet of feet of window area. Note new locations and run, head clearance and handrails. Also This building will be de restricted from slee ng or�ooking as it exceeds maximum square footage as a quest house and cane t be used as a 3e6nd dwelling unit. It will also be noted if you decide not to heat this structure. Pleas opy of your grant deed and the legal description for the property so that we may prepare a "Deed Restriction and Notice of Limited Use Facility" document. You will be required to sign, notarize and record this document prior to issuance of a building permit. STRUCTURAL COMMENTS: None If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner Philo Hunt, P.E. Plan Check Engineer 1 of 1 -RESIDENTIAL 27-22-1241 CONDON, Robert 395 Melody Lane, Oroville (MHU) -JOB FINALE Signature J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILLHOME UTILITIES(Plans),OK exce t #'s Zgning Requirements -Setbacks -Easements . Soils; Special MH Support Sketch Sewar; Location -Test -Fall -C/O Concrete Water,- Location -Test -Easement Needed (Sketch) lectricity; Location-Clearences-Grnd% -&mp-Concrete Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG tility Clearance Date Card B-1 jam- Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s vf'Zoninq Requirements -Setbacks Easements �2tings; Size -Spacing -Marriage Line (l*'!Jas; MH Test-Demand-Valve—Connector ; MH Test -Crossovers -Breakers -Clearances j—j a.- r 'h; MH Test -Fall -Flex Connector ( r ater; MH Test -Regulator -Connect( L_-1k-7,Water and Sewer Connected -C/O to Grade -HD Approval and Electricity 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 #'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 = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single-& Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped, 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date + Card'B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 1 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.G. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; PIbg.-Appliance- Fireplace. -Cl earance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovill,e — Phope: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE iff, Im 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 ad¢ytional explanation, please contact this office immediately. r'% i I, Inspector Date �l'�Q 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 CORRECTION NOTICE > p T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 _ PERMIT NO. /3 e Address or location of mobilehome r / Owner's name !� �7 ,`ie-) h "S ` Owner's address � z 9 I n 4— -q Ly) (_1 r 0 Insignia or hud number Cr U I 1 In Manufacturer's name Serial number of V:I.N._ �_ Year of manufacture (Official Approving Installation) (Dote) 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. 3B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORPE IT NO 7 County Center Drive - Oroville, Ca�fornia�959F5 -Telephone: 916/5 8- 41 .— APPLICATION AND PERMIT ASSESSO;CEL =UMBER _ Z Ir BUILDING PERMIT O WNE TELEPHONE S� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING 1 DRESS/`.' 1 b CO TR ;S NAME LE ONE G CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ._° Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee E$.. $ Penalty $ BUILDING ADDRESS q lll4-Al �W Permit fee $ _— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE = Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehom Other Building sewer 5.00 SPECIFY Mobile Home J S I G I W I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latiol Other ❑ Permit Fee $ Describe work: 44i;? CC, _ Contractor ELECTRICAL PERMIT Fi I i ng Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING oCCUP.& ACDNS. , q It /z¢sea I declare under penalty of perjury (check one): OR ACC. BLCGS. NEW CONSTR MULTI -OUTLET 2.50 ea ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business - NONRESID / BRANCH CIRCUITS) POWER APPARATUS & and Professions Code and my license is in full force and effect. \SINGLE OUTLET CIR. License No. Classification p OUTLETS TLETS OR FIXTURES Ex. Occup( 20®50c SAL030 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. EX. QCCUp. OUTLETS (RESID.)REA.� 1 2.00 will do the work,and the structure is not intended or offered Temporary service 10.00 sale. (Sec. 7044) Irtion, Mobile Home Facilities 15.00 as the owner, am exclusively contracting with licensed contract- ontract- s.(Sec. 7044) s. Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o Consent to Self -Insure. Cooling g shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that 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 $ to building const ruct io fr&-her by authorize representatives of the Countyot OCC CONST TYPE Butte to enter up a abov nti ed rty for i �pection purposes. TOTAL FEE $ 1 also agr o save, in y a e ha les a County of Butte against all liabi ities, j g os exp which may in any way accrue HAz cuA PARK I.CHL FLD _ PAR PD HD Iss against said In ns u e of ranting of this permit. _ X This permit is hereby issued under the applicable provi- Date sions of the Butte County. Code and/or resolutions to do ignature of Appl' ant — Owner Contractor ❑ Agent ❑ work indic d abo a for which fees have been paid. An OSHA p rmit is required for excavations over 5'0" deep and demolition or construct- DRE TOR PUBLIC WORKS ion of structures over 3 stories in height. Receipt � By �7 Date No. i WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSP CTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date .