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030-211-014
T MAY VAN ORNUM, 0-211-14 879 HARLAN two • A VE.i OROVILLE 0 ..,ERMIT #5488-75P(INST.-SEWERLINE) 444, ,�,30-2.11-14 B07-1684 030-211-014 MISCELLANEOUS Contr: Custom Exteriors, I c n A- Exempt AG BLDG TO SERVICE ORCHARD/G/ , ac ) Permit#1169-81B(install siding/SF 879 HARLAN AVE LOWERY, PHILLIP G 30-211-14 Contr: Superior Electric Co, Oro I Ville Permit#1254-81E f. .E( ele ser )SF 30-211-14 Pe it#323-85P E-(util , M) ELE G HE 'PORT STR, CTURE REQ COMPACTION REQ___:-�� 30-211-14 3/1/ Contr: cific Modlilar Concepts Permi 99-85MHI -030-211-014 PERMIT#98-1364 VA14ORNUM FAMILY TRUST 879 Harlan Ave., Oroville Cont: f Ben Sparks Le Remodel Bathroom/SF 003-211-014 #98-1662 VANORNUM FAMILY TRUST, 879 HARLAN AVE. OROVILLE BEN SPARKS,-'1_WX6 RAMP AND REPAIR STARIS B0810966 030-21,1-014 MISCELLANEOUS Wood Deck REPLACE EX AS BUILT DECK (320) 6 879 HARLAN AVE LOWERY, PHILLIP G j -- `y^ --- ---\ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 879 HARLAN AVE Owner: permit No: B08-0966 APN: 030-211-014 LOWERY, PHILLIP G Issued Date: 05/28/2008 By KEJ Permit type: MISCELLANEOUS 879 HARLAN AVE Subtype: Wood Deck OROVILLE, CA 95965 Expiration Date: 05/28/2009 Description: REPLACE EX AS BUILT DECK (321 (530) 533-8975 Occupancy: Zoning: AR Contractor Applicant: Square Footage: JEFF SMITH CONSTRUCTION JEFF SMITH CONSTRUCTIO Building Garage Remdl/Addn 1508 EUREKA RD 1508 EUREKA RD ROSEVILLE, CA 95661 ROSEVILLE, CA 95661 (916)303-3535 (916)303-3535 Other Porch/Patio Total 320 320 FEE INFORMATION DBMSC Deck -Open (Wood) $164.00 Total Charged: $164.00 Fees Paid: $164.00 Balance Due: $0.00 Receipt No: B7463 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License JEFF SMITH CONSTRUCTION 634094 / B / 12/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UN R AL F PERJURY that I am licensed under provisions of Chapter 9 (commencing with o 0) of vision 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in full force and of Division 3 of the Business and Professions Code or that he or she is exempt therefrom and the ) p X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 05/28/2008 penalty [$500]; Please check one of the following: C ntr S , ure Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ORKE S' COMPENSATION 'DECLARATION COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HER BY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements A CERTIFICATE OF CONSENT. TO SELF -INSURE FOR E]I are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 713-0020378 Exp. Date: 10/01/2008 Carrier: Po Number: P Contractor's License Law.). (This section nee not be competed if the permit is tor once rFundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calif ia,'and agree that if I should become subject to the workers' ' x 05/28/2008 compensation ro ions action 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. XA 05/28/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws to building Date F UR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, VQL relating construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its offcers, agents and employees from any and all claims and liability for personal UBJ CTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE THOUSAND DOLLARS ($100,0 C IN ADDITION TO THE COST IL COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I reby acknowledge that issuance of this permit does not authorize the DAM GES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of si alk, street, or subsidewalk. I hereby authorize representatives of Butte County toe er ov entioned property for inspection purposes. I hereby certify that I am the property o orized to act on the property owners behalf. 05/28/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 7/0rner70 L0 Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. lk,M k Name OWNER INFORMATION Last Name ,4ou.> PGG /► � [-or► First Name Mailing Addres qA C L 4 City ©inu StateC, Zip9S96 Phone Fax E-mail Lic. # lk,M k Name CONTRACTOR Name PGG /► � [-or► Address / �o � �✓r City Zip State, -4 Zip,s� Phone E-mail Fax E-mail ' Lic. # Class lk,M k Name ARCHITECT/ENGINEER Address CIL' I City / �o � �✓r State Zip Phone Zip Fax E-mail Fax 7/'o S"y State License Number PROJECT LOCA ION API l ' a 1 Property Address Sr7 City in 1 ffe LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name CIL' I Address / �o � �✓r City pen State Zip Ph Fax 7/'o S"y E-mail 1 4 PROJECT LOCA ION API l ' a 1 Property Address Sr7 City in 1 ffe LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning 1 AV r\ Wmd CIL' I c l SRA Yes pen ❑ Structure Built without Permits ❑ Proposed Change of Occupancy 1 (Note previous use): For office use only: Zoning Flood Zone SRA Yes INo Occ. Type Const. �j -- -.._ SITE FAN APF A- of -��e�l�tcen�er►1- i��k SrAiits 32-0 W/,F'A 19� N YS (CAL ZoA'C� CefQ-rck LiNF_ 0 M 879- ��R�RN AVE NSE -* - -.;� - - 4 - - - ZY' ' LE) s+u,c ISS ZsF. Meb�le I F�.p, � SC'_c,,�C'� 1 ► rJe _(E)..l r (E.) 96 SF s►�� 150.5F. SA -01 1 - , -, I s O i M aiexzY W& So �� . LU ulvty 17005F i R VViSj®� rwoRES) DC-ArL- s' .. I ---� {{AAnI AVE �3y�iy ZXg ���le G�cr�er �,s �' �x (o P, T Jo �\ (-urc rsvlfs /YA ill l i : -di 4o g� Z- �� � N�•• I s Galy max$ -� CcoS� &,<4 /4S 1) PCe SS 7f - y ql q Pos-/-FA ��� 11 p P,5e z Y7�xg apt ��P B dC4r 63 yo O OL l!Yv CL o. Deck Part Identification C 0 5S Sec { i v + S� lZ"o,c . ZX lz IZccVWx% Sfr; eye. cS 1. Riser S,> a 6. Bottom Rail M e -(-, 1 11. Post yX q p r 2. Stringer /Z' 0, C, ZX17- gj 7. Baluster jpe4-,+ 0 12. Post Footer / y)(/y x 2 3. Tread 6',hP 8. Decking lyio;o+jW S► e(d 13. Beam )-X$ P -r v os��..�, - I a Fascia 2(I3 W&,jciw 9. Rail Cap ylefa I 14. Joist 2((o r7, 7- 5. Rail Post VX 9 ►ZcjWa j 10. Top Rail /Ile l irc�-�, (7VaCt� IZI , I ZA-wee, Ift*1Vicon+vie Irf J t�-irdC'W'<C- I { x xk-2— 1.aTinti so Z WAS%S -ryP, Major Deck Components NOTE: Not to scale (92007 DIYTechnologies Baluster The vertical pieces of a railing spaced at regular intervals between posts. Beam A horizontal framing piece. which rests on posts and supports joists. Decking The boards used to make the walking surface of the deck.J L Joist A horizontal frame piece that supports the decking and spreads the weight over the ba�00Ledger A horizontal strip that connects the deck to the house.