HomeMy WebLinkAbout029-220-078----------------------
a 029-220-078 PERMIT#95-57A
W LATTEMORE, Terry
1151 Butte City Hwy, Oroville
029-220-078 PERMIT#95-"4jv Ag Exempt permit -Tractors & equip stg
LATERMORE Terry CQ
1151 Butt' City Hwy, Oroville"/,/-,A, Q oc� (-L
e
Cont; A. Ames Co
Add main ser & Pump ele/SF
029-220-07,9 PERMIT#95-0631
LATAMOUR, Terry
1151 Butte City Rwy, Richvale
Cont; Ken Rash 029-220-078 02-2335
Reroof gerard/SF LATTEMORE, TERRY
;17 lFs-
1151 BUTTE CITY, RICHVALE
029-220-078 PERMIT#95-1055 ATTACHED GARAGE W/WALKWAY
LATTEtMORE, Terry
1151 Butte City Hwy, Richv
ale
029-220-078
Cont; Kenneth A. Rash
Add Open Deck/SF LATTEMORE, TERRY 00-3015
1151 BUTTE CITY RIC I —
029-220-078 PERMIT#95-1322 I ST RENEWAL 02' El
LATTEMORE, Terry -233
1151 Butte City Hwy Rich I
v�a e
�( :7
Cont; R.B. Spenc er A/C . o 7
New Htg & AC/SF 4 1
029-220-078 PE61IT#95-2331
LATTEMORE, Terry & Sandra -
1151 Butte City Hwy, Richvale�
Cont; R.D. Damberger Const-
& .7
Vinyl Siding W i ndows/SF
029-220-078 00- 029-220-078 01-1997
IC
LATTEMORE, TERR A.4101
CC' qWY R
I B - UTI LATTEMORE, TERRY & SANDRA
1151 BUTTEC W I
Co ZIC ALE 1145 BUTTE CITY HWY RICHVALE
CONTR- CONST. CONT: OWNCR
Sr
CHED GARAGE OPEN DECK
01-1157 029-220-078 04-2853
029-220-078 IU /'� I
LATTEMORE, TERRY � - "A C) - LAT-rEMORE, TERRY
��t BUTTE CITY HWY RICHVALE 1151 BUTTE CITY HWY, RICI-IVALF
CONTR: OWNER i 6Z� Cont: OWNER
DEMO 2 BDRM HOUSE TO CoMp 02-2335&03-30 15
029-220-078 01-1745
LATTEMORE, TERRY
1145 BUT7E CITY HWY , RICHVALEO, of, 1� 0— 071
CONT: OWNER 0 SF
MH PERM FND REPLACE DEM
NOTES RESIDENTIAL
PERMIT NO. 1.-029-220--078 y.- 02-2335�__
LATTEMORE, TERR
1151 BUTTE CITY, RICHVALE
ATTACHED GAR -AGE W/'vVALKWAY
0 Is - Z-0 A!5_
SPEWUL COMMONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION. ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Vs
Requ i rements-Setbacks- Easements
Soils-Size-Depth-Spacing-Connectors-SteeI
Decks, Girders and/or Joists- Decking - Braci ng -Stairs- Rai Is
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg- Frg -Bracing
1 .
Zoning Req uirements-Setbacks- Easements
6.
2.
Soils; Special MH Support Sketch
Electric
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test- Easement Needed (Sketch)
Shthg-Roofing
5�t.; Steps- Doors- Landings
5.
Electricity; Location-Clearances-Grnd, / /Amp -Concrete
Date
6.
Gas; Location -Test-Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ PLPG
Card 13-1_�-� /U-�Date Card B-1
7.
Well Clearance & Disconnect
Setbacks -Easements
8.
Utility Clearance
3.
Pool Structure; Steel -Con nections-Th ickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
Date
Elec.; Enclosures; Conduit Entries -Term inals- Listed
Card B-1 Date Card B-1
Date
8.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #s
10.
1 .
Zoning Requ irements-Setbacks- Easements
Light Niche
2.
Footings; Size -Spacing- Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Reg ulator-Connector
7.
Water and Sewer -Connected-C/0 to Grade -,H D Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type- Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1 . Zoning Requ irements-Setbacks- Easements
2. Footings; Size -Spacing- Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; M H Test ,
7. Water and Sewer Connected.
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verifv #'s With Office
Date Card B-1 Date, Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DEC��VERS, CARPORTS, GARAGES (Plans) OK except Ws
�--' 1.o'Zoning
,,�ootings;
L 3.
4.
Requ i rements-Setbacks- Easements
Soils-Size-Depth-Spacing-Connectors-SteeI
Decks, Girders and/or Joists- Decking - Braci ng -Stairs- Rai Is
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg- Frg -Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
.; Sills-Anchors-Studs-Rftrs-Trusses
ing; Nai I ing-Veneer-Stucco- Mesh
MOO.600f;
111f.
Shthg-Roofing
5�t.; Steps- Doors- Landings
�r-1 2�/traced
Wall Panels
Date
Card B-1 �a Card B-1
Date 9t111,o13
Card 13-1_�-� /U-�Date Card B-1
Date POOLS (Plans) OK except Ws
1 .
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Con nections-Th ickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Term inals- 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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I
4 = OK
0 = Not OK
- = NotApplicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #s
1 .
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V; Fall-Fifting-Test-2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Date
15.
Access& Ventilation
47. Hangers -Post Caps -Anchors -Connectors
16.
Insulation
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Date
Card B-1 Date Card B-1
Date
52. Garage Fire Protection Framing -RC Channel
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
17. Water Htr.; Vent -Access -Combustion Air Baffle
55. Stairs; Width -H eadroom- R ise-Run-Landing- Fire Protection
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
61. Brace Interior/Exterior Wall Panels
22.
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
64. Ext. Steps -Door & Sidelight Protection- Landings
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
24. Fixture & Transformer Clearance -Ins. Protection
67. Bedroom Exiting
25. Elec. Receptacles Spacing -Lights & Switches at Doors
68. G.Fl. & Bath Fixtures & Tub Access -Spa
26. Size Boxes & No. of Conductors Stapled
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
27.
Romex Installed Close to Edge of Studs & C.j.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
72. Elec. Outlets at Wood Panel, Int. & Ext.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
75. Garage Fire Door; Swing -Landing -Closure
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes C3 No
32.
Service -Riser Conductors & Ground Main Disconnect
78. Plb.; Elec. & Mech. Equip. Listed for Location
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
81. Guard Rails & Deck Construction- Post Caps
35.
Smoke Detector
Clearance Looked under Floor 0 Yes
Date
Card B-1 Date Card B-1
Date
85. A.C. Unit Disconnect, Electrical- Plumbing
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
87. Water Well, Disconnect, Electrical, Plumbing
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
90. Glass Protection
38. Condensate Drain & Overflow, Size & Grade
91. Corrections from Previous Inspections
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
96. Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
Comments at Final:
42.
Walls Studs -Nailing Spacing & Braces- Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -H eadroom- R ise-Run-Landing- Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection-Skyl ights- Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
64. Ext. Steps -Door & Sidelight Protection- Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
67. Bedroom Exiting
68. G.Fl. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. &Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FF.I.)-Romex Protection
80. 1 nsu lation-Foam- Looked in Attic
81. Guard Rails & Deck Construction- Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes El No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -U nderg round
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Gracle-HID Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
MICHAEL MOONEY 5A MADRONE AV&, -
CIVIL ENGINEER. OROVILLE, CA 95966
RCE 20647 EXPIRES 9-30-05 530-533-2131/FX 534-0902
Butte County November 1, 2002
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
Re: Jake Richter
APN 029-220-044
Special Inspection
On this date my office performed a special inspection for this project. We inspected the
foundation soils to see if they had been adequately presoaked to insure saturation. In our opinion
the soils have been adequately presoaked and are saturated.
Thank you for your consideration and patience.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
1
ASSESSOR PARCEL NUMBER 029-220-078
ZONING
BUILDINGPERMIT
OWNER =Y LATITKIRE
TELEPHONE
SO. FV OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
11511BUrIE CITY, RIGIVAILE 95974
CONTRACTOR*S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 142.45
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGAIDDRESS 1151 BUM CIIY� RICHVALE
—Energy Plan Checking Fee
$
PERMIT FEE
$ 162.25
LOT NO.
SUBDIVISIONS NAME
PARCE . L MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
1 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 0 Addition 0 Remodel 0 Utilities 11 Installation 0 Other 0
Describe Work: 1S2 RENEWAL OF W#02 -2M5
—Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
92o.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service 8,0,0,v OR LLEsss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisioniff Chapter
9 (commencing with Section 7000) of Division 3.of the Business and, Profes–S ons Code,
and my license is in full force and effect.
Lic. No.
License Class OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from*the Contractors License
Law for the following reason:
',16 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
0 1 as owner of the property, am exclusively contracting with licensed � V66tractors
cc
io construct the project.
13 1 am exempt under Sec. Business and Professions Code for th is
reason
Main Service -- - I 01MA
46.00
NEW CONST. DWELLING OCCUP.
OR AD DNS. & ACC. 8WS.
so
3.50FT.
c'
R E s,
97.50
OWER AP "ARATU
( PSIN.. . C SIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL @ .50 1
Ex. Occup. ( ..FIXED APPLNS O.R,.
5.001
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 ($100) or less.)
M I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply witk'those provisions.
Date
X 1A910
Signature of Applicant 0 Owner 0 Contractor 0 Agent'
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ CONST. TYPE
TOTALFEE$ 162.25
HAZ
I D. FEES IMP FLOOD CDF
PARCEL PD
HD ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
e
ReceiptNo. -7/ -Z704--l'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
1k I
F029-220-078
. T 03-3015
tATTtMORE, TERRY
�o
1151 BUTTE CITY, RICHVALE
ST W
I ST RENEWAL 02-2335
J,
I
a
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, California 95965 * Telephone (530) 538-7541 O'P
(Rev. 12/96) APPLICATION AND PERMIT r -49-
ASSESSOR PARCEL NUMBER
ZONING
A -1-r)
BUILDINGPERMIT
OWNER
LATTEMORE, TERRY
TELEPHONE
868-5993—
SQ. FT. Occ. BUILDING VALUATION
1. 1A00
OWNERS MAILING DR]=SS
1145 BUTTE CITY, RICEIVALF, CA
MV 4, 1AS,
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $ 29.568.
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ CX)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 03
BUILDINGADDRESS PRICHIIAT E
11511 BUTTE CITY?
Energy Plan Checking Fee $
$
PERMIT FEE RID /,,4
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF AHI Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition W T,KWAY
Describe Work: ATTACHED GARAGE WITH COVERiED WATKI
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20.00
800V OR LES:
Main Service .. OR LES 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,yvjbr the following reason:
/X1 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DW
.�LJNG UP. so
OR ADDNS. ___ S. 3.50H.- 49.0k)
.C. aSC
NEW CONST. OUTLET
NON-RESID. =LTH' CIRCUITS @7.50
OWE.RAP=US
PSIN. 0 C'R.
20
Ex. Occu OUTLET OR FIxrURES 1111- @@
Ex. Occup. PR.,6.) 5.00
O.FMED A UNS 0.11',
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring 23.00
—Misc.
PERMIT FEE $ 69.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FOE
Policy Number
(The above sections need not be completed ff. the permit. is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become� subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compen��iktion provisions of section 3700 of the Labor Code, I shall
01
forthwith comp� w Be provisions.
Fily wll�p_ -7 c)
X _*9zL Date S -I
Signature of Applicant - 0 Owner 0 Contractor [3 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ /55R.43
IM
t�
FPD
CDF
P��
I PDf
V
HQ$
V
ISSUE�,
V
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.
B YA 1� 6LC1114 Date L)2
PERMIT EXPIRES ON
1 7 pw.)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR-// PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DkVtLOPM . ENT SERVICES - BUILDING SION
1r)
7 County Center Drive * Oroville Califo�nia 95965 9 Telephone (530) �53 541 -PERMIT N T
4R oo, A55
(Rev. 12/96) APPLICATION AND PERMIT IF I
ASSESSOR PARCEL NUMBER
099-920-078
ZONING
A — A fN —
BOILDIN
'GOERMIT
OWNER
LATTEMORE, TERRY
Yd"W&
868-5993—
SO. FT. OCC. BUILDING VALUATION
1400 IT 25,200
OWNERS IUNG ADDRESS
11.49 BUTTE CITY, RICHVALE, Q.A
-
336 C.017 4 368
CONTRACTORS NAME
OWNER
TELEPHONE
-
CONTRACTORS MAJUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuatlon $ 29.568,
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
284 50
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
9=3
BUILDINGADDRESS
11-51 31-ITTE CiTy, RICHVALE
Energy Plan Checking Fee $
$
PERMIT FEE
Q 43
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
1
PLUMBING PERMIT
'rd ' ' 20.00
Filing e
Each Trap
7.00 -
USEOFSTRUCTURE
SF )tl Duplex 0 Mobilehome 0 Other
SPECIFY
-
Solar or heat pump water heater
23.00
Water piping
15.00
-
Each gas water heater or vent
15.00
TYPE OF WORK
New [3 Addition MA%P����WbCVVWWTr-Mkh*VAY_
Des rib or Q11 GAIRAGE
I
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S
@D20.00
PERMIT FEE $
94pV Ae Ie
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.*.Av o0RR
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
L the following reason:
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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW:UJNG UP.
.C. UC
OR ADDNS. S.
so.
3.50FT., 49.0
NEW CONST. MULTI-OUTLEr
NON-RESID. BRANCH IRCUrrS
97.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
SAL @ .50
..FIXED A OR.
Ex. Occup. PP=.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Wiring
23.00
—Misc.
PERMIT FEE $
69.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($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
wor ers, comp&tion provisions of section 3700 of the Labor Code, I shall
ith cc _.,?i
0 . 4a ose provisions.
X Date 0-2-
Sig F Applicant - 0 Owner 0 Contractor 0 Agent
ature
TAnOSHA ermit is required for excavations o r 60" deep and demolition or construction
of strunt, in over 3 stories)n height. T
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ /55u0.43
&�,
CDF
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat do above for which fees have been paid.
B Date
PE IT EXPIRES ON 63
�Date)
rReceiptNo,SWIV -3 -3 3
i tt
WHITE-O.D.S.-B.D. - CAN rRY-ASSESSOR Z I PINK-INSPECZR GOLDEN ROD7PPLICANT
IT
W,7
'. X-1VELOPMENT SERVICES -BUILD VISION
COUNTY OF BUTTE-DEPARTMEN
7 County, Center Drive, Oroville, CZD%965 Phone (530)538-7541 Fax (5 53 -21Z
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER 0 D(i
Proposed Building Use: vjW k-WOL� V4 *Y�CLO)t--' Counter Technician: f�� Date:
Items required in order to apply&� a permi(JAII bee MUST be checked'OR AlIked NA in order to apply.
eq 1. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
�ngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
Engineered truss details and layouts in duplicate. No faxes!
0 5. Energ� compliance design and supporting documentation in duplicate.
y
06. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
,-,>j8.,D-go,o)s��ol�e(vataio�n,,.C6er-t,i-fi\cate, wet-stam ped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings.... ��*.;.*.'
, . -;;�'."41'-;�;.�;;.;,�# .......................
0 11. Detached Accessory-Bui,tdi-i�grorrr7Fifl;d out by the owner .....................................
A�,dqos Mdrial Form ....................... ...................
0 13. Other
iFOngi(emsineededA"Ae-thJAperLit.�Wym�tore,�l.t?, /Of],
0 6review upon receipt of the followinj items.)
714. Fees as shown on the attached Schedule of Fees Due Sheet ... 7 ....... t .. �w ......................
'�Vl Statement of Intent for Non -heated and A/C Buildings .....................................
6. Sanitation and plot plan approval from the Environmental Health Department in '0 N
0 17. City of Chico Plumbing permit ........................................................................ *
0 18. California Department of Forestry plan approval 0 paid. Sent. -by: . ......................
0 19. Planning approval for (A) Use: 0 )<, (B)Parking: (C) Parcel Check:
0 20. Contact Land Development about 0 improvements,, O'Drainage ...............................
0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 22. Pre -Inspection for required ................
0 23. Contractor's license information. (Number, Name,Style,-C-lassification) ......................
0 24. Worker's Compensation Carrier and Policy Number ..............................................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization ....................................................................
0 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
0 28. Manufactured home utility clearance ...............................................................
0 29. Existing violations and/or expired permits .........................................................
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 31. Other: g�,< I Z - - :::D
When issued Telephone and hold for pickup.
I have been informed of th b f '*t d irements for obtaining a building permit.
0, -7
Applicafifl-� late: e? �
1. Index permit app Ca
2. Additional items re
er o
Contractor, de:si;a
Contractor, designec-01
Plans reviewed by: _
Structural reviewed by:
Note transfer by:
n for the above
::%s advised cf the above data by
i
was advised of the above data by
Date:
Date:
Date:
^ T- YL; i Tr-, Plan Check Letter
>Kne, 0 mail, CJ counter, by Date:
phone, 0 mail, 0 counter, by Date:
- Plans approved by: Date: -
-Structural approved by: Date:_
Yellow: Buildinp Division
T02-
'OEM-
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OWNER.
PR SED BUILDING USE
17
SCHEDULE OF FEES DUE
1W
al
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking, Fee .......................... : ...... $
C,
2. SCHOOL DISTRICT FEES
(paid at'District Office)
3. SHERIFF FEES (paid at Building Division)
Residential .................................... — x $360.00 = $
Units
Commercial (sq. ft.) ...................... — x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ — x = $
# Units Amt.
Commercial (Sq. ft.) ............. - x = $
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
-6
DATr-7 1� ';K'
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan cheAng process.
APPLICANT
IF —
DATE �'_ _22 r_Q L -
Pursuant to Government C6de Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. IYou have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev..6/00)
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under building permit
application number: at the location of
Assessor Parcel Number: 07 9' for the construction of an addition
for
4-e 4 /? e,,,J e
III
does not equal or exceed the definition of "Substantial Improvement
I am aware the building site is in a flood - plain area, even though I am not required to
comply with the flood plain management criteria.
Property Owner: -774-r-1-1 LA:11
T -
Address:— M;- ( (�-
PhoneNumber: 6-30
A -
Date: 2 7 /0-2-
e--P&vo r-e—
c_e__
1 Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a
structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before
improvement or repair is started or (b) if the structure has been damaged, and is being restored,
before the damage occurred.
NOTE: Documentation may be required to substantiate cost.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
7 County Center Drive, Oroville CA 95965 Phone (530)538-7541
Substantial Improvement Worksheet
for Projects within FEMA Floodplain
APN: ozq — ? W — (5
Existing Building: DATE: 0/ , 1:9 , 0 --7—
USE AREA SF -VALUE TOTAL
KZ X X
X X
X X
X X
X X
X X
X X
Existing Structure Value
Proposed Addition -Remodel
1� z4
USE AREA SF -VALUE TOTAL
X Wo 0 X 10' Z,5, 240 0
ed x X
X X
X X
X X
X X
Remodel Contract: 2-9 `5 6
Improvements Value OW 1 .70, /—/ P'"!
Improvement Percentage IV 2- 01.5 & k
ESV I 19�i/-400-
EA
If improvement percentage equals or exceeds 40 %, an appraisal is required on the
existing building. Submit appraisal documents prepared by a certified appraiser. A
new Improvement percentage will be calculated. If improvement percentage' exceeds
50%, a substantial improvement exists.
September 12, 2002
Terry Lattemore
1145 Butte City Hwy.
Richvale, Ca. 95974
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 029-220-078
Building Permit Number: 02-2335
This office reviewed building plans for the permit application referenced above. The plan
examiner's comments are listed in PART - I below. Please respond in writing to each comment
in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM.
Indicate which detail, specification, or calculation shows the requested information. Additional,
response information is included on the response form. Your complete and clear response will
expedite the re -check and approval of this project.
PART — I
Provide additional information and/or make revisions to plans, specifications and calculations as
follows:
NON-STRUCTURAL COMMENTS:
1. Provide square footage of house to which improvement is being made.
STRUCTURAL COMMENTS:
1. Provide truss calcs for 10' & 6' wide breezeways.
If you wish to discuss any non-structural requirements in PART - 1, please call me at (530) 538-
7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Structural
questions should be directed to the Plan Check Engineer.
Sincerely,
Rick Trent
Building Inspector Plan Check Engineer
1 of 1
E * H. USE ONLY
Plot Plan Anech, d
Rear Plan A@%ched
Sent to S.D. L —�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-duluri)
Owner Location AP#
Water Supply: Private W
Plan Approved for: Sewage Dispo�a� Public ell
Clearance for — dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
IL &- / AA 3-7�
ealth Specialist Date
8/96
0
El
Off..
No ill
w
APPROVED
Butte clourItY
Onvirminental Mealth
7
MI III nING PL�N =PO�t-O��,
PLANNING DIVISION- BUILDIN
use:
Parking: LandscaPing: ----------
ay
71�
36 x 50 Hou -,c
1, 41.
