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027-360-196
p� OCCUPYING MOBILEHOME W/O PERMITS 8/28/96 COMPLAINT GIVEN TO INSPECT a-�-Q2 BUILDING LCOTDE VIOLATION 30 DAY LETTER: -SET .N:_3L-) a- 3 -10- Building code violation 10 day �/-30 0a BUILDING CODE'VIOLATION LETTER 30 DAY /2 //- 03 w/o W7-36-0-196 93-871 P, E(MH j BORRERO, Aurelio & Parnbia i� a Four Junes Way, OrovillMe (util, MH, , ELEC GAS COMPACTION TEST REQ ); O SUPPORT STRUCT REQ y-6 027-360-196 PERMIT#97-0.380 BORRERO, Aurelio & Painbia 82 Four Jupes Way, Orovill Cont: Bill Fox Fire Sprinkler Supply/MH 027-360-196 2'PERMIT #99-2787 BORRERO, Aurelio & Parnbia 82 Fur Junes Way, Orovil e MHVPor BP#93-0871 a��1171' BORRERO, AURELIO $Z FOUR JUNES WAY, OROV(LLE CONTR: OWNER AWNING -- 027-360-196 ��3 ?/'0%01-0557 NAVARRO, FRANCISCO 82 FOUR JUNES WY. OROVILLE CONT: OWNER RETAG ELECTRIC SERV r i Q�7-.3G 027-360-196 03AG228 NAVARRO, FRANCISCO 82 FOURJUNES WY, PALERMO Cont: OWNER AG BUILDING !K1 I //__-1 11440 1 r'" r+ ca� 6 F2, NOTES t RESIDENTIAL 027-360-196 01-0557 NAVARRO, FRANCISCO } �82 FOUR JUNES WY. OROVILLE ,CONT: OWNER RETAG ELECTRIC SERV 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) Signature V= OK 0 = Not OK - = Not Applicable = Not Ready _ r MOBILE -HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG Exits; Insp.-Sketch 7. Well Clearance & Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4., Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling, Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive :1 Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . ,• .- - \,►�---1-` .. _ ... ..- . ._ • � '+.'.»'ww. -r- Y -- . '. .r. ,z--.P�-��r-ry..�-� �v.`(..mr^++-.•i•1yu.ase...-w+-G-jr �.+.-v --y,.; .-.Y.� �.- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN— SERVICES - BUILDING DIVISION 0f" O SS1 `Aounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ER T NO. (Rev. 12/96) _� A \ APPLICATION AND PERMIT �- Qom.' ASSESSOR PARCEL NUMBER on7�36.p-196. t L G ZONINN� BUILDING PERMIT OWNERBORR O, AURELIO T oN SQ. FT. OCC. BUILDING VALUATION 2 . OWNERS MAILING ADDRESS 82 F001> ,,JUNES WAY, OROVILLE CONTRACTOR'S NAME OWNR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S "UNG ADDRESS Fireplace Total Valuation $ 5382 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20•00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS - Permit Fee $ 81,00 4 Plan Checking Fee $ 52.6.5 BUILDING ADDRESS 82 FOUR T�ftdL�C� WAY, OROVILLE (7 �l/UR JIJL�T�7 - Ener Plan Checking Fee Energy g $ $ I PERMIT FEE $ 153.65 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 ` USEOFSTRUCTURE s Solar or heat pump water heater 23.00 SF ❑ Duplex [I. Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 AWNING Mobile Home I S I G I W @20.00 Describe Work- PERMIT FEE $ ELECTRICAL PERMIT 'Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5QFT. 1 hereliy affirm under penalty of perjury that I am licensed under provisions of Chapter RESID. MULTI -OUTLET CIRCUITS @7.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. POWER APPARATUS a SINGLE OUTLET cw. + License Class, Lic. No. Ex. Occu OUTLET OR FIXTURES 20 @ 1'50 aAL @ .so OWNER -BUILDER DECLARATION ,under LNS.I Ex. Occup. OUTELETS RFS DEA 5.00 hereby affirm penalty of perjury that I am exempt from the Contractors License Law,for the following reason: Temporary Service 23.00 I, adlowner 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this S reason ' PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 Heating► 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' Cooling, compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 $ performance of the work for which this permit is issued. Ventilation ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT FEE $ Carrier Mobile Home Installation Fee $ Policy Number (The above sections need not be completed ff the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) Occ CONST. TYPE TOTAL FEE $ 153.65 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' HAZ. D. FEES IM FLOOD CDF PARCEL PD HD :ISSUE compensation laws of California, and agree that ff I should become subject to the _ w/ // workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions forthwith comply with those provisions. /� X /moi Date -7 C?Ti of the Butte,.County^Code and/or Resolutions to do work indicated above, for which fees have been paid. Signature of Applicant ❑t Owner ❑,Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heightBy �.- Date# / .. _ .► `y r ' Receipt No. PERMIT EXPIRES ON Date WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 027-360-196 027-360-196 99-2898 B JBORRF-RO, AUREL107 82 FOUR JUNES WAY, OROVILLE CONTR: OWNER �6 AWNING Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile December 11, 2003 Francisco Navarro 82 Four Junes Rd. Palermo, Ca. 95966 RE: Building Code Violation Location: 82 Four Junes Rd., Palermo AP # 027-360-196 Dear : Francisco Navarro: Pursuant to Butte County Code (BCC) Section 41-2, you are in violation of the Butte County Code, at the above - referenced location. As of this date, the following violations exist: Failure to obtain the required permits, inspections and approvals from this office for the installation of a mobile home and installation of utilities and occupancy prior to final inspection. (a) Section 28A-1/1018 Permits Required for any Plumbing or Electric (b) Section 28A-1/1048 Inspections Required for any Plumbing or Electric (c) Section 28A-1/1034 Permits Required for Mobile home Installation (d) Section 28A-1/1326 Inspection Required for Mobile home Installation The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording -of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. 7 y,,.3 15*7 y !p L' Francisco Navarro December 11, 2003 Page 2 Sincerely, Bill B on Supervisor Building Inspector BB: ms cc: Assessor 40 r� r VIOLATION CHECK LIST A. P. # r _ �6a Address h/ Owner Owner's Address ,aa4k.l_� Owner's Phone No. Supervisoral District Tenant's Name Phone go. Type of Violation in Detail with Code Section ?riority.No. P -/ Specific Plot Plan with C/V N t ddes no Penalties Required I lst. Notice Sent – 2nd. Notice Sent -tgate)—(Date) Comments Date Comments and/or Determinatio "W/v 0-U'r, Dar. S A414"O 5 A wn w,- ' 9 -01380 1h 2 4 r oo -- 3 9)t m% Disposition For Citation Citation Date �(Date)N Department Recommendation to Court Court Action Notice of Violation Recorded (Date) a r , "r"'�a- ]y,.,.r� �y�an-'' �'�i1�u�vazl��jr,,�,''7 d�itis���^�� '�'' 'Yd7"`�',�y�,�� �'' l�i/—'f{' '��,°�y'l� — lY� Z'4�z J % v Q Aurelio and Parnbia Borrero 82 Four Junes Way #6 Oroville, CA 95966 BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530)'538-7541 FAX: (530) 538-2140 May 21, 1999 RE: Code Violations A.P.#027-36-0-196 82 Four Junes Way, Oroville Dear Mr. .and Mrs. Borrero: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2,.we sent you a courtesy notice dated April 8, 1999 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobile•home in violation of the Mobile - home Parks Act of .Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1324 -Permits Required for Mobilehome Installation (b) 1326 -Inspections Required for Mobilhome Installation The above violation shall be corrected or abated by you applying for a permit to complete the work and paying the appropriate fees. After permit issuance and field authorization to proceed, the corrections must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation '(ordering you to appear in court) for said violation(s)-and for failing to comply.with this warning letter. Upon conviction of said 'violation(s)' or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. MCV:dms Sincerely, kL&Xz� Mic ael C. Vieira, C.B.O. Man ger, Building Inspection 1 2 3 4 s 6 7 s 9 10 11 12 13 14 1s 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROOF OF SERVICE B*PWL I am over the age of 18 and not a party of this -cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing _ (A.P: #027-36-0-196) Building Division Department of Development Services 7 County Center Drive, Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United .States mail with postage prepaid on, 21ST_ OF MAY,' 1999 and addressed as follows: AURELIO AND-PARNBIA BORRERO 82 FOUR JUNES WAY #6 OROVILLE, CA 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 5/21/99 at OROVILLE , California. Q Donna Sperling Office Assistant III :..ffutte Count L A N D O F N A T U R A L W EA LTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 April 8, 1999 Aurelio and Parnbia Borrero 82 Four Junes Way #6 Oroville, CA 95966 RE: Code Violation A.P. #027-36-0-196 82 Four Junes Way, Oroville Dear Mr. and Mrs. Borrero: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Occupying the mobilehome without the required approvals. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. S- cerely, MCV:dms Mic el C. Fieira, C.B.O. Man ger, Building Inspection cc: Assessor B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 December 30, 1997 Wendy Uriostigui 82 Four Junes Way #6 Oroville, CA 95966 RE: Code Violation A.P.#027-36-0-196 82 Four Junes Way, Oroville Dear Ms. Uriostegui: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated November 19, 1997 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome in violation of the Mobile - home Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure The above violation(s) shall be corrected or abated by you by submitting three .(3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact. this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. • Letter to Wendy Uriostigui Page 2 December 30, 1997 0 RE: Code Violation A.P. #027-36-0-196 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Si,aperely, MCV:dms Mich el C. Vieira, C.B.O. Man ger, Building Inspection Wendy Uriostigui 82 Four Junes Way #6 Oroville, CA 95966 . RE: Code Violation 82 Four Junes Way, Oroville Dear Ms. Uriostegui: 6,utte count L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 53:5-2140 November 19, 1997 A.P. #027-36-0-196 This is a courtesy notice to notify you that there is a code violation existing on your property, created by a previous owner. The violations are as follows: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Permits and inspections are -required to correct the above noted violation(s). Even though you did not create this violation(s), you as the current owner of record are required to resolve any violation(s) or correct any hazards. Please contact this office to discuss the appropriate correction of this code violation. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford of this office at the address or telephone number listed above. Yours very truly, MCV:dms Mich el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor 1 2 3 4 5 6 7 s 9 10 11 12 13 14 15 16 17 18 19 20 i1 22 23 24 25 26 27 28 29 OOF OF SERVICE BY M4W I am over the age of 18 and nota party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #027-36-0-196) Building Division . Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 30TH: OF DECEMBER 1997and addressed as follows: WENDY URIOSTIGUI 82 FOUR JUNES WAY #6 OROVILLE CA 95966 I declare under penalty of perjury, under the laws of the State of California that the foregoing is true and correct and that this declaration was executed. on 12/30/97 at OROVILLE , California. Donna Sperling Office Assistant lII PROOF OF SERVICE BY MAIL DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 20, 1996 Aurelio and Parnbia Borrero -82 Four Junes Way #6 Oroville, CA 95966 RE: Code Violation A.P.#027-36-0-196 82 Four Junes Way, Oroville Dear Mr. and Mrs. Borrero:' This is a formal warning notice. Pursuant 'to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated October 1, 1996 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome and occupying mobilehome in ie-A-atZnn. of the Mobil ehOme Parks Act of Title 25 California C l ' t Code .,a e of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a).i324-Permit Required for ylobilehome Installation (b) 1326 -Inspections Required for Mobilehome Installation The above violation(s) shall ho rnrrortonl nr abated by you b Submitting +4-_c ( Q) ?....Z . .. paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. • Letter to Aurelio and Parnbia Borrero RE: Code Violation (A.P. #027-36-0-196) Page 2 November 20, 1996 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of.the premises the violation concerns, a. description -of the violation, the date of your conviction and the action necessary to -correct or abate the violation(s). Should you have any questions. concerning this matter, please contact Scott Rutherford or. Michael-Vieirain this office at the address or telephone number listed above. MCV:dms Sincerely, Scott Rutherford Supervisor, Building Inspection OPROOF OF SERVICE BARAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: Building Division Department of Development Services 7 County Center Drive' Oroville; CA 95965 I served the foregoing SECOND NOTICE VIOLATION LETTER (A.P. #027-36-0-196) by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 20TH. OF NOVEMBER, 1996 and addressed as follows: AURELIO:AND PARNBIA BORRERO 82 FOUR.JUNES WAY OROVILLE CA 95966 i riPriare iinriPr nenaity of neriury ltnderthe:awC of the -..Slate of Callfomla that the foregoing is true and correct and that this --declaration was executed. on 111 -?0j2 at OROVILLE , California. Donna Sperling Office Assistant III 14: Aurelio and Parnbia Borrero 82 Four Junes Way Oroville, CA 95966 RE: Code Violation 82 Four Junes Way, Oroville Dear Mr. and Mrs. Borrero: Co BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 October 1, 1996 A.P. #027-36-0-196 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Occupying mobilehome without the required approvals. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until 'the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte - County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mi el C. ieira, C.B.O. Main Building Inspection cc: Assessor BUOINbi DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. -zz Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING ZONING _ A'_� OWNER PHONE NO. die-,e S 3 2.-6 3.S-9 OWNERS ADDRESS tezRl ue o 9S�G LOCATION OF BUILDING P,4,'-' U,e cTvAJA USE OF BUILDING SIZE OF STRUCTURE —'X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE FSG & 7— ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT" ` / /, SIDES "�// //1/REAR !