-.W ?r, Z.7 s"5";3`4,0kj , ..i% � �: ` 43. COUNTY OF BUTTE - DEPARTMENT bF bLIC WORKS - BUIL' IN IVIS aN 7 COUNTY CENTER DRIVE - OVVILL'E,'%@tt;0i 01iil(�A 95965 - TELEPHONE: 916/536- 541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. . No. Proposed BGilding Use .��� Building Inspector Date At time 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 ................ 0 ......................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ... 0 .......... 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 $ ...........0............ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW �K_41r4T 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 ❑) .... . 4. Recorded copy of Agricultural Acknowledgment Statement ......... 425 etter of signature authorization ................................... -26. L_Z!U_kbLJ 7C— 6 4,e C4 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. Other , Applicant / Dat Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issu VC (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 —ma II—counter by date Plans checked by Date Plans approved byDate /2—/� Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. - 7 County Center Drive - Orogille, California 95965 -Telephone: 916/538-7 1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72 —�_Z0 — �4 .�— ZON N BUILDING PERMIT OWNER t Gh-T � rJD0N TELEPHONE 53 3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS [' I y&L-IL0.J jT00,r_ ttr1 CON ACTOR'WN%UTELEPHONE 1IJ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS$ ��® L..N Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)< Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities�k Installation❑ Other ❑ Describe work: Pk _ Permit Fee $ 40 Contractor ELECTRICAL PERMIT Filing Fee 10.00 ` Main service 100V OR LESS 100 AMP OR LESS 10.00 j 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) 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.N A NEW CONST , 2�z2sgft R.( MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLo FIXED APPLNS. R Ex. Occup. OUTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 js Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to.sav my and keep harmless the County of Butte against all liabikit°les, judg en nd expenses which may in any way accrue against said County ,i a que ca.of�e granting of this permit. X Date Jignature a4"Applicant — Owner ����yyyy(((( ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and dem lition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ h{AZ �' I CUA "� PARKJ scHL I F�Vl PA PD "� H ISO This permit is hereby issued under sons of the Butte County Code and/or work indicated a ve f whi h fees DI T R L By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS i Date Receipt No. 5'q,61 -7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINDIV SION 7 COUNTY CENTER Ddl� E....Gl!?�3i/ILLE, GIjLIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION' DATA SHEET OWNER 14-0 /3 Permit No. . No. :?-7 - -x*,X - / 1 L/ Proposed Building Use I) Building Inspectors Date /;1--7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. School District fees paid .............. 4. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... a/71 0, 5. �)_etter of signature authorization ................................... t 2 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 4)&0 office. Deliver w/inspector. Other � /� /9 i_% Appl ica Date < Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II_cpfunter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date TO FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance A. r -v _..�.— Owner - - - Location AP# Plan Approved for: Hold final for: Final clearance O.R. for: Sewage Disposal Clearance for !L—bedroom mobile home. Other NOTE * * * Water Suppl�– Water Supply Water Supply I'V Date San taria (eq,00e .2 7 '88 Be offs IAL SEAL G` NOTARYpLMtj MY�COt�bi. EX BUTTE COUNTY JULY 23. 1993 `Retur`n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT, 8 9- 4 8 8 0 4 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County, Code requires this acknowledgement be recorded ' prior to issuance of a building permit. f � � The property described herein is adjacent B9-048614 Rec Fee 7.00 to land or included within an area zoned 1 Cash 7.00 for agricultural purposes, and residents Recorded ; of this property may be subject to incon- Official Record s veniences or discomfort arising from the County of use of agricultural chemicals, including, ` Buttej P�QT���� VM but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit + Recorder of agricultural operations including, 11:4Sam 7 -Dec -89 BG 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul.- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 42 r% ^ 2n PROPERTY 0 ERS: State of &1116k-414) On this the 17OX day of A Me-or2 19 0 , before me, SS. the dersigned Notary Public, personally appeared Co my of 1,54� .l b..w W W o � Personally known to me. 'Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) a` -e— subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WET NL'SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. c27 as is 2 Notary Public F RE(ORoI G NEUUESIEU UY OROVILLE TITLE COMPANY Order No. 85721 . "] AND WHEN RECORDED MAIL TO MR. & MRS. ROBERT CONDON 2595 Oro Quincy Hwy. Oroville, Ca. 95965 SA n, AS ABOVE t, .I to Q. a M.") v (ORIOVI C?CBUTTE COUtiTT•CV1F RCCBY 11sF"Lt GUM of ft 'APR ( ° 1120 An I�'LOUISE KLUENDER COUNTY RECOROE El TO 119 FEES 89-48614 SPACE ABOVE TM19 uN ER'S USE —� Docurawr OAN31p r.%co ID O., •J11 -1A J. %ot.tUtr co—trED. '. J• SASE. Joint Tenancy Grant Deed IF'I•:rs 5.50 THIS ►ORM PURNtSHED DY TITLE INSURANCE AND TRYST COMPANY FOR A VALUABLE CONSIDERATION, receipt of which in hereby acknowledged. J. EARL SPROULE and MILDRED J.-SPROULE, his wife hereby GRANT(S) to ROBERT E. CONDON and BERNIECE J. CONDON, his wife AS JOINT TENANTS. the real properly in the ^, Stele of California, described a+: County of Butte PARCEL ONE: The Northeast quarter of the Northeast quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. 1.ESERVING TliZREFROM a right of way for road and public utility purposes over the Southerly 30 feet. PARCEL TUU: The Southeast quarter of the Southeast quarter of the Southeast quarter of Section 28,• Township 13 North, Range 4 East, M.D.B. & M. PARCEL TI REE: Right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet Southerly of and adjacent to and 30 feet Northerly of and adjacent to the Southerly boundary line of the North half of the North half of the North half of Section 33, Township 18 North, Range 4 East, M.D.B. & M.— nlned:_Apr.il__13.,__19.7.2_. s"rATE OF CAIJFO11\'! t COVNI'ry OF—' B — to, ____.-__April 1Q, .—,_..I..d,nr .— . ..... 1. ,..l:n,•d• n N"t"y Puldir in and I„r nnid ?lnlr• I,rn,mnllr npprm.d J. F.nrl _q1jroule Ind D/Sldred J,—_ Snroule 1„ I. a,. ,.• _S_. wl,,,.r n. , ,._s Rre„ I,., ril,.•d 1.. d,. widdn ,u.n„tn,-tn nn,l ,,,-wn...I.•,I1:,•d tllMi. _the%_r,,,.nl,•,I I♦t.• ..,�,,.. „iTSF:<� ,,,> I,nn,l .nd •,ni,•inl .,•,I. LEO it. IVOITIN Cmu. Ch I I ,n hi I I rl prvu_e rSProule^1 . /. , n ......... :... ..G'A ,,..,.,,.a ...i, CTial.. V.. E , .. ., 1 MAII TAX SiAiF. /A r.NI$ AS DI DFClF:D Al1UVF Ipm or. END OF DOCUMEN71' W. , - ... I "0%— qAA Makr;Ws A Wwbnvn: �+a� Be M Aaaadanae with Reacgnised Good and Of o q"fy proscribed for t=.1cod"Aw use In TheUniform Bending, Plumbing h 16 Notional Eladtrical Cod*. _ I-JU This set of, plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same wifh- out written permission from the Department of. Public WoAs, County of Butte. A satbeoh of 5 % frpm ft properly lines and a soft* of So ft. from the toad centerline shall be deet of structures or ggwP sd woo for a 2 ft. eave overhsnp. �- 6,CkAZ of ACC- 6A�.O4. A permit will 6e mitred fm As installation of the mobiiehamo. ER MMUS ,@I I - &LOC"' ", 4116 -89 BUTTECOUNTY 8UI4ONG DEPARTMENT APPROV;:DE y BUTTE COUNTY DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 1: Owner's Name: MOBILEHOME INSTALLATION SHEET 2.. Installer's Name: 3. Is the site currently under permit? Yes © No F] (If yes, furnish permit_ number OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septi stank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 1 5. What is the mobilehome electrical rating? --------------- JD Amps 6. What is the mobilehome site service rating? ------------- Amps 7. "What is the mobilehome site circuit breaker rating? ----- J-0 Amps 8. Is there any other electric load to be served by the ---------- mobilehome site service. ---------------------- yes � No (If yes, identify the load and size: (.Load) (Amps) 9. What is the mobilehome site gas pipe size? --------- / (in.) . YP g ?------------- ---- 10. What is the type of as service. -- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- ,fid * 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.) (ft. ) (BTU) MOBILEHOME SUPPORT DATA If other'than..single wide, Mobilehome Mfr._�jC furnish Setup Model No. ���y��o Year, /� Width (ft.) Box Length S"y (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 treate or foundation grade. 2. Other (specify) El SUPPORTS (check one)FT1. Concrete block.02. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE r_ Line 4 r Line 1 Line 1 Piers: Size -Min. ------------ Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ / r, ?�, x Spacing -Max. --------- '- O n From Ends -Max.------- '. " Line 3 Roof Loads: - Size-Mio. -- - -- x „ ..x k a Location (From Front) Line 4 Piers: Size -Min.--- -- ---- ,k n Spacing -Max.--------- From Ends -Max.------- r_ Line 5 Roof Loads: Line 1 Openings: Size -Min. ------------------ „ "x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- nx u Spacing -Max.--------------- From Ends -Max .------------- e rlere: kunaer nearing wnaro w—yi Size -Min ------------------- Spacing-Max ---------------- r_ o From Enda-Max .------------- " Size -Min. ------------ ..x a nx ,rx a nx o ,k nx a .,X n nx n Location (From Front) -,...—.