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030-101-076
AP 30-101-76 LAWANA J. RICHARDS ' 1708 Grand Ave., Oroville (Util., MH)Permit# 24-75 ,E GAS !—�• r . SUPPORT STRUtTURt REQ COMPACTION TEST RF]a. _ — Permit# 1772-75MHI r Issued Al -101-7 l rmit# -1862-75E(f A( extra m ter)59 �s r , N 101-76 ermitAPO B( wning AP 30=101 76 Permit 4 5 6 ,E (relocatI.i�on �`" �i . /MH) e ELECT /\ A cA�^ SN7PPORT S RUC. JR2-?.• p N I�OMPACT�, N TErST 30-101-76 Lawa a J. Richards+ ' co r: Ernie Mobile Home Tkra s.,Mar f P mit #44 -76MHI ✓_ sued 07600P 030-101-076 02-272 HANSON, Gerald INALE 1708 Grand Ave., Orovill Cont: Reliance Propane New Gas Fireplace/SF 030-101-076 05-0137 HANSON,GERALD j 1708 GRAND AVE, OROVILLE Cont: OWNER 1 NEW GUEST HOUSE t Z 4 1 i NOTES RESIDENTIAL PERMIT NO. 03007.6 0S_0137 HANSON,GERALD\ 1708 GRAND AVF,, UROVILLE Cont: OWNER NEW GUEST HOUSE •h i •• SPECIAL CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. ' S •' FIRE SPRINKLERS REQ. V' •{SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER . r • Y� �� JOB FINALED (Date) Signature J=OK 0 = Not OK . able = Not Ready' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -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./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. B. Utility Clearance Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 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 Date 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, 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 -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDFAFLOOR (Plans) OK except #'s 2." ., Main; Soils-Elec. grnd.-/&�" Ftg. Depth 3. F;g Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4! Porches & Decks; Soils -Steel-/ /" Ftg. Depth 0 5. Stemwalls, Main; Steel- Blockouts-Wrapped 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 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 'L Card B-1 Date Card B-1 1412P Date Card B Date Card B-1 Date PLt)MBING (Permit) OK except #'s 17.. Water Htr.; Vent -Access -Combustion Air Baffle 1 . ater Pipe; Test & Anchor -Nail Protection 16. 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 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s .24' jFixture & Transformer Clearance -Ins. Protection 25 Elec. Receptacles Spacing -Lights & Switches at Doors 26 _.Size Boxes & No. of Conductors Stapled 2 Romex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water . 2 Appliance Circuits in Kitchen & Conductor Size GFI 0. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 93 Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral l7 Yes O No 32, -Service -Riser Conductors & Ground Main Disconnect 33!E ui . Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 5;7s,moke Detector Date q,y Card B-1 Date Card B-1 Date Card E'-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support . Vent Fan, Exhaust above insulation -38' ✓Condensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Accese& Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date FRAMING (Permit) OK except #'s 4 ills Proper Materials & Anchors 4 ails Studs -Nailing Spacing & Braces -Plates -Sound 4/ gearing Walls over Girders & Floor Nailing 44 raft Stop in Walls (rat proof) 45 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47Hangers- Post Caps -Anchors -Connectors 49 -ping. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 4$ Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5,11". Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions -59-Garage Fire Protection Framing -RC Channel 5 Property Line Firewall & Openings 54., Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits �bfs=Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer �58 Jucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 69' Glazing Area -Glass Protection -Skylights -Plastic ,60. -Shear Walls; Nailing -Bolts 6Y. _5race Interior/Exterior Wall Panels 62- Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date V4 Card B-1 Date Card B-1 Date J Card B-1 Date Card B-1 Date FINAL (Plan9f OK except #'s Ext. Steps -Door & Sidelight Protection -Landings �. Smoke Detector 6. Furnace Vents -clearance -Comb, Air -Connector- ./ In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting , G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels --ilStairs & Rails 71. Fireplace or Stove, Clearance -Hearth 7,Z Elec. Outlets at Wood Panel, Int. & Ext. 7S!Kit. Fixt. &Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter '_Garage Fire Door; Swing -Landing -Closure 7 . A.C. Duct in Garage -Damper Wt . Htr; Vents -Clearance -Comb. Air Connector-P.R.V. arage; Above Floor-Mech. Protection Plb.; Be-. & Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage (FF.I.)-Romex Protection Insulation -Foam -Looked in Attic W.' Guard Rails & Deck Construction -Post Caps -4tBrFdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked unjer Floor O Yes J 8 . Following Instld./DrivQ es O No/Walks O Yes No/Planters O Yes No 4 Stucco Brown -Finish 5. A.C. Unit Disconnect, Electrical -Plumbing 96. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing .Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 96/Glass Protection 91,.,Corrections from Previous Inspections 9. Gas Test -Meters Tagged, Gas -Electric . 60"Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates W'Address Posted A6 Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate 79 �7 b 80-e-_ 7 - Number and Street County Subdivision Description of Installation ROOF Material Thickness (inches) t�/Z City Lot Number Brand Name - ►t Thermal Resistance (R -Value) CEILING 1 Batt or Blanket Type 1 . Brand Name M ntn yr 1 t Thickness (inches) '10 %Z Thermal Resistance (R -Value). - Loose Fill Type Brand Name Contractor's minimum installed weighVft 16 Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) Z —3e— EXTERIOR WALL Material &�t+ Brand Name Thickness (inches) Thermal Resistance (R -Value) ...RAISED -FLOOR Material :Thickness (inches) SLAB FLOOR Material tle-- Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name Thermal Resistance (R-Valtie) Brand Name Thermal Resistance (R -Value) . Brand Name Thermal Resistance. (R -Value) . Declaration I hereby certify that the above insulation was installed in the building at the above location' in conformarice with the current Building Energy Efficiency Standards -for new residential buildings contained in Title 24 of the California Administrradve Code. ' General Contractor (Builder) License Number - • � lZ� O'er' - Signature andTillc Date Sub -Contractor (Insulation lnst&U&) 7 License Numbet Signature and Tide Revised December 1992 Date L 16-2 6 . 0-8a aa 4 3. 