& / /A/ 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 about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. ,,/� va R11o,,c��L Date �� - 0 3 Signature of Owner. /" l� tla / /—C K/ ! Permit Fee - $60.00 The above described AG Building is exempt from a buil F7(9R g per ' .3C4P L D R O G ISS Receipt No.F7 Manager Building Division B Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 1 i0 Ao r I rwily bec,01, 003 12:12'pm NAVARRO FRA Name NCISCO " 11 Asnt # ' . Fee # 027.360.196.00 R11 Status ACTIVEStatus Date 02l288i1992 �I Addr-I 82 FOUR JUNES WY �l Tax 000 NORMAL OWNERSHIP IJTRA 092 000 Addr2 KHOVILLE CA 95966.9647 I� Situs 182 FOUR JUNES WAY PALERMO Addr3I� Base Dt 12/31/2001 M Land 0, � " h_ Addr4 ff � Timber Preserve QJjAgPres I J Etal . Structure) 0, Fixtures. 0 Growing 0' Comments REMAP FROM 027-220-196.000.11 /18/92 Creating Doc# 1992RP125.50 Date 02!28!1992jj Notes 0; -Current Doc# 2000Rb001691 � Date 01114!2000 Bonds UJI Multi Situs Total Fix RR P 0,' Killing Doc# �I Dateli —_ Q Flag1 MH PP 0 Asmt Desc 82 FOUR JUNES W,4Y SuplCnt2 �J Flag2 a PP 0 Zoning= "Dwellr S-6910 MH Exempt 0; Net A'creslSq Ft' 20.33 N!C 027 RJJ Asmt PP Pen Tax PP Pen QJ Appeal Pending T/R Dt f= fJ Split Pending R/C Stat . OWN EXP TAX HON — ATT SIT APR" PCL fsJ r — ► ►i Find rq Jj 2003 sa; 0712212003 11:15:57 AM I i REFUND CLAIM APIPLICATION CLAIMANT'S NAME ALA,r'-ellt7�- �QV I��IPCL MAILING ADDRESS ASSESSOR PARCEL PERMIT #c1 �L-1:5U3 RECEIPT NUMBERS) Request �a refund of 'fees paid on the above receipt number(s) for Please refund any applicable fees in the following categories: (Check those categories which,you_wish to have refunded.) [ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ]. Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE FOR BUILDING DIVISION USE: Receipt Information: " Number: . l Date: -" Issued To• Amount: $ Fees Retained: Processing Fee: $ Bldg Filing Fee $ Plbg Filing Fee $ Elec Filing Fee $ y Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND DUE $ COUNTY OF BUTTE Oroville, California GENERAL CLAIM z' CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL ,:e undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ated this day of 9�, at &V C4 Calif. C'x-/� p� Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ ► or Specific Board Approval [ I (Check one) for the same. Dated this day of , 19_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541.. PERMIT NO. APPLICATION AND PERMIT 94- ansa ASSESSOR PARCEL NUMBER 1 _ _ 19 ZONING A5 BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 2300 21 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 h gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other sPEcl Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other O Describework: REPLACES 93-872 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOO' OR LESS ( ZOOA OR LESS I 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.S0, OR ADDNS. ( 8 ACC. BLDS. I 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O am a licensed under provisions of Chapter 9, Division 3 o the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole ompensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) , as the owner, am exclusively contracting with licensed ontractors. (Sec 7044) killam exempt under Sec. Busin ss and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RES1D. ( BRANCH CIRCUITS I @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. cu FIXED APPLNS. OR p' (OUTLETS IRESID.) R ) 5.00 Tempo ry Service 23.00 Mobile Ho a Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSU NCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Certificate of Consent to Self -insure. , IMBuilding Division a Certificate of Workmen's Compensation Insurance or a shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. q �1 Date — 7 ` / `�- [::�gn�ature Applicant Owner Cl Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ i00.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I 1 HAZ. I D. FEES I IMPF100D COF PARCEL PO .� HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By. Date PERMIT EXPIRES ON (Dere! Receipt No. 170498 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j -. COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'.. -DIVISION 7 COUNTY CATER DRIVE,`OROVILLE CA 95965 —'TELEPHONE (916-) 538-7541-.r. OWNER PROPOSED BUILDING USE SCHOOL DISTRICT (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) z _$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units -amt . Commercial (per sq.ft) x =$ sq.ft. amt. RECREATION DISTRICT FEES (paid at District Office) ......................... DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) ��IiY01�1; A. P.. #_2 DATE ... _... _... REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico ,CA 95928 Ph: 916-891-2751 OWNER -BUILDER VLRIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and.materials for construction of the proposed property improvement (yes or no) •2. I (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and .returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive:- Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ 2 O + ZONING V BUILDING PERMIT OWNER TELEPH•a"E SQ. FT. OCC. BUILDING VALUATION o Exs MauNa ON TRACTOR'S NAME o CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDEWS MAILING ADDRESS Filing Fee $ -20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ` Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PAR EL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O MobilehomeOther \ SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation Other O Describe Work: C_ _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 y� Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) g0 . 3.50 F7, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SL. @ I.550 Ex. Occu FIXED APPLNS. OR ( ) p' OUTLETS (RESOD.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ . Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date I lq(-1 Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Q Energy Inspection Fee $ OCC 1011T. TYPE TOTAL FEE S3 HAZ. I D. FEES I IMP FLOOD I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By DateITE-D.D.S.-B.D. PERMIT EXPIRES ON (Dere/ r ceiptNo. / 70 OF CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F - , COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE OWNER PEST NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4/z c� �2 r7-14 1 -,L - (s L (s 1. /_AAs C C r It /S Date !� Inspector. r- REV 10/92 r s A.•.o �, tName NAVARRO'FRANCISCO Asmt # I Fee # 027-360-196-000 02/2811992 Status _ ACTIVE''` '` Status Date Addrl 11825 KITRICK-AVE Tax 000 NORMAL"OWNERSHIP TRA 092-000 ' 4dr2 OROVILLE CA 95965 Situs 182 FOUR Base'Dt 01!1412000 JUNES WAY PAL Addr3 .+ Land 40,800 "Addr4 1?gPres A11 J Etal Motes Stiucture Fixtuies 0 �: Comment's REMAP-FROM 027 220;196 000: 1,1918192 J Growing 0, ,Creating [Doc # 1992RP125-50` Date 02/28/1992 Bonds �4, li "Current Doe# 200080001691 Date 01 /14/2000 j Multi Situs Total L&I Fix. RE 43,860 0, r Xilling Doc# Date FIag1' *; MH FP 0 " Ascot Desc 82 FOUR JUNES WAY, ; SuplCnt 1 J FlagZ' , " Zoning Dwell J AsmtPP Pen ;Eirempt '0 Acres 20.33 NIC027 �J Tari PP Pen Net �' 43,860 J Appeal Pending, TM Dt C ♦ Z - +/ — Split Pendin a N , r• R1k� Stat }. . . ! PHY ', 5SOWN :�. EXP TAX .. is LLHON1. F7 K-7—T I 77TPCL' " � ►i - ..>�S Findi �I�if�� 2001 sa,107125120013:27:211PM' ti t r "5"r .f" �k� ��Y �,i'}t, •F'^y fi.—..fr t i' .Pq 1,X, �t .+a t ;t � • .': .-;�.i -", s -:_{ .;, r. r•- ?.., ... .k _ -..may �.,yS S}.j, -. V.G� �. _ Y �"`.. R �.�. rfj 1, ,'. }" :"+rf V � 'r ....r+ - f _ r..r- ...,_.-..-.-... MOBILEHOME W/O PERMITS c� i�la l' 012 5 0' �d GIVEN TO INSPECTO 027-36-0-196 93-871 P,E(MHj BORRERO, Aurelio & Parnbia _Four Junes Way, Oroville (util, MH) • a ELEC_ v �c GAS COMPACTION TEST REQ k O III SUPPORT STRUCT REQ �o 027-360-196 PERMIT#97-0.380 BORRERO, Aurelio & Painbia 82 Four Junes Way, Oroville� Cont: Bill Fox / (�/./ Fire Sprinkler Supply/MH 07 027-360-196 PERMIT #99-2787 BORRERO, Aurelio & Parnbia 82 F ur Junes Way, Orovil e MHV. or BP#93-0871 ��1 r 027-360-196 DI BORRERO, AURELIO 82 FOUR JUNES WAY, OROVILLE CONTR: OWNER AWNING 027-360-196 3-?/-I'�/01-0557 NAVARRO, FRANCISCO 82 FOUR JUNES WY. OROVILLE CONT: OWNER RETAG ELECTRIC SERV ............................................................... q � UJar-o ,��� f r4 6 L��. 00 6 US �'`� `{ � �kJ`�r45 OCCUPYING MOBILEHOME W/O PERMITS 8/28/96 i d �a - vK 0" 40 COMPLAINT GIVEN TO INSPE a-�6-o2 BUILDING CODE VIOLATION 30 DAY LETTER: SENT: 3-I1 - a Building code violation 10 day -,/-s 0 -0 "?, 3 MN - 027 -36-0-196 93-871 P,E(MH� BORRERO, Aurelio & Parnbia Z a Four Junes Way, Orovil + (util, MH, ELEC:2 1- 40 GAS� I o D O COMPACTION TEST REQ )1 0 1II�I SUPPORT STRUCT REQ ,,/o 027-360-196 PERMIT#97-0380 BORRERO, Aurelio & Painbia '82 Four Jupes Way, Oroville,� Cont: Bill Fox J(�/J Fire Sprinkler Supply/MH� 027-360-196 'PERMIT #99-2787 BORRERO, Aurelio & Parnbia 82 F ur Junes Way, Orovil e MHVor BP#93-0871 ��//y BORRERO, AURELIO 82 FOUR JUNES WAY, OROVILLE CONTR: OWNER AWNING 027-360-196 3-�3/-001-0557 NAVARRO, FRANCISCO 82 FOUR JUNES WY. OROVILLE CONT: OWNER RETAG ELECTRIC SERV 0.'7 3G- � u� ovarr� (jrowl�e �.1+459�� 300' if is U Neal�h 1�� 5,13-02, t March 11, 2002 Mr. Francisco Navarro 1925 Kitrick Avenue Oroville, CA 95965 RE: Building Code Violation Address: 82 Four Junes Way Oroville, CA 95966 AP # 027-360-196 Dear Mr. Francisco Navarro: BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and final approvals from this office for the installation of three (3) mobile homes on site. Since permits and inspections are required for the above work, please apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherfor Chief, Building Inspector SR:th cc: Assessor , x , counN L A N D O F NATU RAL WEALTH A N D B E A U T Y BUILDING DIVISION March 1 1' 2002' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 Mr. Francisco Navarro FAX: (530) 536-2140 1925 Kitrick Avenue Oroville, CA 95965 RE: Building Code Violation Address: 82 Four Junes Way Oroville, CA 95966 AP # 027-360-196 Dear Mr. Francisco Navarro: This is a courtesy notice to notify .you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and final approvals from this office for the installation of three (3) mobile homes on site. Since permits and inspections are required for the above work, please apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherfor Chief, Building Inspector SR:th cc: Assessor 4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PES NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date , - — d - Inspector REV 10/92 3//�� 1 r% -April 30, 2002 Mr. Francisco Navarro: 82 Four Junes Way Oroville, CA 95966 60, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y RE: Formal Warning Notice Building Code Violation 82 Four Junes Way Oroville, CA 95966 AP # 027-360-196 Dear Mr. Francisco Navarro: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 20, 2002 notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain required permits, inspections and approval from this office for the installation of three (3) mobile homes. (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or.Occupancy (d) Section 3405 Charge in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Wr. Francisco Navarro: April 30, 2002 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Sincerely, &6'V- 6Scott Rutherfor Chief Building Inspector SR:th � k 1' 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 211 221 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. # 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On April 30, 2002, a foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully 4 paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Francisco Navarro: 82 Four Junes Way Oroville, CA 95966 AP# 027-360-196 I declare under penalty of perjury under the laws of the State of California on April 30, 2002 at Oroville, California. Tammy Holt BUILDING DIVISION March 20, 2002 DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 Mr. Francisco Navarro FAX: (530) 538-2140 82 Four Junes Way, Oroville, CA 95966 RE: Building Code Violation Address: 82 Four Junes Way Oroville, CA 95966 AP # 027-360-196 Dear Mr. Francisco Navarro: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and final approvals from this office for the installation of three (3) mobile homes on site. Since permits and inspections are required for the above work, please apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief, Building Inspector SR:th cc: Assessor Eu tte un LAN D OF N A T U RAL W E A L T H AND BEAUTY BUILDING DIVISION March 20, 2002 DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 Mr. Francisco Navarro FAX: (530) 538-2140 82 Four Junes Way, Oroville, CA 95966 RE: Building Code Violation Address: 82 Four Junes Way Oroville, CA 95966 AP # 027-360-196 Dear Mr. Francisco Navarro: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and final approvals from this office for the installation of three (3) mobile homes on site. Since permits and inspections are required for the above work, please apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief, Building Inspector SR:th cc: Assessor COUN'T'Y OF BUTTE � � BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES SAA -t 2'0 2 7 COUN'T'Y CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 4402 RETURN SERVICE REQUESTED�Gijr®C� J __� `��y `'✓, rQJA�FRANCISCO NAVARRO ti,925 KITRICK AVENUE LS 2 (rte I V E 0,9� �O�OVILLE, CA 95965 D l� �9 MAR 18 2002 BUTTE COUNTY PLANNING DIVISION AUNP *.. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0/_ OSS] (�, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER NO, v4(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-360-196 ZONIN BUILDING PERMIT OWNER gORRERO, AURELIO ,5 "� 4 SO. FT. OCC. BUILDING VALUATION 14 C 5382 _ OWNERS MAILING ADDRESS 82 FOUR JUNES WAY, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation 1 $ 5382 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99-65 BUILDING ADDRESS 82 FOUR JUNES WAY, OROVILLE Ener Plan Checking Energy g Fee $ PERMIT FEE $ 153.