HomeMy WebLinkAbout028-130-03737"
X028 1°3'-0 '037��,` L r, ejlt� 1-.3920
CHR,I STOPHER
HER
S.bNt,,R., SH I EDECK CONST. ., • o ., r .,.
' APORTE RD; OROV I'LLf .
MH .ON PERM''FNDN' �,� l 'g
028-13-0-037
A'. I
91-4068, r Af+
CHRI-STOPHER',=';LEWELLEN.
CONTR SH I;EDECK'CONSV
LAPORTE',RD., OROV<I LLE.
,'NEWGARAGE �-
'028=130`037"
CREGER, RANDALL u ' 03-3016
'4878 UAPORTE RD, OROVILLE
Cont: TUFT SHED }` '
NEW DETCHED GARAGE
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RESIDENTIAL
+ 028-13-0-037—
CHRISTOPHER, LEWELLEN 'a
CONSR: SHIEDECK CONST
&&%LAPORTE RD, OROVILLE
MH ON PERM FNDN�' I,
i
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OFFICE COPY
f
FAddresS—
JOB
FINALED
Signature _
vair.���
%�
r
RESIDENTIAL
+ 028-13-0-037—
CHRISTOPHER, LEWELLEN 'a
CONSR: SHIEDECK CONST
&&%LAPORTE RD, OROVILLE
MH ON PERM FNDN�' I,
i
iy
OFFICE COPY
f
FAddresS—
JOB
FINALED
Signature _
vair.���
%�
J=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL
' =
Date - U DERFLOOR (Plans) OK except ft's
1. Hing -Setbacks -Easements -FI od-Slope
2. Ftg., Main; Soils -Flet. Grnd. /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
Piers -Fireplace Ftg.-Steel
S 5 '
R.X.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Sri 1 . U . Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
1 . ectric; Underground
(e 13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. 1 I tion
_::e
te `Trd B-1� � Date Card B-1
Date Card B-1 Date Card B-1
Date. PLUMBING (Permit).OK except it's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------------------- --------------------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
16. D.W.V.; Test -Fittings & Anchor -Nail Protection
-.---- -- ------------------------------------
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
--------------- -----... -----
21. Gas Pipe: Size & Anchors
-------
------------------------- --------------------------- --------- --- ---- - ...,
Date Card B-1 Date Card B-1
---------------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ir'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. Fasiners-Bond Gas & Water
27. 2 Appiiance Circuts in Kitchen & Conductor Size!GFI
__..-- --- - ----- - - - -- .. - - - ......----
22. Subfeed Wire Size ! 1/ ga. Cu ot(: l .C. Wire Sizer ! ga.
Cu or Al v� 8 G1. 6,00
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 Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except u's
34. A.C. Cucts Insulation & Support
---------------------....----------.._..__..........._------..----... . . ---- ...-----
35. Vent Fan: Exhaust above insulation
-------------------- .. ..................--------------_...---..._....__.... ....---
36. Condensate Drain & Overflow: Size & Grade
_. _......... _.. _. - - ._.... _....... ........ ..........
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-- - _..............._....__....
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Dale FRAMING (Plans) OK except P's
39 Sils. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
... I.., .............
._...._...... __....._._.- -- .... - - -- -
42. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
dingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
46. 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
- ----- --- 54plywood 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
56. Shear Walls; Nailing -Bolts _
------------- - - - ---
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-----------------
_...------------------------------------ ---- -
Date Card B-1 Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except H's
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------
62.
--------------- 62. Smoke Detector
------------.._..----------------------------------- -- --
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
-------------------- --
64. Bedroom Exiting
------------------------------------
--------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
----------
67. Stairs & Rails
6a. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
......__..--------------------------------- --____
70. Kil.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
- - - - - - - ----------------
71. Elec. Outlets & Receptacles at Kit. Counter
- -
------------------
---- ----------- -
72. Garage Fire Door: Swing- Land ing-Closer
73. A.C. Duct in Garage -Damper
74. Wir. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
75 Plb.. Elec. & Mech. Equip. Listed for Location
----------------------------------- ------ -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------------------
7-,.
-------------------------7-,. 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
_..._. ---------------------------------------
at. Stucco Brown -Finish
82. A.C. Unit Disconnect. Electrical, Plumbing
- - -- -- ------------------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------------------------------
84.
..-------------------------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
_ . _-. _ .... _ _ _.1- --- - -- -------------------------------
91.
---------- ------------------91. Energy Compliance Certificate -Other Certificates
...... ......... --- -- - ---- -----..--------------
Date Card B-1 Date Card B-1
_...... -----------------------------------
Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date - U 6ERFLOOR (Plans) OK except ft's
1. Hing -Setbacks -Easements -FI od-Slope
2. Ftg., Main; Soils-Elec. Grnd. /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
Piers -Fireplace Ftg.-Steel
vRX.V_; Fall -Fitting -Test -2 Way C/O -Sewer Test
i
5D 1t''Ur-Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
1 ectric; Underground
JVC4e'J 13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. I I tion
Datet rd B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK exceptg's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------------- ---- - -----------------
19. Shower Pan; Test. First Floor -Tub Access
---------- -- --------------------------
20. Test Tub & Shower, Second Floor -Tub Access
-----------------------------------------
--- 21. Gas Pipe: Size & Anchors
Date - - Card B_1 ----- Date - Card B-1
---------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
- --- - 22. Fixture & Transformer Clearance -Ins. Protection
- - ------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- E-lec. Recept-acles
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
------------------------------------------------------ - --------------
22. Subfeed Wire Size r ga. Cu oq l�1- .C. Wire Size r / ga.
or AI s� 8 C'ct- G w tD
-------------- --- Cu--- ----------------- --------------------------------------- ----
29. Range Circ. / ga, Cu or AI -Oven Circ. / 1 ga. Cu or At.
Insulated Neutral ❑ Yes ❑ No
---------------------------------------------- --
30. Service -Riser Conductors & Ground -Main Disconnect
--------- -------------------------------
31. Equip Clearances Panels -Motors -Meeh. Equip.
--------- ----------------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------------
- ---------------- - --
33. Smoke Detector
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except rr's
-----
34.--A.-C.- Ducts Insulation- & -Support- ------------------------------ -------------
35 Vent Fan Exhaust above insulation
-----------------------------
-------------
--------------------_______ 36. Condensate Drain & Overflow: Size &Grade
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-------------------------------- --- ---------------------------------------- --------
- 38. Attic -Access-&- Platform if Furnance in Attic
--------------------------------------- -----------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------------- --- - -- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
39. Sils. Proper Material & Anchors
- --------- --------------------------------------- - -------------------------
40.
