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029-133-008
Is 029-133-008' 93-1506BPE STEADMAN' LANTZ :5259 CHURCH ST RICHVALE GARAGE,,BREEZEWAY, REMODEL/SF 133 -4 -part': Georgia Clifton SW corner of 4th & Main St., Richvale Permit #4@q4- B,PE;M(new •single- family) /p/• T .. IWAt A 029-13-3-008 00-1821 STEADMAN, LANTZ FIS'il "iI'e 5259 CHURCH ST., RICHVALE CONTR; OWNER RE ROOF AND STUCCO D cl:-9r�/3 3 061-09 .4A J` 4 f 6 PERMIT NO. PERMIT EXPIRES., Georgia Clifton 'OWNER CONTR. owner LOCATION (A.P. 29-7.33—?Tort ) SW corner of 4th & Min St., Richvale N a J X Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings . Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors . Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -----------•------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLAT ION - - - - - - - - - - - - - - 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.) V ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , / 7 County Center Drive Oroviile, California 95961' 'a5 Telephone: 534-4541 APPLICATION AND PERMIT aUUIVIIIV IcNlcacntQt vCa U1 UIC l�Uunty UI DUMC tU CnlCl UNUn the above-mentioned property for inspection purposes. xd" —Date D Signature o Permit or Agent 47 Receipt No. /2 QZU-9 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. DIRE R OF PUBLIC WORKS B Date !q—(." ilding permit expires Date q—(O �� . BUILDING 111f ) OwnerSQ. FT. OCC. BUILDING VALU 40 Mailing Address v Telephone No. Contractor to� A4.r-7— Mailing Address Fireplace0® �y Total Valuation Telephone No. Permit Fee Building Address C r ! -4 !b Plan Checking Fee&/or Penalty Permit Fee 0 PLUMBING No. @ FEE m PERMIT FILING FEE $3.00 014 Each Trap 8; 1.50 %L e. Repair drainage or vent piping 1.50 A. P. No. 3-3 3 Pan? I A Water piping 1.50 � Each gas water heater or vent 1.50 F491 Ae S4ti oI. Fire Dept. Fire Zone Use Permit o' Gas piping system 1 -5 outlets 1.50 EQA Par ing Plans Parcel Declaration "S Parcel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg., Recd ParceA royal _ Plarf*Approval Lawn sprinkler system 2.00 NEW 10 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ..b .$ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,F 0p Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADDloo AMP 2.50 IN Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR CONST. � D LL G CCUP. B) 22sgft 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: %� NEW RE ID M -O TL T NON.R ESID BRANCH CIRCUITS) 2.50ea NEW C 5NN R. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES g L� Ex. ccu FIXED APPLNS. OR O 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 $ $ 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 liabilitynAkQ 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.1 @ FEEPERMIT FILING FEE J$3.00 Heatingt1 Az Cooling Ventilation s ,QIp Hood 2.00 Cjp Permit Fee $ -el $ 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 Land Development Fee $ TOTAL PERMIT FEE$ " aUUIVIIIV IcNlcacntQt vCa U1 UIC l�Uunty UI DUMC tU CnlCl UNUn the above-mentioned property for inspection purposes. xd" —Date D Signature o Permit or Agent 47 Receipt No. /2 QZU-9 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. DIRE R OF PUBLIC WORKS B Date !q—(." ilding permit expires Date q—(O �� RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX„ .&,*MISC.. ONLY) .. h /Da /�2 Bldg. Permit # �T '0' OWNER ��"Y`9 e!�e. , . L_,� ? A.P. # A. GENERAL ' 1% Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbackq, sideyards, easements, etc. `3. Other buildings or structures. 4. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. �! Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing.for energy requirements (20% max. per.State law). .40." Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8. Light fiK-tA•_es, swi-tckres, recepxac es, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of watexr.heater, heating & cooling equipment, other e1.ectr-ica1_er ga--s equipment-,' and plumbing -fixtures. 0110.Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. Floor construction.details complete enough to construct building. ,Y3!` Elevations and wall construction details complete enough to construct building. s4r Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. CCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). '3. Guardrail details (Sec. 1716). q 4O. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). l� Proper roof pitch for roof covering (Chapter 32). s7!� Rafter ties or bearing ridge beam. r" -u £.S %8 Garage door or porch header sizes. �9. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. (1-1). Two (2) exits on three-story dwellings (Sec. 3302). 029-13-3-008; . 00-1821 STEADMAN,LANTZ 5259 CHURCH; ST., RICHOLE CONTR: OWNER RE ROOF AND STUCCO " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D��2/ ASSESSOR PARCEL NUMBER 029 -133 -OW ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BtnmING (/EVALUATION A6 . .20 � EST 2oon.00 OWNER'S MAILING ADDRESS 5259 CMIRCH ST, RICHMATY Q-5974 CONTRACTOR'S NAME omit TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 4 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® n Describe Work: REROOF AND STUCCO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OV OR LE Main Service . , 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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Cb— 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .' _ X i �� , , �- ; ' i ;r l e' - _ Date d ! D f� Signature %of Applicant - Q Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction'' of structures over 3 stories in height. 46.00 Main Service ToLING NEW CONST. DWWELEE OCCUP. CU SO OR ADDNS. ( 6 ACC. BWS. 3.5¢FT, NEW CONST, NON-RESID. MULTI. OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES) BAL @ I.00 .50 Ex. Occup. ouTLEEDTs AESES D.OEA 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 8300 HAz. D. FEES IMP I FLOOD I CDF PARCEL PD I HD IS UE 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 if ' 9. a Date' .' PERMIT EXPIRES ON (Date) Receipt No. .r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT AO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-133-008 ZONING BUILDING PERMIT OWNER LANTZ STEAD14AN TELEPHONE 882-5010 SQ. FT. OCC. BUILDING VALUATION 20 1200.00 - .OWNERS MAILING ADDRESS 5259 5259 CHR EST 2000.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ igno-nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF AND STUCCO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500VOR UE Main Service 2o0A 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: 71-1 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( 6 ACC. BLDS. 3 -OFT. NON-aDEslo. MULTI -OUTLET @7,50 POWEPPARATUS 8 SINGLER AOUTL.Er CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ 1.00 BAS p .50 LNS Ex. Occu . o uLLlrttTS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. / Date 0 Jam/ f! 2 _ -7- Si fnAt7ure Abf Applicant - KOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.iI� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83.00 HAz. D. FEES IMP FLOOD CDF PARCELPO I HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisionE Resolutions to do work been paid. at r �© Date Receipt No. r -- 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 PER o. (P".12NO) APPLICATION AND PERMIT M-/ 20"10 BUILDING PERMIT O1MNu C "a� p SO. FT. OCC. BUILDING VALUATION s- %5�7cf ODNTRACT " "'* ' TlLOnON! _ ODMRAC10111 WHAM ADDRM Filing Fee 20.00 OONITR1CT10N 1!1001 ' UWE" VAUNG P PM Fireplace Total Valuationjtft20 AACWTECT OR ENGINM UCENSE No. Filin Fee ARC ITECT OR O+Ot+E MS 14LLJNo ADORE!! Permit Fee Plan Checkin Fee OULDINO ADOMS Energy Plan Checking Fee i s PERMIT FEE S , LOT NO. lVa0N6g111NAA! PARCEL ►w PLUMBING PERMIT Filing—Fee 20.00 USEOFSTRUCTURE SFAlex O Mobilehome 0 Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities Installation O Per O Describe Work: �� S Gas piping system I -5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 RECEIPT #ih PERMIT FEE $ SRA $ SHR $ CSA 87 $ CUA $ TUA $ REC $ OTHER: TOTAL $ EX. OCCU . OUTLET OR FOCTLRESP 'PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service eooR Les xwov oR uesss 23.00 Main Service 100A TO IOWA 48.00 NEW CONST. OR ADONs. OwR ACC. OMSs P 3.5eFT. NDN•RESiD. MULTI -OUTLET CiauueN eoetsm 97.50 EX. OCCU . OUTLET OR FOCTLRESP W -'°° aAL 70 Ex. OCCU ur APPES10E3 .)