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex EX Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AWNING Q SPA i� D Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2°OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: q I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Service TO 46.00 NEW CONST. DWELDWELLINGMain EE NG oCCUcuP. OR ADDNS. ( 8 ACC. BUDS. so 3.50FT. t", AEESID MULTI -OUTLET 11 CIRCUITS @7,50 b OUTLET COWER APPARATUS IR. Ex. Occu OUTLET OR F°cruREs 20 � '•0° BAL o ,50 Ex. Occup. O`FtITXE s A= ) A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X, Date Z 5' d C't� Signature of Applicant - 13 Owner ❑ Contract r ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construc ' n of structures over 3 stories in height.605 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 153.65 "A -Z. °. FEES IM Ft000 coF P Po HD UE This permit is hereby issued under the applicable provisions of the Butt ou ode and/or Resolutions to do work indicated bo a or which fees have been paid. , a V PERMIT EXPIRES ON A® Data Receipt No. 65 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. _ '8-g +own^ -f..,,.vl ,i at. r:.r•-.. ,., .;iYdwvwv.. -5- .vim. CO3,EWTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION + t - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: e a_,a) ASSESSOR PARCEL ER: �✓ Proposed Building Use: Building Inspector: Date: _ / ,At time of permit application, I was advbs d the following data must be submitted prior to permit processing and/or issuance: r Date Received By ❑ ,� 1 ,1. All items have been submitted.------------------------------------------------------------------------------------- VY�l Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. -= 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications,------------------ ❑ 10. Fees of $ �V ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 127ood rnia Department of Forestry plan approval/fees. --------------------------------------------------------- C313elevation certificate. ---------------------------------------------------------------------------------------- anitation and plot plan approval Health Department. ------------------------------------------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------- ------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) - !' ❑20. Pre -inspection for required Request to Building Inspector on bate) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ Workers' Compensation carrier and policy number. ----------------------------------------------------------- . Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- er: S I f p ��------- I;/nedyou Issue hee fp utt roccas as follows ❑ Mail to owner, ❑Mail to contractor. TelephoneyJp/ U (O and hold for pickup at 0 office. 13 Deliv with inspector. Applicant: Date: Copy of Haz-Mat form sent o Health Department, o Fire Departm Pollutio Date: By: Copy of plans sent o Health Department, ❑ Fire Department, ❑ ther: 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, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building D*vision counter, by Date: Plans reviewed by: Date: Plans approved byDate: Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: _ Date: Yellow Copy - Department of Development Services, Building Division E.H. USE ONLY Plot Ren Anached�a Floor Ren Attached t-%x� Sent to 8.0. A72-0-10, TO: Building Department FROM: Environmental Health TS • CI SUBJEC anitat�on earance -19 7 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other QW0ni ca Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist ,Date L-IMZ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION It, 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75419� P� Nc (Rev. 12/96) APPLICATION AND PERMIT � ASSESSORPARMNLMSEII 0— 2ONIM BUILDING PERMIT OWNER P r TELEPHONE SO. FT. OCC. BUILDING VALUATION DwNeRa Ao !J Q_(f /n J s W O AL CONTRTO NAM!n/ /QJ1� T N! CONTRACTORa MALJNO ADDRESS CONSTRUCTION LENDER [F.,].Iace LENDER'S MNLNO ADORESB Total Valuation b ARCHITECT OR EMNEER LICENSE NO. Ellin Fee b 20.00 ARCHITECT OR ENGINEER'S MAING ADDRESS Permit Fee b Plan Checking Fee b �ps °1J�DMKiADOR Energy Plan Checking Fee b b PERMIT FEE b l c LOT NO. SUeDNB10Na NAMe PAMEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex iiehome O Other sFEesvEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 ',//R��emodel O UdWes O/ `_Installation O Other 0 Describe Work: rr o iU ( YV P 1" - s P/9— L Gas piping system 1 - 5 outlets 15.00 Buildingsower 15.00 Mobile Home ISI G[Wj @20.00 PERMIT FEE : ELECTRICAL PERMIT Filing Fee 20.00 OR Main Service °p°OaAv BLESS 23.00 .- Main Service 20" TO IOOOA 46.00 NEIN CONST. DWELLING OCCUP. so. OR ADONS. ( i A. BLDS. 3.52 CC NEW CONST ID. MULTFOLJTLEf @7.50 POWER APPARATUS A 9N(LtE 011RET 010. Ex. Occup. OLTLEr OR FOCTURES 10 0 1.00 SAL 0 .SO Ex. Occup. o,�AP9L6 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE b MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee b Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES S j Cps NAZ. 0. FEES IMP FLOOD I COF PARC0. I PO NO I ISSUE C�1 O-5 IS -73 &5--- This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is -received. I personally plan to provide the major - labor and materials for construction of the proposed property improvement : NO[ ]. 2. I HAVE[,. HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following, person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan: to provide portions .of this work, but I have hired the following .person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following.p.ersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: �1 PROPERTY OWNER: ,7 SOCIAL SECURITY NUMBER: DATE: / 6 ��a Cl 67 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code.' 'This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 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 an to o yo work, with the exception ,of various trades that you plan to subcontract, you should beware of the following informa or your benefit and protection: 0 If y u employ or otherwise engage any pe other than your immediate family, and the work. (including mat 'als and other costs) is $300 or more fo the entire project, and such persons are not licensed as contra ors or subcontractors n you may be employer. 0 If you are i employer, yo ust re ' th the State and Federal Governments as an employer and you. are subject to leve obligations including state and federal income tax withholding, federal social security taxes, workers compensatio ce, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for "you you do not carry out these obligations,' and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their ocvn work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, _ Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0%rner-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 3 Building Permit Number: "-?/- cprq Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, ❑ H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation' requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade; or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 1 of 2 _-,J Building Permit Num �CI a2l� CIT Owner Name: D li Ye, \�_ ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 —_,• ... N. � w*aw.n .s a+'e�i++ia":+ +iIMW# '1 " • ,, —. -5 _ . .... ..-_, ., ..�+ rit+r- - V 'WOV `OFFICE Copy"- �, Address R" r GAS, , ... a Meter By � Meter'By 2 Da COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0.4 - ,s? ASSESSOjj PfLF,1�=�J„M ER196 uVw�L��` ZONING BUILDING PERMIT OWNER CISCO NAVARRO TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS 82L, FOURS JUNES WAY, OROViL%E 95966 CONTRACTOR'S NAME O"ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ S PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IJZ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater, or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑Buildin Describe Work: RETAG ELECTRIC SERVICE Gas piping system t - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W (x]20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 • 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theBusiness and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LaWfor 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 I 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 Main Service 20GA 46.00SO NG CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. BLns. 3.5QFT: NEW CONST.MULTI.OUTLET NON-RESID.97.50 OWER APPARATUS a PSINGLE OUTLET CIR. OUTLET OR FIXTURES 20 O I'00 Ex. Occup.BAL o .SU Ex. Occup. ouT _RESD.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i s• MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($1) or less.) -- El I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to'the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ( rte? SO Date !.— Signature of Applicant = ❑Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee b OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD CDf PARCEL PD HID ISSU 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. \ o $y Date ..a r•�"'" PERMIT EXPIRES ON , Date ReceiptNo. J .oLay%V;4J•W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER 027-360-196 ZONING A5 BUILDING PERMIT OWNER FRANCISCO NAVARRO TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 82 FOUR JUNES WAY, OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ER Installation ❑ Other ❑ Describe Work: RETAG ELECTRIC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @?20.00 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License L for the following reason: v „ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rtith comply with those provisions. � X Date cvC/y L S fure of App -cant - Owner ❑ Contractor ❑ A ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service PGOA To 46. 00 N EA CONST. DWELLING OCCUR so CCU so ( CC. BUDS NEW CONST. MU NON-RFSID. @7.50 APPARATUS 8 SINGLE OurLET CIR. EX. OCCU OUTLET OR FIXTURES �Q'.50 SAL O .SO Ex. Occup. oFxEo RE.SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 , HAz. D FEES IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County and/or Resolutions to do work indicated a e for ich fees have been paid. ate PERMIT EXPIRES ON Date Receipt No. 315040/$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 wfil be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pro erty improvement : Y>;y." NO[ ]. 2. I HAVEQj�HAVE NOT[ ] signed an application for a building permit for. the: proposed work. . 3. I have contracted with the following person. (firm) to provide,, .the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of this work,.. but I have ' hired the following peisoW to coordinate, supervise, and provide the major work: NAAM: a:; ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followingpeisons to provide the work indicated: == NAME ADDRESS PHONE TYPE OF°W0ttk _=' SIGNED: PROPERTYDOWNER: ('A��__ DATE:. C - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. - - _�Z ? This verification must be completed and returned to our office 'before we are permitted to issue the permit. 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 ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are pe6nany performing their own work. If your work is being performed by someone other than yourself~ you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection:. - 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federalsocialsecurity taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for'you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ` 0 For more specific information about your obligations under Federal Law, contract the Intei;W Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information `about your obligations under State Law, contact the Department of Benefit Payments and the Division 'of Industrial Accidents. `• If the structure is intended for sale, property owners who are not licensed contractors • are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and mateiial personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retumed i *ira, N is O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. x 0 APt'rhX• r i _ gS,��n��R .1 ne.oviu.E CA cIISR IIDLO Pik �yR�, 1940pa I" �p RALEN�ti fl,� l nvsl �a ayX ;p r ASP APPROVED Butte County Environmental Health P Date Signature 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive a Oroville, California 95M a Telephone (530) 538-7541 PERMIT NO. ADDII 11rAT1nu ANn PERMIT •'••• (ReV.12rvo) �.e.on.aµ+�,�+� O �, ter.. rs...+ . _. ... . - BUILDING PERMIT ow"m"'SO. "7 --,,VLF I,-' a �0 9s- 6 9/— FT. OCC. BUILDING VAlUl1TION01"w"v4 �} oonracrare wast( �/� TasNOMa �� warms acoaos oor�Tw+e�+oN uo+oa Fireplace Limon nrano aoorlas Total Valuation = rt�aa uctisaMa Filina Fee = q20.00 Permit Fee = apApq"ar Ong I OMI WAL,a i0010C114 Plan Checking Fee S 0"OA00"�e Energy Plan Checking Fee = S PERMIT FEE S �arwa suaav�crnwvrs nwca Y"' PLUMBING PERMIT Filing Fee 20.00 Each Trap7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other •ter Solar or heat um water heater 29.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utltitloe O lnslalatfon O Other O Describe Work: ` Gas piping Wstem 1 -5 outlets 15.00 Build'Ingsewer 15.00 Mobile Home I S G W (920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service =°O"atffi I 29. '—' *PERMIT FEE PAID � SRA ' - $ SHERIFF $ OTHER • C) AMOUNT RECEIVED" �-- *RECEIPT NVMBER S CiD * TO BE PVT INTO COMPVTER Main Service 20" TO iooeA 46.00 owrun�o occur. 5tI ON ADOu3. � ACC. elD/. 9. R. MOKROO. Y{I�fi0YT1lT (97.SO /01M01 A/rAMM Ex. Occup. ouster on comma 11 m >b I Ex. Occu o„n oro a 5.00 Temporary Service 29.00 Mobile Home Facilities Msc. Wirin PERMIT FEE S MECHANICAL PERMIT WF4020�-0:0 Heating Cooling Hood 6.s0 Ventilation PERMIT FEE f Mobile Home Installation Fee S Energy Inspection Fee S O" OONST. Tyrt TOTAL FEE $ `rte Z °. ►> a "' "m `°` au This permit Is hereby Issued under the applicable prov1si ns of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date �— PERMIT EXPIRES ON COUNTY OF BUTTE BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE N) Ar OWNER ., _-k #IERVIIT-NO. j A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is , completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. d6/Ar 1fbz e—X ("tf Date REV 10/92 .y';?i'st��i. r.r. .. "'.`: =in{n; Y'..�'�°�`.,`r;rs-...•cam-..+.i°,�y',x•r�iw•+w.pry��'Yv��RF'O'S'i4;y7(i+I�Cxw.-+ram'!►pert{a+'�}.`:�lP*fi.!�q!`r�''f�?Y'?t".°�._ .,.�.-.rrar3�v,�h+..rwvz.�.:err;».,.;.,,.w,.•.�..rr..+.+s.,... `........ i COUNTY„OPBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT PERRMITNO. (Rev. 12/96) APPtiOi TION AND PERMIT `� ATO ASSESSOR PARCEL NUMBER 19 n ZONING �- BUILDINGPERMIT OWNER F. TELEPHONE r SO. FT. OCC. BUILDING VALUATION _I OWNERS MAILING ADDRESS 82 F .'P f"'_ CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y8 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublides ❑ Installation d Other ❑ Describe Work: �� l.i`�rLITIE'S �BK93--0 7� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( so Q': =RES pT' MULTI.OUTLET @7.50 ER APPARATUS OUTLOWE a T C IR. EX. Occup. OUTLET OR FD(TURES 20 Q 190 B . Ex. Occup. DFIx�LEED�A ES ) RE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X2iAcz::s /,, �6t K22 ,{ r its ' r[� Date ' % Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 143.00 HAz. D FSEs IMPp f FLCO ;i COF PARC 1 Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By '�l aA`A G �j PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date I.�,` Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r i V=OK• O=Not OK = Not Ready " MOBILE HOMES _ MISCELLANEOUS Date/Initials MOBILE HOME UTILITIES Plana OK except #'a Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zo g Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ,2-*`§oII!;AlmcIaI MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r: Location -Test -Fell -C/O Concrete 7 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Teat -Easement Needed (Sketch)._ i 4. Wood Awn.; Posts-Beams-Rftra: Connectors Electricity; Locatlon-Clearencea-Gr / p=Concrete Shthg.-ft.-Bracing Gas; Location -Test -Wrap: / /"L"tt ?J 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures % /"Net. or/ /"L"ft./ /"LPG v c �� 6. Carports; Windows -Doors 7. W earance & Disconnect 7. Electric C/f-Utili Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing - 11. Ext.; Steps -Doors -Landings Date/Initials MOBILE HOME INSTALLATION Plans OK except #'s oning Requfements-Setbacks Easements 2 00 Size -Spacing -Marriage Line f/9 Gas; MH Test-Demand-Valve—Connector Date/Initials POOLS (Plana) OK except #'s 4. ; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 10mrain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7... ter and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining t3. GSgAnd. Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed O 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. - Boxes -Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s w 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth ..3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17: Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 1 `Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade € ' 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic z _ Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Trues-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wel Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Welke ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: i MOBILEHOME INSTALLATION ACCEPTANCE �.. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:v �-/ v / PERMIT NO.: l �" Z-7 Owners: Name: _ tJ C70'i �� � d LIOwners: Address: ( %i..• 14 0'L' Mobilehome / (� / C7 ( Year of 77 I / Manufacturer ` Manufacture: Serial number �] Insignia or C? or V.I.N. " HUD number: 1A, Official approving i stallation: Date: r J341�� If the m�home 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 -Bldg., Gold -Assessor r COUNTY OF'BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / 'D -/Inspector REV 10192 �.rr•�-}_,r_�- +c �.+s+.�' 3%g:" v...+ep4G.•=3s,'�-a.� t�•-`f1'§"-•.'�"�;.�=+'�r.�� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES '411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r A routine inspection indicates that the following violations of butte county Ordinances exist at the = above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasecontactthis office immediately. Mtv 1WAJL 7 i .Pr COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, -CA - (916) 872-6307 CORRECTIO-N NOTICE �71_ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately.c i A /1 AP # OWNER ....... PERMIT # MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test. -eq. Service" Size- Other Load Type Pipe Size Length YES NO YES NO r n V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754PERRMITNO. �� (Rev. 12/96) APPLICATION AND PERMIT a 7 ASSESSOR PARCEL NUMBER 097-31A o ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ���7 7 Y --I 1.1. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 82 FOUR _111NES ,—BROV Energy Plan Checking Fee $ $ PERMIT FEE S41-00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y7 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationYd Other ❑ Describe work: FOR UTILITIES BP#93-0871 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 CCU000A NEW CONST. DWELLING OCCUP. W OR ADDNS. ( 8 ACC. BLD S. SO 3.5¢FT. NON.R61DT. MUIC .OUTLET @7,50 8 OUTLET OWER APPARATUS CR. OUTLET OR FIXTURES Ex. Occup.BAL 20@ I.00 @ .so Ex. Occup. .FIXS A� o DR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �( I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. A X�Cvc.G% Date /_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE E Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE $ 143.00 0 HAZ D IM ES FLOO C PARC Pp HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. !y By ADa / PERMIT EXPIRES ON `� ' Dafe [ReceiptNo. 281117 TE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ""`."•o`vrr.•:v'��`�`�e�r�s"~-a�-y+�4,r/'�k„%-�^.:..,/'.-p,�"vii,yy,::,i-�•%��'�4�.^.�.-.....(,``/'ti� �t�,rt. ,r.'•;f� ,,y�yrY;i•.••,r-�..1c`':.n:"`ti�lklr.-���y...�.1t .y..�',. ... �" .t'`' d �^ ». ",COUNTY OF'BUTTE -DEPARTMENT OF DEVELOPME T SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR�IL 9 65 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET // OWNER: rP ASSESSOR PARCEL NUMBER: QQ~%" t0 Proposed Building Vse: Building Inspector: Date: 1 e� i At time of permit application; I was advised the following data must be submitted prior to permit rocessingzair or issuance: Date Received By El J. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets; signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------- 7 ----------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- \> D 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation: ---------------------------------------------------- 117. --------------------------------------------------- ❑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 ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. --=----- ='-=----t '----------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.------------------------------------------ 0 ----------------------------------------'❑ 17. Planning approval for (A) Use: + (B) Parking: --------------------=----- ❑ 18. Contact Land Development about 0 Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- Q 19. Encroachment Permit for driveway (construction approval prior to occupancy . ---------------------------- ❑20. Pre -inspection for required. Request to B lding Inspector on (Date) 1:12 1. Contractor's license information. (Number, Name Style, Classification). - - ----------------------- ❑2 Workers' Compensation.carner and. policy number. -------------=------- -- - - ----------------------- F. Owner -Builder Verification (Given to owner ❑, Mailed to owner --_4--- --------------------------Z'1�,� 24. Letter of signature authorization. ---------- ---------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ------=------------- ---------------------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, 0 Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: When you issue the permit, process as follows © Mail to owner, ❑Mail to contractor. ((�� ❑Telephone and hold for pickup at office.cQ eliver wiilil inspector. Applicant:A Z�- Date: { Z- �.� 4 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, Other: Date: By: 1. Index permit application for the above items numbered:') p, ❑ 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 Div'sion 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 DEVELOPMENT 7 County Center Drive - Oroville, California 95965 (Rev.12/96) (�. �•- 3&0 - APPLICATION AND PERMIT SERVICES - BUILDING DIVISION • Telephone (530) 538-754 �� PERMIT NC BUILDING PERMIT SO• Ff• OCC. 13UILDING VALUATION Fireplace Total Valuatlon S F6n Fee S 20.00 Permit Fee = Plan C Fee = Energy Plan Checking Fee i PERMIT FEE _ LSI PLUMBING PERMIT Filing Fee - 20.00 Each Trap r 7.00 Solar or heat um water heater 23.00 00 &j jpt A D T N L(�Sg MAUNO ADOFA= 2 ZO UeJtc ►� oomrRACMIM IMO1 , ' w r T N! OONflMCTORI MAL NO ADOAM oomTwjcnON U'I ueoars �"^"a1O'100 p �-� N 63 Q 'L "" on �' s No AD01 Cis c> < < l e s 9G DN4DWO ADDRESS LOTM I PARCEL eAs USEOFSTRUCTURE SFO Duplex O Mobiiehome Other �PEcsv Water piping 15.00 TYPE OF WORK New O Addition 0 Remodel O UtliBes O Insliaiation RL Other � � Describe Work: - 1. I K--7 PZ - — If - Each gas water heater or vent 15.00 Gas i in stem 1 - S outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE r �/�- ELECTRICAL PERMIT Filing Fee 20.00 - - - --- - -- e ' • '9 3� ' ail 1� Main ServiceNov a°RR 23.00 Main Service 2-A TO IOOOA 48.00 NEW NS. P. OR AoD«s. ( °Ma Aix ta�3.5CR NEWT.YuITMOUTtET Q7.50 POWER APPARATUS a snoLE o as Ex. Occup. OUTLET OR P mAcs 200 1.00 SAL so Ex. OCCU . o��APP� 'EEA 5.00 _ Temporary Service P3•00 Mobile Home Facilities 20.00 Mlsc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cool, Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee S 1 QQ Energy Inspection Fee $ occ coNsr. TrPE TOTAL FEE $ v NA2. 0. FEES SMP F =. COF PARCEL 00 ND 16St,E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pato/ I W 017 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally .plan to provide the major labor and materials for construction of the proposed property improvement: YESQC] NO[ ]. �2. I HAVEK] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)' to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followingpersons to provide the work indicated: . NANIE ADDRESS PHONE TYPE OF WORK SIGNED: ; PROPERTY OWNER::: SOCLXL SECURITY NUMBER: i 016ATE• . / 2 r NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 i Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any' persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for 'you if you do not carry out these obligations, `and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the ."Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0%),ner-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 -�+ 1. Owner's Name: ff lq 2le E2. () 2. Assessor's. Parcel Number: 0 7- 3. Installer's Name: 13Aele4! Fr L� 4. Is the site currently under permit? Yes[ ] N0j fermi No. i 5. Is the site an existing site? Yespd . No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?Amperes. 7. What is the mobilehome site circuit breaker rating? Zb b Amperes. 8. What is the electrical rating of the mobilehome site? /00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoV] If it is, what is the rating? &t) Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ .] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- /G'U &/I I A5 Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION WUNT* May 1995 P. P 8.5 0 .a Mobilehome Manufacturer: FZ��tVD-D�` e/N /LL Manufacture Year: / If other than single wide, furnish Setup Model Number: Width:M _(ft.) Length: 40 ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ' FOOTINGS: Wood pressure treated or foundation grade[VKOther: SUPPORTS: Concrete block[V] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE M'ITLTI-WIDE Line 1 e 1 Line 2Line 2 ................................................................................................. Main Beams Line2................................................................................................ e 2 Line 1 Line 3 Line 2 ................................................................................................ Main.Beams ................................................................................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 ine I Line 1 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: LU ] x 1301. Spacing maximum: ` From ends -maximum: ` D ` Line 3 Roof Loads• Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ x [ Spacing maximum: ` From ends -maximum: ` • ` OVER RUILDING D--- E—Z TIE DOWN SYSTEM DESIGN LOADS: CHASSIS BEAM SUPPORT PIERS *WIND LOAD - 15 PSF SPACING AS RECOMMENDED BY THE HOME MANUFACTURER 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPCAITY OF 1000 PSF 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS)' CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO 3 SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS FOR MANUFACTUED HOMES OVER 3 SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HT HORIZ 40' VERT 4 UPLIFT 18" 2010 (lb) 6000 (lb) 891 (lb) 21 " 1825 (lb) 6000 (Ib) 801 (lb) 28" 1419 (lb) 6000 (lb) 629 (lb) 36" 867 (lb) 6000 (Ib) 385 (lb) METAL NUMBER 18" HT 7AAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE CO TED. 40' .W 4 8 S HE -RE AND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE -V 6M0OLTS MAY BE USED TO SECURE PIER BASE PAD. 9. ATTE%1;T METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #1. 10. �QEQO DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSMA D PERPENDICULAR TO THE CHASSIS BEAM. 4 4 6 8 66' 4 rn GUS GUARD COMI 8 P.O.BOX 128 CATHFY'S VAI I PY E -Z TIE SUPPORT PAD SEE NOTE # 10. 1 QRfi4 No. 17918 Exp' 9�F OF C SINGLE WIDE COACHES E= 2' MIN. / 8' MAX EVE E DOUBLE/MULTIPLE COACHES E= 2' MIN. / 11' MAX. VARIES 10'-70' ILY SPACED BETWEEN —•�— E 0 ❑ ❑ t, t ❑ ❑ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) ❑ O ❑ R ❑ ❑ ❑ ❑ -B- ❑ �- ---1 ❑ ❑ LENGTH HOME NUMBER 18" HT OF E -Z 21" HT TIES 28" HT 36" HT. 40' 4 4 4 6 50' 4 4 4 6 60' 1 4 4 6 8 66' 4 4 6 8 70' 4 6 6 10 STATE APPROVAL ENGINEERED TIEDOWN SYS -1 EM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from, requirements of applicable State laws and regulations. State of California Department of Housing and Community Development N� ES AND STANDARDS ey i Date 3 '99 (Signature) SPA NO This Plan Approval Expires _ ��r 4-2-00( _ THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). , WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 1 of 3 11 2"x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED 1/4" STAND BASE �- ABESCO ASS PAD #503 1 DETAIL "A" CHASSIS FRAME 10.00 09/16 HOLE ' o (4) REQUIRED BENT PL (TYP) 10.00 O 1"xl"x11 Go 0 0 STAND BASE -TOP VIEW 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME -- SEE DETAIL "A'. 