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028-420-057
m. 28-IP-57 �r A. C. Butler W/S Mission 0"ive Rd.,app.3200'S.of + - Misty View Way, Wyandotte Area Permit 936-77P,E(ut'1.,MH) ELEC. . 028-420-057 AG 01- GAS' 1- 1 GAS � 3 ZO o LEBLANC, RICK SUPP R STRUCTURE REQ.784 MISSION OLIVE RD. OROVILLE COMPACTION TEST REQ. AG EXEMPT PERMIT 28--57 Contr:"The_O-aks at Lake Oroville + 0 Permit ##3955— 7MH -It 0.4'. - 028-420-057 03AGO92 IssuedQ �J77 �:g%%317,7 � LEBLANC, RICHARD _ 084 MISSION OLIVE, OROVILLE 28--57 AG. BLDG (40'X 60') contr: Holm6s.,Mobile Home Serv.,Bangor Permit #5 8,�-78B new a nin /MH G'' jS pf I 28-:6-57 contr:Panorama Mobil:: Home Serv.,Chic Permit #3343-78 (new awnings/MH) 28=420-58 01-1667] LEBLANC, RICK 784 MISSION OLIVE RD.OR,,OVILE t CONT: JAY CARTER. FFAa k MH ADDITION `028-420-057 01-2069 LEBLANC, RICHARD E. 784 MISSION OLIVE OROVILLE�% CONT: BRUCE BRODERICK , EX 24 X 64 MH PERM FND EX SITE 028-420-057 T - 06-0747 LE BLANC, RICK 784 MISSION OLIVI' , ®RO LLE Cont: OWNERAr NSF(LIV,GAR, COV 7 � go.01 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE_ OROVILLE CA 95965 COPY of Document Recorded 14 -Sep -2001 2001-0042165 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section ,18551:" This document is evidence that such local agency has issued•a certificate of occupancy for installationof the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RICHARD E. LE BLANC, JR. REAL PROPERTY OWNER/LESSOR 784 MISSION OLIVE ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP ABNER C. BUTLER & VIRGINIA BUTLER UNIT OWNER (if also property owner, write *SAME") 7014 MISSION OLIVE MAILING ADDRESS OROVILLE; BUTTE, CA 93966 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 0 -20 9 530)538-7541 lm im TELEPHONE NUMBER � lialvik 9/7/01 GNATURE OF MfAl AGENCY OFFIC AL DATE NONE DEALER NAME (if not a dealer sale, write "NONE*) NONE DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDWEST 1977 KEYWEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 61776A/13 24'X 64' CAL058109/10 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTYLEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-420-057 SEE ATTACHED HCD FORM 433(A) REV. 8/91. WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept 1 ., "' ` I -I - = -BUILDING PERMIT NUMBER: 01-2069 Address or location of unit: 784 MISSION OLIVE, OROVILLE, CA 95966 Legal Description of Real Property: A.P.028-420-057 SEE ATTACHED Qn (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to, the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RICHARD E. LEBLANC JR. Owner's address: 784 MISSION OLIVE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: 61776A/B MANUFACTURER'S NAME: GOL WEST YE R: 1977 OFFICIAL APPROVING INSTALLATION L 7 - DATE: 9/7/01 PHONE: (530) 538-7541 H.C.D. 513C ORDER.NO- BU -187285-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, /�/1T T'ATT V n 77 rr e.r.w..— .rV`'C;H:!:I " C: o ...' r -i•• E fY. 4 Y' * '_ i ' L� `B t $ 'i'!%M CORNER BETWEEN SECTION 31 s ,. 5H2 I9 NORTH, AND SECTION 6 TO�PNSHI"+ 18 ;I�01`fi M: ; :AND' RUNNING THENCE NORTH 88° 47' EAST, 153.62 EEEx 14LONt3 TOWNSHIP. LINE, TO THE N0122HNSS�` CORETOFORE CONVEYED TO a �`t f'.3QN s s f# r. �XDD DULY RECORDED IN BOOK E0LINE OF SAID R A -. BOUNDA.RY MZ3SION .OL"ItE ORS COlAI�Y TRACT, SOUTH 3295 FEET TO A POST; THTCE 'SOUTH 89° 16 :;. <WEST, :34"i1.;58 ;FEET .:TO. A POST IN THE WEST BOUNDARY , LiNE OF THE . St3DTHEAST QUARTER _ OF SAID SECTION 6; THENCE SOUTH 02;° 02' EAST, :1159:30 :Fll' .:ALONG :THE WEST BOUNDARY LINE OF THE-. SOUTHEAST..QUART' I OF :'SAID SECTION "6 -TO A POST, AND THE TRUE POINT ° OF:' BEGINNING.;OF: PARCEL '.OF' .LAND DESCRIBED HEREIN; THENCE CONTINUING ALONG THE 'SAID WEST BOUNDARY:: LINE SOUTH' 020 02' EAST 213.0.1' FEET;. .,THENCE..:SOUTH: 646,::35'.-: $AST,' 233.39 FEET TO A POST; THENCE SOUTH "55° '14' EAST, :.22.5 00.. FEET TO A POST; THENCE NORTH 890 16', :'EAST .647 ::12. FiET; TH'ENCfi NORTH 27° 57' EAST, 16.01 FEET; THENCE NORTH 56 ° 07:' EAST, 44 I S FEET, THENCE NORTH 84- 42' EAST 70.78 �� ' , p`r' rTAFsI�CE SOUTH 53°r 25' HAST; -2 -'28 FEET TO .A' POINT ON THE SOUTH `6"413 3` b OM,-'-ROBERT'-M-_ FROST,' hT TLS JASPER E . C'O�TNEEL, ET TJX; "RECORDED .JUNE 21, 1949, IN BOOK 498, PAGE 402,'OFFICIAL RECORDS; THENCE ALONG SAID SOUTH LINE NORTH 890 16' . EAST,:- ,207:.:41.. FEET TO -.A, -POST ON THE WEST LINE OF SAID MI SS ION _ ' OLI VE; :;ORCHARD ' COMPANY: TRACE' ; : ,THENCE NORTH ALONG WEST LINE OF ':SAID>.�+IISSIO1�t :Oi;IVE. ORCIiARD'.CpMpANy.'TRp,CT, .625.96 FEET; THENCE UT SOH21 ":WEST; 2 0.2 Q`,THENCE . C.ONTINUING SOUTH 800 15 ' 21" 'WEST; 221;.46 :FEET, THENCE ".SOUTH .70q.,."04' 56" WEST, 93.34 FEET; NORTH 13° 001, 22" TdEfiT, :62.:40:.FBfi.T, THENCE SOUTH 620 oo' S211 CONS I -TRX- f.. ' TAXf t Api m R . a YG x. d r S<>5.r. w ✓ ex's: s wvr »: deu`•L1.:3'., YawFVLSG "r`�s`a`y<6 S.pace r�5 TAbove ^ xs Line ROCOLdQ[ V 3 4C OE1�'i �rvl - r fV lir f fi .r•'`a' ,.y > 's+ t i .f� r -. i/ ° G Yr ri rr�%'.;•v� rbc k Jf / s 9 F���y,rJite/. Vi , � �/.._ 1t ,Jrf Y`r .15� y'.a<slil /r •`iF�f /f'I L`/f ,+'Y y '� ,f / .. ✓ r/�. rrl X -. 4' ri ; r. rr s / t�iic�•Yrr d�'rrr r Jl •YJ r rr / i > �' sr/! sr p r 7 Y �}�s 'AN ri *� �faNfiJ}w!/1i/Va15�9IrtiT��f��s�i�7JI1!"Y�tj„� ' to . Zh.r r^'y n 1rrjQ�r iiiii/. 3 %Qr, Y .r1 r l! l J ir. F r _ 6rt�V, x y >J r{e ✓ s�W4 iiiLC jm .�..wy ..w rkr,t�41L�'/of {i/ rr r 1'r�b�l7i�IC r'i 2'r°`•.�"97jQ'�. x jf f �r �r .. i X .r , 7 f_ rf ... t F /r/S � �. F riry,.° r /r .� r 9✓ �. '' .. r . r r , /'"` /I/ei/�1frf� / /''r+.'/v�fS rYi �r �r<� J fir. • t 1PUR A;V UARt�E C'U fS b 's -up. fi` gf �W tis ei r j.r 'c•rsFi j :�✓'Ytxl//<{r� / A,UI� 6�RE r ppi�pp�pp y� nr r (j' JxVM /. r.. ^r ♦..t `5 t2 rlj Y r t` /J I/ rr . 5J r f ✓ r r .1 Yh; SSf flJ- -�,,„r herei�p liRAAtTt�} � 5 RICRAItD U LS BiANC,R,r�!►1VIARRI 14IA1AS RISS AMD SEiPERA'1`E PROPF.�tT7d X j the fotlawmg de Cn'bed pmpe tp �n UPtINCt�t�'OItAUD Cotinty of Butt@ State,of California; ��lr .R lf• .f. tL ..Ff 1 Y;,i':• Y`1 .✓.1./�^sJ. ar`,.���,�q r�,:ao ¢ray bis Yl f / �4 P; �/Q%✓,! - r� .I r rr v' l � j r . �� :•'Ff �.... r e t d'' .� ^� rl,, �e� L�`k�r•#��r�,x y d %i ��y� � x� s1a .',� r r`r :� y . ���. M�����.-n..:���������t. _. r .v.. [a .w s�.�:n.,..,M`w_9".'ur�iW�rL1��S•1%��,•3Es:YS�3.ifii�.t..4L,.�^•:C.��i�Yr��re r.. R. 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HENCE — --p ::;vim T'UX, RECORDED' JUNE 21, -1-949,'IN BOOK 498, PAGE 402, OFFiCIAS, FCORDS:;_. WHENCE ':.ALONG. -::S SAID . SOUTH LINE. NORTH . ... .. To 4 'A � M7 ml TM -1 , :THENCE: "M ST OWT E - -0. M-0 '9 m gy arg m -1 !11 MR, Q.X- Ork, IBM Ml S. 4W A A, ki IN s R 60mixigd 11 -ew ��IBllm V; I'M m M-NM01- R�. . . . . . . . . . . . . . M;"m ..... ..... .... ............... 0. mmw C1 11 /0 T. I/'ROOM Nri I D VALLEY TI -L-E AND E3CRrjW T 4 IIJ 1) 0 v : L 0 0 / N 0', 1 3 --grAT9 OF CALWOF601A. BUSM58, TRANSOWATM AM HOUSIA10 40MY QRAV DAVII, Gv"rnw DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ASSIM ON101" " of C*d" d ftWWWdW - - Title Search 01 Date Printed: 05/09/2001 Decal #-. SE4814 Tradename: KWEST.,- Model: Manufactured Date. 00/00/1977 Registration Exp: 08j3'1/w0I First Sold On; 0010011977 Use Code: UNK Original Price Code- AH9 Rating Year: 1977 Tax Type: ILT Last ILT Amount: $51.00 Date ILT Fee Paid: o7/1st2000 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 61776A Unknown Unknown Unknown .61776B Unknown Unknown Unknown Record Conditions- PPF ExaW Registered Owner: ABNER C BUTLER VIRGINIA BUTLER (Tcnwts in Common Or) 784 MISSION OLIVE OROVILLE, CA 95966 Lan Thk Dote; 00100/0000 Last Aft Card: 07/19/2000 Sakrrransfer Into: Unknown Situs Address: 784 MISSION OLIVE OROVILLE, CA 95965 Situs County: BUM Inactive Decal/DMV- DMV SGS401, DMV SG8402 Renewal.Fees: END OF TITLE SEARCH 1 f' NOTES RESIDENTIAL 028-420-057' 01-2069 LEBLANC, RICHARD E. 784 MISSION OLIVE OROVILLE CONT: BRUCE BRODERICK EX 24 X 64 MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE ' t+ INSPECTOR MUST RETREIVE). j (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. i s, SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 1 JOB FINALED (Date) Signature ' � e i t i i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 1 JOB FINALED (Date) Signature I V= OK 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. i. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel - 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;'Location-Clearances-Grnd-/ /Amp -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 5. 7. , Well Clearance 8 Disconnect 8. Utility Clearance Carports; Windows -Doors 7. Electric Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE UGME INSTALLATION (Plans) OK except #'s Zonin Requirements -Setbacks -Easements Roof; Shthg-Roofing ootings; Size -Spacing -Marriage Line 11. as; MH Test -Demand -Valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances Braced Wall Panels 5 ain; MH est -Fall -Flex Connector 4_409erMH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch FINAL (Plans) OK except #'s 11. Cert. of ncy 1. ermanent Foundation Only; Lice cal Date Card B-1 Date Card B-1 Date 1V Card B-1 Date Card B-1 w�sr- � 27 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK 0 = Not OK - = Not Applicable = Not Ready ELECTRICAL (Permit) OK except #'s RESIDENTIAL (: Date 24. Underfloor (Plans) OK except #'s 25. 1. Zoning -Setbacks -Easements -Flood -Slope Romex Installed Close to Edge of Studs & C.J. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 28. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 31. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Equip. Clearances Panels-Motors-Mech. Equip. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 34. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Card B-1 Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Card B-1 Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19, D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date FRAMING (Permit) OK except #'s 40. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. 35. A.C. Ducts Insulation & Support Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 36. Vent Fan, Exhaust above insulation Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 37. Condensate Drain & Overflow, Size & Grade Garage Fire Protection Framing 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Property Line Firewall & Openings 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Inslld./Drive J Yes J NoMalks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 96965 • Telephone (530) 538-7541/ EgMll,NO. � (Rev. 12/96) APPLICATION AND PERMIT P ((0 1 ASSESSOR PARCEL NUMBER 028-420-057 ZONING AR 5 - BUILDING PERMIT OWNER LEBLANC RICHARD E. TELEPHONE 589-3491 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 784 MISSION OLIVE OROVILLE CONTRACTOR'S NAME BRUCE BRODERICK TELEPHONE CONTRACTORS MAILING ADDRESS 589 ELLIG17 RD. PARADTSF., CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Plan Checkin Fee $ 2221 50 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS 23. E00 Energy Plan Checking Fee $ 784. MISSInN =VE 01RIM1111-E? CA 95-966 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Filing V64 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LVV Each as water heater or vent 15.00 ' TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FM EX SITE 24 X 64 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JTFdTW F 920.00 15.