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinc 23.00 I PERMIT FEE S 0 MECHANICAL PERMIT Fling Fee 1 20.0 Heat 6.50 Ventilation Mobile Home Installation Fee = Energy Inspection fee S D" NSTTYPE. TOTAL FEE $ NAZ D. fEE9 DIP I Ii000 I COR PAWLi PD MO "'o This permit is hereby Issued under the applicable provisicins of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ---� Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and. return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit wi . be issued until this verification is received. --I. I personally plan to provide the major labor and materials for construction of the proposed propertyimprovement : YES[ ) NO[ ]. = 2. I HAVE HAVE NOT sighed an apppeation' foc i "buddin"erimt for the .. proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: :. .. ,.. CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: - NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following4nmi ns to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 0 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of . property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with_ the exception of various trades that t you plan to subcontract, you should be aware of the following info for your benefit and protection: 0 If you employ or otherwi en a any rsons other than your immediate family, and the work (including materials and other co ) is 00 or ore for the entire project, and such persons are not licensed as contractors or subcontract rs, n y y be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . 0 There may be financial risks•for you if you do not carry out these obligations,'and these risks are.especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are. allowed to perform their woek personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O•.�-,ie, -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 V=OK O = Not OK Not • = Ready ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer: Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval. 8. Gas and Electricity Tagged 1 _ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy `31 MISCELLANEOUS Date/Initial DEM COVERS, CARPORTS GARAGES Plana. OK exce t #'s 1. Zo,pKg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel �- 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg -Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors- L dings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector _Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size -& Grade 37. Furnence-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnence in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl In Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protectlon-Skylights-Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wel Is -Cel I i ngs 60. 1 of lltration-Walls-Windows Sidel 9 vents-Clearance-Comb.Wr-Connector- " Garage; Above Floor -Ducts -Mach. Protection & Bath Fixtures & Tub x%68. • Elec. Trim & Subpanel; Breeker Sizes & Labels Fireplees r Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. t.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71 F Qc_Qu9s4 & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer chin Garage -Damper 74: tf-Ve-Rs-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. eo. & Mach. Equip. Listed for Location 'f6. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. on-Foa - ooked in Attic ❑ Yea -f8. Guard Ralis & Deck Construction -Post Caps 79. Fdn ts-&,-C.rewl Hole Door -Drainage & Wood -Earth earance Looked under Floor ❑ Yes 80. FOIIOWinaiastld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --a 1. STOc`co; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Ope gs _klwVaiter Well; Disconnect, Electrical, Plumbing 85. Exteri ec. Trim; G.F.I. Receptacle -Underground entilation Throughout House 87. Glass P n 1v, rrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water "ewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Commants at f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC ORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:538- 541ACr APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-133-003 ZONING ARMH BUILDING PERMIT OWNER .. Lantz Steadman TEI•EPHONE 882-4277 SO. FT. OCC. BUILDING VALUATION �{ 2 M 9,504.00 OWNER'S MAILING ADDRESS P.O. Box 85, Richvale 95974 270 C 3,510.00 CONTRACTOR'S NAME Owner TELEPHONE Lst. 1,000.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 14 014.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 135.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 67.