3/4" DIA. x 18" LG. (4) REQUIRED 1/2- DIA. HOLE (8) PLACES 18.75 , STEEL FRAME TOP VIEW 1" x 1"x(4)OREQUI ED T.S. i4j PLCS 1/4" GRIPPER PLATE SIDE VIEW / (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED —01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN COACH "C" FRAME GRIPPER 'LATE x a M 1/2" A307 BOL M (4) REQUIRED " C -BEAM I= ATTACHMENT + GROUND LEVEL COACH "J". FRAME 1/4"x1-1 /4" •TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER I BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 Fl T ).50 + + 30.00 18.75 , STEEL FRAME TOP VIEW 1" x 1"x(4)OREQUI ED T.S. i4j PLCS 1/4" GRIPPER PLATE SIDE VIEW / (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED —01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN COACH "C" FRAME GRIPPER 'LATE x a M 1/2" A307 BOL M (4) REQUIRED " C -BEAM I= ATTACHMENT + GROUND LEVEL COACH "J". FRAME 1/4"x1-1 /4" •TEK STS (4) REQUIRED 1/2" A307 BOLT (2) REQUIRED 1/4" GRIPPER I BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 2 of 3 INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM ,, 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSSMEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL.THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. —B AM 5 REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIER CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C—BEAMS AND J—BEAMS 8. HEAD OF PIER REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THROUGH THE SIDE OF THE SIDE FO THE BEAM IN ADDITIN TO ONE GRIPPER PLATE. 9(. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THROUGH GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. 1 (2) 112 S.M.S. ANGLE IRON ALTERNATIVE: (2) /12 S.M.S. OR WELD NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TTP) WEB 'STIFFENER DETAIL GUS GUARD COMPANY P.O.BOX 128 FAX: (209) 966-5540 WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 3 or 3 .r t 09-- L l/ 500 SQ. FT. MINIMU <5_ FOR MOBILES (00' R."V. 'ibis set of plane and SPOOMeWons MUST be kept on the fob art all times and it is unlawful to make any 044 ges or alterations on same withc written permission from the Department of Pub Worka, County of Butte. / t ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. /A SET BACK OF f- FT. FROM THE SIDE AND S FT. FROM THE REAR PROPERTY LINES AND / S) FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT / FOR A 2 FT. SAVE OVERHANG: CA -T/Ota e OVED fR PARc.��-. MAP 1ZS-So utte Cou "100 F7'. No pEv6[1>PMENT Z00.11 ironmental Hea SgALL MEAN) t jc) GA1.XD8GAP(AJ4 Sv IL DISRUPT10t4 oR VEC5CT)o�J REMOVAL S1- 14Ll. oGC.L K" fDate ----- ,�� tri �� ----- • Sign3twre RRC—C SUPPRESSION S PE;gUIRED F-VP-Mo&LG Non: All Materials & Workmanship Shall Be In A000rdance with Recognized Good Practices and Of a @ualibr Prescribed for the Specified use iu the Uniform Building, Plumbing 61 Meoha�cal Dudes and telae National Lle0UUal Code. m i BUTfE f-^ U114 WILDING DEPARTMENI APPROVED 95_g-72 Mgr DrtirU��s Co�1til�" �I DOUBLE WIDE PIERING WORKSHEET MODEL: X20 PSF ROOF LOAD PLANTO /7 SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE —SEE MATING LINE PIERING TABLE FRONT OF SEE PERIMETER UNIT' PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE' ii1OGE BEAM INITIAL POST IST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL K'OST LOCATIONS AT FRONT POST POST POST POST POST POST PIER LOAD CAPACITY IN. LBS. Z 2 i �� (� Z (.D L( �j 8 y ZLI4 Z PIECE 2y" „' Zy: 3�� 2:14 �X3Ll FOOTING FOOTING SIZE - TH 6MINIMUMXPFOOTI NG WAOS 0ct � Lc L X oa:, _ "� �---'— NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the Pier Load Capacity drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING P.EQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL• ROADSIDE WALL' JAMB STUDS AT - DOOR OPENINGS AND AND OVER 48' MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR B COUNIX PORCH POSTS AT RE- SUILDING CESSED S/WALL WHEN DEpARTMEI�I POSTS EXCEED 42' HEAVY APPLIANCES gD IN OVERHANG OF FLOOR *DIMENSIONS ARE FROM FRONT OF UNIT. X•S•129 1188 . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 0_-77 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 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft., away from septic tank and leach fields and clear of all setbacks and easements? Yes No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1 (�� Amps 6. What is the mobilehome site service rating? ------------- Z 0 L'1 Amps 7. What is the mobilehome site circuit breaker rating? ----- /,U C, Amps 8. Is there any other electric load to be served by they mobilehome site service? ------------------; ; E-.--:-- -------- Yes I No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3l (in.) g ? 10. .What is the type of as service. -------------------- --- Natural F] LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 12. What is the mobilehome-gas demand? ----=----------------- (BTU) *(This information not required if pipe length less than 6 ft. on ,natural gas or-;1ess-than 50 ft. on LPG.) NEXT PAU MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. r MOBILEHOME SUPPORT DATA ,�'/ Mobi.lehome Mfr.-. ��'.LTCe,4' If If other than single 'wide, fLyrnieh Setup Model No. Y"dYear '� F Width (ft.) Boxen 'th�(ft.,) Tagalong or Ex ando Size �`" % p �rt• x ft. On all mobilehomes manc.factured after October 7, 1973, furnish manufacturer's installation manual and structural Setup sheets (if not on file with the County of Butte). 'i FOOTINGS (check:one) —�`,� Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check o'ne) Concrete block.[]2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIC; Line 1 _ lIULTI-NIDE , Line 1 •-- — — — —. — — _ Line 2 Line 2 i•lain Beams �'� � Line 7 i.i n e - / —Ma — .— — — — — — — — Line 2 t✓ i — — — — — —Main R.�ams � — — — !.ane 2 —' — — — — — - — — .Line Tag or Trip!e Linp Line 1 Line 1 Piers: Line'l Openings: — Size -Min. ------------ „x „ Size -Min. ------------------� Sphcing-Max. - - -- , - Each Side of Openings From Ends -Max• ------- �_ With Width Over --------- �+ Line 2 Piers:' Line 3 Piers: (Under Bearing Wall Only) Size=Min. --------L- Spacing -Max, --- ---- From Ends -Ma x.------- Line 3 Roof Loads: ' Size -Min. ------------ Size -Min. ------------------ "x Spacing -Max •--------------- r „ From Ends -Max .------------- „x ,.x ,k „x .,x Location (From Front) Line_ 4 Piers: Size -Min .------------ "x ' Spacing -Max---------- y From Ends -Max .------- „ Line 5 Roof Loads: Size -Min. -= ---------- Location (From Front) ,.x „x17 1 1 " '. „x Line 5 Piers: .(Under Bearing. Walls Only)._ .. Size -Min .------------------ "x „ Spacing -Max.--------------- From Ends -Max,------------- „ „x „x ,. „x „x BUILDING DEPARTMENT •APPROVPD ELECTRIC. GAS Support Struc. YES NO Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO t f J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, Cakfbmi—A-15965 - Telephone: 916/538-7541 _ /7 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 027-360-196 ZONING A-5 BUILDING PERMIT OWNER Aurelio & Parnbia Borrero TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 470 Benard Dr., #34, Yuba City 95991 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NOne UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Flling Fee $(� Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee Energy g Penalty $ BUILDING ADDRESS Permit fee $ 20.00 Four Junes Way, Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PARCEL MAP z5— Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities © Installation❑ Other ❑ Describe work: MHU ( 3 Bedroom) 500sq . f t . Min Permit Fee $60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS I -L. 18.50 18.50 CONTRACTORS LICENSE LAW I declare under enact of perjury penalty P j y (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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. (DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTR BRU TLE TI -OUT NON .RESID ANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU P OUTLETS OR FIXTURES 20 7e Ex. Occup. OUTLETS ED AP(RESID )LNS.REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring -15.00 Permit Fee $ 48.50 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 VI Consent to Self -Insure. 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 yuu become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation �t I 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 co/nssequence of the granting of this permit. X ? A 'R <,,— (3 i /� ng R 0 G RO Date e)'V- a66 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" o de non or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOT L E $ 128.50 . HAz OFEES IMP FL CDF PARC PO Hp _J SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIR CTOR O PU .� By PERMI EXPIRES Dat applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 140423 I WNITE-D.P.W., YELLOW-A53[390N, PINK-INSPECTO GOLD O A PL AN �lei / CQUNTYOF BUTTE - DEPA•RTMENTOF DE-V•E=GPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRQ..E-`OROVILLE,MCALIFORNI&95965;;;.TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector 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 . ............ . lrJ' 2. Plot plan�Ji4 sets, signed by preparer of planst .........................3_ Completans, 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 Cali g�rnia Engineer ................. 14. Sanitation and plot plan approval � V ` l ealth Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . a 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. o Build �9 �spector (Date) 21.. Contractor's license information. (No., Name Style, Classification). ........ -:...... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner . . . 24. Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ................. :....................... 26. Copy of recorded deed of parcel creation and 60 right of way to a,public road. ..... 27. Letter of intent on building•use.......................................... 28. Mobilehome utility clearance . .................. ....................... 29. Documentation of legal access . ..................... :.................. k 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 . ...................................... Plan check list. ..... _ ..................... V) A-rc- 2 =- j p FTt 1=EA--% -- C©N 34. When you issue the permit, process as follows:_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation t �--- dY- b� - S 3 Acreage t Applicant Date � Copy of Haz-Mat form sent Health Dept'. - Fire Dept. Air Pottutico Date Copy of plans sent Health Dept.' Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer ow r, was advised of above required data by _ phone ail Counter by ate I "14 -- Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by -Date E Plans checked by l�a�e, _ Plans approved by Date Sets of plans on/ Glair - Copy - Department of Public Works Fild/gg4i&0 AP older l n s.0 qct 1" r7ec 'Pha Him Auuched Phut Attuclwd TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A, (-Pjrc- 4 T0.r J+4 A3 r re Ya Owner Location Plan Approved for: Scxvagc Disposal _� Water Supply: Public — Clearance for bedroom mobile home. Othcr Hold Final for: Final clearance O.K. for: NOTE: , �V n� s cin J L q�A-r Environmental 8/92 lth Specialist -, -7_ - AP# Private Well L/ An o/h Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I. personally .plan to provide. the major labor and materials for construction of the proposed property improvement (yes or 'no) r/Q"S T 2. I (have/have not) �, Ccu� signed an application for a..building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.',1 plan to provide portions of this ;aork,.but I have hired the, following person to coordinate, supervise,.and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following ,persons.to provide -the work indicated: Name Address . Phone Type of Work Signed: , Property Owner P A �� /�ilD R r pa Social Security Number Date .01/-- NOTE: % NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of .the- California -Health :and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. (!)Q Unt& 1 A_XOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR EL NUMBER Qci r 0J 96 ZO G BUILDING PERMIT OWNER—T,0TELEPHONE u I r SO. FT. OCC. BUILDING VALUATION _ OWNER' MAILING ADDRESS r � � Y(2_ '� Il , `y 6 CON C OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTFjl9CTION LENDER UNKNOWN Total Valuation $ LEND✓Et/R//'S MAILING ADDRESS Filing Fee $ tS: )G— Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ AR CHI ECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 'O f^ u f1 C S v ; Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome)K] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti li - s Installation❑ Other ❑ Describe work: _3Aa ) �S QO c'r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 withMobile licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW M CONST. / DWELLING OCCUP3.64 sq.ft. OR ADONS. l ACC. SLOGS. // NEW CONSTR. U TI -OUT LET NON-RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS t1 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 75d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring -15.00 E I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 OFEES IMP I FLO CDF PARCEL PD Ho InUE This permit is hereby issuel under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. M Y;j -� / n WHITE -O. r. W.. YELLOW-A5e[3e0R, PINK—INSPECTOR. GOLDENROD -APPLICANT 3AW DATE lgpq RECEIPT NO. D,�.. TOTAL RECEIVED TENTATIVE MAPS ERIS CHECK & INSPECT STREET SIGNS COMP- LIANCE EHD Io1��a00,� OTHER Lk APPLICANT RECEIVED FROM - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Aurelio & Parnbia-Borrero DATE April 14, 1993 470 Benard Dr., #34 Yuba City, CA 95991 RE: Permit Application #93 -871 - Dear Mr. & Mrs. Borrero: With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs . Owner -Builder Verification Form %4 0 A.P. # 027-360-196 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We heed the following information: Permit application signed and completed where -indicated with all copies returned. ,Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation'Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including .Street and drainage improvement plan approval from Land.Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recordedcopy of agricultural acknowledgement statement. r Water tender fees paid. Contact Services at #7 County Center Dr. Oroville. 