� �t/ Post Footer Concrete tilled hole that the post is attached to. �/'► �s Post A vertical framing piece. used to support a beam or a joist. Riser The board attached to the vertical cut surface of a stair stringer. Stringer The diagonal board used to support treads and risers on a stairway. Tread The horizontal surface of a stair. Bottom Rail The lower horizontal piece that connects rail posts and supports balusters. Top Rail The upper horizontal piece that connects rail posts and supports balusters. . Rail Cap The top horizontal trim on railing. Rail Post The vertical post connected to the deck framing that supports the railing. www.DlYonline.com - Page 3 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538 2140 FAX. GUARDRAIL DETAIL HANDOUT eu"Ic �� gp��Oj�il� U'VY ®VP�A Nailing shall comply with Table UBC 23-11-8-1. Lumber shall be at least Douglas Fir #2 or be F. #2).. Minimum concrete compressive shall•be 2,500 psi at 28 days. (UBC 19222.4) Minimum underfloor cle from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" the finish grade to wood girders or treated wood 1S required. No wood be placed doser than 6i to earth to it is foundation grade or p ure treated. (UBC 2320.13) EIS m'm Top of Deck SIDE VIEW Min. 2x pressure treated ledger Min. 2— 3/8" x'21 -41W" lag bolts or screws. -TYPICAL LEDGER If the deckiporch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally reouired. braced between posts, 4 - 16d nails or an approved post base connection If using precast piers. wet set precast pier into concrete footing 4' Max. " Min. Min. 4 x 4 post @ 5'- 0' o.c. Intermediate rails spacing shall prevent the passage of a 4' diameter sphere. 4' Max. Top of 3/4" clearartce Joist to the edge of �he wood member joist Min. 2 - 1/2" dia. thru bolts required GUARDRAIL An approved post cap connection Girder or connect girder and post with 112' plywd gussett Post and 3 - 16d nails top & bottom $.' Min. i s ----------- 17'x 17' Footing leMin. embedment TYPICAL PIER FOMING . Guardrail 1997 UBC.; Is ��z�F Department of Development Services \vv; 'lla, O �e_'�- o Building Division ° �'�"�'�y 7 County Center Drive o �s.. - -. o oroville, CA 95965 O` —_ O (530) 538-7541 (530) 538-2140 FAX. cot! ®/�C �Vr HANDRAIL DETAIL HANDOUT Z)/V/ ling shall comply with Minim underfloor clearances from finish grade.. ood lols 8"; (., and minimu "from the finish grade to d gird r ated wood is required. Minimum concrete c essive strep 500 psi at 28 days. (tom) Stairs serving 3000 sq.ft.an a rs shall be��+lax and treads 11" min. The dimension difference b en the lest and largest tread run or riser height within any flight of can not exceed 3/8" 03.3.3.3.3) Stair stringe all be anchored to primary structure. Toe subject to withd are not acceptable anchors (2320.13). 4' Ma;- Min. Top of T Top of 4' Max. Deck V Joist Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags, M.B. Muer posts greater than 3 feet in height need to be diagonally braced between posts. _ 4 - 16d nails _ or an approved post base connection If using precast piers, wet set I Intermediate rails a' Max. spacing shall prevent the passage of a 4' diameter sphere. 4' M ax. 4 m -1da 1 -,rj' Mia ill• . - �-,2 m HANDRAILS 1 -1R' A!iM1 Handrail height 34"-38) 1-1 Not Acceptable Girder N. • 6'Max post An approved post cap connection or connect girder & post with 112' plywd gussets & 3 - 16d nails top & bottom ,T 3-2x12 a Min. Stringers r- 12 x 12 footing 121Min. embedment Attach stringer to 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2- 1/2" da. thru bolts required J Min, rex pressure treated sill plate _ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 879 HARLAN AVE Owner: Permit NO: B07-1684 APN: 030-211-014 LOWERY, PHILLIP G Issued Date: 08/23/2007 By TMP Permit type: MISCELLANEOUS 879 HARLAN AVE Subtype: Ag Exempt OROVILLE, CA 95965 Expiration Date: 08/22/2008 Description: AG BLDG TO SERVICE ORCHARD (530) 538-9498 Occupancy: U-3 Zoning: A -R Contractor Applicant: Square Footage: LOWERY, PHILLIP G Building Garage Remdl/Addn 879 HARLAN AVE OROVILLE, CA 95965 Other Porch/Patio Total (530)538-9498 FEE INFORMATION DBOMSCF Ag Exemption Permit $115.98 PW DRAINAGE $0.00 Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B4123 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/23/2007 the applicant to a civil penalty of not more than five hundred dollars [$5001; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required byif n I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED J` CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not be competed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I shoud become subject to the workers'X -08/23/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Sign ure Date provisions. X 08/23/2007 1 hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($900,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authoriz to act on the property owner's behalf. 08/23/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Fernkittee [SI N] Prin Date the performance of the work for which this permit is issued. (2097 civ. code) Owner ❑ Contractor OR. E]Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or aplace of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. InitialsAG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials,T G Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initial AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a esidence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 879 HARLAN AVE Permit No: B07-1684 APN: 030-211-014 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A -R Description: AG BLDG TO SERVICE ORCHARD/GARD: Required Setbacks: Applicant: LOWERY, PHILLIP G Front: Side: 20' Rear: 20' 879 HARLAN AVE Type of Construction: OROVILLECA95965 (530) 538-9498 Type of Siding: T-111 Owner: LOWERY, PHILLIP G Est. Const. Cost: $ 6,900.00 879 HARLAN AVE OROVILLE, CA 95965 Roof Covering: Compostion (530) 538-9498 Floor Type: Wood I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and btain the necessary permits, inspections and approvals to comply with the requirements in effect at-tfia�t*.a�d,prior (0—oc-C114pancy. Signature of COPY Date: 08/06/2007 BUTTE COUNTY p�����0 DEPARTMENT OF DEVELOPMENT SERVICES ,� ° BUILDING PERMIT APPLICATION o ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c=W a° A FEE WILL BE REQUIRED AT TMIIE OF APPLICATION Website: www.buttecounty.net/dds c00N-1 **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name 2 Name Q £ 6 Address First Npe�� // e Mailing Address 7 U F— Citynze !/ Sta;?