:=49M"M
Driveway
W z 40'
APPRO\IED
�� county alt
.nfal He-
� of 156reel Pr i vtway
/2 of C7kdred Or i ve
Froper-ty L�i no—
Driveway
N., M0.00414'.j
I
AL
T.nk
Driveway
50' x I 4W llor*js 0116
Flot Flan
11 5 /1145 Dutte Gily Hwy
All 0imen,,ion,5 are Approximate
AP 02q-220-076
1 L�s4b Floli — 600'%�
M&/�
-- NPWVWVWTIV
Driveway /�/
u
OWNER -BUILDER VERIFICATION
Anencion Property Owner:
An ",owner -builder building permit has been applied for in your name and bearing Your
Please complete and return this information at your earliest opportunity to 11.0. --�y
in processing and ism,ing your building permit. No buUding permit will be lissued ung.dds
verification is received.
1) personally plan to provide major labor and materials for construction of the proposed
rovernent: YES No C3
' perty
ro
ortheptaposedWO&
:23.'- HAVE7 HAVE NOT C3 signed an application for a building permit f
I have contracted with the following person (firm) to provide the PrOPOSMd i
INAME:
ADDRESS: CITY:
PHOLNE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinatp,
supervise, and provide the major work:
NIALMEE: I
ADDRESS:
CITY:
P H 0 LN -E: CONTR-ACTOR'S LICENSE NO.
5. 1 %kill 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:
PROPERTYOWN'ER:
S
DATE: 1�
NOTE: This Owner -Builder Verfeation is required by Section 19831 and 198J2 4WdW
California Health and Safety Code. This verification must be COMP14W avd
returned to our ofjlce before we are permitted to issue the permit.
OVER
'4j7
03AOHddV
fd3G ONwinb
-;i-ANNING DIVISIO* BUILDING PLAN APPROVAL
e K . Gf
n, AINWO RUN
*jng:- Landsmorig,
-other,
Signeture:
(C)t
%�Sfav
plot Plan Ila COUN-0
1 1 51 A 1 45 Du t t c C, Y' Hw Y pTaT KNIEN
All Pimen5ion5 are Approximate j)1E?
AP 02q-220-076
ov'p
10�
CITY E5 146 -S
I
-Xn—nwA*ftnft o0j, v
io�
W - M - ft#r or ##Affo�
FEDERAL BNERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROORM
ELEVATION CERTIFICATE
#* Inshucdom on pam I - 7.
SECTION A - PROPERTY
O.M.B. No. 3067-0077
E*m July 31, 2002
Apt., Unit Suft andfor Bidg. No.) OR P.O. ROUTE A14D BOX NO.
STATE. . ZIP CODE
CA !j! -e-v 2 7�7
k NumbeM TO ftcal Nmbw. L"M Dow"w. Mc.)
i�arftL Adohn Acceemy. alL Use a Commwft wee, If nftumy)
HORMONTAL DATUILE SOURCE: GPS fr�"X
ANAD 19V Lj MO 1983 �4
Li USGS.Qued Mop L_j
SECTION 8 - FUM INSURMCE RATE MAP (Fing INFORMATION
NUMNO I EFFECTIVEIREVISM DATE _�jaWAZ�s ___
PATE uns 4
-epth of %aft)
D&OO 1 Zog-7!j
110. Indlosts #* source orthe ftse Flow ee�imin (BARE-) data or base Road depth entered In 811
Lj RS Proffle Lj FRM Lj Communly Determined U Other (Desaft):
111. Indicate the elowdon datum used for the 8FE In 89. Lj NGVD 19M Lj NAVD IM Lj Other (Deuvibey
11Z lathe builft 1—tal Ina Coastal Barder Resources System (CBRS)am orodmvAse Protected Ares (OPA)? "Yes
Designation Ddk� >allo
EMATION
:1. Building M&dft am based on: UConstruction Drawings* LjBulldng Under Construction* WFInIshed Construction
A now EW-ition Cwftdm YAN be required when catntrudan of to building is empleft
:2 Building Diagram Number _ (Salad the buIlding diagram mod similar to ft building for which this certillcate Is being completed - see
pages 0 wW 7. N no diagram accurately mpresards the building. W=We a "ImId or photagraptL)
Eleveffoas - Zones Al -A30, AE� AM, A (with BF14 VF, V1430, V (With BM AR ARIA, ARIAE, ARIAI-A30, ARIAH, AR/AO
Complete items C3.a4 below according to the building dlWarn specified in Mom C2 State the datum used. If the datum Is different from
tha datum used lbrihe BFE In Sedan B, convert 1he datum to that used far the 8FE. Show ftW messuraments and datum conversion
calculatforL Use the space provided or the Comments of Section D or Section G, as appropieta, to document the datum conywelon.
Datum ConvwsIonC;omrnerft-
Elevation reftrence mark useo, Does the elevation mark useid appear an th 0
jWa)Tdpofha"n floor (Including basement orenclasure) vm) I
0 b) Top of nod higher floor IL(m)
Q C) BOOM Of W~ haff2aft structural member (V zones only) fL(m) NN
13 d) Attached garage (top of slab) IL(m) A< %4 Exp.
0 a) Lowed elevation of machinery and/or equipment to G
servicing the building (Describe In a Comments arm) .16 rn
0 1) Lowest a*xwd (Inished) graft 6Aq
Q g) Highest '(11nished) grade (HAG)
Q h) Nck of pomanent openings (ftod vwft) within I IL above 8410cent waft IVI
Q 0 Total area of all pannenent openinp (ftood vents) in C3.h _ sq. I#L(sq. am) n r in, ft I
—SECTION 0 -SURVEYOR, ENGINEER, ORARCHTrECTCERI FIrA71ON \,j —
tt 776".4. r, =
rhis Is to be signed arid sealed by a lend'surMor, engImer, or architeld authorized by law t!o.cwW eievgtIan Intmiallon,
'08MY UW Me Wwnmftn In Sedbra A A and C an -this cerffikeft M99"ft my bast sftft f0 kdarprat Me date wafabk
'Yndw*&W that any fAw MWeniarit may be pay(ehabb by ** or kmv1wnnwd Wx1er 1 a U. I Coct& S@djan 1001.
L"MSE NU%11111�
'0� C_
RA ofl,'VA
ME CIV,14. R:NQ/.,0VEZX, r0jW119 MK
if
ON
s- lf�
SECTION 0 - WRVEYOR. ENGINEER, OR AR04TECT CMMPICATION (CONTINUED)
CW boM skim d dils Ekvaft Caffliods for (1) cmwmx* official. (2) kwwwm agenVom"M, &,W (3) bu&ft owner.
cammem.
For Zone AO mW Zom A (WiftM 13FE), oon bm El I=* E3. ffft Bbvmftn C&Idkft to &Vwx1ad ibruse as appordW
Wxy oft 1br a LOW or LOAM.F. Sedlon C nxW be oogyptod.
El. Stillift DWWM Nwydw (Select ft bLAft dagmm Rmd sknilar to the WkUM for which this 1 110 Is Uft cm~ -
-n*pF4*8Wd"r- Ifna somsWely mpp!mn h1thabuldngpromw4dea 11091'arpholograOL)
E2. The top & Vve I q 11 m floor (inakift bomvtwt or analmm) at the WWV is 1_�Wcm) L -j aix" or L -j below
(theck ans) On 1000d sopent WadL
E& For Zan AO *W. - N no flood deo.mindw is avalls61% li the lop Of Me 11 fl o-i3r slevaW in accordance wM the communkYs
omilmence? U Yes U No U Ur*nwmL Do local m1ficleB 00 kdmrAdon In Section M
3MM F - PRMM OwNst (OR CNVNEWS REPRESENTAT11M C111MICAMON
7hopioputycommorawrWeauftrtmdmpswftftvftpm platm8odkmAiLw4EfbrZa*AoMoutaFEMA4ssuador
ommmnity4sam! WE
or Zone AO must dp hem
PROPER 19 OWNER a OR 0v�NElftAUTH1OFtlZ.ED PWMSE-M-fA-TfVn NAME
OWN CITY STATE MP cope
SIGNATURE DATE TELEPHONE
inommu.mmummommanonmeacyjawaraitma to aamnstartnemmmunitys nomap"m martagenvent amunance can cmvwm
SedbmA 9, C (or E). and G of #6 ftvabon CardftaL Complete the appiliceble."s) and so below.
G1. Tmbtwvwdm In Seeft Cum Mm ftm atheirdoctsymtellon.thethas bam skpW and i hamme byalloansedumveyor,
eno� or ardftK1 who to suihortmed by ftft or loco tow to corft *wmdm ln*mmdiom (WIcaftemmumeanddefeafthe
i I m , mm dds In fm Cann%M am below.)
G2. A conwmx*. - M Am' pli'm Secdon E for a buk&q located In Zom A (witivout a FIBMA-issued or commudv4ssued BFE) or
Zmw AO.
G3. That" inAmno" (ftmG44MbpvAdedfbrcainudyftwdpidnmwwgwnwtpwpossL
G7.7hispsaWlimbeeinimmuscitr WNewConshiction L_jSubaw"llipayssnant
offtbuilftle: - I . . — t(m) Oat=
&T&& th;�!� do* of fta 0 -, a the b*ft oft. iL- Um) Damn
J -j amick hem 1fWb3chMWft
N19 law..
RM Aftr-R Al I PRPMCU IR Pnffl(!W
To: Building Department
From:. Environmental Health
Subject: Sanitation Cl aranc
2
Owner �Location AP#
Plan Approved for: Sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for:. water supply
Clearance for bedroom.mobile home. Other
NOTE ***
Sanitarian Tate
NOTES
I j k I t I
I
RESIDENTIAL
- — -------- ----------
29-2:: �0-O7� 0 F-1745
LATTEMORE, TERRY
(1145 BUTTE CITY HWY. RICHVALE
CONT: OWNER
MH PERM FND REPLACE
OEMO SF
��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
INSPECTOR MUST RETREIVE)
(2) STATEMENT OF FACTS (ONLY ON
NEW MH.'S.)
INSPECTOR TO VERIFY SERIAL & LABEL # S.
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSNG LETTER
OLI
OFFICE COPY
FAdd2ress 1145 avfcafy
GAS
Meter By Date.
ELECTRW
Meter By Date
JOB FINALED (Date)
Signature
CHECKED
BY
il
/= OK
0 = Not OK,
-- = Not Applicable
* = Not Ready
MO�KLE HOMES
Date MOBIL5�!OME UTILITIES (Plans) OKI,except #'s
MH Test -Fall -Flex Connector
f-Ifoning Require ments-Setbacks- Easements
MH Test -Regulator -Connector
2. Soils; Special MH Support Sketch
and Sewer Connected -C/O to Grade -HD Approval
3. Sewer; Location -Test -Fall -C/O -Concrete
and Electricity Tagged
4. Water; Location-Test-Easernent Needed (Sketch)
Tie Downs -Type -Installation Cert.
5. EIWricity; Location-Clearances-Grnd-/bp /Amp-Concrele
Exits; Insp.-Sketch
J;-116as; Location -Test -Wrap;-/ L -ft.
P Nat. or/ /-L-tt., Oe /LPG
Cert. of Occupancy
7. learance & Disconnect
Permanent Foundation Only; License Decal
9,"Lltility Clearance
DateCb- CardB-1 hbVI Dat Card B-1
I
Date Card B-1/ z Date Card B-1
Date MOBILE HO TALLATION (Plans) OK except #'s
11 Ze 'WRequirements-Setbacks-Easemenis
Yzir 7-1 P�V_otings; Size- Spacing -Marriage Line
��Gas; MH Test -Demand -Valve -Connector
4.
Elcectricity; MH Test -Crossovers -Breakers -Clearances
MH Test -Fall -Flex Connector
e)lfater;
MH Test -Regulator -Connector
U/Water
and Sewer Connected -C/O to Grade -HD Approval
8.
and Electricity Tagged
,,,,Pas
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
*
pos-r It-ZWO cat -
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
_Z4 -IZ5
-7-
0
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1 .
Zoning Requirements -Setbacks- Easements
2.
Footings; Soils -Size- Depth-Spaci ng -Con necto rs- Steel
3.
Decks; Girders and/or Joists -Decking- Bracing-Sta irs- Rails
4.
Wood Awn.; Posts- Beams- Rftrs. -Con neclors
Shlhg.-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; Na iling- 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 3-1 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
V= OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL
Date
46.
Underfloor (Plans) OK except #'s
1 .
Zoning -Setbacks- Easements- Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4-
Ftg., Porches & Decks; Soils -Steel-/ T' Ftg. Depth
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
6.
Stemwalls, Garage; Steel- Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fal I- Fitting- Te st-2 Way C/0 -Sewer Test
0.
LIF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
1 .
Water Pipe; Test- Ancho rs- Reg ulator- Service Test
2.
Electric Underground
3.
Plenums & Ducts; C lea rance- M aterial- Support- Ins.
4.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
5.
Access & Ventilation
6.
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
-7.
Water Htr.; Vent -Access -Combustion Air Battle
-8.
Water Pipe; Test & Anchor -Nail Protection
-9
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
69.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance-Hearlh
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Z9.
Subieed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
'�O.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral 0 Yes UNo
Service -Riser Conductors & Ground Main Disconnect
,2.
Equip. Clearances Panels- Motors- M ech. Equip.
,.3.
Clothes Closet Light -Shower Light -Spa Light
'4.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
89.
A.C. Ducts Insulation & Support
..6.
Vent Fan, Exhaust above insulation
,7.
Condensate Drain & Overflow, Size & Grade
'8.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
'g.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
-0.
Sills Proper Materials & Anchors
- 1.
Walls Studs -Nailing Spacing & Braces- Plates -Sou nd
-2.
Bearing Walls over Girders & Floor Nailing
-3.
Draft Stop in Walls (rat proof)
-4.
Fire Stops, Furred Ceilings- Stairs -Chasers -Tubs
-5.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-RfIr. Ties- Purlin- Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width- Head room- R ise- Run- Land ing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents-Rafler Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -I'd. Vents-UnderfIr. Access
58.
Glazing Area -Glass Protection -S kyl ights- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
6'. .
Insulation -Walls -Ceilings
62.
1 nfi Itration-Walls -Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
ExI. 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 & Labqls
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance-Hearlh
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- Land ing-Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -C learance- 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.
Ins ulation- 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 InstId./Drive :j Yes :I No/Walks :j Yes :j No/Planters 11 Yes 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- U nderg round
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 Gracle-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
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA * (530)'�38-7541
CORRECTION NOTICE
4.477-rIng.AeF, 0IJ-1-741S
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
!2=/P -S$ /Z'W'Om4�
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
C:OPY of Document Recorded
01 -Oct -2001 2001-0045260
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
1855 1. This. docurnent is evidence that su ' ch local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
THE LATTEMORE TRUST
TERRY SCOTT LATTEMORE &
SANDRA LEE LATTEMORE
REAL PROPERTY OWNER/LESSOR
P.O. BOX 339
MAILING ADDRESS
RICHVALE, BUTTE, CA 95974
CITY COUNTY STATE ZIP
1145 BUTTE CITY HIGHWAY
INSTALLATION MAILING ADDRESS. IF DIFFERENT
RICHVALE, BUTTE, CA 95974
CITY COUNTY STATE ZIP
TERRY LATTEMORE & SANDRA LATTEMORE
UNIT OWNER (ifaiso property owner, write "SAME")
1145 BUTTE CITY HIGHWAY
MAILING ADDRESS
RICHVALE, BUTTE, CA 95974
CITY COUNTY STATE ZIP
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
ry COUNTY STATE ZIP
1-1745 A I . r (530)538-7541
TELEPHONE NUMBER
9/4/01
SIGNATURE OF LOCAL AGENCY OFFICI DATE
NONE
DEALER NAME (ifnot a dealer sale, write *NONE")
NONE
DEALER LICENSE NO.
UNIT DESCRIPTION
SKYLINE
2001
WOODFIELD
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER.
17 -70 -0197 -P -A/13
26'X 60'
ULI 524725/26
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #029-220-078
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY.HCD PrNK-Applicant GOLDENROD -Building Dept.
LEGAL DESCRIPTION
A.P. #029-220-078
All that certain real property situate in the County of Butte, State of California, described as follows:
LOT 170 OF RICHVALE COLONY NUMBER 10, AS THE SAME A PORTION ARE
LAID DOWN AND NUMBERED ON THE*OFFICIA'L MAP THEREOF, FILED IN THE
OFFICE OF THE RECORDER OF BUTTE COUNTY, CALIFORNIA, ON MARCH 14,
1912, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN
PARCEL MAP RECORDED JANUARY 3, 1975, IN BOOK 52 OF MAPS, AT PAGE 29,
OFFICIAL RECORDS OF BUTTE COUNTY.
RECORDING REQUESTED BY
WHEN RECORDED KAIL TO:
AUDREY E. LATTEMORE
.1151 BUTTE CITY HIGHWAY
P.O. Box 26
RICHVALE, CA 95974-0026
THIS SPACE FOR RECORDER'S USE ONLY
GRANT DEND
.Audrey Elnora Lattemor6, the undersigned grantor, for- a valuable
consideration, receipt of which is hereby acknowledged, does hereby grant The
Lattemore Trust, Terry Scott Lattemore and Sandra Lee Lattemore, trustee, trust
dated August 29, 1997, the following described real property in Butte County, CA:
DESCRIPTION OF PROPERTY: All that real property situate in the State of
California, County of Butte described as follows: a portion of Lot 170 of
RICHVALE COLONY NUMBER 10, as the same a portion are laid down and numbered on
the Official Map thereof, filed in the office of the Recorder of Butte County,
California, on March 14, 1912, described as follows: Parcel 2, as shown on that
certain Parcel Map recorded Jaunary 3, 1975, in Book 52 of Maps, at page 29,
Official Records of Butte County. Ap# 029-220-078-000
Executed On 1 9.Z7 a t
— — — — — — — — — — — —
CVA i� Q (2t
Audrey EDhora Lattemord—
Certificate Of Notary Public
County of Butte I State of California
On (D(YA Obkr 19 . 101 (A-1 bef ore me, (� \ j e-- e— -7 S rY\ r'�A personally
appeared Audrey Elfiora Lattemore, personally known to me (or proved to me on the
basis of satisfactory evidence) to be the person whose name is subscribed to the
within instrument and acknowledged he/she executed the same in,��/Ie authorized
capacity, and that by �xWah��L signature on the instrument the person or the
entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand,-gnd official seal.
AL)CE T SWH
Cowrft*M 0 11
Notcoy PJ:AC — C430bRIM
Buffs C4W"
my C4ffm Bpkw An 2L 20M
DEPARTMENT USE ONLY
TRANS CODE
NMH
SITUS CC
CALIF. DEALER LICEN
T_,N
MFG. MOdEL: !"3 01
_2& \ � —
SECTION NO. (14)
STATE -OF CALIFORNIA
BusmESS, ThANSPORTATION, AND HOUSING AGENCY
DEPARTMENT USE ONLY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
Registered
Owner(s)
[print true
narne(s)]
DECAL
DIVISION OF CODES AND STANDARDS
RF
2.
A4-
MANUFACTURED HOUSING PROGRAM
MRF
If applicable, check one of the following: [3 TENCOM OR JTRS 13 TENCOM AND 0 COMPRO
PENI
Current Mailing
Address
Future Mailing
Address (if
different than above)
SitUS (location)
Address of Unit
Legal Owner
(Ilenholder) [print
true name(s)]
rNNO.
MCO CONTROL NO.
DEALER REPORT OF SALE OR LEASE
city Com Qpte zi
CN
Street t
5
city comt
Street
Q\
NEW MANUFACTURED HOME OR
TOD
DUPT
Coun!,?,, tato
C h cl�%
MULTI -UNIT MANUFACTURED HOUSING
I
TAX TYPE: LPT EXT
REPO
UiE CODE (Check one)
10 RIGINAL SALE/LEASE PRICE
Mailing
Address
ORIG. COST CODE
RSF
[3 SFD 13 Mum
PLT
SIT
%�) :) 1 1, /61
MA�UFACTURER LIGLISISF NO. MANUFAcTURER TRADENAME
DbN2 I � � cr-,A '�-, e � 6
DATE OF MANUFACTURE INSI�ACLATION TYPE Icheck onel— . . 00MA1119"
]@R..l Property Improvement 13Pe rIonal Property
MANUI�ACTURER SERIAL NUMBERIS) HUD LABEUHCD INSIGNIA NUMBER(S) I LENGTH (inches) WIDTH (inches) I WEIGHT (Ibs)
19- fa a2_ I.X, In -,-)r,\ r7p
r7 r -I I C� ri - _D _'L N I I TROL01 r7n _q I PZZ I— T17 t (f)
ADD SECTION E3 DEPARTMENT USE ONLY
Clerk
Registered
Owner(s)
[print true
narne(s)]
Last First Middle
L
PPF
RF
2.
A4-
ILT
MRF
If applicable, check one of the following: [3 TENCOM OR JTRS 13 TENCOM AND 0 COMPRO
PENI
Current Mailing
Address
Future Mailing
Address (if
different than above)
SitUS (location)
Address of Unit
Legal Owner
(Ilenholder) [print
true name(s)]
Street
PEN2
city Com Qpte zi
CN
Street t
5
city comt
Street
Q\
TRIF
TOD
DUPT
Coun!,?,, tato
C h cl�%
DUPR
SUBD
I
CONF
REPO
If applicable, check one of the following: (j TENCOM OR JTRS 0 TENCOM AND E3 COMPRO
-I
RREG
.
