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030-102-030
6�22�9E, TO FINAL DECK COVER �JB SSD C o �e � Y9� 30-102-30 G LD &MARIAN,~VERNON 16 th St, Oroviiie- Contr: Fox: Permit#2998- u t i 1 NH),� ELEC ZOO A GAS A ,64y- SUPPORT STR RE &J COMPACTION TEST'REO 30-102-30 Contr: Ce r Mercado Permit 76-87NHI ass /���—�% �1 T� , �- 30-102-30 'erK 2T If 3jB new; -open deck/M) 030-10-2-030 92-3907 B VERNON, Gerald 1648 16th St, Oroville cover existing decks/mh. .030-102-030 PERMIT#94-2833 YERNON, GERALD 164816TH ST., OROVILLE,� COVER OVER EXIST DECK/PIH (COMPLETE BP#92-3907) 17 030-102-030 06-1049 BURKE, DEBRA 1648 16TH ST, OROVILLE , Cont: OWNER M/H PERM FND(EX) 5 -15=0Io I Q {{ I� u �I i� I mill 10 MH REC6RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2 -0024654 006 Recorded I Official Records I County of I Butte I CAME J. 6RUBBS I County Clerk-Recorderl I 1 012:18PM 15 -MY -2096 1 REC FEE 10.00 COIFORNO COPY 1.00 MI Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, Z�/ INSTALLATION ON A FOUNDATION SYSTEM " v/ Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DEBRA F. AND MICHAEL E. BURKE REAL PROPERTY OWNERILESSOR 1648 16TH ST. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1049 530 538-7541 BUI. G rERMIT NO. TELEPHONE NU BER so G TURF OF LOCAL IPCVOFFICIAL 15ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. KAUFMANBROAD 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SNA/B712512 54'X 24' CAL030898/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 030-102-030 HCD FORM 433(A) REV. 8/91. WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. EXHIBIT "A" ORDER NO. BU -184040-3 DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:. PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP--- RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 3,. 1983, IN BOOK 92 OF MAPS, AT PAGES) 8. c� Butte County Department of Development Services. oar c aa� IN OT ES 7 County Center Drive. Oroville. CA 95965 : c (530) 538-7601_, vy%v.4µttecounty ngYc4 npgc I I RES IDENTIAL APN: 030 `. 3 .3 `:� _ — 06-1049 Owner. Site Address: BURKE, DEBRA 1648'16'TH ST;OROVILLE`""--- I Cont OWNER Contractor _ t M/H PERM FND(EX) . •_ --' .t Type of Permit SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: S' SIGNATURE: I �I . =OK .o = NotOK MANUFACTURED HOMES " PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8, Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers os�9 �� MISCELLANEOUS DECKS•C0VERS'CARP0RTS`GARAGES 1 Zoning -Setbacks -Easements 2 Ftg3; Soils -Sz-0pthSpacing-CnnctrsSteeI 3 Decks. Girders/Joists-Dcking-Brcing Stairs -G ua rd/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills=Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls F DATE POOLS Pool Drawing 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/S-Drcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Encisrs1m1boards-Insuttn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr, Fencing -Alan -ns 13 Bonding, Diving board or Slide = OK Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE 1PLUMBING 1 Zoning -Setbacks -Easements -Flood -5 lope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg (Alain; Soils-Elec. Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel -Flet Grnd . Ftg Opth_ 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel -Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 GasPipe; Sz & Anchrs 61 Hold Downs and Special Anchrs 59 Fire Sprinkler- Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test it Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4asultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts J oists-Vnts-C ripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16•lnsulation 64 Furnace -Vent Acc-Comb Air RtrnIVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAM I N G 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Watts over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 59 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue Frplc Throat Cimc 72 Elec Tran & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Ctiannel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdnn-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco lath -Weep Screed-Fndtri Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prictn-SkyLts-Plastic 81 Plmb• Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters 0 Yes Q No s` ��• ° °� ° 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Cimc4ns Prictn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-010 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz gx ❑CU or AL . 98 Address Posted AC Wire Sz rn Q CU or ❑ AL 99. Fire Sprinkler 48 Range Circ g, OCU or ❑ AL Oven Circ ga Q CU or D AL Insulated Neutral E]Yes ❑No a` e` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -May -2006 2006-0024654 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DEBRA F. AND MICHAEL E. BURKE REAL PROPERTY OWNEFJIMSSOR 1648 16TH ST. MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAIL]NG ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME" SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT end CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-1049 530 538-7541 BAG ,ERMTT NO. TELEPHONE ER s -o FLOCAL C OFFICLAL f DATE NONE 'DEALER NAME (if trot a dealer sale, write "NONE) NONE DEALER LICENSE NO KAUFMANBROAD 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SNA/B712512 54'X 24' - CAL030898/9 SERIALNUMBERS) LENGTH XWIDTH INSIGNIA ABELNUMEER(S) ;.•-c. K�n.•r. AssEssoxsPARCELNumEER '030-102-030 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK- Applicant GOLDENROD -Building DepL EXHIBIT "A" DESCRIPTION ORDER NO. BU -184040-3 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAPF` RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 3, 1983, IN BOOK 92 OF MAPS, AT PAGES) S. f BUILDING PERMITS NUMBER: 06-1049 Address or location of unit: 1648 16th St. OROVILLE, CA 95965 Legal Description of Real Property: 030-102-030 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DEBRA F. AND MICHAEL E. BURKE Owner's address: 164816TH ST. OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: CAL030898/9 . SERIAL NUMBER OR V.I.N.: SNA/B712512 MANUFACTURER'S NAME: KAUFMANBROAD YEAR: 1977 w OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: DEBRA F. BURKE MICHAEL E. BURKE 1648 16TH STREET OROVILLE, CA 95965 I/ ►/ ►/ ►/ I/ro Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:27PM 31 -Jan -2001 Above This Line for Recorder's Use Only REC FEE 10.00 TAX 83.60 Cindy Page 1 of 2. A.P.N.: 030-102-030-000 Order No.: 18404OPE Escrow No.: 18404OPE-3/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $83.60 X ] computed on full value of property conveyed, or l computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, MARIAN A. VERNON, A WIDOWER . hereby GRANT(S) to DEBRA F. BURKE and MICHAEL E. BURKE, Wife and Husband as Joint Tenants the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. MARIAN A. VERNON Document Date: January 18, 2001 STATE OF CALIFORNIA BUTTE )SS COUNTY OF On JANUARY 29, 2001 before me, D.R. HONEA, NOTARY PUBLIC personally appeared , M A R I A N A. VERNON personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signatures) on the instrument the person(s) or the entiupon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. r This area for official notarial seal D. R. HONEA Comm.#1150504 U®p`t NOTARY PUBLIC CALIFORNIA 0 COLUSA COUNTY 0 r Comm. Exp. Oct. 12, 2001 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below 6 ED I 05/052006 13:12 MID VALLEY TITLE OROVILLE 4 5330356 Ell n . K,15 STAW OF CALIFORNIA - SUGMRSs, TRANSPORTATION ANA HOUSING AGENCY_ ARNOLD SCHWAR2ENOWM GoromOr DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT StmnUerds 01v1dw of Codas and to G Title Seareb Date Printed: 05/05/2006 Decal #: I AR4719 Use Code: SFD S Manufacturer. KAUFMAN/altpAD Original Price Code: ADN Tradename: SAHARA hating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1977 Wt ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: oo/Oo/im ILT Exemption: NONE Serial Number HUD Label I Insignia Length Width SNA712512 CAL,030898 54' IT SNB712512 CAL030899 54' 12' Registered Owner: DEBRA F BURKE MICHAEL E BLTW (Joint Tenants with Right of Survivorship) 1648 16TH ST OROVILLE, CA 95965 Last Title Date: 05/22/2001 Last Reg Card: 05/22/2001 Salw7ransfer Info: price $55,900,00 Transferred on 01/31/2001 Situs Address: 1648 16Th ST OROVILLE, CA 95965 Situs County: BUTTE Legal Owner: WELLS FARGO HOME MORTGAGE 2865 SUNRISE BLVD #101 RANCHO CORDOVA, CA 95742 Lien Perfetted On: 05/14t200111-52:01 Inactive D=L/DMV: DMV 9118897, DMV SH8898, DMV SS8790 *** END OF TITLE SEARCH *** 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. BP061049 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/12/2006 APN: 030-102-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1648 