---------------------------------------------------------------
40. Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound
--------------------------------- --
41. Bearing Walls over Girders & Floor Nailing
---------- ---------------------------------------------------
42. Draft Stop in Walls (rat proof)
------------------------------------------------------•---
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
------------------------------------------------------------------- --
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
_ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
-_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_ _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
----- ---- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
-------------------- ---
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
----------
60. Infiltration -Walls -Windows
Date ------ _--Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except It's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
--------------------- -
63
--------------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
------------------------------ ----
64. Bedroom Exiting
--- ---------------
65.
--------- 65. G F.I & Bath Fixtures & Tub Access -Spa
..----------------------- ___
--
66. Elec. Trim & SubF panel: Breaker Sizes & Labels
67. Stairs -&-Rai-Is----
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. Wir. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
- In Garage: Above Floor -Meth. Protection
75. Plb.. Elec. & Mech._Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7-,. 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
Planters -❑ Yes ❑ No
❑ No;
81. Stucco_ Brown -Finish -------
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - --------------------------
83.
-------------------------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 -
-------------------------------------------- ---- ---
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:
J=OK
O = Not OK
= Not Replicable .
Not Ready MOBILE HOMES
=
Date MOBILE HOME UTILITIES (Plans) OK except #'s '
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"it./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
__--l—Zoning,Requirements-Setbacks Easements
Foot' gs; Size -Spacing -Marriage Line
Gas H'Test-Demand-Valve—Connector
Elect 'orty; MH Test -Crossovers -Breakers -Clearances
rajix, MH Test -Fall -Flex Connector
Wate Test -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD Approval
d. Gas and Electricity Tagged
X .-Sketch
Cert. of Occupancy
Date /� rd B- ate Card B-1
ell
Date Card B-1 V Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF PU13LIC 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 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.
7-711,
77%-Otl
A.
Inspector
A
A
ze
Inspector
j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil;%9f Catifdrnia 95965 - Telephone: 916/538-7541 91-3920
APPLICATION AND .PERMIT ., ,
ASSESSOR'PARCEL NUMBER
28-130-037
ZONING
A 5
BUILDING PERMIT
OWNER L94ELL CHRISTOPHER
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
91190 R 111,690
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAMETELEPHONE
SHIEDECK CONSTRUCTION
679-2448
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 110 RACKERBY CA 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 111,690
LENDER'S MAILING ADDRESS -
Filing Fee
$ 15.00
Permit Fee
$319.75
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
18680 1 APORTE ROAD
Permit fee
$ 494.65
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
2
SUBDIVISION NAME
PARCEL MAP
117-18
Water piping
7.00 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 5.00
Building sewer
15.00 15.00
Mobile Home I S FGTWT
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation® Other ❑
Describe work: PER FOUNDATION 3 BDRM
Permit Fee
$ 42.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000AI
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 d my license IS In full f rce and effect.
License No. �•�%��✓�Classification �
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCC UP.9
OR ADDNS. ACC. BLDGS.
_37.50
3.64 sq.ft.
NON-RESID R. BRANCH CIRCUITS
@ 5.00
POWER APPARATUSal
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 2 7661
AL 4F;
Ex. Occup. our ETS P(RESID.)REAJ
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 I have placed on file with the County of Butte Building Department
Via 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
g
Hood
6.50
Ventilation
penult 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 agr a to Save, indemnify and keep harmless the County of Butte against
all liab' fes, jud ents, costs, and expenses which may in any way accrue
again id Co i c ns
g IlPnce of the granting of this permit. �1
X Date L 7�
Agent ❑
Signature of Applicant — Owner ❑ Cont7.,70—
An OSHAwork
u mit is r quired for exccas in gviations oeep and demolition or construct-
ion of structuressto
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE 570.15
HAz
DFEES
IMP
FLOO9
YV/
CDF
PARC
Po
HD ssUE�l
4�
This permit is hereby issue under the
SIOns Of Bu Countyo d/or
' di to above f is fees
R T O P IC
By
PERM EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
D to 1127 9
t
ReNo. 103061 570.15
.FITC-D.P.W., TELLO W-A39C930R, PINK -INSPECTOR, GOLDENROD -APPLICANT
w Z!��
z�
LLQ �l
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Pif RMIT NO.
` 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541
APPLICATION AND'PERMIT
ASSESSOR PARCEL NUMBER
28-130
ZONIN
_s
BUILDING PERMIT
OWNERLe�elle� l/.i l{- I � V /� /I ^ ( S-ro H6 0
TELEPHONE
SO. FT. ` OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
S I61' � c aAJ6-r2Uc�-,0
TELEPHONE
7 ` Zy4j�'
GC
CONTRAT0gUODRESS _T2 2
GI) (^5-
Fireplace
CONSTRUCTION LENDER
NOWN
Total Valuaticn $
i0
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee 6 3'j- -5
$ 75
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ , 14)
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
A6,50a
Permit fee
$ 9 65�
PLUMBING PERMIT
Filing Fee AEOO
Each Trap
I 5.001
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00 .CO
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome_g� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 pc7
Building sewer
1 15.00 / , p
Mobile Home I S I G JW 1
615.001
TYPE OF WORK
New Addition [j Remodel❑ Utilities/❑ Installationft Other ❑
Describe work: iper �U✓/VU/�Tid" k_3 EI) R_
Permit Fee
$ L 2 d
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service soovoRLESS
200A OR LESS
18.50
Main service 200A TO t000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
DWELLING OCCUP.h\
NEW OR AODNS. CONST. ( ACC. SLOGS. lI
3.6Csq.ft.