Mailing
Address
St at city State Zip
RSF
Junior
Lienholder [print
true names(s)]
PLT
SIT
If applicable, check one of the I'Dilowing: E3 TENCOM OR [I JTRS 0 TENCOM AND 0 COMPRO
UTP._.�
RT
Mailing Address Istraet
city State Zip
zi.
ASIF
CERTIFICATION
The applicant and dealer signing below state to the best of their knowledge and belief that all statements made In this application are true and correct. The dealer
certifies that the described unit Is in compliance with all provisions of the Health and Safety Code and Department regulations adopted pursuant to the Health and Safety
Code.
CCP
SIGNATURE OF NEW REGISTERE0
)OWNER(S):
!12
1_4 g4 /V Ali
2.
Z�i��4E .4.
3. '00�-7/n/
TOTAL
DEALER NAME: �4n*(Y-N'00'�,-� ='SIGNATURE OF -AUTHORIZE
DEALER ADDRESS: U
SALESPERSON NAME:'=Vr'nn',V��r qAIhPF:RRQ-NIIMBER:
HCD 480.1 (3198) Copy i - Department, Copy 2 Purchaser, Copy 3 - Tax Assessor, Copy 4 - Dealer Book No.282445
.:-..BUILDING PERMIT NUMBER: 01-1745
Address or location of unit: 1145 BUTTE CITY HIGHWAY, RICHVALE, CA
95974
Legal Description of R eal Property: A.P.029-220-078
—.--SEE ATTACHED
(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: TERRY LATTEMORE & SANDRA LATTEMORE
Owner's address: 1145 BUTTE CITY HWY., RICHVALE, CA 95974
INSIGNIA OR HUD NUMBER: ULI 524725/26
SERIAL NUMBER OR V.I.N.: 1 7-70-0197-P-A/B
MANUFACTURER'S NAME: SKYL
I OFFICIAL APPROVING INSTALLATIONA& M&
DATE: .9/4/0 1
,I
PHONE: (530) 538-7541
H.C.D. 513C
;'COUNTY OF BUTTE - DEPARTMENT OF*DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT 0/—J2 �Zs—
ASSESSOR PARCEL NUMBER
029-220-078
ZONING
A 40
BUILDINGPERMIT
OWNER
LA=ORE, TERRY
TELEPHONE
868-.5993
SO. FT. OCC. BUILDING VALUATION
1560 R 87,360.00
OIFOEIS MAILING ADDRESS
BOX 339 RICHVALE, CA 95974
CONTRACTORS NAME
01V7W
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 87.360.00
AR
.�1717ECT OR ENGINEER
LICENSE NO.
Filina Fee $ 20.00
Permit Fee 985 _50/2 $ 292.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 2,i -nn
BUILDINGADDRESS
1145 B= CITY HWY. RICHVALE, CA 95974
Energy Plan Checking Fee $
PERMIT FEE $ 335.75
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF;W Duplex 0 MobilehomeND Other SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.0015-00
Each gas water heater or vent 15.00
TYPE OF WORK
New [3 Addition 0 Remodel 13 Utilities 0 Installation 0 Other X
Describe Work: MH PERM END REPT-ACESDEMO SE
Gas piping sy�tem I - 5 outlets 15.00, s nn
Building sewer 15.00 1 nn
Mobile Home 19T�W (iP20.00
PERMIT FEE 65-00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 'o.R : ss 23=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
Law for the following reason:
0 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.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comoo W2 tho a provisions.
X Date
3r� - —
Sign I - I Applicant - Owner 0 Contractor 13 Agent
An OtAy2rmit is required4or excavations over 5'0" deep and demolition or construction
I
of struct as over 3 stories in hei ght.
as
Main Service 200A TO 1000A 46.00
NEW CONST. %%N 0 OC C U P. so.
OR ADDNS. S. 3.501FT..
=.C.ONS.T.
BRANC 97.50,
I. MULTIO
OWIERA=US
P.IN. 0 C..
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup. PP M.) E 5.00
..FIXED A OR,�.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
I
PERMIT FEE $ 43.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$ 443.75
I
IMP
X
;Jj�,r i PARCEL
X
po
X
I HD
X
—
I ISSUE
X
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w ich fees have been paid.
By D
PERMIT EXPIRES ON
I (Date)
ReceiptNo.?),Q(4 1-S-6 ZVV7,7-6
. B. D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION
7 County Center Drive * Oroville'. California 95965 0 Telephone (530) 538-754 PERMIT NO.
(Rev. 12/96)., APPLICATION AND PERMIT
ANSeSSOAPAACOLNUM061 ZON
- q.() BUILDING l"It:11"11MIT
OwNeR T L'
R-& �- __13113 SO. FT. OCC.
OW141TV D �J-p ML"� -113 FT BUILDING VALUATION
(Aim 009""
ts 3:x (� 'd-
-
CONTPACMWI 044AIe
CON*rRACTOA'l VALINO ADOR0111
CONSTRUC71OHLEADER
UENDER'S MOULNG ADOPE89
Fit?21&ce
ARCHMECT OA EHMNOM UCE?41! NO. Total Valuation Is
AACWMCr on OMMURS 1AWN0 ADOMS Filing Fee $ 20.00
Permit Fee
SURDJNGADORM Plan Checking Fee $
lists &UttE C-1� k4A (J- A'eN I
Energy Plan Checking Fee $
I - \j
I LOTNO. evec"Mmm"i
USEOFSTRUCTURE
SV Duplex 0 Wbllehome�z Other —$PWFY —
I TYPE OF WORK
Now 13 Addition 0 Remodel C3 Utilities 13 Installation 0 Other C3
Describe Work: M 4— 1C) 0 A M, " 4 A . - 0- -4
I z6v6z 'A' Dq -� -5 c,
*PERMIT FEE PAID
SPA
SHERIFF
OTHER
AMOUNT RECEZVED
$ -------------
*AECEIPT NVAkOEFt 3Q0
* TO k PVT INTO comKnTR
PERMIT FEE $ o
MECHi7NICAL PERMIT Filing Fee 20.00
Heatina I I
I Hood I 1 6.50 1
PERMIT FEE
Mobile Home Installation Fe—,
Energy Inspection Fee
Occ CONST. TVF%
T AL EE $
I z;43�?5
--L I D. FEES P F I OUCEL I W I mol'T-1
IThis 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
PERMIT FEE
PLUMBING PERMIT
S
Filing Fee 20.00
Each Trap
Solar or heat pump water heater
7.00—
23.00 --
Water piping
i s. o o 7s::: � —oo
Each gas water heater or vent
15.00,
ing system i - S outlets
15. 0 0 6--00,
Building sewer
15.00 0
—j�2
Mobile Hlome S G W1
—0
.00
PERMIT FEE $ o
MECHi7NICAL PERMIT Filing Fee 20.00
Heatina I I
I Hood I 1 6.50 1
PERMIT FEE
Mobile Home Installation Fe—,
Energy Inspection Fee
Occ CONST. TVF%
T AL EE $
I z;43�?5
--L I D. FEES P F I OUCEL I W I mol'T-1
IThis 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
PERMIT FEE
00-1
657 4
ELECTRICAL PERMIT
20.00
e
-Main Service
Main Service
800V OR LFS8
If
2MATO 1
23.00 3,06)
46.00
KEW CONS
OR AD
OwaLm OOCUP.
A AM. OWS,
so.
3.50T.
NO*RESID.
UL_ !
0
MULTI.-Oun.Er
7.50
I POYMOnt APPAMTIX
AtMT-
a S OUTM COL
Ex. Occup.
ovnEr OR FixTum
200 1.00
SAL a .50
Ex. Occup.
FIED APPI.M. 04
OUTLM ESID. FA
5.00
1
Temporary Service
23.00
I
---
Mobile Home Facilities
20.00
IV
23.00
PERMIT FEE $ o
MECHi7NICAL PERMIT Filing Fee 20.00
Heatina I I
I Hood I 1 6.50 1
PERMIT FEE
Mobile Home Installation Fe—,
Energy Inspection Fee
Occ CONST. TVF%
T AL EE $
I z;43�?5
--L I D. FEES P F I OUCEL I W I mol'T-1
IThis 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
=7
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
1 7 COUNTY CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: /-A-2u�6— 22L6 –&) I
0 ASSESSOR PARCEL NUMBER:
Proposed Building Use: )YAj6,,;tnc4 BuildinghispectoI V* Date:
At time of permit application I ikas advisgif the following data must be submitted prior to permit processing and/or issuance:
Date Received By
El I All iiems have been submitted --------------------------------------------------------------------------------------
Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
00'�Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engin pian
El 5. Engineered truss details and layout in duplicate (required prior to plan re faxes! ------- ------ --
06. Energy Design Compliance and supporting documentation - --------------- ---------------------- -
0 7. Statement of Intent. for Non -Heated and A/C Buildings.
Material Form.
Home data and installation instructions including Tie Down Specifications.
or,.I -------------------------------------- ---------------------
1. Impact fees as shown on the attached schedule.
0 12. California Department of Forestry plan approval/fees - ---------------------------------------------------------
q1 3. Flood elevation certificate. 44r, I -------------------------------------------------------------
IM4. Sanitation and plot plan approval Health Department - -------------------------------------------
0 15. City of Chico plumbing permit - -----------------------------------------------------------------------------------
El 16. Plot plan and business license approval from the City of Biggs.
1117. Planning approval for (A) Use: C� (B) Parking:.
. Ell 8. Contact Land Development about 0 Improvements, [3 DrainajZn4,e*aI Parcel.
T;. $1 59. Encroachment Permit for driveway (construction approval prior td occupancy).
1!120. Pre -inspection for
required. Reqiiest to Building Inspector on
El 2 1. Contractor's ficense information. (Number, Name Style, Classification).
El 22. Workers' Compensation carrier and policy number - ------------------------------------------------------------
023. Owner -Builder Verification (Given to owner 11, Mailed to owner 11) - --------------------------------------
024. Letter of signature authorization - ------------------------------- 1
7 ------------- I -----------------------------------
0 2 5. Recorded copy of Agricultural Acknowledgment Statement ------------------------------------------------------
026. Letter of intent on building use - -------
027. Manufactured Home utility clearance.
028. E?�isting " Zhs anAd"expired
n- 9 �X ant D�j P M.H.
030. Other:
to H.C.D S 0q 07.
L, Lei Arl,
When you issue the permit, prpcess as follows 0 Mail to owner, DMail-toApritractor.
&elephone IJIY/1�3
and hold for pickup 4� office. C3 QpI
iver with inspector.
Applicant.. Date:,
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 " Pollut)& Date: Bv:.
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By:.
(Date)
-7-4 - 0 (
1. Index permit application for the above items numbered: 0 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above rrquirod data by 0 phone, 11 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 11 mail, 13 Building Division counter*, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Divi t b Date:
Contractor, designer, owner, was advised of the above req n er: by
uired data by o phone, o mail, o Building 'vi:ilo uunter ;,__ Da;l:
Plans reviewed by: Date: Plans approved bi . - te. . ZLZe oj
y, , 71sco
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE'
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE
V
I BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
4-'-Revised Plan Checking Fee ................................. $
CHOOL DISTRICT FEES
, opaid at District Office)
A �' �1
3. SHERIFF FEES (paid at Building Division)
Residential .................................... — x $360.00 $
Units
.Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ —x—=$
# Units Amt.
Commercial (Sq. ft.) ............. — x = $
Sq. ft. Amt.
RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$5 10.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89-00 (paid at Building Division)
8. WATER TENDER FEES (Battalion
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00,(paid at Building Division)
10. OTHER
A.P. # o-&�-0,7 f
DATE —al
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE'2-4 —0 (
Pursuant to Government[Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
4.,w -r 7�,
LS IMPACT FEE CERTIFICATION FORM
(one form per Building)
BUTTE COUNTY SCHOO
School District ujn—Aj� Building Department No.
U U 0,07 io/. I -^
A.P. Number jurisdiction: city County
Property Owner
Property Location/Ac
Subdivision
Lot No.
Residential Development
............ .........................
..........
Sq. Footage
No of Living MoblTe Flome
Addition/
*Supplemental to
(Group R)
Units Installation
Conversion
Permit #
..................................................................................................................
*(No foundation inspection)::
Commercial/industrial
New Addition
Department Representative
(Floor Plans reviewed by School District
Sq. Footage
(Including Exterior
Roofed Areas)
I -/z -ell
Date'
District Identification No.
-School District certifies that VLO-06z I -A rne--�olo,,-
(Applicant)
L4 -6 7'V 14(�J y
or
(Street Address) (Phone Number)
VA
(city) (State) (Zip Code)
has complied.with the requirements of Resolution No.
representing square feet.
.... .... .....................
School District Representa4e
01/
Paid by Check # _,-Remarks:
by p ayment of $
FAE�2926 $
IFULL MITIGATION $
4�
IL ,
::Z-16,01 701
Date
Notice: You`*ay, protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), 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 (s7hool district) feiform.xis (10/98)dmm
Z 0 0
1 4'
out F -7
301 ROOF
UVE LOAD
6026-=-20-CATO
106of
YDL -
SEC. 4
ILL 51 PG. 6-53C
P211/CT
9
13,
. 04
fn
u
W -4p
1120
w"
11201
22401 224DI
224q 22" 2244
Off W-RiM
U3
w
C4
1120f
OR m Box
0
CENTERLINE SUPPORT REQUIREMENTS
THIS SHEET TO BE INSERTED %TH SUPPLEMENT TO FIELD INSTALLATION MANUAL
C4
FOR 30# ROOF SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS.
301 ROOF
UVE LOAD
6026-=-20-CATO
106of
YDL -
SEC. 4
ILL 51 PG. 6-53C
P211/CT
9
PLANNING DIVISION -BUILDING PLAN APPROVAL
us!e.� O'K Date:2 0 1
1�
Par�jkng: Landscaping:
Other:
Signature: �2
\1
I
rn
(C)l Ate 0i
�5�45 �7'
14-5
plot Fla"
[71 51 Dutte City Hi3hw4y WJLDW MPART W -P.
All L)imen,,ion,, are Approximate
02-,F— 7-2-0— 07e5 � P�,
BUILDING OWNER'S NAME
TEW R �,
BUILDING STREET ADDRESS (I
1151 Gurz
CITY e1.c14J1Ab5
FEDERAL EMERGE-NCY MANAGEMENT AGENCY
NATIONALfLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the' instructions on pages I - 7.'
SECTION A - PROPERTY OWNER INFORMATION
Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX No.
STATE
O.M.B. No. 3067-0077
Expires July 31, 2002
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APAJ 2q--2�0-078
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
_PZ!5/
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: - SOURCE: L_J GPS (Type):
##' - ##.##' or NAD 1927 � L_J NAD 1983 L_J USGS Quad Map Other:
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3.STATE
I 1 --7- - CA
1 3 Ll / er I
84. MAP AND PANEL
85. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
88. FLOOD
89. BASE FLOOD ELEVATION(S)
NUMBER
11
ZIP COS
9
DATE
(./alga
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
CtC,..CD-Z_
06100 Oq 75
L
A
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I FIS Profile Ll FIRM L_1 Community� Determined Other (Describe):
B1 1. Indicate the elevation datum used for the BFE in B9: L_1 NGVD 1929 L_1 NAVD 1988 L_1 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L I Yes No
LAI
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ><-Construction Drawings* L L
_18uilding Under Construction* _lFinished Construction
*A new Elevation Certificate will be required when con ' struction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph,)
C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, -AR/Al-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building -diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use ' the s ace provided or the Comments area Pf Section D or Section G, as appropriate, to document the datum conversion.
Datum &EK-) 'Z Conversion/Comments
Elevation reference mark used Does the elevation ference mark used appear on the r C No
0 a) Top of bottom floor (including basement or enclosure) --Ulu
C� 62,ft.(nn) NNIJ
%
C1 b) Top of next higher floor .—ft.(m)
ft.(m)
0 Exp.
0 c) Bottom of lowest horizontal structural member (V zones only)
0 d) Attached garage (top of slab)
6,3
W 0
0 e) Lowest elevation of machinery and/or equipment Cr CM No. 1 rM
03 =
rn
servicing the building ft.(m)
0 0 Lowest adjacent grade (LAG) _4E ft.(m)
0 g) Highest adjacent grade (HAG) ft.(M) 2
0 h) No. of permanent openings (flood vents) within I ft. above adjacent grade Clvl
_J
C1 i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) OF Pho�
SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
cer0y that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
r?e C) rn , 1 0 1 1. �Z. 1`cde, sac;;-,,
'understand that anv false statement may be punishable by A ri ur-d-el 1 I .
4 0,14
CERTIFIER'S NAME LICOSE NUN BE��
01 -VI i3yq U111)9 AJ V__ a- � �3
I I I L-_
cly/4 eAJ61h1&FJP_
_QOMPANY NAME
B4C,4t,4'1 A A� e
A-5--ic'e
ADORESS
13,�Y?` C,,4e,44EA1?)- Z-At4e'
TY
a)� / oc�
STATE
CA
ZIP COS
9
SIGNATUIr I rAOA,
�ATE
A
TELEPHONE
r:P%AA Pnrrn A11-11 At Ir,1QQ q;:p PP\1r_P.qP.qin;: P:r)p r.nMTINI 1ATION.1 PF:PI Ar.rq At I PPF-vloi i.q r-nITWWR
IMP,ORTANT: -In these spaces, copy the corresponding information from Section A. .............
:.For'i'h's:tira"n'de:'C'o,m:pany- e:�`:
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ..... ... ... ..
..1::::::...- :: ., ..........
..............
C I r1opr STATE
ZIP C09E j�-' qMp
.�py...NAI.C*. mb .......
VVA L �5-
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
1_1 Check herelf attachments
SECTION E -BUILDING ELEVATION INFORMATION .(SURVEY NOT REQUIRED) FORZONE AO AND ZONEA (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El through E4. Ifthe EJevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed. , . ir . .... -
Ell. Building Diagram Number_ (Select the building diagram most similar to the building for which this certificate is beigg completed —
see pages 6 and 7.. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is LL—i ft.(m) L_L_Iin.(cm) L_J above or L_J below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next, higher floor or elevated floor (elevation b) of the building is
L—Ift(m)l L—lin.(cm) above the highest adjacent grade..
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? L_J Yes 1_1 No 1_1 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR:OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER's OR OWNER's AUTHORIZED REPRESENTATIVE's NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
�.;UMMtN US
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C. (or E), and G of this Elevation Certificate. Complete the applicable ftem(s) and sign below.
G1. The information in Section C was taken from other ' documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the
elevation data in the Comments area below.)
G2. I I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
G3. The following information (items G4-Gg) is provided for community floodplain management purposes.
iG4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
I . I ISSUED I
G7. This permit has been issued for. . L_J New Construction I I Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum:
G9. BFIE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum:
LUCAL UFFICIAU5 NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNA
01110i
� 1) -AT E
Check here if attachments
'A
Mobilehome Manufacturer:(Sk� ) ) tl)-C� Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: 2-f4 (ft.) Length:_IQD
(ft.) Tagalong orExpando Sizo��(&))� :--(ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeN/] Other: -
SUPPORTS: Concrete blockv] Other:
Provide Tit Down S'ecifications for A Mobilehomes:
P
Pier Footings Sizes and ]Location
SINGLEWEDE MrULTI-WME
Line I
�2.
............................................................................. ..................
Main Beams
UrA 2 %--�e 2
Line I Line 3
Line 2
................................................................................................
Main Beams
Line 2
Line I
................................................. e 5
Tag or Triple e4
.................................................
i! ine I
Line I Piers: I
Size minimum: r 2 '1 x r
Spacing maximum: MO. , 0 1
From ends-maximu : -2-, o ,
Line 2 Piers: /j
Size minimum: I x I Rol.
Spacing maximum: 0
From ends -maximum] C)
Line 1 Openings
Size nummum: 17 1x[I(0"I-
Each side of openings
with width over: 1 14 1 A
Line A4i
Iz
Size inim x I
M
Spaci g m um:
ro ends- m:
M.= )ny
Line 3 Roof Loads: dok6je_ �ot,61e, JoWe- Jo"6-
Size minimum
Location (from fron jq777/jq,Li, I IS,qi�
Line 5 Roof Loads:
Size minimum:
Location (from fronQAJ'rM ;OM rV--
WUM MPARTHM
t,QVER
APPROV MIJ
okx6le' Wk— 6 ou-btel
"r ME
a'�'�tL
Zq4
1. Owner's Name: I ff-Y'
2. Assessor's Parcel Number:- DZ6� 12 Z 10
3. Instafler's Name:
4. Is the site currently under permit? Yes[ No[ I PermitNo.
5. Is the.site an e)dsting site? Yes No[ (If 'yes, furnish two plot
6. What is the electrical rating of the mobfleh'me?JD
0 __O_Amperes..