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,I,oµpalpT and my license is in f force and effect. �� !� _— l License Class Lic. No. n OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt.under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWEWNO OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. BLDS. 3.50FT. MULTI.OUT1Ei 97,50 POWER APPARATUS a SINGLE oLITLEr CR. 20 @ 1.00 Ex. Occup. OUTLET OR FOCTUREs SAL Q ,50 FIXI Ex. Occup..OT�°°RES D.o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE _ PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )2( 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 rf I should become subject to theI071 workers' compensation provisions of section 3700 of the Labor Code, I shall — Rh c y ithovisions. X Date O Signature of Applicant - ❑ Owner Detractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 374.50 AFJD. PEES IM PtoOD COP pAgC H ISSU p 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. -` - r I U By Date—t PERMIT EXPIRES ON q'" 4—ox Date ReceiptNo. 331862Z374.2 i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (Rev. 2/96) PERMIT N0. �let.DR.ARctLAAUMaaA APPLICATIONAND PERMITCDC)(o Z'""' owHq ,� BUILDING PERMIT _ <$ j"3 SO. FT. OCC. BUILDING VALUATION owHelt MAaIFq AooFLtse �. �� ' a g G FF COHr R's� n UV n TlLH��tf�� COHtTRNCnOFI uMj M �t s- u:HOWS W"M AMPUS ARCHITECT OAA EHOMEER uctfae No. ARCHITECT OR EHOMEM'S MA UNO ADORBss IDT NO. I SLOWe10009 WAAt USEnrSoTRUCTjRE SF ❑ Duplex ❑ Mobllehome�t Other TYPE OF WORK New O Addition O Remodel tMitles O installation O Other O Describe Work: *PERMIT FEE- PAID SRA - SHERIFF OTHER AMOVNT RECEIVED *RECEIPT NVM6ER -33 / cf -6, * TO 8E PVT INTO COMPVTER Fire lace PERMIT FEE f , s 0 , ELECTRICAL PERMIT Fifina Fee 20.00 Total Valuation Is 0,q -LESS Main Service 200A OA 23.00 e) G Ffin I Fee S 20.00 Permit Fee POWER APPAMTM l9 O at I 5 U Plan Checking Fee E I �G Energy Plan Checking Fee S Mise_ Wirin S MECHANICAL PERMIT Filing Fee 20.00 PERMIT FEE _ PLUMBING PERMIT Fling Fee. .,... Each 'rap 7.0 Solar or heat Pump water heater 23.00 Water piping 1S.00 — Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1S.00 Buildingsewer 1S.00y– Mobile Home I S I G I W @20.00 — PERMIT FEE f , s 0 , ELECTRICAL PERMIT Fifina Fee 20.00 0,q -LESS Main Service 200A OA 23.00 Main Service 2WA TO IOOOA 48.00 KEW coAW Owaj m OOCUP. OR ADDHs. a ACC. a:Ds. 3.SeF°: c IMF' HOH•R®ID.NM MULTI.OWLEr @7.SO POWER APPAMTM l9 O at I Ex. OCCU . WrLiT OR FDRURo ao 0 I•00 DAL 0 s0 Ex. Occup.=APAP .OR OInLEPs ESID. EA 5.00 I Tem )orary Service 23.00 i Mobile Home Facilities 20.00 Mise_ Wirin .23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heatina 9.50 PERMIT FES I f Mobile Home Installation Fee t Energy Inspection 'Fee E occ cowsT. Ty`% TO AL FEE $ I cop I POICAIWIMIMutl 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 l,� u �u I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SER VICE S - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 001 ASSESSOR PARCEL NUMB : 902 fT - �/c;)0 ^ US Proposed B 9,ding Use: B g Inspector: Date: At time of permit application, I was ad ' d the o�data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted.- -------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. azardous Material Form. ------------------------------------------------------------------------------------------ anufactured Home data and installation instructions including Tie Down Specifications .------------------ JL� 10. Fees of $ P © ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ...... ❑ 17. Planning approval for (A) Use: O (B) Parking: -------------------------- 8 -`La - 0 1118. Contact Land Development about ❑ Improvements, ❑ Drainageiegal Parcel. ----------------------- -J ❑ 19. Encroachment Permit -for driveway (construction approval prior to occupancy). ---------------------------- 0. Pre -inspection fori 1'� SAuired. Request to Building Inspector on Mate) ❑21. Contractor's license information. (NumVer, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- El 26. Letter of intent on building use. -:_---------------------------------------------------------------------=------- ❑27. Manufactured Home utility clearance. ----- -------------------------------------------------------------------- 49. Existing vi at'ons and/or a iced p -------------------------------------------------------------------- ❑433 A'�t D.H. Title C k to H.C.D $ a a• 00 --------------- 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mailto contractor. Telephone S' *77 - 6 9 3 Ot, and hold for pickup at 0 k offi Deliver wDate: inspector. Glyf%ed C®,,vfrc-der- ff y/or m A pplicant: ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air P u ion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: '' ❑ Plan Check List 2. Additional items required: + Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VAInw rnnv - n ... u:__ r%:_.__.__ PRE=INSPECTION REPORT OWNER: LOCATION: CONTRACTOR:_ �,(� ►�� C%Af PRE-INSPETION FOR: DATE TO INSPECTOR: 3- - D ;L 6 Building Description: Commercial/Usage: Residential/# of Units: ,14 4:L Currently Occupied PERMIT HISTORY:( ) DATE: r, " c2% -- (fj- A.P. ZONING: ( RS FOLLOWS: rL_tk4_� "LCLa BUILDING INSPECTOR'S REPORT AbandonedNacant Electric: Yes_ ` No Electric cucrenth, On Off Condition of Electric Gas: ---"Propane Natural None .,z Currently On Off Obvious Problems: Sanitation: / Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD `rye l o Inspector: ADate a 4•.lJ � Sketch buildings on reverse and indicate location on-ro erty. P P 647,17 - BUTTE COUNTY. 3UILDING DEPA TMEKI- &S 0 1Aj nl�nl,p DDMo� -7Z. y," 4,# .247-11 4 0 PLANNING DIVISION BUILDING PLAN APPROVAL Use: Date: Parking: Landscaping: Other: APPROVED ISignature: M Z r - 9M 0 N D p� H M O Z 4Z 3u N C Y y Y V aRDM C C I�1 Y C Y %1 Y a s ►�I M 1/ nw rN �'] n O gy �g'v M 4 rM=;12 a Ca I1 C a a ca O I o C7 —I O -< o Z -u n M n � D 0 w Z M '3 ► w p 4i w N CA b> b u R x bd Rig OZ ON43 la b 0h F €I JD d T w q 0 80Z y zq 0 x N d e _ t'2X io'pp°x tin x +1Mwn'vt(j� �ar td n r�w �^ � DI -4 O ,-F �0 �0 N �n w 0k P 0' ;9 I +�9 O, o x 0 pr D -4 at yy a A r `I n r � O, o x 0 D D D FOR: CENTRAL PIERS, INC. THARP & ASSOCIATES, INC. �'' 284 N. THORNS ' ; z GEOTECHNICAL CONSULTANTS � grq N M ccn 3 t " 'D o FRESNO, CA. 93706 (559) 268-0828 N o N � d Z Site Assessnentsoroundutlon Engineering*Cons truction Monitoring W, 0 m Co. ° MOBILE HOME FOUNDATION SYSTEM 347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590 W Z ., PEadIT NO. 54*8'=78B,.. tPERMIT EXPIRES OWNER Abner C. Butler i1CONTR. Holmes.Mobile Home Serv., Bangor LOCATION (A.P. 28-19-57 ) fj 460 Mission Olive Rd., Oroville Temp. Power Pole TelC 'fled PG&E Elec. Serv. Called PG&E T%mp. Gas Serv. JCalled PG&E JOB FINALED l c (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD BUILDING BUILDING (Cont'd) Throat Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Pi Inc Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping Temp. Gas Final Sanitation FIREPLACE Final PLUMBING Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subaanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIO q (NOTE: An entry must be made on this form each time you visit the job site.) J r COUNTY OF BUTTE — DtPARTMENT OF PUBLIC WORKS County unty Center Drive — Oroville, California 95965 Tel ephone�,534-4341 APPLICATION AND PERMIT n� authorize representatives of the County of Butte to enter upon the above -men ioned property for inspection purposes. X Date igno re of Permitee or gent Receipt No. _J(OL77g White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of kBLIC WORKS By Date—,? --- B ate ,?--'B ding permit expires Date BUILDING Owner L E- SO. FT. OCC. I BUILDING VALU TION Mailing Address Telephone No. Fireplace Contractor JS Total Valuation Mailing Address P. ` Permit Fee Plan Checking Fee &/or Penalty Te lephone No. . ®� Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Z.� _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration Parcel Ma 60' R/W P Improvements provements Lawn sprinkler system 2.00 Bldg. Pla ec'd LL Parcel Apprt Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6 OV OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home EL Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profeskions Code under the name style of: �) �t9 t Lfi� � �f 1L�` Ex. Occup(OUTLETS OR FIXTURES)LLQ BAL@ I EX. OCCU FIXED APPLNS. OR2.00 (RESID.1 EA) OUTL14®� Temporary serviceETs 10.00 Mobile Home Facilities 15.00 License No. � � �9� � Classification �'� B Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I%Y I have placed on file with the County of Butte a certificate of �L Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men ioned property for inspection purposes. X Date igno re of Permitee or gent Receipt No. _J(OL77g White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of kBLIC WORKS By Date—,? --- B ate ,?--'B ding permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the ornia Administrative Code, Title 25, Ch ter 5, sunder_permit number liffor the following location: P Owner Owner's Address Mobilehome Mfg. 6,^ 0,0.'►^ Model Yea,2Z Insignia No. d to?* eo Serial No.2-*TO� It is hereby certified for occupancy at the above described location and may be occupied. Direct o bli Work„ Date By GLC" 4-Ai— THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE _ v DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 -' „r. CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with- the requirements of the California Administrative Code, Title 25, Chapter 5, ,under permit number -eg4-S-7-7for the following location: n % /jY/j •�'i� ZDD ��I .%C�i�.�i rL�?ti.rX , Owner / .4 P�/_/ Owner's Address Mobilehome Mfg. ` Model 2 Yea27 Insignia No.%Q� f _ Serial No.—�;;Z;' .-F--9 It is hereby certified for occupancy at the above described location and may be occupied. Director of'Public Works Date Byi�� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 1 White - Owner, Yellow - Installer, Pink - D.P.W. t_- . COUNT�Y'OF BUTTE -o f DEPARTMENT OF PUBLIC WORKS.— A 7 COUNTY CENTER DRIVE z OROVILLE CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, .under permit number- ;"215-S'-7-7 for the following location:'�/�) 3 ZdD �`h1,.sTe_ %/ii�w r /��LI�►f �s eX Y > Owner Owner's Address Mobilehome Mfg. Ulg,' Model 2 !6- 1? Year/? Insignia No. /-"S00f0 91 � t _ Serial No. ,-) X(ev c It is hereby certified for occupancy at the above described location and may be occupied. Direc/t�o�r o�f'Publ.