3:3 �., S/17ll� �Gc�l�— F�—PG�-2. _McrL(_t V�Ai4 o�%rF To Butte County Department of Development Services G Building Division O O - 7 County Center Drive c0— N ty Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees aid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the Check those fees which you wish to have considered for refund: ]Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature Date K:/Forms/Refund Application 082203 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50137 B. C. Building Permit 01-16-04 pq 1 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: 02/10/2005 APN: 030-101-076-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1708 GRAND AVE ORO Date: Contractor: Map Index: GUEST HOUSE(498)COV(56)tlOn: Description: 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: HANSON GERALD L &JAYLENE L to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1708 GRAND AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 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 owner of property who builds or improves thereon, and who does Applicant: HANSON GERALD L & JAYLENE L 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 1708 GRAND AVE year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of sale.). 95965 ❑ 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: al(465 Owner: WORKERS' COMPENSATION DECLARATION I 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance Engineer: carrier and policy number are: Carrier: Policy #: Total Square Ft: 554 S.F. I certify that in the performance of the work for which this permit is v \ Valuation: $33,266.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions work indicated above fo w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By: PERMIT EXPIRES ON: �V Address: Da e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1 V- fZAl.p N W, 'Snt$ Signature: Date: �•I d =1 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 t�-••c...----'-'-..''..`�..�-^^-.'^.;o•-•'�:---",r"+' Lirle•Q'+s-:-*•tij-+y�,••3:�`'1.�J�i^�iR'..'r^,r''rV ri'i+•�tI COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 &,>p s0/ PERMIT APPLICATION DATA"SHEET Lj OWNER: 11A-A)-e>ASSES80R PARCEL NUMBER Proposed Building Use: 6ULF`r' /-�w5 Counter Technician: C��ST Date: / \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �`� Iry 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. s` 1oV 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 -or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. /nl 4. Engineered truss details and layouts in duplicate N o`es!� ❑ 5. Letter from Engineer or Architect for tru�! slg - j�c -� �p,AJ 6. Energy compliance design and suppo�fidg�documentatlon In duplicate. ❑ 7. Statement of Intent for Non-heatedj�Non "i .nlial ui).¢in� � ❑ -8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line nfo, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ti ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. Other �rs•,tn,/L v il> Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ..................................... ......................:.................'............ ... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required........................................................................ ' 1 Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: _0_� (B)Parking:(C) Parcel Check: o Z -L{ - ?r: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... 29. Contractor's license information. (Number, Name Style, Classification). ;-�%�^^ L-► ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits. -- =7777 - ...................... ❑ 36. Deed Restriction.........................................................................�........ ❑ 37. ElGrant.Deed, ❑ M.H. TitlelStatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: 44 f7i 4�, .cLA-rt ❑ 39. Other: When issued Telephone ` and hold for pickup. ` I have been informed of the above items and requiremen j.for obtaining a building permit. l/� j/ Applicant: tel) Date: 1 19IO 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: VV + Date: Note transfer by: Q44 Date: O. Yellow: Building Division COUNTY OF BUTTE J� 1 ' oS c DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE 15riL=31 L� 01 �IBDING PERMIT FEES --- Balance Due ..................... $ S� OIh Q I --- Additional Fees Due........... $ --- ised Plan Checking Fee.... $ Ld4���2.CHOOL DISTRICT FEES 0/20 H-16# (paid at School District Office) (form available after Plan Check) e 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. A.P. # 03o_o l -076 DATE /—P1 RECEIPT # DATE REC. 4. URBAN AREA FEES . (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone Zone X =$ # Units Amt. Commercial (sq. ftg.) ......... X =$ / Sq. Fig. Amt. 2 v 10. OTHER v- I At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT _ %- DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �-�-,r;... a��*��vF�,�• -'.) ,. „� • ...:.•;,.��i�: ��i�.., ,.. a.y-��>;�..n;;«.,,,.�•�-�rF�wrgn„�,%�r"'�r'�t�".n+t%'��'''„2�''E��,�!�.���`�,'r'f!,�rahy�',�`�'�'t[��r. T*;: ;�z �x-_•;w . �x 'r i `.`��t \� a .• �� 4 .- �.��y - ..'` ` i r ` eYf r t i 4f ��-•tiw� 2 '.: t. 4'4 L '? 1 fi. l'+. i 4 ... ['r4 iq JavY \ a .. e ++OWN; �.... r�.rr.1�r.,h.s.a..�.;t3kn..tttu.Aw>,,.�e.twarwr:.afso.....��z.,zr .,.s�Z: �«. r�.�x_,a^ r.•;..v.-„ . ,r �C aM<„,.as'i'�F 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. - �I personally plan to provide the major labor and material for construction of this proposed propertyimprovement: YES [\] NO[ ]. y0I HAVE [] HAVE NOT [ ] igned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS, PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Pq�'�i✓i"s"-ti«v:`� rrS��Ca }'� �:;5'L•."ixr a�"+a��j 4r�'wcP+�,ks,"„-� �`z �r`;� �3 �t�'* �,1: az'' T'� Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. , For your protection you should be aware that as "owner -builder" you are the responsible party of record.on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following infofmation for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and; if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be 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 contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. MicVael C. Vieir4 C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District o v c Com. Building Department No. T < 3 0'10/-b A.P. Number Jurisdiction: Q City �--JCounty Property Owner Property Location/Address ( / (] (� ('t"7/ C.(i(/LL/ 41-4-1r- ! JL 0 VII W Subdivision Lot No. .. ......................... _.................................. :....................................... Residential Development Q Q Q Sq. Footage No of�1]ng Mobile Home Addition/ *Supplemental to (G up R) Units Installation Conversion Permit # •(Nofoundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q. Q W— Ae1AUtnn Sq. Footage (Including Exterior /Roofed Areas) V V� Date 'District Identification No. orbolko U School District certifies that Se– rA 140, Y) -S 01� J (Applicant) I `l0 $; G rei 4- -Rv/e- 5 34 - -7-7* a-7 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0J �� by payment of $ representing District square feet. JAB 2926 $ FULL MRIGATION $ ;2 1 o OS Date Paid by Check # �i(1/ Remarks: r r No**: You may protest the Imposition of the fess Identified above by submt ting a written protest to the District, In compliance with Government cods Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'prohlbit you from challenging the Imposition of the fess In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is rrotilled by the applicable Local Planning Agency that this project Is being reviwrad under the California