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HomeMy WebLinkAbout028-020-059SH� LET BRO INC. Y9r1 ermo Honcut Hwy, Oroville Pei 9 88P,E(util, MH) ELEC. %3� - b W -em $-S GAS - L f 3 Z _ Z-1 b'g9 SUPPORT STRUCTURE REQ, p COMPACTION TEST REQ. DAR>ed LOF 28 059 Per_40_ - - 30=88141 V.I. COUNTY OF BUTTE - DEPARTENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ISN I T NO — T Agricultural building is defined as follows: Agricultural building is a structure designed and construct5lid to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure s I 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. [ FLOOD ZONING ,4_,5 --- OWNER ROOFING PHONE NO. 844o - 7 `� OWNER'S ADDRESS V I LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE X SQ. FT. TYPE OF CONSTRUCTION: ' ' WOOD FRAME STEEL CON NTE. OTHER (Specify) TYP OF SIDING ROOF COVERING FLOOR TYPE � ©1J c ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT JQC �422. A_ SIDES S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 4 Signature of Own Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. I V� 7 Director of Public Works By Date9- White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL P.D. ROOFING ISSUE `� i✓ I V I Director of Public Works By Date9- White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT"tl-"" BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 Y OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET / Permit No. A. P. No. --?Y(— Building Inspector Date At time Npermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District;fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................................... . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................... 26. � QC) �� 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 4 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above), Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date ..Y (MH) PERMIT NO. Q� PERMIT EXPIRES OWNER SHIFFLET BROS INC CONTR. Owner 1f ASSESSOR PARCEL 286 59 r LOCATION 8978 Palermo Honcut Hwy, ORoville to Temp. Power Pole Called PG&E Temp. Elec. Service. Called PGf Te P,., Ser' Called PG! JOB FINALED Signature f� T 1 = OK .0.= Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS , Date M061LE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s K.Oni.ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements t4jsdfils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . S er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails W er; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing . Electricity; Location-Clearances-Grnd - Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. /Z /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors c� L .,iC- l e7,'Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses • 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Dat - Card -B1 Date 10. Roof; Shthg-Roofing Card -1312 Dates --/Es Card -81 Date 11. Ext.; Steps -Doors -Landings Date k iW.OBILEHOME INSTALLATION (Plans) OK except #'s 1.,Zoning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date . ootings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date . Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 4,. L) rain; MH Test -F ex�� 1. Setbacks -Easements 6. Water; MH Test-Regu - onnector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining t/ Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 111 -//)ma rai-xits; Insp.-Sketch - �, 0. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -B1 Date Card -B1 Dated/- Card -81 Date 9. Health Department Approval OHr� .� 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date Card -61 Date Card -B1 Date I i (� I .. I = OK 0 = Not OK - = Not Applicable = Not R%ady RESIDENTIAL,(Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Del 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang�Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -B1 Date . Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings - 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome � �� o * I,^ Ps i�r9y�r• hfr�,)ar Owner's name - Y D S Owner's address :.'S'T' %_ r Insignia or hud number_ 1�• t`! tc►n Manufacturer's name +Y` YYI\ 1 C> Y1 Serial number of V.I Year of manufacture/ !