16TH ST ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: EX MH EX SITE PERM FNDN (1296) 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: BURKE DEBRA F & MICHAEL E to its issuance, also requires the applicant for such permit to file a 1648 16TH ST signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BURKE DEBRA F & MICHAEL E owner of property who builds or improves thereon, and who does 1648 16TH ST such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the an(d�Professi nsp Code (Business Date: -JA -v� Owner: :" ` \ljk�A�L-- License #: 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 Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 ^q� I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminalp enalties and one .11(� hundred thousand dollars ($100,000), in additionto the cost of I� J (vl I I compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. so 7 j�']� (� Xp CONSTRUCTION LENDING AGENCY This permit is h reby' sued and the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to a indicated apove for which fees have been 'Sj performance of the work for which this permit is issued (Sec 3097 Civ.) - Name: BY: / Date: G Address: PERMIT EXPIRES ON: Date ❑ 1 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: SJ ��`(� r a (:K-fe Signature: \ I 1 o\ter \� i n_ Date: dlwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 =-v BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ?) t Nam Address City � State Zip Phon 36) Fax e E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Type Const. Address Map Book City S to Zip State Zip Phone Name Fax E-mail Q Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Type Const. Address Map Book City S to Zip State Zip Phone Name Fax E-mail Q State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name ' Type Const. Address Map Book City S to Zip Planner Date Approved: Pho Name Fax 1117�9E-mai Q k ,_9_ APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page I Lot # Planner Date Approved: PERMIT NO. DBP 1 a BIN # PROJECT7LLOCATION tt AP# O36 - l�c'� ' V Property Address City yo Cross Street 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 OVER FOR SUBMITTAL REQUIREMENTS Ll K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 3 Description or Scope of Work: lv� JV\ti JQJK 5� Sq FT- Livinn Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to 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 ' f the permit and no construction work has been done. Fit ,fe , plan check fees for work plan chec ed aoth5kd nt s re not refundable. i i 4� Receipt #: �. 37j� Date: s �4, Amount: co> •� Bldg SRA Sheriff SMIP Total REV 8-12-05 r. . a SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer,. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done, Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL NUMBER Proposed Building Use: Qom[ moi) P 4r,' Permit Technician Date: Items required in order to apply for a permit. All b 6 xes MUS be checked OR marked NA in ordeCt apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (t fie down or fn as -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. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required ..........................................: 19. Fees as shown on the attached Schedule of Fees Due Sheet...,...,... ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form...........................................................:................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ......................................... ❑ "" 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. D ed Restriction ...............:.................................................................... 35111� Legal description, . Title, itle search, registration or MCO ......................... ❑ 36"'Other: ❑ 37. Other: When issued Telephone ' �and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit Applicant: 1 1. Index permit application for the above items numbere : 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: _ 16 - !K - Plan Check L�- Date: Date: Date: Date: K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES[ )C] NO[ ]. 2. I HAVE [)G] HAVE NOT [ ] signed an application for a building permit forthe 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 Q -1411a" PROPERTY OWNER: DATE: J5-- ) L - NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our. office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: Ir A. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers'' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" Ifuilding permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building DiviVion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. `iii ' WAGKirr 1 v A setbac f 5 ft.`from the a- • _., — property Ih es and a setbacc - _.._....._ .of._50ft. fr¢ th_esQa�_� _ centerline;; hall be clear of -._.... --- structures;'" uF pment -exgeai-r.... . for a 2 ft. 16 ve overhang. I r-. --nit it sbf W-110 kept on fhe aob -_make any cR aw(- Wriffen permissi. ods—r- � iiITil f11 NOT C:—gill !v::- ,, Li`s 't,' l'.,'c L7 F'alr up s and specificdfie;s N1J5 all fines and '# iisnl�wfi� ®r rj fer^+fions on'gmeiwifhouf i-Ofrt Elie Depo+rnenf if Public �Duffe. l i � I,•..y Lt M\ ©>vOle Sieg• M APPROVED PLANS AND _ PERMIT SHALL BE ON SITE — — -- FOR ALL -INFECTIONS. BUILDING PE -- -- -- ---- �� �_ �_ . , PERMIT # 0=9 _.__.____ASSESSOR'S PARCEL # r73� • / pZ _ 030,. --------�' � � �C'��S ----------- B ---- 30 - (40:2 3 a BUTTE COUNTY ric:9s � Workmanship hhg11 � i� f 0 ical Code, - -- ---- N, GENERAL DOTES GUS GUARD TUF-1 I. DESIGN LOADS: LP/E LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOADan P e d 8 SEISMIC ZONE "4' H *SN:OW LOAD 100 PSF (SEE ROTE #15) 2. THIS FOUNDATION SYSTEM IS OE5IGNEO TO BE CONSTRUCTED O 'N ON BLOCKS 16': 16'x12' POURED IN PLACE AT GROUND LEVEL MAY i USS AT WALLERS DISCRETION ALTERKATTYE 10 PADS." SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2 1MFM. / 8' iAAX. E= 2 MI -1./ 11' MAX, A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. OF C S= 6' MIN. /16' YAX. S= 6' ?AIN. / 22' MAX 3. CHASSIS BEAN SUPPORTS SHALL BE LOCATED AND SIZED fOR THE LOADS AS SHOWN IN THE `MOBILE HOME INSTALLATION INSTAUCTTONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S_) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR: WHEN IT RILL ADVERSELY AFFECT MOBILE HOME UNIT_ 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SCIL FOOTINGS. ARE DESIGNED FOR 1,000 P5F TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIC44S. CCDAPACTEC SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6, STRUCTURAL STEEL- FABRICATED. ACCORDING TO AISC SPECIFICATfON. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5 --ASTM A449=ASTM x3725. 7. THE GUS GUARD ASSEMBLIES SHCWH ON THIS PAG: SHALL BE LISTED AND LABELED BY 8SK AND ASSOCIATES FOR THE F0LL0WING LOADS: AJL.LDWABLE LOADS: 114R12ONTA,L VERUCAL GUS GUARD TUF-1 2200# 60004 GUS GUARD MGP PAD 2200# 6000) GUS GUARD E -Z TIE PAD 2200# 6000/ 8. DURING PREIJMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALUNG GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-.1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS VMERE DEPTH OF FILOODING DOES FOT EXCEED THE HEIGHT OF THREE FEET, Ii. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SM E-WFDE UNITS REWIRE ADDITIONAL RESTRAINT. _ (SEE SHEET 13) • 13. ALL KETAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE "SLAB IS IN DaTANCE, PAD IS NOT q,ri44 VARIES 10'-7CV. (5EE TABLE ON SHEET A3) Q�p�r Exp.'s OF gat-tF°� REQUIP,ED. ANCHOR STAND TO CONCRETE SLAB WITH TUF -1 PERMANENT FOUR ;4J 1/2'x 3 1/2' EXPANSION ANCHORS_ FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM! PRON'W:Es ALLOWABLE SNOW LOAD TO 100 PSF 'WI -EN INSTALLED ABPSCO-GUS GUARD CON?AW WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR R: -'PLACE THEM ON A ON TO SACRAM>�IfO CA 95$23 ONE BASIS. PH; (8001 382-8831 FAX. (916) 383-5207 STATE APPROVAL lf"WACTi; UD TIOMIDMOBTLB KOMB FOUNDATION VSnM HEAAL-M.AaW &WffTYCOD6, 9EC1IO# i85ST � - A1'PAOVED 1 = 1SUBlI M YO CORRECnOM NOTED _ AMONALDOR.4 NOT AUTHOR= OR ATPROYE ATFY OMISSIONS 08 DMAT10N FROM REQUIRRJMM OF AFFLIC•ASLB STATS LAWS A14D REGM AI-IoN3 3hao arCailfomia ¢f E'-S&g -d Co iqr D—kp--A Ise 04l IPA Twapua ba —J D m m U1 0 WAYNE T. POLVADO, PE—LISTING N0, F9424.9 SHEET 2 of 3 El - RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) i ED 0—F�F! ❑❑ ❑ 8', NCM. 2' NCM. ❑ ❑ PADS IN ANY PAIR. MAY EE I STANDARD M.H. FOUNDATION, ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERFS OF, --SET TO OTHER SIDE TD THE OR THE AVSD CLEARANCE PROBLEMS. ENGINEER. TYPICALRTHRCUGHCIUT PADP`(TRYP) Q�p�r Exp.'s OF gat-tF°� REQUIP,ED. ANCHOR STAND TO CONCRETE SLAB WITH TUF -1 PERMANENT FOUR ;4J 1/2'x 3 1/2' EXPANSION ANCHORS_ FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM! PRON'W:Es ALLOWABLE SNOW LOAD TO 100 PSF 'WI -EN INSTALLED ABPSCO-GUS GUARD CON?AW WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR R: -'PLACE THEM ON A ON TO SACRAM>�IfO CA 95$23 ONE BASIS. PH; (8001 382-8831 FAX. (916) 383-5207 STATE APPROVAL lf"WACTi; UD TIOMIDMOBTLB KOMB FOUNDATION VSnM HEAAL-M.AaW &WffTYCOD6, 9EC1IO# i85ST � - A1'PAOVED 1 = 1SUBlI M YO CORRECnOM NOTED _ AMONALDOR.4 NOT AUTHOR= OR ATPROYE ATFY OMISSIONS 08 DMAT10N FROM REQUIRRJMM OF AFFLIC•ASLB STATS LAWS A14D REGM AI-IoN3 3hao arCailfomia ¢f E'-S&g -d Co iqr D—kp--A Ise 04l IPA Twapua ba —J D m m U1 0 WAYNE T. POLVADO, PE—LISTING N0, F9424.9 SHEET 2 of 3 ` ' S-(-7`0 i BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061049 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/12/2006 APN: 030-102-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1648 16TH ST ORO Date: Contractor. Map Index: Description: EX MH EX SITE PERM FNDN (1296) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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: BURKE DEBRA F & MICHAEL E to Its issuance, also requires the applicant for such permit to file a 1648 16TH ST signed statement that he or she Is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the U ��� applicant to a civil penalty of not more than five hundred dollars ($500).): l}l� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BURKE DEBRA F & MICHAEL E owner of property who builds or improves thereon, and who does 1648 16TH ST such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon; Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and ProfessI ns Code Date:�12-042 Owne, License #: 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 Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy#: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: - WARNING: _ Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one , ` �/ :2.: )/ _ iZ C'( �✓� hundred thousand dollars (8100,000), in addition to. the cost of 1, (lir' cT ly compensation, damages as provided for In Section 3708 of the Labor code, interest, and attorney's fees. ` CONSTRUCTION LENDING AGENCY This permi�suedun able provisions of the Butte County Codeand/or I hereby affirm that there is a construction lending agency for the Resolutionhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY l Date: 7 PERMIT EXPIRES ON: / G Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A.-notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form,or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: y -kms iC� (J.- (' Signature: � e>g �) k Date: 02 � b�' — In ,Wzwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor PERMITS BECOME NULL AND VOID 1 YEAR THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 7 YEAR RENEWAL 3@.0.NJit81R§(`&rFnTffflA1TM pg 1 Ground work Setbacks Foundation/Footings Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Si ned Slab - Slab -Garage Gas Test Yard Pine I" Lift 2nd Lift T4 Lift Final Lift Under Floor/Slab Framing Shear Transfer Plumbing Mechanical Gas Piping Do Not Install Floor Sheathing or Slab Butte County Department of Development Services Inspection Card T24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buttecounty.net/dds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Insp. Date Framing Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above Si ne Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Si ned Shear Interior Shear Exterior Shear Braced Wall Wall Covering T -Bar Ceiling/RC Sheet Rock -1 layer Sheet Rods -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Public Works Sewer S ec Ins ection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization I I Permit Finaled Imo- A4 jA— I GAC C30 o`ilp� PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 Z O - LU ZW Om �Oa�O O n z°aW W m W U) Z OZ=Z : a> V �oU)aU) cea. >.U0W Q x W maulm L- W O CL o W L Z O f- W O LL W W a. U)6 Z Ix W0 Z W LU a JZm0 2 In O LU J Q n B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 3576 PERMIT NO. PERMIT EXPIRES OWNER GERALD' & MARIA VERNON CONTR. Bill FOX ASSESSOR PARCEL 30-102-30 LOCATION 164816th St, Oroville rt" s. OFFICE COPY _ Address Ajl- Temp. Pr GAS t Meter By Date 14 Calle ELECTRIC �t}� Meter By Date f Temp. E Called PG&E Temp. Gas Service Cal led PG&E i JOB FINALE (Date) Signature �L J OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready / -MISCELLANEOUS Date MOBI HOME UTILITIES (Plans) OK except q's Date DECKS, COVERS; CARPORTS, ETC. (Plans) OK except Ws"` - - - 1; . Zoning Requirements—Setbacks—Ease nts 1. Zoning Requirements—Setbacks—Easements r Z . Soils; Special MH Support—Sketc _ 2. Footings; Size-Depth—Spacing—Connectors (. fr . Se er; Location—Test at Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Location—Test—Easement Needed (Sketch) 4. Wood Awn.;.Posts—Beams—Rftrs.—Connec.—Shthg:—Rfg.—Bracing //. 5. I ctricity; Location—Clearances—Grn / / Amp Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ t./ /"LPG t 6. Carports; Windows—Doors tility Clearance V F 7. Elec. Card -BI Date (_ Card -BI Date 7i—� Card -BI Date Card -BI Date .. Card -BI f Card -BI Date Card -BI Date Card -BI Date Date OBI HOME INSTALLATION (Plans) OK except #'s oning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements Q&,'Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability ifis; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness-Dead Men—Lining---- ctricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector . 5. Elec.; Pool Lighting; 15•volts—GFI -• -• _ - -- ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed. and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater �7p,,V6ter &! Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip:—Pool Lghtg. Boxes—Enc losures— Pane lboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch V Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date 'Card -BI Date t h C ' -Card-BI' Date t J = OK 0 =,Not OK = Not y able Read * = Not Ready RESIDENTIAL' (Sing -le and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) - -_I. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection__ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ _ 10. Water Pipe Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date __ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ _ _ Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 16. D.W.V.: Test-Ftings & Anchors -Nail Protection 60. G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan: Test, First Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 62. Stairs & Rails 19. Gas Pipe: Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -B I_ Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter __ _ _ Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. A.C. Duct in Garage -Damper 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins, Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AIga. Circ. / / ga. Cu or AI, Insulated Neutral Yes '�No -_ _-_ _-_ Service -Riser Conductors & Ground -Main Disconnect _- Equip. Clearances: Panels-Motors-Mech. Equip. - - - Clothes Closet Light -Shower Light _- 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. 76. Following instld.: Drive ❑ Yes [ No; Walks C Yes ❑ No; Planters ❑Yes 0 N Stucco; Brown -Finish 77, - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card 8-f - - - - -.--- Date Card -BI Date - - - Date Card BI Date 81. Ventilation throughout House 82. - Glass Protection 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support - _ _84. 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow: Size & Grade - 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet --- - --- -- -- 35. Attic Access & Platform if Furnace in Attic Card -BI Gard -BI Date Card -BI Date - Date Card -BI Date Card -BI Date Card -BI Date Card -BI late Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Com: Tents at Final: 36. Sills: Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred ngs Ceili_Stairs_-Chases-T_ub 41 Header & Beam -Size & Bearing - 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Air PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N.Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57` CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_ _ _ r Date_).— 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Oroville -• Phone: 5344541 Skyway and E -I l iott .Road, -12ar.ad.i se -,.Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this n er, r need additional explanation, please contact this office immediately. [1 IN n Inspector_ Date 11L2-[ - J> y THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 N° 1709 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1648 - 16th Street Owner's Name: Gerald Vernon Date: Oct. 1, 1986 Address: 1772-A Biggs Ave. Acct. No: Oroville, CA. 95965 A.P. No.:30-102-30 Phone: 534-9474 No. Units: 1 mobile n lr Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20 00 Arrearage Preliminary Review By: Date: CSA 26 550 00 Remarks: SCOR facility charge and CSA 426 fees are SC -OR due and payable prior to connection to the swm 1st mo. S.C. sewer collector system and will be charges Other/Tap An nn applicable at t}uat time. Total Fees 1530 00 Collected By:A ,e' ONL 1O-/_ Field Review By: Date: /-/ gate: Remarks: �5ZI O •� lit 49 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). I' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caiifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE ZONING BUILDING PERMIT owte?e Y, � r V^6_1 AOW TELEPH NO A SO. FT. OCC. BUILDING VAL ATION rI 'S MAILI DD E55 IF ©� e CONT O 'S NAA.r TELEPHONE CONT'RAC R'S AI LIN DD S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS`f— . I log Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (lHt Solar or heat pump water heater 20.00 LOT N . SUBDIVISION NAME IP�R`C L MAP [ y— O Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex❑ Mobilehome(� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home StqALW V 1110-00ea.10,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' lit- ?Q Installation❑ Other ❑ Describe work: No �,s- - CAR Permit Fee $ Contractor ELECTRICAL'PERMIT Filing Fee 10.00 ` Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed` OR ADDNS. ACC. BLDGS. / , h2sgit NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS Il SINGLE OUTLET CIR. ) / Ex. Occup\OUTLETS OR FIXTURES 20®304! eALO 30 FIXED Ex. OCCUp. OUT ETS P(RESID )RE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against baid Cou Wy in/cons quence of the granting of this permit. �( Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE I N001PA:,CE,J P D 3 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. Pii,461T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/-? -- — Receipt No. OW WHITE-D.P.W.. YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT ' -r y ,r K; 1-c:.�.. "cs.dr );.r, r � .>:'*..er -i.. :�irt: ktr •ldY„7 . �"' r' �" g.l.� rr!r•"a'. , .,�, t,. i , � #, ' }�'' . i 4 j ..' „ �~ COUNTY OF BUTTE - DEPARTMENT.9F,PU, _LIC WORKS - BUILDING DIVISION - Y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/5irb�34 541 PERMIT APPLICATION DATA SHEET / /L4 Permit No. OWNER (")F V Ct 1( V Y! 0 �;rt A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer";of plans. 4. Complete engineered plans and calcs, with wet'signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation*lnsurance. . . . . . 13. Contractor's License Information (no., name sty'le, classif.) i 14. Owner -Builder Verification (Given to owner El, Mail to owner ❑ ). _15. Improvements may be required. , . . . . . . . . . . 16 Mobilehome Installation Data • 17 Pre -Inspection for Required. Pre-Inspec. request toBuilding Inspector Recorded copy of Agricultural Acknowledgment Statement. -,Driveway Permit. �i 20 Plot plan ppr I fro city of bc U F / O AQ M Ir- M!k - 22. - (Date) When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold forr pickup at office, Deliver w/inspector. Other ApplicantJ� �Date /D•- %-��� Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW VlyIV Date -(`'( 121 Plans approved by Sets of plans on hold in File cabinet AP folder Date t `' — Hours: 10:00 a.m. - 3:00 p.m. TO: Busilding Department u FROM: Encroachment Permit Section i RE:' Driveway Clearance owner location AP # Driveway permit zz JS — has been issued for.the `above property'-- 19v roperty.- 19v signatu date 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: �`r .lr `• t :nr, Date: . 1 . G Address: 177' n' N7 Acct. No: A.P. No.:-, Phone: ''' f No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20 Arrearage Preliminary Review By: Date: CSA 26 Remarks: 22 R , , 4 r r , .,r, SC OR �rk r..1 r7 1st mo. S.C. Other ..io-, Total Fees Collected By: �•. U 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 Return to DPW AGRICULTURAL STATEMENT -OF-. ACKNOWLEDGEMENT RECORDED IW OFFICIAL RECORDS OF DUT1'E COUNTY.CALIFORNIA FOR RESIDENTIAL DEVELOPMENT AT TriE REOLIC S7 OF Section 26-8.1 of the Butte County Code requires this acknowledgement 0AR7'f SHGV`N be recorded prior to issuance of a building permit. 1986 OCT -7 Pik 2' 38 The property described herein is adjacent to land or included ELEANOR M. BECRER within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE -2 property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,J smoke, noise, and odor. Butte County has established agricultural zones which have as a L priority use for productive agricultural purposes, and residents within said zones and on Pa.gs, adjacent property should be prepared to accept such inconvenience or disco.nform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows :� Date: /0 - -7 - FG State of cal i fnrni a ) ) SS. .County of PROP TY OWNERS: 1_C/L -A On this the' 7t -h day of L1ci-ober , 19 86, before me, the undersigned Notary Public, personally appeared Gerald W Vernon and Marian A Vernon L/ Personally known to me. J X/ Proved to me on the basis OFFICiALSFAL of satisfactory evidence. LILLIE I. HARDIN to be the person (s) whose name (s) arP subscribed to • NOTARY PUBLIC - CAUFORNIA BUTTE coUNTv the within instrument and acknowledged that thP�4 - MyCOMM E,cpiro,May 29,I990 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. (Al OFFICIAL RECEIPT 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION RECEIPT 09084 ISSUED BY �' r DATE RECEIPT TOTgI �s0 �/ vL�N�� NO. RECEIVED TENTATIVE MAPS ERIS CNECNQ STREET PUB L/�-/�•TLI� W, �� J_ �. '/Iv}-'Y{L''•' t LIC COMP- INSPECT SIGNS FIRE OOCVMENTS IIgNCE OTHER HYDRANT APPLICANT RECEIVED FROM OFFICIAL RECEIPT 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION RECEIPT 09084 ISSUED BY �' AP# "' f.Q94 Z 3C7 OWNER O PERMIT..�� MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc.. Compaction Test Re . Service Size Other Load T e Pipe Size Length YES NOI YESI NO - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califolnia 95925 - Telephone 916/534-4541 46 --2 _ r�n APPLICATION AND PERMIT PET N0. ASSESSOR PARCEL NUMBER —l0�. - ZONIN BUILDING PERMIT WN ERL q fcI aN A . ej � _rC § y SQ. FT. OCC. BUILDING VALUATION %V(N E yy. I L I 6D D E SS s f� n e_+ G CO/j—/ RAC�((TTOR'S NAME TELEPHONE CONTRA TOR*S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ s IL ING gJDRE55 �^4��� J Permit fee $ as PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK �( New ❑ Addition��/ Remodel ❑ Utilities InstallationPCJ Other ❑ Describe work: M l -t E hc'LR- • ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in 'full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.-------:--, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d ,h¢sgft New CONSTR.( A ULTBI.OUTLET IRC ITS 2.50 ea NON-RESID BRANCH CIRCUIT S POWER APPARATUS &) SINGLE OUTLET CIR. EZo 050t x. Occup( OUTLETS OR FIXTURES NLO 30 FIXED APLNS Ex. Occup. OUTLETS PRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in ccoonse uence of the granting of this permit. o Date �/3� Signature of Applicant — Owner g pp Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ n TOTAL PERMIT FEE $ CJ occup.CONST.TYPE FLOOD RCEL PD HO I NTE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable to do resolutions to do fees have been aid. p WORKS Date/•L-L— IP —L — Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT u COUNTY OF BUTTE - DEPARTMENT ,OF,.,PUBLIC WORKS - BUILDING DIVISION J_ .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 161 4 It PERMIT APPLICATION DATA SHEET Permit No. J OWNER20ca blvevnor? A. P. No.Proposed Building UseIMN! Building Inspector Date _ V 0 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from % Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ). _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . .' 17. Pre -Inspection for Pre-Inspec. request to ' (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When yoyl issue the permit, process,,as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Dade Copy of plans sent Health Dept., Fire Dept., /Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder pate _42 — Flours: 10:00 a.m. - 3:00 p.m. t What is the mobilehome BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS d Amps 7 County Center Drive, Oroville, CA What is the PHONE: 534-4541 site service rating? --- - --------- a() O MOBILEHOME INSTALLATION SHEET 7. What is ��� �^Q n mobilehome site circuit 1. owner's Name: V O n Amps 8. 