7. What is the mobilehome site circuit breaker rating7/,
M_Amperes.
8. What is the electrical rating of the mobilehome site?— 0 --Amperes.
9. Is the main service remote from the mobilehome site? Yes[ No If it is, what is
the rating! Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ N If yes, please identify the load and size:
a) The mobile home site.
0
Load- Arfiperes-
b) The main service:
Load- Amperes-
�a
11. Type of gas service at mobilehome site: Natural�] Propaneff! None[
12. Size of gas pipe at the mobilehome site from the meter or
tank: lt4 " inches.
13. What is the gas pipe length from the meter or tank to the mobilehome&T--(ft-)..
14. What is the mobilehome gas demand? I�D i'000 - B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on naturil gas or
less than 50 feet on propane).
THE OTHER SEDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995
8.5
a
......... ...... MO�C "M -AE�.�
HOW
2. Assessor's Parcel Number:- DZ6� 12 Z 10
3. Instafler's Name:
4. Is the site currently under permit? Yes[ No[ I PermitNo.
5. Is the.site an e)dsting site? Yes No[ (If 'yes, furnish two plot
6. What is the electrical rating of the mobfleh'me?JD
0 __O_Amperes..
7. What is the mobilehome site circuit breaker rating7/,
M_Amperes.
8. What is the electrical rating of the mobilehome site?— 0 --Amperes.
9. Is the main service remote from the mobilehome site? Yes[ No If it is, what is
the rating! Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ N If yes, please identify the load and size:
a) The mobile home site.
0
Load- Arfiperes-
b) The main service:
Load- Amperes-
�a
11. Type of gas service at mobilehome site: Natural�] Propaneff! None[
12. Size of gas pipe at the mobilehome site from the meter or
tank: lt4 " inches.
13. What is the gas pipe length from the meter or tank to the mobilehome&T--(ft-)..
14. What is the mobilehome gas demand? I�D i'000 - B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on naturil gas or
less than 50 feet on propane).
THE OTHER SEDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995
8.5
a
'A
FEDERAL EMERGENCY MANAGEMENTAGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on panes I - 7.
SECTION A - PROPERTY OWNER INFORMA71ON
-O.M.B. No. 3067-0077
Expires July 31, 2002
BUILD
TGY]EET ADDRESS (Including Apt., Unit. Suite, aipcyor Bldg. No.) OR P ROUTE AND BOX NO.
U 7--r67 (I
�'rH . ; : . . . 17
STATE Zip COPg
f1A L /A
PROPERTY PESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
tJUILUINU USE (e.g., Residential. Non-regidential, Addition, Accessary, etc. Use Comments section if necessary.)
V�7 -7-1,-,4
LATFIFUVE/1-ONGFUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L-1 GPS (Type):
or ##.###W) NAAD 1927 1_1 NAD 1983 1_1 USGS Quad Map L-1 Other
7 -
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME
B4. MAP AND PANEL
85. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
89. BASE FLOOD ELEVATION(S)
NUMBER
-ITS
0, -
'6 1 DATrE_
EFFECTIVEIREVISED DATE
ZONE(S)
Z ne AO, use depth of flooding)
�
17 o
1&1 YE
A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
FIS Profile FIRM Community Determined ' Ll Other (Describe):
.1311. Indicate the elevation datum used for the BFE in B9: �_J NGVD 1929 �_J NAVD 1988 [-1 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise protected Area (OPA)? Yes No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 1, IConstrucdonDravvings* �_JBullding Under Construction* R!4IFitnished Construction.
*A new Elevation Certificate will be required when.construction of the building is complete.
C2. Building Diagram Number.6 (Select thebuilding diagram most similar to the building for which this certificate is being completed -see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones Al -A3.0, AE, AH, A (with BFE), VE, V1430, V (vAth BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used '. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the ppjce provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Y G Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on th
L
,0 fL(m) _�'No
U a) Top of bottom floor (including basement or enclosure) C', C\ cc
Q b) Top of next higher floor fL(m) 10 NN 8.41
U c) Bottom of lowest horizontal structural member (V zones only) fL(m) 'g-21 '4-
.80 Exp. C)
fL(m) IV 01
Q d) Attached garage (top of slab) C-10 qr 6-30—q V
U e) Lowest elevation of machinery and/or equipment
CM U
servicing the building U.1 3
Q Lowest adjacent grade (LAG) �2_ CT, f t (m) 2.9
I
C1 g) Highest adjacent grade (HAG) fL(m) 2
• h) No. of permanent openings (flood vents) within I fL above adjacent grade CIVIL
• J) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) r* R%
SECTION 0 - SURVEYOR. ENGINEER OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I cerWthat the informairon in Sections A, 8, and C on this certificate represents my best efforts to interpret the data avwiable.
I understand'that any fWse statement may be punishable. by fine or imonsonment under 18 U.S. Code, Secdon 1001.
V -906A) mc_z�
21PANYNAME
C'_ \ V (L G Jq C:' I t-4 - - & A 5--jo
ADDRESS 1'3(_-L/7 GAILgc--k LAI-4ze wtc�r---' RTE R159 -!M
F;:UA Fnrm Al -'41 At Ir. QQ RF:P QPV9Q-RF R1111C f:()R rnhMNI.IA'T1f)N R1=PI Ar.l=.q Al I Pwmni Liq r-rimrihm
IMPORTANT: In thew spaces, copy the corresponding infionnadon from Section A. F6F4hsumcd:,.Cbrn0�nW
BUILDING ADDRESUncl ding Unit Suite d/or I g. No.) OR P.O. ROUTE AND BOX NO.
..P�Jlq jr
ANuMpq
TF
SECTION D - - -SURVEYOR, ENGINEER OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Bevation Certificate for (1) community official, (2) insurance agenttoompany" and (3) building owner.
COMMENTS
1-1 Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY MOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFIE)
For Zone AO and Zone A (without BFE), complete. Item El through E3. If the Elevation Cerfificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed –
. see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
F7 The top of the bottom floor (including basement or enclosure) ofthe building is fL(m) �_�_Jin.*(cm) [---I above or �_j b elow
(check one) the highest adjacent grade.
E3. For Zone AO only: If no flood depth number is available, is the.top of the bottom floor elevated in a rdance with the community's
floodplain management ordinance? 1-1 Yes �_j No �_j Unknown. The local official must certify this information in Section 13.
SECTION F - PROPERTY OWNER (OR OWNEWS REPRESENTATPM CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community4ssued BFE) or Zone AO must sign here.
PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
1-1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
G1. 1-1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the
elevation data in the Comments area below.)
G2. A community official completed Section E for a building located in Zone A (without a FEMA�ssued or community -issued BFE) or
Zone AO.
G3. The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
I I I ISSUED
G7. This permithas been issued for �_j New Construction �_j Substantal Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: ft(m) Datum*
G9.. BFE or (in Zone AO) depth of flooding at the building site. is: ft(m) Datum:
LOCAL OFFICIAUS NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
1_1 Check here if �attachments
Fr -MA Pmm RI -11 At Ir. QQ PFPI Ar.l:.q At I PRF;x/ini Lq r-nminkm
029-220-078 01-1157
LATTEMORE, TERRY
.tig-I BUTTE CITY HWY, RICHVALE
11q. CONTR: OWNER
DEMO 2 BDRM HOUSE -A
A
A &L
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oraville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ;1 . - I j 1 11 -
ASSESSOR PARCEL NUMBER 02,�,2_7_0-076
ZONING
1 k()
BUILDING PERMIT
OWNER - ,
0�1
TELEPHONE
I � C 0
SQ. FT. OCC. BUILDING VALUATION
"ST Lzf%z)
OWNER'S MAILING ADDRESS -W
". . U �0:-, CL
CONTRACTOR'S NAME
L .. I
TELEPHONE
CONTRACTOR'S MAJUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS'
RIC&PIL CA
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SIJBDivisION`S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: 2 A_C,.��_,::
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home- ISI GI WF_
La) 2 0. 0 0
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service '.".,v, o.' : s
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
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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe 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
46.00
NEW CONST. DW= OCCUP. 0'
S. 3.5,s
OR ADDNS. Fr.
NEW CONST.
NON-RESID. =T,'-0,I;RCTS 97.50
POWE.RAP= US
CIR.
Es 20 @ 1.00
Ex. Occup. OU7LET OR FDCTUR BAL @ .50
O.FIXED Aft' LNS OR
Ex. Occup. PRES,6.) A� 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirino 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for wor�_of a valuation
of one hundred dollars ($100) or less.)
0 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 Date
Signature ol'Applicant - D Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition orconstruction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$
IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
I
_.
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
I — (Date)
ReceiptNo. ;i7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RCD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 9596� 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT () f- J/5:2 -
ASSESSOR PARCEL NUMBER
029-220-078
ZONING
A-40
BUILDINGPERMIT
OWNER
MEY I ATIERDEF.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
EST
500
OWNERS MAILING ADDRESS
P.0 Box 339, Richvale ca 95974
CONTRACTOR'S NAME
OTvAER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Fee
$ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
—Permit
Plan Checking Fee
$
BUILDING 3-M—BUITE CITY HWY., RICHVALE CA
Energy Plan Checking Fee
$
75
PERMIT FEE
$ 35.00
LOT NO.
SUBDIVISIONS NAME I ,
CEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: DENO 2 BEDROOM HOUSE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@?20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ".vA Do.' :s'
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
41Y'Vor the following reason:
P.- 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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.)
0 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 compq with those provisions.
y V Date 5
Signeffure oyAp lic-ant -ATOwner 0 Contractor [3 Agent
An OSHA p4rmitis requir4dior excavationsover 60" deep and demolition orconstruction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. %E�LJNQ OCCUR So.
OR ADDNS. C. S. 3.50 FT.
NEW CONST. MULT'O TL
NON-RESID. H CYR.UnS @7.50,
OWE.RAP= US
( PSIN. 0 CIR. )
Ex. Occup. ( ouTLE7 OR FIXTURES ) 20 @ "00
BAL @ .50
Ex. Occup. (FIES'li.) E 5.00
O.FIXED APPLNS OR".
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 1 23.001
I I
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
6.50
—Hood
Ventilation
PERMIT FE1E_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ 35.00
—
FLOOD
I
CDF
I
PARCEL
I PO
I HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for wh* fe Is have
Ely
PERMIT EXPIRES ON
the applicable provisions
esolutions to do work
been paid.
Date 5-18-2001
(Date)
V7
Receipt No. TQ �1 .IT ?
WHITE -D
LLL . D.S.- g.-D.CANARY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 MRMIT NO.
tRev. 12/96) APPLICATION AND PERMIT n j
76
BUILDINGPERMIT
0~
0~1 MQUINIQ
SO. Fr. OCC. BUILDING VALUATION
00NTRA="_ MIN
_ZFW_p,WMV MUM ADOMU
[Fire
Iceu,
-
LENDOM MU1,1104 AMAM
Valuation S
To V
�i�CT OR OMWIR
Liceme NO.
—Total
Fee
$ 20.00
—Fling
Fee
M04MCT on 09MEM-8 MUM ADOW118
—Permit
Plan Checking Fee
OULM40AWMS
Energy Plan Checking Fee
PERMIT FEE
$
1.011'm
PARCEL MAP
PLUMBING PERMIT
I Filing Fee 20.00
Each Trap
1 7.00
LISEOFSTRUCTURE
SF 0 Duplex 0 Wbilehome 13 Other
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
15.00
TYPE OF WORK
Now C3 Addition 0 Remodel 0 Utilties 0 Installation 0 Other 0
Describe Work:
—Each
Gas piping system I - S outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
§20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service
23.001
*PERMIT FEE PAID $
SRA $
S14ERIFF $
OTHER. $
$
AMOUNT RECEIVED $
*RECEIPT NUMBER
TO BE PUT INTO COMPUTER
Main Service 200A TO IOWA
46.00
CONST. DWELLM so.
on ADDNS. A AM. 1:9CP_
—3.5orr.
_WW rum 1. muLn-oviurr
"O".RE510. BRAWN CIACUM @7.50
PSO=APUP=U3,,
—Ex. Occup. 0VnET OR nCTMES 200 100
SAL 41 :50
MD APP116 R.
Ex. Occup. 5.00
,
Temporary Service 23.00
Mobile Home Facilities 20-00
Msc. Wiring 23-00
PERMIT IFEE"
Fee
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
150
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
co"" " ITOTAL FEE
CS I tMP
I A=0
I CDF
PARCEL
PC
HD
ISMA,
This permit Is hereby hmed under the applicable PrOV13ions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON More)
March 13, 2001
Terry Lattemore
P.O. Box 339
Richvale, CA 95974-0339
ate
L A N D 0 F NAT U RA L W EA LT H A N D B E.A U T Y
PLANNING DIVISION -
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
Re: Replacement of an existing dwelling'on APN 029-220-078, 1145 Butte City Highway (SR
162)
Dear Mr. Lattemore:
Imb
The Butte County Planning Division reviewed your request to replace the above referenced dwelling
unit and determined that replacing it with a larger ' manufactured home is allowed under section 24-
35.25 of the Butte County Zoning Code. The proper permits wil * I need to be obtained by you from
the Butte County Building Division for the new dwelling.'The new dwelling urdt is required to meet
all County regulations, including but not limited to such things as building setbacks, septic system
requirements, Fire Department requirements, and Uniform Building Code requirements.
Should you have any questio . ns regarding this matter, please contact me between the hours of 8:00
a.m. and 4:00 p.m., Monday through Friday.
Sincerely,
Stephen Betts
Senior Planner
cc: Butte County Building Division
e0i
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONALiFLOOD INSURANCE PROGRAM
Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages I - 7.
............... 0...
SECTION A - PROPERTY OWNER INFORMATION ... dr,-�,�,e6t.6moanv: -
BUILDING OWNER'S NAM
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX No.
U 7- 77,6_ (11 7— V 14 1,C, )14AIA�Y
CITY STATE ZIP CODE
12 1, r- 14 PA' L �5 rA q r73 q 74
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
AFAJ 29-2:7-0-0-78
BUiLDING USE (e.g., Residential, Non-residential, Addition, Accessory. etc. Use Comments section if necessary.)
E'f!5/ PF -Al 7-1A.2-
LATITUDE/LONGITUOE (OPTIONAL) HORIZONTAL DATUM: - SOURCE: L_J GPS (Type):
##a - #V - ##.#r or ##."ff ####*) NAD 1927 � L_J NAD 1983 USGS Quad Map " Other:
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
BI. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3.STATE
I 1 1 3 Ll 77-7-4r- I CA
B4. MAP AND PANEL
85. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
Bg. BASE FLOOD ELEVATION(S)
NUMBER
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
CM-.CM'Z_
06100 1-1 0q 75
C
A -
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I I FIS Profile Ll FIRM . LL_1 Community� Determined LJ Other (Describe):
811. Indicate the elevation datum used for the BFE in B9: L_1 NGVD 1929 LINAVD1988 LJ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L IYes "-J"No
LAI
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: >—<Construction Drawings* L_lBuilding Under Construction' L_JFinished Construction
*A new Elevation Certificate will be required when con ' struction of the building is complete.
C2. Building Diagram Number_5_ (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with SFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building -diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the s ace provided or the Comments area Pif Section D or Section G, as appropriate, to document the datum conversion.
DatumAJOVP 'Z Conversion/Comments
Elevation reference mark used Does the elevation r ference mark used appear on th5�-�
C\
No
0 a) Top of bottom floor (including basement or enclosure) --Ulu*
0 b) Top of next higher floor ft.(m)
02 'Z� , N
C] c) Bottom of lowest horizontal structural member (V zones only) ft.(M) '04�
00 Exp. 14' CP
0 d) Attached garage (top of slab) ft.(M) -2-
E E
W C3 7
0 e) Lowest elevation of machinery and/or equipment Z
UJ No. 1 03
servicing the building ft.(M) = -
g ZZ;
0 0 Lowest adjacent grade (LAG) CK _5 49 ft.(m) 2.:-1
, (n
0 g) Highest adjacent grade (HAG) ft.(M)
a
Ell h) No. of permanent openings (flood vents) within 1 ft- above adjacent grade OU CIVI\-
_J
0 i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) OF . Al\�
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
ceffifl that Oe information in Sections A, 8, and C on this certif7cate represents my best effisorts to interpret the data availa-t-le.
'understand that any faise statement may be punishable by 5ne or�mlon . sonmenruno . erig U.S. Cccd
a
CERTIFIER'S NAME LICENSE NUN SE�,.
01 - V 30 C14qA AJ e2_ I a' ��
TITLE OMPANY NAME
C ly/4 em 6 /h/&Eop- AA Cq',`-I` A,44
ADDRESS CIT'Y STATE ZIP
13 /v 17 C2,4 le,44E4 LA t4a' 0-1-4 / co CA 9
SIGNATUR t
M A
F:;:%AA Pnrrn Al -11 Al Ir, PQ q;:�: PP\jI:=PqP cin;= PnP (`.ni\JT1i\J1 1;'_TI(`)f1J P;:Pi ar.p.q Ai I Pp;=vini i.q ;=nITInN.R,
ornpany- e::::,
4NIPORTANT: In these spaces, copy the corresponding information from Section A. ;For. insurance: -it' -
BUILDING STREET ADDRESS (including Apt., Unit, Suite. an:Vor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky�Number.:ii..
CITY
P- c-44 Ivy At L A�-
STATE
ZI
SECTION 0 -SURVEYOR, ENGINEER. ORARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
1_1 Check hereif attachments
SECTION E - BUILDING ELEVATION INFORMATION . (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
::or Zone AO and Zone A (without BFE), complete Items Ell through E4. If the 0evation Certificate is intended for use as supporting
'nformation for a LOMA or LOMR-F, Section C must be completed. . . 4, .
Ell. Building Diagram Nurnber_ (Select the building diagram most similar to the building for which this certificate is beigg completed -
see pages 6 and 7.. If no diagram accurately represents the building, provide a sketch or photograph.)
E-2. The top of the bottom floor (including basement or enclosure) of the building is L—LJft-(m)L—L-1in-(cm) L_J above or4+_l below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the nexthigher floor or elevated floor (elevation b) of the building is
I ft(m) L—L—Iin.(cm) above the highest adjacent grade.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? L_J Yes [_I No 1_1 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR:OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
-he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
;actions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
31. 1 1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certfy elevation information. (indicate the source and date of the
elevation data in the Comments area below.)
32. 1 1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
33. 1 1 The following information (items G4-Gg) is provided for community floodplain management purposes,
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
I . I ISSUED I
37. This permit has been issued for New Construction " Substantial Improvement
�8. Elevation of as -built lowest floor (including basement) of the building is: ft -(m) Datum:
�9. BFFE or (in Zone AO) depth of flooding' at the building site is: ft.(M) Datum:
OFFICIAL'S NAME
TITLE
COMMUNITY NAME TELEPHONE
LJ1 R E C A TE
CON11MENTS
Check here if attachments
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT -
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEIBSITE: www.buttecounty.nehdIds
PERMIT NO.
BP042853
LICENSED CONTRACTORS 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
Issued Date: 09/29/2004 APN: 029-220-078-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1151 BUTTE CITY HVVY RIC
Date: Contractor.
Map Index:
Description: 2 INSPECTIONS TO COMP 02-2335 &
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
03-3015
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: LATTEMORE TRUST
signed statement that he or she is licensed pursuant to the provisions of
LATTEMORE TERRY SCOTT & SANDRA LEE
the Contractor's State License Law (Chapter 9 commencing with Section
TRS
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
P 0 BOX 26
violation of Section 7031.5 by any applicant for a permit subjects the
RICHVALE, CA 95974-0026
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: LATTEMORE TRUST
provided that such improvements are not intended or offered for
LATTEMORE TERRY SCOTT & SANDRA LEE
sale. If however, the building or improvements are sold within one
TRS
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
P 0 BOX 26
sale.).
RICHVALE, CA 95974-0026
1, 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
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.).
Contractor:
E3 la der Article 3 o a Bu:sin s Code
alProfessions
ZXqOwner:
Date: -
WORKERS'COMPENSATt6N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
CI I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Engineer:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
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
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith c9mply with hose provisions.
yt
Date:
Applicant:—*—/�,A,Im"���
WARNING: Failure o secure workers' compensation coverage is
unlawful, and shall ubject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
q
compensation, damages as provided for in Section 3706 of the Labor
code. interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permi reb issu under the applicable provisions of the Bi itte County CodA ��tnrt/cir
I '!-he, y
I hereby affirm that there is a construction lending agency for the
Resolutions - d ,-,.rk indid,t.d above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: n�IQ n�211 Date: -2-q - 04
PERMI EX ES ON:
Address:
(Date)
U 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.
(3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
U 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 5K"-,�ent of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
Signature:��
Print Name:
Date:
/ IF
/31�wner 13 Contractor Q Agent for Owner 0 Agent for Contractor
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 REO UIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
OWWER
Last Name
r rst Name
Address 115,
ity 4
C "�t C- PWAa—f-
late
Zip 5-9 74
Phone
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name.
city
Address
Zip
city
Fax
State
Zip
Phone
I Page
Fax
E-mail
IDate Approved:
Lic. #
APPLICANT NAME
ARCHITECTIENGINEER
Name
city
Address
Zip
city
Fax
State
Zip
Phone
I Page
Fax
E-mail
IDate Approved:
State License Number
APPLICANT NAME
Name
Address
city
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X I
For office use only:
Zoning
Property Address
115(
Flood Zone
Cross Street
SRA
WORKER'S COMPENSATION
Occ. I
Type Const.