Environmental Quality Act (CEQAh this project may be subject to additional school fees to fully ~a, its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformads 00/031dmm THERMALITO IRRIGATION DISTRICT A Public Agency DIRECTORS Brad Taggart Division 1 Gary Allen Division 2 Edgar C. Thompson Division 3 Stanley J. Huston Division 4 Ernest L. Reynolds Division 5 January 31, 2005 Gerald Hanson 1708 Grand Ave. Oroville, CA 95965 410 Grand Avenue Oroville, California 95965 (530) 533-0740 FAX (530) 533-9243 RE: Second Dwelling unit at AP 030-101-076 Mr. Hanson, Gary Alt Manager/Secretary John Jeffrey Carter Legal Counsel Thermalito Irrigation District is willing to provide water and sewer service for the additional dwelling unit at 1708 Grand Avenue in the Thermalito community, California, on satisfaction of the following conditions: 1. The District shall approve in advance in writing the plans and specifications for the water and sewer installation to the new dwelling unit. All plans will be submitted in accordance with TID Improvement Standards for Water and Sewer Facilities. 2. The second dwelling unit will be required to have it's own sewer lateral from the TID 'sewer main to the house. An independent meter will be required for the second dwelling unit. 2. The water and sewer installation shall be completed in a good and workmanlike manner and shall be subject to inspections and acceptance in writing by District's Manager or Engineer. Established 1922 S This letter shall expire one year from and after the date hereof. Connection fees, which for a dwelling unit presently are $3,571.00 for a second three-quarter inch water connection, and $3257.00 for a sewer connection, shall be assessed at the then rate of the District at the time such connection are requested. Sincerely, Thermalito Irrigation District By.Y-�" Gary Alt General 9 The above terms and conditions are hereby accepted. Gerald Hanson 1708 Grand Avenue 0 By. Gerald Hanson J SITE PLAN REVIEW APPLICATION' Date: q00,5— AP# Permit Number (if applicable) b,% D!3 % Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Parcel Size: � l e�iR &-,D 1208 64anrz AkoqAtf; Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel -Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition' Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: 030 - /v t -,0 -76 if, — 3 ❑ , Single Family Remodel a 2] Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary): 4&grF DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) PA Approved ❑ Conditionally Approved ID Sitelan Stam d Approved By Date Z'�[1 Page 1 of 5 ❑ Resolve Problems Prior to Approval ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: '4' `• ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive- soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: 0 71 o(- Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=--------------------------------------------------------------------------------------------------------------=----------=- ❑ Detached Building Use -Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4 k (1-0a) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2-® Side Side Street Rear Height • I Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 1), Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. - Parcel Created By ❑ Deeds: Date of Creation:, Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 w ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor-Use Permit 1 Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and'other civil construction associated with residential development. Approved dust controlmeasures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑ n Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:Varrys\Building Permit Site Plan Reviewl .doc Page 5 of 5 Yy°� BUTTE COUNTY4 �.�� PERMIT O DEPARTMENT OF DEVELOPMENT SE CES NO. O BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP©5 i =�= O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION(� BIN Alt # r N Website: www.buttecounty.nettddsPIT "PLEASE PRINT CLEARLY" a3g _ . OWNER Last Name �.m6 I irA Name 2 Alt, Address p a ; ANO I V -e--, City 0zo State ep ip`b 5 PhoneS—X _ 53,A _-1 ) a—I Fax E-mail IC)v _ . CONTRACTOR Name I Address X I City a, State Zip Phone _Type Const. Fax E-mail IC)v Lic. # - Class _ . ARCHITECT/ENGINEER Name I Address X I City a, State -...... _.Zip Phone _Type Const. Fax E-mail IC)v State License Number APPLICANT SIGNATURE X For office use o9k: APPLICANT NAME Name I Flood Zone I X I Address I Yes I No KXb t - City _Type Const. State c1 Zip55g4s IC)v Page Lot # Planner Phone ^ S3 -1,la Fax E-mail APPLICANT SIGNATURE X For office use o9k: Zoning I Flood Zone I X I SRA I Yes I No .Occ._ _Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION API 030-/0/-076 Property Address City 1 101 Guiwo,C�KC) Cross S¢eet e WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope -6f Work: /fZFVsZF_ y 9 5 Sq. Footage c v 0 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee 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 the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receivedby:by: Receipt #: Date: Fl - 80 Amount: Bldg (j Other SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a' permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK r ❑� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) , ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7.' Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site. plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. -. ❑ 3. California Department of Forestry plan approval (if required). ❑• 4. NPDES Form. ❑ 5. Encroachment Permit for driveway. from -the Public=Works Deft. ,(construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant'at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 M r O LO 0 utte County Department of Development Services JNNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538-7785 Facsimile TO: FROM: M SUBJECT: 1 Q DATE: VA1411 U_1► Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 1/20/2005 Applicant: Hanson, Gerald Project Type: Guest House 100% Plan Check Fees $ 340.94 Permit No: 05-0137 APN: 030-101-076 70% $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk- Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Q�QPgTA1ElvT 0 6UTTF o o o I o 4 1 o c °i ��i g �<<c wog`` Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE1 Project Description: e3-�-L� /S Project Location and/or Parcel Number: /708 G12^k-�i A-LIE� o 76 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: 5J -AW '42t,, Title: dw 14 kr Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 W I LLDAN Serving Public Agencies February 2, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1344 Jurisdiction Job No: 04-0137 Assessor's Parcel No: 030-101-076 Applicant: Gerald Hanson Description: Hanson Detached Guest House Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted ori the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies dated 1/09/05,'by no author. * Energy Calculations: Two (2) copies dated 1/10/05, by Barry Rubanoff. * Truss Calculations: Two (2) copies dated 1/14/05, by Endeavor Homes. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. �VW I LLDAN 117 C Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Type of 1" Floor nd Floor Sprinklers Stories Total Sq Ft Occupancy Construction Sq Ft Sq Ft MR001=11 0010W 2400"M R-3 V -N No 1 498 NA 498 R-3 (Covered V -N No 1 56 NA 56 Porch CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Isaac Kuster Plans Examiner Cc: Alice Mefford, E-mail: amefford@buttecounty.net Gerald Hanson, 1708 Grand Avenue, Oroville, CA 95965 .Page 2 of 2 Coura.ty dPButte Penrii.t .Number 05-0137 Wi(ldan Project Number 14.153-1344 030-101-076 02-2729 HANSON, Gerald 1708 Grand Ave., Oroville Cont: Reliance Propane NP�n1:C-,as FiYen lare1SF 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 02-2729 ASSESSOR PARCEL NUMBER 030-101-076 ZONING BUILDING PERMIT OWNER GERALD HANSON TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS , 1708 GRANT) AVE ORovTLLE 9596s CONTRACTOR'S NAME RELTANCE PROPANE TELEPHONE - CONTRACTORS MAILING ADDRESS 642$ SKYWAY PARADTSE 19-59614 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. I Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1708 GRAND AVE, ORINTILE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE i • ( SFX© Duplex ❑ Mobilehome ❑ Other { SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: -1 r C FTP7M ArF 1 Gas piping system 1 - 5 outlets # 15.00 Building sewer 15:00 Mobile Home IS I G W I @20.00 PERMIT FEE 1 $ ELECTRICAL PERMIT i Fling Fee 20.00 OR LESS Main Service 200A OR LESS 23.00 i! LICENSED CONTRACTOR'S DECLARATION ` I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I 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. j OWNER -BUILDER DECLARATION i 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. s0. 3.50FT. NEW CONST. MULTI.OUTLET No..ESID. C @ 7.50 POWER APPARATUS a SINGLE oIJTLET CIR. Ex. Occup. OUTLET OR FIXTURES Bn0 o 1.00 FIXED APPLNS. O.R. Ex. Occup. oLrnETs REBID. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS',COMPENSATION DECLARATION I 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 sectior`3700 of the Labor Code, for the performance of the work for which this permit is-i6sued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20:00 Heating Cooling Hood 6.50 Ventilation NEW, -GAS FIREpU 5.00 PERMIT FEE $ 355.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100)•or, less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in .any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� w X ""`� jj Date (� ' V Signature of Applicant -*M Owner ❑ Contractor ❑ Agent An OSHA permit is required fo .excavations over 5'0"deep and demolition or construction ures over 3 stories n height. Mobile Home Installation Fee Is ~ Energy Inspection Fee- $ Occ CONST. TYPE TOTAL FEE $ 35.00. HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated abovd for which fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 16'!'o. Dare 'D.S.-B.D. 363851 35.00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t t Y. 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 92-2729 ASSESSOR PARCEL NUMBER 030-101-076 ZONING BUILDING PERMIT OWNER GMP.LD HANSON-914-7727 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1703 GRAND AVE. OROVITIE 95969 CONTRACTOR'S NAME RELIANCE PROPANTE TELEPHONE 87 2-920 CONTRACTORS MAILING ADDRESS 6426 SKYWAY PARADISE 95969 , CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1708 GRAND AVE, 01ROVILLF$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SFND Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K7 Describe Work: _�1 r�n�=�spT n�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R 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,NR",..T 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: ❑ 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. DWEWNG OCCUP. OR ADDNS. a ACC. Bin S. SO 3.5QFT: MULTI.OUTLETTs @7,50 POWFA APPARATUS a SINGLE. r. CIR. Ex. Occup. OUTLET OR FIXTURES 20 p 100 @ .50 FIXED APPLNS. OR Ex. Occup. ounETs RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply 'th those provisions. X Date `' _ �6 Signat re of A- Owner ❑ Contractor ❑ Agent An OSHA permit is required f excavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation NEW GAS FIREPLACE PERMIT FES $ 35,00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD HD I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Aindicad abo for which fees have been paid. rO � �- 6�'of Da e` PERMIT EXPIRES [ 0- I pate) Receipt No. 36385-- 35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 4485-7614HI 1 + PERMIT EXPIRES -7 7 OWNER Lawana J. Richar`ds'' CONTR. Ernies MH Transport,Marysville LOCATION (A.P. 30-101-76 1708 Grand Ave., Thermalito I t t ra s Temp. Power ole Called P &E Temp. EI c. Serv. Cal d PG&E Temp Gas Serv. alled PG&E " OB FINALED .' (Date (Signature) r e PERMIT NO. 4485-7614HI 1 + PERMIT EXPIRES -7 7 OWNER Lawana J. Richar`ds'' CONTR. Ernies MH Transport,Marysville LOCATION (A.P. 30-101-76 1708 Grand Ave., Thermalito I t t ra s Temp. Power ole Called P &E Temp. EI c. Serv. Cal d PG&E Temp Gas Serv. alled PG&E " OB FINALED .' (Date (Signature) r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS f. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor - Main Bldg. Restroom Finish 2nd Floor 3 Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure A llances' Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Pennanen Door Closer Final Final kzz✓ DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY 0T BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Ad inistrative Code, Title 25, Chapter 5, under permit number l.IW = %.. for the ollowing location: Owner J -174, - Owner's Address Mobilehome Mfg. Model Year&7 Insignia No. /.2 -.-'5!'(J 4- Serial No. A 1 ?1P'?44r9,/ It is hereby certified for occupancy at the above described location and may be occupied. Directory of Public Works/ Date/ / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED pp COUNTY OF BUTTE DEPARTMENT OF PUBLIC WO - S 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541�O �1C� APPLICATION AND PERMIT out,1011— ICIJI—umaUVeS UI the County oT butte to enter upon the abo a -m ntioned property for inspection purposes. Date OS �1-1af/Perm��iiitee or Agent Receipt No. 14G19Us� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -DIRECT-QR OF PUBLIC WORKS ByDate Building permit expires Date �/7% BUILDING Owner UJ 14AJ J IRI 614 A& �r SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address (`� (' 6 Roi tic) Av z, Telephone No. ,W l Fireplace Contractor �� M ��JS�OQ/jr% ' Total Valuation Mai ling Addresss'7 �� 7 2� v Permit Fee ` Plan Checking Fee&/or Penalty _ /�/�^,� S11i ffe ` /,/J'yi C � . (�� Telephone No. Permit Fee $ % 7 Building Address/ ?Q G2i3�d �'_ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ / oley✓s ! /% Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 L___ Fees W.VC. I r9ert4e4ea I Fire Dept. Fire Zone . Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rove ents P Lawn sprinkler system 2.00 g. Plans Rec'd Parcel A proval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . �_ '� �T 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OV Main service 1100EAMP0OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR AODNS• ( ACC. BLDGS. ) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS)2.SOea NEW CONST R. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name p � Styl"�p"'% / ^ / —/\--a /C��%� Ex. Occup(OUTLETS OR FIXTURES) @2r4 BAL@1 Ex. Occup.(OUTLETS P(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /Misc. License No. t0 Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. rVI have placed on file with the County of Butte a certificate of `f' Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby . '! rJ///aN TOTAL PERMIT FEE $ Q out,1011— ICIJI—umaUVeS UI the County oT butte to enter upon the abo a -m ntioned property for inspection purposes. Date OS �1-1af/Perm��iiitee or Agent Receipt No. 14G19Us� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -DIRECT-QR OF PUBLIC WORKS ByDate Building permit expires Date �/7% MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes ' /No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes No. 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Ye No 4. Is the mobilehome level? (Sec. 5088) Yes No .5. I.f ore than a single unit, are crossover connections properly installed? (Sec, 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID.min.)? (Sec. 5566) YesX No B: Test - Does water piping withstand working pressure or.50 lbs. air test? Yes No C. B w - coach is not State of fornix approved, does station have backflow device and pressure -relief valve? Yes No 7, Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot slope and is it -properly supported? Yes/• No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture in washing machine standpipe? Yes No4 D. Ifs������;�.approved, does -ation have required trap and. vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an 'approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes)/ No B. Test OK as per following procedure? Yes , No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes V No 9. Electrical e amperage (mu s tj. eqt� A. Is service large enough-to'provi'de,adequat to mobilehome -1 rating of 1� I P, . 1. mobilehome with a minimum f 100 amp) and other facilities on lot, i.e ..water pumps, garage, cabana, etc.? .Yes No B. Is there proper clearances around panels? Yes/ No C. Is power supply cord',or.feeder assembly properly fused?No Y D. Is continuity test satisfactory as -per the following proceZO. Yes No e s 4 1. De -energize electrical wiring system of, the mobilehome at 'the -pe a; tal.i 2. Make sure that the p6 we'r"'sup'ply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the. mobilehome to the "on" position. t 4. Connect one lead of'�L test.instrumento the mobilehome grounding conductor and apply the other lead to -each rii.obilehome supply conductor, including -neutral. 5. All non-current.,, carrying metal parts of the mobilehome (aluminum siding. gas line,_; water 'litie),.'includiiij-'fix'tu*res and appliances, shall be tested for continuity from such equipment and the grounding conductor. procedure, 6. Upon completion of the abovee, the power supply cord or feeder.assembly condu'.c"tors. shall be connected to the site service equ,iprient. A further `continuity test ".6hall then be� made -between the grounding electrode, and the chassis of the e mobril,6�1ome. Upon 'satisfactory completion of the electrical tests, th fot or site service equipment may be approved for energizing. J 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign*off card and tag services. MOBILEHOME DATA Manufacturer and/or d/or Namestyle All Width 7e Length 7� Vehicle Serial No. State'identification No. Additionalt Informat'ion or Comments: ,} r, ,/�"",►YL THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A.P. No.: Phone: No. Units: Applicant/Agent: :,f Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes' first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 4 0 ► HERMA ITT 10600N DIST RIG 410 GRAND AVENUE N2 892 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATIONAND,CO' NNECTI.ON PERMIT in Service Address: Owner's Name Address: Phone: •Applica Addres< —. Date: Acct. No:1,7 _ 7 r. Units: ents Proof: 1411 Fees: Phone: Application / Arrearage Preliminary Review By:z_Date: 2G CSA 26 Remarks: SC. -OR 1st mo. S.C. -Other Field Review By: /./L, , Date: /7 -'/– Remarks: a'01 Total Fees. Collected By: Date:. ffZ - %G c MONTI-ILY SERVICE CHAWIL:S WILL CONV1MENCE AUTOMATICALLY UPON: ❑ Date of TID approval of complc!tral 111rilding sewer (early connection). 30 days after elate above, or on dril(,: of D.P.W. approval of completed building sewer, v.,hich ever comes first ("existing Construction", prier to Mar. 5., 1971). ❑ 1.0`0 days after dote above, or on (1;1t(!of D.P.W. approval of completed hi.iilding sewer, which ever comes first ("new construction", after Mar. 5, 1970. - MSTi'lBUTION: V MITE TiD, YELLOW APPLICANT. PINK DP1'V, GOLCE.\ROU C?4V to TID c N�rn DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page ���/1 Official Records of Butte County, :(AP#D I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, Pease; rent, or financing unless all applicable land division laws and maD requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same..�I represent that the proposed use of the additional 11-ing unit is ! , and that further I shall.not c1hange this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the 3utte County Code and §11535 et seq of the Business and Professions Code that if I., in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinanges, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. OFFICIAL. RECORDS s_I iTF C0U,N-rY-C,kI,i Z� �,c4,o�s �-owner. 1 9 P1 1976 cM41 rYEcur)l� Ass FEE Me Date STATE OF CALIFORNIA ss COUNTY OF BUTTE On this 20th day of August 106 before me, Wanda E. Farris -- the undersigned _ ,_ a Notary Public in and for the County of BUTTE State of California, residing ther6in., duly commis- sioned and sworn, personally appeared Lawana J. Richards known to me to be the person 'whose name subscribed to the within instrument and acknowledged to me Chats he— executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of BUTTE the day and year in this certificate•first above written. ��r�;;,.;,;,�,-•�, ,:- '�. EAL OFA E. AR ��lAi�iD !1 E. FAZRfS NOTA Y F U"sliC - CALIFORNIA PRINU?AL OFFICE IN SAN MECO COUNTY ' . My Corr, s11 OR Expires July 18, 1972 No ary Public . a c� T S96-1275. Chi 1. Owner',s name: 2. Installer's n< BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit?. Yes / / No / / (If yes, furnish permit number ) OR Is the site an existing site? Yes No'/ / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach -fields and clear of all setbacks and easements? Yes / / No %� (If no, clarify ) 5. What is the ----------------------- mobilehome electrical rating?� Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- "r® Amps 8. Is there any other electric load to be served by the mobilehome site service? -----=-------------------------------=-----=------- Yes / / No / -W (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---=------------------ -� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome?. (ft.) 12. :What is the mobilehome gas demand? --=--------------------------- (This information not required.if pipe length less.than 6 ft. on natural gas or less than; 50;- ft:' on, LPG.) (BTU) •-. MOBILEWNE �JPP0 T DATA Mobilehome Mfr. ( �' a.m Pj f) 1`1 Setup Model No. ` Year Width (ft.) Length... r (ft.)