NEWCONSTR. ULTI-OUTLET
NON • RES I D. BPANCH CIRC 'ITS
1@ 5.00
/POWER APPARATUS e
\SINGLE OUTLET CIR.
Ex. Occup(OUT LETS OR FIXTURES20
@ 76d
FIXED APLNS.
Ex. Occup. OUTLETS P(RESIC.�)REA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00_
Misc. Wiring
15.00
Permit Fee
$ U
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subjectHood
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Ventilation
4-6.50
Pertnit 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
Si nature of Applicant - Owner
g pp ❑ Cs normo' ❑ p and ❑
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $�7 U
-
HAz
1 0FEES
IMP
I FLOOD
CDF I PARCEL
I PD HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. / `' -5-70
OWNER
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.
P. No. ZS -130—,O
3 7
Proposed Building Use /V�>Ll'.Z bel- FDUN&16,'*ui�(ding Inspector Date //` 5-`
71
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ tI
11. Chico Urban Area fees paid .......................................
V12. Park fees paid .....................................
13) /:> � moi/ G �,�
School District fees paid .............. 111,27 /17
14 Sanitation approval from 0/?bUIVA-- Health Department bK6�+,m ///7- 9c
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
--A& g. 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 ..................
3. Owner -Builder Verification (Given to owner o, Mail to owner 0). .
Recorded copy of Agricultural Acknowledgment Statement ......... /
Letter of signature authorization .... .. 4D�
-- 27. 5her(F+s, f7ees or 3&o
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
�elephone n117 Id for pickup at _ 6 -Ll' office. Deliver w/inspector.
Other
Applicant 9�����Date / I—
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permi issuance: (Circle new item not checked above),
1. Index permit for above items No. 1 , nu?
2. Additional items required: _aZ2Z�ir1j
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 by i Date I) 18 Plans approved by Iw Date 11 [ u7 1
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
�f
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance r
,L G�i r • s7�a �hCs�' U AP #
owner location
Driveway permit lzJe n e4del has been issued for the above property.
n b
date
sign re
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)5387541
OWNER �e6j' llelz
PROPOSED BUILDING USE 0 ' ` 1/37 Per 'Fou
A. P. NO. 2g- 13o -Ll) 37
DATE ll - z5 -- F/
REC. # DATE REC
V 1. School Distric Fees
(paid at District Office)
l/ 2. Sheriff Fees :36 d �—
(paid at Building Department)
3.
Residential ..........
unit
Commercial(per sq.ft.)
sq.ft.
Urban Area Fees
(paid at Building Department
X
amt.
X
amt.
Residential (per unit) X
# units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
Recreation District Fees
(paid at District Office) .....
Drainage District Fees
(Contact Land Development) .........................
Other C /IG'G K ;;;,(� , )o k
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-/ (- J
«. R
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�ty e l�P P Y62 90 LCL P0
-�- Owner Location AP#
Plan Approved for: Sewaqe Disposal /� — 'Rater Supply
Hold final for: Water Supply
t7inal clearance O.K. for: Water Supply
Clearance for bedroom ile ome. Other
NOTE -07
*'*
/- --
Dat
Sanitarian
IZ
i'
return to AGRICULTURAL STATFI`[ENT OF AC'0.1GWLEDGFME1'T1
. FOR RESIDENTIAL DEVELOP'dE,yT
Section 26-S.1 of the Butte County Code -
requires this acknowledgement be recorded
prior to issuance of a building permit. REC,ORDEG i�; TH_RF,`,G JF
� -h e d_ecr Co►�5� rvc.-fi o
The property described herein is adjacent 1�
to land or included within an area zoned -'
for agricultural purposes, and residents st-0--...
of this property may be subject to incon-
veniences or discomfort arising from the
y q.53�
use of agricultural chemicals, including,
but not limited to herbicides, pesticides, Candace
and fertilizers; and from the pursuit BY
- ..................
OIL agricultural operations including, OD veru v aec;:a�ee
Pec.'; 8 .�
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 that real property situate in the County of Butte, State of California, described as
follows:
SEE EXHIBIT "A", ATTACHED HERETO
Date: ' ! 1. 020 �%�� PROPERTY OWNERS:
,1LE!✓2 Z <<� f C �d2/Ji c��i2
CNS
State of %, �,���s,) On this the 0 - day Ofdc!� .L 19before me, the
SS. undersigned rotary Public, personallya peared
2
County of b' .> �� l
, L'
Personally known to me.Proved to me on the basis
OFFICIAL SEAL �'of satisfactory evidence.
JOYCEMc[LENDON to be the person(s) whose name(s) a66�7
o NOTARY PUBLIC •CALIFORNIA subscribed to the within instrument and acknowledged that
• �` LOS ANGELES COUNTY executed the same for the purposes therein contained. IN WITNESS
,4<F aN MyComm. ExoiresMar. 19.1993 WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Nota 11ic
EXHIBIT "A"
*****************************************************************
All that real property described as Parcel Three, according to that
certain Parcel Map as filed for William Lamb, in Book 117, Maps at
Page 18, lying in Section 5, Township 17 North, Range 5 East,
M.D.M., Butte County, California.
*****************************************************************
Prepared By:
ohn D. Christofferso L.S.
G.D.A., Engineering & Surveying
91-5301d
END OF DO -FUM' "
! .. :.. ., ... -, •.,f.'- _.... � ..:- �, ;...,...r -ti- v7,rr�.; M'�a.rt �k �, �,� .k} y �- r _ .�
,a s
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
On m per -Building)
a - �360UYr
A.P. Number Building Department No.
School District D�0 �� ity n ou t Jurisdiction
��
Property Owner04
Project Location/Address
Subdivision
Residential Development:
# of LLiving MHI
- Units ,
� r
Commercial/Industrial:
.�nA/iA !
