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HomeMy WebLinkAbout030-010-00530'0 -05 628-90E' . I- " k' ._ Nelson Ave, 00'W Wilbur Rd, Oroville -+-r (elec/well)• '' r } on {. 4 30-01-05 ..' Perm 145�i 90 6 stall tion/MH) `) 030-010-005 PERMIT#94-1739.,. `i 4 NELSON, PETE ` 3234 NELSON AVE., OROVILLEG. CONT : • BLANKENSHIP POOLS NEW PRI SWIMMING POOL 30-01-0-005 99-0192 BP NEL er &• Christine t 3234 -Nelson Ave., "ville (MH/perm fdn) exist Bro ' 99-0274.B,E 030-01-0-0�5 , NELSON, Peter/Christine 3234 Nelson-, Ave, Oroville (new open & cov de3�2yl) 030-010-005 - 99-0447 NELSON, Christine & Peter 3234 Nelson Avenue, Oroville I Contr:Owner ( I . ? ` Utility Porch f t 030-010-006 04-1358 HELTNE, BRUCE 3234 NELSON AVE, OROVILLE Cont: GEORGE ROOFING REROOF-LOCK METAL ROOF _ r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041358 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' 05/12/2004 APN: 030-010-006-000 ' the Business and Professions Code, and my license is in full force and effect. License Class!, 9zy5 License Number. :L Site Address: 3234 NELSON AVE ORO Date _ " Contractor: Map Index: Description: REROOFLOCK METAL ROOF (24) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HELTNE BRUCE D TRUST to its issuance, also requires the applicant for such permit to file a HELTNE BRUCE D TRUSTEE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 72 WOODSIDE DR 7000) of Division 3 of the Business and Professions Code) or that he or SAN ANSELMO, CA 94960 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HELTNE BRUCE D TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. GEORGE ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 6810 LINCOLN BLVD ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 (530) 533$393 Date: owner: License M 452266 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Camera, Total Square Ft: 0 S. F. Policy #: ;:Z — G �— Valuation: Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2--G Applicant: WARNING: Failure to secure workers' comp nsation coverage is unlawful, and shall subject an employer to criminal penalties and one r /, 6 v hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4�5s� code, interest, and attorney's fees. )'�CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Thispermit is here issuedunderunder the applicable provisions of the Birfte County CodA and/or Resoluf ns ork indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �` G. Name: By: Date: PERMIT EXPIR - U Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Buuttte�Coou' my to enter upon the above mentioned property for inspection purposes. � � Print Nam4'Ar _1Z_ .C�Y 7/C• 6 G Signature: Date: 0 Owner 13 Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION . 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 (n PERMIT NO. BP v'�/3sy AT May 12, 2004 AP 36-61 C) 6 G ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAM PHONE: 415-457-0899 STREET ADDRESS: 72 Woodside Dr. CITY, ZIP: San Anselmo, Ca. 94960 E-MAIL: SITE ADDRESS: 3234 Nelson Ave. CITY, ZIP: Oroville, Ca. 95966 NEAREST CROSS STREET: TRACT/LOT#: APPLICANT NAME: GEORGE ROOFING PHONE: (530) 533-6393 STREET ADDRESS: 6810 LINCOLN BLVD FAX: (530) 533-0287 CITY, ZIP: OROVILLE 95966 E-MAIL: CONTRACTOR NAME: GEORGE ROOFING PHONE. (530) 533-6393 STREET ADDRESS: 6810 LINCOLN BLVD FAX: (530) 533-0287 CITY, ZIP: OROVILLE 95966 E-MAIL: LICENSE NUMBER: 452266 LICENSE TYPE: B, C39, C43 ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: Install over existing roof, with 24 sq. Snap Lock Metal ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applicatons for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to 0 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. For office use only: Notes: Application Received By: Date: Receipt number:L 1 Amount Received: Master application 3.4-04 NOTES RESIDENTIAL 03 ` 0-010-005 ----0-64-47- _ _ 0-0447- PERMIT NO.. 3234 Christine & Peter 3234 Nelson Avenue; OroviIle Contr: Owner t /l Utility Porchl �Gl (�v 0,2- 74q SPECIAL CONDITIONS JOB FINAL -ED (Date) - --`aj Signature CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ` VERIFY }it. ;; USE PERMIT CONDITIONS l .,. SUB -STANDARD HOUSING LETTER JOB FINAL -ED (Date) - --`aj Signature CHECKED BY V = OK FINAL (Plans) OK except #'s 0 = Not OK Setbacks -Easements - = Not Applicable MOBILE HOMES = Not Ready . Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. 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 DECKF, C S, CARPORTS GARAGES (Plans) OK except #'s 1. mg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. arports; Windows -Doors 7: ectric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. of; Shthg-Roofing Steps -Doors -Landings c 12. Braced Wall Panels Date Card 13-1 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- Enclosure s-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 13. RESIDENTIAL (; Date 14. 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 Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground jingle & Duplex) Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date 50. Card B-1 Date Card B-1 Date 51. Card B-1 Date Card B-1 Date 52. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 59. Shear Walls; Nailing -Bolts Date 60. Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date 62. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Date 24. Elec. Receptacles Spacing -Lights & Switches at Doors Date 25. Size Boxes & No. of Conductors Stapled Date 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 N-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 71. Elec. Outlets at Wood Panel, Int. & Ext. Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date 74. 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 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Date Card B-1 Date Card B-1 Date 82. Card B-1 Date Card B-1 Date 83. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roft Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter 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. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ] Yes p NoMalks J Yes J No/Planters 0 Yes 'J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i. COUNTY OF BUTTE - DEPARTMENT OWDE E'LOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754.1 PERMIT NO. (Re 2/96),. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030--010-005 ZONIN3 U 1BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION R 4,692.00 OWNERS MAIUNG ADDRESS 3234 NELSON AVENUE, OROVILLE CONTRACTOR'S NAME 0M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS 3234 NELSON AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 1114 _8n LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5 .00 Each gaS water heater or vent 15.00 TYPE OF WORK New ❑ Addition Iq Remodel ❑ Utilities ❑ Installation ❑ Other ❑ UTILITY PORCH RE i 99-0192, 99-0274 Describe Work: 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 Fling Fee 20.00 800V 0Main Service zo..OR LESS 23.00 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. .�f�� License Class Lic. No. � lr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License "aw'for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, � `will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service xooA TO 46.00So 0CU000A NEW CONIST. DWELLING OCCUP. NR A DNS.CONS( BNTL Dom. 3.50x. MULTICO NON•RESID. @7.50 POWER APPARATUS a SINGLE ourL. T CIR. EX. Occup. OUTLET OR FIXTURES 00 BAL @ 1 00 Ex. Occup. ouTLEEDrS Aa D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 23.22 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 i /I A, Date Signature of Applicant - ❑ Owner ❑ Contractor ,0 Agent 0,6 4%41A40V, An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 204402 , HAZ. D. FEES IMP FLOOD C�P' PAR EL H 0 'ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON X11417 / ' the applicable provisions Resolutions to do work been paid. // Date 1 1 !,_Tr, fete ReceiptNo. i `�1�� / 4, 1'14-. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .7 - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT -OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 691-2751 7 County Center Drive - Croville, CA * (530) 538-7541 CORRECTION NOTICE A - -1-1 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 per.taining to this matter, or need additional explanation, nlease contact this office immAdiatAiv C Date inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DI ON 7 County Center Drive • Oroville, Califo' mia',95965 • Telephone (530) 5 5 O � PERMIT NO. (Re%.12/96) APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 030-010-005 ZONING U BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION R 4,692.00 OWNER'S MAILING ADDRESS 3234 NELSON AVENUE, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILNG ADDRESS Total Valuation $ Aa ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAUNG ADDRESS Plan Checking Fee $ 46.80 BUILDINGADDRESS 3234 NELSON AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition (A Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UTILITY PORCH RE: 99-0192, 99-0274 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is •n full force and effect.