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 217.50 PLUMBING PERMIT Filing Fee 15.00 5259 Church St., Richvale Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFT Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: __ Garage & Breezeway/ Remodel Interior _ to 3 Bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000AI CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. ( DWELLING OCCUPM V 3.64sq.ft. 18.[f5 OR ADDNS. l ACC. BLDGS. I X NEW CONSTR. ULTI-OUTLET NON-RES, D BRANCH CIRCUITS) @ 5.00 POWER APPARATUS IN (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.I EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 48-45 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Iii 1 shall not employ any person in any manner so as to become subject 6�--to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all H bil'ties, judgments, costs, and expenses which may in any way accrue against id Coun in consequence of the granting of this permit. X�– Date Signature of Applicant — Owner�Contractor ElAgentsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ o C CON TIYPE SIJ TOTAL FEE $ 265.95 rlAz PSI IMP FLO D DP PARCEL —�. PD — HD I U This permit is hereby issued under the applicable provi- of the Butte Cou de and/or resolutions to do work indicat o r hich fees have been p id. E F PUBLIC WORKS / l0 Z� BY D toPERMIT EXPIRES Date Receipt No. 143118 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTM9NT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE oVWNM NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is coepleted. of you have a -questions pertaining to this matter, or need additional explanation, please contact the ce immediate y. , l -M Kt -V ttr" !"'�'..+K�./Y^vJ44rti'*�-a+.�f'�':..�'i..e--iv�a~'rbct'�'�,..,n•'ii.-v�(!•y'i"'�`1rl..NT��'rrt''YY","�.�.�i .r��-., ,r . ,�.i/y COUNTYOF BUTTE - DEPARTMENTOF DVELOPMENTSERV CES - UILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TEL (916) 538-7541 % 0 ✓ PERMIT APPLICATION DATA"HEFT A0 OWNER A. P No. ,133_ Proposed Building Use/ P12 664-A,Building Inspector Date 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................... 2 Plot plans, 3/4 sets, signed by preparer of plans. ....' .fir.�� Complete plans, 3/4 sets, signed by preparer of plans. L404T/OiW/ / 9 .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ../ ........ . 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................. . 7 Statement of Intent for Non -Heated and A/C Buildings . ...................... &. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. . . K- 14. -Sanitation and plot plan approval D /UD Health Department. 15. City of Chico plumbing permit. 4... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre4nspecGst on requ 20. Pre -inspection for required. . to Building Inspector (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of'recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29.(Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon and hold for pickup at, ��_� . office. Deliver with inspector. Other Parcel Creation oZ Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air -Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer,ner as advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, ow r, was advised of above required data by _ phone _ mail Counter by Date Plans checked by Date Plans approved by )2 Date -01- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works June 16, 1993 i Butte County Building Department 7 County Center Drive Oroville, CA 95965 To whom it may concern.; The single family dwelling located at 5929 Church Street in Richvale recently requested to change the interior floor plan from a two bedroom to a three bedroom home. Although this may increase the occupancy of the home and impact the Sanitation District, we do not feel that the impact will be significant and therefore, approve the request. I Sincerel Gary to e, P siden I Richva Sanitation Dist. i COUNTY OF BUTTE - Department of Public Works 7 -County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received., 1). I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 02) I °�/have not) Lsigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I•have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5., I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secur *ty Number �- Date S �/ 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. � — I $ - 9.3 17,/�X4LUZ�� t- As NJ�JzG�E OL D Go J L! 9S- /sow 2 Z rr rig �r//`��✓-�T��/ LU 6'� W \L.L r Iz -- � 2S - 6 Plot 1A 1bz I � 2P— CE) v ----------------------------------------------------- R 4..