{ic Works? Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. • V I R r - �r k 19-16-77P1E 4 tt4 PERMIT NO. PERMIT EXPIRES .� kfi j OWNER A. C. Butler +� CONTR. owner LOCATION (A.P. 2,9-19-57 ) W/S Mission Olive Rd.,app.3200'S.of Misty View Way, Wyandotte Area • T. • s t V 4 :• 4 r" Temp. Power Pole Called PG&E Temp. Elec. Serv.— Called PG&E Temp. Gas Serv. �J -7— Called Called PG&E y JOB FINALED (Date) (Signature) n COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'q) PLUMBING Seloack FqewaII J Ski Piping Fork PahPets 1 t Floor Mal'k Bldg. Rest om Finish 2n Floor Fo tins Windo4 3rd Noor Stem all Sidin To out Slab Roof Shea"loing Water PIp,\9 Piers Roofing Sewer Garage V Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwal l Insulation Heaters Slab Carport Footings V Prov. for phsical handica . Conformance of ex. structure A liances Gas Piping &Test Temp. Gas Slab A Final A Sanitation Patio RE ACE Final Footin s Footin !ECTRIdkl- Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE4 Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. F It Prot. Scra h Heatl Servl BrqAn Coo ng Tpirnp. Pole FJhIsh N DiAts finderground InJ116rlor Lath entilation Permanent oor Closer Final Final MOBILEHOME UTILITIES ------------------Elec_..,Service Elec. Pedestal Water Piping Sewer & , %- Gas Piping .3. LP6 ^�7 LLATI N----------- %-Support 22 v— Elec. Continuity _2-2— -j Water Piping -7 Drainage / 2 7 Gas Piping DATE $REMARKS OR CORRECTIONS 77 09 /11/6 %e�w (NOTE: An entry must be made on this form each time you visit the job site.) " BOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ?As6-;77 A P-11" BUILDING Owner e r SQ. FT. OCC. BUILDING VALUATION Mailing Address 14 -to 7" es-t-�� Tel r�hoa�el V_ Fireplace Contractor / Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address hsvokl ollu'le PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �cr� Each Trap 1.50 n rt is Rn y `0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— A/— `j Gas piping system 1 - 5 outlets 1.50 v,CR� Each additional outlet .30 Fees W.C. Sa on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans_ Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bld n� Parte royal Plafir/Cpproval Permit Fee $ , $ 3 B( NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ I FEE PERMIT FILING FEE 1 $3.00 -3-00 V OR Main service 100 AMP ORSLESS 5.00 L5,0V Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑C, Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 MINIMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sgft NON-RESID NEWCONSTR. ( BRANCH CIRCUITS) 2.50ea EO@ MOBILES OWER APPARATUS NON-RESID R (SINGLE OUTLET CIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Ex. Occup(OUTLETS OR FIXTURES)BAL� Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 7,6-01L WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. { I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Q �Q t1 Q d ow— S CYC TOTAL PERMIT FEE $ auuwnce tepresentduves or ine county of t utte to enter upon the above-mentonedproperty for inspection purposes. X Date Signature of Permitee or Agent Receipt No. Mo 90 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 bee�Id. DIRECTOR Of PIOBLIC WORKS By ate -- 4 ^ 77 filding permit expires Date r,6— 7'3 Nc:w Oviner Abner C. Qgiler' This set of plans and. MUST he kept on the job at all times and it is'unlawful to m4e onv changes or al+?r-dTcns on same without written permission from +he Department of Public Works, C;nii^+v of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordar..ce with Recognized Good Practices and of a duality prescribed for the Specified use in the Uniform Building, Plumbing ?-,'Mechanical Codes and the f '" *-,r;al electrical Code. A � '� 2 9.-. / y --r 7 The 411417. Setback shall be 5 ft. from the side property line and 50 ft. from the cente*line of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. Sep�tem a,e . a�loe�t� Matte Countalfh be CIS, -Per dents. Dept. Re- �'e�tic,3s� sio,cr of X 5i s� ob'/op eho the ISI �e 0 LJ ; f) rn . 0 4 o Mission Dli�ie, �� ��""�"'� Ail- utility connections shall be -BUTTE f:Ol1N1�... located within 4 ft. outside the rear BUILDING DEPARTMENT third. section :of the mobile home on the lef+ (road) side of the mobile A RPR 0 V ED _ COUNtY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7 I BUILDING Owner /Ae , SQ. FT. OCC. BUILDING VALUATION Mailing Address Q/I Y G V Telephone No. Fireplace Contractor G 40 G amoVello= Total Valuation Mailin Address tltl 9 7 / ORO A H l��r�. Permit Fee Plan Checking Fee&/or Penalty /Q o Ile Telephone No. 3 ��� Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 r a 155 Each Trap 1.50 C ° r J111.eWater Repair drainage or vent piping 1.50 piping 1.50 Each gas water heater or vent 1.50 A. P. N9.216-147-607 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. -&�n- FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel 4p royal Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,R ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGS.CCUP. &� 20sgft NEW CONSTR. MULTI.OUTLET NO N.R ESI D. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of Y,�,,ii �/7G �iD�,� .4'T G.14 /�G �/��M✓f�E Ex. Occup(OUTLETS OR FIXTURES) 50 BAL2� Ex. Occu FIXED APPLNS. OR P•( OUTLETS (RESID.) EA) 2.00 Temporary Service 10.00 Mobile Home Facilities 15.00 GMisc. License No. 3.���Q__%Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. "I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 O`tC t laf�/F /O TOTAL PERMIT FEE $ o D4 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �-2 Signature of Permiitee or Agent Receipt No. AD 7Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 p 'd. DIR TOZOF BLIC WORKS BY Date --cP— F g permit expires Date P�-P-7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. jW le Setup Model No., Year 6 7 Width (ft.) Length -P (ft.-) Expando Size ft.x ft. (Draw support details -below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with th County t of Butte),. Single Footings (check one) Center Support Footing Sizes in. J x`50 (iiij(iii ) r FM Kx0, n.) ( in. ft. (in.) in. in. (in.) (in.) -o lax -so *If center piers are other than raven above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEP . ARTMENT APPROVED 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete -piers 3. Steel piers T-1 4. Other, specify 4 Typical Support Footing Size S" Max. Pier Spacing (ft.) ('in,*.) 4.1. .... ....... Max. BUTTE COUNTY BUILDING DEP . ARTMENT APPROVED BUTTE COUNTY. DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive, Orovil'le, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 2. Installer's name: ��►� ®� .� �•� �:f�';I�� �cJmw//� 3. Is the site currently under permit? Yes /!/t No (If yes, furnish permit numberOR Is the site an existing site? YesT_1-/' y/' No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / ✓/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- zoo Amps, 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- '� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / P/ 11. What is the gas pipe length from meter or tank to the mobilehome? 30 (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (ThsUiiformation not required if pipe length less than 6 ft. on natural.gas or less than 50 ft. on LPG.) 0.�' Butte County Department of Development Services. RRE� 1,1 O T E S 7 County Center Drive, Oroville, CA 95965 , (530) 538-7601 w.¢uttEc. ountynevdds•� I .v RES I DENTIAL 28-420-057 �T V 06-07 i AP"` LE BLANC, RICK Owner. 784 MISSION OLIVE RD, OROVILLE Cont: OWNER Site Address: NSF(LIV,GAR, COV) t � . Y� Contractor. '( Type or Permit l4 is J OFFICE COPY J Address e '1 1�4- I he I GAS `� Meter By l,.r-i Date J ?''? e• ELECTRIC Meter By Da2i-"I — 4. 01 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPAeIAL INSPECTION ITEMS IFY M q WILL /S)E Rk'.hojyW_ USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE --1 C -Z Orr fi:�OTNits... 1)uMS-TO/4 F ' DATE JOB FINALED_ V y I tJ _ I SIGNATURE_ L%G� �/ t , 4 I t 01 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPAeIAL INSPECTION ITEMS IFY M q WILL /S)E Rk'.hojyW_ USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE --1 C -Z Orr fi:�OTNits... 1)uMS-TO/4 F ' DATE JOB FINALED_ V y I tJ _ I SIGNATURE_ L%G� �/ t = OK = "-I nr[ MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fa11/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q of LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr, 11 Wtr & Sewer Connected -00 to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE D E C KS -C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpihSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing —I 1 Ext; Steps -Doors -Landings 12 Braced Wall pnls 4- :q DATE IPOOLS 1 Setbacks -Easements . 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining ' 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg Bones-EnclsrsTrilboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide °'a o o'er 0a a Pool Drawing = OK = Not OK RESIDENTIAL (Stlig(a & Dup(ex) UAItz IUN P< RFLOOR DATE IPLUMBING .KZ oM n a acks-Easements-Flood-Slope 5 tr; Vent-Acc-Cmbstn Air Baffle 2 g a" oils-Elec Grnd 4� Ftg Opth Wtr -pe; Test & Anchr-Nail Prtctn 3 Garage; Soils-Steel-Elec Grnd Ftg Dpth. WV- est Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth V D hwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -B lockouts -Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Ste Is Garage; Steel-Blockouts-Wrapped 58 Gas Pipe-, Sz & Anchrs 6 j.BoCins and Special Anchrs 59 Fire Sprinkler; Test lab, Steel Wrapped 60 Yard Gas Piping Hi 8 P'; �;-Frplc Ftg-Steel 9/DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H ANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn ucts Insultn & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Cripplesan, Exhaust abv Insultn 15 Acc & Vntltn ent.ndensate Drain & Ovrtlw, Sz &Grade 16_ Insulation64—Ew����e-Vent Acc-Comb Air RtrnNent 115 Outlet �. &5S Attic Acc & Pltfrm if Fumace in attic .