�, Zips GS— Phone quo Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name Q £ 6 Address City Addfdss State Zip Phone Stale Fax E-mail Lic. # E mail Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name /7— G� r Addfdss q Zips. r City Fax Stale Zip Phone Fax E mail State License Number APPLICANT INFORMATION Name ,> j / •/ 11.) Coe / i Address S 7 / cy •Stttaaat City C94 dz,41�i q Zips. r Phoned 539, Fax E-mail 64tPPLICANT IG ATURE PENT NO. � 6.74W - BIN # . PROJECT LOCATION API .46 -. Property Address I /2 nCVZ City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: se ale— Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone Occ. Type Const. SRA I Yes 6NTUFF'S H*E'D' Kevin evm McDonald Storage Buildings a Garages Area Soles Manager 3200 Orange Grove Avenue North Highlands, CA 95660 mobile: ;530-354-9000 toll free: 888.883-3143 focsimile: 916-483-8868 email: kmcdonold@tuffshed.com ZI 31; 4:9errc� 2 S/a�tf i - AWT PERMIT NO. ✓15f2�;E(HH) PERMIT EXPIRES GLEN & MAY VAN ORr3UM # OWNER owner CONTR.. 30-211-14 ASSESSOR PARCEL LOCATION 879 Harlan Avenue, Orov .11e Address OFF'CE COPy.. GAS Meter BY,ELECTDat �cMeter Meter By � Oa te3—/Y� • Temp. Power Pole I Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service E Called PG&E I JOB FINALED (Date) / Signature J = OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES � 1 MISCELLANEOUS Date MOBIL OME UTILITIES (P ns) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s V,��qp,ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3 Sewer; Location—Test—Fall-C/0—Concret 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails P-wrter; Location—Test—Easement Needed (Sketch 4, Wood Awn.; Posts— Beams— Ritrs.—Connec.—Shthg.—Rfg.—Bracing _ 1-,fftricity; tion—Clearances—Grn .—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; L ion—T —W "L"ft./ "Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance t7. Elec. C &'(dBIDate ��' Card -BI Date Card -BI Date Card -BI Date Date ,jDaCard-BI Date Card -BI Date MOBIL ME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s . Zon_jpq Requirements—Setbacks—Easements ootings; Size—Spacing—Marriage Line 1. Setbacks—Easements 2. Soils; Compaction—Structure Stability as; H Test—Demand—Valve—Connector ectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI ain; MH Test a Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed . Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xit nsp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card,134 Date and -BI Date Card -BI Date Card -BI Date C d B -I Date i Card -BI Date Card -BI Date Card -BI Date n J t = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL'(Single, and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. 74. 75. 76. am -Looked in Attic ❑Yes Insulet ion-Foo Deck Construction -Post Caps Guard Rails Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-R_fn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat T 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' ` 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE, nWNFR 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 ma� or need additional explanation, please contact this office immediately. Inspector aO:r�� i� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27b1, 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. I Inspector Da Date�� �l 6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 2 1sl- 5'% foor,the following location: sr Owner f' Owner's Address Mobilehome Mfg. 1d�;_• �-- Model �'' '� '� ` ' Year L� - Nay;' Insignia No. I S Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION' AND PERMIT PERMIT NO. J ASSESSOR PARCEL, NUM / ZONIN BUILDING PERMIT W ER rV1 cla� � TELEFSH E .� SQ. FT. OCC. BUILDING VALUATI N W 'S MAILI G AD RE'S r vis Oro ON tiACTOR'S NAM FE t� TELEPHONE CONTRACTO 'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ _ LEN R'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / IT - ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ j� j ; Q BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[j� Other 7� SPECIFY Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesIK Installation❑ Other ❑ Describe work: `////���� — 1 ° Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 !Q` 100 AMP OR LESS on -I Mel 11.1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.& OR ADDNS. % ACC. BLDGS. 2°/20sgft 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 CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20@50C Ex. Occ Up(OUTLD OR FIXTURES 30gt PT' FIXER Ex, OCCUp. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments osts, and expenses which may in any way accrue„,] agai st aid Cou y,' nseq ce of he granti g,�o/fA his p it. 'v Date to nature of Applicant — Owner Contractor EJAgentwork An OSHA permit is required for exc�av�`aIi— over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. GROUP I TYPE OF CONST. PARCE 15SUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIR OR OF PYPLIC WORKS By Dat PERMIT EXPIRES Date Receipt No.���7�`i WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT THERMALITO yIRRI.GATION DISTRICT 10 410'GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 •1690 Ref: 055 V - CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 879 Harlan Avenue Owner's Name: May A Van Ornum Date: 2/6/85 Address: same Acct. No: (11 083500 A.P. No.: 34 211 14 Phone: 533-3587 No. Units: Adding 2nd U Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20 89 Arrearage Preliminary Review By: Date: CSA 26 gin. �n Remarks: SC -OR 900 00 Customer to upgrade .to 4" line on property 1st mo. S.C. Must install a claanout at the property line. Other SCOR.Regional facility charge and CSA#26 Connection r _ sewer collector system. Total Fees 1,47] .;00 Collected By: Date: Field Review By: Date:Remarks: MONTHLY 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, 13974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID RECEIPTf 'n 7 OFPCIALRECEIPT COU;NTY OF BUTTE DL;PARTMEN-T•OF'PUBLIC WORKS 7 �� j�A q1,A -7 />Lr LANG' DEVELOPMENT SECTION' /r ISSUED S,V Z- r ' BARBARA A. L.OWERY CDL N6334795 2 2' 7 845. LONG BAR RD, 534-7619 OROVILLE, CA 95965 .,. fr ' r c, 90.2067 12 t i PayT6The I• , , t r Order Of'� � `is n Dollars e'tral Ban Uro Uam UBiccr' t' ; x3626 Oro Dam Doufevard �.: !Qrovil .c, California For. 7 - -.. -- 24,44 • pYC[IPT' :TOTAL T[NYATLV[ -CMSCM! STREET FUSLIC COMP• PIRG 'OTHER APPLICANT Ri CEIVED 'F.ROM. • v'AT[. h0. RCZSiV[D MAP[ SR�i INSECCT SIGNS - OOCUM[NTS LIANCS MYORANT RECEIPTf 'n 7 OFPCIALRECEIPT COU;NTY OF BUTTE DL;PARTMEN-T•OF'PUBLIC WORKS 7 �� j�A q1,A -7 />Lr LANG' DEVELOPMENT SECTION' /r ISSUED S,V Z- r ' BARBARA A. L.OWERY CDL N6334795 2 2' 7 845. LONG BAR RD, 534-7619 OROVILLE, CA 95965 .,. fr ' r c, 90.2067 12 t i PayT6The I• , , t r Order Of'� � `is n Dollars e'tral Ban Uro Uam UBiccr' t' ; x3626 Oro Dam Doufevard �.: !Qrovil .c, California For. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orbville, California 95965 - Telephone 916/534-4541 APPLICAtIOU'AND PERMIT PERMIT NO AS SSOR PA CEL NUMBER c� a- -/ - ZONING BUILDING PERMIT ' X,4t T EILP PHONE SQ. FT. OCC. BUILDING VALUATION RESS 0/0 V o.v RCONSTRUC LEPH/°.NE SSS NG ADDRESS PA -r i,� 12- l-j''� Fireplace R UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAIL IN ADDRESS Permit Fee $ ARCHITECT OR NGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT O ENGINEER'S MAILING ADDRESS Permit fee $ BUILD DDRESS PLUMBING PERMIT F'IingFee 10.00 _ Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.81 OR ADONS. ( ACC. BLDGS. 1 / Zh¢sq ft CONTRACTORS LICENSE LAW I declare u r penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®s0a and Profess' s C_od a d_my license is in full force d effect. (�1 License No. • , Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea No N.RESID BRANCH CIRC ITS. NEW CONSTF POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES DAL@300 EX. QCCUp. FIXED APPLNS. OUTLETS (RESID,) OR 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): ❑ T mit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Li en a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating tokt uilding construction, and hereby authorize representatives of the Countyot Butt o enter upon the above-mentioned property for inspection purposes. 1 also a ee to save, indemnify and keep harmless the County of Butte against all liabili 'es,f dgm nt costs, an expenses which may in any way accrue against sai ty i co sequence o he granting of this per it. X Date Signature f Ap Iii ant — Own Contractor ❑ Agent ❑% n OSHA p It is required for excavations over 5'0" deep and demolition or construct- I of stru s over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q �i OCCUP. GROUP TYPE OF CONST. JPARCEL[ PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whic DIREC F P LIC '¢h BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. A WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - BUTTE COUNTY DEPAFaVM OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. - PHONE: 534-4541 MOBILEHONE IMTALLATION SHEET 1. Owner's name: V A)- 2. Installer's naaie:�- 3. "Is 'the site currently under permit? Yep = No (If yes, furnish permit number ) •Zs the site an existing site? Yes No DR - R (If yes, furnish two (2) plot plans.) 4. Will the mobilehame be located at least 5 ft. away f om septic tank and leach fields and '=clear of all setbacks and easements? Yes / / No --- — -- --(If no, -clarify - ) ( ) 5. What 1s the mobilehome electrical rating? ----------------------- uo Amps 6. What is the mobilehome site service rating? --------------------- by Amps 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be'served by the mobilehome site service? ._------------ --------------------------------------- 00 Yes L—L No Amps BUTTE COUNTY, BUILDING DEPARTMENT. - APPROVED (I£ yes, identify the load and size: (Load) (Amps) 9. What is .the mobilehome site gas pipe size? --------------------:; ,- 1��(in.) -'110. 'What is the type of gas service?'------�---------------------- 'Natural `LPG 11. 'What is the gas pipe length from meter or tank to the mobilehome? gy � f _(ft.) 12. . What is the mobilehome gas demand? ---------------------------- - _8/,Do o /6(a2 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY, BUILDING DEPARTMENT. - APPROVED n If other than single wide Mobilehome MfrXf A9 ,01 OA) furai"sh• Setup Model No. /✓I, e .),QTTe,_ Year pidth(ft.) Box Length (ft.) Tagalong or Expando Size Box ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehames manufactured after October 7, .1973, furnish manufacturers installation manual and structural setup sheets (if not on file with the County of Butte). All cent supports measured from front of b. mobilehome unless otherwise specified. Tootin '(check one) -Single 1. Hood either A. pressure treated ox foundation grade. ft- Other. (specify) _11 Al Center s pport Center support Supvorta.�:icheck aae ) locati ns* footing sizes q(in') :. Concrete .block. xj �s D -2._ Other. (specify) (f t\ (in.) (in.) (in.) *---Tagalong or Expando,' show support details. CIO (ft.)(in.) (in.) (in.) J - x�Z -- Typical Support (in. (in.) Footing Size .(f .) (in.) --,Max. Pier Spacing (ft.)(in.)K. —�O -- Max. Overhang (ft) (in.) (in.) (in.) *If center piers are --they than drawn above, draw in -locations, spacing, and dimensions. ---, ,,,,,-mow E •�. �-.�. '' ..,:..,, o P 1 —7'y' ;`� 1"sw!"" ,� 5 . .i 1< J' 4r = ... F;{L i� f' !! c✓ ! r' F) . . /—�n.�J".,.,.,'�'.r.. �. -1 ,:t�4...s.',.. Y�s_f-�:.:;h f..'" r�E✓'_. (J.�y' F ✓�.J •a✓�`[ �=t . PLNA � 1 �•� . NI i IG COPik!I.JSION ' 7 COU NITY CENTER DRIV-F — OROViLLE-, CALIFORNIA: 95965-3397 PHONE: 534=4601 F` ebrLrary 8 ; 19-8.5. CE:RT:IF.IED MAIL,. IMay A'. • Van Ornu:n. P'.0 Box .2052_. 0ri I -I e; CA 9595.5 Re:.. Use Permit, AP30 21-1.-14 bear Mr,s:. Van- Ornum:. In.closcd is your validated Use Permit. No. 85=337 to allow -a second -dwell:i.n.B on property zoned A -R l.ocate•d on. the west side of,Haxlan Avenue, 900. feet south of 07•o Da.-(? Blvd.. hest.,. OrovL-lie. :. Shbbl-d yo -u have.-azl:y questions; . please :Feel :Free to. Contact, this office. Sincerely, B. A'. Kirchier Director of Planning. BAh/ss Firclosure ' cc: Dept. 'o * f Public I-Vork-s (2). -r En.-viron:me-ntal. Health. Den of Fo.rest.ry . mac.—.t..4 w....r._7...- .... .... . r: _ '..L.... i-... -.. _ .. USE PERMIT BUTTE COUNTY PLANNING COMMISSION t DATE - s _«,, . x. . , ' ....y (Registered mail receipt)' • 85-37 •• PERMIT NO. We 30-21-1-14 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: May A. Van O num NAME is hereby granted a Use Permit in accordance with application filed: 12-11-84 to allow a second dwralling on property t.©ned A—R (Agricultua.l date Rusidantial) located on the went a,idp of RArl mi Avrrfup . 90CI foet youth of ()rmo Tfrm Riva , wf%iQt . arnvi i } ea. 1 Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within. 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. JV_, — SPECIAL CONDITIONS: 1. Construct: drivevuy cutrance to Butte County standards. 2. Socond dwelling to connect to Thcsrtsulit:o Irrigation Fri.; tr.ct Ue er t:atpr nervice. 