-Expando Size x ft`. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets .(if. not .on file with the County of Butte). '. S in le Footings- ( check , one) / 1. Wood 'either pressure treated or Center Center Support fdn:srade.� .. $ Support Footing Sizes r Locations (in.) :, erg . /.2 -.-Concrete pad. Ain. 3. Other, `specify Zn. in. � Supports (check one) V1. / �/ 1., Concrete block r- x / !, 2. Concrete piers (in:) (in.) .. ......... . 3. Steel piers . .......... ... 4. Other, specify .1 Typical Support x Footing Size (Y". 1n. Zn. Zn. ) (in'.) (in.) Max. Pier. _ Spacing Zn. 1 s. ) (in.) (in.)} I M Max. I I )Overhang r•. Zn *If centez:.piers are other than drawn above, `draw 3"n',1!ocations, spacing, and. dimensions, BUTTE COUNTY. BUILDING DEPARTMEW APPROVED. �I' .1 • This��set,of plans at}d specifications'fou' kopi on the job of ah ti les and it is uni6 , r r r written permtssiofi fFom'the Dppartment of Public rr Works, County. of Butte. Xh �• 6 "C A B,��Qi�P. /c77 fha-t# Sokibck hall b®-5 tt: trorr /S' f 7; rhe side propeef'y Me- and 50 ft. from the centerline of t e road, permitting i maximum of a 2 ft. eave overhang. ya FT ' ,r✓��ciziLC n� w r r. .d �r r s BUTTE BUILDING DEPAOMEMI APPROVED 0 0 w r r. .d �r r s BUTTE BUILDING DEPAOMEMI APPROVED 4 ERMIT NO. 3530-75B ` E �- M . ti 'NIH UTIL. IPERMIT NO. i PERMIT EXPIRES L 76 OWNER Lawana Richards- tyyCONTR. LOCATION (A.P. 30-101.-76 ) 1708 Grand Ave., Oroville I Temp. Power Pole Called PG&E Temp. Elec. erv. Calle PG&E Temp as Serv. ailed PG&E / JOB INALED Ay-- Al/G �,jjjsss/ Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framingfzz Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding Topout Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service. Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO ICS 'j� 3 Q •-- 71-5 w ♦ 't 7 County Center Drive — Oroville, California 95965 �J Telephone: 534-4641 APPLICATION AND PERMIT BUILDING Owner c 16Z a 14 a SQ. FT. OCC.' BUILDING VALUATION Mailing Address l Telephone N Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. , Permit Fee' Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping . 1.50 Each gas water heater or vent 1.50 A. P. No. ® ^'"" Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSa t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Parcel Declaration Parcel Ma 60' R/W Im rovements p Lawn sprinkler system 2.00 Bld Ions Rec'd Par pprovol PI proval Permit Fee $ NEW ADDITION [J UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil HomeOthers ❑ A Range, Cook -top or Oven 1.00 9 1 Water Heater.or Space Heater 1.00 Light fixtures bal20025 RIP Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner, or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rIcertify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XX � a� L`1I�1���(.L�� �'�� Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY�-�r Date Building permit expires Date ;tCr t 7J h. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone;.534-45.41 APPLICATION AND PERMIT auuwnce reflre5en1a11ve5 or me uouniy or buiie io enter upon me above-mentioned property for inspection purposes. D at CC,, 7 Signature of Permitee or Agent ! Receipt No/_� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. —DIRECTOR=,OF PUBLIC WORKS Building permit expires Date ............................................ BUILDING Owner G/ n ! SQ. FT. OCC. BUILDING VALUATION Mailing Address % C_.-.. `d ,f9 41 wTelephone No. Fireplace Contractor vv /� ` Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address �/ ��• PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Vf/ /tri Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --� (7l— y / (/r) Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. FireZ_one Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0' ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 �� O , /_/ . Main service incl. 1 meter a f.—Additional "V/Q r�G�t��r (�1 i X ���Sub-panel meters, each (12 or less) (morethanl2) 1.00 s-6 Single Family ❑/s' Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal�llo Receps., switches & fix outlets20 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification ' Misc. wiring 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ f 1`0 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the -County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwnce reflre5en1a11ve5 or me uouniy or buiie io enter upon me above-mentioned property for inspection purposes. D at CC,, 7 Signature of Permitee or Agent ! Receipt No/_� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. —DIRECTOR=,OF PUBLIC WORKS Building permit expires Date ............................................ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 634-4541 APPLICATION AND PERMIT BUILDING Owner u SQ. FT. OCC. BUILDING VALUATION Mailing Address Q� Y Telephone No. Fireplace Contractor ��' Total Valuation Mailing Address Permit Fee - $ Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address � PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 ' Repair drainage or vent piping 1.50 $ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �-d Q �� j Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W.C. Sanitation Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE ' $3.00-® LSC -.4- / Main service incl. 1 meter 7�> �}d t-/-5eC e 'f -Additional meters, each 1.00 n/ Single Family n' Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Q Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures balalo Receps., switches & fix outlets Zu (0J 2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ } $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation JJ— Hood 2.00 Permit Fee $ I certify that 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. X Date 1 5' Signot.reof P itee or -Agent Receipt Noz a 0 _�` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 7 _4151211 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. OF PUBLIC WORKS c� B Date ✓ . - 7 Building permit expires Date ........................................ l PERMIT NO� 2.4-75P."E P E M IMH UTIL. PERMIT NO. /' PERMIT EXPIRES Com{ l0 ' "OWNER Lawana J. Richards CONTR. K' LOCATION (A.P. 3O-101-76 ) 1708 Grand Ave., Oroville k T. 3, i Temp. Power Pole Called PG&E L Temp. Elec. Serv._ Called PG&E Temp. Gas Serv.— 5 JJO Called PG&E B i FINALEDy (Date) (Signature) • f e , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONIRECORD BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII SidingTo out Slab Roof Sheathing Water Piping .• Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE Final-- inal_Footin Footings s Footing Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. 3ftIt Prot. Scratch Heating Ser ' Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE/REMARKS OR CORREC-TIIONS s OW PLUMBING ELECTRICAL C COUNTY OF BUTTE — DEPARTMENT d'F PAIC WORK 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .. .. - �.. 'i..acn.au v ; u u V VVLLIIIY vi 0UUO tV ptltCt uNUn Lite above-mentioned property for inspection purposes. Date Signature of ermitee or Agent Receipt No.1y27,2a� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee paid. DIRECTOR F UBLIC WORKS By Date ..�-/ uilding permit expires Date ....................... ........... BUILDING Owner c Mailing Address SQ. FT. OCC. BUILDING VALUATION 6&2wi- /Z� Te ephone No. Fireplace Contractor 62Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee Building Address r PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. , •-• .a. a n :n g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W Sa i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking puns Parcel I Ma Decla P 60' R/W Improvements P Lawn sprinkler system 2.00 MV.& ri'nSPdrC T Plan rova pl Permit Fee NEW ADDITION U ILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil.Home Others ❑ Sub -panel (12 or less) (more than l2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal ai0 Receps., switches & fix outlets 20 (111 2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring #Q I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this VNI permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE .. .. - �.. 'i..acn.au v ; u u V VVLLIIIY vi 0UUO tV ptltCt uNUn Lite above-mentioned property for inspection purposes. Date Signature of ermitee or Agent Receipt No.1y27,2a� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee paid. DIRECTOR F UBLIC WORKS By Date ..�-/ uilding permit expires Date ....................... ........... COUNTY OF BUTTE - DEPARTMENT OF PUBLICW S / Z?_% 7 County Center Drive - — Oroville, California 95965 V Telephone: 534-4541 APPLICATION AND PERMIT aignarore or rergrree or Agenr %�D�S"��f' By Dat 7 ��- J Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BZling�permit expires Date 4 BUILDING Owner l SQ. FT. OCC. BUILDING VALUATION Mailing Address h AvL ' g- Telephone No. - X331 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address / �� C/� (/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 4_=/O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet • .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Impr ements Lawn sprinkler system 2.00 Bldg. anPl ns Recd ' Parcel roval PI ns Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL • No.1 @ FEE FILING FEE $3.00 ,yPERMIT /� 1f1rT / Gry �Oe, IMain service incl. 1 meter .� -A� .2W — 76 Additional meters, each 1.00 Sub -panel (12 or less) (more thon12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 la Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner , so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 ' Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. •� �►i ��'!�t � � � ./� nate Xn TOTAL PERMIT FEE $ 30 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//�aid. DIRECTOR OFIP�JBLIC WORKS ^ // aignarore or rergrree or Agenr %�D�S"��f' By Dat 7 ��- J Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BZling�permit expires Date 4 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwit required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes v No 3: Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) 714c� 084. Is the mobilehome level? (Sec. 5088) Yfes_ 5. If more than singl unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle le connector of adequate size and properly installed •(1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesy No C. Backflow - If coach is not'State of alifornia approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have, minimum '" .per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3-g ons of water through each fixture including washing machine tandpipe?,.Yes No D. If coach is not State ofaliforni pproved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/.4" minimum mobilehome connector not more than 6.ft. long? Note: All piping is to be at least as large as the mobile"6me gas line inlet without reductions othei than themobilehome connector. Yes_ No B. Test OK as per following procedure? Yes — No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments_: Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas,test connections with soapy water. C. Are all appliance vents properly installed? Yes o MOBILEHOME DATA :Manufacturer and/or Namestyle Length Width Vehicle Serial No Cl State Identification No. .Additional Information or Comments: f 9.. -Electrical A A. Is service Large enough to provide adequate'amperage..to mobilehome (must equal rating mobilehome wL If aci with a minimum of amp)'and other ��w ,lities on lot i.e., water pump's, garage,' ? cabana,. etc.. Yes' No 'I— B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes V ---/,Io following �No D. Is continuity test satisfactory as per the procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. ..2. Make sure that the -power supply cord or feeder assembly conductors, including neutral. conductor,.have been disconnected. 3. Switch all breakers and. switches in.the mobilehome to the "on" position.. 4. Connect one lead of a testinstrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor,' including neutral. S. All. non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for.continuity from such equipment and the grPtinding conductor.. 6. Upon completion of the above procedure, the powersupplycord or feeder assembly conductors shall be'connected to the site service equipment.' A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. '10. Is job card signed by Health Department for -water and sanitation? i-11. If everything okay, sign -off card and tag services. MOBILEHOME DATA :Manufacturer and/or Namestyle Length Width Vehicle Serial No Cl State Identification No. .Additional Information or Comments: f i . Septic system and location @.6 PW to be as per, Butte _County ...Health__..__.__-- quirements.. , ---- - AI! 'u.tility connections shallAao Ocr. oEat ------ thir section of the mobile home mobile- hom -------6x ------- ; --The shall. rom ----- - Ali- the-side-pr-operty-[ -end-�9-ft: --`—�-� ? the centerline of the road, permitting-� - a maximum of a 2 ft eave overhang. —; x OP ti ------- - Tl;'. co t of plans-" ►-' A�___ M� QST be-$IJILD11�9G DEP�RTPIEI r' !' . 'nq .'!cn:!r`(.s cr clIferations on ,.amc Wi'licut -ter --- --E �_ - '4. T�Iis set 04 plans and specific 4ions MUST be kept on the i06 at all times and it is unlawful to, make any ch6nqes or alterations on some without I 6V -7 written perm . ss * i . on from the Department of PublicWorks, Cou y of Butte. X S, 31Q61C - The SldwSefback shcH be 5 ft, from fhe side properly me and 50 ft. from f he -cenferline of the road, permitting a maximum of a 2 ft. eave overhang. 'BUTTE COUNTY BUILDING DEPARTMENT APPROVED 0 COUNTY OF BUTTE -- Department, of 1?ublic Works ',"•�^ . 7 County Center Drive,'' Orovl,le, California PHONE: 534-4541 _ 0 Utility Lot Facilities Mobilehome Data .1. Plot plan dimensioned, location of mobile 1. Length_ Width and utility connections? Manufacturer C 14oz Yeses No M 2. En • Insignia Control No. M H 1%/y% Circuit breaker ampacity 100 n m P- Permanent Wiring Connection /04m Conduit size 51 51 rt ? Power supply cord (amps),, —' Receptacles Ampacity� F+• r'S 3. Gas: Natural LPG .7J. art Gas riser size Capacity. — ` 4. Drain inlet size 4. n 5. n 5. 