� & 0 -0 -Po C' a ° DATE IFRAMING 1 i Is Proper Materials & Anchrs DATE FIN L ails Studs -Nailing -Spacing & Braces ` ound Steps -Door & SideLt Prtctn-Landings Baring W iso r Girders & fir Nailing S ke Detector 2 rat op in Walls (rat proof) urnace Vnts-Clrnc-Comb, Air-Cnnctr opps, Furred Ceilings -Stairs -Chasers -Tubs IrW-l.Pm ge- abv-flr-Ducts-Mech Prtctn s)& Beams-Sz & Bearing Exiting 3 ngers-Post Caps-Anchrs-Cnnctns Z& ath Fxtrs & Tub Acc-Spa �4' ding Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71W8, .Arc Fault W bop S'Tmj-E 25- rplc Ties or Type A Flue-Frplc Throat Clmc Elec Trim & Subpnl, Breaker Sts & Labels 6Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 S " s, Guard/Handrails 2 B Wndws or Exiting DoorsSi t & Dimensions 7 r c or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -9 C -annel 7 I c Outlets at Wood Pnl, Int & Ext 29Line Firewall & Opngs 7 Ctchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc. 3600rs-0ne 3' Check Garage 3rd Story, 2 Exits 77 Outlets & Rcptcls at Ktchn Counter - 31,Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn arage Fire Door, Swing -Landing -Closure IK. 6 ,Aj 12 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC ct in Garage -Damper 33 Siding -Nailing Veneer tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr 34 St cco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mgch Prtctn; LPG Appince Undr House 3" drain ;;'Glazing Area -Glass Prtctn-SkyLts-Plastic 8'_P�rrtb; Elec & Mech Eqp Listed for Lottn y [(4,0 (,,A. W Shear Walls; Nailing -Bolts BeRcptcls in Garage (GFI) Romex Prtctn 37 Brace IntlExt Wall pnls Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 9�Afltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters aYes No 87 Stucco Brown -Finish °q. 0 °�• °� 888 nit Dscnnct, Elec-Plmb 89.Vnis abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 0 Fx & Tmsfrmr Clmcans Prtctn 91 Ex ec Trim, GFI Rcptcl Undrgrnd 4 _%94i5c Rcptcls Spacing-Lts & Switches at Doors 9 ntit'n thru House 4A_9 -f* oxes & No Of Cndctrs Stapled 93' -IT Prtctn 4�ex Installed Close to Edge of Studs & CJ 9 orrections from previous Inspctns 4A-L"q_p Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 5 dng Electrode Bond Gas & Wtr 96 Wtr Cnnctd CIO to grade -HD Apprvl 6 pinc Cires in Ktchn & Cndctr Sz GF1 97 -Ch- Cmpinc Cert -Other Certs Q_Seubfeed Wire Sz ga ❑ CU or El AL ddress Posted AC Wire Sz , ❑CU or ❑AL 99. Fire Sprinkler ange Circ ga ❑CU or MAL 'Oven Circ ga Q CU or ❑ AL Ins ed Neutral Yes ❑No o` Service -Riser Cndctrs & Grnd Main Dscnnct �,2,�E<p Clrncs pnls-Motors-Mech Eqp A7 Iothes Closet Lt-Shwr Lt -Spa Lt *y8moke Detector BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES '- 7County Center Oivo°OrovUe.CA°H53O>538'7541 -` .~~~....~~~~""~°"° NOTICE Le &Ak(C" 0-ILI-7 k OWNER PERMIT NO. A routine inspection indicates that the following violations mButte County Ordinances exist at the above amdemn and should be corrected. p|oaoe uon for �+inupmmwn when oonoo|on of work is comp�tedf If you have any questions pertaining to this matter, or need uomnona| explanation, please contact the euimmQ Inspector as indicated oo|mm A-16 AlZr-.4k STA LL_ buc-r / ' PE C—AC14 07744Q2 - . m Date" Inspector REV 4/05 Phone # Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R v_? �N tSSo to O�..I Project Addressci(_ G � CLArj� sVit —S'1919 Builder Contact r, Tele honelone HERS Rater Certifyirfg Signature Firm: R\47 en) y � `r��- `f51 Street Address: , 0 ' E�� �2 ( I -I -2,-C7 Date Builder Name Plan Number Sample Group Number Sample AouseeNumber HERS Provider: C' L�L City/State/Zip: C— 01 C—D LA 19 ,Sn 2 / Copies to: Builder, HERS Provider and Building Department HERS RATER COMPL ANCE STATEMENT The house was: -/!Nested ✓ ❑ Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tes ed buildings. he installer has provided a copy of CF -6R (Installation Certificate). EY New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of MActs). ew systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured i Values 1 Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 'Z®(7 (� ✓ �/ 3 Pass if Leakage Percentage:5 6% [ 100 x (Line # 1) / `2CtD (Line # 2)]] . ZS ass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to ; 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System •Nk" ` ` d 5 for Duct System Alteration and/or Equipment Chana-Out. Enter Reduction in Leakage for Altered Duct System 6 [.(Line . (Line #.4) Minus (Line # 5)] — (Only if Applicable)" as; •: 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) �/ ✓_ Entire New Duct System - Pass if Leakage Percentage :5 6% 8 100 x [_(Line # 5 / Line # 2 ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <— 15% [100 x [_(Line # 5) / (Line # 2)]] ❑ Pass ❑ Fail 10 Pass if Leakage to Outside Percentage :5 10% [100 x I (Line # 7) / (Line # �)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >: 60% [ 100 x [__(Line # 6) / (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection- ns ection° ❑Pass ❑Fail 12 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Ins ection ❑Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ;' ` ❑ Pass ❑ Fail Residential Compliance Forms March 2005 INSTALLATION CERTIFICATE (Part 1 of 13) CF -6R SITE ADdRESS PERMIT NUMBER An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip. CEC Certified Mfr Name # of Efficiency Duct Duct or Heating Heating Type (pkg. and Model Number Identical (AFUE, etc.)' Location Piping Load Capacity heat pump) Systems [2U -IR value] (attic, etc.) R -value (Bru/hr) (Btu/hr) C_ 4L_ 2,cf 9 Utc H. 2- I Cooling Equipment Equip. Type (pkg. CEC Certified Mfr Name and Model Number # of Identical Efficiency (AFUE, etc.)' Duct Duct Location R -value Cooling Load Cooling Capacity heat pump) Systems ll?CF-1R value) (attic, etc.) (Bru/hr) (Btu/hr) # c l - f2„ 13A -A,460401 5 -CER 4-41" . 1. i reads greater than or equal to. 1, the undersigned verity that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1 R) submitted for compliance with the Energy Efficiency Standards for residential building, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installaing Subcontractor (Co. me) OR General Contractor (Co. Name) OR Owner WATER HEATING SYSTEMS: Heater CEC Certified Mfr Distribution If # of Rated 2 Tank Efficiency 2 Standby 2 External Type Name & Model Number Type (Std, Point -of -Use) Recirculation, Control Type Identical Systems Input (kW or Btu/hr) Volume (gallons) (EF, RE) Loss (%) insuiation R-value3 2 For small gas storage (rated input of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Recovery Efficiency, Standby Loss and Rated Input. For instantaneous gas water heaters, list Recovery Efficiency and Rated Input. 3 R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58. Faucets & Shower Heads: All faucets and showerheads installed are certified to the Commission, pursuant to Title 24, Part 6, Section 111. I, the undersigned, verity that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that speci- fied in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equip ment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occvupancy GRAPHICS (NEW 12.03) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530)'1538-7541 PERMIT'NO. BP060747 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby. affirm under 'penalty of perjury that I am licensed under Issued Date: 06/23/2006 APN' 028-420_057-000 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. Site Address: 784 MISSION OLIVE RD BAN License Class : License Number: Map Index: Date: Contractor: Description: NSF (2720) GAR (816) COV (1393) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the - Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner•' LE BLANC RICHARD E JR permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a 784 MISSION OLIVE RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 95966-9326 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a'permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LE BLANC RICHARD E JR Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 784 MISSION OLIVE RD such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966-9326 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner,' of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 'License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' ' is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: FLT required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4929 S.F. Policy #: Valuation: $218,672.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one /1 �i(✓ fZ/ss �v �� j d CJ2's" hundred thousand dollars ($100,000), in addition to the cost of in Section 3706 the Labor compensation, damages as provided for of code, interest, and attorney's fees. /3,50-(13 • �r— CONSTRUCTION LENDING AGENCY— - — , This permit 4� , hereby issued undprtIle applicable provisions of the Butte County Code and/or Re olution to do work indic t a ve for which fees have been paid. I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.)- performance of permit BY Date: Name: / PERMIT EXPIRES ON: -l) Address: ► Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ . Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter -the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 11fIC• G Blj1u r/G Signature: �- Z j J o Date: *Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP060747 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/23/2006 APN: D28-420-057-000 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. Site Address: 784 MISSION OLIVE RD BAN License Class : License Number: Map Index: Date: Contractor: Description: NSF (2720) GAR (816) COV (1393) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LE BLANC RICHARD E JR permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 784 MISSION OLIVE RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-9326 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LE BLANC RICHARD E JR Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 784 MISSION OLIVE RD such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966-9326 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner•, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed , pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Owner: v — Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: FLT required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 4929 S.F. Policy #: Valuation: $218,672.00 I certify that in the performance of the work for which this permit is Census Code: IV issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall comply with those provisions. forthwith comply Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This.permit i hereby issued undeft a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Re olution to do work indic t d a ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) — BY Date: Name: / PERMIT EXPIRES ON: Address: Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: K LB/j/o-r/G Signature: /Zep b — Zj l 4 Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT.APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: ww\v.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name / First Name Address Q [� City Ile State lip 15'? 