2. Installer's Name: Ps1�-i'L 14e4l- A- O other electric load to be served by the F] 3. Is the site currently under permit? Yes � No _ (If yes, furnish permit number 0--�qy d' C ) OR site service. Is the site an existing site? Yes No (If yes, identify the load and size: (If yes, furnish two plot plans.) (Amps) 4. Will;;the mobilehome be located at least 5.ft. away from septic. tank and leach 9. What is the fields and clear of all setbacks and easements? Yes site gas pipe size? No (in.) 10. (If no, clarify 5. What is the mobilehome electrical rating? --------------- d Amps 6. What is the mobilehome site service rating? --- - --------- a() O Amps 7. What is the mobilehome site circuit breaker rating? ----- 6 0 Amps 8. Is there any other electric load to be served by the --------------------------------- -Yes El No mobilehome site service. (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 g as service. Natural a LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than.50 ft. on LPG.) 7� -� BUTTE COUNTY RUILDING ®EPARTMEM APPKOVEU MOBILEHOME SUPPORT DATA If other than single wide,54147��S /z Mobilehome Mfr. furnish Setup Model No. SNN 74-P5%– year Width 2_(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. 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).. FOOTINGS (check one)`: 1. Wood -pressure treated or foundation grade. a 2. Other (specify) I/ \jSUPPORTS (check one) 1. Concrete block. 1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max .------- Line 2 Piers: Size -Min ------------- / x Spacing -Max.--------- t4_ Prom Ends -Max .------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „x Spacing -Max.--------------- , o From Ends -Maxx-------------- MEN MM @WIII e 4 Piers: Line 5 Piers: (Under Hearing Na le Oa y Size -Min.------------ „x ' „ Size -Min ----------- -- 'x Spacing -Max---------- , „ Spacing -Max .--------------- , n From Ends -Max.------- ,_ „ From Ends -Max .------------- '- e S Roof Loads: Size -Min------------- „x „x I. ,k „ „x „ ,yx. „ „x „ „x Location (From Front) ,- e 4 Piers: Line 5 Piers: (Under Hearing Na le Oa y Size -Min.------------ „x ' „ Size -Min ----------- -- 'x Spacing -Max---------- , „ Spacing -Max .--------------- , n From Ends -Max.------- ,_ „ From Ends -Max .------------- '- e S Roof Loads: Size -Min------------- „x „x I. ,k „ „x „ ,yx. „ „x „ „x Location (From Front) ,- P►n 9 ))o MOEiLE HOME MUS' �.2 Y �4 BEAR H.U.D. LABELS Cr � A perfr pwill required for the setback of'5 ft. from the' install iqn of a mobs homef� �- .!� property lines and a setback 3 of 50ft. from the road centerline shall be clear of nr Pritlinment except This se} of plans aWA specifications MUST he kept on the job at all times and it is unlawful to make any changes or alterations on same without Utility connections shall be within written permission from the Department of Public j ^Y ft. of the mobilehome, either Works, County of Butte. directly behind or within the rear half of the roadside (left) of the mobilehome. NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quaiity prescribed far the Specified use in the Uniform Building, Plumbing & Mechanical Codes and A the National Electrical Code. BUTTE COUNTY BUILDING DEPARTMEN' APPROVED �-,T<tF -,p�, 6�A WD AVE THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE r V OROVILLE. CALIFORNIA 95965 OIV,�Env. H�a1NU TELEPHONE 533-0740 ttSS n Fr. 2 2 ml; CSA 26 SEWER SERVICE APPLICATION AND CONPMWI �T Service Address: 16 4 i, 1. th " tr ir+ Owner's Name: ".t.r*tlr' I- rrc-in Date: r"'t' 1 1C,86 Address: 1772- i `�ci -. Acct. No: . `� 'v"" scvillc, * °moi u5 A.P. No.3n-1.02--30 Phone: )31. 1 4 /'' No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ ?n 10 Arrearage Preliminary Review�By: Date: CSA 26 5;n n Remarks: r ,,� i ici lit•• r'}rrri:- -u,(q r ..--16 lor,. r1re SC -OR 1?'' •lr+ : ':. rrur 'Co con -ii,- +-.r t`.- s:M-: 1st mo. S.C. r c,.y Icr tr,r it^:i ,n.t I1 r•' „r.T,, Other ' Total Fees -'A Collected By: ' Date: ' Field Review By: Date: Remarks: r' 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 0 0 2988-86 X576-86 F�FRMIT NO. _.- --- 1621-87B _— PERMIT EXP IRE A e Ou�IL-fi CCNTR. 6 ate:. ASSE-SSOR PARCEL 30-108-30 LOCATION 1648 1hth St, Oroville Temp. Pomror Polo Celled PGOE Tomp, f=loc. Sorvlco Called PGAE Tomp, Goo Sorvlco Celled PG6E JOEI FINALE D mol AptuCaele MOBILEHOMES • .� Not Ready l MISCELLANEOUS Date 1008ILENOME UTILITIES (Plane) OK except e's 0010 De COV¢RS. CARPORTS, HTC. IPlansl OK e.r.eol e e t• Zoning Rogtrinereente-Setbecke-Easements -- — .,Z�irnp Rpulranynta-SatoaNe-Haeawenta — --- - 2. Solis: Special 1111 Su00M1-1kaleh `_—i---- F rtgo, Site Oeplh�SpOereg-Connaetore mlydere u+0/a Jolets-Deeklnp-8reclnp-Storrs-Rads n 7. Sew; locauo►-Test-C/O- Conerea e. Mata. Location- Test- Eoaeraent Needed (Sketch) �, we.:-- --- _ oats-S"m$-Rlirs.-Conrwe.-Shthg.-RIg•-Drac.ng 5. Elsrlrtclty; Location-Clwrenue-Ornd.-/ / Amp -Concrete 6. as: Location -Teat -1r rap:/ /'L"It./ /"tOtt.or/ — — 9. wn.; Co um" -C wactlone-Splice-Oecol-Encloswes -- /"L"It./ /"LPG 0: s:Mind0.o-Ooortl T. Utility Claarvice Card -81 Date Card -Of Date Card- 81 Oet Card -131 Dote Card43l Date Card -81 Data Card -81 Date Gad -81 Date Date WOBILIBNOME INSTALLATION (Plana) OK except a's Date OLD (Plans) OK except a'e 1. Zoning Raqulromente-Sotbatkn-Essemonta I. Sotbacka-Easeawus 2. Footings: SizeSpeeing-Murlap Unit 2. Soils: Compaction-Structwo Stability --- J. as; NH Test-Ocmand-Volvo-C,nnoelor J. Pool Strtttture: Stee1-Connections-Thrcknese-Orad Men -Linin a. Elaetriclty: 101 T leennuo •. EI6c.; Receptacles and Lighting; Oistames-GFI 6. DrIlln: UH Test -Fall -Flocs Connector S. Etoe•: Pool UgMirg: IS votl"PI - 0. villa: 001 Tos1-Aegidator-Corenattar 6. Elsc.: Enetoaurp; Cdadeit Entries -Terminals -Listed -- 7- Wstor nM 301ra Conaacled-C/O to Onado-HO Approval 7; Else.,. Banding: Metal w/5'-Cncutiting Eduipmont-Heator 6. Gas and Electricity Tapped 8. Elm..; Grounding: Equip.w/S'-Cuculeting Equip. -Pool Lontg. - 9. Exits: Insp.-mWich Bona"Ent loauros-Paualbaards-Inti. to Vein in Conduit 10. Gn. of 0VCvV@Wy 9. health Department Aptyo si '- 10. Plump: Cir. Test -Rata Supply Tost Card 8.1 - Dote Card -61 ate Card•91 Dais Card•91 Date — Cerd 8.1 Dote Cad -81 Dew Cerd•81 Date Card -81 Oate x .� Nnt ,AI.1 ., dt, l.• • Nm I;e IJ, RESIDENTIAL (Singlo and Duplott) I,n..• I,NOFgFI 00n t'l,In♦ OK error I. e . _.... 1, Zon.ny+cquucmnnu-Sotb.i.►._EoM -- -'--- 2. FIp., ua.n. So, le-Ytesl-Ebc. Ft 1 . Own -�„-Q• OrDlh - ----4. Fty„ Pacnes Uock3. Swis-Steel_ / /.• F , S�Siomwanj, Warn, Stool-Utockouta;e---��-DOa!� - --- 6. ago. Stool_ o-SIOD y OlofAaula_WroDPed-SIeD --^---- 7, Piers -F„eplJco elSlvnt ---- - 0. U.tV,V.: Foll-F,urnp3-Te 1) .V. _ Ah-vt-- Loat_o; S,io-ncors --- - _- 10. 1VJtor P -DO. Tool-Ar,tho,e-Rt_pulata-Sorvito Toil- • 11. Eiocu�c Urd_mpro_ur,1 --_ .. ._ 12, Plenums 6 Ducts. Cls aranco-►Lflorlal-Support_ 1J. GuJc, . -. .. . _- ---- _Ina, ,_--- •_ • 5 -$ills_ An[nOr Oolts-Jarsla�Venl3-C1,- 1 -- -- pD Oa ;.'C tai--- Dile _ -- Caro-_ - J -J •U IDate DJIO Caro•01 Oeto ;ala PLUI191NO (Permit) OK etcopt V.% 'td, "101 PHI.: VOM-ACceaa-COmb----- Air 15. tYJtor, ,po: Test 6 Anchors`rl pro�octton 16. DJV.V. Tost_FringS a Arihors_Nn�t PGOCllon 17, Snowor Pen: Tesl, F_rrsl FlOcy_Tu� gCfos• 10. Test Tub 8 Shower 2nd Floor_Tub Accoas 19. Gas P-tia_Srzo a Ancl>ara -- a OJto - - 3'1•91 _ _ Card 81 Dole Dale ` CJ d-91 Otte 0,110 i FnAUINO .CnN.n„all _.... - - -• _'6. Plopw:Y Lin cuo.otl l Ut»nt,tOt •0. E.I, poatf- - ....._._- _ _ Ons J'-Cn„ck Germ_yd eto,Y_2 n•_Is 50, Sle,rs W.dih-H - -` -0n- ead,oOln-A-�30_Run_LsMi -- 51, Plyrp-d on Ro01 UvorheIV- Alllc V ^0-F,re P_°rection 52.-Srol -- - -'- _- --v nn 531. 5A. Glazing Ar e_O ip Scre.d_F onta_l, o Ib• Acce:a -__ ^G _Class projection I, -- _ S5. SROairalrads. No,`i� pohf------------- Cprd•BI -� D1f10 Cmd•BI Dale Cwd-BI n:... ---Card-BI Dale Card -81 6]t TQ___ �ory-o, Coiq Data FINAL (Plans) OK otcept e $8. Ent. Steps-Ooor o. S,do,r t wrOtOttrOn _ 57. Smoke Oeteetw Lartatnos 5a, Funth"a; Venta-Cleerenco-CCIt�, Air�Conne_tor- In Gar ;Above Float -Ducts -mach. Protecl.on 59, Bedroacl Eutrnp Beth Flttures 6 Tui Access 8t, Etas, Trim a Suapanel: Brooker Slzes-Letiets 82. $loin a Reds 63. F,repleca Or Stove: Claareneef•keana 84, Elec. Outlets at tvocd Panel: Inl. 6 Ext. �• "It- F,xt, a A Lance' Grnd.-Air G;-Co:.ktr. Clearance08 Cl !C. 0211019 6 Refeptaclas at Kit. CC•:nter "' EIECTnICAI Pcrn..,l OK oxceo, a�a _ 67. Garb,-* F,ro Door: S.Inp_Lanai - nn-C!oser - . 20. F-%:vto 6 TrJnVcw Ter ClOatanCO-Ins. 69. A.C. Duct in Gar_E`e-Dam" -- 21. ?tblCCl, 011 E:ec. Receptacles Sven .. • -" 89. plc. Mir.; Ven:3-Clea+JRCO-CC..-.�, Ca•,•m:ter_P.R.V.- 22. 0-L, hia 6 Sw1lChes at Door3 S.ic �_ ------ In Gt,aS�. AOnvew Floor-Wcc D. Prc!oc:.cn -•_ BoaeS a No. 01 Canduf :0r9-$tapipd 70. P!5,. E!"- 6 ltcci. Eo210. Lrs:50 for Lh2!,cn 23_ ncr ex tnsntloC CloS2 to ECq* of Studs 6 C. J. 71. E:cc. Rccc tac:cs .n Ge a IG.F.t.)-R�Tex 24. E.u.p, Grountt d mJo 2p *•teach. Fasteners -Bond Gas 6 nate, 72. 1io. P:O:ec. Insule:.on-FOOT- Looked in Atte '7 Yes =S• ? 4DDI W.