538-7 Should you have any questions concerning the above, please contact of this office. Yours very truly, 1 Stu Edell 538-7266 William Chaff Director of Public Works ,!,J . F . Glander JFG/aj COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville, CA 95965 PHONE: 916-538-7541 DATE ,1P,,e , 14 A.P. With reference to.the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building -Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form. List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where.indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check"exemption statement. Complete plans in including plot plans. Plot plans in Structural details in ..Complete plans and calcs in. by registered engineer --or architect.. Energy design including Street and drainage improvement plan.approval from Land Development Section -'(DPW). sets of plans in accordance with the changes marked in red. S_anita_tion_approval•from Butte County.Health Department at:. 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County.Center Drive, .Oroville, for -Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural.acknowledgement statement. C%kfcvfL(S , `J --,? H _- /Gla(o . _ Should you have any questions concerning the above, please contact S -T -V 5DEt_L_ of this office. _ _ f�T" .538 -.72-L,� _ Yours very truly, William Cheff Director of Public Works Q.. //!J . F. Glander JFG/aj Renr-,J �tciDPW AGRICULTURAL STALTMIT_y0F ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded Date: 6 J prior to issuance of a building permit. PROPERTY OWNERS: 93-01357T The property described herein is adjacent U� L�0 LSC) to land or included within an area zoned I for agricultural purposes, and residents Recorded of this property may be. subject to in.con- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural . operations including, 2:21pm 6 -Apr -93 I 93-13577 Rec Fee 8.00 Cash 8.00 PUBL XX 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 discomfort from normal, necessary farm operations. All Shat real property. situate in -the County of Butte, State of California, described as follows: rz l 1� � l0J �. COUNTY OF BlME BUILDING DEPT APR 13 1993 Present A. P. No. 1_0 360�1Q(o-� Not Date: 6 J PROPERTY OWNERS: U� L�0 LSC) State ofO-h ' ) On this the 6:(:7�-day Aolt-` L 194; 3 before of me, the SS. 6m)(Z—) undersigned Notary Public, personally appeared County of Av fuLf0 kruz-44o DANIEL F. HUNT Personally known to me. Q Proved to me on the basis NOTARY PUBUC-CAUFORMA of satisfactrory evidence. Butte county My commissionExpir 0aL1,1994 Jo be the person(s) whose name(s) `v [�§ubscribed to the within instrument anA ackno�ti 'a10®�xecuted the same for the purposes th r in co tod IN WITNESS ye WHEREOF, I hereunto set my hand and f ficial se Present A. P. No. 1_0 360�1Q(o-� Not DESCRIPTION 1 93-13.577 1 ORDER NO. BU -131003-3 ALL THAT CERTAIN REAL PROPERTY 'SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 6, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE `OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28,. 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. RESERVING THEREFROM THOSE CERTAIN RIGHT OF'WAYS FOR ROAD AND PUBLIC UTILITY EASEMENTS AS SHOWN ON SAID PARCEL MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 3, 1992, -UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 92-9036. PARCEL II• THOSE CERTAIN RIGHT OF WAYS AND PUBLIC UTILITY EASEMENTS, AS - SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 281 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 50 THRU 52. sem., 10/5/92 SUBJECT: VRESIDENTISPRINRLERS 1. Residential sprinkler systems require plan checks, permits, and inspection by'Butte County. „ 2. The water supply and fire sprinkler systems must comply with NFPA 13 D and be designed and installed by a C-16 contractor. 3. The permit may .be issued to the owner if a C-16 contractor has provided the design, installs the system, and -Is -listed on the permit application. 4. When sprinklers are required by the County as a condition of a parcel or sub map or for. some other Planning approval, the complete application for sprinkler systems must be made and plans submitted prior to issuance of the building permit for.the structure. 22112-41 When sprinklers are required per item #4 and a mobile is being"installed, we do not regulate the actual sprinkler installation within the mobile home. Permits are required from the State Department of Housing and Commun- ity Development. The supply system is regulated by Butte County, with appropriate permit application and plans for the supply system. We do require that either OF or HCD provide written verification that•the install- ation in the mobile home was approved by,their agency. 2.32 V"* 10/5/92 SUBJECT: RESIDENTIAL SPRINKLERS 1. Residential sprinkler' systems require plan checks, permits, and inspection by Butte County. 2. The water supply and fire sprinkler systems must comply with NFPA 13 D and be designed and installed by a C-16 contractor. 3. The permit may be issued to the owner if a C-16 contractor has provided the design, installs the system, and--is•listed on_the permit application. r 4. When sprinklers are required by the -County as a condition of a parcel or sub map or for some other Planning approval, the complete application for sprinkler systems must be made and plans submitted prior to issuance of the building permit for the structure. When sprinklers are required per item #4 and a mobile is being' installed, we do not regulate the actual sprinkler installation within the mobile home. Permits are required from the State Department of Housing and Commun- ity Development. The supply system is regulated by Butte County, with appropriate permit application and plans for the supply system. We do require that either CDF or HCD provide written verification that the install- ation in the mobile home was approved.by their agency. 2.32 • f IV I f 5WSG. FT • MIN MUM FOR MOBI S n615 I LA n� PP M • 125"- s -o CA,UT I O N f:�F R PARC.J=_L- MAP •� 1 vo r-«>? No DEVEc opw,GNIT zoOAS- SFfAt-LMS 1 No 4-AW109ct:,,pjna So1l. DcsRUPT�oN o� 64 R�n�ovAL s 1-�au� �occ.utz" 1 t� FIRS. SWj7pfLE,SSION S%4S715M aiszuir4so pop- Mogicr HoMr.v S CC A -:r> Wc-:r> uie Co nDYty DE -,}� sPRrt�KccuS� En iro mental Health l L~L Date Sign t� wre Alf STRUCTURES AND EQUIPMENT INC! OVERHANGS SHALL BE CLEAR OF ALL �Vz'lSS A SET BACK OF S FT. Fs OON1 THE S11 1 5- FT. FROM T! -!E :EAR €'RCPER Y L -Ni \ �U FT. FRV,.4 T HE ROAD CENTERLINE RUNE SI, CLEAR OF STRUCTURES AND EQUIPMENT E A FOR A 2 FT. EAVE OVERHANG: r BL9% COUNTY BUILDING DEPARTMEN` � � APPROVES G 93—g7/ MN -u. `/'3-87z M1-f-21�- R� AND BE t 0012 .D) rea)� I 'we :.:I'' '„'ill ;'f I� 401-011 - �"A awai _• mono..NEUN SEEN ..■■ ■■■■■11■11■11■■11..■T+.■ _amnso.■ME rp 0, ` .0HUN .. ME .■•■...■■....■..■..■..■..■..■ ■■■■■■ .■ ■Om .. . .__. ON §1'IINMmE1mE1MM1MoU1Eo1MmM1MmMUM0osMooMMm uUNNNN■■a■NN■N.N aU■ MU■■■.■amaram NOUN .. I■ ■■ • 11MENOU0 1101................ , g::0::. mos i■ IME .UN.. . ■■■i■aa10 or, MA rER BEDROOM Ir -6111'-5” MODEL 34036 3 BEDROOMS, 2 BATHS APPROX. 940 SO. FT. LIVING ROOM 17-0711'-5" _ 1��' j ENTRAWE BEDROOM I---- 7- - L_ --- BEDROOM 10'-2711'-5" Unvira%mental Hcaaii x S93 01wme, California EnvirenmeRlal Wealth APR 0.6 Oroville, California APPROVED Butte County Environmental Health SP fIG HILL BY FLEEtWOODe SH/ 17/MAY91. '00, y DOUBLE WIDE PIERING WORKSHEET MODEL: PSF ROOF LOAD PLANT# 17 SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE — !- — -y — �-- — — •— — -� — — t - -_ — --�-- — --� — ------�--- — FRONT OF SEE PERIMETER UNIT' PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIREMENTSOFMAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE' RIDGE BEAM INITIAL POST IST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL LOCA T IONS AT FRONT POST POST POST POST POST POST PIER LOAD CAPACITY IN. LBS. Z Z q 44 L((� 2 C� L( �j S y 2-4414 .Z MI`:IMUM C"7ir- FOOTING'SIZE--, MINIMUFOO W TH 6MXPIADS o<< b Le L i ou _L4 o--v NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the Pier Load Capacq drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL" ROADSIDE WALL' JA?,'3 STUDS AT - DOOR OPENINGS AND AND OVER 48" MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR . RE- SUM COUNTY CESSED S/WALL WHEN POSTS EXCEED 42' MIAMI' HEAVY APPLIANCES EPAUMENT- IN OVERHANG OF FLOOR 'DIMENSIONS ARE FROM FRONT OF UNIT. X•S•129 1/88 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541• MOBILEHOME INSTALLATION SHEET 1.1 Owner's Name: 2. Installer's Name: 3... Is the site currently under permit? Yes �. No F-1 (If'yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5-ft: away-from septic tank and leach fields and clear of all setbacks and easements? Yes 5�r No. (If no, clarify 5. What is the mobilehome electrical rating?--------------- 1 66 Amps 6. What is the mobilehome site service rating?------------- O a Amps 7. What is the mobilehome site circuit breaker rating? ----- / 00 Amps 8. Is there any other electric load to be served by the ; mobilehome site service? --------------------------- ----: Yes D No (If yes, identify the load and size: •; " (Load) (Amps) " 9. What is the mobilehome site gas pipe size? -------------- (in.) } type g-. ?---------------- 10. What is the t e of as service. --- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand?----=----------------- (BTU) *(This rn'formaton not required if. pipe length-less than 6 ft. on natural gas or.less than 50 ft. on LPG.) ,NEXT. PAGE MUST—BE-COMPLETED TO PROCESS PERMIT APPLICATION. • r OBILEHOME SUPPORT DATA � If other than single wide, �/ _ Mobilehome Mfr.. furnish Setup Model No. � Year Width (ft.) Box engthy(ft.) Tagalong or Expando Size' f't, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check-.one)1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)a1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -NIDE Line 1 � Line 1 Line 2_ _ _-do Line 2 Main Beams J Line 2 Line 2 G T 1. ine i Line 2 � Main Beams -- --- _ ----- — Line 2 �— — — — —� �Llne 4 Tag or Triple i inP 4 .. Line 1 Line 1 Piers: Line i Openings: Size -Min. ------------ Size -Min. ------------------ S facing -Max. '-'-'-" , Each Side of Openings From Enda-Max.------- '- " With Width Over --------- Line"'""-' Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ 12 „x2� „ Size -Min ------------------- x Spacing -Max.------^-' S �„ Spacing -Max ---------------- From ------- ------From Ends -Max.------- From Ends -Max -------------- Line 3 Roof Loads: - Size -Min ------------- Location (From Front) Line -4 Piers: Size -Min .------------ ,k Spacing -Max.--------- , From Ends -Max .------- i Line 5 Piers: (Under Bearing. Walls Only)-- -. Size -Min ------------------- Spacing-Max ----------------- From ------------------Spacing-Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min.-= -------- -- „x „x i,x „ „x 1.1 ,k „x „ ,1x „x Location (From Front) _ _ ,_ BUILDING DEPARTMENT APPROVED 10/5/92 SUBJECT: RESIDENTIAL_.SPRINKLERS 1. Residential sprinkler systems require plan checks, permits, and inspection by Butte County. 2. The water supply and fire sprinkler must comply with NFPA 13 D and be designed and installed by a C-16 contractor. 3. The permit may be issued to the owner if a C-16 contractor has provided the design, installs the system, and is listed on the permit application. 4. When sprinklers are required by the County as a condition of a parcel or sub map or for some other Planning approval, the, complete application for sprinkler systems must be made and plans submitted prior to issuance of the building permit for the structure. S. When sprinklers are required per item #4 and a mobile is being installed, we do not regulate the actual sprinkler installation within the mobile home. Permits are required from the State Department of Housing and Commun- ity Development. The supply system is regulated by Butte County, with appropriate permit application and plans for the supply system. We do require that either OF or HCD provide written verification that the install- ation in the mobile home.was approved by their agency. 2.32 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - OrovilletCalifol nia 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT 19 (to' a(0 , ASSESSOR PARCEL NUMBER 027-360-196 ZONING A 5 BUILDING PERMIT OWNER AURELIO & PARNBIA BORRERO TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 82 FOUR JUNES WAY OROVILLE, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation—T$ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 82 FOUR JUNES WAY PERMITFEE S 43.00 PLUMBING PERMIT Filing Fee 20.00 OROVILLE, 95966 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome QJ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1 Other ❑ Describe Work: REPLACES BP#93-872 & 94-3052 �— Mobile Home I S I GI W@20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filin Fee 20.'00 Main Service a OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License awfor the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 6 ACC. BLDS. ) SO. 3.52 N. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 ® 1.00 BAL Q .50 Ex. Occup. FIXED PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 Car MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) a I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 :X Date_,Z--___ ignature of Applicant - ❑Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 2067gq WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �' rY°""'r-e�r"�a wry^n►+f"�i7+d r -'`'r ••7Y�S �rrnrt intrGrry �i�:,�.. q r.�y M"�r`h'�`{fgiwTl ", w", t• -w.. '� .r.rt-nrr VIM COUNTYOF BUTTE - DEPARTMENTOF DEV//ELOPMENT SERVICES -BUILDING DIVISION ' 7COUNTY CENTER DRI OROVILLE CALIEORNI/fi9465 TELEPHONE(916)538-7541 '4 PERMIT APPLICATION DATA SHEET OWNER C�rY'-e:r'� � -�����A A, P. No. - Proposed Building Use Building Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans ............ .. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ............ 10. Fees of $ .......................................... 1)1. 1-12. Impact fees as shown on attached schedule. . t California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. ' 17. Planning approval for (A) Use: \(B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. " 20. Pre -inspection for P��0�eg1O" req" p required. .. to B�;�d;�9 Inspector (Date) i 21. ,Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............. 24. Recorded copy of Agricultural Acknowledgement Statement . ................... , 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. Plan check list . ......................