Subdivision Name
Map Book
I Page
Lot #
IDate Approved:
PERMIT
NO.
B Pt--> 4.2 6
BIN #
LOCATION
AP#
Property Address
115(
C'
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone ot her than license contractors, a certfflcate of workees
compensation mustbe shown at the time of pennit Issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
"C-Qjzmt-r -r-o
'n3- 3e 1.5
Sq. Footage
• Structure Built without Permits
• Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued wiH expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refands 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.
OVER FOR SUBMITTAL REQUIREMENTS IL
KTORMSWILDING F0RMSS1daAoP1SubRqmts.doc Page I of 2
Received by. K-1 Amount Zlq -IR (o Bldg
SRA
Receipt#: 94-iZ(-o&Z Sheriff
Date: -1 -zel OL—
.SMIP
Other
0 1 q - Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The i following drawings and specifications must be submitted to the Building Division in order to apply for a
Perm- it."INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (Afo graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxesl
0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6'. Manufactured homes: (A) Data §heets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
El 7. Metal bIdgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be starnDed and wet -signed by the engineer.
0 8. Flood Elevation Certificate, wet-.starnped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
El 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Commercial Buildings only).
0 13. Sanitation and site plan approval from the Environmental Health Department.
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.)
0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
El 2. Impact Fees.
0 3. California Department of Forestry plan approval (if required).
0 4., NPDES Form.,
0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 6. Contractor's license -information. (Number, Name Style, Classification).
0 7. Worker's Compensation Carder and Policy Number.
11 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authorization (if required).
0 10. Recorded copy of Agricultural Acknowledgment Statement.
11 11. El Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application 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
Heiunds can oniy 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
K:\F0RMS\BU1LD1NG F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NJ�6.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 029-220-078
ZONING
BUILDINGPERMIT
OWNER TMY LA=0H
TELEPHONE
SQ. FT. occ. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
1151 BUTIE CITY, RICHMALE 95974
COhITRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
UENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
—Permit Fee $
142.45
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 1151 Rl=, CITY 'RTC14VAT.F.
Energy Plan Checking Fee $
—
$
PERMIT FEE
162.25
LOT NO.
SUBDIVISIONS NAME
IPLUMBING
PARCEL MAP
PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilifies; 0 Installation 0 Other 0
Describe Work: 1SR RENEWAL OF BPA02-2335
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@?20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ".A ooR
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
1 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.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' cam pensation Insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California., and agree that 4 1 should become subject to the
workers' compensatign provisions of section 3700 of the Labor Code, I shall
J9.rt4with comply wWthqpe provisions.
X �7 Date
nature of pplicant - 0 Owner 0 Contractor 0 Agent
PAn OSHA Jpmit is required for excavations over 60" deep and demolition or construction
of structure over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST DW
.EZNG OOCUP. 0.
OR ADDNS. 3.50'FT.
NEW CONST
NON-RrSID. =T,, 97.50
OWER APPARATU
( P.IN.. OUT. CSI R. )
Ex. Occu . ( OUTLET OR FIXTURES ) 20 @ 1.00
SAL @ .50
Ex. Occup. PPL.16.) E.A. )
O.FL4EO A NS OR 5.00
Temporary Service 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 FEt
Mobile Home Installation Fee
Energy Inspection Fee $
Occ CONST. TYPE
�TOTAL FEE $
]�A�Z:.
I D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
incli e Wab e for which fees have been paid.
9 13d -
By
MIT
PERMIT IRES ON
— (DwW f
ReceiptNo. lq9oxog�zl
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 * Telephone (530) 538-75 PERMIT NO.
:3 �
(Rev. 12/0-6) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ;�"?-C) - Q-7 �5 ZONING BUILDINGPERMIT
TELEPHONE
OWNER SQ. Fr. occ. BUILDING VALUATION
OWNER'S MAILING ADDRE§,% /V
-6oNTRACTOR-S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDINGADDRESS . I �— , fl
LOT NO. I SUBDIVISIONS NAME
MAP
USEOFSTRUCTURE
SF)( Duplex 0 Mobilehome 0 Other SPECIFY
TYPE OF WORK
New 0 Addition 0 Remodel 0 Woes 0 Installation 0 Other
Describe Work:
PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOUNT RECEIVED $
DATE RECEIVED.
RECEIPT #
Fireplace I I
PERMIT FEE
FIXED A"LNS. OR
Ex. Occup. OUTLETS (RESID.)
ELECTRICAL PERMIT
Total Valuation Is
Main Service
50 V 0'
.. OA O'R LESS
23.00
q Fee
Filinc
$
46.00
20.00
Permit Fee
$
14-C
EESUP
Plan Checking Fee
$
07.50
Energy Plan Checking Fee
$
PERMIT FEE
$
/(Ot�Z
PLUMBING PERMIT
Filing Fee
20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
_
15.001
Mobile Home I S .1 G 1 Wj_
(9?20.001
EX. OCCUp. OVI'LETORFIXTURES
PERMIT FEE
FIXED A"LNS. OR
Ex. Occup. OUTLETS (RESID.)
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Service
50 V 0'
.. OA O'R LESS
23.00
Main Service
200A TO 1000A
46.00
NEW CONST.
G
DW&RAICC.
So.
3.50FT.
OR ADDNS.
EESUP
��T.
ED
07.50
EX. OCCUp. OVI'LETORFIXTURES
EZ 4 :S0
FIXED A"LNS. OR
Ex. Occup. OUTLETS (RESID.)
00
Temporary Service
1
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee
Heating I
6.50
Ventilation
PERMIT FEE 1 $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CGNST- -- ITOTAL FEE$
IHAZ I D. FEES I IMP I FLOOD I CDF I PARCEL I PD
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 , D te
PERMIT EXPIRES ON o/410
M
O.B.- I
OWNER-BUIELDER VERIFICATIO
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.
L
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES)� NO 13
I HAVEA HAVE NOT 0 signed an application for a building permit for the proposed worL
I have contracted with the following person (firm) to provide the proposed construction:
NAAM:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work
NAAM
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME
SIGNED:
ADDRESS PHONE TYPE OF WORK
PROPERT`YOVVTiM-
DATE:
NOTE.- ais 0"er-Builder Ver#kadon is required bX Section 19831 and 19832 of the
Cal�fornia Health and Safety Code. This verifkation must be conTleted and
returned to our offilce before we are permitted to issue the permit.
OVER
0 -.B-. -- I '
I OWNER BUILDER INFORMATION
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 "owner4xiilder" you am the responsible party ofrecord on such
a permit Building permits we not reqnir-ed to 6a signed by property owners unless they am personally performing their
own worL If your work is being performed by someone other than yourseK 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 worl; with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
+ If you employ or otherwise engage any persons other than your.immediate flanily, and the work (including materials
and other costs) is'S300 or more for the entire project� and such persons are not licensed as cont-detors or
subcontractom. then you may be an employer.
+ 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 L-deral income tax withholding, federal social security taxes,
wo&ers compensation insur-ance, disability insurance costs� and unemployment compensation contributions.
+ There may be financial risks for you if you do not carry out these obligations, and these rislo are especially serious
with respect to worker's compensation insurance.
+ For more specific irfionnation about your obligations under Federal Law, contract the Inftmal Revenue Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact do Department of Benefit Payments and the Division of Industrial AccidanM
If the structure is intended for sale, property owners who are not licensed conftwtors are allowed to perform their
work personally or through their own employees, without a licensed contactor or subcontact:or, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying the the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property ow' nar-s unless they am performing their own work personally.
Information about licensed contractors may be obtained by conftac:ting the Cautractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95914.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these maners The building permit will not be issued until the verification is retmned.
9 Mi I C. Vidira, C.B.O.
Building Inspection
cer. 4inv
NOTE: YhIs Owner -Builder Informadon is required by Secdon 19830 of the Cakfornia Heah* and SV�V Code.
OVER
'RESIDENTIAL
029-220-078 PERMIT#95-1055
LATTERMORE, Terry
1151 Butte City Hwy, Richvale
Cont; Kenneth A. Rash
Add Open Deck/SF
JOB FINALED (13�e)l
Signature
V OK
0 Not OK
Not Applicable
MOBILE HOMES
Date MOBILE H-OME-LITILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support Sketch
3. Sewer: Location -Test -Fall -C/0 Concrete
MISCELLANEOUS
Date O.ECKS60VERS, CARPORTS, GARAGES, (Plans)OK except #'s
z g Requir.ements-Setbacks-Easements
'-P�Footings; So i 1_sSize-De0fli�:§l;ac i ng -Conn ecto rs- Stee I
and/or Joists -Decking -Bracing -Stairs -Rails
g-4. Wood Awn.; Posts- Bea ms- Rf I rs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail i ng -Veneer -Stucco -Mesh
10. Fl��hthg-Roofing
__;A-'fxt.; 4steps-Doors-Landings
Date4. �Jjlqoird B-1 Card B-1
Date "Card B-1 V_ -Date Card B-1
Date POOLS (Plans) OK except #'s
1. -Setbac ks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1
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-Enclosu res- Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas: Location -Test-Wrap: 11 /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossove rs- Brea ke rs-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Gracle-HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Da te Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date O.ECKS60VERS, CARPORTS, GARAGES, (Plans)OK except #'s
z g Requir.ements-Setbacks-Easements
'-P�Footings; So i 1_sSize-De0fli�:§l;ac i ng -Conn ecto rs- Stee I
and/or Joists -Decking -Bracing -Stairs -Rails
g-4. Wood Awn.; Posts- Bea ms- Rf I rs.-Con nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail i ng -Veneer -Stucco -Mesh
10. Fl��hthg-Roofing
__;A-'fxt.; 4steps-Doors-Landings
Date4. �Jjlqoird B-1 Card B-1
Date "Card B-1 V_ -Date Card B-1
Date POOLS (Plans) OK except #'s
1. -Setbac ks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1
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-Enclosu res- Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK r
0 Not OK
Not Applicable RESIDENTIAL (4,
Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg.,, Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab: Steel -Wrapped
8. Pi6 r's-Fi replace Ftg.-Steel
9. D.W.V.; Fall- Fitti ng -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. E166tric; Underground
13. Plenums & Ducts; Clearance -Material -Support -ins.
14. Giiders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation --------
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except #'s
-16. Water Htr.: Ven t -Access -Com bust ion Air-Batfle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19 S�o_wer Pan: Test. First Floor -Tub Access
20. T6tTub &-Shower.-Second-Floor-Tub Access ------------------
21. G�s Pipe: Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
- ------ - - ---------- - -------- - - -------------------- - --------------------
- -- - - - - - -- 23.- E-lec. Recept.acles Spacing -Lights & Switches at Doors -------------
24. Size Boxes & No. of Cond uctors- Stapled
---------------------------
25. Romex Installed Close to Edge of Studs & C.J.
------------------------------- ------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
---------------------------- - ----- - -----------------------------------------------
27_2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- - ------------------------------------------------------- -------
28. SUbfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
-------------------- ------------------ ---------------- - ----------------------------
29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
I�sulated Neutral 11 Yes 0 No
------------------------------------------------------------ ----------------------
30, Service -Riser Conductors & Ground -Main Disconnect
--------------- ------------------------------------- - ------------------------------
Cleara_nces -Panel s- Motors- Mech. Equip ----------------------
32. Clothes Closet Light -Shower Light -Spa Light
------------- 33.- Smoke -Detector --------------------------------------------------
------------------- L ------------------- -------------------------------------------
-Date---., ---------- Card -B-1 --------------- Date -------------- Card -B-1 -------------
Date Card B- I Dale Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
------------- . - ------------------------------------ ---------------
35. Vent Fan: Exhaust above insulation
------------- - ------------ -------------------------------------
36. Condensate Drain & Overflow: Size & Grade
---------------------------------- --------------------------------- -- --- -- -- --- - - ----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent- 115 outlet
------------------------------------------------------------------------------
Attic -Access-&- P.1,a tfo-rm-i f -Fu rna n ce in-Att-ic -----------------------
-------------------------------------------------------------------------- I --------
I
--------------- ------------------ --- - --- --- -------------------------- ---- -------- -
Date Card B-1 Date ' Card B-1
- - ---------- ___ ---------------------------------------------- ----------------
Date I Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
---------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing - Plates -Sou nd
-------------------------------------------------------- ------------------------
41. Bearing Walls over Girders & Floor Nailing .
----------------------------------------- - ------------------------------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------------------- I ----------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------ - --- - ------- - - -----
44. Headers & Beam -Size & Bearing
;ingle & Duplex)
-Date' FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joisi-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
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 T -Check Garage -3rd Story, 2 Exits
53. -Stairs: Width -Head room -Rise -Run -Land ing -Fire Protection
----------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-- -------- - 55. -Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection-Skyl ights- Plastic
58. Shear Walls: -Nailing -Bolts
------------- 59.- Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------------
---------------- - --- - -----
Date Card B-1 Date Card B-1
---- ----------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except It's
- ------ 61.- Ext-. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
--------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector-
------------------- IT Garage: Above Floor-Ducts-Mech. Protection
-------------- 64.- Bedroom -Exiting
------------- 65.-,G.F.I. & Ba.th Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------
67. Stairs & Rails
------------------ - ---- ---------
68. Fireplace or Stove: CiLarances-Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
-------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
----------------------------
71. Elec. Outlets & Receptacles at Kit- Counter
--------------
72. Garage Fire Door: Swing -Landing -Closer
----------------------------
-------------- 73.--A.C.-Duct in -Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Pl1b., Elec. & Mech. Equip. Listed for Location
---------------------- __
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
---------------
7;. Insulation -Foam -Looked in Attic Yes
---------------- -------------- - - ----------- -
78. Guard Rails & Deck Construction -Post Caps
----------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
-------------- Clearance Looked under Floor 0 Yes
80. Following instld.: Drive El Yes El No: Walks 0 Yes 0 No:
Planters 0 Yes Cl No
---------------------------------------
81. Stucco: Brown -Finish
----------------
82 A.C. Unit: Disconnect. Electrical, Plumbing
------------- - ---
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
--------------------------------------
85. Exterior Elec. Trim: G.F.I. Receptac le-Unde rg round
----------------------------------
86. Ventilation Throughout House
-------------- --------------------
87. Glass Protection
--------------------------- - - -- - - - -
88. Corrections from Previous Inspections
--------------------------------------
89. Gas Test -Meters Tagged. Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
----------------------------------- - ------
------ -------------------- - ---------
Date Card B-1 Date Card B-1
---------------------- - ---- - --- - ---
-Date--.. ---Card -6- 1 _-Date- Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
-------------------
.41
COUNTY OF BUTTE -DEPARTMENT OF DEVELO15MENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT /
ASSESSOR PARCEL NUMBER 029-22-078
ZONING A40
BUILDINGPERMIT az
OWNER TERRY LATTERIMORE
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
200 OPEN 1,400.00
OWNERS MAILING ADDRESS
1151 BUTTE CNTY JHWY RICHVALE
goo
CONTRACTORS NAME
KENNETH A RASH
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation Is q , 1) a o
Filing Fee $/ 10 20.00
LENDERS MAILING ADDRESS
Permit Fee $ ;aroo
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1151 BUTTE CITY 111Y
PERMITFEE $ 76.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00__
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF b Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition CJ( Remodel 0 Ublibes 0 Installation Other 0
Describe Work: OPEN DECK
Mobile Home -�Tw 920.00
Tq 7
PERMITFEE
Contractor
.ELECTRICAL PERMIT Filin6 Fee 2 0.'0 0
a OR LESS
Main Service 20000VA OR LESS 23.00
Main Service 200A TO 1000A �6.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm unde enalty of perjury that I am licensed under provisio . ns of Chapter
P 6t,
9 (commencing with Se on 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class I – Lic. No.
-3 OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law far the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR so
R ADDNS. & ACC. BLD . 3.50 Fr,.__
NEW CONST. LTI-OUTLET
—NON-RESID. BRMAUNCH CIRCUITS @D 7.'5 0
(& POWER
SINGLEA(PUTALREArTUSIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Xn hundred dollars ($100) or less.)
1c Eor 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.
Date .7
�,gn e of Applicant - 0 Ow—ner —&i.�n—tacior 0 Agent
An HA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee 1 $ IOL -00
OCC
CONST. TYPE
TOTAL FEE $
HAZ. I D. FEES
PARCEL I F9,
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
PERMITEXPIRESON Za
(Date)
Receipt No. 1762197
I
WHITE-D.D.S.-B.D. CAK ESSOR PINK--TNSFIIECTOR GOLDENROD -APPLICANT
10
CQYNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT'OF DEVELOPMENT SERVICES
1499 Hurriboldt-Roadj",thidb, CA - (916) 891-2751
7 County Ce�te-rDrive, Oroville, CA - (916) 538-7541
)47 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Fa
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
'4 7—PNnspecto
REV 10/92
IT IW71�� .77
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORbVILLE, CAUFZIF�W�IA 95965 - TEfLEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER La -,64,dlm -Al __q_ , A, P. No. 0,;)-9 - �;YO - P-73'
Proposed Building Use
Building I
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE ReCEIVIED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by 0(eparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ....... ....................................
6 * ' Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
_Z),l nd man f
,q- Mobilehome data a ulacturer's installation instructions, 2 sets.
Fees of $ 0 t . .................................. X
11. Impact fees as shown on attached schedule . ..............................
19 California Department of Forestry plan approval/fees .........................
1 Flood elevation letter (100 year flond) by QMifornia Engineer . ....................
4. Sanitation and plot plan approval. r-OVI 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). . . * l3r�I;sWctlo; r6q*uest
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. �opy of recorded deea 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, pro es as follows: -- Makto owner Mail to contractor.
Telephone '8 4i-ild hold for pickup at office. Deliver with inspector.
Other 11/1
4
Parcel Creation bt"-
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 pjx*)( to perm
1. Index permit for above ite'Ns No, Znw,
2. Additional iCe-ms requir/d: bovIrIJ
new it ot ch
Contractor, designer, owner, was advised of above required data by Z'phone - mail ounter by ��IDate
Contractor, designer, owner, was advised of above required daia� by _ phone _ Counter by - Date
Plans checked by Date Plans approved by DatqQM.
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
E.H. USE ONLY
'Flat Pba An -A -A
Fbw Pbn Anachad
Smi to B.D.
TO: Building Department
FROM: Environmental Health
SUffJ.ECT: Sanitation Clearance'
72
Owner Location AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well_,,�-
Clearance for bedroom mehile home. Other
Hold final for:
Final clearance O.K. for:
r
Environmental Health Specialist ODate
8/92
COLRNTY OF BUTTE - DEPARTNIENT OF DEVELOPTM17%, SERVICES, BUELDING DIVISION
7 County Center Driv6, Orovi.Lj-e- , %.A 9z9ftz
Phone: 916-S38-7541
TERRY LATTEMORE
1151 BUTTE CITY HWY
RE: Agricultural Exemption Permit applic. DATE:
A.P. # 029-22-0-078
With reference to the above subject:
5/9/95
Attached is:
Application for permit - Mobilehome Titilities Installation Sheet
Bu-ilding Plans Mobilehome installation information Sheet
Engineered Calculations ical Plan Sheet
— owner -Builder Verification Fm =int of Codes.Enforced
We need the following informa tion prior to permit processing-andlor- issuance.:
Permit application signed and completed where indicated with all copies returned.
plot plans, 3/4 sets, signed by preparer of plans.
_____�complete plans, 3/4 sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
--Hazardous material Form ation.
Energy Design Compliance and supporting document
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets-.
Fees of ;$ . payable to Butte Ccu."Ity '-r----asurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
Sanitation and plot plan approval Health Department.
city of Chico plumbing permit.
Plot plan and business license approval from I City of Biggs/Gridley,
Planning approval for 1"
imprcvements Draina-e.
Land Development (a) &
Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Stvle.. Class) or exemption statement..
Certif icate of workmans Cc--,Iensat-;--.-. z.-surance.
owner -Builder Verification Form.
Recorded ccpy of Agricultural Acknowle-d-gement. S*tacement.
Letter of signature authorization.
copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 50!k subdivision developed or . (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Copy of recorded 6.01 right-of-way to a public road.
Other- Your property lies in the 100 yr. Flood Zone. You need to contact a Civil Engineer
to derermine tne t1ood eievation at your property according to U.S_Q_S_ datilm- HP thpn nPF
ce a marKer
?r desi2n. the buildin sub ect to the condAPTEsshown on the.eta�bVwFEMACKoodtgrogram
orm, and sign and rHurn Arm o us. L cann ue your permi un 1 e re eive IS.
Should you have any questions concerning the above, please contact SCQ= R11THERFLORD
of this office.
Y rs very tr
Micael C. Vieira, C.B.O.