-+.,-•.rte RESIDENTIAL 27-22-124 696-90P,E,M CONDON, Robert 3 9 % Melody Lane, Oroville (utilities/MH) Of C c-� --� I aL �►� ���w-r �w y j iI OFFICE COPY Address � GAS Date i Meter y� 1 ELECT e_ Dat Meter By v JOB FINALED (Date) — Signature ' .. t J=OK O=Not OK Not Not Readyable MOBILE HOMES Date MOB LE HOME UTILITIES Plans OK except #'s Requirements -Setbacks -Easements <1_116, Special MH Support Sketch . Se r; Location -Test -Fall -C/O Concrete w -water; Location -Test -Easement Needed (Sketch) I&--T--_Location-Test-Wrap: / P'L"ft. / ' P'Nat. or/ /"L"ft./? 4'LPG Utility Clearance Date Card13-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector k_A lectricity; MH Test -Crossovers -Breakers -Clearances 6 rain; MH Test -Fall -Flex Connector 6,,Wer; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8� and Electricity Tagged, 9. Exits; Insp.-Sketch Cert. of Occupancy 09 Date Card B-1 Date Card B-1 y Date Card B-1 Date Card B-1 c MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-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 -Mash 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 B-1 O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17.• Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive C1 Yes 0 No; Walks 11 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made 1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE w1 OROVILLE, CALIFORNIA 95965 — TELEPHONE: ((9/916) 538-754411' PERMIT NO. / 7-- l Address or location of mobi lehome SSH2 Owner's name (Zy %'� �` 0 w �n Owner's address Insignia or hud numbe. `ICS L-[' Manufacturer's name C, 114 i1q 12,16 AJ rs f / •f) 7 Serial number of V.I. y �� Year of manufactur � . A ng Installation) ' (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION, ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. :. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovilTe; C�-lifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL UMBER 27-22-1'2f ZONING A5 BUILDING PERMI OWNER Robert Condon TELEPHONE 534-7831 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 395 Melody Ln. Oroville CONTRACTOR'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Melody Ln. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK y New ❑ Addition [:]Remodel EDUtilities ❑ InstailationL Other ❑ Describe work: MHT 9Rg_ _ 1�IIIU# 696-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, athe owner, am exclusively contracting with licensed contract orss. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP OR ACDNS. ( .& ACC. BLDGS. , 2/20sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea / POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES 120 @ 50c BAL@30 AL®3o Ex. Occup. OUTLETS FIXED PIRESID ILNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate • f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. taws of California. N Ice to Applicant: If after making this statement, should you become subject o 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 constru .on, d reby authorize Wpresentatives of the County of Butte to enter u t v e ned pr ,.effy for inspection purposes. I also agre sav I e and armless the County of Butte against all Iiabi ' les, Y , o is expenses which may in any way accrue again sarise ce of the granting of this permit. f' C' X Date Signature of plicant — Owner Contractor ❑ Agent An 05H permit is required for excavations over 5'0" deep a d demolition or construct- ion of. ructures O,veer 3, stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz CUA PARK I SCHL F PAR I PO HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above fo, wh'ch fees R TO F ELIC BY PERMIT EXPI S Date the applicable provi- resolutions to do have been paid. WORKS �p Date l Receipt No. a �� / WNITC•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT :.rr.:y..� .-,� _., ..,,.._ .,w.-..�.f,.:, •__,"yam:: ,`�saa�l;P�i'Ss'C:• }s:".'vr/.:.�.-�"-�r._�.i�. ,r ..K: ,,,. •t� , COUNTY OF BUTTE - DEPARTT OF PUBLIC WORKS - BUILDING DIVISION / k 7 COUNTY CENTER DRIVE - O,R OV CALIFORNIA 95965 - TELEPHONE: 916/538-7541 $ PERMIT APPLICATION DATA SHEET dr"1 Permit No. l OWNER � `%r �J.t l40�1/ A. P. No. -2_2-- /-z,� Proposed Building Use, Building Inspector Date At ti of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: JDATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection 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 ......... 25. Letter of signature authorization ................................... 26. 27. p -i When you issue the permit, process as follows Telephone and hold ft Mail to owner. Mail to contractor. -Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—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 -DPW f COUNTY OF BUTTE - [ZEPARTMENT OF PUBLIC WORKS PERMIT NO. (/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 4 f Q APPLICATION -AND PERMIT ASSESSOR PARCEL UMBER 27-22-12 ZONING A-5 BUILDING PERMIT OWNER Robert Condon TELEPHONE 534-7831 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 395 Melody Ln. Oroville 95965 CONTRACTOR'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER' UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS —391 Melody Ln. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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❑ MobilehomeNN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G IN 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [7( Installation[] Other ❑ Describe work: 2 BR. 60-640 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD•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 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 of ADDNST DWELLIN GSCCUP.h\ / 2yzQsgft NEW CONSTR.MULTI-OUTLET NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 920@50¢ AL@30 FIXED EX. �CCUp. OUT ETS PR ESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 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. ZI shall not employ any person in any manner so as to become subject to the W. C. laws of California. t,"to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also a&tove,emnify and kee rmless the County of Butte against all liab, costs, an xpenses which may in any way accrueagains ons que of the granting of this permit. X Date Signature of pplicant — Owner ❑ Contractor ❑ Agent An CISH- permit is required for excavations over 5'0" deep a. demolition ar construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 92.50 HA2 c— PARK SCHL FL PA PD H Issu This permit is Hereby issued under sions of the Butte County Code and/or work Indic d ab e f r which fees R TO F PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dat _TE-D.P.W.. ceipt No. ��fZBy r YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT STATE OF CALIFORNIA Ss. COUNTY OF.. ............. OFFICIALSEAL JANE ANDOE NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY My"N'S. EXP- JULY 23, 1993 On this ..... .............. dayofll �/.-k ..... in the yearl .............. before me, .... /�/6 .................................. .... . .. ................ ............ .......... a Notary Public, State of California, INcommissioned and sworn, personally appeared ...... —1 1r 17 .................... . .................................................. personally known to me (or proved to me on the basis of satisfactory evidence).to be the person .S. whose name%.............. Orf: � .................................... subscribed to this instrument, and acknowledged that . ... executed it. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in......................................................County of ................... ..... ............. on the date set forth above ... in this certificate. This document is only a general form which may be proper for use in simple transactions and in no way acts. or is intended to act, as a substitute for the advice on an attorney. The printer does notNotary Public, State of California make any warranty, either express or implied as to the legal validity of any provision or the suitability of these forms in any specific transaction. My co I I . ssl . Of U�'X�v --7, Cowdery's Form No. 32 — Acknowledgement to Notary Public — Individuals — (C.C. Sec. 118.9) — (Rev. 1/83) LO AFFIDAVIT OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A)(3 TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) - AD pl i cant ONES) Applicant ��e,2 e Zone /�-� AP # �7-�2 - / Building Permit # 6;�C75- �G Ido declare, that the dwelling (Building Permit # ) at address (present) on AP# - oZ2 % (— is intended for the sole occupancy of one adult or two adult persons. who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more Darticularly described in Exhibit "A" attached hereto. I also understand that violations of these,.provisions are subject to the penalties provided in Section 24-63.1 of the Butte County s Code. A Signed Dated Attach Notarization Form 90-01015-7 Rec Fee Cash Recorded Official Records County of Butte Candace J. Grubbs Recorder 2:48pm 14 -Mar -00 ; go 0.00 0.00 3 r I\�►��atJ 7.00 to land or included within an area zoned Rei DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENA 0 " } 0 .1 5 8 Official Records 1 FOR RESIDENTIAL DEVELOPMENT Section 26 -8.1,1 -of the Butte County Code requires this acknowledgement be recorded -- prior to issuance of a building permit. 2:48pm 14 -Mar -90 � BG 2 of agricultural operations including, 0—()10158 : Rec Fee 7.00 The property described herein is adjacent : Cash 7.00 to land or included within an area zoned Recorded 1 for agricultural purposes, and residents Official Records 1 of this property may be subject to incon- County of veniences,;:or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder i and fertilizers; and from the pursuit1 2:48pm 14 -Mar -90 � BG 2 of agricultural operations including, _ but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: State of Odli l'i7c,R ) On this the day ) SS. the lindersigned Notary Publ County of Ll�L ic, personally appeared Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) d/-� Msubscribed to the within instrument and acknowledged that JAKE�ANDexecuted the same for the purposes therein contained. IN WI ESS FQN0TARYPU8Ltd-CA;L1F0 WHEREOF, I hereunto set my hand and official seal. BUTTE COUNTY MY COpi11. EXP. JULY 23, 1993 Present A.P. No. ✓/ Notary Public �_ �; . 1 ��� ` �� I 1 ti �_ ......1XLI J.X.1.U.Ll::a ...J„1.,1, J.l i.t.. vvi.ti ivl ......................... Return to a.: MR. & MRS. ROBERT CLARK ...... Oro Grande Avenue ......................................................... ..____Yuba_• City, --•Ca . 95991 SUM.. COUNTY -CALIF RECORD I?