6'6 Phone -56q- 3 Z/ I Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name- Address Address Address 7 8 1s5/oma D City State�b Zip'z5'7C6 Phone S 8 _ Fax E-mail Lot # Lic. # Class ARCHITECT/ENGINEER Name L -7- Address Address Address City /J / GirA.ol�S � State G Zip Phone g 7 Z- G 2 5 y Fax E-mail State License Number APPLICANT DYFORMATION Name a l/ Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street [O-/o,ve SRA WORKER'S COMPENSATION No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS i PERMIT BP-:. I BIN PROJECT LOCATION . AP# pz$- yz 457 Property Address City Cross Street [O-/o,ve WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov, - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renewiaction on an application after expiration,la new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Re 'ved_ : Amount: Bldg �b SRA ReceiptSheriff #: � � Sheri T 1' A SMIP Date: 3)b6 Other J / Total K-\Fr1RMR\RI III nl W, Fr1RMR\R1rinAnnlRtihRnmtc dnr. Paoe 1 of 2 REV 8-12-05 I SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. q Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 :r+rnf"+w .r ... �. R � . y » hr�zi.i•"'.t•5+.:"C.. �rT-+s ss�,��,.,�^G'—r t.r,ti.i, a�wa. 33....?.r. ..�`+.� ., .*....r+.. ,� _''"� ,t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 4��// t G Y)C, ASSESSOR PARCEL NUMBER v Proposed Building Use: N %; Permit Technician: Date: J U Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order —Rapply. `j 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3.Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. gineered truss details and layouts in duplicate. No faxesl etter from Engineer or Architect for truss design review. 6. nergy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate., ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ❑ / 13. Other Rerh 'n ng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16: Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 1 Erosion Control Plan Required........................................................................ q Fees as shown on the attached Schedule of Fees Due Sheet .............................. .,E]20. City of Chico Plumbing permit.`. �.................................................................... ❑ / 21. Site plan and business license approval from the Ci of Biggs ............ ......... SCalifornia Department of Forestry plan approval paid. Sent by: Planning approval for (A) Use: (B) Parking: (C) Parcel Che Oro ❑'. 24.-1Contact Land Development about _ Improvements, _ Drainage ........................ o . ,25. Fire Marshall Review (commercial projects only). Sent by: ...................... (ONPDESForm............................................................................................. Encroachment Permit for driveway from the Public Works Dept ........................... Ei v. 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ :. 29. Worker's Compensation Carrie nd Policy Number .......................................... _¢ 30. Owner -Builder Verification (/ Given to owner, _Mailed to owner) ..................... 3 Letter of Signature authorization.................................................................... 32. ecorded copy of Agricultural Acknowledgment Statement ................................. 3. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 49 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 31--3- U 1. Index permit application for the above items number 2 Plan Check Letter 2. Additional items required t rely) Contractor, designer, owner, was advised of the above da by phone, ❑ mail, ❑ counter, by Date:H)- a-4 Contractor, designe?-T"v - , was advised of the above data by phone, ❑ mail, ❑ counter, by Date: r Contractor, designeNowDd, was advised of the above a a by phone, ❑ mail, ❑ counter, by _Date: Plans reviewed by: Z—^,- Date: 4 48 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 P Plot Plea Attached Floor Plan Attached Sent to BD/DS ,TO: Building Division — Development Services��3r FROM: Environmental Health SUBJECT: Sanitation Clearance / `1 Owner Location AP Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for dwelling. Other 3 Hold final for: Final clearance O.K. for: NOTE: Environmenta Health Specialist Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 wWw.buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner LEBLANC, RICHARD APN No: 28-420-057 Application Date 4/3/2006 Permit No: BP 06-0747 Permit Type: NSF 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,376.32 Plan Check portion of Permit Fee $1,350.53 $2,025.79 Balance of Building Permit Fee 2 FEMA Flood Elevation Review $109.98 0 3 SRA* RYes Yes Fire Plan Check - Non -Refundable $95.00 $95.00 - $204.98 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $1,445.53 RECEIIPTTE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,555.51 °t b `j FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $2,047.66 �—�- 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: �. 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 2114/05 # SFD # MFD ,> MH County 4096.87 3071.14 3117.43 Chico Urban Area, 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan p� SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 R-1 8031.53 6850.08 7726.49 tioc R-2 7541.53 6360.08 7236.49 R-3 6780.53 5599.08 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.# $200,00 KOUrtni DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, 773 Big Chico Creek $6,596 ,vacant land, on 1 acre or less - 774 Lindo Channel $8,139 Enter 1 or less acre value 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst 777 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 JAt time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Elementary 091 �mai�2dl�lN ��l Min< io/D 12a RECREATION DISTRICT FEES* Oroville - Ill IN 51,51ccov At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: 3 —0 6 Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 H Q pgTMENr °oTT�aX,�� Department of Public Works it/o 01 C o u m y o f B u t t e o o �} ) P Michael Crum LAND DEVELOPMENT DIVISION o o ;/ Storm Water Management Program o �tounty Center Drive C U NZ y V Direcor 7 COroville, CA 95965 A�etrc Wo¢e (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: ��N9 le sG Y-+% Project Location and/or Parcel Number: 7 8 /h/ss� �' ^� 1� I/ ve 12d' By signing below, I, the project owrier/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. - I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law., Signed: Title: Date: O Z,/ 'V e /- 5'e'- 3-06 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte CountyDepartment ofDevelopnei2t Sci vices °��','l1, a 7 County Center Drive u F �, Oroville, CA 95965 ° �..;, (530) 538-7601 Telephone ° o (530) 538-7785 Facsimile c0U141� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize. the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. i. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: O Z �' _ S'Z ` O S 7 Building site address: 8 Y ms1� Permit No.: I have read, understood -and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE K: Finn.VBIdQPertnitwithoutClearances 020705 I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [X] NO [ ]. 2. I HAVE L,4, 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: 51-�-3-0 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers" compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "own er-builder" =Building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. III_ ?el � o v,. w s �h 3106 z ft it f ,ffE E' Ij 1t I� l t' �I i ,IE I f a� i. f! I i' 2006-0029530 Recorded I IAC FEE AND WHEN RECORDED MAIL TO:Official Records I 10.00 "County of I COPIES BUTTE COUNTY BUILDING DIVISION Butte I 2.50 7 COUNTY CENTER DRIVE CAIIDAt J. BRllBBS I OROVILLE, CA 95965 County Clerk—Recorderl I KL - 010:19AN 09 -Jun -M I Page 1 of 2 (III ISI II" II" I III "I I'I'I"I I III AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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. Cl All that real property situate in the County of Butte, State of California, described as follows: SFE 4XfkQ ED FMHBIT" V Date =j,9 , 2006 State of California County of B= PROPERTY OWNERS: RICHARD EARL LeBLANC JR On 06/09/2006 before me, TOSHA M. RYMFI, NOTARY PUBLIC personally appeared RICHARD EARL LeBLANC JR personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS My. hand and officia a . l % TOSHA M. RYMEL Signature - I Seal: Commission # 1487649 .� Notary Public - Callfomia Butte County My Comm. Exi*es May 4, 2008 A.P. #_ f17R-.L9190 ►t ►t it � ►t ►t � SAI W.S SI 33R I bsb iojsA I ebionIR t6ioillO ^c3lgM 1 fio jimJ33 I SagMag.141 33AW f JN I S jo t 92fiq I MS -rut-" lYlEt:6t6 A :-T .13MY51 Al, AF 207 _ olniot OO - olsttu , yotoW t«'•� -7 YtnuoJ ai:ub yDIA toilgx3.,TnmoO:) y 4 4 Title Order Number: File Number: 5801-1685567 Exhibit "A" Real property in the unincorporated area of the County of Butte, State of California, described as follows: OF BEGINNING OF THE PARCEL OF LAND DESCRIBED HEREIN; THENCE CONTINUING ALONG THE SAID WEST BOUNDARY LINE SOUTH 020 02' EAST 213.01 FEET; THENCE SOUTH 640 35' EAST, 233.39 FEET TO A POST; THENCE SOUTH 550 14' EAST, 225.00 FEET TO A POST; THENCE NORTH 890 16' EAST 647.12 FEET; THENCE NORTH 270 57' EAST, 16.01 FEET; THENCE NORTH 560 07' EAST, 44.15 FEET; THENCE NORTH 840 42' EAST 70.78 FEET; THENCE SOUTH 530 25' EAST, 72.28 FEET TO A POINT ON THE SOUTH LINE OF THE PARCEL OF LAND DESCRIBED IN DEED FROM ROBERT M. FROST, ET UX, TO JASPER S. CONNELL, ET UX, RECORDED JUNE 21, 1949, IN BOOK 498, PAGE 402, OFFICIAL RECORDS; THENCE ALONG SAID SOUTH LINE NORTH 890 16' EAST, 207.41 FEET TO A POST ON THE WEST LINE OF SAID MISSION OLIVE ORCHARD COMPANY TRACT; THENCE NORTH ALONG WEST LINE OF SAID MISSION OLIVE ORCHARD COMPANY TRACT, 625.96 FEET; THENCE SOUTH 800 15' 21" WEST, 20.29 FEET; THENCE CONTINUING SOUTH 800 15' 21" WEST, 221.46 FEET; THENCE SOUTH 700 04' 56" WEST, 93.34 FEET; THENCE NORTH 131 00'22" WEST, 62.40 FEET; THENCE SOUTH 620 00'52" WEST, 301.07 FEET; THENCE SOUTH 550 09'36" WEST, 121.24 FEET; THENCE NORTH 860 48'05" EAST, 67.92 FEET; THENCE NORTH 880 10'42" WEST 657.40 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM HOWEVER, FOR ROAD PURPOSES, A STRIP OF LAND 15 FEET IN WIDTH ALONG THE EAST BOUNDARY OF THE ABOVE DESCRIBED TRACT. APN: 028-420-057-000 E? �-f^^ENT ,.,� 1 1 T". 0& Department ®f Public Works O 0 C o u n t y o f B u t t e O G 7 County Center Drive C Oroville, CA 95965 J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 Shawn H. O'Brien, Assistant Director Assessors Parcel Number: �1—yZo ar7 Building permit # Owners Name: /Z'4 k /— e 401ary c - Owners Mailing Address: Property Address: -7 Y �/ In ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: 06 9"7 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: F] Not a County maintained road Existing driveway conforms to County S-31 standard F] Other Approved by. / Printed Name Title�� Date e0-- L 3 CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. wlumvr gTr UF ENCROACHMENT PERMIT j County of Butte Department of Public Works �r ° ° C 1 � 7 County Center Drive Oroville, CA 95965 v t Phone: 530 538-7681 Fax: 530 538-4356 4 zY+ All information except signature must be typed or legibly rinted Permit #: NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE STARTED Assessor's Parcel n Number (Required): O Property Owner's Name: L yc- PROPERTY Phone• S3 41 r I Property Address: OWNER ; 01141/e- 7 �� �� SS/ C" A-, 0 /4 vi � a v Mailing Address (If Different): 3 c Work will be performed by: ontractor C1 Property Owner Contractor's Name: • ZheAll� eXd/5►'r Ca .