New
g Department Representative
Lot Number q
F]Sq. Footage
Addition �, (.Group,• Z )
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School.District Personnel)
District Id No. 920365
1 ".., School Di trict certifies that
AjppQlicant•Nam� (Phone Number)
Q l0 0 � �-lit....[._. � d
U
-(St -eet. Address) 4l ,
(City) .(State) (,�,,Cod��
has complied with the requirements of Resolution No.
// as 1
by the payme of $j �O�' representing �� square feet
School District Representative Date
PAID BY CHECK NO.. �—REMARKS :
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
9-2-0 1384
,-
92-001384 1 Total .00
AND WHEN RECORDED MAIL TO: Recorded I
Official Records I
1101E County of I
BUTTE COUNTY BUILDING DEPT Butte
sT>E>r 7 COUNTY CENTER DR Candace J. Grubbs I
ACOQESS OROVILLE CA 95965 Recorder I
CITY, 9:30am 13 -Jan -92 I PUBL X 1
STATE,
Md ZtP
SPACE ABOVE THIS LUBE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the locoi agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed
by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per-
sons thereafter dealing with the real property.
LLEWELLYN F. AND ARMENTHUS CHRISTOPHER RITTTF COUNTY RTTTT.DTNr DEPT
REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
8680 LAPORTE ROAD' 7 COUNTY CENTER DR
MAILING ADDRESS MAILING ADDRESS
BANGOR, BUTTE, CA 95914 OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
SAME 91-3920 (916) 538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BU DING PMMT NO. TELEPHONE NUMBER
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (If also property owner, write "SAME")
MAILING ADDRESS
1/8/92
URE OF LOCAL AGENCYL . DATE
D&D MOBILE HOMES
DEALER NAME (If not a dealer sale, write "NONE")
8957
DEALER LICENSE NO.
CITY COUNTY STATE ZIP
r
UNIT DESCRIPTION
FLEETWOOD 1991 BARRINGTON 764-3K
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLMI7ABC13.596-BA 64' X 28'10" RAD620632/33/34
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
Y f
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 4028=130-03.7
ALL THAT REAL PROPERTY DESCRIBED AS PARCEL THREE, ACCORDING TO THAT CERTAIN PARCEL MAP
AS FILED FOR WILLIAM LAMB, IN BOOK 117, MAPS AT PAGE 18, LYING IN SECTION 5, TOWNSHIP
17 NORTH, RANGE 5 EAST,. M.D.M., BUTTE COUNTY, CALIFORNIA
HCD FORM 433(A) 4/86
END OF DOCUMENT
P1�EHT Or &0
i�
C04, 04
4,,&NiTY Ott
" 1
wCT)
coo 00
U.C
li
001ER
Uw
O
a
Address or location of
Legal Dwscription of
Real Property
n
A.P. #028-130-037
RMIT NO. 91-3920
ALL THAT REAL PROPERTY DESCRIBED AS PARCEL THREE, ACCORDING T'00 --'THAT
CERTAIN PARCEL MAP AS FILED FOR WILLIAM LAMB, IN BOOK 117, MAPS AT .
PAGE 18, LYING IN SECTION 5, TOWNSHIP 17 NORTH, RANGE 5 EAST, M.D.M.,
BUTTE COUNTY, CALIFORNIA.
A EEMobilehome/Manufactured Home Commercial Coach has been affixed to the
real property described above by installation"bn a foundation system pursuant to
Health and Safety Code Section 18551.
Owner'sname: LLEWELLYN F. AND ARMENTHUS CHRISTOPHER
Owner's address: 8680 LAPORTE ROAD, BANGOR, CA 95914
INSIGNIA OR HUD NUMBER: RAD620632/33/34 SERIAL NUMBER OR V.I.N. CAFLM17ABC13596—BA
MANUFACTURER'S NAME
"= OtX (7/001
Mhwe--Oww . C�w�y-mar—mee. Kra-oK�rs R�.
YEAR OF MANUFACTURE:
9SH
1
916) 538-7541
(Aoro 1
01/tO/92 15:17 Z 529 4525 D.&D MOBIL HOMES R.02
e , i
STATE OF CALIFORNIA
DEPARTMENT OF HOUSING AND COMMUNITY OEVE0,,PMENT
DIVISION OFCOOES AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS
This unit is a:0 Mobilehome [] Commercial Coach Floating Nome
Decal(License) No,(s) Trade Name Serial No.(s)
Barrington -IT CAFT,M17A135967BA
VAPTJ41 iRi V;()A_Rh
I/We, the undersigned, hereby state that the unit described above:
Truck Campe'
Has never been Registered and that its a brand neer home being put on a
foiundat;ion. The HUD # are: RAD620632/33/34,
Affiant further agrees to indemnify and save harmless the Director of Housing and Community
Development, State of California, and subsequent purchasers of said unit, for any loss they
may suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on 1/10/92 at Red. )3111fra
�-"bate) (City) (State)
tur of each affiant /�' Printed name of each affiant
-� 6{�.t :7-- 1)&D Mobile, Homes by - Mary _ Mathews '
AddreSS 26 Salt, Lane --_-..-
City Red Dluf, f , . -- State Ca,
HCD 476.6 (Rev 11/86)
M0pq
Singl�milyoan Division
Weyerhaeuser
Mortgage Company
3585 10)Caltmla DnHedtlmq. Caldcia 96001
T01 IB 161244 2720
Fax (9161 244 1764
Date: .November 25, 1991
D & D Mobile Homes
26 Sale Lane
Red Bluff, Calif.96080
Subject Property; 8680 La Porte Road
Bangor, Calif. 95914
To Whom It May Concern;
In order for Weyerhaeuser Mortgage Conlpan t�
permanent loan on the subject Y ` do a construon to
be required. property a permanent foundationtiwill
This foundation must meek or exceed all necessaryB
quirements. We will 'require the
Pouring wilding Code re-
g of said foundation and anotherninscecrionJust prior to the
of the project before we will fund the p
pon the completion
es�-� "arpermanent loan.