I
MCV:ahb manager, Building Inspection
I declare that the proposed construction of the6��jA �7o-&,a6L- Int)tq -r,3 aeuj
under Building Permit Application q5 — 57
at 116-1 C77-z:!�- 6-1 r �4 (Ji - rl & 2_ , A -P. # 4,2 1 - 0 7
will be used as indicated so it will not be considered a buildings "lowest floor."
I am aware that the floor level is below the 100 year flood - elevation and will advise
prospective buyers of this condition.
Property Owner
Address
Phone Number -t`4 9 - 5_�_60
Date—
Lowest Floor means the lowest floor of the lowest enclosed area (including basement). An
unfinished or flood resistant enclosure, usable solely for par�dng of vehicles'. building
access or storage in an area other than a' basement area is not considered a buildings
lowest -floor. -Provided that such enclosure is not built so as to render the structure in
violation of the applicable non -elevation design requirements.
Residential Garages, Residential Storage Buildings, Agricultural Buildings, Residential
Crawlspaces and all Residential Buildings are subject to the requirements listed on this
document. Buildings located in designated flood areas generally must have the lowest
floor elevated at or above the 100 year flood elevation. "Lowest Floor" means the lowest
floor of the lowest enclosed area (including any basement). An unfHshed or flood
resistant enclosure, usable solely for parking of vehicles, building access or storage in an
area other than a basement area is not considered a buildings lowest floor (provided that
such enclosurejs not built so as to render the structure in violation of the applicable non-
elevation,dqsig-h-,requirem,ents).
If the floor is not elevated and the structure is exempt from the "lowest floor
requirement," (see above) than the following must be done:
A) Building designed and anchored to prevent floatation, collapse or lateral movement.
B) Building is constructed with materials resistant to flood damage.
Q Building constructed by methods and practices that minimize flood damage.
D) Electric, heating, ventilation, plumbing and air conditioning equipment and other
service facilities shall be designed and/or located so as to prevent water from entering
or accumulating with the components during conditions of flooding.
Note: We will normally accept the following as compliance with the above
conditions:
1. Building is anchored to concrete sternwall system with conventional anchor bolts.
2. Building plate on top of sternwall to be at or above the 100 year flood elevation. (Plate
height less than 24" above grade or engineered design required). -
3. Electrical, heating, ventilation, plumbing and A.C. equipment and facilities located
above the plate (100 year flood elevation).
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than I square inch for every square foot. of enclosed area.
5. The bottom of the openings shall be no higher than I foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of flood water.
7. Lowest Floor Declaration form signed by property owner (other side of this form).
On residential buildings where the "lowest floor" is elevated at or above the 100 year
flood elevation, the crawlspace must comply with items 3, 4, 5 and 6 above.
OVER
�h,
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction -work under build-
ing permit application at / /_�- / 1,2,u —/ 7-c-- 6 -c- >/, /J / -!.±� (/ 6 z )
A. P. # Y- 920- 07,5for C�,&fjjo,,
:5- 4ao / -/7 ON M
Zp e s
not equal or' exceed the definition of "Substantial Improvement."*
I am aware the building site is in a flood -plain area, even though I
am not required to comply with the flood plain management criteria.
PROPERTY OWNER
ADDRESS C/
PHONE NO.
DATE ?
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement -of a structure,.the cost of which equals.or exceeds
50% of the market value of the.structure either, (a) -before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
f7s
Q29-220-079- PERMIT#95-0430
LATERMORE; Terry
1151' Butte.City Hwy, Oroville,
Cont;'A. Ames Co '- .
Add* inain ser & pump e�e/SF
OFFICE COPY.
Address
0
G A Date
Meter
I-ELEC Dat
I
CAJNTybF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Californk-.-%95965 - Telephone (916) 538-7541,n.,w PERMIT t!O.
1 -75 40!�t?
APPLICATION AND PERMIT k)
ASSESSOR PARCEL NUMBER 29-22-79
ZONING A40
BUILDINGPERMIT
OWNER
TERRY LATEPMORE RICE COOP
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
XXKXnSXM 1151 BUM CITY IM
CONTRACTORS NAME A. AMS CO
USPHONE
TE 742-7212
CONTRACTORS MAILING ADDRESS
115 MELROSE DR OROVILLE
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee $
20.00
LENDERS MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
—Penalty $
BUILDING ADDRESS
1151 B= CITY MWY
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater
23.00 —
USEOFSTRUCTURE
SF1ff Duplex 0 Mobilehome 0 OtAer
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: ADD MAIN SERVICE 9 PIT Mr-
Mobile Home IS I GI W 1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main Service 600v OR LESS
200A OR LESS
23.00 23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class I L, Lo 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:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS _
so
3.5(! FT._
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUIT
@?7.50
—
POWER APPARATUS
& SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL 9 .50
FIXED APPUNS OR
Ex. Occup. OUTLETS (REs16.) EA
5.00 5,()0
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE TNqPFr.
1 23.00
PERMITFEE $
71.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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
Signature lof 'Appli J nt - 0 Owner 121' Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
�C
C NST. TYPE,
, ,
I TOTAL FEE $ 71.00
HAZ.
I D. FEES I IMP
CDF
PARCEL I PD
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By DAte
PERMITEXPIRESON
(Dt.)
provisions
to do work
paid.
ReceiptNo. 17560/4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL FCANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
PERMIT.VO.
7 County Center Drive - Grovifle, dalifornia 95965 - Telephone (916) 538-7541
APPLICA AND PERMIT M 6 qs3c-�
-TA
ASSESSOR PARCEL NUMBER 29-22-79
ZONING A40
BUILDINGPERMIT ul--11
OWNER TERRY LATEF1,10RE. RICE Coop
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
XXXXNE310 1151 BUTTE CITY WY
CONTRACTORS NAME
A. AS-1ES CO
FTEIEPHONE
742-7212
CONTRACTORS MAILING ADDRESS
115 MELROSE DR OROVTLLE
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee $
20.00
LENDERS MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
1191 BUTTE CTTY HTqy
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
IPARCE MAP
Solar or h eat pu . mp water heater
23.00
USEOFSTRUCTURE
SFXX Duplex 0 Mobilehome 0 Other
SPECIFY__
.
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: ADD LIAIN SERVICE & RIZ0 ELC-
Mobile Home IS I GI W1
920.00
PERMITFEE
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0.'0 0
Main Service 600v OR LESS
200A OR LESS
23.00 9-3 00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class'g 0 - C 3 (1 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:
0 1, asowner 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUR
OR ADDNS. L & ACC. BLDS.
so
3.50 FF
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
&POIWER
N G L E AOP UPAr LREArT U SIR.
OUTLET OR FDCTURES @ 1.00
Ex. Occup. ( aAL Q .50
FIXED A PLNS. OR
Ex. Occup. ( OUTLETS PRESID.) EA 5.00 Ej nn
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE TNSRFC- 23
PERMITIFEE $ 71 00
Contractor
MECHANICAL PERMIT Filing Fee- 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITIFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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,
forthwith comply with those provisions.
X Date -F— 7
Signat e7 of AppliCAnt - 0 Owner 0 Contractor 0 Agent
ml
An OZA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST. TYPE
I ITOTAL
FEE $ 71.00
HAZ.
I D. FEES
I IMP
I FLOOD
XX
I CDF
PARCEL I PID
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 te Aop/��
PERMITEXPIRESON
I / / (Dw.)
Receipt NO. 175604
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF'BUtTE
BUILDING DIVISION,,
DEPARTMENT OF DEYELQFtME7W SERVICES
1469 Humboldt Road, Chico,.CA -,�916) 8-01-2751
7 County Center Drive, Oroville, CA - (911�) 538-7541
747 Elliott Road, Paradise, CA - (916) 872:6307
CORRECTION NOTICE
OWNER
PERMIT
A routine ins
a :ti.on indicates that the following violations of Butte County Ordinances exist at
d I,(
the above ani Id be corrected. Please notify this office when correction of work
is complet - If you hav: aouy questions pertaining to this matter, or need additional explanation,
please 7trachis office immediately.
'0
Date Inspector
3
REV 10/92
B \-DING DIVISION
COUNTY OF BUTTE -�DEIAARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-754,
AGRICULTURAL BUILDING EXEMPTION PERMIT7
PERMIT NO.
95-S-7
Agricultural building is defined as follows: Agricultural building is a structure designed audconstructed 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.
07S
ZONING��
OWNER
Fe /Z /Z 1-,d 77 C--/�-7 0 9 C-
PHONE NO.
S 6!' ;6
OWNER'S ADDRESS 7 -A, //,-z) R a, Ro,
/ / &L-) 7- 74-: L
LOCATION OF BUILDING
ff� 61, (1Y 9-S 3�
AM14
USE OF BUILDING
1--14 iz tv.-7 c- o u /0 /-7 e r W -<u lo /9 t- t5_ 7 0 tz .4 6 GF
SIZE OF STRUCTURE
--.To X 1 2_Q 0 SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME — STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
/V/&-- 7 /4 L
ROOF COVERING
IVI,5 7- 4 4- T�l
FLOOR TYPE
C_ 0 /-/ C, /Z
ESTIMATED COST OF CONSTRUCTION
$_zz'
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows: . -2 1
FRONT SIDES REAR
AG Buildings shall be a minimum of f ive (5) f eet f rom any septic tank or leach f ields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 f eet f rom a residence, 10 f eet 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.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
03
I declare under penalty of perjury that the building will be used as stated above 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 3—'4/_2 �
Permit Fee - $60.00
Receipt No. / % / 9 -,S—
--v---7 7
Signature of Owner /Aw f
J
The above described AG ilding is exe
,Ri�_frqrh a building permit.
Manager Building Division
I
By �Op��
V
White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant
Date _Sh 1// 55?
BUILDING DIVISION
ddUNTYOF BUTTE. DEPARTME�,r VELOPMENTSERVICES
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET.
OWNER 1 61 r
Proposed Building Use------,
I- A. P o. 0,� 9 X0 -0 P
Building Inspector Date
At time of pe
,gffiKapplication, I was advised the ing data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted .........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. . . : * * , , * , , * I ... * "* , 0 * _
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ ............... _.
. ..... .....
11. Impact fees as shown on attached schedule. . '******* ** ** * * I *_
12. California Department of Forestry plan al�_*val/fees .....................
13. Flood elevation letter (100 year flood) by California Engineer ..............
14. Sanitation and plot plan approval Health Department . ........
15. City 0 Chico plumbing'. permit . ................. I .....................
116. Plot plan and business license approval from City of Biggs/Gridley . ........
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.a bout (A) Improvements (B) Drainage., . . j . .
19. Driveway permit (construction approval required prior to occupancy). ) .......
Pre4nspection request
20. Pre -inspection for required." to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Classification).
22. Certificate of Workma6s Compensation Insurance . ......................
23. Owner -Builder Verific�tio'n- (Given to owner Mail to owner ......
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . .................................... *-
26. Popy 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/expire d permits . ......................................
32. Pla check list. . . . .6.6; . I ...... f.
'.�::::t��33: �,O�Maso_ fl�'no-*, 6 r a 1" 6'' A ...... .... r, .......
34. 'b ta Y� 1�a I �1- rqp ra v e- A a 4- to r Yv
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other I'll,
Parcel Creation /Yb Ile
Acreage Z-----A-p p I i �ca n t 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 f6llowing data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - 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 Wo*s
4
North Valley
Ready-Mix—Agri-Systems
J3 rL
�VN.. I I Three Sev'ens Lone�Chico,-.CA- 95,926 ok
Telephone (916) 345-7296 gm- -,p
License. No. 3099,74
COMPLETE CO.NCRET E AND BUILDING SERVICE
BOB PARSONS
4
02.9-220479� PERMIT#95-0631
LATAMOUR-, , Terry
115 1, Btit te ' Ci ty,. Hwy'; Richvale
Cont; Ken lash
Reroof 'erard/SF
9
P I --�
460
i
k
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 Pj=-RMIT NO.
APPLICAT(ON AND PERMIT -D 7 10 j�2 3 /
ASSESSOR PARCEL NuMBER
029-22-0-079
ZONING
BU GPERMIT
1 ZLQA
OWNER
TERRY LATAMOTIR
TELEPHONE
SQ. FT. OCV BUILDING VALUATION
OWNEWS MAILING ADDRESS
CO�=-SN'"m em IRN, RIOWAm TELEPHONE
KEN RAM 891-4569
3 8 2280
CONTRACTORS MAILING ADDRE&C10
(329 1 gr
1, ,YWAY
Fireplace
CONSTRUCTION LENDER
UNMOWN
— Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
1 1
Permit Fee
$ 54.W
'0
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
AROHITEOT OR ENGINEER'S MAILING ADDRESS
Penalty
$
.UI1J1fffR"= CITy Tg%?Y, RIC"ALE
PERMITFEE
$ 74.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00__
LOT NO.
SUBDIVISION'S NAME
PARCEL -MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK 3(
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other O�
Describe Work: REROOF/GERARD
Mobile Home ISI GI W1
920.00
PERMITFEE
$
Contractor
—
ELECTRICAL PERMIT
Filinq Fee 20.00
v OR LESS
Main Service �6.00A OR LESS
0
23.00
Main Service 200A TO 1000A
*1 46 - 00
I
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Z Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors, License
Law for the following reason:
0 1, as ownerof theproperty, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST, DWELUNG OCCUR
OR ADONS. & ACC. BLDS.
So
1, 3.5; FT.'
NEW CONST. E, MULTI -OUTLET
NON-RESID. RANCH CIRCUITS
@7.50
&POWER us
( SINGLEAOPLPrArLREATTCIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
I&AL 0 .50
( OFIXED APPLNS. OR
— Ex. Occup. UTLETS- (RESID.) E.A.
5.00
— Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need n The completed-itAke permit is for work of a valuation
dollarS
s
of one hundred $1 r ss.)
I certify that in the 1performanc work for w i this permit is issued, I shall
work f
'Knot employ any person in any to tecome subject to workers'
compensation laws of California, 'and agr , I
.1 e f�l s uld become subject to the
workers' compensation provisions of section 37bO f the Labor Ccde,
forthwith comply with those pr6vision
X D \attV
Sigpature of A licant -40 Owner 0 Contractor A
� pp _ Agent
An OSHA permit is required for exca.vations over e �,,��p,'q_nc d molition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee s
occ
CONST.;TYPE,
TOTAL FEE$ 74.00
J! - I
HAZ.
0. FEES
I IMP I FLOOD
PO
This permit is hereby issued under the
of the Butte County Code and/or
Jndicafed above for which ees have
P,
PERMITEXPIRESON
$
applicable provisions
Resolutions to do work
been paid.
4/4/95
Date
4/4/96
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CA_1__*__ PINK-INSPF111 APPLICANT
44, r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N
7 County Center Drive, - Oroville, California 95965 - Telephone (916) 538-7�5rqq PERMIT NO.
APPLICATIOt"ND PERMIT
ASSESSOR PARCEL NUMBER
029-22-0-079
ZONING
BU GPERMIT
I�PA
OWNER
TERRY LATAMOUR
TELEPHONE
SO. FT. Occ,", BUILDING VALUATION
38 1P 2280
OWNERS MAILING ADDRESS
co SWTE CTTY HWY, RMWALE
KEN RASH
TELEPHONE
891-4569
CONTRACTORS MAILING
'To
A7ES�HC
1829 SK;r
Fireplace
CONSTRUCTION LENDER
UN -OWN
Total Valuation $
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
_T�ENO.
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
Gu'ui'TffR TUTTE CITY JJWY, RICHVALE
PERMITFEE $ 74.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other Ox
Describe Work: REROOF/GERARD
Mobile Home I S I GI W 1 920.00
PERMITFEE
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
v OR LESS
Main Service i81000A OR LESS 23.00
0
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class X, Lic. No. /?—
OWN WILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST- DWELLING OCCUP. a
OR ADDNS. & ACC. BUDS. 3.50 ST.
NEW CONST. MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
( POWER APPARATUS
SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL 0 .50
FIXED APPLNS. OR X
Ex. Occup. ( OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe LaborCode, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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,
forthwith comply with those *visions.
X Date
SigAture oWplicant'-40 Owner 0 Contractor AAgent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height. <--
Mobile Home Installation Fee
Energy Inspection Fee Is
OCC
CONST. TYPE
I
TOTAL FEE $ 74.00
HAZ.
I D. FEES
I IMP I FLOOD I
CDF PARCEL PD] HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ve for which ees have been paid.
; 4�� Date 4/4/95
PERMITEXPIRESON 4/4/96
(Date)
Receipt No. 1-7,5& ( , -7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNV OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: Mitchell's Building Material Warehouse
ADDRESS: PO Box 1038
CITY Et STATE:— Gridley,CA 95948-1038
DATE OF CLAIW 01/09/2001
IMPORTANT. SEE INSTRUCTIONS ON REVERSE SIDE
S UBMI T CLA IM TO DEPA R TMEN T RECEI VING G 0 ODS OR SER Wai
DATE T
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner decided not to build. (AP#029-220-078, BP#00-2476, Receipt #308645, dated 10/10/00, owner: Terry
Lattemore.)
Total amount paid $453.25
Total amount to be retained $211.25
Total amount to be refunded $242.00
Retained refund processing $25.00
Retained Building Permit filing fee $20.00
Retained Electrical Permit filing fee $20.00
Retained Plan checking fee $146.25
TOTAL
$ 242
00
1, th;,-.undersigned, declare under penalty of perjury that the services or articles clai ed ha been performed or delivered, and that this claim is true an
as stated. I
Dated this dayof C'Iif.
!O:PL�1-4 // Aignature of ClairrAnt
1, the undersigned, hereby certify that, to the best of my knowledge, the servic s specified abov ormed or delivered and that t
Budget Appropriation [ ] or Specific Board Approval [ I (Check one) for the sa
Dated this day ofVhd, 2001 , at PAX111Lb'-- , Calif. _
Departrher�t He�acl or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUN
Dept. Code Exp.Code PAYABLE FROM FU
Dept Code ExP.Code PAYABLE FROM FU
DO NOT WRITE BELOW THIS LINE - ALIDITOR'S USE ONLY
DEPT. & SUB. PROJ.
SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
January 9, 2001
Mitchell's Building Material Warehouse
PO Box 1038
Gridley, CA 95948-1038
Dear Sir:
suite
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE * OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Request for refund
(A.P. #029-220-078)
Our office received your request for a refund. Please find attached a general claim form ready for
signature.
Please sign only where indicated and return to this office so that we may process your refund.
Should you have any questions concerning this matter, please contact Alice Mefford of this office
at (530)538-7541.
Yours very truly,
Qlic�e Meffford Ur
Supervisor, Staff Support Services
attachment
I
I
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: Mitchell's Building Material Warehouse
ADDRESS: PO Box 1038
CITY Et STATE:— Gridley,CA 95948-1038
DATE OF CLAIM: 01/09/2001
IMPORTANT SEE INSTRUCTIONS ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner decided not to build.(AP#029-220-078, BP#00-2476, Receipt #308645, dated 10/10/00, owner: Terry
Lattemore.)
Total amount paid $453.25
Total amount to be retained $211.25
Total amount to be refunded $242.00
Retained refund processing $25.00
Retained Building Permit filing fee $20.00
Retained Electrical Permit filing fee $20.00
Retained Plan checking fee $146.25
TOTAL
$ 242 —rool
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true an(
as stated.
Dated this _ day of _, 2001, at Calif.
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that t
Budget Appropriation I I or Specific Board Approval (Check one) for the same.
Dated this _ day of _, 2001 , at Calif.
Department Head or Authorized Deputy
Dept. Code 440-002 Ex.p. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUN
Dept. Code Exp.Code PAYABLE FROM FU
Dept Code ExP.Code PAYABLE FROM FU
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
Jan-05-Ol..,09:44A
P.01
- . b - '.
t- (6 -�) - '), '�;
IJTTB col"ITI N
140
elv)
INSTRUCTIONS TO CLAIMANTS
All claims against the county must b' its !'' d, giving<date's and character of's"ervice'rendered or work
performed, quantitiOSr description aend umnitzerices of articles furnished or delivered.
Claims Must be certified by the claimant and submitted to the Department head forapproval. Uponapproval
the Department head will forward claim to County Auditorfor payment procedure. Do notfilewith the County
Auditor first,
Claimsshould be presented to 6fficialsforapproval immediately upon completion of services requestedor
material ordered.
Compliance with above will expedite payment Oftlaim, failure to do so may delay payment considerably,
X RZ - C-; 20 6 —, e—
I
Jan -05-01 09:44A
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT:— Jd- - -'- -e '- "- 4--c'
ADDRESS:
CITY Ff STATE:
DATE.OF CLAIM:
IMPORTANT.- SEE INSTRUCTIONS/61
SIUMNIT f -'I A IA#rt) nCDA 92-rAff
Po -box 10i
I a s —Z C��
MM�ESIDE
P. 02
DALE
r of V %7 W&P..4 W ocrivIrtoca
DESCRIPTION OF LAIM (DESCRISE FULLY TO AVOID DELAYJ AMCUW
df-E� A0 / 7—'Z
-9
TOTAL
1, the undersigned, declare under penalty of perjury that the services or articles claimed have . beer, pe red, and that this clalm is true an(
as stated.