=ncfsTE'J BY 00 LLE TITLE COMPANI PR Z 1 11 20 AH �9iz OUISE DER CQUNTY RECORDER FEE 3II-02-of0 �4i'$ Berh of 011 rust, Made this 13th day of April 19 72 1BPtwppn ROBERT E. CONDON and BERNIECE J. CONDON, his wife whose address is 295 Oro Quincy.Hwy. herein called TRUSTOR, _-� :�:+��•� Quinc H Oroville Number and Street)i (City) (Zone) Ca(afle9rnia OROVILLE TITLE COMPANY, a corporation herein called Trustee, and. ROBERT CLARK and BETTINA CLARKS his wife) as Joint"Tenants , herein called BENEFICIARY, itnP.I3SPf%: That Trustor irrevocably GRANTS, TRANSFERS AND ASSIGNS TO TRUSTEE IN TRUST, WITH POWER OF SALE, that property in the..................................................................*California, described as:, County of Butte, State of PARCEL ONE: W V LL 0 Z W The Northeast quarter of the Northeast quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. LESERVING w :: ,• TIIvREFROM a right of way for road and ublic o Y p utility purposes the over Southerly 30 feet. PARCEL TWO: The SOLtheaSt Cmcrtnr of theSoutheast quarter of the .—Sr]utl:east..:_ _ .... am_ _`. quarter of Section 28, Township 18 -North', Range 4 East, M.D.B. & M. V ---� PARCEL ,TH. "E: UN Right of way for road and public utility purposes over a strip of land. \ 60 feet in width, lying 30 feet Southerly of and adjacent to and 30 IIS 03. � feet Northerly of and adjacent to the Southerly boundary line of the y W North half of the North half -of the North half of Section 33, +ivJ' ' Township 18 North, Range 4 East, M.D.B. & M. W V LL 0 Z W CD CO LL 0 or) LL 0 Cr LU COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller dallfornia 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT - OWNERTELEP`O�_+ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO R R'S NAME TELEPHONE CONT'RACTOR'S MAIA`_ ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 5 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ZfiPermit ZAIJ fee $ / PLUMBING PERMIT Filing Fee 10.00 1Z Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ✓ Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONST. ( DWELLING OCCUP.h\ NEW OR ADONS. ACC, BLDGS. / yZ¢sQft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLEOUTLETCIR. Ex. Occup(OUTLETS OR FIXTURES 200301 SAL030 Ex. Occup. OUTLETS FIXEAP(RESID.)LNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ove/rr�3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEE $ ---1 ALSCHL HAz CUA PARK Flo PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date S Receipt No. —I m � GOLCE9 00-Ap-UCAVT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CkLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. ) Proposed Building Use Building Inspector 4OZ Date _-S 41 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. Sanitation approval from ()nn ; (- C Health Department 3 -► �'q 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 J Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Z�3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy -of Agricultural Acknowledgment Statement .. 25. Lett r o i nature authorization ................................... 6. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 534- 7R�) and hold for pickup at D off' Deliver /inspector. Other A p p I i c a n t Date Copy of plans sent Health Dept., The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: _Fire Dept., ,ZOther Date o Kermit issANAq: (Circle new item not checked above), Contractor, designer, owner, was advised of above required data byL/ phone--inaiI—counter by .date 3 �� Contractor, designer, owner, was advised of above required data by—phone —ma II_90urgter by date Plans checked by Copy—DPW /Date Plans approved by_CZA1 Sets of plans on hold in ' . File cabinet AP folder Date r'-. Ablo .TO Building Department FROM: Environmental Health 1 SUBJECT:. Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal v _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for —7—bedroom mobile home. Other NOTE *** Sanitaria y Date . ;- •.. . ..�:. ,.. �fj:.h. �: •. . _ J _ __ _ __.. .. _ _. �.,-e��:s�, �-�- .. .. l.. ;� . � .. r �; .. ;_:. ..: .. .. .. .. .:. ...:. .....; .. ... .... .. ...... ... ... .. . . 10: 5 7 AFFIDAVIT OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A)(3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant /i2 <.ri��il�%,.Ui�r��l�J�e Zone' 14-5 AP Building Permit # I, do declare, that the dwelling (Building Permit # ) at address (present) on AP # —2 r7 2 is intended for the sole occupancy of one adult or two adult persons. who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly described in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. n Attach Notarization Form 0 Signed Dated 90-010157 R e c F e e 9.00 Cash 9.00 Recorded ; Official Records County of ; Butte - Candace J. Grubbs , Recorder , 2:48pm 14 -Mar -90 ; - - - BG 3 STATE OF CALI ORNIA COUNTY OF.. ��.... , ..... , . ss. a OFFICIAL SEAL JANE ANDOE o NOTARY pUBLIC-CALI3t99 BUTTE COUNT MY COMM. EXP. JULY 23. _J / / l 2 On this / ` �........... day of .. �nLL .... ,in the year. ,ff t . .............................................before me, 1, `. ..... ..?l�........................... . Notary Public, State of California, commissioned" Bd orn, ersonally appeared �1Grf .Fi r .. G�4/� G�O.!