0 x H 6. M the rear 113 of the mobilehome within Roof live load 240 psf. 4 feet of the left. wall? Yes No Wind load /,j psf. If not, show dimensions. above. (only for mobilehomes manufactured after 7. Is the mobilehome clear of septic tank, 0 �`°"0^ ell MOBILEHOME INSTALLATION INFORMATION En rt K 1, j Lot Facilities Mobilehome Data .1. Plot plan dimensioned, location of mobile 1. Length_ Width and utility connections? Manufacturer C 14oz Yeses No Vehicle Serial No. IS -1606 2. Electrical.service equipment ampacity1QQ • Insignia Control No. M H 1%/y% Circuit breaker ampacity 100 2. Feeder assembly ampacity /6(z dStl.7!' Permanent Wiring Connection /04m Conduit size Ampacity /(j7Q Power supply cord (amps),, —' Receptacles Ampacity� 3. Gas inlet size /og 3. Gas: Natural LPG Mobilehome connector size.' Gas riser size Capacity. — ` 4. Drain inlet size 4. Drain connector: describe on reverse side 5. Water riser size 5. Water connector: describe on'reverse side 6. Are utility connections located outside 6. Designed loads: the rear 113 of the mobilehome within Roof live load 240 psf. 4 feet of the left. wall? Yes No Wind load /,j psf. If not, show dimensions. above. (only for mobilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes X No Yes No 8. Do you propose to do other.work on the 8. Will'the mobile home be installed. on -a property other than the mobilehome separate support structure9 installation which will require a permit! Yes No � Yes No. X , If so, specify *Forplans and specifications of support system, see other side. LOA. HARING SUPPORTS ADDITIONAL CO11iD! `,TS U Drain Connector, Describe Water Connector, Describe oze—ijmi 41,ir (ez- Z C„,*)- LOAD BEARING SUPPORT AND 20OTIN /INFRRMATION Pier Spacing Used A4 S ' Maximum Pier Load J u. Maximum Column Load (multi -units only) qjJS 1 1` Soil Bearing Capacity. Q (� Footing Dimension Usod � TYPE OF PIER- USED © t Steel Concrete Concrete Block ©, Other 11 10 1 TYPE OF FOOTIr1('- MAr}" .)IAL US^D Pressure Treated Wood X Concrete Aedwood (Grade) Other Approved Type BU77E 'COUKTY BUILOIN WA TMENt 04 e. PPA0\/E0 CLAIMANT: e&4*- of Xtdk OROVILLE, CALIFORNIA GENERAL CLAIM Lsw=a Ri atds ADDRESS: 1708 Grand AVe. CITY & STATE: Ox64 .i1e,, CA.. 95963 IMPORTANT: AE'!st!st 20, SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT It became. -unnecessary for epplJl int ` o relocata Kough',, (Petvat Apple. #4457.767,2 - Receipt #1$9851 - A? 30-101*76) --Ketatu Plumbing pamit foo ••--- $33.00 fili t9]i refund ' 'ount, of refund 'due -w r..yw w-Mw�rMP3�r�V r"lactrica.1 putt fee www iia .ii$� Asiraunt of xafund dun 25.010 Ta fib . WE --------,...:... w-�•�45.Af9 $$3 40 TOTAL $45,00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. & + µ 20th'Aug. 76 ftb*t1le. Dated this ................... day of „...................... 19 at Calif. ' Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified' above have been performed or de- livered and that te e is a Budget Appropriation E] or Speci is Board Appro (Check one) for the same. rel lit ;. 6 gsovi Datedthis .................................... day of ............................. 19....... at .............................. Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO ,NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. -GROSS ''AMOUNT' ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head -for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officinals and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT --'�r.���� I....�. �� — vvu—y uI ouuc iU CIIICI u)JUIIIIIC above mentioned property for inspection purposes. t X Date Signature of Permitee or Agent Receipt No. /1/19 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date BUILDING Owner 44 WAN 1-2ic H A /QPS SQ. FT. OCC. BUILDING VALUATION Mailing Address S C'f214nV X(/ _ • 1710✓%L �� Telephone Telephone No. 6.3.31 Fireplace Contractor Valuation 144zTotal Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address f708 15;'/z14A1 ' 14VI!5 • PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 300 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping -4-.-SO/0.00 Each gas water heater or vent 1.50 A. P. No. 4 Zoning & Planning Gas piping system 1 - 5 outlets 4.5O10,00 Each additional outlet .30 Fos V�iL�. Sa '� on FireDept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaratio P P Building sewer 57% Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 33-1901$ C NEW ❑ ADDITION ❑ UTILITIESJZ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 LLOGA, 710 A.,J Main service 6000V OR 0 AMP LOR ESSLESS 5.00 AftMO Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ .OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @ 250 BAL.91 Ex. Occu P•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /y_ 0O License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ % Q $ IN- T65 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ D !7 --'�r.���� I....�. �� — vvu—y uI ouuc iU CIIICI u)JUIIIIIC above mentioned property for inspection purposes. t X Date Signature of Permitee or Agent Receipt No. /1/19 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date Mrs._Lawana J. Richards 1708 Grand Avenue Oroville," California LAND OF NATURAL WEALTH AND •BEAUTY DEPARTMENT OP PUBLIC HEALTH I. H.Wl, M.D., M.P.M., Di—t- Add,... C] 695 01-4., A—, P.O. Boy 1100, Chico, C.lil-ni. 95926 - T.l.ph— 3434211 reply 1. gj 2430 BW Sto , O—Wl., Cnlif—io 95%5 - T.I.ph— SM -1230 January 30, 1975 Dea. Mr.s. Richards, This is to ad;ri se Jou that oursumt to -7ection 19-19 o`' ,ie Butte County Code, the Board of ' Superv-i sots has aoprove'd 'a variance to Sections 19-10 and 19-12 of the Dat;, Countjr CCd3 Or the _D'lace ;en . O. a mobile hor-e on your property _ locate3" a 1708_ Grand Avenue- s 30r101-76 Street Addz ass A 2:; y ;his srari---*I-e was granted on" January 28, 1975 anA includes the iolloT.:iro conditions: CL Le 1) The vari ince isgrant e.d only!. for a. "tern: of one y-e�?r. " At the end.of one year ypu.rust apply fora regia vi Lriance if the use. is to continue. 2) Lr the abpl;z-n- resic�n,7 in tha robile homge or conventional residence :i!o7es to another loca=•ion 'or is deceased, tyle vari ance- autcinnzticall:y ex.Dires and -the mobile hoi e shall be rem'ov el within 30 days. Tf the mobile ^ora is not removed within 30 days, the County- ray ren.ove s aid mobile ho—,- and store it av the ow=ner's expense. 3) T: -)e nubile' home' shall be placed on the property ,ithout. violating any of • t;':e setback recr.u—ire.r.erts of tale zone in : hich the Dro 'arty is located. 4) T a - icant shall secure a� 1 necessarc- se ,age disposal, electr^,cal. n1,�-+ ng and bu��d;. permits necessaryr to i stall the-r-obile home, Very truly yo,.7 s, Hoard J. To-ssa=rrc1s.:To- Division of. L'"l:iron'ile ltal cni L?`�ZO?n cc: Clerk o" ;:ae Board Plar.nin:g De:)artrrtzr.t , ,/Buil di r. -i o, art --A;, t .. Orovi.11e En V i ronment al H e al ;.1 i Rd SZ61 Ttwv N dr 'I . s�Noi� �J Rd SZ61 Ttwv N dr 'I . s�Noi� �J