Dated this If 0=-1'-V�1"'
_L�fday Of 2 OQla t if.
-- -- . - �41- / / S1fla6tQWO!xa1EM5nt
lwdww� imasummorm
1, the undersigned, hereby certify that, to the bast Of my knowledge, the services I or articles specified A-0`ve ht�4baen pa4rmed or delivered and that I
Budget Appropriation [ I or Specific Board Approval I (Check one) for the same.
Dated this _ day of 20___, at Calif.
0 artment Head or Authorized Dema
Dept. Code Exp. Code PAYABLE FROM
Dept. Code Exp.Code— PAYABLE FROM
DeptCocle Exp.Code PAYABLE FROM
00 NOT WRITE BELOW THIS LINE - AUDrTORS USE ONLY
DEPT. 6 SUB. PROJ. SUB. O8.J. CLAIM NO. INV. NO. INV.DATE ENCUMB. GROSS AMT.
Jan -05-01 09:45A
P. 03
REFUND CLAIM APPLICATION
CLAIMANT'S NAME
Wachews B mate-i,�� wammuse
MAILING ADDRESS -.0 ox 1038'
ASSESSOR PARCEL #:
RECEIPT NUMBER(S).
Request a refund of fees paid
the above receipt number(s) for the following reasons:
Please refund'any applicable fees in the following colegories: (Check those. categories
which you wish to have refunded.)
Building Permit Fees Sheriff Fees
SRA Fees (CDF Fire Planning), Urban Area Fees
Disposition of Plans:
Plans retumed to me at counter6--,,,/,/
Please'mail plans to me at above address.
Please dispose of plans.
SIGNATURE
DATE
PLEASE DATE AND SIGN THE ATTAC#tD COUNtY OF BUTTE GE'NERAL CLAIM
'FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
Jan -05-01 09:45A P.04
44.
FOR BUILDING DIMON USE. -
Receipt Information:
Number: 30? & 4S -
Date: )01,1 D) C)D
Issued To: I
Amount:
Fees Retained:
V/Processing Fee:
/131dg Filing Fee:
rPlbg Filing.Fe.e:.
V&d Filing Fee:
Mech Filing Fee:
Energy P/C Fee:
vi�lan Check Fee:
Inspection Fee:
SRA Fee:
Total Amoun,t Retained
TOTAL REFUND DUE
s. C;O.
$
-g#6d
I I R I D6,,
C) L rh
C) -K m
Vi
uNt'-p-
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION.
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PEWT NO.
12/96) APPLICATION AND PERMIT 40 -,;Z47g�—
ANSIVIISORPAACILNU!�
eV
zQmmGA/,/0
BUILDING PERWIT
O""o --b2�
SO. Fr. OCC. BUILDING VALUATIOJ
A7 :z C? 41(ftvm-d ctf-5��e77,d
CON= -17m-e
00 wAbom
I=W 0�- r�
coNsm)croh Uum
EFirelace
LENOWS "UNO AMMS
Total Valuation
ARCHrrECT OA ENGINEER
UCENSe NO.
Filing Fee
0 00
Permit Fee
S-0- I
ARCHM7 OA 0401NMS MAJUNG ADORESS
Plan Checking Fee
'46 9-5
BULDINOVDAESS
Energy Plan Checking Fee
PERMIT FEE
$ :�5
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
Solar or heat pump water heater
23.00
Water piping
1S.00
Each gas water heater or vent
1S.00
TYPE OF WORK
New (3,,, �dftion 0 Re .11ties 0 InStAflation 0 Other 13
Describe Work: C -
g
Gas piping sy�tern I - S outlets
1S.00
Building sewer
11S.00
Mobile Home I S I G I WT
(920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service s
23.001
*PERMIT FEE PAID
SRA
SHERIFF
OTHER.
Z
AMOUNT RECEIVED $
*RECEIPT NUMBER -3—o
TO BE PUT INTO COMPUTER
Main Service 20GA TO t000A
46.00
NEW CONST. DwalmiLcCup.
OR ADONS. a *=. S.
so.
3.50FT.
NEW CONST
NW&AESIO. 97.50
P�O
�=AP=US
1.00
Ex. Occup. OVTLET OR FIXTURES 8AL a .50
Ex. Occup. O%0TS"tPRU,6,6.)02,-, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
- I .
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
--
Hood 6.50
Ventilation
PERMIT FEt S
Wbile Home Installation Fee— $
n or
Energy Inspection Fee
gy
c T PdE
OC,� T, PE
S3 TOTAL FEE $
3
KAZ- 0. FEES Im/ I pl� I PO I No Issul
L.F E
J
This pernmit 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
P p MIT
ERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT "PLICA TION DA TA SHEET
A
OWNER ASSESSOR Pl� CELNUMBER:
Proposed Building Use: Building Inspector. -Date: 45? 0
X2 -149 -
At time of permit applicat6ion, I was ad4dd the foffowing data mustre )rior to permit processing and/or issuance:
Date Received By
01
_All items have been submitted --------------------------------------------------------------------------------------
4f,6Tno plans; 3/4 sets, signed by the preparer of plans - ---------------------- L -------------------
OCComplete plans, 3/4 sets, signed by the preparer of plans - -------------------------------------------- t --------
E01 ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
0 6. Energy Design Compliance and supporting documentation - ----------------------------------
0 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------
0 8. Hazardous Material Form - -------------------------------------------------------------------------
09._,Vanufactured Home data and installation instructions including Tie Down Specifications.
0-0. �If =- s of $ -------------------------------------------------------------------
0 11. impact fees as shown on the attached schedule - -----------------------------------------------
0 12. California Department of Forestry plan approval/fees - ---------------------------------------
V1 3. Flood elevation certificate - ----------------------------------------------------------------------
&n Sanitation and plot plan approval — Health Department - -------------------------
f5' city of Chico plumbing permit - ----------- I ------------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs - -----------------------------
0 17. Planning approval for (A) Use: - (B) Parking: _ --------
0 18. Contact Land Development about 0 Improvements, 0 Drainage, El Legal Parcel - -----------------
0 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------
0 20. Pjre-insp�ction for required- Request to Building Inspector on
ae"C-ontractor's license information. (Number, Name Style, Classification) - -----------------------------
Ce2r-Workers"Co'mpensation carrier and policy number - -----------------------------------------------------
023. Owner -Builder Verification (Given to owner 11, Mailed to owner 0) - -------------------------------
024.'Letter of signature authorization - --------------------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------
026. Letter of intent on building use - ----------------------------------------------------------------------------
- 027. Manufactured Home utility clearance - -----
-<O
1328. Existing violations and/or expired permits.
,02��9433 A OGrantD 10 Title, �J
"o'.- I �-
I-EnO. Other: S:�� " P�-
you
H.C.D $
lows 11 Mail to owner, Ob
and hold for pickup at e5)
Applicant: _
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other:
11 Deliver
I
(Date)
1. Index permit application for the above_AeTs number(Ad: Plan Check List
Z
2. Additional items required:
Contractor, designer, owner, was advised of tAe above require� data by 0 phone, 0 mail, 0 Building Division. counter, by_ Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division co ter,by_Date:*
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division 7unter,by—Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 B ounter, by Dat9/ A/
rc(
Plans reviewed by: Date: Plans approved by:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by:. Date: -
E.H. USE My
Plot Pten Artach.d��
Roar. Plan AttactieA _44--Oe.4
Sent to 8.0. 11 01e�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: -Public Private Well
Clearance for,�_welling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Env(r'on m --ental 4ealth S'pecialisv Date
8/96
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 Ad PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT Liz&
ASSESSOR PARCEL NUMBER
029-220-078
ZONING
BUILDINGPERMIT
OWNER
LATTEMORE, TERRY
TELEPHONE
868-5993
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAUNG ADDRESS
P.6. Box 339 RICHVALE CA 95974
CONTRACTORS NAME
H&H. CONST,
TELEPHONE
1846-0874
CONTRACTORS MAIUNG ADDRESS
195 WASHINGTON, GRIDLEY CA 95948
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
-------------
Total Valuation
ARCHITECT OR ENGINEER
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 1151 BUTTE CITY HWY RICHVALE CA 95974
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 43 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: DFTAC!4FD CARAGF 24Y90
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service . 'O.R
_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
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
—
SO.
3.5%tFT.
=IcONST. MULTI -OUTLET
ID. H CIRCUITS
@7.50.
0 AP= U
PSIrGLE 0 CSI R.
Ex. Occup. OUTLET OR FD(TURES
20 @ 1.00
BAL @ .50
Ex. Occup. E
O.11XEO APPLM ORA�
5.00
-
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
1 23.001
-
I I
PERMIT FEE
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
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.)
0 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 Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
cc
g!�k
PE
r)t7
TOTALFEE$
4�v 1
D. )F9
1;;J %PA
I COF
I PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
I
-
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. 308645
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
Oct -10-00 12:OOP
fr COUNTY OF BUTTE - DEPARTM'ENT OF DEVELOPMENT SERVICES
, OWNER'S STATEMENT OF USE - DETACHEt)-ACCESSORY BUILDING
OWNER:
MAIL ADDRESS'
SITI
-7-
PMT. #
PHONE:
P-01
PROPOSED USE: t��aj'
SITE CONDITIONS:
10. Is the smxlure foundation within 5'of septic tank or 10' of leac� lines? Yes: No:
11. Is any portion of the proposed structure located closer than 20' to your front pro;5erty line? Ye& No:
'12. Do you plan to add a driveway or modify existing access to a county maintained road'? Yes: No�
13. Will the proposed structure encroach within any recorded easement? Yes: No:
CONSTRUCTION FEATURES:
1A. Will this building have insulated floor, walls, or deiling^ Yes- No:
15. Will this building be heated or cooled? Yes: No:
16. Will this building have a water closetltoilet? Yes: No:
17. Will this building have a sink? Yes: No -
18. Will this building have a water heater? Yes: No:
-71
19. What ' type of floor covering will the building have? A
20. What type of wall covering will the building have?
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-`16) IN rHE 31PACE PROVIDED ON THE REVER3E OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT VVITH RELArED QUESTION
GENERAL INFORMATION:
1 . Is there a prima " elling on the property?-
Yes:
No:
2. Is the structure already built, under construction, or under notice of code violation?
Yes:
No:
3. Will items produced in this budding be offered for sWe*?
Yes:
No:
4. Will the public have access to this building?
Yes:.
No:
5, Will any advertising, on or off site, be associated with ttie use of this building?
Yes:
No:
6. Will this building be occupied at, any time as a sleeping quarters?
Yes:
No:
7. Will this building be occupied at any time as an eating area?
Yes:
No:
8. Will this building be occupied at any time as a c6oking area?
Yes:
No:
9. Will this bui!ding be occupied at any time as a living area?
Yes:
No:
SITE CONDITIONS:
10. Is the smxlure foundation within 5'of septic tank or 10' of leac� lines? Yes: No:
11. Is any portion of the proposed structure located closer than 20' to your front pro;5erty line? Ye& No:
'12. Do you plan to add a driveway or modify existing access to a county maintained road'? Yes: No�
13. Will the proposed structure encroach within any recorded easement? Yes: No:
CONSTRUCTION FEATURES:
1A. Will this building have insulated floor, walls, or deiling^ Yes- No:
15. Will this building be heated or cooled? Yes: No:
16. Will this building have a water closetltoilet? Yes: No:
17. Will this building have a sink? Yes: No -
18. Will this building have a water heater? Yes: No:
-71
19. What ' type of floor covering will the building have? A
20. What type of wall covering will the building have?
ADDITIONAL INFORMATION:
I
5
I hearby affirm under P01calty Of Per,*Ury the above Inf(ormdon I& true and corvecl. I understand thA any chang" to the use, at character of use, of this building will
raquire permits from the perrmMi"hority. I ur-dersland that R I E I Disclosure laws requirt disclosure of this information it or when offered for sale.
/6)0
OR OEPARTMEMIAL USE
REVIEWED BY:
COMMENTS:
10'd
OWNER'S SIGNATURF DATE
DATE:
dlo-,Zl. 00--0T-'4.-)0
A1%'D WM14 RECORDED MAIL TO:
DUTTE COUNT'Y BUILDING DIVISION
7 COUN"ry CENTER DRIVE
OROVILIX CA 9590
COPY of Document Recorded -
04 -Jun -2001 2001-0023598
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICTLTURAL STATEMENT OF ACKNOWLEIDGMENT
FOR JUESIDENTL&L DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permiL The
property described herein is 4acent 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 frown the pursuit of agricultural operations including, but not limited to cultivation,
plowmg, spraying, pruning, and harvestmg w1uch occasionally Swerate dust, smoke, noise, and odor Butte County has established
agricultural purposes and residents within said zones and on 4accnt property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
AD that real property situate in the County of Butte, State of California, described as follows:
DESCRIPTION OF PROPERTY: All that real property situate in the State of
California, County of Butte described as follows: a portion of Lot 170 of
RICFVALE COLONY NUMBER 10, as the same a portion are laid down and numbered on
the official Map thereof, filed in the office of the Recorder of Butte County,
California, on March 14, 1912, described as follows: Parcel 2, as shown on that
certain Parcel Map recorded Jaunary 3, 1975, in Book 52 of Maps, at page 29,
official Records of Butte County. Ap# 029-220-078-000
-Date 6, a4c) (
State of Caffornia
County of "�'U�4c
PROPERTY OWNERS
- 6e*
.T
S1
before me�
ev (AiA,4 �D,
-7`77',7--Z�-7-
-1 1- FZ_ r --
personally appeared_j- �irir �L_o, L --j _`w�dfq personak
komm to me I sadAh"ery evW"ce) to be the person(s) whose name(s)Alam subscribed to the within
Instrument and acknowledged to me that lWilb9they executed the same In VidAkdritheir authorized capacfty(ies)6 and that by
fiU41oftheir signature(s) on the Instrument, the person(@) or the entity upon behalf of which the person(s) acted, executed the
Instrument.
WITNESS my hand and seaL
0 JUDI SUTHERLAND
COMM. #1215301
Signature 'L."16 714j_a� Seal: cr, NOTARY PLIBLIC - CALIFORNLA c,,
BUTT E COL;',Ir.Y
[v:.y C.-Cm.m.. r_-'x.p;r�s Niia; 4_2003
ilk
A.P. 4 tO 2--q—,020- 0-7e- 000
E.. USE ONLY
Plot Plan Attache:d
Floor Plan Attached�
Sent to 8.0.4', _j
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I em—� os
OJvner Location APg"�
"g"
Plan Approved for: Sewage Dis�posa Wate ply: Public Zrivate Wvvelflll�,
�Vj _
�s
Clearance for dwelling. Other -3
Hold final for:
Final clearance O.K. for:
NOTE:
vironmental Health Specialist
8/96
-kt-4� 15 1 / I SI -=L) ')
Date '
lot
55'
LA
co yr4
Flot f7lan
9 t3u tte G it y. Hi 3Hw4Y
i e Approximate
All L)imenr2iorI5 ar
7,Z2-0-079
AJ
Z4
N
APPROVED
Butte Coun
Envir0nmental ea�h
a
gnptuT
LM
G
0-
25'.0-
J)
Al
z
A
6
CA
p
AJ
Z4
N
APPROVED
Butte Coun
Envir0nmental ea�h
a
gnptuT
A3
N COUNTY OF Bu-r-TE-1016ARTMENT OF DEA.14gLOPMENTSERVICES, BUILDING DIVISION
County Center Drive - Oroville, California 65965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCELNUMBER
ZONING
BUILDING PERMIT
OWNER
MRRY A SMR4 I MEMMI ER
TELE�HONE
SQ. Fr. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
1151 ET"TP. CTTY FKY
cmp-r 331000
CONTRACTOR'S NAME
R.111- M"TMI1.7m CONST
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCnON LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee s 3U4.0o
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
"u'LOMFSESsM CITY FW, RICHVALE
L
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'SNAME
JPARCELMAP
Solar or heat pump water heater 23.00 —
LISEOFSTRUCTURE
SF EIDuple, 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other of
Describe Work: VINn SIDING AND WINDIM
Mobile Home I S I GI W 1 @)20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 2 0.'0 0
600V OR LESS
Main Service 200A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No-
5
OWN UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. Q
R ADDNS. a ACC. BLDS. 3.5,! ST.
NEW CONST. MULTI -OUTLET
— NON-RESID. RANCH CIRCUITS 97.50
POWER APPARATUS
SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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 th e
performance of the work for which this permit is issued.
0 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 43 yJ F I t.17 -
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
D 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.
i Date
Sig a re of (A�plicant 0 Owner 0 Contractor ett Agent
An IDS HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL Fr= 41!
324.00
HAZ.
I D. FEES
I IMP
I FLOOD
I COF
PARCEL PD I HD
I ISSUE
-04
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 h6e been paid.
By 4-04 AJ111 Date,
PERMITEXPIRESON
5'/21/96
- > (DWe)
Receipt No. 186555
WHITE-D.D.S.-B.D. CANARY -ASSESSOR 'PINK -INSPECTOR GOLDEN ROD -APPLICANT �
COUNTY OF BUTTE - DEPARTMENTPF DEia-LOPMENT SERVICES -BUILDING DI /SION
7 County Center Drive - Oroville,- California 95965 - Telephone (916) 538- 41795;6."7 PER IT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
099-99-0-078
ZONING
BUU61NGPERMIT
OWNER
TERRY & SANDRA LATTEMOR-E
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
WNT 33,000
OWNERS MAILING ADDRESS
1151 BUTTE CITY HWY, RICUVAIR
CONMACTORS "ME
R -Th DANBERGEM CONST
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation is
LENDERS MAILING ADDRESS
—Filing Fee $
20.00
Permit Fee $
:304. Ou
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
'uHTf'T,rTE CITY HWY, RICHVALE
PERMITFEE $
nn
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
1 7.00
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater ---23.00
USEOFSTRUCTURE
SF [�Xbuplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other EIX
Describe Work: VINYL SIDING AND WINDOWS
Mobile Home ISI GI W1
@20.00
1
1
PERMITFEE 1 $
Contractor
ELECTRICAL PERMIT
Filina Fee 2 O.'o 0
a OV OR LESS
Main Service 2000A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class '9 Lic. No.
OWN UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so
3.50FT.
NEW CONST. ULTI-OUTLET
NON-RESID. BRMANCH CIRCUITS
@7.50
POWER APPARATUS
SINGLE OUTLET CIA
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID .) El
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 O)d Fi1j;-
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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 Date
S -i gg�a �tr e O�lf
I p icant - 0 0 Contractor rkAgent
An OSHA per)m, is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
occ
CONST P+E
r_ It
TLOTAL FEE .5
�� 324.00
HAZ.
Es
I D. FEES
.P L.O.
CDF PARCEL PD HD
ISSUE, ,
This permit is hereby issued under Oie applicable provisions
of the Butte County Code and/or Resolutions to do work
indiXr We been paid.
By - —Date 9/21/95
PERMITEXPIRESON (
9/21/96 (D.,.)
ReceiptNo. 185555
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
PERMIT AUTHORIZATION
1, Ron Damberger, general contractor of R.E. Damberger
Construction, authorize 1; MEAJ 0 0 to obtain a
building permit for work to be completed at:
I � S k pAj—'L California.
Thank you for your cooperation,
Ron Damberger Lic # 3fi 1817 Date
029-220,-078 PERMIT,#95-1322
LATTEMORE, Terry,
% 1151 Butte City Hwy,Richvale
Cont; R.B..-Spencer A/C
%
New Htg & AC/SF
XI
A
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION
7 County Center Drive - Oroville, California 95965 - Telephone (916) /538-41 e1d— PERMIT NO.
APPLICATION AND PERMIT X;2 - 13 _-�
ASIEIS09*1=078
7.NIIIG -,,A40
BU`fLDINGPERMIT
OWNER'MRY IA'MMPE
TELEPHONE
SQ. FT. Occ. BUILDING VALUATION
OWNERI 1",BUrr CITY HWY, RICHVALE
"O"T.S.'91"MICER A/C
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1188 HASSETT AVE., NBA CITY CA 95991
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDERS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
NOINE
UCENSE NO.
Plan Checking Fee $
—Energy
Plan Checking Fee $
—
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1151 BUM CITY IRIY, RICMAIE
PERMITFEE
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
X Duplex 0 Mobilehome 0 Other
SF 0
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 15,00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities Iff. Installation 0 Other 0
Describe Work: RV HIM & A/C
Mobile Home TTFd-F7W
920.00.
1
PERMITFEE $
35.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service 600V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is i f 111 nd effect.
License Class 4u (!r a Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. a ACC. BUDS.
3.,,s
FT._
NEW CONST. MULTI -OUTLET
NON-RESID BAAhCH CIRCUITS
97.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIxTURES
20 @ 1.00
RAL 0 .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00_
PERMITFEE $
25—.00--
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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 c.,ainer and policy n m er are:
Carrier -') C, 02 e r � c),r W-01 #1.0 / (�O,
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
15.00
Hood
6.50
Ventilation
PERMITFEE $
50.00
Contractor
Policy Number M"Ic /- 4 /�J / P zt
(The above sections need not be completed if the permit is for work of A valuation
of one hundred dollars ($100) or less.)
0 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, an".W1 ee that if I should become subject to the
workers' compensation -,piovisions oJAection 3700 of the Lakor C9de, I shall
forthwith comply i o4 provisions.
X Date
Signatur! licant - 0 Owner 0 Contractor 0 Agent
,7,ofr A p p
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTALFEE$ 110.00
—
HAZ.
1 0. FEES
I IMPJFLOOD
CDF I PARCEL
I PD
I HO
I ISSUE
—
This permit is hereby issued under vie applicable provisions
of the Butte County Code and/or Resolulions to do work
indicated ab'c)ve for which fees have e tpaid.
Vp
Av" ate 6/15/95
By IM,
PEWITEXPIRESON 611 91/cy;
(Date)
Receipt No. 180313
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF]DEVELOPMENT SERVICES -BUILDING DI ION
7 County Center Drive - Oroville,' California 95965 - Telephone (916) /538-41 95- PERMIT NO.
APPLICATION AND PERMIT 43 L 2 -2-
ASSESSffjC�71ABER
_ _0-078
ZC-41 Nb
A40
BL&DING�ERMIT
OWNER TERRY LATTEMORE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER -1 T-
_yl- 13ME CITY HWY, RICHVALE
CONTRACTOR'S NAME
R.B. SPENCER A/C
TELEPHONE
CONTRACTOWS MAILING ADDRESS
1188 HASSETT AVE., YUBA CITY CA 95991
Fireplace
CONSTRUCTION LENDER
NONE
UNMOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Penalty $
SUILDINGADDRESS
1.151 BUTTE CITY HWY, RICHMATE
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00 15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities CX Installation 0 Other 0
Describe Work: NEW HIG & A/C
Mobile Home I S I GI W 1
920.00
PERMITFEE t
35.00
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
0 V OR LESS
Main Service 20000A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ' f 11 f nd effect.
.&. ilr a
License Class Lic. No. J44 09
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ACC. BUDS.
so
3.50 FT._
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS J1
97.50
,POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FD(TURES
20 @ 1.00
BAL 0 .50
FIXED APPILNS. OR
Ex. Occup. (OUTLETS (RE ID.) EA
5.00 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
25.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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' com nsation insurance ca rier an policy nun�her are:
Carrier :5uQ 0 VN in r Art �19 rid i- ms. C4
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
15.00
Hood
6.50
Ventilation
PERMITFEE $
50.00
Contractor
Policy Number f e ->I- JdJO- ;L� 46 /h! i V a —
(The above sections need not be completed if the permit is for w6rk of a valuation
of one hundred dollars ($100) or less.)
0 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, 4and ee that if I should become subject to the
workers' compensation ovisio 0 section 3700 of the Labor Code, I shall
io ct
forthwith comply w e P is S.
X Date
Signature Applicant - Owner 0 Coniractor 0 Agent
3-ef" ..I c w r 0 ct
An OSAOere-rmit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
ITOTALF–Ew
= e
110.00
HAZ.
I D. FEES
I IMP I FLOOD
777A7 PO I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resol dons to do work
ind paid.
6/15/95
By i itxe
0'
PERWIT EXPIRES ON 6/15#46—
I (Date)
Receipt No. 180313
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE,
BUILDING DIVISION'(' jL- -
'DEPARTMENT OF DEVELOPM - bh�'SOWICESI
;Z -w
1469 Humboldt Road, Chico, CA - '0416"18:6-1-2751
-;538-7541
7 County Center Drive, Oroville, CA - I
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinanc s exist at'
'e'
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this -matte I r, or -need additional explanation,
please contact this office immediately.
Date 6711W?r Inspector
/ I/ ,
REV 10/92
NOTES
i I _f
RESIDENTIAL
029-220-078 01-1997
LATTEMORE, TERRY & SANDRA
1145 BUTTE CITY HWY RICHVALE
CONT: OWNER
OPEN DECK
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) — � �_/, /
Signature //1117
CHECKED
BY
V= OK
0 = Not OK
- = Not 4plicable MOBILE HOMES
** = Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Require ments-Setbacks- Easements
2. Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Localion-Test- Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or / /"L"ft./ PLPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
6.
Carports; Windows -Doors
7.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except Vs
1.
Zoning Requirements -Setbacks- Easements
2.
Footings; Size- Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test-Regul ator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 ---Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVFRS, CARPORTS GARAGES (Plans) OK except Ws
-1 111�;oning
Requirements -Setbacks -Easements
V- -LAA
GF
2eFootings;
3.
4.
Soils-Size-Depth-Spacing-Connectors-SteeI
Decks; Girders and/or Joists- Decki ng -Bracing -Stairs- Rails
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Colu mns-Connecl ions- S plice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing- Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals- Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
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
RESIDENTIAL
Date
46.
Underfloor (Plans) OK except #'s
1 .
Zon ing- Setbacks- Ease me nts- Flood- Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth
5.
Stemwalls, Main; Ste el- B lockouts -Wrapped
6.
Sternwalls, 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/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors- Reg u lator-Service Test
12.
Electric Underground
13.
Plenums & Ducts, Clearance-Material-Supporl- 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 -Acces s-Combustio n Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19�
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27-
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels- Motors- Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & B races- 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
oingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post C aps-Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin- Rofi Brac. -Truss -S ht ing. - Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protect ion- D ratt Stop -Ins. Battles
50.
Bdrm. Windows or Exiting Doors -Sill Hl. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing- Fire Protection
55.
Plywood on Roof Overhang -Attic Venis-Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
1 nfi Itrati6 n -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 -C lea rance-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.
Ins u lation- 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 Insild./Drive J Yes D No/Walks :1 Yes j No/Planters :1 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 -U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas-Eleclric
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 - BUILD1,NG DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 38-7541 PERMIT NO.
I (Rev. 12/96) APPLICATION AND PERMIT V -1?19:7
ASSESSOR PARCEL NUMBER
029-220-078
ZONING
A 40 -
BUILDING PERMIT
OWNER
LATrEMORE, TMY & SANDRA
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
160 gpen
12120
OWNERS MAILING ADDRESS
PO BOX 26 RICHVALE, (�A 99974
CONTRACTOR'S NAME
OWn'R
TELEPH E
CONTRACTORS MAILING ADDRESS
CONSTRUCT10N LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation----- 1420
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
s 29.00
ARCHITECT OR ENGINEERS MAJUNG ADDRESS
Plan Checking Fee
$ 2a.
BUILDING ADDRESS
1145 5= CITY HW. RICHVATE, CA 99974
Energy Plan Checking Fee
$
$
PERMIT FEE
s/2-00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome IX 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 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 3P
Describe Work: OPEN DECK
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home
02-0.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
( 600.V OOR LESS
Main Service . R 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:,Wr-the following reason:
13 , 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis 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
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 a provisions.
xtbt
11 b1 —
Date gg
X //04
Signiture of/Applicant - W -Owner 0 Contractor 0 AgeiTt "
An OSHA pe/mit is required for excavations over 60" deep and demolition or construction
of structured over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING UP.
OCC. so
OR ADDNS. & ACC. BILDS 3.50FT.
=.C.ONST.
=T.1 - 0 C@7.50
0 APLPARATUSS
&PS17LE C..
0 'TLE
20 @ 1.00
Ex. Occu OUTLET OR FIXTURES SAL @ .50
..FIXED A OR"
Occup.. PPRM.) E 5.00
—Ex.
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring 23.001
—Misc.
I
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
Y TOTALFEE$72.00
HAZ-
HAZ.
I D. If
I FfD
FfDF
:L
TptCrT
HD
X
ISSUE
X
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
By *&X9VW
PERMIT EXPIRES ON
I L2
the applicable provisions
Resolutions to do work
been paid.
I Date
210'2
� (Chte)
ReceiptN 331801 /72 - 00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-AP�UCANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
(Rev. i �/qr,) 7 County Center Drive 0 Oroville. California 95965 9 Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT -7
ArOESOORPARMHUNIMM . zom— z2,9
If BUILDING PERMIT
//-
6L /-y- TV.EPMNE
sa,,J,� S�
. BUILDING VALI iArinm
ed 9 5? 91 '-1
OWNERV
P -,c "-,,6 0 -,�
COMPACTOR'll FAkNIE
0 j,0 -A,# C
OONTRACTORI MOULINO ADORESI
CONSTIMiCTION LZMat
LENDER'S LWUP4CI AWRESS
AACNrrECT OR ENOINEER
MCWMCT OR ONMEERV WAING ADDMS
BUILMOADOMS
"Y 5
Z,f
5
1111JODIVISION'S MAINE
ql�-- C!I PARCEL MAP
USEOFSTRUCTURE Ac-
LSF�2 Duplex 0 Mobilehome or 0.6,e -t-, -- k7
TYPE OF WORK
Now 0"Addition 0 Remodel 0 Lifilities 0 Installation 0 Other 0
Describe Work:
*PERMI`T FEE PAID
SPA
SHERIFF
OTHER
AMOUNT RECEIVED
*RECEIPT NVMIBER �5-5�
* TO k PUT INTO compLrM
Total Valuation Is //a
PERMIT FEE
Filina Fee
ELECTRICAL PERMIT
Permit Fee
Main Service
Plan Checking Fee
_EtZ_!�ee
Energy Plan Checking Fee
LEN
23.00
Service
P�ERMIT FEE
�PERMIT
$
PLUMBING
DWELLAa occup.
A AOC. BLDS.
1,,h Trap
NOF&RE910
MULTI-=
r M
War or heat pump water heater
Water piping
Each gas water he& or or vent
Gas -piping system 1 - s outi,
ouncing sewe
Mobile Home
20.00
'ling Fee 20.00
,.uu
23.00
� —5 —00
15.00
15.00
T5 0-0
420-00
Ex. Occup.
PERMIT FEE
S — I
ELECTRICAL PERMIT
20.00
Main Service
= 0-' LE
_EtZ_!�ee
5.00
LEN
23.00
Service
OOOA
200"A TO 1��
46.00
jMdin
NM CONST .
0 0 R ADONS.
g
DWELLAa occup.
A AOC. BLDS.
23.00
NOF&RE910
MULTI-=
r M
97.50
Ex. Occup.
ouTLET OR FwTmtEs
XL
Ex. Occup.
I z;PUZ-00
(0 �O APPLM
Ts E.
5.00
Temporary .
)ervice
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S I
MECHANICAL PERMIT Filing Fee 1 20.00 1
6.50
- PERMIT FEPE I S
Mobile Home Installation Fee S
nergy nsp ton Fee
OCC CONST jTq/rAL FEE$ '-) 12
FEn-TvP I -9to I COF I *9CEL 1 W.S J1.
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
. I I / 'i .
' J
COUNTY'61�BUTTE - DEPARTMENT OF D-EVELOPMENT SERVICES - BUILDING DIVISION
7 COiJNTY CENTER DRIVE - OROVILLE, CALIE-01UNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICA TION DA TA SHEET
ASSESSOR PARCEL NUMBER: 0 -7
Pi 4 osed Buildi�_FUse: V (_ t� Building hispector: A-yb, Date: 1/010 /
At time of permit applicadon, I was advised the foHowing data must be submitted prior to permit promising land/or' issuance:
Date Received By
I items have been submitted --------------------------------------------------------------------------------------
I plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
mplete 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 - --------
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
E16. Energy Design Compliance and supporting documentation - ----------------------------------------------------
El 7. Statement of Intent, for Non -Heated and A/C Buildings - ---------------------------------------------------------
08. Hazardous Material Form - ------------------------------------------------------------- 7 -----------------------------
El 9. Manufactured Home data and installation instructions including Tie Down Spe�ifications -------------------
0 10. Fees of $ -------------------------- �:: ----------------------------------------------------------
0 11. Impact fees as shown on the attached schedule - ----------------- -----------------------------------------------
0 12. California Department of Forestry plan approval/fees - ---------------------------------------------------------
o elevation cert1ficate - --------
od t 0 plo
- S7tau n and t plan approval
C of C j plu.,
I K5 h Go mbing permit.
El 16. Plot plan and business license approval from the City of Biggs - ----------------------------------------------
El 17. Planning apprg, val for (A) Use: D (B) Parking: --------------------------
El 18. Contact Land Developmdnt about 13 Improvements, 0 Drainage, 0 Legal Parcel - -----------------------
El 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
El 20. Pre -inspection for required. Request to Building Inspector on (Date)
E] 2 1. Contracibr's license information. (Number, Name Style, Classification) - ------------------------------------
El 22. Workers' Compensation carrier and policy number - -----------------------------------------------------------
1123. Owner -Builder Verification (Given to owner 11, Mailed to owner 0).
E124. Letter of signat'ure authorization - ------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - -----------
026. Letter of intent on building use - --------------------------------------------
E127. Manufactured Home utility clearance - --------------------------
028. Existing violations and/or expired permits - --------------------
El 29. El 43 3 A, 0 Grant Deed, El M.H. Title, 11 Check to H. C.D $
E130. Other:
WnhpK you issue the Dermit follows El Mail to owner, C]Mail t co 'actor.
C9/ 2: 4rols as ot-I)OXte
ffTelephone 0 and hold for pickup at ffim: th inspector.
Applicant:
'LP Ilu
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollutio Date: BY:
Copy of plans sent 0 Health Department, 0 Fire Dep"ent, 0 Other: Date: BV:
1. Index permit application for the above items numbered: 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 11 phone, 0 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, 13 mail, o Building Division unter by Date:
;0
107
co
Contractor, designer, owner, was advised of the above required data by ii phone, ii mail, o is counter: by,, Dats/ j
Plans reviewed by: Date: Plans approved by: E t�7
Sets of plans on hold in o Plan Cabinet, o A.P. folder. Note transfer by: Date: 7'
Yellow Copy - Department of Development Services, Building Division.
I
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E.H. USE ONLY
Plot Plan Attached
Floor Plan AT7h6d___'_
_ I ,
Sent to 8.0 , , f_, )
Location AP*
Water Supply: Public Private Wel
Clearance for dwelling. Other'��
Plan Approved for: Sewage Dispos
Hold final for:
Final clearance O.K. for:
NOTE:
Environmerital
8/96
alth Specialist
Date
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-buildee' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No- building permit will be issued until this
verification is received.
I . I personally plan to provide the or labor and materials for construction of the proposed
property imppvement :YES NO 0
2. 1 HAVE 9 HAVE NOT 13 signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the- major work:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 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:
PROPERTYOVVNER:
UMB
SOCIAL SECURITY N ER.
DATE: 5 — �0'— 0(
NOTE. This Owner -Builder Veriflication4s 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 thepermit.
OVER
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, 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 peirmits; for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
4 If you employ or otherwise engage any persons other than your immediate farrilly, and the work (including materials
0 0
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
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.
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.
For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
� If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' 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.
+i rely,
Micel C. Vidira, C.B.O.
_er. snecl
M ger, ZuiAldilng Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the Calybrnia Health andSafely Code -
OVER
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;,1oflN,;j DIV ISION -BUILDING PLAN APPROVAL
01, V_ Date:
Landscaping:
Other:
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All Pimen,,ion-, are Approximate M
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Deck Construction Notes
1. 4x8 beams will be connected to PT posts using Simpson BC4 cap base or
. equiv.
2. Joists will be connected to ledger with joist hangers and screws.
3. Joists will be connected to 4x8 beam using rafter tie brackets and screws.
4. Rim joist will be connected to joists with angle brackets and screws.
5. Railing posts will be thru-bolted to the rim -joist using 3/8" bolts.
6. Railing components will be attached to posts using 3" coated screws.
7. Post footings will be 8" in diameter (min), 24" deep using quickset concrete.
8. Composite decking will be attached using 3" coated deck screws.
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COUNTY OF BUTTE D EPA RTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: -5-38-7541
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7 County Center Drive — Oroville, California 95965
Telephone: -5-38-7541
. . . . . . L A N D 0 F NATU RAL WEALTH A N D BEAUTY
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
OROVILLE, CALIFORN14 95965-3397
7 COUNTY CENTER DRIVE
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
March 13, 2001
Terry Lattemore
P.O. Box 339
Richvale, CA 95974-6339
145 Butte City Highway (SR
Re: Replacement of an existing dwelling on APNF029-220-078,11
162)
Dear Mr. Lattemore:
The Butte County Planning Division reviewed your request to replace the above referenced dwelling
uni ' t and determined that replacing it with a larger manufactured home is allowed under section 24-
35.25 of the Butte County Zoning Code. The proper permits will need to be obtained by you from
the Butte County Building Division for the new dwelling. The new dwelling unit is required to meet
all County regulations, including but not limited to such things as building setbacks, septic system
requirements, Fire Department requirements, and Uniform Building Code requirements.
Should you have any questions regarding this matter, please contact me between the hours of 8:00
a.m. and 4:00 p.m., Monday through Friday.
Sincerely,
Stephen Betts
Senior Planner
cc: , Butte County Building Division
F)l 4-1c? SC— F>,.3—\— . � \
From: Terry & Sandra Lattemore To: Stephen Betts Date: 3/7/2001 Time: 10:37:14 AM Page I of 1
T
December 11, 2000
Thomas A. Parilo
Director Development Services
7 County Center Drive
Oroville, CX95965
Dear Mr. Parilo:
According to Chapter 24, Section 24-35.25 of the Butte County Code we need your permission to
substitute a non-conforrrting residential building with another -residential buitding. This letter will
serve as. our request lbr your approval.
Ordinarily, we would bring in permit requests for demolition and manufactured home installation at
the same time, but because of weather constraints and soil conditions, the two activities may be
separated by as much as five or six months, or more.
t
On the enclosed plot plan, you will see that there are two existing residential structures on parcel
number 029-220-078-000. The smaller house (1145 Butte City Hwy highlighted) is the residence
we want to demolish and replace. We have been working with California Department of Forestry
fire personnel to arrange for the dwelling to be used as a fire suppression -training site. However,
they need to schedule these training exercises out of the 'fire season." Unfortunately, that means
that they need to burn the dwelling down during the winter. The soil on this parcel is expansive
adobe and we wouldn't be able to move in a manufactured home before things dry out and firm up
(usually about mid April or May). Although Craig Sanders and Dave Wasney of the Planning and
Building Departments, respectively have assured us that the replacement would be approved, I
thought it best to ask your permission to proceed.
The replacement plan is to demolish 1145 Butte City Hwy (2 bedroom, 1 bath, 1065 Sq. -ft. home)
and replace it with a thee or four bedroom manufactured home of no more than 2000 square feet.
The home will. be a residence for our son, daughter in law.and two.granddaughters and is not.to-be
used as a rental.
May we have your permission to proceed?
ECEOVE
Sincerely,
Terry'Lattemore
L�PLBAUNTNTINEGC D61UVNISTIYON
-11-51 `B.Wl`!�C IIWY.
PO BOX 339
-RIC-HVALE, CA 95974-0339
530 868-5993
603 696-5832 FAX
..............
In
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ymono 4 Till
. MEMORANDUM
DEPARTMENT OF DEVELOPMENT SERVICES
PLANNING DIVISION
To: Randy Wilson, Principal Planner
From:' Stephen Hackney, Associate Plann4
Subject: Replacement of 2nd SFD on APN 029-220-0.78 for Terry Lattermore
Date: February 14, 2001
Having reviewed the applicanfs letter and site plan, reviewed ArcView data, made a site visit, taken
pictures, discussed the property with the Assessor's Office, and reviewed the appropriate sections
of the County Zoning Code, I have come to the following conclusions:
The proposed SFD to'be replaced pre -dates County Building, Environmental Health, and
Planning permit requirements;
The structure, consisting of a total of 1056 square feet --696 sf taxed 100%, 270 sf taxed at
75%, 290 sf taxed as nonliving area --has been taxed over the years, indicating a record of
legal use;
The Department has supported the replacement of nonconforming uses --in this instance, a
2nd SFD in the Agricultural zone --as long as there is evidence the use or structure was
legallyestablished;
It is unclear, in reviewing Zoning Code Sect . ion 24-35 et al, whether the act of initiating
destruction of a SFD meets the strict interpretation of the Code;
Questions are raised in replacing a 2 bdrm SFD of 1056 sf with a four bdrm SFD of 2000
sf. should replacement be of a similar building envelope, total square footage? Will the new
structure meet Environmental Health septic requirements?
Conclusion: Recommend Mr. Lattermore be allowed to replace the old,. decrepit SFD with the house
he proposes to build.
Aw-
y
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DEPARTMENT OF DEVELOPMENT SERVICES
PLANNING DIVISION
AP# Date
ZONING: GENERALPLAN
REQUEST
CONTACT PERSON:
I
7 County Center Drive - Oroville - CA - 538-7601 - FAX 538-7785
F I o t F I m n
1 1. 51 Dutte Gity Hlohway
All Pimen,5ion,) are Approximate
2-0 - 07 (y
ALL STRUCTURE;3 AND EQUIPMENT INCLUDIN%V
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET CK ()F g;� FT. FROM THE SIDE AND
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FT..FR�D%,j T�u*- ROAD CENTERLINE SHALL BE
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