� ...... �r....c�i ✓�n................................................... personally known to me (or proved to me on the basis of satisfactory evidence) to be the person .S . whose names...............l'. Y�................................... subscribed to this instrument, and acknowledged that ...-,�he�... executed it. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in e.....7 �/:d....................................... .........County of .............. ........... ..... ............... onthe date set forth above in this certificate. This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice on an attorney. The printer does not / Notary Public, State of California make any wananry, either express or implied as to the legal validity of any provision or the , //-/4 ��/ /4-Z suitability of these forms in any specific transaction. 111///0 My co ission expires Cowdery's Form No. 32 — Acknowledgement to Notary Public — Individuals — (C.C. Sec. 1189) — (Rev. 1/83) END OF DOCUMENT 3 ....-l.l1111.X.1.41.0 3:7 -. —h.i.A1M...Y v}_ai na._y................... (� Return to " 4I .. ..... j,,T{.--&... MRS . ROBERT CLARK } 146 Oro Grande Avenue- -- ------------- -- -------- ------- ----Yuba ... Pa. BUTTE COUNT r-GACIr RECORD R-OCf:STtiU BY oRovLLE I fyl ii 2oOAN 19iZ �Pft Z r LOUISE KLUENDER ELO— COUNTY RECORDER FEE )1_ti 00 ti C114W Derb of L—Erusf, Made this 13th day of April , 19 72 i8p1wrpn ROBERT E. CONDON and BERNIECE J. CONDONE his wife 106L ca _ herein called TRUSTOR, whose address is 295 Oro Quincy Hwy. Oroville fl rnia Number and Streets. ,;�,, . (City) (Zone) Ca a e� OROVILLE TITLE COMPANY, a corporation herein called Trustee, and. ROBERT CLARK and BETTINA CLARK, his wife, as Joint Tenants , herein called BENEFICIARY, 39iYnPSSPf4: That Trustor irrevocably GRANTS, TRANSFERS AND ASSIGNS TO TRUSTEE IN TRUST, WITH POWER OF SALE, that property in the..........................................•........................., County of Butte, State of California, described as: -01 1 PARCEL ONE: The Northeast quarter of the Northeast quarter of the Northeast quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. LESERVING THEREFROM a right of way for road and public utility purposes over the Southerly 30 feet.:. PARCEL TWO: The Soup beast quarter of the Southeast Quarter of the,. Southeast _ quarter 1of Section 28,Township 18 -North, Range 4 East, M.D.B. & M. PARCEL,THREE: Right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet Southerly of and adjacent to and 30 feet! Northerly of and adjacent to the Southerly boundary line of the North half of the North half sof the North half of Section 33, „Township 18 North, Range 4 East, M.D.B. & M. too, 9 11 AFFIDAVIT OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A 3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant ?;oezz Zone �—� AP _ Building Permit n I, do declare, that the dwelling (Building Permit # at address (present) on AP #_ is intended for the sole occupancy persons of one adult or two adult who are 60 years of age or over, and the area of floor spaceof the dwelling unit does not exceed 640 square -feet. Said of property is more particularly described in Exhibit is attached hereto. I also understand that violations of these provisions are subject to the Penalties � P s provided in Section 24-63.1 of the Butte County Code. 1, Signed Dated Attach Notarization Form 90-010157 Rec Fee Recorded Cash Official Records ; County of Butte Candace J. Grubbs ; Recorder_ 2:48pm 14 -Mar -90 BG 9.00 9.00 3 I r TO Building Department FROM: Environmental Health SUBJECT: Sanitation.Clearance S� Owner Location AP# Water supply Plan Approved for: Sewage Disposal_ pp y Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other NOTE *** Water Supply Water Supply .- ate __ Sanitarian BUILDING DIVISION CCUNI* OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i NO. Agricultural building is defined as follows: Agricultural building is a structure designed and c structed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure s, II not be a place of human habitation or a place of employment where agricultural products are processed, treated, tr packaged, nor shall it be a place used by the public. ASSES, ?y,. ARCE Q. I �", ZONING 5� OWNE / PHONE NO. C�bC ki O r1 OWNEDD�RESS„ /) e lod v J iAQ v f ��� / C Com LOCA 10 BUTG /®d �^ `OF r �// l v E� USE O ILDI �� ice' O ✓ D V`cS f S tack.(?, SIZE OF STRUCTURE SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _L� STEEL CONCRETE OTHER (Specify) TYPE OF �I�D.�►`�G ROOFP9VERING FLOG j,TYPE ESTIMATED COST OF CONSTRUCTION $ '1�5 ©O 66 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: N , S S J FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. /6. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and apprqv"als to-eomply�with the requirements in effect at that time and before occupancy.pp Date �c /� Signature Permit Fee - $60).00 Receipt No. [ gbV The above described AGbuilding is exempt from a l uildina permit FL OOp 1PAVECI P.D. ROOFING ISSUE Manager Building Division By Date f 9� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Ni•.�...n- 7..Y�- L:-t""l� > . .