�, � Phone: L Address: / � O .1 41�1 �O ' � ,6V Fax: r / �40 a,, Ile aw- 9941 o WORK PERFORMED BY Contractor's License Number. Certificate of Insurance currently � on file with Deoartment7 P. es ❑ No Applicant is: >:Property Owner ❑ Property Owner's Agent ❑ Contractor ❑ Other. I / WE, the and ned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the C roads arld h' s all in accordance with County ordinances and general laws. Signature: Date Signed: e,00,OO Road affected: 7 YT Time and Dura ton of Encroachment: Permanent Encroachment ❑ Temporary: From To LOCATION Type of Encroachment Driveway ❑ Roadway ❑ Culvert ❑ Fence ❑ Pipe/Pipeline ❑ Sign/Billboard ❑ Other Site Plans ❑ Yes ❑ No Attached:• PERMIT IS: ❑ GRANTED ❑ DENIED Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) andspecial conditions written below, permission is hereby ranted. 1. ❑ Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall conform to accompanying: ❑ Detail ❑ Plans ❑ Special Conditions 3. Other Conditions: PERMIT CONDITIONS L12 T (To be filled ' eco i"i•vGu/ac ' in by County) Date Issued: ^ i Expiration �� Z-3—,!0'7 Date: Surety: 9")6 Date Paid: G Q(j Amount ,� Paid: 6 Paid By: �• Check 3g � Recei t p qS No: No.: Mike Crump, Director of Public Works BY . ' Road District: Inspected By: Ins on ❑ pleted - OK 13Completed -Not OK For County ` —`� Results: 421'Additional Comments Attached Use Only Comments: Note: If emits are faxed to any number besides 530 538-4356, they can be delayed up to one week. Form: 200506EP Page I of 2 BUTTE GOUNTY I;1, FORM `1�TRICT FRRPD FEATHER RIVER tom:: ; Nz.;.._., ❑ CHICO AREA RECRA K .,'r _.K DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DR -PD) Assessor Parcel Number (s) ngA y?o - o 5 Building Permit Number OCA 0-74 % Property Owner (s) 1 f p)Qn c 11i CIS n Project Location /Address �� VII iC on 01i t N • Oroy'dle 1 �1 Assessable Sq. Ftge 2`720 Subdivision Name Type of Residential Development (check one) New Development V Single Family -Detached Single Family -Attached Alteration/Addition(s) .Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) t,1� 1- verified b Building Department Comments:`11oka 11330 so moWt, i+h -)inaIC 1111 y 1�if1 n f� Building nate KFRRPD ❑CARD ❑PRPD ❑ DRPD certifies that: Z&, and ao � )-2=b6yc._ �� �5�` -�3 �/� Applicant Name i Phone Number Mailing Address `-"y Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: _ Paid by Cash: +. __ a r)-_1. rl:..•_:.-s D�n.ocantativ per unit for a total of per sq foot for a total of $ ' Receipt No: i CIO-) ( Gip BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District Jrn�l' i le t wt tir l A.P. Number ON - 42.0 `0 59 Jurisdiction: � City, r Property Owner `s Property Location/Address r Building Department No. ,/ County N` ',9a .i i"roil 014 va . Orov'I 41 i A `• Subdivision Lot No. Residential Development Q Q Q s Sq. Footage % r72� No of Living Mobile Home Addition/ Supplemental to (Group. R) Units Installation Conversion Permit # •(Nofoundationinspection) :.......................... ......... .. ..... 4, 4 Deed Restricted Sq. Footage e '(Attach aligned copy of Deed RestricboA and Notice Of L"imited Use -Facility document) Commercial/Industrial Q 0 New Addition Sq. Footage (Including Exterior Roofed Areas) 2 5 -() Co Date District Identification,. No.;,: 1 t V- o kp (P (ice f School District certifies that (Applicant) (Street Address) (Phone Number) G4 `� S 1>1 ls, (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0"3 –O `E —L by payment of $ (o v representing- . �, &quare feet - ,. 8:2926;. IVIULL MITIGATION $ School District Paid by Check # ' Remarks: 0 Z k - 4- 1-z Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the DlWct, In compliance with . G-owmnient Code Section 60020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit ' YOU from challenging the Imposition of the fee: In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fes Cw0ation Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Emikonmental Quality Act (CEPA), this project may be subject to additional school tees to filly addliate its I c I on the school district's sdwds. White (school district), Yellow (building department), Pink (applicant) teolortn xIs (31051 n AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0029530 Recorded i REC FEE Ilfficiai Records I 1�•� County of I C&Ics �.5 Butte I C.MDACEE J. 6RbBBS I County Clerk-Recorderl 1 KLI Diilei i� d9 -Jun -2 I; I age 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: SFS: ATTACHED EXHIBIT" k" Date JUNE"19, 2006 PROPERTY OWNERS: RICHARD EARL LeBLANC JR State of California ) County of BUTTE ) On 06/09/2006 before me, TOSHN M. R21M, NOTARY. PUBLIC personally appeared RICHARD EARL LeBLANC JR known to me (or proved to me on the basis of satisfactoryevidpersonally ence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my� hand and officia a. TOSHA M. RYMEL Signature Seal: Commission # 1487649 -s Notary Public - Collfomla Butte County A.P. # ��R-�+�f1-(157 My Comm. E)p1res May 4,2008 Title Order Number: File Number: 5801-1685567 Exhibit "A" Real property in the unincorporated area of the County of Butte, State of California, described as follows: OF BEGINNING OF THE PARCEL OF LAND DESCRIBED HEREIN; THENCE CONTINUING ALONG THE SAID WEST BOUNDARY LINE SOUTH 020 02' EAST 213.01 FEET; THENCE SOUTH 641 35' EAST, 233.39 FEET TO A POST; THENCE SOUTH 556 14' EAST, 225.00 FEET TO A POST; THENCE NORTH 891 16' EAST 647.12 FEET; THENCE NORTH 270 57' EAST, 16.01 FEET; THENCE NORTH 560 07' EAST, 44.15 FEET; THENCE NORTH 840 42' EAST 70.78 FEET; THENCE SOUTH 530 25' EAST, 72.28 FEET TO A POINT ON THE SOUTH LINE OF THE PARCEL OF LAND DESCRIBED IN DEED FROM ROBERT M. FROST, ET UX, TO JASPER S. CONNELL, ET UX, RECORDED JUNE 21, 1949, IN BOOK 498, PAGE 402, OFFICIAL RECORDS; THENCE ALONG SAID SOUTH LINE NORTH 890 16' EAST, 207.41 FEET TO A POST ON THE WEST LINE OF SAID MISSION OLIVE ORCHARD COMPANY TRACT; THENCE NORTH ALONG WEST LINE OF SAID MISSION OLIVE ORCHARD COMPANY TRACT, 625.96 FEET; THENCE SOUTH 800 15'21" WEST, 20.29 FEET; THENCE CONTINUING SOUTH 801115'21" WEST, 221.46 FEET; THENCE SOUTH 700 04'56" WEST, 93.34 FEET; THENCE NORTH 130 00'22" WEST, 62.40 FEET; THENCE SOUTH 620 00'52" WEST, 301.07 FEET; THENCE SOUTH 550 09'36" WEST, 121.24 FEET; THENCE NORTH 860 48'05" EAST, 67.92 FEET; THENCE NORTH 881 10' 42" WEST 657.40 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM HOWEVER, FOR ROAD PURPOSES, A STRIP OF LAND 15 FEET IN WIDTH ALONG THE EAST BOUNDARY OF THE ABOVE DESCRIBED TRACT. APN: 028-420-057-000 IF BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. t -A 77 9� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING �5 OWNER k A L PHf�j�lEgN � to 1/� V1 (V - OWNER'S DRV �� L (/ ? 05 A(Wlle, fcYe59�' LOCATION OF BUILDI G - Af IU USE OF BUILDING SIZE OF STRUCTURE ' nQ. X _ FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING / ROQtpVERING FLO R TYPE ESTIMATED COST OF CONSTRUCTION GC_ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT Y " v J.L. l `' SIDES REAR—r)-.0 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. ' I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 5--30-63 Signature of Owner Permit Fee - $60.000 / The above described AG Building is exempt from a building permit. Receipt No. c -5O 1 gl �4F7 7D I PARV L I P.D I ROOF G I ISSUF, Manager Building Division (,/ By Date _711A.? White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 110 f ®Iss,14 moo,. a s- .. o S HALF .SEC 6 T.18N. R.5E. M.D.B.. & M. s99.91 s.0 21 P x 5.00 AC I A 95.3 AC 17.J AC N6I1 35 i 36' •10TE Hese Parcels are /or ossessmral : Wvses only and may not consfitufe vegol :z rcels. f' -- - - --- --------- ----- --- - - - --- -- --- ------ - �---. 28=-42 7•_ 400' PN 6e-68 I PAA 115-I1, 62 71 a 86 a 379-U f� 9.10 AC 7.92 AC 34 14.45 AC $ PU 60-6J 102 AC 5.02 AC esa n.fs 5.02 AC 666.21 731 1 77 • Si 60 H7.7s _G 617 AC 7 A $ __-RLEASAlJ1, 64 14.43 AC e 6.7 AC 2@ J 78 "7sw 5.86 AC VJ AC 1 a 5.01 A 8 IPN 49-62 ' i.17165— JIS73 65 57 14.42 AC 15.J0� s 4,r 617.17 4Y ' 76 1474 AC 17.J AC N6I1 35 i 36' •10TE Hese Parcels are /or ossessmral : Wvses only and may not consfitufe vegol :z rcels. f' -- - - --- --------- ----- --- - - - --- -- --- ------ - �---. 28=-42 7•_ 400' PN 6e-68 I PAA 115-I1, J 0 Z 0 IO ►; Assessor's Map No. 28-42 County of Butte, Calif. I JU4 .;;16510: 12-95 (26-19) i PIN J' 379-U f� 24 34 44 102 AC 5.02 AC 5.02 AC 5.02 AC J 0 Z 0 IO ►; Assessor's Map No. 28-42 County of Butte, Calif. I JU4 .;;16510: 12-95 (26-19) i BUILDING DIVISION • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. A ( �' C)/-1�?3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. A,� `. ZONING OWNER 6 0� PHONE NO. q_ OWNE ,RVES �j /loe` ✓ ' 0061NAT LO T BU G (./ o USE OF BUILDING SIZE OF STRUCTURE SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL �� CONCRETE O HER (Specify) TYPE OF SIDING ROOkCOVL 0 - FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 50 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �„.. FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �/ Sennature of Owner _2e�mit Fee$$60 00 The above described AG Building is exempt from a builgling per it. 31 ] 5O PAR P.D ROOFI ISSU Receipt No. Manager Building Division By Date r/f ©1 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant "'; ,�# � 31t +.,,yY: , , w. y';',: �x7 '�'�"S''��1►~'r' � * I��1(y�iT���=�e"`�Y"Rn�Y"���ry�ya-w{�.-"�' ,Aja � KnYY"'iT�MR^ =;OPUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV[S] 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r - PE"IT"PLICA TION DATA SHEET a E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1 ❑24. Letter of signature authorization. ------------------ =---------------------_ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------- a (Date) ❑28. Existing violations and/or expired permits. ------ ------------------------------------- --------------------------- ❑'29..❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Chec o H.GD�$f1' . --------------- ❑30. Other: When you issue the permit, process as follows VMail to -owner, ❑Mail to contractor. ❑Telephone 1% 1%,k hold for pickup at office ❑ Deliver with inspector. Applican : /� G- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air o� ution ` Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check. List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ ma"il, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: -OWNER: F- G �^� /Gives ASSESSOR PARCEL ER: p� �r' 2- "- 657 Proposed Building Use: P �, Building Inspector: Date: rAt time of permit appy tion, I was ad ' ed the following data must be submitted prior to pe proce4 ing and/or issu'Mn` 1. All items have Date Received been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- A_------ _ ''� 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- _ ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- v❑ 8. Hazardous Material Form.