-.5-92 COLLECTOR FORCES --- -=---------------------------------------------- U CRIPTION ))FLOOR 1 - LINE C ---------- ----------------------SUMMARY------------- V1 > 6.990 KIPS V2 > KIPS LENGTH SUBJECT T V1 f 22.250 FEET DIAPHRAGM SHEAR DUE 0 V1 > .314 KIPS/FT LENGTH SUBJECT TO V2 > FEET DIAPHRAGM SHEAR DUE TO V > KIPS/FT SHEAR PER FOOT - SHEARWALL v) > .368 KIPS/FT SEGMENT W/0 WALL 0 G V1 V2 FORCE W 11.000 Y .000 3.250 0 3.250 Y .591 8.000 W 8.000 -_430 -----'----------------------------------Y -------------------------- REV 4:=5-92 COLLECTOR FOR DESCRIPTION WLOOR 1 - LINE E - --- ==--------------------------- SU MARY ---------------- --------------- V1 > 3.090 KIPS V2 > KIPS LENGTH SUBJECT TO V1 > 35.000 FEET DIAPHRAGM SHEAR DUE TO V1 > .088 KIPS/FT LENGTH SUBJECT TO V2 > FEET DIAPHRAGM SHEAR DUE TO V2 > KIPS/FT SHEAR*PER FOOT - SHEARWAS (v) > .343 KIPS/FT (SHEARWALL 0 SEGMENT W/O WALLL OPNG V1 V2 FORCE . A AAA It n/nnn „ ___ LAI LINDALE LOT I 150 �- 07 60 o , 420 1 421 1 422 423 1 424 1 4Q5 .x4261 427 426':o� 1 VI 14Z 1 f80 1+I-- .6 ! Igo !LO151 - ------ m LOT i3G!--r--�-'I - !!I !1 5 0509 1508 507 ;5 5 502 ! 50i 500 ,499: 498 X497; 49614S 494, 495 ` �4 45 7 ! ! 1\ I /! 18 0 I I I _, S'7 RICE Avt: T 610 .7n '! rr 66 l.) 1 ' ` 1 ! I ! ! I 1 I ! 1570 ! I Sae 559 ' 5601 561 562 1 563 , 564 1 565 566: 5Sq 1 568 1 569 � i7 :57i 157'2 t 573 1-174 1 575 °-.7 I ! 1 I - e ! ! I I AALL S. ! --1-- 1--�-J 2 ----1--i ���' b� - - -- LOT (133) 153LOT `-- --� i ---- -- ! I yI ! I 5 14 ; 1r I -0.194C 0.24;AC , ! 629 1 628 . 627 II 626 ! 625 624 (f 623 622. 62. ! 1 -- -. - -- J-----_. _--_- _JL' -__ 1 1S - �✓ .G' {! 156 'Bc BROADWAY Pa 53 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 LANTZ STEADMAN P O BOX 85 RICHVALE CA 95974 With reference to the above subject: PHONE: 916-538-7541 DATE 6/30/93 ' BUILDING PERMIT APPLICATIONS A.P. # 029-1337003 (PORT) Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder -'Verification Form List of Codes Enforced OTHER LL We need the following information: Permit application signed and completed -where indicated with all copies.returned. Fees of -$- payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in. by registered engineer. or architect'. .. Energy design including Street and drainage improvement plan approval from Land Development.Section (DPW). sets of plans in accordance with the changes:.marked in red.. Sanitation approval from Butte County Health Department at: .. 1469 Humboldt Road, Chico _ .7 County Center Dr., Oroville :. Skyway & Elliott -Rd , :Paradise .. y Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing -Recorded copy of agricultural acknowledgement statement. '4LX/ OTHER PROVIDE VERIFICATION OF CONFORMANCE WITH COUNTY CODE #26 -7 -.-- Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. Yours very truly, JFG/aj William Chuff Director of Public Works /%/J.F. Glander i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 - APPLICATION AND PERMIT PERMIT NO. - g1 -?0? ASSESSOR PARCEL NUMBER 029-133-003 ZONING ARMH BUILDING PERMIT OWNER TELEPHONE 7 SO. FT. OCC. BUILDING VALUATION 1350 R 72 900.00 OWNER'S MAILING ADDRESS PO BOX 85 iV LE 504 M 9072.00 CONTRACTOR'S NAME RIGHTWAY CONSTRUCTION TELEPHONE 144 C 1872.00 CONTRACTOR'S MAILING ADDRESS 429 TURNER GRIDLEY Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ HU )-j.$ 83 844.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CHU T I Permit fee . PLUMBING PERMIT Filing Fee 15.00 Each Trap 7 5.001 35.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 3*88 USE OF STRUCTURE SF ZX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New LX Addition 7l Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work: SE 3 BR. FROM MASTER _ Permit Fee $ 84.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v200A OR LESS OR LESS 18.50 Main service 20CATO 1000A, 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ( I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&) OR ADDNS. \ . ACC. BLDGS3.6dsq.ft. 64. 