3. The mobil -3 hctue is to be certified under the National, Mobil* Hotar. Conntruc4ion Safety Stnndardc Act sof 1974 (42 US Sec. 5401 at vaq), installed with or vith— out: a foundnt:ion system pursuant to Section 18551 of the Health and Safety Code. 4. APPlicar.t' ruat: 0.90 comply with all other applicable State and local sLatutan' ordi.nancca, and regulat:iono. I hereby declare under penalty of perjury that I have read the foregoing conditions, . that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to.abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGISMENT FOR RESIDENTIAL DEVELOPMENT T t • E c;,OUNTYr`eG:A:... Section 26-8.1 of the Butte County Code requires this acknowledgement i0�. f�.L►i?�.; be recorded prior to issuance of a building permit. �AY'S� T SHOWN The property described herein is adjacent to land or included FEB within an area zoned for agricultural purposes, and residents of this.{'hldli,; �.:.: L `•` I' property may be subject to inconvee-tences or discomfort arising fromC�t:RK-1•f.:Ciltl.'L�� the use of agricultural chemicals:, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County"has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Baal_tttp t All that certain real property situate 'in the 8�ountf—of Butte, State of California described as folloaas Lot thirty-five (55) of Howard Subdivision of part of Block numbered 157 of Thefmalito, according totheofficia map of said Howard Subdivision filed as of record in the office of the County Recorder of the County of Butte, State of California, July 25, 1927, in Book 9 of maps at page 3". Date: ,,2-;/02 1 b S State of , ) ) County of QA ) t 1 PROPERTY OWNERS: G•u �-rZ� On this the l of t� day of 19 8Z5 , before SS. me, the undersigned Notary Public, person y appeared 0. T o�n C t��m ------- OF -ICIAL ----- OFFICIAL SEAL NOTARY HLLEY SHELDON ? G CALIFORNIA Princlp,1t 011-ce In DUITE County My Commission Expires Sept. 30. 1988 L/ Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) %_S ubscribed to the within instrument and acknowledged that --Ste— executed hL'—executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. • t Notary Public Present A.P. No. r)--C�/^ Zy .L V 7 V L., /I This set of plans and specifications IvIUS be kept on the job at all times and it is uni-wful to make any changes or altera+;ons on sar�+p witl ouf: written permission from the Department of PL blit Works, County of Butte. _ NOTE—All Materials & Workmanship Shall. Be .irt Accordance with Recognized Good Practices and of a quality peesui..bed for the • Specifiod pis in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 0� `! Ob N0) Utility connections shall be within _rt, ri 4 ft. of the mobiiehome, either directly behind or within the rea 5 A e fq MOBILE HOME MUST half of the roadside (left) of the BEAR H.U.D. LABELS mobiiehome. A setback of 5 ft. from � om the t property. lines and a setback bfIVf of 50ft. from the road , 72 centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. ' Af � I I r— 3 6 � 323-85 .BUTTE COUNTY )� fGt- 3L S�a1 1 BUILPING ING DEPARTMENT "'''` APPROVED � IL s50 h BC • NO . ! . f r 4L ,fT IVIS L_ / / V �• F7Grbip9 AB�EPCROMBIE TR. M.O.R. BK. 28 PG. 47 Q 48 HOWARD SUB. /-Y 0.R. 6A-. 9Pg. 37A THERM,4.1 /TO. M.O. R WALL t�1A P No. 6 1169-81B PERMIT N0. c PERMIT EXPIRES 4/7/82 OWNER GLENN VAN ORUM f CONTR. Custom Exteriors, Sacto ASSESSOR PARCEL 30-211-14 LOCATION _879 Harlan Ave, Thermalito Temp. Power Called P Temp. Elec. Called P Temp. Gas Si Cal led P JOB FINALE Signatun V = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft.: /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connectcr 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connectcr 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except H's Date Card -BI Date Date FRAMING (Continued) 36. 1. Zoning requirements -Setbacks -Easements 37. 48. Property Line Firewall & Openings _ 38. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 39. Draft Stop in Walls (rat proof) 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Fire Stops; Furred Ceilings -Stairs -Chases -Tub 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection P!ywood on Roof Overhang -Attic Vents- after Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab (NOTE:Anentrymust be made each time youvisit jobsite) 53. Stucco Mesh -Drip Screed-Fdn. Ve -Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors -- 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25, 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E) Yes ❑ No; Walks El Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI - A Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except p's 36. Sills; Proper Material & Anchors 37. _ Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) AP # 2,®-ZI (- / OWNER PERMrr'# MH UT IL . CLEA DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Other. Size Load 'Ty -Pe Pipe Size Length* YES NO YES NO .Pw 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION ANP PERMIT authorize representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X \°k� dz� Date Signature of ermitee or Agent Receipt No. 5-0 Z�'/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS �uy By ` ��u Date.` / `cQ / Building permit expires Date 4 — 7 —ya Z BUIL rvy Lo. cu Owner Glenn VanOrnum SQ. FT. OCC. BUILDING VALUATION Mailing Address 879 Harlan Ave. Themalito Jplphq�e8f�a. Fireplace Contractor Custom Exteriors Inc. Total Valuation $6000.00 Mailing Address 1604 Auburn Blvd. Permit FeePlan Checking Fee&/or Penalty Sacramento CA. 95815 Telephone No. 994-9444 Permit Fee $ 6.0- os Building Address 879 Harlan Ave. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �B -� 2��— `� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ] ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Installation vinyl siding, aluminum windows Main service 600 AMP OR OR LESSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ADWECCLBL GS.LING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Sty Uustom Exteriors, Inc. Ex. Occup(OUTLETS OR FIXTURES)50 @250 109 FIXED APPLNs, OR Ex. Occup.(OUTLETS (RES(D,) EA) 2.00 Temporary service 10,00 Mobile Home Facilities 15.00 License No. 247060 Classification B-1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of d Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ fo authorize representatives or the County of Butte to enter upon the above-mentioned property for inspection purposes. X \°k� dz� Date Signature of ermitee or Agent Receipt No. 5-0 Z�'/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OR OF PUBLIC WORKS �uy By ` ��u Date.