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License LQ_W;or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IOooA 46.00 NEW CONST. DW %NG OCCUR SO OR ADDNS. ( a ACC. BLDS. 3.50FT. -99 =R61DT MULTI.OLmtT @7.50 " a OUTLET CIR. OWELER APPARATUS EX. OCCU OUTLET OR FDRURES BAL p';w Ex. Occup. ouFixriFrs RESIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 orthwith comply with those provisions. X to ✓� l Signature of Appli ant - ❑ Owner ❑ Contractor Agent 6/e 041 An OSHA permit is required for excavations over 5'0" eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 0 .0 HAZ. D. FEES IMP FLO C P H S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whic fees have been paid. By Date PERMIT EXPIRES ON .17 Data Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 01 4wh F. L Q. 9 CO.OTY OF BUTTE DEPARTM 7 COUNTY CENTER DRIVE PERMIT APPLICA :NT SERVICES - BUILDIN DIVISION 95965 - TELEPHONE (916 7541 ATA SHEET OWNER: ARM, f�S6�ASSESSOR PARCEL � ER: Proposed Building se: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------- E13. ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- E18. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- flr4. Sanitation and plot plan approval Health Department. -----------------------=------------------- G'! ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval frgm the City of Biggs. W17. Planning approval for (A) Use: OKI (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on 0 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- caner-Builder Verification (Given to owner ❑, Mailed to owner E) - ------=------------------------------- Letter of signature authorization.------------------------------------------------------------------------------- 3 SGll ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- _ (Date) When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. Effelephone� -6 q> Z, and hold for at office. 0 -Deliver with inspector. pickup Applicant: Date: 13111471? Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pemut application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisipn counter, by Dat i Plans reviewed by: Date: Plans approved by: ;�E Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: _ Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signapu+e, 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 osis verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO ❑ 2. 1 HAVE ❑ HAVE NOT ❑ signed an a for a building � application PP � g permit for the proposed wo>ic. 3. I have contracted with the following person (firm) to provide the proposed constructiowrf. NAi ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this 'work,but I have hired the�followmi ' g person to coordsn * .. supervise, and provide the major work: .�. NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prgvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This ver fcation must be completed and returned to our office before we are permitted to issue the permit: 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 ofjecord on such a permit.- Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should: be aware of the following information for your benefit and protection: ♦ Ifyou.,employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 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 tax es,;..: 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.sedous 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 builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs 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" bn 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. r rely, 0-1 Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner-Builder.Injormation is required by Section 19830 of the Cali ornla Health and Safety Code - OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • •Oroville, California. 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES OR AR`ELN MBER N� `� ex /l/e So41 ZONING BUILDING PERMIT ow 39 3 „ /U,N/kn �� . OlO,11/ A TELE SO. FT. OCC. I DING VALUATION O(VNEWS MAILING ADDRESS CONTRA OR'S NAME TE HONE CO OM41WNG ADDRESS C TRUCTION LENDER LENDER'S MAIUNO ADDRESS Fireplace Total Valuatlon S ARCHITECT OR ENGINEER LICENSE NO. —Fifing Fee a 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ BUILD G OREss nn �� - / ,t�, � /(/e XJN ��/P• Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeA 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 O Addition Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: (f Gas i in stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service eo. OR LESS 2ooA OR LESS 23.00 " • 5r'V 8 0— I Main Service TOGA TO 1000A .6.00 NEW CONST. DWELLING OCCUP. 3.5¢FT. / OR ADONS. ( & ACC. MDS. NEW CONST. MULTI.OUTLET NOMRESID. 07.50 POWER APPARATUS 8 SINGLE OLRLET CIR. OUTLET OR FORURES 20 ®1'� Ex. Occup.aw ,S0 EX. OCCU FOLED APPLNS. OR OUTItTS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ • Z MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee b OCC CONST. TYPE TOTAL FEES (� HA2. D. FEES IMP I FLOOD I CDF PARC0. I PD 1 1. 1 ISSUE 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 PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Plot Plan Attached Floor Plan Attached 11 Sent to B.O. I- - -,� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance nib - os Owner Location AP# Plan Approved for: Sewage Disposdt--. Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envir;nmental—He—alth Specialist Date 8/96 o 8utte County cnvironmental Health - • 3oEEI'� Date Qy'� Signature 9 L/Lme ,qPa 30 -D1 -D ,13H / e S6V , / (`rCc4 /fir, /'� `j5 it:• 5 . 0 It---------------------------------------------------------------------------------------- Sm ------------------------------------------------------------- 1t existing tub;: 2a-3' 52"' SLAB;, TILIT-i DECK T.8" x 7...6 7.4'*. 9 '7.8..x7.8.. - , 1j' I; C COURT ....................... ............ --------------------------------------- Y-r DECK r.(r 27.8" x 1 V -8- S' -(r D14 LIVING AREA 178 sq N ki landing 1/8"=I'0" A PIDP WN I I APT,S,1L(::r- v F. D :3 ID ID c (D1 � = r) 0 Er 0 Existing Mobile c rr, 2L 1t existing tub;: 2a-3' 52"' SLAB;, TILIT-i DECK T.8" x 7...6 7.4'*. 9 '7.8..x7.8.. - , 1j' I; C COURT ....................... ............ --------------------------------------- Y-r DECK r.(r 27.8" x 1 V -8- S' -(r D14 LIVING AREA 178 sq N ki landing 1/8"=I'0" A PIDP WN I I APT,S,1L(::r- v F. D 3245 Nelson Avenue Oro-uille, CA 95965 AP# 030-010-005 3-f 1Q/99 Butte County Building Division 7 County Center -Drive Orovillej.CA 95965 TO Whom It May Concern: RECEIVED �. 1999 BUTTE COUNTY BUILDRv 3 DIVISION Please allow Eileen.Broderick to. act as -my agent in obtaining a permit for a utility. room on my property. If you,have any questions regarding, this request please call me at 533=8989. Thank you for your cooperation in this matter. Sincerely, NOTES . A_ ) RESIDENTIAL PERMI ' .. ----- _---_ � 030-01-0=005 -99-0274 B.,E NELSON, Peter/Christine ' 3234 Nelson Ave, Oroville new open & cov deck/ele/hot tub) SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , i{ I� 'a JOB FINALED (Date) C Signat J 1 t� t. t• N� r .1Y SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , i{ I� 'a JOB FINALED (Date) C Signat ,/ = OK Footings; Size -Spacing -Marriage Line 0 = Not OK Gas; MH Test -Demand -Valve -Connector = Not Applicable MOBILE HOMES = Not Ready Drain; MH Test -Fall -Flex Connector Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Steps -Doors -Landings 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COV RS, CARPORTS GARAGES (Plans) OK except #'s FINAL (Plans) OK except #'s ni 'Requirements -Setbacks -Easements 2. ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Ele Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof hthg-Roofing Plumb.; Cir. Test -Water Supply Test Steps -Doors -Landings 12. Braced Wall Panels --s Date?j Card B-1 Date Card B-1 Date �e� 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 /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 26. Ramex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Meth Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ] NoMalks ] Yes :1 No/Planters 0 Yes 'J No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 60. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] NoMalks ] Yes :1 No/Planters 0 Yes 'J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: A > > COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 'County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,.. ,., PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT !� ` -� i_l ASSESSOR PARCEL NUMBER ' 030-03-0—MIS ZONINGS U .4 BUILDING PERMIT OWNER RM A WM C42 A nu TELEPHONE 533-89$9 SO. FT. OCC. BUILDING VALUATION • OWNERS M}lILI ADUf1ESy •� - -.. -.. 3x3+ NEON AVENUE. OROVILLE r 60656 CONTRACTOR'S NAME n1mim TELEPHONE COM TORS -MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9^8 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDING ADDRESS 3234 NELSON AVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 213.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DECKS SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition ❑ Remodel ❑ Ublides ❑ Installation ❑ Other ❑ Describe Work: N" OPEN AND COV DECK/FJ W/HOT TO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ RPf-0�Qr' ELECTRICAL PERMIT Fling Fee 20.00 800V OR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe 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. �! J X Date ' //— i % Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( 8 ACC. BLD S. 3.50FT. IpµgESID T. MULTI.OUTLET 97.50 8 SINGLER A 0 ".ET cIR. Ex. Occup. OUTLET OR FDnUREs BAL @':50 FIXED APPLNS. OR Ex. Occup. DUTIETS REBID. Ea 5.00 15.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 25.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 6�c �4-�� PE N TOTAL FEE $ 238.05 HAZ. D. FEES M .r D CDF ✓ ;PA`RC� V PD f HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date i I PERMIT EXPIRES ON-le-1zU.,J Date ReceiptNo. 