/3 3 (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -�4t -;� --?r OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. P Inspector Q% Date ! / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Ivs Inspector Date__'T� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPER I_T,NO� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 v /'�S,y— ,P-V- _-S APPLICATJON AND PERMIT AS S OR PARCEL NU ER — ZONIN BUILDING PERMIT O • N R nc- TELEPHONE SQ. FT. OCC. BUILDING VALUATION ,WN ER'S MAILINGD1 SS CONTRACT R•e. NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ __` � 0 U `-- Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ ^Permit c (J)V fee $ �. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 rwi L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomex Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I& I 0.00e TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation[] Other ❑ Describe work: ( l Yh�/l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 0V OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.EI , OR ACDNS. ACC. BLDGS. ) /2Osgft NEW CONSTR. TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. OCCU OUTLETS OR FIXTURES 200301 P eAL03o FIXED APPLNS. OR OCCUp. OUTLETS (RESID.) EA.I Ex. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 9cM I have placed on file with the County of Butte Building Department J� 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni and keep harmless the County of Butte against all Ii ties, j m Zos s, anexpenses which may in any way accruevagai st 'aid Co enc of the granting of this permit. X/t�_�s�_��. Date / Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE:M&7) OCCUP. CONST.TYPE SCHOOL F . ;13 PARCE PD ND 1 9UE This permit is hereby issued under �sions of the Butte County Code and/or work indicated above for which CT R PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS niata�c �✓ �[� ,J '31 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .. .. v ...... _ .. ; -.^...-..-, ... 1. -.:fi' i � ..' � -- • Y - r ,_ . .i i COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 f i PERMIT APPLICATION DATA SHEET jPermit No. OWNER--- �I/11 � IP� Rrns. :TY1C A. P. No. r_QSW-�(1 Proposed Building Use Building Ins Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: b A p p I i c a n t i.)Date:, L -6 C� Copy of plans sent Health Dept,, Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. y 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail—counter by ' date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved File cabinet AP folder Date DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation .......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. 13. School istrict fees paid ................. Sanitation approval from ' o Health Department ... f �-%Y- � 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. /`/' �� � 18. Driveway permit (construction approval required prior to occupancy) ... J 2- - 19. Pre -Inspection for required ...... Pre-Inspec. Building Inspector request to (Date) -20. 1. Contractor's license information (No., Name Style, Classification) ....... Certificate of Workmans Compensation Insurance .................... i 22. Owner -Builder Verification (Giveri to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 4'6-36SZ and hold for pickup at office. Deliver w/inspector. Other b A p p I i c a n t i.)Date:, L -6 C� Copy of plans sent Health Dept,, Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. y 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail—counter by ' date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved File cabinet AP folder Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 9770 1-7 owner location AP # ' Driveway permit % 3 ^ has been issued for the above property. 7j /i -i gg si ature date TO Buildincv Department FROM:., Environmental Health^r SUBJECT: Sanitation Clearance aIQ'� ��S �h r �Gt I��I�20 f#in _ ��- �� � �� �s Owner, Location AP# Plan Approved for: Sewage Disposal Water Supplye��: Hold final for: Water Supply Final clearance O.R. for: r Clearance for _-a_ bedroom obile home. NOTE *** Sanitarian r Other Water Supply -A 2 a I - - - . Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA'. 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 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 andmgLterials for construction of the proposed property improvement (yes or no) f 2. I (have/have not) signed an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to provide.the proposed construction: Name Address City Phone — — Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major, work: Name Address City Phone Contractors License'No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: . Name Address Phone Type of Work Signed: Property Owner Social Security Number Date % '19— _/11121 - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. • ' ice.