�^ ...., ....... •..... .......... ' 0 -to r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other ; Parcel Creation Acreage Applicant Date Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. - Other Date By 1.1 2.) following data must be submitted prior to dex permit for above items No. items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, 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 '`'' u �Ew MHI ��� i� � a� �f anal ' - 4 J3utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Al RRI IQ BOR.RERr ADDRESS: R9 FOUR .TITNFS WAY CITY & STATE: YxRXX&yTy XRXXNY%N—O.ROVTT.T.F., CA 959651MPORTANT: DATE OF CLAIM: 11/17/94 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT PERMIT EXPIRED.(BLDG PERMIT 03-0872, A.P.#027-36-0-196, RECEIPT #140423 DATED 4/6/93, OWNER: AURELIO & PARNBIA BORRERO). $-23-3—.59— A/9) RETAIN REFUND PROCESSING FEE ..............$25.00 RETAIN BLDG FILING FEE ....................$15.00 RETAIN PLAN CHECK FEE.. .$20.00 RETAIN TOTAL AMOUNT.............................$60.00 TOTAL AMOUNT TO BE REFUNDED................$45.00 i I TOTAL $45 .00 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 11 ..................... : .......... day of ............................. 19....... at................................. Calif. ...........................%........ Signature of Claimant I, the undersigned, hereby certify that, to the best or my knowledge, the services or articl s lfie bove be ilerformed or de- livered and that there is a Budget Appropriation Q or Specific Board Approval ❑ (Check on f r to Dated this.... 1.7.rM..................... day or ...NQY.EI BER.. 19 ... 9,oat OROVILLE caur. ......................... ...................................................... .......... ..p t . ep tY e artment rad or Authorized D u i cde ....440mQO2.................... Code .... 42-1.0.5.0.0. ....................... PAYABLE FROM ....CONSTRUCTION PERMITS FUND i ............. ................ DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. N :). INV. DATE ENCUMB. GROSS AMT. I CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL RECEIPT NUMBER(S) Request a refund of fees paid on the `above receipt number(s) for the following reasons: =� REFUND CLAIM APPLICATION .:{ �i�. -te=a acLuaaaa a11Y aPf,7la,caAle Lees- In the fol lowing categories: (Check those categories which you wish''to.have refunded.) [. ] Building Permit Fees [ ] Sheriff Fees [ ] SRA.Fee.(CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to at above address. [ ] Please dispose of plans. SIGNATURE DATE r -te=a acLuaaaa a11Y aPf,7la,caAle Lees- In the fol lowing categories: (Check those categories which you wish''to.have refunded.) [. ] Building Permit Fees [ ] Sheriff Fees [ ] SRA.Fee.(CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to at above address. [ ] Please dispose of plans. SIGNATURE DATE FOR BUILDING DIVISION USE: Receipt Information: ; .,�......_.�... � :,..w_.r.....w...�.... � __ -•- • Number: ... - /CJ `/_ c� Date: Issued To: �Q►^ n �`Q /'l''ev^Q , Amount: (I W Is �o � Fees Retained. Y Processing Fee: Bldg Filing Fee Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ d (� Inspection Fee $ Total Amount Retained $ 0 _d(� TOTAL REFUND DUE • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERM( NO. ASSESSOR PARCEL NUMBER 027-360-196 ZONING A-5 BUILDING PERMIT OWNER Aurelio & Parnbia Borrero TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 470 Benard Dr., , Yuba City 95991 CONTRACTOR'5 NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1.55,00 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$2000 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $35.00 Four Junes Wa Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT!/•/Y//^ ty0. SUBDIVISION NAME NPARCAL AP ' Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other A SPE FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst lation ® 0th Describe work: MHI 3 Bedroom 500 . ft. Min.)\E] Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 LAW I declare under penalty of perjury p y p I y (check one CONTRACTORS LICErhapt. ❑ I am licensed under provisions of 9, Div. 3 of the Business and Professions Code and my lice Is In full force and effect. cerise No. Cla sification 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason ain service 200ATO1o00A, 37.50 EW CONST. ( DWELLING OCCUP.5d) ADDNS. ACC. BLDGS. // 3.60 sq.ft. N CONSTR U TI.OUTLET NON•RESID BRANCH CIRC ITS 5.00 (POWER APPARATUS 61 (SINGLE OUTLET CIR, / EX. OCCU Occup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject 4" to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation FPermit 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 whichmay in any way accrue against said County in consequence of the granting of this permit. Dated Y- n6-2 Signature of Applicant — Owner Contractor ❑ Ager;t ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. uc Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $105.00 HAz DFEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby 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 Receipt No. 140423 WHIT!-D.P.W., YELLOW -A58(930 R, PINK -INSPECTOR, GOLDEN Ra D -APPLICANT '1..�.-..'1! ti's ..r✓.,.-�`_t1 • �.,��- � 'o,tirivr.J- � irV �" „vim. � �,- .. . .,. }''tib.. i-'�.'4,.,,.'�(""'-�_._........f'-.-.r'w^-' `►' h''^,S 'nc �1 ....-.-_.w--.�..r -.•-�..�---�?'r COU NTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 COUNTYCENTER PR`VE-,OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER (G rn ! Q 60rre ro A. P No. W Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submiAed 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 nd supporting docum9ffibtion. .................. 7. Statement of Intent for Non- ated and A/C Buil 'figs . ...................... 8. Engineered truss details and Lout in duplicate jequired prior to plan check). ... . 9. Mobilehome data and manufact fer's installati n instructions, 2 sets. ........... 10. Fees of $ ....... ......... joie 11. Impact fees as shown on attached hedul . ............................. . 12. California Department of Forestry pla ap roval/fees. ....................... . 13. Flood elevation letter (100 year flood) b alifornia Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. .... .... ............................. . 16. Plot plan and business license appr val from ity of Biggs/Gridley. ............. 17. Planning approval for (A) Use: ( Parking: . ......... 18. Contact Land Development abo (A) Improvem is (B) Drainage. .......... . 19. Driveway permit (construction approval required pri r\to occupancy). .. .. .. . 20. Pre -inspection forPrednspection request required - . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. . 23. Owner -Builder Verification (Given to owner , Mail to owner �. .......... . 24. Recorded copy of Agricultural Acknowledgement Statem�nt. .................. 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. . 14- 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........................ i 33. �. rt S r,r ti �ltr r�G4 , d'i`t/ M✓"' �/! R% : �722i�/ �� 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pick pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by it'� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^ / • Y(/o ZONIN BUILDING PERMIT OR W trF 4- r n b f' rre-r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNMMAIL;p ADDRESS `�� 11V e rl C1 ' r 9S CO TRACTOR•5 NAME W kl, ex Y— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCT,IIO`N LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCH TECT OR ENGINEER Lo— LICENSE No. Plan Checking Fee $ '90,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS, Ot Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW declare under penalty of perjury 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 Main service 200A TO 1000At 37.50 NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. SLOGS.(check 3.64sq.ft.I NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &I SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7641 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with suchPermit Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 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 ail liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X G?'i,, .0 , e1l�� ��DateL —„-r' Z Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 0. O ' Energy Inspection Fee S R OCC CONST TYPE TOTAL FEE $ /Q,S HAz 0FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do I have been paid. WORKS Date Receipt No. �O % O`� W NIOTE-D.P.W.. YELLOW-ASS(330R. PINK -INSPECTOR, GOLDENROD -APPLICANT school /i r S � S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER l 0 Pot r © rrF r^ A. P. NO. �� r PROPOSED BUILDING USE /7�/ DATE %�Z&/ Aj REC. # DATE REC _ . School District Fees Oro U;, t 0 �1 �(paid.at District Office) ....... �� 2. Sheriff Fees (paid at Building Department) Residential.......... 1 X" =$ unit. Commercial(per--sq.ft.) X =$ sq.ft amt*.. 3.- Urban.Area Fees (paid at:Building.Department. Residential (per-unit) X =$ #: units amt:. Commerical( per- sq . f t-.) X_ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ....................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center, Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and,bearing your signature. Please complete and return this information at your -earliest opportunity to -avoid unnecessary delay in -processing and issuing -your' building permit. No building permit. will be issued until this verification is received. w 1. I personally plan to provide the major labor and.materials for construction of the proposed property improvement (yes or no) S Z. I (have/have not) n,_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name - Address City ` Phone Contractors License No. 4...1 plan to provide portions of.this work, but I.have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date OY— 06 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of- t -he - Califor-n-ia ,Health. and- Safety- Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. rr --�._. --,i,,.,,FSo-.---••n�.�...:-i^^,v.-.�f�'----..yT...,.....,.�,�I,.-,o.+w�7.+�...�r.�-�-w.�.�yrs��..r.+,.-. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Q/ (One Form Per Building) C)9a School District ln� V t?_ U[ h IAV A.P. Number �t"'�� l 7 (p Jurisdiction City Property Owner j'`1© G r /'1 1 Gt Property Location/Address 6) u Ir tTU r to Subdivison Residential Development No. of Living HI Units Commercial/Industrial New Building Department No. County rrcd rD Lot No. Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No. 9 3 0 6 a Okoft' Le q IdC D iVC School District certifies that ill r ,&b d-- lL 0 -ya Jam-ii,11611(Ap licant) (St et Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 t by payment of $ representing square feet. M/ - School District Rep Paid by Check Number Bank Number Paid by Cash Date Remarks:` I ri oe IC OA 7- r/ y _ 199, V'4 a0 x ,;t80� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. �White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) RESIDENTIAL '.. 1,027-360-196 PERMIT#97-0380 ! BORRERO, Aurelio & Painbia 182 Four Junes Way, Oroville Cont: Bill Fox, iFire Sprinkler Supply/MH m J06 FINALED (Date) _ Signature V=OK - O = Not OK Not ' = NotRepady 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/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Locadon-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / 112ft. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric / /Nat or/ /"L°tt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-Circutating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool LBhtg. 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 O = - = = Not o OK RESIDENTIAL Not Applicable Not Ready Date 47. UNDERFLOOR (Plans) OK except #'s 48. 1. Zoning-Setbacks-Easments-Flood-Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ /' Ftg. Depth 52. 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground 63. 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. Smoke Detector 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 66. 15. Access & Ventilation G.F.I. & Bath Fixtures & Tub Access -Spa 16. Insulation 69. Stairs & Rails 70. Date 71. Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ($Ingle & Duplex) - - -• % Date FRPMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. InsulationVya IIs -Ceilings 62. Infiltration -Walls -Windows Glass Protection 90. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 4 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4 ASSESSOR PARCEL NUMBER 27-36-196 ' ZONING A-5 BUI NG PERMIT OWNER AURELIO & PAINBIA BORRERO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 82 FOUR JUNES WAY OROVILLE CONTRACTOR'S NAME ),j�TELEPHONE 10 ' CONTRACTOR'SMAILING ADDRESS i velqsU CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1 cin -no ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 25. 35 BUILDING ADDRESS 82 FOUR JUNES WAY Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other FIRE SPRINKLER SUPPLY SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15-00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ift Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LESS Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class e–/(� Lic. No. � ?p,r3(e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & Acc. BLDs. SO 3.5Q�. NEW CONST. MULTI -OUTLET NON-RESID. C CI Cu S @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES�� �' � ED UNS Ex. Occup. ouTTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 2-7XJJ.A&E a:5 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X Date ��g�--- Signature of P1' ca Owner Contractor ❑ Age An OSHA permit is re red for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 84.35 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD LSS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ate PERMIT EXPIRES ON provisions to do work paid. �� '1 _ to Receipt No. 210073 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t, _ COUNTY OF BUTTE DEPARTMEENT 64AVELOPMENT SERVICES - BUILD17 DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 53 -7541 \ PE"IT.JPPLICATION DATA SHEET OWNER: (3 O r/_ Cf- 0 ASSESSOR PARCEL NUMBER: ;� 7 .3 6, -- Z/ Z Proposed Building Use: / Building Inspector: )Z)3 Date: 3-3 - 9 `7 At time of it application, e I was advised t ollowing data must be submitted prior to permit processing and/or issuance: Date Received By items have been submitted.------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 16. 