^.fC C�rCurtS .n K-IC11C ff 6 C_CftOuCIW S.ie --- 73. G:arJ R j,iS a DeCk Con9lruCt,On-PCs! Cars 26. $2D!CC. n.rC S.:e . / 0J. Cu a n1_A,C, 1y„o S.ze i r pa. C2 or AI narpo C,rf, , 74• Fn. 'VC -11113 a C,Jat V010 Dect-pra,ra;,a a Wood -Earth Clearance t)J. Cu Cr AI -Oven Cuc. / / 03. Cu or A1, - Insulaud Neutral _ _Looaeo unser Floor _• 29. Yes NO $C,v.CC-11Conductorsa Gr - ' - -- -- -•-- Ground-IKsln 75. F011o*In0 ,nslld.' Onra Ptaraes r l.: VOa ` NO; WaIk4 L Yes [ NO: 29. Disconnect EOu,D. Clearances. Pansls-1 otat3 h, Equip.-- - - 78, -Yes No Stucco. Broan-F,n.sn 30. Clothes Closet LtOnt_$hower L,Oe1 -- - --"-' - - -_77. A.C. V -t. D,aconneci-Cirncea-8rmr, 6 Cona, Sze -115V Outlet -" ---- - --- To. Vents Above Rool. --PINAppfleMe-F.rept.-Clearance to ODnga. --_ - ---- - 79. _voter call. Disconnect. Electrical. Ptvr..t)ir.2 ' a B -I 'J Oalc CaraDate •BI - _ - 80. -8t. E.tor�at E'ec. Trtm - ; G.F.I. Receptacie-L^_aerground R -1 Ot c Caro.Bt _ Da Ie - - -•-- -a2. Von!,lat,on throughout _ Howe G1oss Pr0locuon V !E MECHANICAL tPCrnnll OK eK'c0, a's _-�_•.•-83. Conettrons from Proee v.ouf Inspl,Ons DUCTS In Sulal,on 6 support 8e. -- Gea' Tesl-11,1610M TappoO: Gag-Elec!r,c -- 32. Vent Fan, E,Haus1 above Insutat.on -" "' '- _ --._-- 83. -- -- warn a Scl>er Connected -C/0 to GMce-HD ADD*oval JJ. Conerncate pram a Overnoa. S,ro_a Grade ft. EnorTY Caepllonce Cendieate-Otter Ceruhcales _ la, F.,.nJce-Vent Aeinss-Comb. Art -n "' - ,r Vent -t ISV outlet - _ -_--'-- __.. ---• -` - - '1 _._ tc, _ A,t,f nesse: a PI,UorT J Fu nacv minm1C -------- •-- -'- -- - - - ' --- --_-- Da ICOK C-- c.lyd-ol ' ._ - --•-- _ -_ ___DAtn _ - --- -_ Cm ! (11 eau J 1.. S.II•. I,,O Cr'" I,! ,t F.n.,l ' ,j. D. •nlaMAL m:)_1'Lur, 0. , .II ♦.. q. ,,. Wnil•. OM 1'n.ur) It, f ... .•r. i .--I l:r Jn../•. <Ln -( lu„ t.• .. , . ,• , 1 •,, . , .,n . A .......... . ...... . • ... !( -l.u.. '...u•,a1 11'.'1. , . , .t•.., n .. .. .. .• n .1......•, t ,..,,., .. I• It 0 t •, .y 1,.. ... ,.to rat........ , . ♦ 1` it zD • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT N0. ASS S OR PARNU BE , 13,L - ZONIN - BUILDING PERMIT ow R V", er ELEPHONE `�-� SQ. FT. OCC. BUILDING -7 VALU ION O �R'S MAILING D RS s� Oro COyfQRACTOR'S NAME r- 00 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC HIT CT ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeV Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New❑ Addition El RemodelEl Utilities Inst Ilation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 19 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s OR ADDNS. ACC. BLDGS. , /Z0sgft NEW CONSTFL MULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS el SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®60C eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue, against said County in co sequence of the granting of this permit. A— J/J '' X IC �l _ Date /�� Signatur" a of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in ight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ` OCCUP. CONST.TYP! I FLOD I PA PD ND I s This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE EXPIRES Date,+���� the applicable provi- resolutions to do fees have been paid. WORKS Date �4 Receipt No. WNIT!-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR• GOLDEN ROD -APPLICANT I .. OWNER — I %,. J . r;.. . COUNTY OF BUTTE - DEPARTME,NT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OFIOVILLE, CALIFORNIA 95965 TELEPHONE: 916/534-4541- ,. PERMIT APPLICATION DATA SHEET � Permit No. Id Ve Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJorriiss'uance: DATE RECEIVED APPROVED V 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ' 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ). _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When ou issue the pey t oce- s follows: Mail to owner, —Mail to contractor, Telephone �4-qv and hold for pickup atE2affice, Deliver w/inspector. Other ®Iv Applicant < � te. � Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by FV Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW S v r + COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and /materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) A1,11Air signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work_: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed; Property Owner Social Security rumber ' Date S lq,— R NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 0 J /2 X/�2 ' 06c -k W ry A setback f5 ft. from the N property Res and a setback _Q 5 ft.fii-vitheroad centerline hall be clear of _ -s —I For a 2 ft, I ve overhand. — �- A OiSi c4 Thisqfhejob kept ot s and specificcItiens MIUS all times and ' �unlawfu — make a or a terations on�melwithout writtenfrom the De a ment f Publir csFBuffe. I I � � � M 0sv e(b 7o P lq.�a 6 :3t q SUM COiiN I i - M ,VOTE:—All Ma _ rials ?s< Workmanship Shall Be M Geed Pmej,,, Aeeordariee- of a quality pres and iribed for. the Specified use In the - '�- ahe Nrstional Electrical Code. d 4F 1,4' 10 030-102-030: PERM1 IT#94-2833VRNON, GERALD 1648 16TH ST., OROVILLE. COVER OVER EXIST DECK/MH (COMPLETE BP#92-3907) rrr �..a.. 't Y�rxa. :-Y.7T `.� r i .. _ .r. ,,., �. ... .n..;.f l - • r� h ��_�r .7-'Y f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 = Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - " ASSESISORPARCELNUMBER 036-103-030 I ZONING AR BUILDING PERMIT OWNER GERALD VMON TELEPHONE 53 -9474 SO. FT. OCC. .BUILDING VALUATION OWNER'S MAILING ADDRESS 1648 6OROVILLE. 95965 EST 1,000.00 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER NOW LICENSE l0. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS tiGR 16TH W PERMIT FEE $ 415.00 1♦` PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15:00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehomelg Other SPECIFv Gas piping system 1' - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition'�O Remodel O Utilities ❑ Installation IDOther ❑ Describe Work: 1=17VIR EXI�"'I M DR—as PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 //'lfMUi 'l`T_Q�11 r1T,' 1I 7pTT�� CTA Main Service BOOV OR LESS ( '0A OR LESS ) 23.00 co_..... S"���� t'T'T?i} �'le r Main Service ( 200ATO1000A ) 46.00 NEW CONST. DWELLING OCCUP. 8 ACC. BLOS. 'FT. - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) » ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID.( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. w Ex. Occup. FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation _ PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances.and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / l X _ „�.s„1" ,/� �J��.vw..,. Date j -C� /'�—.. � 7 S gnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 45,00 I HA2. D. FEES I IMP I FLOOD I COI PARCEL I PD HD ISSUIf This permit is hereby issued under thea applicable provisions PP � of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. %, -.._ By r�7`�i Date FC✓i1,/`J�J f�' / PERMIT EXPIRES ON 6 / n// _-�, A _S� f lDetelf Q Receipt No. (� t7 � 3,5Y WHITE-O.D.S.•B.D° CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. Hyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �" (+C r�c'rz . 7' Ta CCD v F'2... �2CJD 7- 10 -/0 LTJ �leS' Date ' Inspector REV 10192 Ge a ff ul RESIDENTIAL j.' 030-10-2-030 92-3907 B VERNON, Gerald ' 1648 16th St,-Oroville cover existing decks/mh d . r ii i� i , JOB FINALED (Date) Signature .1 OK O = Not OK Not Readya. 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/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clea rences-Grnd -/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -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. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready . RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------- ----------------- --- 19. Shower Pan: Test, First Floor -Tub Access 20. Test -Tub & Shower. Second Floor -Tub Access ------------------------------ ---------------- - 21. Gas PiSize & Anchors - ----------------------------------------------------------------------- - Date Card B-1 Date Card B-1 ------------------------ ------------------------ - --------------- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4*s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------------------------------ --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------- - - ------------------- ---------- 25 Romex Installed Close to Edge of Studs & C.J. --------- ------------------------------------------------ 26.--Equip.