-.. L X5.4 T:.'a •-. y'lf.: ~'��:'., +.p.... COUNTYOF. TSE -DEPARTMENT 0f DE:VELOPMENTSERVICES -BUILDING DIVISION' 7 COUNTY CENTER DRIVE - OROVILLE,'CALIFORNIA95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER PJ0 r) A. Q. No. 6%1 P +36o -1r: 2 Proposed Building UseBuilding Inspector Date rF At time of permi pplication, I was a vised the following ata 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 HqpWr,Dee ment. ............ 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 requ-e-sT- Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... - 23,-0w-ner-2LWder,y6rio,,�g�� (ven to owner Mail to owner _). ......... . 24. Recorded copy of Agncu7ti71`'al 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 . ................................... .. j 32. Plan check list . ..................................................... • 33. 34. t Whe, you issue the permit, process as follows: Mail to owner. -Mail to contractor. Telephone and hold for picku at office. Deliver with inspector. Other Parce6Creation Acreage A li Copy of Haz-Mat form sent Health Dept. Fire Dept. Air 'RoMtionape- 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. 2f,Additional items required: Cbritractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor1., 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 a BUIL61NG DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75 AGRICULTURAL BUILDING EXEMPTION PERMIT PQRMIT NO. °7- 3 Agricultural building is defined as follows: Agricultural building is a structure design and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This st cture shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. as �- 60-- /a LI -600 ZONING PAR PHONE NO. OWNER'S ADDRESS ezj / 4 c LOCATION OF BUILDING u C/A► USE OF BUILDING SIZE OF STRUCTURE XL ' :_ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING %h O ROOF OERIN S T FLOOR TYPE - e ESTIMATED CO T OF CONSTRUCTION $ 3v3V AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: — r _ r S�S e -a. FRONT /P"-- SIDES REAR 6 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements ine�ftt at that time and before occupancy. Date s ,---24Z27 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a buildina permit Receipt No.�IV IV T I Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD PAR P.D R 00 FA G ISSU el Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE DEPARTMENT OF 1I VELOPMENT SERVICES - BUILDING DIVISION 7 COUNTACENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 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 -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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! ------------------ E16. ----------------- ❑6. 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 $ ------------------------------------------------------------------- f ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------- Cl 13. Flood elevation certificate.---------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑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 ❑). 024. Letter of signature authorization. ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------- 0 27. Manufactured Home utility clearance. -------------------------- 28. Existing violations and/or expired permits. --------------------- Cl 29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: When you issue the permit, process as follows eMail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above 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, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed ando/ureshall cted to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This str not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. SSES PAR C N0 ZONING PARCEL OWMR PHONE NO. OWNER'S ADD S� A6O A,le, ri'l'l �.0 ` �J`/ (� LOCATION OF BU ei-,lo V USE OF UILDING SIZE OF STRU TURE cJ X / _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDJNCI �v/l./� ROOF COVE NG FLOOR TYP j ESTIMATED COST OF CONSTRUCTION //60 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as folloV�,� FRONT J- b -^^cC SIDES S_REAR— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date —'N / D Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. (a&M3 Director of Public Works By Date J White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant // FLOG PARCEL P.D. ROOFINGISSUE V Director of Public Works By Date J White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant // ,;13'w i!.`�,..; ;r., .i t���., {yj,{ r;. .. ::� ',.rS�` .. sn,.} �,.:xir�' i d.;/'.:�. °.:��`��1! �6rt~':,�,•� `..' _- . COUNTY OF BUTTE - DIEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL9, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 - PERMIT APPLICATION TA SHEET r Permit No. �J OWNER Yx+ - Y A. P. No. �O Proposed Building Use - ,Building Inspector DateZ!�o At t71. ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ' 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) Pre-Inspec. request to 20. Pre -Inspection for required Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. - 27. _., When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other _-n �-+ IM ApplicantT 9�ate �,rot-) u ,o, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date .. Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date