` / `cQ / Building permit expires Date 4 — 7 —ya Z �•-PERMIT NO. 5488-75P � P F j . E f j { M i QMH UTIL. PERMIT NO. PERMIT EXPIRES 10/23/76 OWNER MAY VAN ORNUM CONTR. a LOCATION (A.P. 10-21 1-14 ) 879 HARLAN AVE. OROVILLE t •y� f ' Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called G&E _ Temp. as Serv. _ Iled PG&E _ FINALED COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ' I THERMALITO IRRIGATION DISTRICT 410 -,RANO AVENUE t OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: S A L. A m A V r -- Owner's Name: VA V -J I i X11 Date�P r Address: -7 _Li;S t�4, �! IA = cct. No:, A.P. No.:,.r!" Phone: No. Units: 1 Applicant/Agent: Agents Proof: N /IA_ Address: f , Fees: Phone: Application $ Arrearage Preliminary Review By: r �- ` :A tAA t 4' i Date'0 L?5. � 7c� CSA 26 Remarks: SC -OR 1 st mo. S. C. Other / Total Fees iJOKI C Collected By: Date - Field Review By: Date: % Remarks: C� Y"X. e/_ l , < 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 V/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — . Oroville, California 95965 Telephone: 534-4541 APPLICATIONAAD PERMIT Owner ' Mailing Address. Contrac r Mai I i ng Address Building Address f7 Telephone No. Telephone No. `�� acs -ems n n A. P. No. Zoning & Planning Fes SarrhtattIIrr Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Parcel Approval Plans Approval NEW ❑ ADDITION ❑• UTIIATIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability . for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this �w permit ,is issued.) shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this, application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction; and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. d". Date nature of P-�eermiit / r Agent L 7 Receipt No. y�LL42:�:: White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Sy�B= 7s BUILDING SQ. FT.7 OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system - Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee @ $3.00 _ 1.50 1.50 1.50 1.50 . 1.50 .30 5.00 2.00 $3.00 1.00 1.00 1.00 20..2 _ 1.00 1.00 5.00 5.00 $ $3.00 2.00 FEE .6V MU 011111111 FEE TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for whic fees have been paid. fTOR OFUBLIC WORKS � By Date /v permit expires Date .i. A..�i. n.�,.^, � ,.wq»-.r.,..�.-.......apa.- .,'... .. wi. ...,nJr • � ., .� .. awa.♦ .. -va.'i.-.`w+✓ � ... .s .. .-.. .. r .. ,. - ""'.. - .... `..�+-1" r.'.. . t L•r . a E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, alifornia 95965 - Telephone 916/534-4541 /;�• / APPLICA N AND PERMIT ASSESSOR PARCEL NUMBER 030 - a 1 l .,,.- 1 q ZONING A BUILDING PERMIT OWNER �ff /1,� U 3,l A r h v TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN�'S MAIL-ING,� DRESS ,/'f(- ve- CONTRACTOR'S ' AM _ S, ►ate o r TELEPHONE .3 CO/N RACTO'R'S AILING ADDRES p r- Fireplace CONSTRUCTION - ND— - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS " Permit Fee $ ARCHITECT OR ENGINEER Q LICENSE NO. Plan Checking Fee $ Penalty if $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS / J 9_.al-� � PLUMBING PERMIT Filing Fee 10.00 ,J/�- Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑"."Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal ation ❑ Other [ DescrcbeWoti�i : �'�` r t� (C � 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. / 22 sq ft 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 m license is in full force and effect. y nI �•� 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) EJ 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 CONSTR L I-OUTET 2,50 ea NON-RESID BRA CH CIRC TS &) NEW -CONSTR POWER APPARATUS ° / NON RESID. SINGLE OUTLET CIR SO @ 25e Ex. Occup OUTLETS OR FIXTURES BAL@1 00 Ex. QCCup.�OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 'A Penult Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Heating Cooling Hood 3.00 Ventilation penult Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ( p r ('�, Date .G1r)3 _ �, _ Signature of Applicant — Owner ❑ Contractor ❑ Agent r] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. U7Mt TO F PUBLIC WORKS B0 Date � 3 ' y PERMIT EXPIRES Date �� �over r33 Receipt No. �1 1 / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ASD PERMIT ASSESSOR' P` PARCEL NjUMBER V I ZONA -'� I - v BUILDING PERMIT OWNERTELEPHONE __:;,A 0 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL N A DRESS CONTRACTOR'S NAME 5 I I TELEPHONE CO R CT( R' AILIN ADDRvc ES ' jr^-o Fireplace C NSTRUCTION L NDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD SS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent . 5.00 Gas piping system 1 - 5 outlets �� USE OF STRUCTURE SF LTJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition❑ Remodel El Utilities ❑ In lation❑ Other D r�co Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Q Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.6\ OR ADONS. ACC. BLDGS. / 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): P1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession� �2—Code and m license is in full force and effect. y f License No.St �6 Classification rl ❑ 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 CONSTROU LET 2,50 ea NON-RESID BRA CH CIRC ITS NEW CONSTR. I POWER APPARATUS e NON-RESID• %SINGLE OUTLET CIR. /. 50®280 Ex. Occup OUTLETS OR FIXTURES BAL�1 QCCUp.�FIXED P(RESID )REA. 2.00 EX. OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ j Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ., X ,,,I0 � tai Date -, `� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -F ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARCEL ]I PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC By MIZT, PERMIT EXPIRES ate — the applicable provi- resolutions to do fees have been paid. WORKS ' Date J v Receipt No. s WHITE-D.P.W.• YELL�SSESSOR . PINK -INSPECTOR, GOLDENROD -APPLICANT 4 iy 4 r .. 4 tw r)4linp � L- - - ,', •_ y �iT"C ^ , .. +c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centgr Drivq • Oroville, California 95965 • Telephone (530) 538-75412 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� �- ASSESSOR PARCEL NUMBER.,, :, 030-21-1-0'14 ZONING 49 BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 4,000 OWNER'S MAILING ADDRESS tB%ORMILL. 95965 CONTRACTOR'S NAME RFN SPARTS TELEPHONE CONTRACTORS MAILING ADDRESS 60 AMR!TRP HILLNRORO-IFILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING09E%ARI.AN AVE. GROW= Energy Plan Checking Fee $ >� PERMIT FEE $ 92.