-Ground- made up w!Mech. Fastners-Bond & Water ---------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------- ------------- ---------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ga. Cu or At -- -- --------------------------- ----------- ---- - ------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------- ------------------------------------------------ 30. ----------------------- - --- - -- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------- - 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- -------------- ---- ------- -- --------------------- - 33. Smoke Detector ------------------------------- ------------------------------------------ ------ Date Card B-1 Date Card B-1 - ---------------------------------------------------------------------- - --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34.--A.-C.- Ducts Insulation & Support ------------- ------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------- ------------ 36 Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- --------- ------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ----------------------------------------- ------------------------------------ Date Card B-1 Date Card B-1 ---------------- --- - --- -------------- ------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ------- - ------------------------------------------------- --------------------------------------------- -- 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing ---------- -------------------------------------------- 42. Draft Stop in Walls (rat proof) --- - ---- -- -- ------------------------------ --------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -------------- ----- Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection --------------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --55.-Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------- - ------- - -- D - - ate Card B-1 Date Card B-1 --- -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tf's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------- --------------------- _____ _ 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------------- 67. Stairs -&-Rails---- 68. Fireplace or Stove: Clearances -Hearth - - - - - --- -- - --- - -------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------- 70. ---------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ -- - -- - --- ---------- ----- ------ - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper ------------------------------------------- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------------------- 7-,-.- Insulation -Foam -Looked in--- Attic ❑ Yes ------------------------- -- 78. Guard Rails & Deck -Const ruction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------ ----------------- -- 81. Stucco: Brown -Finish ----------------------------- ---- - 82. A.C. Unit Disconnect. Electrical. Plumbing - - - -- - --- -- ---- ----------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - - -------------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing ------ ------------------------------ -- 9 85. Exterior Elec. Trim; G.F.I. Receptacle -Under round 86. Ventilation Throughout House -- - - - - --- --------- 87. ------- 87. Glass Protection ------------------------------- 88. ------------------------------------------------- 88. Corrections from Previous Inspections --- --- -------- ------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric - - -- -------------------- --------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval - - - - - - -- - - ------------------------ 91. Energy Compliance Certificate -Other Certificates - ...------- ------------ Date Card B-1 - ----------------------------- Date Card -B-1--- Date - - -- Card B-1 -- Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 e .. +R' u''y-��x�. • ,.� ehl'�p>N"�=�•.11.n "/5��� 'R:ir.v. t :a�, l'x'. .. �'T",.'" �. 't `'.`..'%~ -3„i • Y: IrY�'�FS"i'Y�A>� �„5.-, ice+ s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 -'' APPLICATION AND PERMIT ASSESSOR PA CEL NUMBER 030-102-030 ZONING AR BUILDING PERMIT OWNER Gerald Vernon TELEPHONE 534-4NI4 . SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1648 16th St., Oroville 4 C,, 6.032.00 CONTRACTOR•SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS �'. Fireplace CONSTRUCTION LENDER UNKNOWN M Total Valuation 1$6.032.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 32.-% • ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 122.50 1648 16th St., Oroville PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition© Remodel❑ Utilitiesn Installation❑ Other❑ Describe work: rover Existing Decks Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification XI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP. &\ 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. I NEW CONSTR U TI.OUTLET /� 5 00 NON•R ESID BRANCH CIRC ITS l: POWER APPARATUS &) SINGLE OUTLET CIR. 76 Ex. OCcup(OUTLETS OR FIXTURES 20 ArA FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County %•n/consequence of the granting of this permit.�' Date /J—I/— I/" 7 Z Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ cC # I CONSTTYP,E V �� TOTAL FEE $ 122.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD -�– Isst t/ This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By D�at 10/, PERMIT EXPIRES Date 11.z 7 129b4Z Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Gerald Vernon 1648 16th St. Oroville, CA Em co, BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 2, 1993 RE: Building Permit #92-3907 Expiration Date 11-20-93 95965 A.P. # 030-102-030 . Dear Mr. Vernon: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: ❑ Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $z0.00 filing fee). The renewal permit will extend the building permit for an additional year .from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. 50 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where .the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Yours very -truly, J.F. Glander Manager, Building Inspection Attachments:. ❑ Renewal Applicati-on ❑ Owner=Builder'Information ❑ Owner -Builder Verification Chico - L469.11umboldt R(1/891-2751 Paradise - 745 Elliott Rd/872-6307 q Complaint Date ._ C� Other Date -� BUTTE COUNTY COMPLAINT FORM OWNER A . P . # Address (/�-! �/, Zoning Complaint Location Taken By: i..rnAA 'VIOLATION TYPE [BUILDING Q HEALTH Q PLANNING D OTHER z COMPLAINT: P) Er PERMIT HISTORY ON FILE Q NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name Address Description of Violation BU1L1 !A(9 AW s f OTHER. COMMENTS: " Approx. Bldg./MH Size S�� ��• ; Approx. ldg. MH nder Construction Built By/For- P esent Owner Pre I , 0 Has Power Q Has Gas Q Has Sanitation Facilities E �Wr.itten Notice Given & Attached �� Person Contacted G ous Owne D —°Occu O ID 07)0 ACTION RECOMMENDED: Information only, file 10 Day Letter Letter old for14�) Days Other BY:/, DATE Vr► _. COMPLAINANT V! ADDLESS PHONE NUMBER: OTHER COMMENTS: l 14''1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -- OWNER- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. D,E c�'S - 660-f s }v.� eF- (n,-eo A P-zzem.,irEeo-,�f7 Ck z74cT O v T f 0 04 L AS �/ l2fv rJ vim-rigC o t�� hw�o2 v b �•T �d✓� �SS�L/ C a vk2T �cTiD� I- -cI o ry FP—ow % oda, REV 11/91 ® t Eatteun BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 2, 1993 So Gerald Vernon RE: Building Permit #92-3907 1648 16th St. Expiration Date 11-20-93 Oroville, CA 95965 A. P. #'030-102-030 Dear Mr. Vernon: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $W.00 filing fee). The renewal permit will extend the building permit for an additional year .from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing. -a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. LJ No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. Yours very truly, n JFG:hla / J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments:. [Renewal Application Owner -Builder Information U Owner -Builder Verification Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 I. COUNTY OF BUTTE - DEPARTMENT Or- PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO A ASSESSOR PARCEL NUMBER 030-102-030 ZONING AR BUILDING PERMIT OWNER Gerald Vernon TELEPHONE 534-9474 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1648 16th St., Oroville C 6,032.00 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$6,032.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 75.00 Plan Checking Fee $ 32.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 122.50 1648 16th St. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer E15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation[--] Other ❑ Describe work: Cover Existing Decks Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare underenalt of p y perjury y (check one): ElNON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E:1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO t000A) 37.50 NEW CONST. / DWELLING OCCUP.a\ 3.64 sq.ft. OR ACDNS. \ ACC. BLDGS. / NEW CONSTR U TI -OUTLET BRANCH CIRCUITS5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. 