0 NEW CONSTRULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS I1 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 EX. Occup. OUTLETS ((RESID 1REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 98 40 -- - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. [j% 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating SPLIT SYSTEM 9.00 Cooling 2 1/2 TON 9.00 Hood 6.50 6,50 Ventilation 9,00 permit Fee $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to Save, indemnify and keep harmless the County of Butte against all liabi hies, judgments, costs, and expenses which may in any way accrue against aid County consequence of the granting of this p rmit, 'ir4 42� 3 '� Date Signature of Applicant - Ownerg Controctvr ❑` Agent An OSHA permit is required for excavdtlons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE $ 851.40 HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 143440 -PC FEES 100.00 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / r COUNTY OF„BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916 '538-7541 APPLICATION AND PERMIT PERMIT ASSESSOR PARCEL NUMBER 62_1j - � 00,E ZONING ('M H,& BUILDING PERMIT OWNER TELEPHONE �'.z-�iz SO. FT. OCC. BUILDING VALUATION OWN R'S MAI IN { G ADO SS 4 © 3501 o0 CO TRA TORS NAME L0 /,is TELEPHONE 8 7 Z CONT ACTO MAI IN ADDRESS 2 t( 61C-JeM.11 I Fireplace CONSTRUCT ON LENDER UNKNOWN Total Valuation $ S (� LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 51257 • SD . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2, C) C:�O� ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ O, (gyp Penalty $ BUILDING ADDRESS ►� Permit fee $ 5 ,a PLUMBING PERMIT Filing Fee 15.00 Each Trap % 5.00 a5 -c,, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 -7,49..7 Each qas water heater or vent 7.00 USE OF STRUCTURE S8*9� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 b� Building sewer 15.00 _G� Mobile Home S G I W @ 15.00 TYPE OF WORK Newv' Addition,_ Remodel❑ Utilities ❑ Installation❑ Other ❑ /� Describe work: 's 7cf&-A !- �� Permit Fee $L .moo Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW ' 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO1000A1 37.50 NE w CONST. ( DWELLING OCCUP.&\ OR AODNS. ACC. BLDGS. // 3.60sq.ft. NEw WC ON ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.I EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject � to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heatingeo Cooling Hood 9-� 6.50 SO Ventilation O� Perm Fee ee $ S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in yry way accrue against said County in consequence of the granting of this ger t. Date W23 Signature of Applicant - Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4 0 occ CONST TYPE ' TAL FEE $ I HAI OFEES 1X IMP FLooO coF P R Po t+o IssuE This permit is herelRy ssued under the Y sions of the Butte'Count Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. IZ13,1110 " C O� WHITE-D.P.W.. YELLOW -ASSESSOR. PiNx•INSPECTOR. GOLDENROD -APPLICANT 'f'...r--^i�1r...r-y^ti.�-�..•....y.Y,..,sr...,,,�-^`a'�.�„f'ti'.,-'�}..vt�+.+�7.r•.ci�'^L'`-�'�'►>'...i`"'f'f"^`�'^"'^"1'�t'..•.+*^"rpt-y"•-*;..,�`S:�_•-7"'yr.�'..�;� �yiv+i ••COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -k- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /--, Tl /U7 4� Proposed Building Use e S C - P. No. U2 -'l -- Inspector Date _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECENED BY All items have been submitted . ........................................ /,* 2. Plot plans, 3/4 sets, signed by preparer of plans. .................... ✓� � 7 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........,.................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 4d!!!!: 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1.01 10. Fees of $'�® / l� .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood by California Engineer. . . 14. Sanitation and plot plan approval -Health -Department. ............ 15. City of Chico plumbing permit. ....................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .ep .. . 20. Pre -inspection for required. .. u. ; e ";,ding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. . Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............ L, 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Pla check l•st........ ........................................ 34. /J :V-1" 3 E When you issue the permit, process as follows: Mail to owner. Mail to contractor. �,If"Teiephone - and hold for pickup at C)ZOg2« il- office. Deliver with inspector. Other Parcel Creation Qp Acreage Applicant 4�4t4'n Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new it of checked above). 1. Index permit for above items No. �- 3-Z 3 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTM MT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER /1/ A.P. NO . PROPOSED BUILDING USE DATE REC. # DATE REC (/ 1. School District Fees (paid at District Office) 2.. Sheriff Fees ............. (paid at Building Department) Residential .......... X =$ unit amt. Commercial(per sq -ft.) X. _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) R =$ # units amt. Commerical(per sq.ft.) % _$ sq.ft. . amt. 4. Recreation District Fees (paid at District Office) .. 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT ,fin DATE_kLh2 utte Count lel.... - LAND OF NATURAL • WEALTH AND BEAU T' DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE * OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 538-7681 FAX: (916) 538-2140 RONALD D. McELROY Apr i 1 19, 1994 Deputy Director Lantz Steadman Re: Abandonment - P.O. Box 85 A portion of Lots 113 & Richvale, CA 95974 152, Town of Richvale A.P. Page 29 -13 - (File 262) Dear Mr. Steadman: Pursuant to your letter of July 9, 1993, concerning the above -noted abandonment, please complete the following on the attached petition for abandonment: 1. Obtain signatures and addresses of adjoining property owners who may have an interest in said public easement, plus other property owners in the area, totaling ten or more. 2. Date petition. We need letters from all utility companies stating they no longer need said easement. Submit a check to this office in the sum of One Hundred & Sixty Dollars ($160.00) made payable to the Butte County Treasurer. If we can be of further assistance, please notify this office. Very truly yours, Original signed by Ronald D McElroy WC:ss William Cheff Encls. Director of Public Works cc: Mapping w/o encl. Bldg. Dept. w/o encl. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 93-2022 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 029-133-003 ZONING APMH BUILDING PERMIT OWNER TTZ STEADMAN TELEPHONE 882-4277D SQ. FT. OCC. BUILDING VALUATION 1350 R 72 00.00 OWNER'S MAILING ADDRESS . PO BOX 85 RICHYALE 95974 M072.00 CONTRACTOR'S NAME RTQJJ7.4AY CONSTRUCTION TELEPHONE 4 C 1072 00 CONTRACTOR'S MAILING ADDRESS 429 TURNER I LEY eplace CONSTRUCTION LENDER UNKNOWN otal Valuation $ 83844.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO `525.50 Plan Checking Fee $ 262.75 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CHURCH ST RTCHVAd95974 Permit fee $ 823.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 -35.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 , 7488 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 5.00 Mobile Home S G W @ 15.00 TYPE OF WOK New `X Addition Ll RemodelF_1 Utilities Installation❑ Ot r.❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of t e Bus esS and Professions Code and my license is in full force and eff t. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not ince ed or offered gh for sale. (Sec. 7044) I, as the owner, am exclusively contracting with lic nsed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and rofessions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.66 sq.ft. OR ADDNS. ACC, BLDGS. 1 64.9 NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS 6 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 Ex. Occup. our OUTLETS (PRESID )REJ I 3.00 emporary service 15.00 Mo ile Home Facilities 15.00 Misc. byirin g 15.00 PermitIF $ 98. 