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP � PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY + Each Trap 31 7.00 21.00 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; -3 Describe Work: REMODEL, BATHROOM. RELOCATE 1A A TOILF ' BATOM AND INSTALL SHdWER Gas piping system t - 5 outlets 15.00 Building sewer 15.00 15600 I. Mobile Home I S I G I W @20.00 PERMIT FEE S 71.00 ✓hV� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION f 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 Profes"cions Code, and my license is in full force and effect. –y �JQ ---� License Class / �,� 7 / - I Lic. No. 4 OWNER -BUILDER DECLARATION l 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 licensedlcontractors to construct the project?! ❑ 1 am exempt under Sec. Business and Professions Code forlthis 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 zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. a ACC. BLA.. SO 3.5¢FT: NEW CONS . MULTI -OUTLET =R.ID. @7.50 POWFA APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 BAL O �.w Ex. Occup. OUTLEEDTSA q D °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number" –^' (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortDateqhwith comply with those p visions. / �C.� / WThis — X ��--�"" Signaturf Applicant - ❑ Ov�ier Contractor 11 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 1 $ occ CONST. TYPE 205.00 TOTAL FEE $ Z.A D. FEES IMP I FLOOD I COF PARCEL Po HD ISSUE A permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date 6/25/98 PERMIT EXPIRES OL 5%2/99 1 08te ReceiptNo. 244335 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES may'' 411 Main Street • Chico, CA • (530) 891-2751 - 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE VO(Nb /N V e0d - /-5� I/ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. // r era /iglub k Di. ate �� 7J ' D Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-21-1-014 ZONING AR BUILDING PERMIT OWNER VA TELEPHONE SO. Fr, OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS CONTRACTOR'S NAME BEN SPARKS TELEPHONE CONTRACTORS MAILING ADDRESS 60 AMBUSH HILL LANE, DROVIII-E CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIN"EshARLAN AVE, OROVILLE �y 11 Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 21.00 T31 Solar or heat pump water heater 23.00 Water piping 15.00 00 Each as water heater or vent 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X3 Describe Work: REMODEL BATHROOM, RELOCATE LAV. & TOIL - BAT4TUB AND INSTALL SHOWER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Fling Fee 20.00 LES 8*0VMain 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 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect. �y 9 (� (� -� License Class Lic. No. ��/ (� J / ��` OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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' compensatio�� ins ance carrier and po'cy number are: Carrier y'� ���/!/.7/`� Policy Number `z-7 R --4941 S- (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those'Wisions 'C X -�— Date Signature Applicant - ❑ Ovter _' Contractor ❑ Agent An OSAAk permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCUOOOA NEW CONST. DWEWNO OCCUP. SO DWE200ALLING OR ADDNS. ( 8 ACC. S.3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS a SINGLE ourLEr cIR. Ex. Occup. OUTLET OR FIXTURES BAS @':50 Ex. Occup. oimFrs RU D °Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE S 43.00 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 $ 206.00 HAZ. D. FEES IMP FLOOD I CDF PARCEL PD HD UE ' L This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 6/26/98 PERMIT EXPIRES O r, Date Receipt No. 9443'1S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N 030=211-014 -#98-1662 RESIDENTIAL VANORNUM FAMILY TRUST 879 HARLAN AVE. OROVILLE BEN SPARKS RAMP & REPAIR STAIRS PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION t 0 - r--- - -- - -- - - - - - _- -- CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole :e+ Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK '=Not t able NoReadyMOBILE HOMES ` Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKOYEKS, CARPORTS, GARAGES lana OK except #'s 1. Zoning Requirements - Setbacks - Easements g Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer, Location-Test-FaII�CAO-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap; / jVft. / /Nat. or/ PLYt./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect t 8. Utility Clearance l 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test-Demanda/alve-Connector ( 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged t 9. Tie Downs -Type -Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only: Llcertse Decal 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 SCELLANEOUS Date DECKOYEKS, CARPORTS, GARAGES lana OK except #'s g Requirements -Setbacks -Easements tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date ✓ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Flq. Garage; Soils-Steel-Elec. Gmd/ J' Ftg. Depth RESIDENTIAL (Single & Duplex) Date 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 47. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 48. 6a. Hold Downs and Special Anchors 49. 7. Slab, Steel -Wrapped 50. 8. Piers -Fireplace Ftg.-Steel 51. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 52. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 53. 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. 12. Electric Underground 55. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation 58. 16. Insulation 59. Shear Walls; Nailing -Bolts Date 60. Brace Interior / Exterior Wall Panels Card B-1 Date Card B-1 Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Smoke Detector 65. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 68. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date 92. Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing Date 43. Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Fallowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: VAI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 /a +C7� �ER IT ►d�• (Rev. 12/96) APPLICATION AND PERMIT "� 4JOU�j- ASSESSOR PARCEL NUMBER 030-211-014 ZONING AR BUILDING PERMIT OWNER ORNUIl FAMILY TRUST TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 2052, OROVILLE, 95965 CONTRACTOR'S NAMETELEPHONE BEN SPARKS 89-0784 CONTRACTORS DTD60 AMBUSH HILL LN. OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAULING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 879 HARLAN AVE. Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 7n nn LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY_ Each Trap7.00 Solar or heat um 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 fX Describe Work: RAMP AND REPAIR STAIRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ a-- License Class ( Lic. No. 7 f� r'i � - OWNER -BUILDER DECLARATION 1 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 . V. Main Service 200A TO LOOOA 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLOB. SO 3.5¢FT. NEW CONST.MULTI.OUTLET NONL•RESID. c 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL @ .SO Ex. Occup. OFIxLInEED�A PM.Oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C 49 44 Policy Number `e 2 1 °� / $� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth h comply with those pro isions. X ����� Date F Signatur Applicant - ❑ Own ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 7n nn FEES IMP I FLOOD I CDF I PARCEL -1 PD HD ISSU This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By D/�ate PERMIT EXPIRES ON �V provisions to do work paid. are Receipt No. 244670 WHITE-D.D.S.-B.D. 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 (��J I MNO. (Rev.12/96) APPLICATION AND PERMIT ltDp — ASSESSOR PARCEL NUMBER iy6^\ 2OwN° BUILDING PERMIT owNER l'L(.tN� I �U5_ArE"NONe SO. FT. OCC. BUILDING VALUATION MR'S iPC` J_ ELEP/gN D CONTRAC^TOR 71AD� (/� J •v r 1 r CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER+ LICENSE NO. Filing Fee $ 20.00 Permit Fee $ -? O ARCWTECT OR ENGINEERS AWING ADDRESS Plan Checking Fee $ BunDwGADDREss n "C Energy Plan Checking Fee $ roVl $ PERMIT FEE = Q LOT NO. SUBONLSIDNS NAALE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Y( Duplex ❑ Mobilehome ❑ Other sP�ar Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New (3 Addition [Remodel ❑ UdGdea ❑ Installation [3 Other ❑ Describe Work: ---- S. Gas I in stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W 020.00n PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOR LEas 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wagesas 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 o1 the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories In height Main Service 200A TO +«bA 46.00 NEW CONST. DWELLING OCCLIP. 3.5¢ OR ADDNS. a ACC. R! 08. NOWRESID. CONST.NEW LT MUwLmFr 07.50 POWER APPAwaus a sr�GLE ounce a. Ex. Occup. OUTLET OR FDfTUREs SAL @ o Ex. Occup. o 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 FEt $ Mobile Home Installation Fee $ Energy Inspection FeeS occ CONST. TYPD b OTAL FEES r !22±P PLDoo eoP PARCEL Po HD ssuE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ra Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j'r�'Y ?yLTi''-'"�'7r'iiil'lY1i[3.z� �;sT-„j (; 6:Yi5:ii6t ..•3!ir mil ."."�:L1v". ,_•'".i3. f'.=, ?�t" W'•`3,", i•P:sibLff,,!K:..7n.F.' 4.'l JAI&IM COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541. PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: 03 0 _g;L/I t)-, Proposed Building Use: Building Inspector: Date: At time of permit application, I w advised the following data must be submitted prior to permit processing and/or issuance: Date Received By be'All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------------- ---------------------------- 03. --------------------------- ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------- 0 ----------------- ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. ---------------------------------------------------------------------------------------- _P4*;.;ion and plot plan approval Health Department. -------------------------------= ----------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 111. 9. ---------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- l__123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: (Date) Z��elhone .'mssus ElMail to owner, ❑ 1 to contractor. --D� and hold for pickup at office. ❑Deliver w' inspector. Applic Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ AYr' ollution Dao-"'- By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index petinit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B ildin ivis' covin er, by D te: Plans reviewed by: Date: Plans approved by: Date: ' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. W NOTEr--M -Materials & WorkmanXip S�Oi U Accordance with Recognized Good Practice= n -'j of a quality prascri6ed Yor rhe Soocifiod A603 in ih`, Uniform Building, Plumbing $ Mo"nir of Co 2 � he National Electric - d . -V l2 S ' o i `� __ �DZ% �1 1J� � v OD-�"P_►�➢1�9.11, .�0� 1 1�i to ZZolsr 1pTp\4i-r-(r, j2" i IJn Ift Ot CR pma and spec icat3om MUST Rept w the jog of all times and it is unlawful t: make any changes or alterations on same withoai wr'tten permission from the Deparfmot& td ►1 �� Y! �- O11-aJVa1014 My "plr_t -pw• nJ4 ovtt - 7•- 1 \ h g 8 I I�n��l,,,,//(E^r+JJ Dom' _OPO �-FI�� Conof J11 y iNED.- 1-- 11 v 11 I QN v . 4 47 .4 1 00 x N i TOERMA 4ITO, T. 19N. R. AD.B.& I I I (STATE HIGHWAY) ORO DAM 20 WEST o2A� (162) 150RS67 , 28 49 96.66 32 96.67 31 96.66 4 96.67 5 175.0 6, 199.50 Compiled By The Butte County Assessors Office 50 5 g 6 7 8 9 10 110 i 12 b 2oA ;53Ac .44Ac .44Ac .8lAc 1.56Ac 65.00 I I 1 124.50 200.87 173.20 126.80 22 O .94Ac _ 3g 41 37 8 g w 3 � .40AC .29Ac 379.13 0 21 1.50Ac 2 .69AC 40 O$ 560.00 O52 2 .69AC 39 10 g 2.25Act 38 U 1.04Ac 11 ______ _ 2.25Acf 37 sl 1 .34Ac 12 0 3 %69AC 36 13 g WO.00 .69AC 35 Nei 33 . 8.46Ac .86Ac 34 N g g.51Ac -- 33 48 0 .69AC 32 16 g 4 .69AC 31 17 g CD .34A .34A 3027Ac 26 S .24Ac .27Ac .27Ac ---- ---- - 45 1.21Ac 46 O 40 O 39 O 29 O 30' O �o .21AC 41 0 o 921Ac 42 350.00 70.00 80.00 80.00 75.00 75.00 150.00 FRESNO 75.00 2 .00 N89�4 4TE a I I 393.85 7115 40 11� 13 14 i 15 46 i 3.2OAc .45Ac 1.OAc100.00j g 16 ; 7.0OAc 14 .46Ac 7.03Ac o I I 1 12 17 .69AC 2 1 1 o I I 80.00 I I 0 11 18 10 $ .61Ac 30-21 --- L---------- 1'=200' x-------------- ---- a10 19 .3 7A ' 332.00 248.00 = Z oO .40Ac e 1 $24&9 R 17 20 .69AC 2 26 0 395.52 184.48A 138_--212 ----------------- o O b 16 21 580.0000 I o 27 1 I 1 I � 3 28 0 39 22 0 a ; 0 4 29 s, 0 130 Z g 38 232 5 30 0 I � o F8 O 24 .69AC - "' 6 31 c 4 3$ 45 25 f i 3 q 7 32 19.70Ac 8 ( 1 33 26 t ---------------------i 99 24 I 6 44 27 i 10 o I o 35 28 1 130 I 1 w 11 300.00 i .24Ac36 AVENUE Butte County Assessor's Map Book 30, Page 21. ABERCROMBIE TRACT 28 M.O.R. 47 27NOM ALL MFORYATION sNOwN ON AOR HOWARD SUB.' 9 M.O.R. 37A PARCEL MAPS ARE FOR ASSEM01M OFFM USE AND DO NOT NECESSARILY CONSI11UlE LEGAL THERMALITO WALL 'MAP 6 LATS. NO L1ARM IS ASSUMED FOR THE AOCURAICY OF THE DATA 90", CREATED BY DB CREATED ON 5-8-2003 REVISED BY DB REVISED ON 5-21-2003 NAME 30-21 EFFECTNE 2004-05 ROLL -RLE Compiled By The Butte County Assessors Office