+r .. This verification must.be completed and returned to our office before we'are per- mitted to issue the permit. PARCEL ONE: The Southwest quarter of'Section 32, Township 18 North, Range 4 East, M.D.B. & M., containing 160 acres, more or less. PARCEL TWO: "Right of way over a strip of land 20 feet wide, the Southerly boundary of which is the Southerly boundary of the Southeast quarter of Section 32, Township 18, North, Range 4 East, M.D.B. & M.,- extending from the Easterly boundary to the Westerly boundary of said Southeast quarter. EXCEPTING THEREFROM, a strip of land 100 feet wide lying equally on each side of the center line of that .portion of the railroad.track of the Northern California Railway Company (as said track was constructed and existed on October 31, 1895), which crosses said tract or parcel of land, said strip of land so EXCEPTED HEREFROM,'being so much of the tract or parcel of land hereinabove particularly described as was con- veyed by Milton J. Green and Kittie C. Green, his wife, to said Northern California Railway Company, a corporation, by deed dated October 31, 1895 and recorded in the office of the Recorder of the County of Butte, on December 8, 1896 in Book 46 of Deeds, at page 391, thereof to which said deed so recorded, reference is hereby made for a more particular description of.said strip of land excepted heretofrom. PARCEL THREE: The East half and the East half of West half of Section 5, Township 17 North, Range 4 East, M.D.B. & M., lying Westerly of the Westerly right.of way line of.tha Southern Pacific Railroad Company. EXCEPTING THEREFROM the following described parcel of land: A parcel of land in the South one-half of Section 5, Township 17 North, Range 4 East, Mount Diablo Base and Meridian and being the South 112 acres,'lying between the West line of the Southeast quarter of the Southwest quarter and the West right of way line of the Southern Pacific Railroad, and more particularly described as follows: Beginning at the Southwest corner of said Southeast.quarter of the Southwest quarter, said point being in the center of the County Road; running thence Northerly along the West line of the said South- east quarter of Southwest quarter a distance of 1355.4 feet; thence leaving said line and running North 89° 44' East parallel to the South line of the said Section a distance of 3562 feet, more or less, to the West right of way line of the Southern Pacific Railroad; thence along said line South 70 02' East 1361.8 feet to the South line of said Section 5: thence South 89° 44' West along said line 3626.0 feet to the point of'beginning. 64�- -*-- 28 020 — -15-,9 ;.. V Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' FOR DECVELOPMENT 1 7 VlQA Section 26-8'1 of. the Butte Couuty. Code requires Lhiu acknowledgement be recorded' ' prior to to iasuaoce ol_a building'permit./ OO -041S52 CO'`'' �' -- ---- ----- adjacent AL D{J{I/kxE�" The property.described herein is -' ' to luod or included within an �reu zoned for agricultural purposes, and residents of this property may be subject to iucou- veuiebcey or discomfort arising from the use of oAriculturul chemicals, including, ' butuot limited to herbicides, pesticides, �ind`fertilizers; and trom the pursuit of agricultural operations including, but'not limited *to cultivation, plowing, spraying, pruning, and harvesting which ' ' occasionally 'generate dust, smoke, noise, and odor, Butte County has /mLah]iahoJ xgrin/| tucal zones which have as a priorityuae for productive agricultural. purposes, .111d rc,iJm//x within said zones and 'on adjacent property should be prepared -to accept - such ixnxwcoim,, or diaconfop, from normal, necessary farm operations. ` 'All that zeal property situate in the County'of Butte, State of California, J-scri|x''followa: Ua'te: / KOPE8TY OWNERS: State of On -this the 1,2 day of 19 Yr_, ke[uro m,^ � US, tbauuderoi�uad.0otary Public, red----- ��o«»�y »[ ' ' ^ � ' -'^-- ' � . ` E]Persona1ly-known to me'. E3 Proved to me on the bas is 'of satisfactory evidence. -to be the person(s) whose name(s) subscribed e� acknowledged— --- executed the same for the purposes therein contained. ]-----'--- ' WHEREOF, 7 hereunto `et my hand and official seal. Notary Public STATE OF CALIFORNIA COUNTY OF.. .B.� _t e ............. ss. OFFICIAL SEAL * ` GARY D FIFE . ° m NOTARY PUBLIC - CALIFORNIA +.