----------------------------------------------------------------------------------------- t- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _ ' ❑ 10. Fees of $------------------------------------------------------------------------------------- _ th ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- _ ❑ 12. California Department of Forestry plan approval/fees- ------------------------------ ------------------------------_------------------------- --------------------------- 1:113. ❑13. Flood elevation certificate.---------------------------------------------------------------------------------------- `.� ,. ❑ 14. Sanitation and lot plan approval Health Department . ------------------------------------------- _ ❑ 15. City of Chico plumbing permit.---------------------------------------------------------------------------------- r ' ❑ 16. Plot plan and business license approval from the City of Biggs ---------------------------------------------- _ - ❑ 17. Planning approval for (A) Use: (B) Parking: - -------------------------- Y - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.----------------------- ----------------------❑19. 1119.Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- y i! ❑20. Pre -inspection for �Pce required Request to Building Inspector on _ ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ -----------------------------------❑22. El 22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1 ❑24. Letter of signature authorization. ------------------ =---------------------_ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------- a (Date) ❑28. Existing violations and/or expired permits. ------ ------------------------------------- --------------------------- ❑'29..❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Chec o H.GD�$f1' . --------------- ❑30. Other: When you issue the permit, process as follows VMail to -owner, ❑Mail to contractor. ❑Telephone 1% 1%,k hold for pickup at office ❑ Deliver with inspector. Applican : /� G- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air o� ution ` Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check. List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ ma"il, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: lr -W IW zis i NOTES 3 r I { .f i i J �1 - I 'i JOB FINALED RESIDENTIAL 28-420-57 01-1667 LEBLANC, RICK 784 MISSION OLIVE RD. OROVILE CONT: JAY CARTER SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Signature CHECKED BY ✓ = OK 0 = Not OK - = Not ReadApplita6le = Nbt Ready MOBILE HOMES Date' MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements-Setbacks-Easements Utility Clearance 2. Soils; Special MH Support Sketch 3. 3. Sewer; Location-Test-Fall-C/O-Concrete 4. 4. Water; Location-Test-Easement Needed (Sketch) 5. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete 6. 6. Gas; Location-Test-Wrap; / /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 1. 8. Utility Clearance Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Date 6. Card B-1 Date Card B-1 Date Electric Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line FINAL (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 11. Cert. of Occupancy Health Department Approval 12. Permanent Foundation Only; License Decal Plumb.; Cir. Test -Water Supply Test . 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS - .1- s - Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test . 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' 4 ✓ = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date ndertloor (Plans) OK except #'s Date FRAMING (Continued) zon' -Setbacks-Easements-Flood-Slope angers -Post Caps -Anchors -Connectors 2 g., Main; Soils-Elec. Grnd.- Ftg. Depthling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss -Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth 48, ap Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth g tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date ECTRICAL (Permit) OK except #'s 3. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Kitchen & Conductor Size GFI Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At e Insulated Neutral O Yes O No 5. Stemwalls, Main; Ste el- Blockouts- Wrapped 3 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 1 6a. Hold Downs and Special Anchors 57. 7. Slab, Steel -Wrapped r % 8 Q zing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel a s; Nailing -Bolts 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Brace Interior/Exterior Wall Panels 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 35. 11. Water Pipe; Test -Anchors -Regulator -Service Test 36. 12. Electric Underground 37. 13. Plenums & Ducts; Clearance -Material -Support -Ins. r 1 %jy ,rders-Sills-Anchor Bolts-Joists-Vents-Crippies ccess & Ventilation 39. 16. Insulation FINAL (Plans) OK except #'s 63. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s Bedroom Exiting 17. Water Htr.; Vent -Access -Com tion Air Baffle G.F.I. & Bath Fixtures & Tub Access -Spa 18. Water Pipe; Test & A r -Nail Protection Elec. Trim & Subpanel, Breaker Sizes & Labels 19 D.W.V.; Test F' ' gs & Anchor -Nail Protection Stairs & Rails 20. Shower n; Test, First Floor -Tub Access Fireplace or Stove, Clearance -Hearth 21. TTa6ub & Shower, Second Floor -Tub Access Elec. Outlets at Wood Panel, Int. & Ext. 2 . Gas Pipe; Sixe & Anchors Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ECTRICAL (Permit) OK except #'s 3. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 Kitchen & Conductor Size GFI Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At e Insulated Neutral O Yes O No Date FRAMING (Permit) OK except #'s Is Proper Materials & Anchors I:wi-_Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing . Draft top in Walls (rat proof) Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing ta-8drrt'Windows or Exitinq Doors -Sill Ht. & Dimensions Framing 5 penings ILSYESDOorS-One 3' -Check Garaae 3rd Storv. 2 Exits 31. s & Ground Main Disconnect 32. ` learances Panels-Motors-Mech. Equip. 3 igt-Shower Light -Spa Light 1 moke Detector 57. ed -Fd. Vents-Underflr. Access Date r % 8 Q zing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date a s; Nailing -Bolts Card B-1 Date Card B-1 Date Brace Interior/Exterior Wall Panels MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 62. 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings Date Smoke Detector Card B-1 Date Card B-1 Date Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Is Proper Materials & Anchors I:wi-_Walls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing . Draft top in Walls (rat proof) Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing ta-8drrt'Windows or Exitinq Doors -Sill Ht. & Dimensions Framing 5 penings ILSYESDOorS-One 3' -Check Garaae 3rd Storv. 2 Exits L$6_-8t97rs;_Width- Head room-Rise-Run- Landing -Fire Protection 155, ElIweed on Roof Overhang -Attic Vents -Rafter Outriggers 156, , Jng-Nailing Veneer 57. ed -Fd. Vents-Underflr. Access r % 8 Q zing Area -Glass Protection -Skylights -Plastic a s; Nailing -Bolts Brace Interior/Exterior Wall Panels nsulation-Walls-Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 9�lPY"' � t _ =J3:' `FSii'. r� •r . �.i.c',`i�'S. Ste- �, �� k.-v.:��. rr.y COUNTY OF BUTTE —�� BUILDING DIVISION -- DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 _ 1 CORRECTION NOTICE ` OWNER P RMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is :i completed. If you have any questions pertaining to this matter, or need additional explanation, ` please contact this office immediately. ) L" r: �r Gbit" � � `( �c C-✓,/ :� l � f t ®- A Date_Inspector�-- REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 2/96) ' APPLICATION AND PERMIT —;� f —//,Pz % ASSESSOR PARCEL NUMBER 028-420-057 ZAP BUILDING PERMIT OWNER RICK LE BIMC TELEPHONE 589-3491 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 784 MISSION OLIVE RD. OROVILLE CA 336 18 144.00 CONTRACTOR'S NAME JAY CARTER I TELEPHONE 33-9199 CONTRACTORS MAILING ADDRESS OROVILLE CA CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 18 144.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 128.70 BUILDINGADDRESS 784 MISSION OLIVE RD. OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ 346.70 LOT NO. SUBDNISIONS 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 Eachas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILE HOME -,/MI'6N 14 X 24 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service 200 OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. 9fI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. sD Blas. 3.5¢FTOR ADDNS. ( a ACC. ; NEW CONS MULTI-0UTLET NON•RESID. 97.50 11.76 POWER APPARATUS 8 SINGLE OUTIEr CIR. Ex. Occu CUTLET DR FIXTURES �0 @ 1.00 Ex. Occup..OUTLEDTS RESID.FIXLNS.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 31.76 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 6 the permit is for work of a valuation Idof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 7-9-01 Signature of Applicant -, Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37,8.46 HAZ. i D ,1dP p D VFPAR HD SUE 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. ByAADD to / PERMIT EXPIRES ON V ate Receipt No. 325077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEYF4q,,PMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER: L=, Ln r C ASSESSOR PARCEL ER: - /I r% Proposed Building Use: S m )Building Inspector: Date r7 - - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted ------------------- plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. V�.-Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------- 116. -------- ❑6. Energy Design Compliance and supporting documentation. 07. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 1 . Fees of $---------------------------------- ------------------------------------------------ lin -dict fees as shown on the attached schedule. - --------------------------------- California Department of Forestry plan approval/ ees----------------------------------------------------- '" 41 tQ 13. Iflood elevation certificate. --------------- -------------------------------------------------------------------- and plot plan approvaloz Vill f, Health Department. ----------------- -------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: C) ), (B) Parking: ------------------=------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Draina gal Parcel.,----------------------- ''— ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ . Pre -inspection for required. Request to Building Inspector oi- (Date) *Workers' 'Contractor's license information. (Number, Name Style, Classification).