Kind/i,
ewart Cox
Officer
COUNTY OF 6tffil
BUILDING DE T
N 0 V 2 6 1991
CLAIMANT:
ADDRESS:
CITY & STATE:
DATE OF CLAIM:
DATE
County of Butte
Oroville, California
GENERAL CLAIM
Randall Creger
4878 LaPorte Road
Marysville CA 95901
05/04/04
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OI
Refund Claim - See attached calculation sheet
Permit No.: 03-3016
Development Services
Sheriff
TOTAL $
may v .:..::.:.:.: :
o ment Services
SRA
FULLY TO AVOID DtLAY
APN: 028-130-037
PAID
RETAINED
REFUND
183.35
$ 68.00
$ 115.35
PROJ
183.35
$ 68.00
$ 115.35
440-001 4210500 $ 115.35
0100 4617240 $ -
280 1011811 $ -
Other $ -
$ 115.
TOTAL35 $ 115.35
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been rformed or delivered, and that this
claim is true and correct as stated
' talif.
•
Dated this day of 1 � , 2004, a' Cat �I�
• Signature f C imant
I, the undersigned, here y certify that, to the best of my knowledge, the services or articles specified above have been p rfo ed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check on a same.
Dated this day of--���r� E 2004, at Oroville Cal ll JS �► 1
/1-^ Denartment Head or Authorized Deputy
AMOU
Dept. SEE Exp. FUND
Code BREAKDOWN Code PAYABLE FROM
DO NUI WKl l t tstwvv
SUB. OBJ CLAIM NO.
t nia ui-Ar-- �.++
INV NO.
+• -
INV. DATE
—
ENCUMB.
GROSS AMT.
DEPT & SUB
PROJ
a ,
e
.. ...._. _
,
. Display Revenue Status
-
g
j.
.OKE`.
DISPLAY REVENUE STATUS
tlotes
g Objet
I' (_15_/77 /7.0.f_ldr�r�r_nTnn lals/f]LL�
= Exit:
TY GENERAL FUND YEAR 04 '
0010FDLOPMENT,SERV
BUDGETUNIT� 440001 ICES PERIOD 11
1
.ACCOUNT .4210500 CONSTRUCTIN PERMITS_ -CODE 21
_.TRANS
PROD/TASK _� TRANS DATE.. 05/19/04_
# ,PROJ/TASK ACCT - DATE ENTERED 05/19/04
CASH ACCOUNT 101001 TREASURY CASH DUE DATE 05/19/04
VENDOR T21804 RANDALL CREGER INVOICE DATE 05/19/04 {
RECEIVABLE ACCT •DISCOUNT AMT 0.0011t
DISBURSE•FUND 1505; CO WARRANTS CLRNG F 1505 CHECK NUMBER
1665541 0CHECK DATE �5/19/04 {
J E NUMBER, PARTIAL/FINAL
INVOICE/RECEIPT 028130037` a
` 1099 N
AMOUNT 115.35 CLEARED J
SALES/USE TAX. 0.00 0.00 VOID
DESCRIPTION. 5/4 RFND CONTROL NO J4
ENTERED BY kathleen BANK CODE
WARRANT NO NOTES N
CLICK ' OK' TO CONTINU
•
1
REFUND'CALCULATION SHEET
CLAIMANT: Randall Creger
ADDRESS: 4878 LaPorte Road
CITY & STATE: Marysville, CA 95901
DATE OF CLAIM: 04/13/04 APN: 028-130-037
RECEIPT INFORMATION
NUMBER: 390628
DATE: 10/1/2003
ISSUED TO: Randall Cre er
CHECK M 224
AMOUNT: $183.35
PERMIT M 03-3016
Yes No
PRIOR REFUNDS: X
FEES VERIFIED X
APPROVAL
Date Reviewed 5/4/2004
Michael Vieira
Building Manager
115.35 BLDG SRA SHERIFF
440-001 0100 280
4210500 4617240 1011811
CHECK: $115.35
DIFFERENCE:
(Should be blank)
REFUND
BREAKDOWN
BLDG
SRA
SHERIFF"
DETAIL
PAID
RETAIN
REFUND
118811
42100500
461 240
100100
BLDG
FILING FEES
Building
20.00
20.00
Plumbing
Electric
Mechanical
PLAN CHECK
Plan Check64.35
23.00
41.35
41.35
::::::: :::
Energy
INSPECTION
Energy
SRA -BLDG
Building $46
PERMIT FEES
Building
99.00
99.00
99.00j*.*.'.'.'.'........
:::::::::::
:::
::::::::::::::
Plumbing
Electric
Mechanical
OTHER BLDG
-25.00
:::::::::::::::: '
:: ; . ..'
:EFUND PROCESS FEE
25.00
-25.00
WILDING TOTAL
183.35
68.00
115.35
115.35
:::::::::::::::::::::::::::.::::::::::::::::::::::::::::::
SRA -FIRE
Fire $43
SRA -FIRE
>:
SHERIFF - $360
Sheriff
SHERIFF
)THER NON -BLDG
,:;
OTHER
$
183.351$
68.00
$
115 35
$
$
APPROVAL
Date Reviewed 5/4/2004
Michael Vieira
Building Manager
115.35 BLDG SRA SHERIFF
440-001 0100 280
4210500 4617240 1011811
CHECK: $115.35
DIFFERENCE:
(Should be blank)
Butte County Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
BUTTE
COUNTY
APR 0 5 2004
DEVELOPMENT
SERVICES
(530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Develo ment Sopkees for payment processing.
CLAIMANT'S NAME:
V-71� LA Pd i�m� • uhg� c� S
MAILING ADDRESS:
PHONE:
ASSESSOR'S PARCEL NO.:
02-6 - _j' O - 0-32-'007 o
[Please use one claim form per permit.]