� BUME. COUNTY My comm. expires MAR 20,-1989 On this ........ 19OP77... day of........�), ........ , , in the year .............. Y ? .....................................................before me, ►¢y • •Q • • r? i- ............... . a Notary Public, State of California, duly licensed and sworn, personally appeared. !..,/� •S... . ............................................................................... . personally known to me (or proved to me on the basis of satisfactory evidence) to be the person who executed the within instrument as ..,e,pft! .,VJT ....... or on behalf of the corporation therein named and acknowledged to me that such corporation executed the within instrument pursuant to its by-laws or a resolution of its board of directors. IN WITNESS WHEREOF. I have hereunto set my hand and affixed my official seal in the ........................... . County of.. This document Is only a general form which may be pmW.for use m simple , , • , . • . • • • . ...................... o the date set forth—above in this certificate. transactions aro in no way acts, or is imanded to act as a suhslierm for Me ' advice of an attorney. The primo Coes not make any warranty adw express or implied as to tea "al validity of any provision or the sudadldy of Mese forms in arty specific transaction. Nota lic State of California Cowdery's Form No. 28 — Acknowledgement to Notary Public _ Notary ' Corporation (C. C. Secs. 1190-1190.1) — (Rev. 1/83) My commission expires 3 —.2 - 85� Ofcjl® TYPE OF INSURANCE ISSUE DATE (MM/DD/YY) POLICY EFFECTIVE POLICY EXPIRATION 12/13/88 PRODUCER _ niso THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, LTR EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. VAN BEURDEN & ASSOCIATES DATE (MM/DD/YY) COMPANIES -AFFORDING COVERAGE P.O.. BOX 2053 - WOODLAND-, CA. 95695 . ' COMPANY A LETTER CITATION COMPANY s LETTER OCCURRENCE INSURED COMPANY LETTER C s. SHIFFLET BROS . COMPANY p ' LETTER P.O. BOX 758 GRIDLEY, CA. < 95948 COMPANY E . LETTER • THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT, -TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. ' CO, TYPE OF INSURANCE POLICY NUMBER - POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS " EACH AGGREGATE LTR DATE (MM/DD/YY) DATE (MMIDD/YY) ' OCCURRENCE GENERAL LIABILITY BODILY - COMPREHENSIVE FORM INJURY $ $ PREMISES/OPERATIONS ~ PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL. BI & PD $ $ COMBINED INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE ' PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE 'LIABILITY BODILY ANY AUTO INJURY (PER PERSON) $ ALL OWNED AUTOS (PRIV. PASS.) - ALL OWNED AUTOS ( TH PASSNI INJURY (PER ACDDEND $ HIRED AUTOS' PROPERTY NON -OWNED AUTOS DAMAGE . $ GARAGE LIABILITY BI & PD :' • COMBINED $ EXCESS LIABILITY UMBRELLA FORM ; ` BI & PD a ' $ $ COMBINED OTHER THAN UMBRELLA FORM ' STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) A AND WCP 010343 04/01 /88 04/01•/89 $1 000 DISEASE -POLICY LIMIT) - EMPLOYERS'. LIABILITY + - $ (DISEASE -EACH EMPLOYEE) OTHER ti. •1 , DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 1*114 BUM - COUNTY OF BUTTE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX - DEPT. OF PUBLIC WORKS PIRATION DATE THEREOF, THE ISSUING COMPANY WILL #7 COUNTY COURT DR. OROVILLE, CA. 95965Aures . PFi TIvDAYS ADVANCE NOTI �E AP f-pI-S9 OWNER PERMIT M UTIL.CLEARANCE DATE ,�2 INSPECTOR if ELECTRIC GAS Support Stxuc. Compactior. Test Re .' Service Size Other Load Type Pipe Size Length YES NO ,YESI NO '�/4� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Q APPLICATION AND PERMIT AS OR P RCEL U R ZONI BUILDI PERMIT ER ,jE °N (�yy� SO. FT. OCC. BUILDING VALUATION O ER' (LING �Q♦�AE lt; CONTRACTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS <&,(3 ( �/] (/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �VI Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[:]Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W in.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[9 Other ❑ Describe work: Permit Fee $ Contractor t ELECTRICAL PERMIT Filing Fee 10.00 Gil V Main service 800V OR LESS 100 AMP OR LESS 10.00' Main service EA. ADD -L. 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Eli 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) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y` , /z OR ADDNS. ACC. BLDGS. / Qsgft NEW CONSTFLMULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES AL@ e2L030 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 againA said County inonseq en a of the granting of this permit. X �1 G1 —,/I � Date Signature of Applican — Ownerg 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 $ 45, Energy Inspection Fee $ TOTAL PERMIT FEEo OCCU P, CON ST.TYPE SCHOOL OD PARCE PD I ND ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic ted abo a for which fees have been paid. R TO PUBLIC WORKS BY ate 2 -Of? PERMIT EXPIRES Date -7— Receipt No.3/7& WHITE-D.P.W., TELLOW-ASeESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE'- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �- Permit No. OWNER A. P. No. Proposed Building Use �1�i'✓ Building Inspector C,24_`1 Date f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... - 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... x1. Certificate of Workmans Compensation Insurance .................... :&92. Owner -Builder Verification (Given to owner ❑, Mail to owner 94 • .. . 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue theermit, process as follows: Mail to owner. Mail to contractor. Telephone -V14-0'1 and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted o permit issuance: (Circ,le new item not checked above). 1. Index permit for above items No. 2. Additional items required: i Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date .i y ! 3 I( ' � -• � -. � I Illi i c�'g2' � �� �- i l , .ill I .' . . . I ;�es�ervo��K ►1.J H G 1' 2; f e a PQ mit will bo rCqui i*r Cz baa 14M of, i p►!n-►R"Cd ' =-l~/ rhmcmbipi AccQrdanc.with4Re;n Good P ! 5 : g' oanid oa:duality n proscribed', fa A, Sppec fI,o s _iith the Uhifdrm Ouiidjn,g� Plu b r�gj echan b end 4h�;P1GiiQnal Fj; rtrl;c6j r .j 1 I i ; I jJ~ca cif o¢'1� ars 91P coli` { ran. i+lea job a �,1 lt�in� n MI i. ni. Rd�of C.1n JJ j 11 L, 11 I e m d dY! CU i t4 - - 1=�loQ� It 1 4- i'' may, 111 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center -Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: VA F T 2. Installer's Name: 3. Is the site currently under permit? Yes FX_1 No F-1 z (If yes, furnish permit number 3 OR Is the site an existing site? • Yes 1-1 No F-1 (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 LE], (If no, clarify 5. What is the mobilehome electrical rating? --------------- % 0 d Amps 6. What is the mobilehome site service rating? ------------ Amps 7. What is the mobilehome site circuit breaker rating?.----- 1 cr Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes No �1 (If yes, identify the load and size: J ,F (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- /Gj (in.) 1,f i�177 10. What is the type of gas service? ------------------- Natural / LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------- ---------------------------------- ,� (ft.) - 12. What is the mobilehome gas demand? ---------------------- a t-5 (BTU), *(This information not required if pipe length less than 6,ft. on natural gas or less than 50 ft. on LPG.) BUTTE 00UNTY MOBILEHOME SUPPORT DATA , �) If other than single wide, 3 Mobilehome Mfr. y- �(�sP E.l�PTc� furnish SetupModel No. Year—1110 Width�(_JQ& ft.)f Box Length(ft.) Tagalong or Expando Size -t- ft. x `" ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) F�1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one) 1. Concrete block. F] 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE - MULTI -WIDE t— — — — — — — — — — I,_ Line 1 Line. 1 Piers: Line 1 Openings: Size -Min- ------------ Size -Min- ------------------ Spacing-Max - -----------------Spacing-Max. --------- _ „ Each Side of Openings From Ends -Max. ------- " With Width Over --------- Line 2 Piers: Size -Min ------ ------ Spacing-Max ------------ ,- From Ends -Max.------- '- Line 3 Roof Loads: Size -Min. ------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.----__-__------ From Ends -Max -------------- Line 4 Piers: Size -Min .------------ k Spacing -Max.--------- , From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k Spacing -Max.--------------- , From Ends -Max .------------- '- i COUNTY OF BUTTE - Department'of Public Works 7 County Center Drive, Oroville, CA: 95965 Phone: 916-538=7541. OWNER -BUILDER VERIFICATION Attentiop.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 [) 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: j Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name A(6AJe 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(J/9]d,&YJa Social Security Number Date 9 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. "?ge-'? o- S 9