40 - WORKMEN'S COMPENSATION INSURANC I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte wilding Department a Certificate of Workmen's Compensation Insur nce or a Certificate of Consent to Self -Insure. fel I shall not employ any person in any manner so as to become subject �`-�--to the W. C. laws of California. Notice to Applicant: If after making this statement, sho Id you become subject to the W. C. provisions of the Labor Code, you must fort with comply with such provisions or this permit shall be deemed revoked. Contractor MECHA ICAL PERMIT FiIingFee 15.00 Heating SPLIT SYSTEM 9.00 Cooling g 2 1/2 TON 9.00 Hood 6.50 .50 Ventilation 2 4-50 9.00 Permit Fee $ 48.50 Contractor I certify that I have read this application and state th t the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize represe tatives of the Countyot Butte to enter upon the above-mentioned property for in pection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ities, judgments, costs, and expenses whic may in any way accrue against aid ounty onseq ence of the granting of'this permit. X „��/�3 Date Signature of Applicant - owner 9 PP ❑ Contractor ❑ Agent AnuOSHA c urestis overr39uired storiesoin height. 'ons over 5'0" deep and demolition or construct- o5of structures Mobile Home Installation Fee $ Energy Inspection Fee $ 40.01) OCC CONST TYPE TOTAL FEE $ 1094.15 HAz I DFEES IMP I FLOOD I COF I PARCEL I PD I HD IsauE This permit is hereby issued under the applicable pro,.i- sions of the Butte County Code and/or resolutions to co work indicated above for which fees have been aid DIRECTOR OF PUBLIC WORKS p By DatePERMIT EXPIRES Date Receipt No. 143440 -PC FEES 342.75 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT /�. t cc COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORK. PERMIT NO. ]J 7 County Center Drive - Oroville, California 95965 - Telephone 916 538-7541 n/ 7 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �,29'- 13,E G2�3 �- ZONING rM BUILDING PERMIT JAgrOWNER1,4 � .tet �i T LEPHONE 8z -4z SQ. FT. OCC. BUILDING VALUATION Sv /� QO OWNE M ING ADORESS ([TJ L 1114 CONKR TORS AME tai TELEPHONE / 87 Z COTR TORS MAIL NG AOORESS . 0) :6irAi r &.c L I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ moo- (Dd Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 7 1 5.00 5 --FA Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7, Cp Each qas water heater or vent 7.00 .00 USE OF STRUCTURE S( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 57cto Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition � ["Remodel L Utilities ❑ Installa ion[ 0th ❑ Describe work: S T rid TO �� tK?P( Permit Fee $ 6 , pd Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 ,;1 Main service 20CATOI000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. OR ADONS. l ( DWELLING OcACC. BLDGS. c /. 3.64sq.ft. 9p NEW CONST R. ULTI-OUTL NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIA. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76d Ex. Occup. OUTLETS IPRESID 1REA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. yVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate . of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIIng Fee 15.00 Heating " � Cooling C7A Hood 6.50 Ventilation ,5jj ccs Permit Fee $ L c'p Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against1 all liabilities, judgments, costs, and expenses which may in any ay accrue against said County in consequence of the granting of this pe . X Date cf 3 Signature pp ❑ Contractor ❑ Agent ❑ Si nature of Applicant — Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE �5 TOTAL FEE $ I♦Az oFEEs IMP FLooO coF PA EL PO HO ISSJE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to da have been paid. WORKS Date Receipt No. `f0� p� �S �a WNITE-D.P.W.. YELLOW-ABSC390M. PINK -INSPECTOR. GOLDCHROO-APDL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 LANTZ STEADMAN P 0 -BOX 85 RICHVALE CA 95974 With reference to the above subject: L( Attached is: OTHER DATE 6/30/93 RE' BUILDING PERMIT APPLICATIONS A.P. # 02.9-133-003 (PORT) Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner-Builder'derification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in. by registered engineer or architect.. Energy design including Street and drainage improvement plan approval from Land Development.Section (DPW). sets of plans in accordance with the changes:. marked in red.. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 -County Center Dr. Oroville Skyway & Elliott Rd.,:Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement... . OTHER. PROVIDE VERIFICATION OF CONFORMANCE WITH COUNTY CODE #26-7-. Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this.office. Yours very truly, William Cheff Director of Public Works %,J.F. Glander JFG/aj