BLDG PERMIT NO.:
L - 30 LL
Receipt No. 1
Receipt No. 2
Receipt No. 3
3 O k 2A.
RECEIPT NO.: -
Jo / o [_/ 0�L
RECEIPT DATE:
Is-ps PkA, R- 2Z4
RECEIPT AMOUNT:
REASON FOR REFUND REQUEST:
'1;J1L,b)rJ(-i �J --T- Q 1) 1 -L-4:::�
Check those fees which you wish to have considered for refund:
OBuilding Permit Fees OSheriff Fees FSRA Fees (CDF Fire Planning)
DOther (specify): LA-,
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may ick them up prior to that time.
0 -
4
Signature
K:/Forms/Refund Applicatio 082203
Date
I 1 0 /
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-741 PERMIT NO.
(Rev.12/96)
APPLICATION AND PERMIT
J;SESSOR.PARCELNUMB Z° °BUILDINGPERMIT
�TELEPHONE C -U Q. FT. 2CC. BUILDING VALUATION
l
$
$
4MOUN4 RECEIVED $
iA1vTE RECEIVED �
CEIPT# 3966�s�
PERMIT FEE 1 $
Mobile Home Installation Fee $
Energy Inspection Fee $
CC CONST. TYPE TO AL FEE $ I _
HAZ D. FEES IV FLOOD CDF P EL HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Dere
ON LENDERFire
rL-ENDER'S
lace
ILING ADDRESS
Total Valuation $
—
ARCHITECT OR ENGINEER
UCEN6E NO.
Filing Fee
$
20.00
Permit Fee
$
ARCWrECT OR ENGINEER'S MAILING ADDRESS
Plan CheckingFee
$
BUILDING ADD REss
�l
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO SUBDNsro SNAME
p,—
PARCEL MAP
PLUMBING PERMIT
Fling Fee
20.00
�3
5' to A
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF./If Duplex ❑ Mobllehome ❑
Other
Water piping
15.00
6PECFy
Each as water hea vent
15.00
TYPE OF WORK
Gas piping system 1 - 5 ou
15.00
New ❑ Addition ❑ Remodel ❑
Utilities ❑
Installation ❑ Other
Building sewer
15.00
Mobile Home I S G I W
20.00
Describe Work:
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee
20.00
Main Service ".'wv, ow tT.
23.00
Main Service 200A TO 1000A
46.00
60
NEW OO DWELLING OCCUP.
3'SaFT
OR ADDNS. & ACC. BUDS.
NOEW CONST.N-RESIO. LTFOUTLET
@7.50
FEE PAID
$
I��D
6FSIJG�LED R.
.PERMIT
EX. OCCU OURET OR FDmJRES
20 @ " 50
eAL .50
FOff_D APPLNS. OR
Ex. Occup. OUTLETS ESLD. E0.
OO
SRA$
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
SHERIFF$
PERMIT FEE
$
"
MECHANICAL PERMIT
Fling Fee
20.00
`
OTHER
$
Heating
Cooling
$
$
4MOUN4 RECEIVED $
iA1vTE RECEIVED �
CEIPT# 3966�s�
PERMIT FEE 1 $
Mobile Home Installation Fee $
Energy Inspection Fee $
CC CONST. TYPE TO AL FEE $ I _
HAZ D. FEES IV FLOOD CDF P EL HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Dere
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: b ASSESSOR PARCEL NUMBER Ot-5�
Proposed Building Use: Counter Technician: 1'%-\ -Date: (6 i '
Mems required in order to ap� fora per All boxes MUST be checked OR marked NA in order o apply.
1. Site plans, 3 or 4 sets, s n d by the arer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
�J.3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
/❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Site plan and business license approval from the City of Biggs ....................................
❑ 1_0. Letter of intent for non-residential buildings.........................................................
�}1 V Detached Accessory Building Form filled out by the owner .....................................
❑ 12Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 7. Statement of Intent for Non -heated and A/C Buildings ...................................
8. r itation and site plan approval from the Environmental Health Department ily '� t. /o - 3-a3 YY1SS
❑ City of Chico Plumbing permit........................................................................
20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: of (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
0 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other:
When issued T� ephone and hold for pickup.
I have been info r ed of the above items and requirements for obtaining a building permit.
Applicant: GM Date: 0'0 i'0
1. Index permit application for the above it numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the. above data by 13phone, ❑ mail, . ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E.H. USE ONLY
Sidi Plan Aneclia�—
Floor Plan Anachad
Sam to B.D./O-1-0 _q
TL -
Y
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓
Clearance for dwelling. Other 6:41'?A9—e:r A% Pe-vinZi c� q
Hold final for:
Final clea ance O.K. for:
NOTE:
�-rt.¢� l • �•� � r a or9 3 '
vironmental Heal Pecialist Date
8/96
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner: ZNDALi, r1 Phone: 53n to -7f -013Z_,
Mailing Address 467 9 Lp, 1:�,�t2T-&-)1` 1 f���( s�/1 t<LF CA q5101
01
Site Address: `t3_7(8 LA bars= V &O,R CA 11'S-1 16
Assessor's Parcel Number: �'ZL� 3� �d3% Zone:
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this form
GENERAL LNFOR�MIATION:
I.
Is there a primary dwelling on the property?
YesNo
❑
2.
Is the structure already built, under construction, or under notice of code violation?
Yes
R
No,
3.
Will items produced in this building be offered for sale?
Yes ❑
No
4.
Will the public have access to this building?
Yes ❑
No Q
5.
Will any advertising, on or off site, be associated with the use of this building?
Yes ❑
No 1z
SITE CONDITIONS:
6.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes ❑
No
7.
Is any portion of the structure located closer than 20' to your front property line?
Yes ❑
No
8.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes ❑
No
9.
Will the proposed structure encroach within any recorded easement?
Yes ❑
No ❑C.
CONSTRUCTION
FEATURES:
10.
Will this building have insulated floor, walls, or ceiling?
Yes ❑
No [Z-
11.
Will this building be heated or cooled?
Yes ❑
No
12.
Will this building have a water closet/toilet?
Yes ❑
No R1
13.
Will this building have a sink?
Yes ❑
No GL
14.
Will this building have a water heater? 1 ,. _ ` I .
Yes ❑
No [K
15. What type of floor covering gill the building have? CSN G"--1,t� _
16. What type of wall covering will the building have?
OVER
1 of 2
PROPOSED USE: (check only one box)
1. ❑ Residential Storage Shed — I will be storing in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling).
2. ,Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept" A garage door is reouired.
3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport
If you checked #4, please check the uses below which best fit this building.
❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room
❑ Private Office ❑ Workshop 1 ❑Home Occupancy' ❑Other —Use =
I. Describe type orworL-.hep
:. Must be approved by the Buie Couray Plary i % Divuioa
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please'indicate the question
number before the explanation.
r
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes
to the use, or character of use, of-tI?is building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws re jurre)disclosure of this information if or when the property is offered for sale:
Ou-ner's Name: Pleaslir t \
Owner's Signature:
-
2of2
Date: 16'0/-0�j
L/
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Cenrer'Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
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 $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping stem 1 - 5 outlets
15.001
Building sewer
15.00
Mobile Home I S I G I W
020.00
PERMIT FEE $
ELECTRICAL PERMIT
Fee 20.00
RLEFling
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
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
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
Main Service TO +000A
46.00SO
NEW CONST. DWELLING
WEE NG UP. SO
OCC
OR ADDNS. ( a Acc. stns. 3.5¢FT:
=RC MULTI -OUTLET 97,50
OWER APPARATUS
a SINOLE LET OUTCIR.
OUTLET OR FIXTURES 20 Q 1.00
Ex. Occup.srt @ .50
Ex. Occup. Gu n.EEDTs(REES16.GEA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Ek 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
orkers' compensation provisions of section 3700 of the Labor Code, I shall
�rthwith comply with those provisions.
X '' I Date fo'01-03
Signature of Applicant - KOwner ❑ Contractor ❑ Agent
An OSHA permit is required kar excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
p. FEES IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ate
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RESIDENTIAL
028-13-0-037 91-4068
CHRISTOPHER, ,LEWELLEN
CONTR: SHIEDECCK CONST
8680 LAPORTE RD, OROVILLE
NEW GARAGE
z
`i
e
y
JOB FINALE
Signature
.1 6K
O = Not OK
Not
=,Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements '
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line "
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DE22, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
L-111. Hing Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
arp. rts; Windows -Doors
7. 1ectric
mg; Sils-Anchors-Studs-Rftrs ses
9. Siding; Nailing -Veneer -Stucco= es
In D.s• etia.._o....a....
1. Setbacks -Easements.
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not FIdadadle
yRESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s Date r FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ / Ftg. Depth
3. Ftg.. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg.. Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
-------- ------- -------------------------------
-- 18. D.W.V__Test-Fittings & Anchor -Nail Protection
- -------------------
19. Shower Pan; Test. First Floor -Tub Access
-------------- -------------------------------
20. Test Tub & Shower, Second Floor -Tub Access
-------------------------- - ------------------
21. Gas Pipe; Size & Anchors
----------------------------------------------------------------- -
Date Card B-1 Date Card B-1
------------------------ -----------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. - Fixture & Transformer Clearance -ins. -Protection
--------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------- ----------- --------------- --------------- -------------
24. Size Boxes & No. of Conductors -Stapled
------------- --------------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
----- --------------------------------------------------------------
26. Equip. Ground made 'up w!Mech. Fastners-Bond Gas & Water
------- ------------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / ! ga.
Cu or AI
------------ ----------- ---------------------------------
29. Range Circ ! / ga. Cu or AI -Oven Circ. r / ga. Cu or Al.
------------------ ---------
Insulated Neutral ❑---------
Yes ❑ -No
------------------------ --- ---
30. Service -Riser Conductors & Ground -Main Disconnect
31. quip Clearances Panels-Motors-Mech. Equip
--------------------------------------------------------------- ----------
32. Clothes Closet Light -Shower Light -Spa Light
----- ---- ---- -- ----- ----------------------------------------------
33. S)_dke Detector
----------------------------------------------- ----------------------------------
Date Card B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan Exhaust above insulation
--------------------------------------------------------------
_____ ___ 36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-V-ent: -Access-Comb.--Air-Return -Air Vent-1---15-outlet-
---- -------------------------------------- - --- -
3a. Attic Access & Platform if Furnance in Attic
------------------------------------------ -------------------------------------
Date Card B-1 Date Card B-1
-------------------------- - ----------------------------------------- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- - - - - - - - -
--------------------------------
40.
------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
---------- --------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
----------------------------------------------------------- -------------------------
------------
42. Draft -Stop --- in -Wal ls-- (rat - proof)- ------------------------------- -----------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------------------------------- ------
44. Headers & Beam -Size & Bearing
46. Cling. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50.- Garage Fire Protection Framing
51 Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise-Run-Landin Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing, Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-------------------- -------
Date Card -B-1 Date
--- ------------------------ -
Date Card B-1 Date
Card B-1
Card B-1
Date FINAL (Plans) OK except #'s
61.- Ext. Steps -Door & Sidelight Protection -Landings
--------------------- --
62. Smoke Detector
--------------
63-
-------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
----------- ----------------
64. Bedroom Exiting
65. G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
67.
---- 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.
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
------------------------------------------- -
75. Plb.. Elec. &Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7;. 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.
------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes
Planters ❑ Yes ❑ No
❑ 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
a6. Ventilation Throughout House
..........- ----------------------------------------------
a7 Glass Protection
--------------------------------------
8d. Corrections from Previous Inspections
- ------------------------
----------------------
---
89. Gas Test -Meters Tagged; Gas -Electric
- -------- - ---------------------- ----------- --
90. Water & Sewer Connected -C/O to Grade -HD Approval
---------------------
91. Energy Compliance Certificate -Other Certificates
------ ---------------------------- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT O.F PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE.