-----------------------------`--:t� Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner-Builder ------------------------------=------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 241 Letter of signature authorization. ----------------------------------------- - • } 5 . Recorded copy of Agricultural Acknowledgment Statement. ----- 1 v ------------- El 26. ❑26. Letter of intent on building use. ----------------------------- ------------------------------------------------------ ❑27. Manufactured Home utility cleararice. ----- 028. Existing violations and/or expired permits. El 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wh9i you issue the permit, process as follows ❑ Mail to owner, n❑�Mail to �°ntractor. Telephone S % " � / and hold for pickup at N (A � ,� office. ❑ Deliver with inspector. CGr1�Ael ; I�.k C (A he_ 00, Applicant: e!r�"`�" -`- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Arr Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmen Date By: 1. Index permit application for the above items numbered: S ❑ Plan Check List 2. Additional items required: Contractor, design , own as advised of the abovedata by PPVSone, ❑ mail, ❑ Building Division coup er, by 'PL6 Date: - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by �D"ate: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter by- - Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildingcounter, by Date: Plans reviewed by: Date: Plans approved by: Date: % Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 7 s.� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached— Floor Floor Plan Atta ad—�L- Santto B.D. zlonl .. + X. «4 Lq -1611k6: .O , oaw-40?0-657 Owner / Location AP# Plan Approved for: Sewage Disposal ✓ Water Supp ,ly: Public Private Well Clearance for a ing. Other �zo(c oowl ad I tarx Hold final for: Final clearance O.K. for: NOTE: -n-p!4 Environmen 8/96 ealth SpecialistDate �� o AND WHEN RFICORDED MAIL TO: r W',TTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 200 1 —0039507 Recorded OfficialRecords f Records Count BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:05PM 30 -Aug -2001 REC FEE 10.00 Fay Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date PROPERTY OWNERS: t' State of California County of Butte On August 24, 2001 before me, Angela D. Mastelotto, Notary Public personally appeared Rick Le Blanc personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. W -SS my hand and official se`a). Signatu \� ANGELA D. MASTELOTTO \ J Ca+nf0a 392 A+ r CPS1factory a ' A.P. # 028-420-057 NM Co� iV.' Zt�2 ,.►, . rr e- . ,;. .. � . :' ... u ' cr 1a f r f r . F Y .1 % / / /. Y:. ...-... .:•. : .. .,:.. :...... -.. J f-: ..:::J. .:...: ;,;rr,: ;t : ' .. ....:. yr... , ; .,.:..: �.::. H....,.: :::_.::. .... ,.,..- ... ...: .. :..... fr _ 'y . u ... :.: " '::. 1IV ': ..:: Q ODE. U 2.: .... r K.r .. . J.. 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F/ 3�'f. C } w3 i,,�qi` IM+ U l '(.'�5 1.1•Xry' {�, ,� or f �•`T, �Tti{�.v,�i.`4G ry G• HE. �'r ,'n / F�, rr OR Hr,�QS} :.. � r... ,,,��tS'7t5 �1(jC f� t� '/ALf y l A NIi �VYY LYS-•.i.� ''12 b14'7'r/� 'b� T rJ 6�rA w, f, mfr �tR'fic7,ST CQff RNR C?F: R; A1`FFACT 0 " LIQ fFfi4'4R C}NEf.E3' Tt1;. r� , 'f: r, Tle�SE NaSaT�LO�,VE CRG;f?NPY'. 8��?EEI} f, DULY RE_cC3kFs..-1 $aOK;: I2'7„ t3F `AEEAa ,AH 3 5 0 SaTtIE A .�3:iG `I`FIE WEST HbUNAFt BINE :OF SAS? r Jir L 5 I� SSTO I OLTVF, O CHI RA �' { Y 41'TRAC'2, S4Z.0 H 3295. FEEfi : TQ A PUS.T riy j f° / f THEti?'offCE OiI H I4 Q V 6'', ? MSIT'`,' fll 7 ] 58 FEET , TQ, A F¢ ST N TFi 1ES : :' _;:%= - BC?i3NDARY ifxNE 4 TKA SOHEAST QUARTER OF SAID SECTION 6 'IHQE: /'' ' J - . r . SOUTF ;t?2 ° €k2' RST,: • I jyS9 3E1 ; EE'Y` 1�L4NG THE WEST .BOUNAA.RY LINE QE - ..... -.::: _ THS SE? I''H S -T ,' .DARTER :DF SA , : SEeTION 6 ...T4: ;< ;,;..r,, TRLiE... ;;:. ;;:. PC71'T tF' HEGTNNNG UF`'HE PCEL 4F I;AWi3 AESCRIAED HEREIN. 7[`kFNGE , 'CONTI2�ING. ALC? - I' ;E SA k. QST ,80U�TI3ARY .TAIE SO 7 FI ? ° (}2 EAS`F _.l... ;:I. : :.::.... 213 0 °FEET, 'kENCE SQU'4q 3S' EAST, :233 39 EENT .T4 FC?ST, THENCE SOUTE� 5 S ° 14 ' EAS'£ , 2 2 5.44 FEET TO ,� PQST, THI?NGE NnRTH 8 ° : "'' fF ,t i 1 &,i EAST 6�#7J �:.FFET, THENC�ErNORTH 27,° 5?' EAST., �& �1 FEE`T,.'1'HEl3GE; w:L. .-.F"�rir __..,-:s.�.,.NCs}R;1'`H,..: ;= .- �{; ' TO JAS PER S : 'CONNELL, ET U- .X RE ORDED JUNE 21, 1.94 9 , IN BOOK 498, PAGE 402, OFFICIAL RECORI?S; THENCE ALONG SAID SOUTH LINE NORTH ,.:.J' 890 ...'I..-,.,..e..;...�,5 ` EAST, ,207 :4I FEET TO A .POST ..ON THE WEST LINE OF SADA• MISSION OLDIE f}FtCH COMFA FX TRACT, :THENCE NORTH -,ALONG inIEST I►TNE; OF SATD 'MTSSIOt OLIVE:OItCHARD CdP+fPA,NY TRACT, :�2'� fiEET, :` T`H ICE: :, SOUTH 8ti° 15', 2 WEST a Q;29,-FEETTH.ENCR ;CONTINUING St2U `H..8 (3 a ;'I5 I' . rt r' tin WEST,2�FEEfi�1 `I'HEN�' 50UTH 70° 0 St6 WEST,3 34 FEET,: '—T °Ni3R`1"Fi I ° Qa' . 22 r t^iEST, 62 �Q FEET> _THEAiEE SE?UTFi :&2 ° :00 r .52 n _, . _:. , . WHS T,, 0.. a 9 .. 3. n . =. wL -..�_ �'� .:. .:. T..? BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICAT90��N RM 0 (One form per Building) School District p V i ` Building Department No. A.P. Number a g"' -q 2,0 5% Jurisdiction:/ lJ City County 11, Property Owner t i Q Iw w .� e!x L .., l i r� J, Property Location/Address :794 Mr --i 6 V, nr1) J'% tt %-c Subdivision Residential Development No of Living Units Commercial/Industrial New Mobile Home Install '© Addition Lot No. ................................................................................................................ Sq. Footage - 3 K� Addition/ 'Supplemental to (Group R) Conversion Permit # "(No foundation inspection): ................................................................................................................... moor rians reviewea oy acnooi uistnct rersonneu Sq. Footage (Including Exterior Roofed Areas) ��-0 Date District Identification No.>` %O School District certifies that (Applicant) (Street Address) (Phone Number) ti (City) (State) (Zip Code) T has complied with the equirements of Resolution No. �9—UQ —.0 Sr by payment of $ 'AJ Ll± representing square feet. AB 2926 $ FULL MITIGATION $ 1 School Paid by Check # Remarks: Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid., Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any. court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm 01uecv I Final / Subpanels ] Mesh IMEC ICTAL Gird. Faul Prot. Scratch COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REC'DRD B I . BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish' 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Pi Ing & Test em .Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing E �TRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam a FIRE SPRINKLER37 luntnm 01uecv I Final / Subpanels ] Mesh IMEC ICTAL Gird. Faul Prot. Scratch Heatin / Service Brown Cooling ( Tem . Pole Finish Ducts I Un er round j Interior Lath Ventilation Peirnanent Door Closer Final V Final'•: HOME UTI L IT S - - - - - - - - - - - - - - - - - - Elec. Service Elec . Pedestal ' Waaterter Piping Sewer Gas Piping SAOBILEHOME INSTALLATION Support Elec. Continuity " — Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) t--- j„Pe RMIT NO. 3343-78B PERMIT EXPIRES OWNER A. A. C. Butler CONTR. Panorama Mobile Home Serv., Chico 28-19-57 LOCATION (A.P. W/S Mission Olive Rd., app.3200'S.of Misty View Way, Wyandotte Area t s f t a F' Temp. Power Pole } Called PG&E _ Temp. Elec. Serv., Called PG&E _ Temp.,Gas Serv. _ Called PG&E _ I /Fol ALED i ion t J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 3J 4- 7"County Center Drive - Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent ceipt No. �� / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 be aid. DIRECT R F UBLIC WORKS BYDate /, I I,- ?� ding permit expires Date BUILDING M W511 OwnerL� � SQ. FT. OCC. BUILDING V U T p � O Mailing Address Telephone No. e Contractor�y� O s t Mailing AddressISO C, �`� d 0492 Fireplace Total Valuation .rI C�1/1 If�j � Telephone No. -Z0-7) Permit Fee �p p Building Address's r)) 5 ,,s 5l o,,1 6411-_10 �t! • P I an Check i ng Fee Vor Penal ty Permit Fee b dqn — C� ZRC7be5 '� ee�t,J lit PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. NO. — � Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 / Fes Vi Sa&VVn Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. R(d s Rec'd Parcel Approvol Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex Mobil Home Others ❑ � Main service 600V OR LESS loo AMP LESS 5.00 -L Main service EA. ADD'L 100 AMP 2.50 r Main service OVER 600V 25.00 100 AMP OR LESS Main service( EA. ADD'L 100 AMP 1.00 OR ADDNS.NEW CONST. \ DWEACCLBLDGS,LING CCUP. 4') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie Of: Y �'►�I � ted. SGC 1 NEW CONSTR. BRANCHMULTI-OCIRCUITS) NO N.RESID BRANCH CIRCUITSI 2.50ea NEW CON STR. POWER APPARATUS 9 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI[RES g �@1 FIXED APPLNS, OR EX: OCCUp.�OUT LETS (RESID.) EA) 2.0� Temporary service 10.00 Mobile Home Facilities 15.00 License No..?Vs-w Classification G Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S. COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. jyl I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee $ $ 1 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 Land Development Fee is TOTAL PERMIT FEE $ 8C authorize representatives or the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent ceipt No. �� / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 be aid. DIRECT R F UBLIC WORKS BYDate /, I I,- ?� ding permit expires Date 1-4 < t 'G✓ tic '�%��lr y ., s l 01114V, AOD, 6%1 _ Th s set of plans and specificati ns; MUST be r o kept on the ibb at All times and it- is unlawful to make any ch.+n� s r ult3rations on same without writtr n p ryisrnnfr >m the Departr ient of Public W'or , County of B tte, �evt d, - - J,Oe Tic system to be as per _ _ ;�, # ., Butlr, C e fa+.,•y ,� Dept. Re_ h t 4u Mutts_ t _ p d �L .. Y -,: 9 0 �L -k • _ a a P _343_ 4 � , P•'SAqe N 1Y 6 t The Bldg. Setback shall 6p 5� ft. -fro th y �j. site prod ty lire cnd .i Vit, frory J a i noxi en- -irel eLIc.* _ t Q a9cd°pyo R -BL {E COUNTY 00, a 4D NG DGPAR MENT — - N e o% e, I } 1 S ' t �' I I I I-1-+ I } 1 S ' t w -_ - ^.�•+,�•._a,� '> N n. 0.1311 l 0.0) O" 3jC7 . _" 4 ( ��. <o Ico .-1% .' 1 40" }, I.h�O'I , as w Q U .I "Glor: .18,5 "a. .iOJ N rl reci0 I I " 1 .o •%o Irs6roE DIM. pur9lof= .71 .145a ILT I I - � - _ i Ex M. FA TYP I� �� 1 .OH1I - ? ZTYP Q(;OIYT.LOCK .370"DIA Z w r I � u E �03c!' O I I _ _ O - r 4 0 °� e 1 _ 'Q •311 DW - w N O o.zyo" , 1�4y N " 0 f+l 0 1 m Iq p i /�15 r^I - 45 !j N I r r loo ep -R 17Pi C o .7+ A '0 i r ?/1" Rp R` }-LnFj' AV V N- s Q u "'r p 1 -" S S, IA Q 1 I , ING R o 0 w /2.oi Bio" ./dB 1002" /A" .,65 7101 Lo,7 'BOO .I 1, En I 1 0 'IF c- .060 RAIL' - LU a rYP rrF 6 _000 (o/I) .O�e/1° '� .05%•TrF. 1 'O ; 1 , c ✓1 w 6.0001' c.000 I' ! a' m ooa.rr? 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