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 $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- C1 20. Pre -inspection for required. Request to Building Inspector on ❑2 tractor's license information. (Number, Name Style, Classification). --------------------------------- -Workers'Compensaoncarrier Workers' Compensation carrier policy number. ----- ---------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑,Mailed to owner E3) - -------------------------------------- ❑24. Letter of signature authorization ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑30. Other: _______ When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to qo tractor. El Telephone 153 3- a7 3 a and hold for pickup at ©%-y Ji ��`*-O-offrce. ❑ Deliver with inspector (Date) Applicant: Date: c3 "7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air—Pollution' a By: Copy of plans sent ❑ Health Department, ❑ 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: 3-= Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. M MAR 03 '97 11:15AM'SCIF REDDING POLICY SWrATg— P.O.-BOX 420807, SAN FRANCISCO, CA 94142-0807 P. 2/2 COMPENSATION ImaURAL NCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MARCH 3, 1997 POLICY NUMBER: 272-96 UNIT 0000023 CERTIFICATE EXPIRES: 10-1-97 F_ CONTRACTORS.STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 Box 26000 SACRAMENTO CA 95826 CL D 305365 INCEPT DATE! 10-1-96 REDDING D.O. L This is to certify that .we have issued a valid Workers' Compensation insurance policy in a form approved iby the California Insurance Commissioner to the employer named below for the policy period Indicated. 30 This policy is not subject to cancellation by the Fund except uponX9h days' advance written notice to the employer. 30 We will also give you J1JN days' advance notice should this policy be cancelled prior to Its normal expiration. This certlflcate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of Insurance may be issued or may pertain, the insurance afforded by the policies described herein Is subject to all the terms, exclusions and conditions of such policies. AUTHQRIZED REPRESNTATIVE r L PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER'OCCURRENCE. ENDORSEMENT #2063 ENTITLED CERTIFICATE HOLDERS' NOTICE.EFFECTIVE 03/03/97 IS'ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER FOX ELECTRIC, INC DBA: FOX COMPANY 3995 OLIVE HIGHWAY OROVILLE CA 95966 SC1F 10252 (REV. 3851 MAR 03 '97 11:15AM SCIF REDDING POLICY P.li2 r* TAT E 364 KNOLLCREST DRIVE BEDDING DISTRICT OFFICE ICN 8 U R A N'C e R DDING, CA $6002-0104' FACSIMILE COVER SHEET FUND _ TELEFAX NUMBER IS: (916) 223-7166 DELIVER TO: -NAME: COMPANY.-- VDe DATE: TELEFAX NO: - 65S' a 140 AREA CODE FROM: NAME: DEPARTMENT/SECTION : POLICY SERVICES PHONE: (916) 223-7135 AREA CODE THE TOTAL NUMBER OF PAGES, WIJMING THIS COVER SHEET, ARE � 6C(P 2070 (REV, 4.01) 9%; 11 r Cl I IN M 015 .09 zr :�+1 ...r:� ^ :.c' }r :�, '.^st. r`.'t r.�'�`•,t��:"� �.�_ '?�.,.. -g;. r _+t. _.w*y: �s .ptKx } xnA2;L.` 'C•' ,L .,r �.� t �. r:.. .45 , .:-u`i� a7Y:• -� 'Z' � :� utiJ ,• ±•,ti i".,cT -. - .aTt . -.w ir: a y Vie. .,}•..f �'.." x F J..-:.y, -_.p•. .ems i:+,� � �. ,.Y� •:� .:t4.. R:k n ._-j.. 1i•.. � w•�+. �+' -��. ,S .. S rf�•'. �.Y �".' �.. ,..'4^Y.......n 1 1pn {+ - :.{M-� P . s .al... i'. r". .'� fi. 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S S M I L- spot", Q 87y9 9� O 10.00Ac A.00Ac .24Ac 1/0 Ac 10.00Ac 10.00Ac 8795 9l iy 93 �. 2 121 _ O /026Ac AAFLQ /)V- -- //7-87 608.20 _662Z_ 1 as 27-21. /o // /i �► ^ 7.68 Ac hl AaM Ac 19- 1 s /Q23Ac O Ali 7 67A �I nit 1R22Ac O - - - zo.00Ac 20. ooa ° 766.4 h ® 20.00Ac N 20. aA< 3/ 4 /49 h I I ® 10.217Ar RS 69-20 p,� -9 36763Ac PAI 73-7 /Off � f � 36 23 /33233 666./7 66818 66386 664.4/ 2042Ac S 7 /330.6 � ►. p 12 a�� anti 20.38Ac.� 20.3'Ae ` 20.3/Ac j,' 20.30Ar �i IQ29Ac h 20.27Ac 654.46 664.48 . 663.3) . '^ � �-. • ' - �� 6 63.33 66,,' 32 � T � � .. 20.36 Ac ® '�• �0 /0 /2 14 /6 . 1327.27 •' 2� ^ 2Lt32Ac 2029Ac ti �• H 2C, 2T AC q 20.26Ar H .27-.r36 + ZC.34 Ac S b!1 I �' %Q" PAI /23-�Y32 ! � A Canty o11 Bssorts pi ►eM0.Ca 7- .36 -- 1 JB 66Z T9 ' 6010' 7 T F STATE OF CALIFORNIA—BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS ACTI ITY REPORT AREA OFFICES _,AEth.1. Area -7 7- eq C_ Date Report by 8911 Folsom Blvd. Sacramento, CA 95826 To: Name 0 P.O. Box 1407 Sacramento, CA 57 Address 96812-1407 Tel. (.16) 211-21., 9 2'**F "I'S I . Activity Site (if other than above) SouthemArea 2038 Iowa Avenue Bldg. B, Suite 102 Riverside, CA Owner (If other than above) �i,135 Address Jel. �909) -182-4420 PURPOSE OF REPORT: (Checked( V) as appropriate) RECORD ONLY F1 INFORMATION ONLY '0 NOTICE OF VIOLATION AND RELATED INFORMATION: This report provides noti�e of �violations of the California Health and Safety Code, Division 13 or the California Code of Regulations, Title 25, Part 1, Chapter Sections indicated. Copies of the regulations may be obtained from Barclays Law Publishers, P.O. Box 3066, South San Francisco, CA 94083-3066. Violations indicated shall be corrected and a written request for further inspection filed with the Area Office indicated above on or before The request for inspection shall be accompanied by minimum fee of A permit shall be obtained fromtheArea Office identified above for work to correct item(s) # If you believe this raport has been issued in error or is factually incorrect, please contact the Area Supervisor at the Area Office indicated above. INSPECTED UNIT IDENTIFICATION: Overall Size Type of Unit . ..... Box Size RT Decal No -7 Manufacturer, Year and Model (10, -,)ZS E—/ HUD LABEL or HCD Insignia No��L q� Serial No. or V. 1. N. , '� e" 9 'A / 41 INSPECTION RESULTS'OR INFORMATION: e 007 Yo �jf 7L-, 'q I A FILE IDENTIFICATION OPT # FAC. ID # ASSIONMENIf V LA13OR DATA: DR ID — 7) �" DATE 2-,? -7- PCA/ACT CODE, /W'( AREA--ILI CO LOC TR MILES TIME: INSP/ACT — TR INSPECTION DATA: 0 TIME REPORT ONLY. HOME/UNFT # FLOORS VIOLATION DATA: TOTAL MP TENANT 8 F E M P 43/0�_ NP MH ALTERATION TYPE: D AC 0 ACC ROo'F' FP k THIRD -PARTY MONITORING: HO Ej —1 .OAA IP DL 0 11S'� DAA #PLANS #COMPLY MP INSPECTION DATA: BLG/FIX — MH LOT RV LOT AS EH INSPECTION DATA:, El ACTIVE 0 INACTIVE MAX CAP — P CAP OCC SFD — DORM MH/RV_ 0 FEE ACCOUNTING: o COL# Z Z/V USED DUE ATTACHED. INSPECTION INSIGNIA 0174ER ATTACHED FEE I.D. 7 .0 r4p 7( t e- :2 44 1+ 1' e RECEIVED TITLE 16-91 rim 4, 0.' 'DEPARTMENTAL USE ONLY: Action: 1_5 Close File 'Reinspection Required Progress Inspection Required Enforcement Action Needed Other SEND COPIES TO: El Recipient 17--1 Owner Uj SAA n' OL Other SUPERVISOR REVIEW DATE COPIES SENT BY DATE HCD-6 I (REV. 7-94) 94 85249 PAGE 1 of r APPLICATIONS Specifically designed for the following uses: - Lawn Sprinklinr-7��" - Irrigation -Air Conditioning Systems • Heat Pumps • VVater'Transfer SPECIFICATIONS MA , acl ie Weaai: to'l 27 eet • Reprime capabilities: to 25' sOction lift • Pipe connections: MODEL SUCTION DISCHARGE XSH07 1'h" XSH10 XSH15 XSH30 Temperature: 1600 F, (71 0 C) maximum. Rotation: right hand ie; clockwise when viewed from motor end. e 1991 Goulds Pumps, ine. ClosemCoupled SeffmPrimirig Pumps �MDDIE __ Motor is NEMA Standard, Open Drip Proof • 60HZ,1500 RPM • Stainless Steel Shaft Single Phase: %-2 HP, 115/230 V; 3 HP, 230 V only. Built-in overload with Automatic Reset. • Capacitor Type • Three Ptrase: 2 and 3 HP, 230/460 V. Overioad protection must be provided in starter unit. Starter and Heaters (3) must be ordered separately. FEATURES Self -Priming Design: Water is retained in the casing while the pump dispels air. Once primed, this pump stays primed. Impeller: 20% glass filled thermo- plastic (Noryl") on 1/4-2 HP Models. Bronze impeller on 3 HP Models. Enclosed design for high efticiencies. Threaded directly on motor shaft. Casings: Cast iron construction. 4 bolt, back pull out design. Tapped openings provided for vacuum gauge and casing drain. Mechanical Seal: Carbon/ ceramic faces, BUNA elastomers, 300 Series stainless steel metal parts. Exclusive casing design prevents the seal from running ery. Motor: Designed for continuous operation. All ratings are within the working limits of the motor. Corrosion -resistant Coating: Electro -coat paint process appliec inside and out, and baked on. SELF -PRIMING Water recircutates but .ring re-primirlsq Arrows snow tio. orseration only water asset all xi �Air is eirnausled from been exnauslecl it Suction line trills suction sine !,!Vlarge ^PN AV 11MEN1 BUILOING DEPART ississ', E A P�vl R 1L I Effective A: 146 386 347 383 0IONSfONS AND'WEIGHTS GO 7 13' 33 ClosemCoupled I Self=Priming Pumps, PERFORMANCE RATINGS (in gallons per minute) Item HP PARTS Pipe Size . Item Part Name No. 100 Casing 101 Impeller 123 Del lector 131 Pump Foot 146 Diaphragm (Except 3 HP� 304 Impeller Nut —Three Phase XSmj5 Only (Not Sho4m) 314 Motor Adapter 338 Motor 347 Guide Vane 348 Guide Vane Seal Ring 383 Shaft Seal 386 Guide Vane Flange 0IONSfONS AND'WEIGHTS GO 7 13' 33 ClosemCoupled I Self=Priming Pumps, PERFORMANCE RATINGS (in gallons per minute) Item HP XSH07 Pipe Size . Weight XSH10 XSH15 XSH07 - XSH20 16% 1 1h XSK311 XSH10 No. 1 7A a 1% 56 XSmj5 I 'A 19 2 11h 65 XSH20 2 19% 2 77 XSH30 3 HP 2 % I Discharge Pressure._20 30 40 20 30 40 20 30 40 20 30 40 20 30 40 PSI 10 39 30 11 47 39 27 57 54 34 73 71 57 89 75 58 Z 15 34 27 0 45 37 23 52 49 27 66 65 50 85 71 50 20 28 23 0 41 34 18 48 45 20 56 55 43 82 68 0 25 22 19 0 33 31 0 41 40 0 44 44 33 72 64 0 Model HP L Pipe Size . Weight Suction Discharge XSH07 - Y4 16% 1 1h bi XSH10 1 1 7A a 1% 56 XSmj5 I 'A 19 2 11h 65 XSH20 2 19% 2 77 XSH30 3 21% 2 88 NOTE: All pipe connections are Threaded -NPT (All dimensions in inches and weights in lbs.) (Do not use for construction purposes.) 1/4" NPT DISCHARGE PLUG SEE CHART SUCTION L - APPROX. SEE CHART, 121/ 394/16" r 3A me" NPT (2) 3/e FOOT USED ON I P1 I Ir DRAIN PLUG 2% DIA. 3jHPP 0 ?Et_qI`4L GOULDS PUMPS. INC. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.F SRZCA FALLS NEW YOPK 1314 S METERS FEET 12 35- 11 30 10 9 25 8 a w 7 J 20- 6 O ~ 15 5 4 10 3 5 0 4 8 12 16 20 24 28 32 36 40 44 48 52 56 60 GPM t i 0 2 4 6 8 10 12 m'/h 01985 Goulds Pumps, Inc. CAPACITY uGOULDS PUMPS. INC. SEi`IECA FALLS NEW YOC�r 14= MODEL XSH10 SIZE 11/2 x 11/2 Effective January 15, 1985 RorgrECH 1HdRstries 201 CARLISLE COOS BAY, OREGON 97420 (503) 267-4804 (800) 835-0652 FAX (503) 267-4848 500 PREMIUM FEATURES: 500 HEAVY DUTY I . t, . ff A ; 0 rm"m r4r-qHo I "is 1110ut; a W ll�j U VIV " I I,- - THE RTI 500 HAS A and Heavy Duty Grade. It comes with four 14" LIFETIME WARRANTY. pipe thread fittings for inlet and discharge needs. It has a 20" manhole with a 14 1+ h-mv removable cover lor 111cl!"LIZ:110"Letz: "Z;Z; a- I T 1 7,00 IS EASY TO CLEAN - built-in U.V. stabilizers to protect against, HIN(3 STICKS TO sunlight rays. It is a dark color to POLYETHYLENE". control algae growth. it also is made with FDA material for 4. ki # r p n H f r -t r -i ri V U C& V VV CA w - THE RT' :-,00 IS A ONE-PIECE handling nepds. This tank i - -ANK. EAKPHOOF ; is free standing. It nr-pdc no support system. 20" Manhole Diameter CAPACITY: 500 gallons THE RTI 500 CAN BE TRANSPORTED IN ANY FULL SIZE PICK-UP. - THE RTI 500 IS LIGHTWEIGHT AND EASY TO INSTALL. INSTALLATION INSTRUCTIONS: Read carefioli-1. The ROTO TECH potable water tank can be installed either above or bp1ow ground. F_J-*1019:90; 0 1 0 AS WITH EVERY INSTALLATION, IT IS IMPORTANT TO PLACE THE TANK ON A LEVEL, V-,� COMPACTED SURFACE. IN ALL CASES THE TANK BASE MUST BE PROTECTED FROM EROSION BY WATER WIND. A SHADY LOCATION IS BEST TO PREVENT UNNECESSARY WATER WARMING BY SUNLIGHT. IT IS NOT RECOMMENDED THAT THF TOP OF THE TANK BE INSTALLED LOWER THAN GROW -VEL. MAKE SURE THE HOLE IS LARGE ENOUGH 1() BACKFILI IDLY WITH GRANULATED MATERIAL.(; -)IDS). YOU MUST FILL THE TANK WITH WATER B�FORE BACKFILLIN-1 TO PREVENT' ACCIDENTAL DAMAG �.OW GROUND TANKS CAN BE BURIED TO THE HIM. DO N01 PACK FILL OVER THE DOME. IT IS W. .,:.�,OMMENDED THAT THIS TANK BE.INSTALLED UNDER VEHICULAR TRAFFIC AREAS. SPECIFICATIONS: • DIAMETER = 46 INCHES MANHOLE DIAMETER • HEIGHT = 79 INCHES • WEIGHT (EMPTY) PLUMBED WI FOU7R�i-",4:1NCk'PIPE FITTtNGS,t - PREMIUM 100 LBS - HEAVY DUTY 150 LBS For ill your plaStic fall 11� !,."��T R I E 9 � V_ 1%0 I VW JUNE. 1980 ' Supersedes page P3 PUMPTROLs PRESSURE SWITCHES Dated 3176 TYPE FSG MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. 7be Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off feature aids in preserving the life of the pump. When pressure in the system drops to approxinmtely 10 P.S.I. below the set cut -in point for any mason, such as a low water condition, the switch will open to turn off the pump.* When the condition has been relieved. the manual lever is turned to the start position and, if pressure is restored while holding there, the switch resumes normal operation. The Form M4 manual lever also has an off position for com- plete pump shutdown. INIPORTANT: The cut -in point must not be set lower than 19 P.S.L. consequently. the cut-out point on rising pressure must not be lower than 30 P.S.I. Electrical Ratings — See preceding page. NOTE: Form M4 is not available on FYG types. Type PSG. Form G5 M4 isnowr,; comomtion of Puot Ligru ana *Example: Switch set 20-40. low water cut-out = 10 approx. Low P,essu,e cut -o" mooitcatfomi Switch set 30-50. low water cut-oui = 20 approx ',;witch set 40-60. low water cut-oul appiox FOR PRICES AND ORDERING INFORMATION SEL PRECEDING PAGES _10i 3.93 1= . 2.78 0 100 0 71 rqr) CD z 5 LLJ z 0- 0 C. L) 4, FJI 1.19 C28 1.59 SVMG RAMILIS IS 2.25 ON, t 2.05 1. 39 1 It"o FW-2.Forrn ud UNDERWRITERS LABORATORIES k� ID RI3 50MAR1113SOMPARY Ile r Manutacturers of Pumps and Supplies 2081 Frontie, Trail Anderson, CA 960r" PIPE, VALVES & FITTINGS (916) 365-2555 Sheet No. 1211.00 Effective 2-15-90 1L Supersedes NEW ORDER DESK: CALIFORNIA (800)446-4800 NATIONAL (800) 222-HAY.5 FACSIMILE: (916) 365-7798 BALL FLOAT VALVES BALL FLOAT ASSEMBLY Po1v Float Ball ORDER NO. SIZE WEIGHT LB. LIST 1 NET 1-10 NET 11 & UP R400 -1/2-5P 11211 2 S35.98 $17.99 Sl 6.79 R400 -3/4-5P 3/4" 2 42.62 21.31 19.89 R400 -1-5P ill 2 61.32 30.66 28.61 R600 -1 -1/4 -SP 1-114" 5 121.64 60.82 56.76 R600 -1-1/2-5P 1-1/2" 5 121.64 60-82 56.76 1 R610 -2-5P 2-1 5 1 135-78 67.89 63.36 j �q BALL FLOAT ASSEMBI-Y Copper Float Ball ORDER NO. SIZE WEIGHT LB. I LIST PRICE NET I 1-10 Ill - NET & UP R400-1/2-5 112" 2 $50.84 $25.42 523.73 R400-3/4-5 3/4" 2 57.50 28.75 26.83 R400-1-5 1.1 2 78.68 39.34 36.72 R600-1-1/4-5 1-114" .5 139.00 69.50 64.87 R600-1-1/2-5 1-1/2" 5 139.00 09.50 04.87 -R610-2-5 2" -.5 201.14 100.r,/ 93.86 FIRE SPRINKLER NOTES: 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D.