20 76 Ex. Occup(OUTLETS OR FIXTURES JAI AR FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'aiid�C %nty jncopsequence of the granting of this permit. Date // —1�� f 2_ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Dr construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ cc (! CgN"ST YP 1� TOTAL FEE $ 122.50 HAz -� DFEES .----- IMP FLOOD --� CDF PARCEL — PD HD — Iss This permit is hereby issued under the applicable provi- a sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CTOR OF PUBLIC WORKS i By i�y Dat��ez PE EIRES Date Receipt No. 129642 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT lio .0:N OF BUTTE PARTMENT OF PUBLIC WOR*r BUILDING DIVISION 7N COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA OWNER 6�1e'lqlD V,5rlV(lAj Proposed Building Use G040 DEGKS Building Inspector_ SHEET A. P. No. U 34 -- �Q�' 03 ��� Date % _ 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted . ........................................ 2. Plot plans, 3/4 sgts, signed by preparer of plans . .......................... t t G 3. Complete plans /4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement'''of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered:4uss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ " 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for to Building Ins re��� ) required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... < 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ` 31. Existing violations/expired permits . ...................................... 32, Plan check list . ..................................................... 33. 34. When ou issue the ermit, rocess as follows: Mail to owner. Mail to contractor. 3�/-�% Telephone nd hold for p*kup at QtgOVi (fes office. Deliver with inspector. Other lof� cc��rv►tv�. ) Parcel Creation ec } r. ; 8 4(- �� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date _ Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date _ _ Plans checked by Date Plans approved by Date- r Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works a COUNTY OF BUTTE -.Department of Public Works 7 County Center. Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property..improvement Cees or no) 2. I (hav have not) signed an application for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone- Contractors License No. 4. I plan to provide portions of this work,.but I have hired the following person.' to.coordinate, supervise, and provide the major work: Name Address City. Phone Contractors. License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work •.. Signed Property Owner KOC Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT I - AT� ya 92 ASSESSOR PARCEL NUMBER - a OWNERS ZONING BUILDING PERMIT �Q• �rN 'O TELEPHONE sat/-9y�L/ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING REdN SS15T Oleo L CONTRACTOR'SNAME Ow TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 60 3a LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ e 60 $ 32 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS L(8to C-10 �� Permit fee $ a2. -501 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome9k Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition [ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 16 J— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST./ DWELLING OCCUP.al OR ACDNS. ( ACC. BLDGS. // 3.6d sq.ft. NEW CONSTR. MULTI.OUTLET NON-RESID BRANCH CIRCUITS @ 5.�76itd (POWER APPARATUS R) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 A FIXED APPLNS. OR Ex. Occup. ouTLETs IRESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities .00 Misc. Wiring 5.00 415 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiessiin height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE �+O TOTAL FEE $ HAz DFEES IMP fL000 CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 12 / 61� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ____. s � �' uj Cl< /(b 7-H 5 7- 0 r C I, L. L, T- --- r+(. i t -- Xi -2 'C)6c-k- .2, s ir r CPF 5 i�o I I I I I I I I f I I I I I I I I I I I I LoCs*M Ot squonerd dWI -b8 83 16 4� 0 Zb4FC< & clear Of 80 Oas r7 T"onts', 0 ,v rev - 11,4111-0 - � 4/ PO t C, t91' 30- 2-30 39d 3-A IDecK n X 6 t' t3 nj LI x lyI✓os T" c Plans Z, X( FJ f- (� /� r= co ry ! t�v1 TH 2 °1 a l� ♦I �KT/�RI U2 P4w u o .D S lfri$/yl! (,. , r,4 3 o T-:� ZIPT U ,46)< -, A-/ i�:) 9G<l If Ls Or ID ir tec.% i {� �� ' I .. .-. .: , _ f ��;: � `�+ _ ,.. � • � �1 � .r.' •� ' r„� . ,, , �. f' • � { tom. � _ .4� .. •, ,•-, . _ _" �; � a �� �. 7A Z 1Z N ' '� S, Zf o--)IV1 S oo► �v i� ooh 5DII�7� /- C7?XI O r Ol mo x-4 N 4 '-( C ! X �J '� 51k'74 h AT Al 2--ZI LA iv x �--ryn,i 1:4.11,.,i1•S/sic , .� I ❑ ❑ ❑ I �1 ❑. ❑ ❑ 1 I 0 If El CT 7 ` �7 Ps 1fl1V?741S :-1w, (�15M 1) 1 v tpi d � n Gerald W. & Marian A. 1648 16th. Street Oroville, CA 95965 Vernon RE: Building Code Violation 1648 16th. Street, Oroville Dear Mr. and Mrs. Vernon: LA+SID J F iVATURAL W EAL.r AiV D 8F,A I BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE -. OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 September 15, 1994 A.P. #: 030-10-2-030 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval and final inspection prior to use and permit expiration for construction of deck cover. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field -inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:dms cc: Assessor Yours very truly, l cott Rutherford Supervisor, Building Inspection COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION qw �-i - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER V e, r no rl1-_ A. P No. Proposed Building U -- Building Inspector Date ehl�-- At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY fZ1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..". r . Fre-Inspecti.on request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner . , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for is pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -,mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone =" mail Counter by _ Date Plans checked by Date Plans approved'by`' Date Sets of plans on hold in File cabinet AP folder r Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 APPLICATION AND PERMIT A43E3 1P EL NUMBEj ` PERMIT NO. 0,3 ZON BUILDING PERMIT OWNER �` fa r1 Y1 n TELEPH�E Q T SQ. FT. OCC. BUILDING VALUATION (, o o . OWN y M ADDR /YA L/P 6 Y-0 V r l CON�TOWS NAME F V'- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS ON LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITYC40R ENGINEER uCENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN DR r PERMIT FEE $�� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New O Addition 9 Remodel O Utilities O Installation O Other ❑ //�� _, Describe Work: 0_0 I/& y- -ey, S Vl 5 ,^^ r PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 /� �/ C3 1 9 ^ • `•' NEW CONS1 OR ADONS.T 1 D LLING 6EACC. RLDS. ) 3.50 F°: CONTRACTORS LICENSE LAW1 I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. 1 BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1. Ex. Occup.FIXEDAPPLNS.OR 1 OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit.is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $� Q 1 HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County C.Tde and/or Resolutions to do work indicated above for whi :h fees have been paid. By Date PERMIT EXPIRES ON lOetel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "'owner -builder" building ^permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) yes . 2. I (have/have not) �dr signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:« Property Owner --6441 Social Security umber �– Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. x COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT - 3-!, ASSESSOR PARCEL NUMBER 030-102-030 AR ZONING BUILDING PERMIT OWNER GERALD VERNON TELEPHONE 534-9474 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1648 16TH ST OROVILLE 95965 EST 1,000.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee S 25.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1648 16TH ST PERMIT FEE $ 45.00 OROVILTE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAdditionA Remodel ❑ Utilities ❑ Installation ❑ Other ElContractor Describe Work: C-0)ZER EXISTING DE,',CKS PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 f COMPT T1 OF LURK Main Service ( 21011 Oil LESS 00A OR LESS ) 23.00 E' -0N STARTED UNDER Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.5C SO, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseqLynce of the granting of this permit. Date 7O-- /1-7y Signature of Applicant - ❑ Owner 1:1Contractor ❑ Agent / An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HAZ- I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � By Date PERMIT EXPIRES ON lDetc 2 Receipt No. '� 135 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT