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030-170-069
30-17-69 'JEAN `JEAN PRATT 1 1142�,iddlehoff Lane, ORoville '# : Permit7x2332-88P,E(util, MH) ELEC 0{. r.. i GAS I SUPPORT STRUCTURE COMPACTION TEST REQ. �,JIB .. ` _ -. .- �. .. _ ✓ ��..- Contr : --Ceasa Permit#23 3 8MHIrcado ! ��? Issue *.,we 30-17-69 Pe , rmit# ,078- 88B(new opend ck)MH 30-17-69 Permit#105-89B(cover over existing deck) . H MH r{x' 030-170-069 00-0086 PRATT,JEAN . 1142 NvIEDDLEHOFF LANE, OROVILLE CONTR: BEN BELASCO GAS LINE Z.� �� �� w DROP BOX COVER SHEET All of the following information must be completed. Writing must be legible. Date: Assessor's Parcel Number: <f) G -- -70 — 6 0 o Owner and/or Applicant: r Permit/Application Number: E -Mail Address: V, Contact Phone Number: U ? 7 —6Z C3 Directed to (Staff Person): r PERMIT NO. 2332-88P,E(MH) t �j OJ r PERMIT EXPIRES i OWNER JEAN PRATT jCONTR. unknown ASSESSOR PARCEL 30-17-69 tLOCATION 1142 Middlehoff Lane, Oroville OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date y �� Temp. Power Pole Called PGA Temp. Elec. Sei Called PG8 Temp. Gas Sen } Called PGS JOB FINALED t Signature • • --ri'w- , 1 , a e •' a ♦F . ` ` . . t - tw � • Y d,yr a •Ca . _ L w - i ' - •tea , MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE �r 5EPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DfiIVE OROVILLE, CALIFORNIA — 534-4541 R PERMIT NO. _ -2 "Address or location of mobilehome - M t 141,4 /, g_ yC .Owner's name � �� - � �� . + Tt7 ,;Owner's address Insignia or hud number C (� , 015/ 7,4/ Manufacturer's name- - ti .� �• f' Serial number of V.I.N. 5 Year of manufacture —7-7 =\J (Official Approving Installation 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. COUNTY OF BUTTE a DEPARTMENT OF PUBLIC YORK$ 196 Memorial Way, Chico — Phone: 991-2791- County 91-2751 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNED— PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a Inspector J, oe Date j: f. t � i 1 { Inspector J, oe Date =OK 0 = Not =Not Applicable RESIDENTIAL ,(Single and Duplex) - _ Not Ready ?::> Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc ko uts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 'Date Card -81 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -81 Date Card -81 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s ` 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -131 Date Card -81 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate brain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 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 T -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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove;. Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -81 Date Card -81 Date Card -81 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK _ 0 = Not OK - = Not Applicablec ' = Not Ready, MOBILE HOMES" � � - MISCELLANEOUS , Date M004LEIHOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s en ing Requirements -Setbacks -Easements 1. Zoning Requirements=Setbacks-Easements 45 So ls; Special MH Support -Sketch' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel g'_�� ewer; Location -Test -Fall -C/0 -Concrete ' 3. Decks; Girders and/or 'Joists- Deck ing-Bracing-Stairs-Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-.' %( lectricity; Location-Clearances-Grnd. Amp -Concrete Shthg.-Rfg.-Bracing Test -Wrap: / P'Uft. ". � -6'as`L-eee p: 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ ' /"L"ft./ P'LPG 6. Carports; Windows -Doors 0 UI tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Dat C d -B1 Date 0-7-1 10. Roof; Shthg-Roofing Card -131 Date and -81 Date 11. Ext.; Steps -Doors -Landings Date 0BlLEHOME INS ALLATION (Plans) OK except'#'s' Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date `-9-Gas; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s �C JDrain; MH Test -Fall -Flex Connector 1. Setbacks -Easements Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Water and Sewer Connected -C/0 to Grade=HD Approval 3. Pool Structure; Steel -Connections -Thickness- , ' Gas and Electricity Tagged. Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI . 10.,Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI '. 6. Elec.; Enclosures; Conduit Entries-Terminals=Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 'Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. F Card -81 Date Card -61 Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 . Date Card -131 Date 9. Health Department Approval 61,092- 5AM f rp. ti 10. Plumb.; Cir. Test -Water, Supply Test Card -131 Date Card -131 Date Card -81 Date Card -131 Date 0 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californid,95965'- Telephone: 916/538-7541 APPLICATFON AND PERMIT PERMIT ASSESSOR Pp�1�EL N MB R ZON I BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION ow ER T LEPHONE � 33- 3 OWNER'S M I ING A D E_ ` V CONTCTOR•5 TELEPHONE. ` ONTRACTOR'S MAILING ADDRESS _Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit. Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ' BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeI-p�I Other SPECIFY � Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobi le Home S G 0.00 ea o20- TYPE OF WORK New❑ Addition[] Remodel❑ Utilities Installation[] Other ❑ j Describe work: i Permit Fee $ 30, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 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 Busines$ and Professions Code and my license is in full force and effect. License No. Classification IDI, 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 OCCUP.EI\ +h¢sgft NEW CONST. DWELLING OR ADONS. ACC. BLDGS. I NEW CONSTR. TI.OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. / EX. QCCUp( OUTLETS OR FIXTURES e20e50e ALO 30 FIXED ALN5 Ex. Occup. OUTLETS P(RESID ,RE A.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 j (� Misc. �Yirin 15.00 g Permit Fee $ 57 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. j 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 becomesubject 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 penult Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 agai s id County in c quence of the granting of this permit. � � � 7d? X Date Sig to a of Applicant — Owner � Contractor ❑ Agent ❑ An HA 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. I CONST.TYPE ISCHOOLIXLOODIP.7 �• 1::,r Issue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RE OA PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date2 Receipt No. WHITE-D.P.W.. YELLOW-A3SC350R. PINK-INePECTOR. GOLDENROD -APPLICANT q � �! ���-�� �. a � :.�:.,_ x :'?! �' d: �,j�i1 •"�.� • ` � Y t h�,. ay � • 1.. t•� � '1 1 �' r (Gj u�i!7� COUNTY OF BUTTE- DEPARTMENT OF PUB.LIC WORKS -BUILDING DIVISION y.,r,a f • 7 COUNTY CENTER DRIVE - OROVILL�, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 y' PERMIT OPLICATION DATA SHEET Permit No. t OWNER 4,A;j P. No. Proposed Building Use I, l [A ZUU Building Inspec 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. School District "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. arking: 12. Certificate of Workmen's Compenaion 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. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for _ _. _ ...._ __ _ Required. Building Inspector X18. Recorded copy of Agricultural Ac know ledgment.,Statement. 17- X6, �Y � d 19. Driveway Permit. 1 �\ 20. Plot plan approval from city of t 21. - - - 22. — — -- M � .n you issue the ermit, process as follows: Mailttoowner; _ Telephone 13—and hold for pickup a0_r0 office Other Mai I to contractor- -Deliver w/inspector. Copy of plans sent Health Dept.; FireOept., Other Date- Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. --- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —Mai l—counter by date Plans checked by Date Plans approved b Dat Sets of plans on hold in File cabinet AP folder Copy -DPW i TO: Building Department ., FROM: Encroachment Permit Section RE: 'Diiueway Clearance 1.e. -: owner location AP # Driveway permit 07 9 4-e" has been issued for the above property. n b Jv4 22 i date sign re i THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 ' CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: +J Owner's Name: Date: Address: - Acct. No: A. P. No. Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ I Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID AP # -If),-.)_'7-6 OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compadtion Test .Req. vice .2 Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS SOR PARCEL.N M ER ZONIN BUILDIN PERMIT O NER ITELEPHONE X33-1 � SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILI G\Aj3 r L�. NTR CTOFYnAME G TELEPHONE NTRACTOR'S M ILIN ADD SS " • Fireplace CONSTRUCTION LENDCR UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS 'Permit Fee $ ARCHITECT OR ENGINEER 't LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 10.00 / lo Each Trap. 2.00 ✓t 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❑ MobilehomeL& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation(0 Other ❑ Describe work: i U6Y 4Q4ee_"4__j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 l�f J Main service'eoov 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or.offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason 'NEW CONST. DWELLING OCCUP.°I �2¢sgft OR ADDNS. ACC. BLDGS. , NEW CONSTR. MULTI -OUTLET 2,SOea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS &I - SINGLE OUTLET CIR. / (SINGLE Ex. FIXTURES 5AL03t Aloao FIXED PR Ex. Occup. OUTLETS IRESID•)EA.� 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. �rq-�� 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. 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 agar id County in c quence of the granting of this permit. X Date �"a "'�� Sign t e of Applicant — Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- f structures over 3 stories in height. iLecei� Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPE SCHOOL D PA�ceL �, `n ND qdo This permit is hereby issued under of the Butte County Code and/or work indicated Ove for which IR C O F P_UALIC By PERMIT EXPIRES Date the applicable psions resolutions t fees have been paid. WORKS Date %^ G�7^ r•- _+^ pt No. I C� !1 l D.P.W.. YELLOW-A�e6e30R, PINK-INePECTOR. GOLDENROD -APPLICANT ��••.�•';�.-��rT""�,1�4�t+� a .�' 'Y'y!"`ti���`�jai+1�'�-` '�. h,r' It yC'�'-••yuc" ,� ��r.� �4.R1... ������"'�^ �• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / x 7 COUNTY CENTER DRIVE OROVILLEc'C'FtCIrO Nith 95965 -TELEPHONE: 916/538-7541 • r� PERMIT APPLICATION DATA SHEET � Permit No. OWNER V-PM�±7AAA,P: No. a )_ 4�? � Proposed Building Use t Building Ins 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. School District ''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 ownerE]) Improvements may be required.. 0_15. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -Inspection for-.----.- _.- - _ Required- Pre-Insperequest to (Dote) p �-- q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. ;�. _ 20. Plot plan approval from city of— _ ' 21. - - 2 2 . — ` -- • When, you issue the perLq It, ptr�ocess as follows: Mail to owner, y}ail to contractor. ✓� Telephone S> 1-5 hold for t� {'Deliver w/'inspector. and pickup - office, Other - _ -- Appl ican Date _�- Copy of plans sent Health Dept.; Fire -Dept., Other Date The following data must be submitted prior to ermit 1. Index permit for above items No. 2. Additional items required: —& i ance: (Circle new item not checked above). t Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date Plans checked by Copy -DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date - 1J+' I , F 1 I. rl (I,/ 1 n NOTE: --�►1I Materials & Workmanship. Shall Be is Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Deparfmont.of Pubbc Works, County of Buttee. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang eka_r- ,� A permit will be requited - for tlie.* ibstallation of the mdbilehome, . 1 Utility connections shall"be within 4 ft. of the mobilehome, either a directly behind or within the rear ' half C96he ef f the _ mobilehome. /hh e231'n Y - .BUTTE COUNTY "' ILDING DEPARTMENT . t MOBILE HOME MUST APPROVED. BEAR FWD. LABELS . •! )tility connections shall be withln a 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. PLINA SOMAN -7 i ~4` PLINA SOMAN -7 N S N 1.: r W A R N I N G Z Each of the following conditions, if applicable to your. job site, will regiiire special setbacks and/or design requirements. t I. Excavation and Fills: (1985 UBC, Section 2903(a)) I Slopes for fills shall be not steeper than .2 horizontal to 1 vertical. Cut slopes shall be not steeper than 2 horizontal to 1 vertical unless soils investigation. report by registered 'engineer justifies steeper cut slope. Fills to support the foundations of any building or structure shall he placed in accordance with accepted engineering practice. A report of satisfactory placement of fill, (cumpriction report), will he required to be submitted'to the building official prior to construction. 2. Footings on or Adjacent to Natural or Manmade Slopes: (1985 UBC, Section 2907(d)) '('he placement of buildings and structures on or adjacent to slopes steeper than 3:1 shall be setback according to the sketch below, unless an investigation report from a registered engineer demonstrates code intent is satisfied. FOR SLOPES STEEPER THAN 3 TO 1 Top of slope 1-1!3 �_ All IWI$M but need not Face of �m exceed 40' Face of structure Toe of footing H H/2 slope but need not exceed 15' The above items are provided to call attention to special construc.t:.ion requirements for sloped building sites. Required setbacks due to slnped site conditions may differ from zoning requirements as stamped (or) noted on plans. If setback problems arise from these requirements, a registered engineer may be able to provide an alternate solution :by designing for spec.if'i(: site conditions. Plans and details for alternate solutions (stamped and signed l)y the engineer) shall be submitted for approval prior to c�on5t'ruct'ion. .. ); iuVtfou BU- DING DEPARTME APPROVED r�- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 . MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �t�y1 /"/ i�r a 7 7, 2. Installer's Name:�eS�J— 3. Is the site currently under permit? Yes No mobilehome?--------------------------------------------- 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:) .3 a�cou rY WILDING DEPARTMENT APPROVED (If yes, furnish permit riumber ) OR Yes © No Is the site an existing site? (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no,,clarify 5. Amps What is the mobilehome electrical rating? --------------- DD 6. What is the mobilehome site service rating? ------------ Amps 7. What is the mobilehome site circuit breaker rating? ----- —, Amps 8. Is there any other electric load to be served by the No mobilehome-site service? --------------------------- ----- Yes (If yes, identify the load and size: (Load) (Amps) . 9. What is the mobilehome site gas pipe size? ------------ in.) 10. What is the type of .gas service? -------------------- atural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 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:) .3 a�cou rY WILDING DEPARTMENT APPROVED MOBILEHOM&; SUPPORT DATA If other than single wide, Mohilehome Mfr. furnish Setup Model^No. Year a 2Z Width ( t.) 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. Woodzpressure treated or foundation grade.[—]2. Other (specify) SUPPORTS (check o'ile) 1. Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SI N(;I.E-WIDE MULTI -WIDE Main Beams 2 77 Z-- -- — — — — --— — — — .o. lin + � Line 3 — -- — — _ — — — — — — — 4Line 2 Main Beams - — — —— — — — — � — ^ — — ■ .ins Tag or Triple Line 4 r Line 1 I Line 1 Piers: Line 1 Openinee: Size -Min. ------------ Size -Min. ------------------ S pac i ng -�Max. ----------Spacing-Max. "` '" "'- Each Side of Openings Fr,.m Iinds-Max.------- '_Q " With Width Over""""----- Id LL "L I'iUre: Line 3 Piers: (Under Bearing Wall Only) Size -Mill Size -Min.------------------ .. . �.x SpacJng -Max. --------- �- " Spicing -Max ---------------- From Ends -Max.------- " From Ends -Max .------------- I_i,ne,3 IZutf, loads:./ie// — SJ.ze.-Min.---------- " "x "x "x "x "x "x "x Uwation (From FronL) I.i.ne 4 Piers: - Line 5 Piers: (Under Bearing Walls Only) Siza-Min--------------- Size -Min.------ --- --- Spac L"g-Max•--------- Spacing -Max ----------------_ From Ends -Max.------- From Ends -Max.------------- Line 5 Roof Ipads: ' SizU-Miu.-- __ "x "x I."x "xI."x "x location (From Front) .t , THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 1761 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Yiddlc}►off Lane Owner's Name- .Sian ^ratt Date: 1'f, 2.2/88 Address: 1124 14.iddlehof f Lane Acct. No: �' f� "►� rj� ,. A.P. No.: 30 1.7 1 69 Phone: 533.1113 No. Units: 1I Applicant/Agent: Agents Proof: Address: Fees:. Phone: Application $ 30 041 Arrearage Preliminary Review By: Date:CSA 26 a5`1 00' Remarks: SC -OR 9pQ 00 Sewer connection fees willbe thosa a-iolicable 1st mo. S.C. at time of connection to the system. Other Tap 75 JU Cleanout up to grade required at property line. Total Fees , Collected By: r .? : a) � Date: Field Review By:,tv/,�-,.ws+�/ �'� �.'Date: %' , Remarks: n --q--- A--^4' tLf•+n^— 7. .#ti .. +',.a ,...s,.,, nsr�•f nrv+ .,rd r.r 4• P4 I rq _• / . n h e .., "! i 'J j� /n L0, V 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 . U.S: DEPARTMENT OF HOMELAND SECURITY ELEVAMN CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building OwneLs Name. Policy Number #%1 A2. Building Street Addr s (including Ap ., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 114-Z IDOL,e4-6624F Crty Q2n' /rL G G . State C -A 4 ZIP Code 4� . A3. Property Description (Lot and Bloctt Numbers, Tax Parcel Number, Legal Description, etc.) ✓�-PN O -36 -- * 1-26 — v(b 9 A4. Building Use.(e.g Residentia�onR7�ldetlal,,�ddftloi, Accessory, etc.) A5. Latitude/Longitude: a . Long. 75 94' 30 1 O �r Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building R the Certificate Is -being used to obtain flood Insurance. A7. Building Diagram Number_ A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crewl space or enclosures) sq ft a) Square footage of attached garage sq R b) No, of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage enclosures) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings In A8.b sq In c) Total net area of flood openings In A9.15 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 3 Community Number B2. County Name 83. State I V Co n — 04P661-7 15 u -7--ra I CAZ'/ B4. Map/Panel Number 85. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone b) Top of the next higher floor C Date Effective/Revs d l�8 Zon (s) AO, use baseSd depth) aha°1�-c,79a d) Attached garage (top of slab) 4- za oQ 6 B e) Lowest elevation of machinery or equipment servicing the building 13115- B'10. Indicate the source of the Base Flood Elevatlon (BFE) data or base flood depth entered In Rem B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined Other (Describe) B11. Indicate elevation datum used for BFE in Item 139: �a NGVD 1929 NAVD 1988 ❑ Other (Describe) B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ? No Designation Date ❑ CBRS ❑ OPA � SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: JuConstruction Drawings' ❑ Building Under Construction- ❑ Finished Construction •A new Elevation Certificate will be r6gdired when construction of the building Is complete. C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.8-9 below according to the building diagram specified In Item A7. Benchmark Utilized �. /�. 4' . U3 G S Mori . Vertical Datum JU G V 7- 9 Conversion/Comments SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ale information. I certify that the /nformat/on on this Certificate represents my best efforts to Interpret the data available. /understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S. Code, Section 1001 ❑ Check here If comments are provided on back of form. Title �/r✓/� �NG2 v Number Z - S' 3 7 0411 & [L.: VIN 6,611 s AF. cx�_ _ 9 6 9 1 Z Is v. y%--• .. "r! �1 � G. A FF '�2c� No. 2764/7114 ; �t ��.ar_ • . CIVIC .:c�Q�� FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor) /ff feet ❑ meters (Puerto Rico only) b) Top of the next higher floor S 7. K0 feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) _❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building . ZCRfeet ❑ meters (Puerto Rlco only) (Describe type of equipment In Comments) 0 Lowest adjacent (finished) grade (LAG) --- [S_.Z Sfeet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) ,sr Im.� feet ❑ meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ale information. I certify that the /nformat/on on this Certificate represents my best efforts to Interpret the data available. /understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S. Code, Section 1001 ❑ Check here If comments are provided on back of form. Title �/r✓/� �NG2 v Number Z - S' 3 7 0411 & [L.: VIN 6,611 s AF. cx�_ _ 9 6 9 1 Z Is v. y%--• .. "r! �1 � G. A FF '�2c� No. 2764/7114 ; �t ��.ar_ • . CIVIC .:c�Q�� FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions J' IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street A����ress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number /19z /`l,D64 C-Alor-�= Z- mgr City State ZZII � ode I Company NAIC Number I SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Commentse. A�.iv1 aA-r`i/S LnT Z !tel/A,-rm&t /�4,, - .A - j- a /2/V6'--12 1 S S2n,OO J96FL40 w LQ T . P44; 7,51!z ! / C;:PfJRt T6 1 31, 5 rage 17V#SL- [. 0 0 D Signature / � 1 / _ _ _ Date r d ,/T C , T'�/aL (V Y f 0 % gCheck here if attachments SECTION E - BUILDING ELEVATION411FORMWrION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, it available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information br the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SealW Items 8 a d/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b In the diagrams) of the building is _ ❑ feet L) meters above or below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated In accordance with the community s floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature ' Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Sierra West Surveying LICENSED LAND SURVEYING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (530) 877-6253 Fax: (530) 877-6254 August 21, 2007 Pete Schule Department of Water Resources 460 Glen Drive Orovi I le, California 95966 RE: Jean Pratt; APN 030-170-069 Dear Sir: I have to file an elevation certif icate for Jean Pratt (APN 030-0170-069) 1142 Middlehoff Lane, Oroville, California. Her property is located just north of the west Oro Dam Blvd. Bridge and is about 50 feet above the Feather River water. Please send me any information, such as elevation from a period of flooding which can be passed down stream from the dam, so I'can fill out this elevation certif icate for her. o9'pFESSIp� � �te G. AG, 'F'fcCO *., c No. 27 7 Cl RGA/kem C: Letters /Pratt.Jean.Itr Sincerely, Robert G. Agee, Jr. Py. SIERRA WEST SURVEYING i S;`�! TE OF CALIFORNIA - THE RESOURCES AGENCY DEPARTMENT OF WATER RESOURCES OROVILLE FIELD DIVISION 460 GLEN DRIVE OROVILLE, CA 95966 September 7, 2007 ARNOLD SCHWARZENEGGER, Governor Mr. Robert G. Agee, Jr., P.E. Sierra West Surveying 5437 Black Olive Drive Paradise, California 95969 I Dear Mr. Agee: Please find the attached information you requested concerning the elevation (gage height) of Feather River above Highway 70. The attachment represents the maximum river elevation recorded to date by DWR during a high-water period for water passing downstream of Oroville Dam at the Feather River Fish Barrier Dam. The attached river elevation information was recorded at a specific date and time'and in no way represents the maximum river elevation possible. If you have any questions, please call Bill Dickens of my staff at (530) 534-2328. Sincerely, Pete Scheele, Chief Oroville Field Division Division of Operations and Maintenance Attachment DECEIVED SEP 142007 SIERRA WEST SURVEYING Feather River nr Oroville Date Gage Height I Time 1 / 1/1/19971 25.45 23:45 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency I Expires February 28, 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owpeo Name. �„ , Y Policy Number A2. Building Street Addr s (including Ap ., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1/ 4 Z R/DD L 45 J14-0 FJC L PgA1 ! Company NAIC Number Citi State CAi - ZIP Code A3. Property Description (Lot and BlocA Numbers, Tax Parcel Number, Legal Description, etc.) 36 -- 176 - 0 6 9 A4. Building Use.(e.g on-Residential,Addition, Accessory, etc.) A5. LatitudelLongihrde�Res�ldenfia G 9' Ys7l, Long. 3 9a 36 O �r Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is -being used to obtain flood Insurance. A7. Building Diagram Number_. A8. For a building with a crawl space or enclosure(s), provide: A9. For a building wfth an attached garage, provide: a) Square footage of crawl space or enclosure(s). sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq In c) Total net area of flood openings In A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State 10 Co h — 06oO 7 1 t3 UT -re I cl4z' B4. Map/Panel Number B5. Suffix Be. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone S 7. feet meters (Puerto Rico only) Date Effective/Revl d Zon (s) AO, use base flood depth) _❑ feet ❑ meters (Puerto Rkoo only) e) Lowest elevation of machinery or equipment servicing the building . Z CRfeet ❑ meters (Puerto Rico only) l3/,S 810. B11 B12 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑ FIS Profile ❑ FIRM []Community Determined Other (Describe) Indicate elevation datum used for BFE in Item 69: 1� NGVD 1929 NAVD 1988 ❑ Other (Describe) Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑ Yes ;? No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: Constructlon Drawings* ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be r6qdIred when construction of the building Is complete. C2. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified In Item AT Benchmark Utilized . /� • 4' $� (j S G s /! 0 n1 . Vertical Datum %U G V 2 9 Conversion/Comments SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify eleN information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifier's Name,,,o�� title T til /� �ivi� �NG2 Address City State ZIP Code S4 3 7 01-11 ,9 Lie.. J2M 4D l s E. c Ad.- . 9 6 9 ature / ,<,-. .,u * X90 G AGFF .Ftic .,J AL .� • No. 276647 : �r TF OF CA��F FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) / feet -KIR ❑ meters (Puerto Rico only) ❑ b) Top of the next higher floor S 7. feet meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) �% _❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) _❑ feet ❑ meters (Puerto Rkoo only) e) Lowest elevation of machinery or equipment servicing the building . Z CRfeet ❑ meters (Puerto Rico only) (Describe type of equipment In Comments) 0 Lowest adjacent (finished) grade (LAG) .ZEafeet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) :24 10 feet ❑ meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify eleN information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifier's Name,,,o�� title T til /� �ivi� �NG2 Address City State ZIP Code S4 3 7 01-11 ,9 Lie.. J2M 4D l s E. c Ad.- . 9 6 9 ature / ,<,-. .,u * X90 G AGFF .Ftic .,J AL .� • No. 276647 : �r TF OF CA��F FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street A����ress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number A 4 i P'J /)64 CAA0 r—,= I- ,9-w& .. City State SZIP ode I Company NAIC Number I CV /- /(, C , SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments1z4o% '/T • L n T V r 77At ' IS -6m, - l a AV7Z l�A -4-4-& AZ &--►2 I s n 7- . P4 u5 Z S'i S- / CO cjR L To 131, 1=6 to if vf% ar F L a o D Signatury/, n .-{_. �' J� / _ _ _ � Date r d V / , a '/C �+,,�J� T�/�ti✓ (\► ! .J � % WCheck here if attachments SECTION E - BUILDING ELEVATION4AFORMWrION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. if the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For Items E1 -E4, use natural grade, ii available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information br the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is _ 11 feet ❑ meters 11 above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) Is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SectIQ1LA Items 8 and/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is _ C1 feet meters above or ff below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -Issued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here ii attachments FEMA Form 81-31, February 2006 Replaces all previous editions ' a Sierra West Surveying LICENSED LAND SURVEYING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (530) 877-6253 Fax: (530) 877-6254 August 21, 2007 Pete Schule Department of Water Resources 460 Glen Drive Oroville, California 95966 RE: Jean Pratt; APN 030-170-069 Dear Sir: I have to file an elevation certificate for Jean Pratt (APN 030-0170-069) 1142 Middlehoff Lane, Oroville, California. Her property is located just north of the west Oro Dam Blvd. Bridge and is about 50 feet above the Feather River water. Please send me any information, such as elevation from a period of flooding which can be passed down stream from the dam, so I can fill out this elevation certificate for her. QROFESS/0�,w- �`sC�� G. AGFF N * ; No. 27647] :* qlF OF'CA1-�F���� RGA/kem C: Letters/Pratt.Jean.Itr Sincerely, l Robert G. Agee, Jr. P. . SIERRA WEST SURVEYING STATE OF CALIFORNIA - THE RESOURCES AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF WATER RESOURCES OROVILLE FIELD DIVISION 460 GLEN DRIVE OROVILLE, CA 95966 September 7, 2007 Mr. Robert G. Agee, Jr., P.E. Sierra West Surveying 5437 Black Olive Drive Paradise, California 95969 Dear Mr. Agee: Please find the attached information you requested concerning the elevation (gage height) of Feather River above Highway 70. The attachment represents the maximum river elevation recorded to date by DWR during a high-water period for water passing downstream of Oroville Dam at the Feather River Fish Barrier Dam. The attached river elevation information was recorded at a specific date and time and in no way represents the maximum river elevation possible. If you have any questions, please call Bill Dickens of my staff at (530) 534-2328. Sincerely, V Pete Scheele, Chief Oroville Field Division Division of Operations and Maintenance Attachment RECEIVED SEP 14 2007 SIERRA WEST SURVEYING Feather River nr Oroville Date lGageHeightl Time 1 / 1/1/19971 25.45 23:45 030-170-069 00-0086 PRATT, JEAN 1142 M[DDLEHOFF LANE, OROVILLE CONTR: BEN BELASCO GAS LINE i of OFFICE COPY Address GAS GAS e7 -4 Meter By— D4��' _e ELECTRIC Meter By---. Date COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION•ANDPERMIT -- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER PRATT TELEPHONE 33-1413 SO, Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1142 t-11DDLg]OFF IN. OROVTLi.E 95965 C�yOp�N,�f RACT��OYYB'S�� N��AyyM..E Bid.Y fSIE TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1142 MIDDLMFF IN OROVIIIE 95965Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex 05 Mobilehome ❑ Other SPECIFY - Solar or heat pump water heater 23.00 Water piping 15:00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE Gas piping system 1 - 5 outlets 15.00 Building sewer - 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 O*OVOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) -I C3 1, 1 certify that in the performance of the work for which this permit is issued, I shall ' not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� X Date Signature of App'Iicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 9 Main Service TO ,000A 46.00 W:I200A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT; NONON.aOE,sID.MULTTOCITCET 97.50 FSINGLE OUTLET OWER AFFARATuCIR.s OUTLET OR FIXTURES Ex. Occu BA2' p I:so Ex. Occup. Ounces p D,GE', 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD I HD SU 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. r By k. Date • r PERMIT EXPIRES ON 1 Date Receipt No. % q Ar -1 WHITE-D.D.S.-B.b. r CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT No. (Rev.12l9 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 030-170-069 ZONING 1 BUILDING PERMIT OWNER :JEAN PRATT TELEPHONE 33-1413 SO. FT. OCC. BUILDING VALUATION . OWNERS MAULING ADDRESS 1142 MIDDLEHOFF LN OROVILLE 95965 BMgnlpyE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1142 MIDDLEHOFF LN OROV Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex CK Mobilehome ❑ Other sFEclFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE Gas piping stem 1 - 5 outlets 15.00 500 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600R LES Main Service 2IIA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00so 9CU000A NEW CONST. DWELLING OCCUP. SO WE OR ADONS. ( & ACC. BLD S. 3.5¢FT. NEW ReSID. MULTI.OUTLETcTS @7,50 APPARATUS b SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occu OUTLET OR FIXTURES BAL- @ .sI MD APP Ex. Occup. oirri .=.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with a provisions. X Date Sign a of �icant - ❑ Owner ❑ Contractor ❑ Agent A A permit is required for excavations over 5'0" deep and demolition or construction of ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ TD. FEES IMP I FLOOD I COF PARCEL PD I HD I SU 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. ate PERMIT EXPIRES ON —01 Z(Date) Receipt No.5( WHITE-D.D.S.-F.D. CAR -AR - SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ',NK-s."'7rr'iY"r'+� �r.+�....c .. ,.aJ;vT i�. :.��wi �•a` <L'Y� 'Vs t " t ti � ;�s Y�zr �;np�i'�yi ^gsp�it��t 3 :S'w.. v.. �.;w„'X ^TJ'..f"t?•�:�^"`.rni'Nf,'4� Pi's c'�,gr F'J.1'°�s`( r -y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE R Nc (Rev. 12J96) APPLICATION AND PERMIT `"6 M36APARCELNUAlER D 36-176—c /_ � (i� zomm BUILDING PERMIT owNER Tc«3 I / 13 �-t SO FT OCC. BUILDING VALUATION owNEua n'S ANaAD 1M c Q oL h Pe Z N p OOMRACTOR'S INA! TE PHONE CONTRACTORS MALM ADDRESS ' CONSTRucrioNlE/DER ' LENDER'S AN UNG ADORESS Fireplace Total Valuation S ARCHITECT OR ENDINEER utEME NO. Filing Fee $ 20.00 ARGfTECT OR ENMEM S MMU N0 ADDRESS Permit Fee $ Plan Checking Fee $ BOLO OAD0A Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUEDIV°IO"9 W4! PARCEL YM PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE plex O Mobilehomer BFECAw Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas venter heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utl6ties O Instaktion O Describe Work: (!:^P Other O Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service oa ORmss 23.00 ...... -- . Main Service 200A TO I000A 46.00 NEW CONST. OWEi1Mq OCCUP. 3.Sdso. OR ADONS. ♦ACC. BIDS. NON•RESID. MULTLOUTIET @7.50 FOMAPP 6 9VIOLE OUTLET d0. EX. Occup. OLTLET OR FIXTURES 200 1'00 BAL C& .70 D A"1,119 OR EX. Occup. OUTLE,s M,,64 EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEN: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES 7�0 cof pARC0. p0 HD f ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date I er over Q c. PERMIT NO. — PERMIT EXPIRES OWNER JEAN PRATT CONTR. MAT13PY ri ASSESSOR PARCEL in -17-69 LOCATION 1149 Middlehaff Lane, DRav;11e Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) ' Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,'Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 I 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE L aL = OWNER PERMIT NO. A routine inspection. indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining,to•this matter, or. need additional explanation, please contact this office immediately. s Inspector Date '"•S AL1 �' = OK D = Not OK Applicable =Not Applicable RESIDENTIAL Jingle and Duplex) - = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. O.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 57. Glazing Area-Glass,Protection-Skylights-Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -61 Date 67. Stairs &Rails Card -131 Date Card -61 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance=ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights &Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75, plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -61 Date Card -61 Date 92. Roofing Certificate Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) I• a _ OK, 0 = Not OK - = Not Applicable • MOBILE HOMES" MISCELLANEOUS,,''- ISCELLANEOUS;.'•Date = Not' Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks=Easements;'- ning Requirementoi:-.Setbacks-Easements 2: Soils; Special MH Support -Sketch.-, AZ&oti i: 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. DeGcs Girder and/or Jois ecking-Bracing=Sys-Rards- 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ P'LPG i 7. Utility Clearance 7. Elec. �- 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses to I `10. 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -B1 Date Roof; Shth Roofin 9- 9 l -'Card-Bl Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date- MOBILEHOME INSTALLATION (Plans)'OK except #'s 1. Zoning Requirements -Setbacks= Easements ' Card -B1, r Date ' and -B1 Date _ 2. Footings; Size -Spacing -Marriage Line Card -61 , Date Card -B1 Date' .- 3. Gas; MH Test -Demand -Valve -Connector " 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK, except #'s 5. Drain; MH Test -;Fall -Flex Connector, - 1. Setbacks -Easements ' 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability .'t,7 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool. Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles'and Lighting, Distances-GFI 10. Cert. of Occupancy 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'-circulatirig'Equip.-Pool Lghtg. Card -131 Date Card -61 Date Boxes-Enclosures-Panel boards- Ins. to,Main in Conduit Card -81 Date Card -131 Date 9. Health Department Approval ^ 10. Plumb.; Cir. Test -Water Supply Test y Card -131 Date Card -131 Date16 ' Card -61 Date Card -B1 Date .• yi, M S - •.f h � t:1 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS PERMIT Telephone: Telephone: 916/538-75 APPLIC`ATIONTAND PERMIT COUNTY OF BUTTE - DEPARTMENT 0F ASSESSOR PARC BE ZONIN BUILDING PERMIT OWN ,^ Y TEL' PH N ' S0. FT. OCC. BUILDING VALUATION OW M ING A RES ho nn 0Yb v I CCN CT R'S NAME -e e V1 C TELEPHONE CO R TO 'S MAILING ADDRESS Fireplace CONfrFYUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH1JTE7CT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS GG fl Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 V C 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[]- MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ R� ondel ❑ Utilities ❑ Installation ❑ Other � Describe work: I/ u & ' �� �C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 8001 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.pII 'h2Sgft OR ADDNS. 1 ACC. SLOGS. /I NEW CONSTR. TI -OUTLET 2.50 ea NON-RESID .BRANCH CIRC ITS IPOWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCup(OUTLETS OR FIXTURES 20050! DAL090 FIXED APPLNS. OR \ EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ 2J 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 liabilities, judgments, costs, and expenses which may in any way accrue agai said County in co quence of the granting of this permit. X Date /_ /I_=- � l Sig t re of Applicant – Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in fight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCO P. CON ST.TYPE 71FLOODIPARCELI PDND IS9Uall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY—Date/--/ PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS a�� p..4 c9 Receipt No. 3 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT MW �. .�+>"7..v"'..`^ .fTc::r�"r-�.'^:'.-'_ y'`,rFr`....ti..T.-rs✓..+..-..+�.`�,�.-+'...r�'�lt.l7T`�p1`"w.'"'"�'tir�t�i�.itiy�l.44"'vp•.-r}�+1..v}r,jv Epi rrsv+'.� ..�_.. � .. � - � � J M... COUNTY OF BUTTE - DEPARTMENT OF„PUBLIC WORKS - BUILDING�DIVISION , 7 COUNTY CENTER DRIVE - OROVATLEreALWWORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET t� Permit No. V � OWNER Q' A. P. No. Proposed Building Use On 11 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ ..........................t. 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... B� ld"i�g Inspe tort to (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21.' Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. 44 Telephone and hold for pickup at (")ZC2 office. Deliver w/inspector. 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--mal I counter by date Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date Plans checked by Date Plans approved by Date — Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, 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) signed an application for a building permit for the proposed work. I. I have contracted with following person (firm) to provide the proposed construct'on: Name Address City Phone C o—Trtfactors License . 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 I 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: y � Property Owner Social Security N r 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. NOM—Ali tvf,3for-,t!s-,9t'Worl:mc'nr.iiip-Slio'lI Se'*jn Accordai:co Yfiih Go.. -)..:I FracEcos and of a quality prescri!:ed for tri I zpacified use in the Uniform Buiiding, Plumbing & Mechanical Codes and National Ell co cnelp- This sel' of plans enil spernf;rt--,fions ft-IUST 6 kept on the job of all firnes and it is un!n%vf,,l make any chan'aas oll'alferation: c -n same without . r iften permiss' n " -crn the Department of Public 10 Yt \orks, Courif), ef Vul-la. A m the Pl,C;l7.)crty lines and a setback P road Ococ"werime shall, be -clear of structures or equipment . except ovehang.) for a 2 ft- eave r penn,[ v,(jlI he requi Md for ifid —71771 F -a -C 8�stallation of the Polailellome.; Utility connections shall be wJthln'_ 4 ft. of the mobilehome, either directly behind or within the rear half 44fte7- of the ID moLilahorne. i QQ 1� . > MOBILE I-107vir, f-JU.., BEAR F-11 - S Br A Tbf the mo me" � A b Q ve �as+e,Vs 0 I. 4078-88B PERMIT NO. PERMIT EXPIRES/,�6 Fx c��� �. JEAN PRATT OWNER CONTR. owner ASSESSOR PARCEL 30-17-69 LOCATION 1142 Middlehoff Lane, Oroville q�LO/T Aab a Is, 0, If Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature '� .._ • << . .. u'k'. . s' � .''�� '' .�. , . � � ��J' � dnA L 4 ���Rh� � t < :it. ._ 4`..1.,4 r, '�M. 4'. n� � 1. �' . y� i�! '� ,. .. _ � :} _w y. �. , ,. � i '�� ��'i8 � .. 'f � � � .'yti .Jy r. 1 I s. �-� � S _ .:� � ,I i w �� f :. �� 4 � I .F �• � � i ,� • � _�Y T�1 . r -� .� . � r ` � � � a + �e � ) - � ♦ � �.jr �fyM e V �r ��/ �:. T ,jy4� -� t+ 4 �ry ' r`~ � � n. .3 � �� � � A.. ' 3i, � °'�� .+��. } .�}p.� r . r OK. 0 = Not OK = Not Ready yable 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-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME 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 Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -81 at _ r -81 Date Card -B'1 Date Card -131 Date 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date Card -61 Date Card -61 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) ,. - =Not Applicable _• Not Ready • t. . Date UNDERFLOOR (Plans) OK except.#'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth _ 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/.. /"Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O-Sewer.Test 10. Gas Pipe; Size -Anchors r 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples" 15. Insulation Card -B1 Date Card=61 'Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail -Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd,Floor-Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit)'OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -Bi Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel;.Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & D6ck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No $1. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 64. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -81 Date Card -131 Date Card -61 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) J' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0 KPERMIT O,_ / 7 County Center Drive - Orovilla, CalifBrnia 95965 -Telephone: 916/538-- 7541. oy APPLICAT10K AND PERMIT ASWSSOR PA CEL NU BER ZO�G BUILDING PERMIT D TE EPH NE SQ. FT. OCC. BUILDING VALUA ION OWZED MAILINGDR S / - `/Wvt 009v` ZIP t_A/ C N7 AC OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ , 5 $.� .� 57 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ` Permit tee = 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❑ Mobilehomey 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�nl❑, Utilitie ❑ I stallation❑ Other Describe work: _ K.� YI (�(f Sr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 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 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 Main service EA. ADD'L 100 AMP 2.50 y` NEW CONST. OR ADDNS. ACC. DWELBLING OCCUP.LDGS. / ,h2sgft NEW CONSTR. R=I.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS S (SINGLE OUTLET CIR. ) EX. OCCU OUTLETS OR FIXTURES P 20®50teALo30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 9 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 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 theCountyot 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 Iia ' I s, judgments, costs and expenses which may in any way accrue again said County in conse e e of the granting of this permit. X Date Signa re f Applicant — Owner Contractor ❑ Agent ❑ An A 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 $ SC oceuP. CONsT.TYPEJ ISCHOOLNOo PARCEL PD NO IesuE This permit is hereby issued under sions of the Butte County Code and/or \Mork indicated above f0 Which fees 1 CTO F PUBLIC BY PERMIT EXPIRES Date _ the applicable provii/ resolutions to have been p' WORKS Date— r ZZ Receipt No. 31 dol WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT_OF PUBLIC WORKS BUILDING DIVIISION i r ~ 7 COUNTY CENTER DRIVE - OROUaIL�LE,'pONA 9f5965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER h A. P. No. Proposed Building Use 6YI911_ 4 00 C k 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.....'... ��_bomplete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) _ 8. Mobilehome installation data including manufacturer's installation instructions .............................. .. .................. 9. Fees of $'....................... . 10. Chico Urban Area fees paid .............. ........................ 11. Park fees paid ........................... I ..................... 1,2. School District fees paid ................. 3. Sanitation approval from 0 , l I .a � 1 Health lth Department Tyj D- 14. City of Chico plumbing. permit ........... �,..................... 15. Plot plan and business license approval fro ,City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ....... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to"occupancy) .., 19. Pre -Inspection for required ... S Pre,rnspec. request to '~ Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. _ Deliver w/inspector. Other ` Copy of plans sent Applicant Health Dept., Fire D The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: Date _ a Other Date ssuance: (Circle new item not checked above). 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 —ma ll—counter by date 1 Plans checked Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date `" is COMPLAINANT ' V �Qe©GC k27�r #. V. ADDRESS.'' k PHONE NUMBER:;` 'OTHER COMMENTS: 1 4 �• i i. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have /tom) 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 Num r - - 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. 34. NOTE:= -;/AO -1061 -FTI is & Wo'rl;i;�croship Shell Ge in i�1Ccordc!i:ce WHI, f�ec�yc;;�i_'o�l_��a,;�1 rractices and of a quality prescri ed for f6 Sp3cifiej use in the Uniform Buiiding, Plumbing & Mechanical Codes and e National Electrical Code. ons h' US pr -on rne-ioA=ar=c�ii=T-i�-r�L�s=and�rr�isun!n�vt�i�t� akP-rnyLLchc�nctss,or-�yi#-e�c�tien_-��n-srrne v�it�ioui itten permission from tho Department of Public ,pries, C purity of F3uHe. � sP'I•b�y��m'the-� kc,l2crty L(ne�nd� Sa e beck cl f 5 0 f . ( roa eon er ine sl alr cclear of structures or equipment except for a 2 ffi. eaVe overhang.) , m�2 of P-44 frr56n�'✓ permit' will he requirred for We Anstallation of the moWelhome. . Utility connections shall be within 4 ft. of the mobilehome, either } directly behind or within the rear half cf*m-rmi dstde;{le ) of the mobilehome. i MOBILE HOME' f-Jul"'T i BEAF1 ..._....._.. _ ..._......_ _ _ ..,,..a.�. ivy �. � . . _..... _ ate• a.NO@ I Wa CVT TYF r T FRMNO.a CLIP 'STRiNGER. 2'x12" STAIR -TDF VIEW HRUDVAIL NOT ISHOWM FOR b-Rg(TY. A� r 3/81 BOLT C, i R F) E R S' — I`/s" TiiS FTYWOOP CC EXT. LI C G- U A -M2 R A I L KA. A V Ljj � 'I,: > �9 rI*Ir, r %II I I r - FOOT /"6 MOBILE HOME OR Y .0 4(0".• 4F KFL. FRM1) LIP (ER.- PE �4 MAX. q,MIXL A -, 12 IV -4 4"X4' POST—,• 2' v IV #'ZDFzo z 2'x4„ PRESSURE (2) 3/S 7RfA 7rD R DOLTS .-RFD WOOD PLA"Tb- �-;-T IRX 4'x,4" POST 9-25-87 A DEQU4 TE D LAC, DNA L BRACING. TKPICAL RESIDE-Imw 47,-,rps COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 sum quiLIDING c um v d Return to DPW AGRICULTURAL STATiMINT OF ACKNOWLEDGI;MLNT r FOR RF,SIDENTTAL Dl, Sec 16-8.1V1LOPMi:N'T ' of. the Butte County Code requires this acknowledgement be recorded prior to .issuance of a building permit. ; 1313-024286 ; R e c Fee 7.00 The property described herein is adjacent I Cash 7.00 to land or :included within an area zoned Recorded ; for agricultural purposes, and residents Official Records ; of this property may be subject to incon- County of ; ven.ences or discomfort arising from the Butte ; use of agricultural chemicals, i.ncl.uding, Candace J. Grubbs ; but ,Tot limited to herbicides, pesticides, Recorder ; and fert:il'i zers; and from the pursuit 11 : 49am 26 -Jul -88 ; BG 2 of agricultural operations including, but not limited to' cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ;,;;riulll Lural zones which have as a priority use for productive agricultural purp6sr.s, and residelli:: within sa i.d zones and on adjacent property should be prepared to accept such i nc t,nvc it i <.'iit r or disconform .from normal, necessary .farm operations, All that real property situate in the County of Butte, State of Cal.:iforn in, do sc'r i hc'd ;Is fo.l.1.ows: ---- Commencing at the Southeast corner of Lot 14 of the Topham Tract, according to the Official leap thereof, filed in the Office of the County Recorder of the County of ButteState of California, November 14, 1908 in --lap BoQk "6" , thence South 1° 20' !Jest 1320 feet; thence' South 1° 20 eEast 326.5 feet; thence North $90 41' East 1247.2 feet -to a point; i thence South 00 19' East 71.0 feet to the true point of be- ginning of this description; thence South 0°,19i East 166.0 f feet; thence North 890-411 Last 435.6 feet; thence South 0° 19' East 100 feet; thence North -$9° 41' East 385.0 feet, more or less, to the '-'-est bank; of the Feather River; thence North- erly along; the !Vest bank of Feather i<_i'ver to a point Which bears North 890 41' East from the saidtruepoint of beginning; .,-thence South 89° 41' `Nest $00 feet more or less to the true point of beginning, t , TII REFROM that portion lying; within th eland for County Road. herFtofore conveyed by deederecorded strip f iBook "$6" .of Official Records gnty, California. 9 page 313 records of Butte r•, , r — i 1 .. 7 FIN f � Y TA • lir. a ;1 Slate of: - ) On this the day of 1. bel' ,re IIIc,, SS. the undersigned Notary Public pe so lly appeared County of ) c/ "'�� Personally known to me. OFFICIAL SEAL � Proved Lo me on the basis • PATSY L CARTER of satisfactory evidence. • NOTARY PUBLIC - CALIFORNIAt be the person(s) whose name(s),- BUTTE COUtM M. bscribed to the within instrument and acknowledged Lha I. g � . �y azmn�w. eagires �mv 23, 2942s ecuted the same for the purposes therein contained. IN WITNl;tiS ism>� WHEREOF, I hereunto set my hand and official. seal.. Present A.P. No. —t7_. Notary ublic 7 FIN f � Y TA • lir. a