258177/116.05 #;ml 4i alixgd va WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR 1301 [PENROD-APPLICANT [-1 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NQ. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-01-0-005 ZONING V BUILDING PERMIT OWNER TELED NE 533-8989 RTUTNR NELSON ETRR AND C9.1 -11 -1 - .OWNERS MAID ADD S 323+ NELSON AVENUE, OROVILLE VALUA N SO. FT. OCC. BUILDINGI? ' CONTRACTOR'S NAME TELEPHONE CONT O UNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9,008 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDINGADDRESS 3234 NELSON AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 213.05 LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DECKS 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 P Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW OPEN AND COV DECK/ELEC/HOT TUB Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE S n Q i RE- 99-0199 ELECTRICAL PERMIT Fling Fee 20.00 "OV OR LEBB Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 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: - A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) X 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall h ith comply with those provisions. X l /%2�1 t / !//��— Date 2 —�/— %'9 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitio or construction of structures over 3 stories in height. Main Service 200A To 46.00 NEW CONST. DWELLING OCCUCCUP. SO OR ADDNS. ( MNGBLDS. 3.5¢FT. NoµREOSID T. MULTI.OUTLET @7,50 RANCH POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zoURES @1.00 BAL O .50 Ex. Occu . OurLE°rs pD,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 9-00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee Is Engrgy Inspection Fee $ c A°E TO AL FEE $ 238,05 HAZ I D F M FLO �a COF ARC G HD U This permit is hereby issued under the applicable of the Butte CountyCode and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON e000 provisions to do work paid. 3 ate rReceiptNo. J ITE-D.D.S.-B.D. CA ARY-ASSESS R PINK-INSP TOR GO ENROD-APPLICANT 1 �� -AUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 G PERMIT APPLICATION DATA SHEET OWNER: Ci.�.So v� ASSESSOR PARCEL NUMBER: CJ U Proposed Building Use: pr,. d tw ✓ ci, % Building Inspector: G 4 , Date: Z At time of permit appli atiomf, I was advised the following data must be submitted prior to permit p cess g and/or issuance: Date Received By 111. All items have been submitted.------------------------------------------------------------------------------------- . P t -plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, sets, signed by the preparer of plans. ----------------------------------------------------- c J 1 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ anufactured Home data and installation instructions including Tie Down Specifications ------------ of $ , c� ------ ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 13 ❑ood elevation certificate. ---------------------------------------------------------------------------------------- 4 Sanitation and plot plan approval Qyn Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111.9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on f (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -------------------------------- ----------------------------------- ❑29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- Wissue the permit, process as follows 11 Mail to owner, ❑Mail to contractor. Zlephone � J 1 and hold for pickup at Uoffice. ❑ Deliver with inspector. N,4.pplicant: /%r %/G� Date: _�2 — Copy.of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' counter, by Dat . Plans reviewed by: Date: Plans approved by: Date: 3 M_ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. I E.H. USE ONLY Plot Plan Attached_ Floor Plan Attached Sent to ez:7- - TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1-� Nk, LLD,) Ave,, C) -S� Owner Location AP# Plan Approved for: Sewage DisposaU— Water Supply: Public Private Well'�� Clearance for dwelling. Other ft t -A X-) LV kLL Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES K, NO ❑ 2. 1 HAVE KHAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ¢ NAME ADDRESS PHONE TYPE OF WORK SIGNED: v� PROPERTYOWNER:_ SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue"the permit. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev.I2 6) APPLICATION AND PERMIT Ana.oAPAAenN+,..e� O OD awm'(BUILDING PERMIT cwmm 42 / i �t,0". .� T�1O g S0. FT. OCC. BUILDING VALUATION OONrMC70147 NAIVt l•`TVJVMNm S / ZC." c) OONMACTO" KAN" ADOPeN LEMS" ►A PO AMMS --- Fireplace Total Valuation $ O D8, Aaa+rn= aA 040mm uericn No` Tot Fee S 20.00 AACKT=OR 040MM'S WALDO ACCRM Permit Fee i suaono ADoaos Plan Checkln Fee o Energy Plan Checking Fee i usrNa sue"O"MAG PAAcn MAP PERMIT FEE = 2 3A U PLUMBING PERMIT FIYng Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF O Duplex O Mobilehorne Other Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 Now M,' Addhlon O Remodel O Ul111111s O Instalalm O Other O Building sower 15.00 Describe Work: ©d., -Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fil1n ' Fee 20.00 Main Service = oa = 23.00 Main Service 2NA TO 1000A 46.00 NEW oohs. 0*13.L o 000vv 9.stfr. OA ADOW. a ACC. ams. mw NONaESID.' V c T 07.50 Powell APPAPAnX A OMIT OR � owner oa Fwn^m 30 •' 00 � Ex. Occu ew so V Ex. Occup. oirriaoia om.�fw 5.00 ZOO Temporary Service 23.00 �l O Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE S �) !� MECHANICAL PERMIT Fling Fee 20.00 V V HeatingI I _ f Receipt No. 2,Sf / Coolie Hood 6.50 PERMIT FEP- f Mobile Home Instalatlon Fee = Energy Inspection Fee L occ CONST. TYPE TOTAL FEE $ !�9 KAZ 0. FES WP A=0 cOf PWtcEl PO r0 SSLE Thu 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 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS WALL BE CLEAR OF ALL EASEMENTS A SET BACK OF - 15' FT. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND �5d FT. FROM THE ROAD CENTERLINE SHAD,,;. CLEAR OF STRUCTURES AND EQUIPMEW SkC3EPT FM A 2 FT. EAVE OVERHAW^ Ro Butte c VED '%/iron - , ounty He h rne,t,alt ,/ bate . wz-.� ze laqo-ft.,, allILDING DEPARTMI-40 rr 4 V I %A V Y I V Y Y i s uv Pau ui iuul Pvata 0 :UNh1 i 1 ,EPARTMgNY DVED ;ode Gip ...'-30-W -06' 3;� � du tTE GOWN rT jJJLDING DEPARTMENt APPROVED 7.8W "WWI 7 ve'7YV 73 7-elne• 7-9 Uri•'gRIF)0sn -L.9 114" tir-0• >>ymir du tTE GOWN rT jJJLDING DEPARTMENt APPROVED RESIDENTIAL,,- 030-01-0-00599-0192 ESIDENTIAL � ' 030-01-0-005i NELSON, Peter & Christine BP 3234 Nelson~Ave';-'Oroville PERMIT I:'.(/Perm fdn) exist ---Broderick -- = PERMIT EXPIRES - - -- OWNER CONTR. ASSESSOR PARCEL LOCATION THE HCD FORM 433A FOR THIS MH CANNOT - BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE j INSPECTOR MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL ##'S CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ` V -OK O - Not OK =ble Not eddy MOBILE HOMES Date MOBILE HOME UTILITIES Mans) OK mwept /'s 1. Z=*V RegAWn0nb -Selbacb - Easements 2. Sods SpwW MH Support Sketch 3. Sewer, Locatlor} 4. Wats; Location Needed (Sketch 5. Ebctricitf. Loa /AmpCorcrete 8. Gas; Location-7QsH mg. / /'L'R / /Nat or/ &V APC 7. Wel Clearance 3 Disconnect 8. Utifily Clearance Date Card B-1 ate Card B-1 Date Card B-1 ab Card S-1 Easements iLne MH r4-E�eetrieity MH S. Drain; MH Ted*al•Fioc Conneelor , -mwim-esR tPconnecbt - 7. Water and Connect xd = io Grade•HD App val as and 8ectieitlr Tagged 9. Tie Downs-TrDeInstalalbn CerL 11. vate,_-/ /.y/ y Card B -f AF_ Date Card B-1 Date' Card B=1 - - ate Card B-1 /-Z- 3 a f3 'ey , - A - MISCELLANEOUS Date DECKS, COVERS, CARPORTS. GARAGES (Plans) OK /-a 1. Zoning RequirernenwU badcsEasernenb 2. Footings; Sa1sS' bd 3. Decks; Girders and/or Jo[sts�&acitpSwwaah 4. V1bod Awn.: Postr8eamsRftm.Co nect m Shthg.4tfg.-Bracing S. Ahura. Awn.; Cokunn 8. Carports:Wirdows-Doors 7. Ebetrie 8. Fmng.: SirAnchorsSt►dsAltre-Musses 9. Siring; NaWvAkneer.Stueeo-Mesh 10. Root; Sh ft -Roo" 11. Ext: Stepa•0oors4.andngs 12. Braced Wall Paneb Dab Card B-1 ate Card B-1 Date Card 5-1 aM Card B-1 Date POOLS (Plans) OK s ampt 1. Setbacks -Easements 2. Sods: CarnpscdonStruetu a StabW 3. Pod Structr■s: SbeFCorrbetioro•7lticlness Dead Mer> kft 4. Elea.; Receptacles and Luing. OidarC04M S. Elea.; Pool Ughtng; l5 Vd*4M S. Ebe; Endosuror CondultEntries-Terminbt3abd . 7. Elea:; Bonding: Mehl rd94Mb*y Equip.•iiealer 8 Ekx.: GmmdM Equip. vd8 Circulating Equip. -Pod Lghls. ' b Main in Conduit 9. Health DepertnerKAppwal 10. Pkxnb.: Cn Ted4ftter Supply Test 11. Light Nidw ate Card B-1 ate Card B-1 Date - - Card 8-1 ab Card 5-1 OK RESIDENTIAL Not OK ..r+. Not Applicable Not Ready a UNOEAFLOOR (Plans) OK except rs + 1. ZoningSetbacks•Easments-Fiood•Slope 2 Ftg., Main; Soils-Elec. Gmd. / P Fig. Depth 3. Fig. Garage: Ws-Steel-Elec. Gmd/ r Fig. Depth 4. Ftg. Porches b Decks: Sa7sSot teel-/ � Ftg. Dep '11, 5 11 . Stemwrals, M11 11 ain; Steetalodwuts (tapped 6. Stemwals. Garage; Sw&Bbckouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, SteeWNrapt- a. P•iersfireplaee Fw_Steel 9. D.W.V.; Fatl-F'­ -V-TesF2 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 Undergr fund 13. Pienums b Ducts; Clearance-Material-Support4n. 14. GirdersSas-AndhorBe-,bist~tl«Crippies 15. Ac cess ayermation 16. Insulation to Card B-1 Dale Card 5-1 rte Card B-1 Dab Card B-1 as PLUMBING rwm4 OK a mq* Irs 17. Water K9 Ar SaMe 18. Water Pipe; Tat b Andnr448i Ptolecom 19. D.W.V:; Tat Mi ngs &ArdwOW Ptolecfian 2o. Showv Pan; Test First FIDor-Tub Access 21. Test Tub 3 Shaw Second Flom -Tub Access 2Z Gas Pipen S•ote s Andrion Single & Duplex) Date Card B-1 Date Card B-1 ')ate Card B-1 Dame Card B-1 ate ELECTRICAL t,Pa=4 OK eraee * ft 23. Failure b Translornef Clearanee-lirm Pwbc501111 24. Elec Receptacles SpacbXrUjghts b Swat hes at Doors 2S. Sia Ba ms b No. of Conduc'bm Stapled 26. Romek kismIled Clone lo Edge of Sods b CA 27. Equip. Ground made tip wAlech Fastrwvecnd Gas b Water 28. 2 Appliance Cstarts in kCrid= it Conduetcr Size GFA 29. Subfeed Wire Sae 1 I ga. Cu or Al-A.C. Wire Size 1 I ga Cu or Al 30. Range Cine. / I ga Cu or AFOmn Cie. I I ga Cu or Al Insulated Neutral Q les Q No 31. Service -Riser Conductors b Grand -Main DiScaned )ars FRAMING (Continued) 46. Hangers -Post Caps-Andiors-Connectors 47. Cling. Joist•RPor. Ties-Purfin-toff Braa•TrunShtinp.-Ring. 48. Fireplace Ties or Type A Flex -Fireplace Throat clearance 49. Attic Access; Size b Romeo Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt b Dimensions St. Garage Fire Protection Framing i SZ Property line Firewall b Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Ehcts { 54. Stairs; Widd-,4eadroortrflise-Run-landing-Fre Protection S5. Plywood on Roof O%eftng-Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Saeed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass ProtectionSkylights-Plastic 59. Shear Walls: NaTng-Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Ceings 62. infilyation-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #% 63. Ext Steps -Door 14 Sidelight Protection{ andngs 64. Smoke Detector 65. Furnace; Vents -Clearance Comb. AirCortedOr- In Garage: Above Fbor-Ducts-Mect. Protection 66. Bedroorn Exiting 67. G.F.I. 3 Bath Fortunes b Tub Access -Spa 68. Elec. Trim 3 Subpanel. Breaker Sias & Labels 69. Stairs d Rails 70. Fireplace or Stove. Clearance4iearth 71. Elec. Outlets at Wood Panel, tnt 3 Ext 72. Kit Fat d Appliance-. Ground. -Air Gap -Cooking Clearance 73 Elec. Outlets b Recepticales a0GL Counter 74 Garage Fire Door Swing-landing-Cbsune 75 A.C. Duct in Garage -Damper 76. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Pib., Elec. d Mech. Equip. listed for location 78 Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard rails b Deck Construction -Post Caps 81. Fdn. VBents b Crawl Hole Door Drainage 3 Wood -Earth Clearance looked under Floor n Yes 82. Following Insdd./Drive o Yes o No/Walks a Yes [) No/Planters Q Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 9o. Ccnectons from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water b Sever Connected -C,00 to Grade -HD Approval 93. Energy Compliance Certficate-Other Certificates Date Card 3.1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Equip. Clearances Panels -Motors -Meth. Ep*. 33. Clothes Closet Lighll,, w r Light -Spa tight 34. Smoke Detector Date Card B -t Date Card B-1 Date Card B-1 Date Card 8-1 Date MECHANICAL (Permit) OK except M's 35. A.C. Cucts Insulation b Suppert 36. Vent Fan, Exhaust above insulation 37. Cordensate Crain S Overfcw, Size b Grade 38. Furrarce-Vent Access -Comb. Air-Retum Air Vent I IS outlet 39. A. -.,c Access 3 Pat'onn if Furnace in Attic Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 Date FRAMING (Plans) OK except N`s 40. Sits Prcoer Mateea;s 3 Anchors 41. Walls Studs -Nailing Spacing d Braces -Plates -Sound 42. Bearing Walls over Girders b Floor Na&V 43. Draft Stop in Walls (rat proof) 44. Fireitcps, Furred Ceiling s.Sta+rs-Chasers-Tubs :45. Headers S 3eamsSize b Bearing )ars FRAMING (Continued) 46. Hangers -Post Caps-Andiors-Connectors 47. Cling. Joist•RPor. Ties-Purfin-toff Braa•TrunShtinp.-Ring. 48. Fireplace Ties or Type A Flex -Fireplace Throat clearance 49. Attic Access; Size b Romeo Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt b Dimensions St. Garage Fire Protection Framing i SZ Property line Firewall b Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Ehcts { 54. Stairs; Widd-,4eadroortrflise-Run-landing-Fre Protection S5. Plywood on Roof O%eftng-Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Saeed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass ProtectionSkylights-Plastic 59. Shear Walls: NaTng-Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Ceings 62. infilyation-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #% 63. Ext Steps -Door 14 Sidelight Protection{ andngs 64. Smoke Detector 65. Furnace; Vents -Clearance Comb. AirCortedOr- In Garage: Above Fbor-Ducts-Mect. Protection 66. Bedroorn Exiting 67. G.F.I. 3 Bath Fortunes b Tub Access -Spa 68. Elec. Trim 3 Subpanel. Breaker Sias & Labels 69. Stairs d Rails 70. Fireplace or Stove. Clearance4iearth 71. Elec. Outlets at Wood Panel, tnt 3 Ext 72. Kit Fat d Appliance-. Ground. -Air Gap -Cooking Clearance 73 Elec. Outlets b Recepticales a0GL Counter 74 Garage Fire Door Swing-landing-Cbsune 75 A.C. Duct in Garage -Damper 76. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Pib., Elec. d Mech. Equip. listed for location 78 Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard rails b Deck Construction -Post Caps 81. Fdn. VBents b Crawl Hole Door Drainage 3 Wood -Earth Clearance looked under Floor n Yes 82. Following Insdd./Drive o Yes o No/Walks a Yes [) No/Planters Q Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 9o. Ccnectons from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water b Sever Connected -C,00 to Grade -HD Approval 93. Energy Compliance Certficate-Other Certificates Date Card 3.1 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-SERVICtS 411 Main Street e Chico, CA - (530) 891-2751 7 County Center Drive Oroville, CA (530) 538 -7541 - CORRECTION NOTICE 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. It you have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. n' �50 (/ / o's- HLV 10192 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION A County Center Drive Oroville, California 95965 • Telephone (530) 538-75 !�?_ �/WEINo. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 030-01-0-005 ZONING BUILDING PERMIT OWNER PETER ANDCHRISTINE TELEPHONE 3- SO. FT. OCC. BUILDING VALUATION 1344 R 72,576 . OWNER'S MAILING ADDRESS P Q BOX 53, RICHYALE CA 95954 CONTRACTOR'S NAME BRUCE BRODERICK TELEPHONE CONTRACTORS MAILING ADDRESS 598 FILTOTT ROAD, PARADISE CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee 518/2 $ 259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 e" ILDIpltW'RELSON AVE, OROVILLE JL34 Energy Plan Checking Fee $ $ PERMIT FEE S 302.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: MH PERM FDN/EXIST SITE Gas piping syste!!! 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W - @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNO OCCUP. OR ADDNS. ( a ACC. S. SO 3.50FT. NON-RESID. OUTLET CIRCUMS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FD(TUREs 20 p 1.00 BAL @ .50 Ex. Occup. p °S'RR=.OE 5.00 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: ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ 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 f hwith comply ith tho a provisions. X ate / Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0cc CONST. TYPE TOTAL FEE $ 1FLOODI CDF PAR D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic d above fo which fees have been paid. By i'W Date PERMIT EXPIRES ON ate ReceiptNo.2 S SI b t% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .e+ ,.t ... t,4': .!, i'A _ ,,.,�•,TMf'i.�(ii it ~ COUNTY'OF . _Il ?'E DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C�OOUN'PY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET / , OWNER: �G�% lAy, � (X1i311,Ve AS SESSORPARCELNUMBE R: — 640 Proposed Building Use: ' :a •r ` 1 Building Inspector: ' 4 bai. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received'' By ❑ 1. All items have been submitted .------------------------------ lot plans, �§ets, signed by the preparer of plans. ------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ---------=--------------------------------------------------------------------------- ❑ 11. Impact -fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.------------- =="-= ==------------------------------------ ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. -----------------------------------==------ ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval frpm the City of Biggs. 7. Planning approval for (A) Use: (B) Parking:. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑20. ❑21. ❑22. Pre -inspection for required Request to Building Inspector on Contractor's license information. (Number, Name Style, Classification). ----------------------=--F;------- Workers' Compensation carrier and policy number. ---------------------------------------------------- ------ Ik ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------ ---------- 024. ----------------------------/-------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------------- ❑27�Manufactured Home utility clearance.--------------------------------------------------------------------------- 0�� (Date) 028. Existingviolations and/or expired permits ------------------------------- - ----------------------- xp p ��' �� ; ---:------- ❑�o! ' 0433 A, ❑ ant Deed, ❑ M.H. Title, 0`"Check to H.C.D $ ?--------------- - other: /,OPW - — ------ r� When you issue the permit, process as follows ❑ Mail to owner, EIK4ail to contractor. Mielephone 0_7R­4413and hold for pickup at 6;�rv> office. ❑ Deliver with inspector. Applicant: �G%�//Q Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:` '` f { By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di Sion counter, by Da e: Plans reviewed by: Date. Plans approved by: Date: Z Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. RECO-RIAING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999—gym 1 02+3 Recorded I REC FEE .00 Official Records I CONFORM .00 CoBUT E f I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON 1 Assistant I Fay 11:41AM 10 -Mar -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for 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. PETER A. NELSON & CHRISTINE D. NELSON REAL PROPERTY OWNERILESSOR PO BOX 53 MAILING ADDRESS RICHVALE, BUTTE, CA 95954 CITY COUNTY STATE ZIP 3245 NELSON AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CnT CoO ST'n IID UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY - COUNTY STATE ZIP 99-0192 (530)538-7541 BUILE ING PE ITNO TELEPHONE NUMBER 3/10/99 SIGNATURE OF LOCAL AGE DATE NONE DEALER NAME (rf not a dealer sale, write "NONE") DEALER LICENSE NO. COMMODORE I -M SYS 1984 BAYSHORE HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER R14573AB 56'X 24' 285821/2 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #030-010-005 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept LEGAL DESCRIPTION A.P. #030-010-005 All that certain real property situate in the County of Butte, State of California, described as follows: THAT PORTION OF THE EAST 106 1/3 RODS OF THE WEST HALF OF SECTION 5, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., LYING NORTH OF THE COUNTY ROAD AND WESTERLY OF THE WESTERLY RIGHT OF WAY OF THE SACRAMENTO NORTHERN RAILROAD. f:E..CbKDING REQUESTED BY:, AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 10 -Mar -1999 1999-0010243 Has not been compared with original BUTTE COUNTY RECORDER I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for 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. PETER A. NELSON & CHRISTINE D. NELSON REAL PROPERTY OWNER/LESSOR PO BOX 53 MAILING ADDRESS RICHVALE, BUTTE, CA 95954 CITY COUNTY STATE ZIP 3245 NELSON AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write'SAME') MAILING ADDRESS CRT COUM7 SLArfi rID UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-0192 (530)538-7541 BUILDING PE ITNO IELEPHONENUMBER 3/10/99 SIGNATURE OF LOCAL AGE DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. COMMODORE HM SYS 1984 BAYSHORE HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER R14573AJB 56'X 24' 285821/2 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #030-010-005 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Appficant GOLDENROD - Building Dept. t LEGAL DESCRIPTION A.P. #030-010-005 All that certain real property situate in the County of Butte, State of California, described as follows: THAT PORTION OF THE EAST 106 1/3 RODS OF THE WEST HALF OF SECTION 5, TOWNSHIP 19 NORTH, RANGE 3 EAST, M.D.B. & M., LYING NORTH OF THE COUNTY ROAD AND WESTERLY OF THE WESTERLY RIGHT OF WAY OF THE SACRAMENTO NORTHERN RAILROAD. BUILDING PERMIT NUMBER: 99-0192 Addressor location of unit: 3234 NELSON AVE., OROVILLE, CA 95965 Legal Description of Real Property: A.P. #030-010-005 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: PETER NELSON & CHRISTINE NELSON Owner's address: PO BOX 53, RICHVALE, CA 95954-0053 INSIGNIA OR HUD NUMBER: 285821/2 SERIAL NUMBER OR V.I.N.: R14573AB MANUFACTURER'S NAME: COMMODORE YEAR: 1984 { OFFICIAL APPROVING INSTALLATION: , DATE: 3/10/99 PHONE: (530) 538-7541 H.C.D. 513C r, It JAN -26-1999 09:39 HCD/HDOTRS/SACTt) 916 323 9244 P.04iO4 STATEU1, CAllt-UKNIA-UUb1N1:". IKANSYUK IA I IVN AMU KVUj1r4V AbtN1,:T VKAT UAVW, Vove►nor Ur-ARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Dlvlslon o1 Codes and Standards �ElttorN q . — Title Search,ro��� Date Printed : 01/26/99 Decal It: LAF8432 Use Code: SFD Manufacturer: 7239 COMMODORE IiM SYS INC Original Price Code: ANS Tradename: BAYSHORE HOMES Rating Year: Model: 25037 Tax Type: LPT Manufactured Date: 05/24/84 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 06/07/84 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width R14573A 285821 56' 12' R14573B 285822 56' 12' Record Conditions: PPF Exempt Registered Owner: PETER NELSON CHRISTINE NELSON TENCOM OR 1230 BROADWAY RICHVALE, CA 95974 Last Title Date: 11/03/95 Last Reg Card: 11/03/95 Saleffransfer Info: Price $29,260.00 Transferred on 06/07/84 Situs Address: 1230 BROADWAY RICHVALE, CA 95974 Situs County: BUTTE Legal Owner: BANK OF THE WEST 1450 TREAT BLVD P O BOX 8160 WALNUT CREEK, CA 94596 Lief Perfected On: 07/28/95 10:05:00 *** END OF TITLE SEARCH *** ORDER a 1-148586 AND WHEN RECORDED MAIL TO Nems �•gt. S: MRS. PETER A. NEISON P. 0. Box 53 Street Richvale, Ca., 95954 Address cM a State L_ Name Street Address Stay a L Stene MAIL TAX STATEMENTS TO Same as above 030-010-005 AP e 90-018508 Recorded Official Records -----6au"ty Qf Butte Candace J. Grubbs Recorder 8:00am 8 -May -90 Rec Fee 5.00 DOC 29.70 Total 34.70 1 ' BG 1 I --- SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $ 29.70 � ( X ) computed on full value of property conveyed, or j ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( X ) Unincorporated area: ( ) City of ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, -JACK LA MOUE, a married man as his separate property and BRUCE. HELTNE , a married man , as h i s separate property hereby GRANT(S) to PE'T'ER A. NELSON and CHRISTINE D. NELSON, husband and wife, as Joint Tenants the following described real property in the unincorporated area of the County of Butte , State of California: That portion of the East 106 1/3 rods of the West half of Section 5, Township 19 North, Range 3 East, M.D.B. & M., lying North of the County Road and Westerly of the Westerly riqht of way of the Sacramento Northern Railroad. Dated: April 5, 1990 STATE OF CALIFORNIA COUNTY OF RIITTF. S.S.y On April 6, 1990 before me, the undersigned, a Notary Public in and for said State, personally appeared --JACK LA NOUE and BRUCE HE .TN .------=-------------- personally known to 'me or proved to me on the basis of sat- isfactory evidence to be the person_&whose nameg subscribed to the within instrument and acknowledged that thpy executed the same. WITNESS my hand and official seal. Signature '/ (Z' La Noue , �, �:.`}. ,1 .d:l': a;Yr:';lq: ..a:!FOS; ;'.4 \A.�{rr!'% � .Mj'� kn'ri�n ^t. ;✓::r!i Jt�1. 24 1993., (This area for official notarial seal) rUNM ie TE -DED -0s MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMENT IN V { ----- --- - ---- --- /628-90 RESIDENTIAL 30-01-05 Z-90P, E i LANQUE, Jack 3234 Nelson Ave, Oroville (utilities/MH) OFFICE COPY Address�)� -------------- GAS Dat �y Meter•By ,) ELECTRIC Date -57" Meter By JOB FINALE Signature J=OK O = Not OK Not Applicable MOBILE HOMES ' Not Ready . Date MOBILE-KOME UTILITIES (Plans) OK except #'s MH Support Sketch a ocatio -Test-Wra�p��: // /"L"ft. /"Nat. of " L" ft./Ll"LPG Utility Clearance Date — and B-1 Date Card B-1 Date Card B-1 ate Card B-1 Date MOB HOME INSTALLATION Plans OK except #'s Zoni Requirements -Setbacks Easements ooti .gs; Size -Spacing -Marriage Line a MH Test-bemand-Valve—Connector . Electricity; MH Test -Crossovers -Breakers -Clearances in H Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 7i jplaterland Sewer Connected -C/O to Grade -HD Approval a nd Electricity Tagged t. s; Insp.-Sketch 1 . Cert. of Occupancy Date ZjVjW Card B-111,41 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed T. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa 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 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage, Sot s- tee -E ec. Grnd.-/ / Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. .26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 49. Bdrm. Windows or Exitino Doors -Sill Hat. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 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 ❑ Yes O No; Walks ❑ Yes 0 No; Planters 0 Yes CI No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone;, 891,27,rll 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-�6307 CORRECTION NOTICE aaNOCA- PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. ) P ';� I � 7��to.'t� cd lnspector.slv Date COUNTY OF BUTTE DEP6tMENT OF PUBLIC WORKS 196 Merngrial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovillet-- Pho'nO�' 538-754 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE q3-2 --7 1) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co ction of work is completed. If you have any question pertaining to this _ tterc�r c ma tter, or need additional explanation, please contact this office immediately. �j NL"" \j Date—A 16spector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name "ki k) Owner's address Insignia or hud number 6 Manufacturer's name i Serial number of / V. I.N. 1� T- C -7 14 9 -,P;� Y2 Year of manufacture (Official Approving,l'nstallation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEP TANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE M 0 B 11,.f ,,HOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 AP.PLIZATION AND PERMIT ASSESSOR30-01PARCEOS NUMBER ZONING� BUILDING PERMIT OWNER Jack Lalloue TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3234 Nelson Ave. Oroville CONTRACTOR'S NAME Richard VAn Stovern MH Service TELEPHONE CONTRACTOR'S MAILING ADDRESS 1430 Carroll Ln Paradise 9596Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3234 Nelson Ave, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroyillp Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeXX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New [-IAddition [:1Remodel ❑ Utilities ❑ Installation I_�rrYY� ' Other ❑ Describe work: M#932-90 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeand my license is in full f�o� `) ( and effect. License No. �%Zf"A Classification (n � T 1 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ( DWEACCLLIN GOCCUR.&) S. 2'/2¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES eLa 30 ZAL930 Ex. OCCUp. OUTLETS P(RESID,)FIXED APLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. Lam I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue age' t sa' Co y in consequ Iffa of the granting of this permit. XI. ID -� ��� Signature of Applicant — Owner ❑ Contractor [D_/ gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL E $ L 70,QQ HAz CUA PARK FE PJ PD HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR CTO PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 66248-70.00// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 'tY"".• ��-v�✓'rswS, •"a. y +,�ty,,,?.. r ,,....1�� a+«., - ti.•• �f5a.r Y +".� �,p•..�..r ! •c. i _ yx''ia. y '+�,. *ni .1 "'T'7R'Mhses�'/'�t _ X'T`'YK`YtiYTrR�'1'P'''% "�""""F-�"rshf'�"is•rtT•i�"�v f'�` .1' •!', l ` . , C'OUNTV OF BUTTE'- DEPARTMENT SOF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIV - OCA ROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PEF�'Mff APPLICXTION DATA SHEET Permit No./C/5,7 OWNER / iAlno 5r A. P. No. 30'0 D� Proposed Builcing_Use !O Building Inspector / Date S _9j f (U At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... ` 9; ^ - 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans :. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... �8 Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .....................'.................................. 10. Fees of $ .............. 11. Chico Urban Area fees paid ............. .............. ........ 60P2. Park fees aid 13. Q� &, School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and -business license approval from City of - (see Cityjl•o other re�c uirements) 17. Plan ning�appro•ua•I-for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation.Insu ance .................. 23. Owner -Builder Verification (Given too ner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... tLetter of signature authorization ................................... !/tl/ 27. Whenu issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at . , office. Deliver w. /inspector. Other Applicant Dat G i //G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior topermit issuance: (Circle new item not checked above)".' 1. Index permit for above items No.- 2. Additional items required: • w4i �j Co or, designer, owner, was advised of above required data by one_mail—counter by—&..date -•5��� v Contractor, designer, owner, was advised of above required data by—phone —mal I counter by--ldate Plans checked by Date Plans approved by �!�` Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1 APPLICATION AND PERMIT PERMIT NO. ASS SSOR PARCEL NUMBER ZONING PO —O _O5 I BUILDING PERMIT NER I TELEPHONE 64, Naw SO. FT. OCC. BUILDING VALUATION C4MNER'S MAI ING Dila � O Cc ON RAC7 06, -�EAl - j ` ^ -E C^PJHON��� c14 -z ©TOR s Ma A -" olless ��4� � q�.GT Fireplace CONNSTJRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee S ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee I S / t Energy Plan Checking Fee _S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING AC`ORESS _CC 3 2 3 t{' N ��4-°yt�- ©kJA Permit tee I $ot OPJ' PLUMBING PERMIT I Filing Fee I 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF ❑ DuMobilehomel� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer' ( 5.00 Mobile Home (S I G W h0.00ea1 TYPE OF WORK New ❑ Additioni:] Remodel ❑I Utilities ❑ Installation Other ❑ Describe work: 32 -,q •_ . I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 61I00 R 00v OR LESS I AMOR LESS 10.00 CONTRACTORS LICENSE LAW u 1 declare under penalty of perjury (check one): YI am licensed under provisions of Chap%. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.?�f�� Classification - C— ❑ 1, as the owner, or my employees with wanes as .their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOO•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.e OR AOONS. ( ACC. SLOGS.R. NEI' CoNSTMUL TU I.OTLET NON -REST D. BRANCH CIRCUITS) 12.50 ea I POWER APPARATUS a ( SINGLE- OUTLET CIR. ) I Ex. OCCUp(ouTLETs OR FIXTURES 1;; as 0e1 FIXED Ex. OCCuo. OUT LETS RRESID IRE A.� 2.00 - Temporary service 110.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I The permit is for 5100.00 (valuation) or less. U I have places on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 21 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California, Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit snail be deemed revoked. Contractor MECHANICAL PERMIT I FilingFee 10.00 Heating I Cooling Hood I 3,00 Ventilation permit Fee $ Contractor I certify that 1 have read this aopllcation and state that the above Information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and herebv authorize reoresentatives of the County of Butte to enter upon the above-mentioned property for Inspection purposes. also agree to save, Indemnify and keep harmless the County of Butte against a liabilities, judgments, costs, and expenses which may to any way accrue against sat County 1n consequence of the granting of this permit. X Date -5--00-5,0 Signature of Applicant - 0-ner L Controcto / Agent U An OSHA permit is rtouired for eKcovotlons o-er 5•0•• deep and demolition or construct. Ion of structures over J %torr.$ In helaht. Receipt No. _ �: �c-c....... Yr. -i.0 .Aset:sso•. . Mobile Home Installation Fee $ Energy Inspec,,ion Fee S occ CONS � --- -- (TOTAL FEE S ?Q.Q pjI -AZ CUA PARK FLO I I $CHL 1 I i DAO I R I PI HO I $$UE Tn;c permit is nereby tssueo under the applicable —provi- sions of the Butte Cetlnty Code and/or resolutions to do work Indicated above for which lees have been pard. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER [o,C �_nn��� 11 _A A/D LJ F;A. P..No. Proposed Building Use / 4 1 Building Inspector Date At time of permit application, I was advised.the following data must be submitted prior to permit processing and/or issuance: 111 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. �13. t990 !rH 69!0 School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 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 Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issu&the permit, process as follows: Mail to owner. V Telephone and hold for pickup at office nthPr Mail to contractor. _Deliver w/inspector. GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Parad i se . . . 747 Elliott Road Paradise . . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant COUNTY 0',�. BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County#r3enter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. / 932-90 1 AA ASSESSOR PARCEL NUMBER - 30-01-5 ZONIG ,, L/. IV BUILDING PERMIT OWNER ,, �" Jack Lalloue 4.5-456-6685 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 92 Oakmont Ave. San Rafael CA 94901 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit 3234 Nelson Ave. tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 ___[Orovillp LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex 11Mobilehome[]X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00e 30.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 9 50 CONTRACTORS LICENSE LAW penalty I declare under of . perjury Y(check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR ADNS. C ACC. BLDGS. DNEW 2/,20sgft CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS s (POWER SINGLE OUTLET CIR. Ex. OCCup\/ OR FIXTURES 20@30¢ E ALO 30gt FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury, (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi iti s, judgments, costs, and expenses which may in any way accrue agains s �qunty inpcoequ, nce of the granting of this permit. X j'ie ti Date G/g — %e) Signature of Applicant — Owner)S�r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 92.50 . HAZ �`(This CUA PARK SCHL PAR D Issu permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IRE OR PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da ,r Receipt No. 63819 WHITE •O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING •TELEPHONE BUILDING PERMIT - OWNER SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 9 - 04 tzm oly-f- 0A9y90 CONTRACTOR'S NAME +�- TELEPHONE h/e v CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ 1� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '3 z 3 �/e s Doi Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomle� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home MI NJ 10.00e 3 TYPE OF WORK( New ❑ Addition ❑ Remodel ❑ UtilitiesZ Installation❑ Other ❑ Describe work: �� 12211 a Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONSTDDWEACCLLIN GOCCUP.&) / Zyz¢sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL!LO 3 30 20C FIXE Ex. DCCUp. OUTID TS PPESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facititi-es 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor -3 7 MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilat' n pe Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over storiiiees in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $SU HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /3 Receipt No. �+� 5�f WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Ir v t M ec—. ^1 I, Pf • -7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /[/Olc<P «.. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans ... 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12 Park fees paid .................................................... 3. School District fees paid .............. 14. Sanitation approval from C2446f Health Department !!;c—� � _ S• 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit'(construction approval required prior to occupancy) 20. Pr •-Inspection for required Pre-Inspec. request to Building Inspector (Date) 1. ontractor's license information (No., Name Style, Classifications ... 2 Certificate of Workmans,Gompensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to ownerS 0 l�A Recorded copy of Agricultural Acknowledgment Statement ......... V 25. Letter of signature authorization ....... z\&Tv4N �. ao �.0 aA �;/— Z zy S 26. 2T When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other D c �v 'a"'y��n �� Sic, Applicant Date2—%� Copy of Haz-Mat form serif Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept,^ Other Date By The following data must be submitted prier toper AVt is§__uan¢e: (Circle new item not checked above).. 1. Index permit for above items No. z`1 — !!W — " 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _-inaII_counter. by ..date Contractor, designer, owner, was advised of above reequiirre_d_ data by—phone —ma ll__counter by date Plans checked by Date Plans approved by .• . •-` Date t4-,— Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM:, Environmental Health SUBJECT:. Sanitation Clearance V Owner tocation AP# Plan A0proved for: Sewage Dispos . al Z� Hold final for:. Final clearance O.K. for: Clearance for bedroom home. N6TE 4z - L Sa.hitari.'n. Other Wat er'Supply Water Supply Water Supply D e ar,oRDINa QUA t m T?IE a( 9Q-15263 90-015263 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:00am 18 -Apr -'90 Return_to-.-DP-W — -AGRICULTURAL STATEMEN (SF-5ACK-N FOR RESIDENTIAL DEVELOP Section 26-8.1 of the Butte County. Code requires this - acknowledgement--- be recorded_ prior �.e'issuance -f-a building permit 1 Rec Fee Total 1 1 1 1 I , 1' 5.. 00�•': 5.00 i The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including,' but not limited to herbicides, pesticides, R u Vii and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which ANI a` ;1 occasionally generate dust, smoke, noise, and odor.'"' -Butte County has established agricul- tural zones which' have as a priority use for yC; product ive'•.agr1cul tural purposes, and residents within said zones, and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: "That portion of the East 106 1/3 (one hundred six and one-third) rods of the west half of section 5, township 19N., range 3 E., M.D.B. and M., lying north of the county road and westerly of the westerly right of way line of the Sacramento Northern Railroad." Date:` PROP E T OWNERS: Christine D. Nelson State of California On this the2nd day of April , 19 g0 , before me, SS. the undersigned Notary Public, personally appeared County of Butte ) Christine D. Nelson ® Personally known to me. ® Proved to me on the basis of satisfactory evidence. OFFICIAL SE 1a to. be the person(s) whose names) is:: LINDA F. WILSON subscribed to the within instrument and acknowledged that she y ; o NOTARY PUBLIC - CALIFORNIA B BUTTE COUNTY executed the same for the purposes therein contained. IN WITNIaSS' gL,�OAtl,P My Comm. Expires Feb. 15, 1992 WHEREOF, I hereunto set my hand and official seal. Present A.P. ,No. '030-010�005Notary Public ..`�.� END OF DOCUMENT 91 r •��r ' �n�k _rte.• µ P/ ..._.,.�._.�,..�...... ... _ .. —000 � .. a -J rAO •��r ' �n�k _rte.• µ P/ ..._.,.�._.�,..�...... ... _ .. —000 � .. a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroy.il:;er_41ifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT L/ PERMIj, N¢� ASSESSOR PARCEL NUMBER ti _ _ ZOi:ING 1 BUILDING PERMIT OWNER Jark .1 oup AU TELEPHONE 456-6685 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CO TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other elec. service SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: hook up existing elec for well _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. yz¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20@800 °AL®3o FIXED Ex. OCCup. OUT ETS P(RESID,)LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15,00 Pre Insp 1 15.od 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�7( I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs and expenses which may in any way accrue against said oun In co a Zo ce the granting of this permit. X Date _L ` - Signa /-/1I Applicant — Owner Contractor ❑ Agent ❑ An 5 permit is required for excavations over 5'0" deep and demolition or construct- ion structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHL I FLD I PAR I PD HD I s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich fees EC OR O UBLIC BY PER IT E P R S Date the applicable provi- resolutions to do have been paid. WORKS Date 3 — Receipt No. SqQ7 III WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 - COUNTY OF BUTTE - Department of Public Works 7 County Center Drive;-Orov%il,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan toy'provide the,major�'labor and materials for construction of the proposed property improvement '(yes or no) Al i 2. I (have/have not) YI`ave signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name // 2 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 4.12 Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address.. Phone Type of Work Signed: Property Owner Social Security berms– Date y – /— �iC7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPART VEN QOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLINTI01tDATA SHEET Building I Permit No. W, INTI�'7/JJii Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ....... :...... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 8. Improv .ments may be required. Contact Land Development Section DPW Dr' eway permit (construction approval required prior to occupancy) 0 re -Inspection for —45!�� required Pre-Inspec. request to-�- Building Inspector ( ate) 1. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .......................... rW 26.rJ v 27. When you issue the permit, process as follows: A1'a'er._Ma' or. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted 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_-nail counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date PRE -INSPECTION OWNER:- DATE�/j/�� � �C � LA / V�� � L LOCATIO N- A.P. # CONTRA --,�,/I % ZONING PRE -I SPECTION FOR:- TYPE OR: DATE TO INSPECTOR PERMIT �Y: (t)D' NONE E:j AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED D HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES 0 HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: t�r_I .,�' — fs�s`� l.,Z�[' S �Tr SP t �P 1 CSS r ACTION RECOMMENDED: 0 ISSUE E::] HOLD FOR. OTHER: BY DATE 7 -r� (� d v 0 RESIDENTIAL 030-010-005 PERMIT#94-1739 NELSON, PETETI 3234 NELSON AVE., OROVILLE CONT: BLANKENSHIP POOLS 5K5 NEW PRI SWIMMING POOLy`5 FINALED (D Signature V=OK O = Not OK =Not Ready ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Une 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy +MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS. GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/dr Jolata-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Beams-Rftre.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initlals POOLS. Plana OK except #'a 1 etbacka-Easements 2 IIs; Compaction -Structure Stability Pool S ture; Steel -Connections -Thickness en -Lining c.; eceptaciea and Lighting, Distances-GFI ,EI .; Pool Lighting; 15 volts-GFI Iec.;Enclosures; Conduit Entrles-Terminals-Listed Iec.�-Bonding; Metal w/5' -Circulating Equip. -Heater lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Bo 6s-Enclosures-Paneiboards-Ina. to Mein in Conduit galth Department Approval Plumb.; Cir. Test -Water Supply Test 211M X i V=01� O = Not OK - =dot Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials. PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24, Size Boxes & No. of Conductors -Stapled. 25. Romex Installed Close to Edge of Studs & C.J. 26, Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 2T. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector _Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. , Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Ceilinos 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comrrwnts at Final: �'^ f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION --� t 7 County Center Drive - Oroville, California,P965 - Telephone (916) 538-7541 PERMIT NO. • APPLICAT16N AND PERMIT _ ASSESSOR PARCELNUMBER 030-01— ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONT. EST 14,250 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS is -A RnT.ANC) ST. CORNING CA. 96021 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162.0 ARCHITECT OR ENGINEERuc ENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3234 NELSON AVENUE ORIVLLE PERMIT FEE $ 205 •O PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.010 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New CX Addition O Remodel ❑ Utilities O Installation ElOther ❑ Describe Work: MASTER #91-502 PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 26001 01 LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) 3.5C FST.O. CONTRACTORS LICENSE LAW Id cls Winder penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions o e and m license is in full force �Pqd effe�t.� (FO e t License No. Classification O I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) BAL 1.00 .60 Ex. Occu UT ED (RESID OR p' (OUTLETS (RESID.) EA. ) 5•(1(1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRICAL hn-nn WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This rmit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 50.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. so ag to save, indemnify and keep harmless the County of Butte against all Ilabilities, jud ments, costs, an expenses w ich may in any way accrue against said C n y in sequ o e N ing o f Is permit. S X + r VIN A Ill 4 Date Signature of App icant - ❑ Owner O Contractor CI Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oc±CONST. TYPE TOTAL FEE $ 29 •0 D. FEES IMP FLOOD CLF — PARCEL PO H 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 D to 9 / PERMIT EXPIRES ON 6-12919.5 (Det 1 Receipt No. _ 1 F 9999 WHITE-D.D.S.-6.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE!. --- BUILDING DIVISION, - DEPARTMENT OF DEVELOPMENT SERVICE9 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 M OWNER CORRECTION NOTICE ,1;7j,q — 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. P" K It Date Inspector REV 10/92/ t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA � (916) 891-2751 7 County Center Drive, Oroville, CA - (916),538-754.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 Ordinances exist at 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 matter, or need additional explanation, Date Inspector REV 10/92 4 ; -CO[J,NTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION., " ► . 11 _ �z ��COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 t RMIT APPLICATION DATA SHEET OWNER �lv A. P. No. - Proposed Building Useo lq Building Inspector OD Date - R At timeof°p it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY el 1. 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......:4..................................... . 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). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... j0. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approva Health Department . ............ 5. 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). ...ar�4;spec1 on r6aues- 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ,- 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. ` 34. When u issue the permit, process as follows: Mail to caner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation �� �( Acreage Applicant 19n�- 4/kate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new 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 Works E.H. USE ONLY" PWt PI= AURchad Flo" Plan AMwW Sent to B.D. TO:. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance IVZJSC--� yo-cl Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other T Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date COUNTY OF BUTTE - Department of Public Works_ 7 County Center Drive, Orovil•le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: 3G-0) -05 Phone: 916 -538 -7541 - An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide thecaajor labor and erials for construction of the proposed property i provement (yes or no) 2. I (have /ham) �40V 7L_ signed an application for a building permit for the proposed work. 3. I have contracted with th construction: / Name �f/ . 4. Address Phone ollowing person (firm) to provide the proposed Contractors License No. City I plan to provide portion of this work, but I have hired the following person to coordinate, supervi d provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Namp Addraca Phnnp Tvne of Work Sigr NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ` ©06 (''One Form per Building) Q_ 0/D A.P. Number p--�/—d� Building Department No. School District eqzo — tb7 City D County �� Jurisdiction Property, Owner. -SA -_4 Project Location/Address �� /t,�--��it/j Subdivision Lot Number Residential Development: Sq. Footage /3. # of Living MHI Addition (Grou R) Units Commercial/Industrial: �- Sq. Footage Ne Addition (Including Exterior Roofed Areas) Building apartment Re ntative P D &H e (Floor Plans reviewed by School District Personnel) District Id No. 90001 1 - School District certifies �J that A4 ll� yld'z� (Applica t Name) (Phone Number) white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) v . NQF- ci r.s . .- (Stree Address) (city) (Stat ) (Zip Code) ha complied with the requirements .olution /� No. �o 9 C/ by t e payment of $ re resenting square feet. Schon Dist ct g resentative Date Q PAID BY CHECK NO. REMARKS:, BANK NO - PAID BY CASH 7 white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ".� :g ..:Y��a ,.r{c.gQ,{r' „";^T �^ ++;�^—C"�". ?c+Y....3"��'r�`M.�+^A'?!�T"�"y�.�jf'►`: x^,'oT""�7RI'f! 6!��7:TT'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. Q 7 County Center Drive - Orovlllel California 95965 - Telephone: 918,'538.7541 APPLICATION AND PERMIT A111 _WEER I-096 A R BUILDING PERMIT WN[ DENA SAN= 533 TELIP4048 SO. FT. OCC. BUILDING VALUATION OWNER'! MAI ZING AOth STREETDDR ESS 0ROVI= E CONTRACTOR'S _ NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A DfRW loth STREEr 0ROVI= Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities® Installation El Other❑ Describe work: M GROMING Roti _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR AODNS. \ ACG. BLDGS. I 3.64 sq.ft. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin g 15.00 • Permit Fee $ 311. — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to•the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X`` &, - "y Date \�-- \ k --Al nature of Applicant g pp - owner❑ Contractor ❑ Agent 1:1 Si Asions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. _ Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ 30.00 HAz 1 11F11S I IMP I FLOOD I CDF PARCEL I PD I HD ISS This permit is hereby issued under the of -the Butte County Code and/or - t � %f work indicated above for whichees /? DIRK 6TOR OF PUBLIC,WORKS BY ��� /'7�°�� �'� //l,;'r,�/;`� PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. D tefl,��/�t< ",1- % Receipt No. 103558 WHITE-D.P.W.. YE11OW-ASSFS3OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 106 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �ov /6 �-' OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte or need additional explanation, please contact this office immediately. F115�1- Date Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-281-096 ZONI,N.G" A R BUILDING PERMIT OWNER DENA SANCHEZ TELEPHONE 533-4048 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1404 10th STREET OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10th STREET OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: NEW GROUNDING ROD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.tr) OR ADDNS. ( ACC. BLDG5. 3.60 sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUED P TLETS (RESID )LNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 15.00 Permit Fee $ 30.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. DI I shall not employ any person in any manner so as to become subject J�4 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. x��--�--�`����c�`� Date —��—�' —T Signature of Applicant — Owner ❑ Cont ctor [:]Agent F-1 An OSHA permit is required For excavations ov r 5'0" deep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 30.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the sions o e Butte County Code and/or wor In ated for whic a F 1 R P B P ;TEOIRSDate applicable provi resolutions to do have been paid. ORKS Date Receipt No. 1(L94R WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillo. California 95965 - Telephone: 916/536-7541 APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER 0q ZONL. ING BUILDING PERMIT OWNER ©$/U�i; S'4/\/G`j T 33P 16Ile S0. FT. OCC. BUILDING VALUATION OWNER'S MAI LI !/ {G� OR�U YtS 74h D 565 7 7/ CONTRACTOR'S NAM�W e� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / -`W,57- U 95nYr Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFa Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W CO) 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities & Installation❑ Other ❑ Describe work:yeci Lgl;fy/L41K Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATOI000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR AODNS. ACC. BLDGS. 3.66sq.ft. NEW CONSTR ULTI.OUTLET N ON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d Ex. OCCUp. OUTLETS P(RESIO IFIXED APLISIS RE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pd Permit Fee $ 30 0`0 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate: of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner EDContractor [I Agent Agenf ❑ — An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 0cc CONST TYPE TOTAL FEE $ 3O�� HAz 1 OFEES I IMP I FLOOD I CDF I PARCEL PO HO ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Q J - WNIYC-O.P.W.. YCLLOW-ASBCSSOR. PINK -INSPECTOR. GOLD CHROD-APPL I CANT COUNTY OF BUTTE'- Department of Public Works 7 County Center Drive„ Orobille, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement T(t)Or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.' I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner _ Social Security Number — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. o oul. a/.�vh�o � SAIdIA03 ONVii uonul= L,t 8rruoPIeO '811!AOJO V061 9.9 Nnr yiieeM leluawuonnu3 b/d a(- v 600l 700d 66- ov-�?Av4Z -l-70/7 Ore (b ��1��� •�U 'Iq �S•N �� .1y9�7 11 yrn oo5 -� Iry *> (S'070 i 10 *,.,MOM Im-mvp SiLrI PUT so AA'l U-1 6sn pem„eds s;iI aoj pMa4meldS".TCS pug sc�M.ye,13 L3000 pa�o,,a►a ina eouvpwoov uI eg i►,ecl� dau�xo�.� eT'e� iiF.=SZODi �, . •Oww to Alden vxna ongna so woum idea elr=4 uOlserfed umw& 'j[IOFQ va G=r% LTO EL'Ol!�i�.3�i'3 a0 eb$mw knows jL�lL�4 *�YxT1 ei u 'PUB oFi= iii :y Qot*v4 no 404 ea asn�-R SUOTpovpwds vm eovid ao we "tu '1 S Pry6/7 � i58 6,?68-SES (-71b) 096SV - W X77 .7 0aoeo • X NOS7---;/V hPrP ros�� S/cYyj 31 : a' 70 0� �Ni�r�✓irnS°