--1106
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 ne onal explanation, please contact this office immediately.
7'o /Com
� 4
MM • F \ .
Date r �/ Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
_ 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
L12tJTo6-r't-
- �0r-
IMI T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when connection of work is completed. If you have any question pertaining to this
matter, or no-od additional explanation, please contact this office immediately.
I D o -vi SLS J -/&i TE c77 0
Date — L/ 7 � InspectorT
ki
ft,,NTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RM T
7 Counter Center Drive - OrovIlle, California 95965 - Telephone: 916/538-7541 /
.: APPLICAT16N AND PERMIT
ASSESSOR PARCEL NUMBER
28-130-037
ZONING
A 5
BUILDING PERMIT
OWNER LEWELLEN CHRISTOPHER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
768--
OWNER'S MAILING ADDRESS
SHIEDECK CONSTRUCTION
CONTRACTOR'S NAME
TELEPHONE
679-2448
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 110 RACKERBY 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
63.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD8680 LAPORTE ROAD OROVRESS I�L•L r,^—'Permit
fee
$ 206.25
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00 5.00
Solar or heat pump water heater
20.00
LOT
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other GARAGE
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 19.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
Newt Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: DFT GARAGE
Permit Fee
$ 42.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 60GvORLESS
200A OR LESS
18.50
Main service 200ATO1000A1
37.50
CONTRACTORS LICENSE LAW
1 declae 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.
!V-21License No. �/ V ? Classification /A
❑ 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)
El 1, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.5d\
OR ADDNS. ACC. SLOGS. //
3.54sq.ft. 26.85
NEWC ONSTR MULTI -OUTLET
NON-RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20
@ 764
FIXED APPLN5.
Ex. DCCUp. OUTLETS IIRESID IKEA.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00tract-
Misc. Wiring
g
'15.00
Permit Fee
$ 41.85
—
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 1 15.00
Heating
Cooling
g
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree' save, indemnify and keep harmless the County of Butte against
all liabilI s, ludgm s, and expenses which may in any way accrue
against o Purace of the granting of this permit.
X �`�� Date l� 2 ' S/
si ncture�af A I;cant - owner
9 pP ❑ Contractor Agent ❑
An OSHA
ion of structures tover 39stories oineheight ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
CON TT PE
TOTAL FEE $ 290.10
HAz DFEES
IMP
FLOOD DF
PARCEL
PD
H
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated ab ve for which fees
RE4QR F PU LIC
By
PER IT EXPIRES ate
applicable provi-
resolutions to do
have been paid.
WORKS ��L�
Date �l 2�6I
Receipt No. 103316
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD—APPLICANT
U COUNTY OF"BUTTEj- DEPARTME-NT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - dRC1V1tda CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT AP -PLICATION DATA SHEET
N ,.
Permit No.
OWNER .G��I�%L!/ ��/S,%UC�/`— A.P .c
Proposed Building Use D2�7-Building Inspecto
//..? o / `r'%
At time of'permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted . ....................................
/ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 2_0 91
3. Complete plans in duplicate/triplicate, signed by: preparer of plans ..
4. Complete engineered plans and calcs, witj:tWet signature on plans .. '
5. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Nan-Heated//G,QAA dings ........
8. Engineered truss details and layout in uplicatelequired prior to plan check)
9. Mobilehome installation data including manufacturer's installation u
instructions .....................
10. Fees of $
11. Chico Urban Area fees paid .......................................
2. Park fees paid ....................................................
iL/131.-*"Schooy9' trict fees paid ............. .
14. Sanitation approval from �r2 e'2 Health Department -�� ;7-0
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.
arking: 18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mai to owner. Mail to contractor.
!/r Telephone.' 9L�ZZQand hold for pickup a Aee)office. Deliver w/inspector.
Other
Applicant
ate
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuanc—e: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by (^ Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
• a•
TO Buildinv Department;
FROM:— Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
AP#
Plan Approved for:
F� ld f anal for
Sewaqe Disposal
Water Supply
Water Supply
^anal clearance O.R. for: / Water Supply
ti. Other SA r4lc-
clear -
Date
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 • Telephone: 916.'538-7541
1;v
APPLICATION' AND PERMIT
ADIIEIIII RPARCEL NUMBER
2 NIN
BUILDING PERMIT
OWNER � W &LE /"`) CH� s�
TELEPHONE
SO. FT. OCC. BUILDING VALVA ION
OWNER'S MAILING ADDRESS
Co�+C; R•S NAME ,.,
TELEPHONE
0.1�
CONTR''ii--/CTOR'S M LIN ADDRESS
O & g59"2
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee $ 1 0
LENDER'S MAILING ADDRESS
Permit Fee S ,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 3
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESSi 195;1,/� ,.,
/�
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 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 ��) �� l [��
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00 0
Mobile Home S I G I IN 1 615.001
TYPE OF WORK
Ne-,, , Addition U Remodel ❑ Utilit' s Installatio I Other E]
Describe work: VC– 7— %
Permit Fee $ Q
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS j $.50
200A OR LESS
Main service 200ATO1000A, 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p l 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.SINGLE
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUPM 3.60 sq.ft.
OR ADDNS. 1 ACC. SLOGS. //
NEWCONSTR ULT' -OUTLET
NON.111-7 S10 BRANCH CIRC ITS 5.00
POWER APPARATUS &)
OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 20 76d
FIXED PR
Ex. Occup. OUTLETS IRESID,IEAJ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Iyirin g 15.00
Permit Fee $ ,
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 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
Si nature of Applicant - owner
g pp ❑ 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 S
Energy Inspection Fee $
occ I
CONST TYPE
TOTAL FEE $ oZ ,
HAz
DFEES
IMP
I FLOOD
CDF
I PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
PERMIT EXPIRES Date Date
Receipt No.0 2
WHITE-D.P.W.. TELLOW-ASSCS3OR. PINK -INSPECTOR, GOLDENROD -APPLICANT
ll-ocp,r3.
i ot
FN
I
021
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1
i
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