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030-211-047
t 30-211 o� ►V\ 17 .z B08-2057 C0�� lAt1A, 030-211-047 MISCELLANEOUS Awning/Canopy/Caret ALLUMINUM AWNING 260 SQ.FT. 867 HARLAN AVE HORTON, DAVID _ A..00GGESHALL 1867 HARLA41 OROV (LLE 4 PERimIT #6424-75PCINSTALL SEWER LINE)S /' F_l,/ja. //6/7�v n j 3� 030-211-047 01-1328 CONSTANTII RUSU 867 HARLAN AVE., THERNIALITO �V CONTR: (j ' MHU 1 E . ELECTRIC a� .GAS COMPACTION TEST REQ. SUPPORT STRUCTURE REQ. 030-211-047 01-1720 CONSTANTINU,SU 867 HARLAN AVE. OROVILLE CONT: OWNER MH INSTALLATION -- 030-211-047' ' L 01-1741 RUSU„CONSTANTIN ' x 867 HARLAN AVE' OROVILLE , CONT:ONWER ' 2 OPEN DECKS v 030-211-047 ' RUSOSTANTIN ' , 867 HARLA E, OROVILLE CONT: VASILE Br EX MH EX SITE PERM 030-211-047 02- 24 HORTON,DAVE 867 HARLA E., OROVILLE CC ADDIT TO Xj 7-oZ ,I - 030-211-047 01-1751 RUSt. CONSTANTIN ' - - 867 HARLAN AVE. OROVILLE ' CONT: OWNER I DEMO SF = o� ►V\ 17 .z B08-2057 C0�� lAt1A, 030-211-047 MISCELLANEOUS Awning/Canopy/Caret ALLUMINUM AWNING 260 SQ.FT. 867 HARLAN AVE HORTON, DAVID _ '�- ». v I k, RESIDENTIAL 030-211-047 01-3186 1 PERMIT N JRUSO, CONSTANTIN 867 HARLAN AVE, 'OROVILLE�� CONT: VASILE BUDEAN EX MH EX SITE PERM FNDN J I—THE. HCD FORM 433A FOR THIS MH CANNOT BE 4 RECORDED UNTIL ONE OF THE FOLLOWING HAS _.:BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). , r (2) STATEMENT OF FACTS (ONLY ON ..._.NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V=OK Water; Location -Test -Easement Needed (Sketch) 0 = Not OK ' Electricity; Location-Clearances-Grnd-/ /Amp -Concrete ='Not Applicable . MOBILE HOMES • = Not Ready 7. Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal } Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- 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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 77. Card B-1 Date Card B-1 Date 78. Card B-1 Date Card B-1 Date 79. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No Date 31. Service -Riser Conductors & Ground Main Disconnect Date 32. Equip. Clearances Panels-Motors-Mech. Equip. Comments at Final: 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- 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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 1 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels - 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Hails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks :1 Yes O No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF 9EVELOPMENT SERVICES - BUILDING DIVISION . • 7 County Center Drive • Or&ille. California 95965 • Telephone (530) 538-7541ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0.1�`�/ ASSESSOR PARCEL NUMBER 1_ M0-911-047 ZONING BUILDING PERMIT 17INSTANTIN, 1\USO TELEPHONE SQ. FT. OCC. BUILDING VALUATION 72 576. oo .OWNERS MAILING ADDRESS 40-1150 - I°'AMS EAN 916 TELEPHONE CONTRACTORS MAILING ADDRESS G e CONSTRUCTION LENDER 9 GA Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 72 576 ARCHITECT OR ENGINEER LICENSE NO. y Filing Fee $ 20.00 Permit Fee518.00/2 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ U NG ADDRESS HARLAN AVENUE OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Ming Pge 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 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 ❑ Describe Work: EXISTING MOBILE HOME ON PERM FM. ON EXISTING SITE 1 iE APPROVED PLANS 24 X 56 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Filing Fee 20.00 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. II forcg and effect. License Class ' Lic. No. 7 ly P.5-`® OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure. for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( &ACC. BLDS. SO 3.5¢FT. NOµgE°SID. MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 @ .so Ex. Occup. pUT1EET5 palp,°El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number he above sections need not be completed if the permit is for work of a valuation Ifone hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Jorff ith comply with rovisions. X Date `���� ®/ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 352.00 =.AFEES IMP FLOOD CDF PARCEL _ PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for w ' s have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ` 6r ate Dg ` Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .-.,_ .,r. _�_ r -.-... _s,r...,.,r._�,,...�, -,•�_ �. .--.--�.:� •.3a ��� .;� , :`sx'" "y�'Y >-' b rr �•f..',I�r��}.R.�::,:;fit"'?T�.`;�tli��+k['��''Z"i9't`'�"H¢'' Y'.yj� P Ilk COUNTY OF BUTTE - DEPARTMENT OFtDEVELOPMENT SERVICES - BUILDING DIVISION y •„ 7 County Center Drive Oroville, Califo nia 95965 • Telephone (530) 538-7541 ERMIT NO. (Rev. 12/96)4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 1 ZONING; BUILDING PERMIT : k1S'TAI�i'IN, RUSO TELEPHONE SO. FT. OCC., BUILDING VALUATION Ce -i 72,6.0-00 irOWNERS MAILING ADDRESS•+C .. 14 T A i.r-wr .. V°°ti`'OU•SIOW 916 Y S418►1 CONTRACTORS MAILING ADDRESS 7ZL A? -,Qc;A21 _ CONSTRUCTION LENDER Y --- --'- Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ' (, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 881NG,AQDF.tESS N AVE NE, 111MVILU, CA 95966 Energy Plan Checking Fee $ -. PERMIT FEE $ Zn 11G1 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 1 SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 t1 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 4STING WBILE HOM ON PERM �• Describe Work: WSTOP SJ-1E7W11H YAWKI : AL1' UV ' eLki 14 X Sb Gas piping system 1 - 5 outlets ,15:00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos O mss -23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.poWER License Class? , {/ Lic. No. ?� 9,!S'0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. "' I 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 hale 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 peimit 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 Ovinotemploy 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 compensation provisions of section 3700 of the Labor !Code, I shall Prfl%ith comply with those provisions. i� X fl '�/ r Date 2,10 / } �� Signature of Applicant - ❑ Owner ElContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction d- of structures over 3 stories in height. Main Service 200A TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO OR 6 ACC. BLDS. 3.5Q FT_ CNS. �µq CONST.MULTI.OUTLETi. 97.50 APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES aAL @ ,50 Ex. Occup. .ED A '., 6°eA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 k ,• PERMIT FEE $ 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 $ 352.00 HAz. D. FEES IMP — FLOOD — cDF CEL PARCEL Pt pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (J I Date Receipt No: WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT v 3h Lr'. ;'�j����` ;,r=�...r �.L ;,�.`.,y.+•::'i."{ vw"5+4..;ra.rrr-i }�.iW;jla'1�[%L.+,•., c�;7a;YiX'Mif�r`„s'��.lv»F`�`,�`Y`r►"�.-^'�... f'.. a. , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V �J �Vl ►lJ 1 (�i �i T Yl ASSESSOR PARCEL NUMBER Q D �oS' �1 t7 Proposed Building Use:�� G4 Petry? Sm�• Counter Technician: [ V " Date: / ��O Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received ` By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate........ ❑ 9. Plot plan and business license approval from the City of Biggs........... ❑ 10. Letter of intent for non-residential buildings ................................. ❑ 11. Detached Accessory Building Form filled out by the owner ............. ❑ 12. Hazardous Material Form ...................................!................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ............... :....................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent -by: ' ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... . . 1. Encroachment Pertgit, for driyeway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre-Lne gncrinn for ��� �/P✓��� �1 required ................ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number........ .. ....:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner).-�'.................. ❑ 26. Letter of Signature authorization................................................................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement.........................1.:........ ❑ 28. Manufactured home utility clearance.' ......... learance............................................................ ❑ 29. ys mg violati � . d/or expired permits.. ............A --AL �Q" ...........�.fr....... ❑ 30. rant Deed, l�]'M.H. Title/Statement of Fac oer from Legal Owner„f i Check to H.C. ❑ 31. Other: Lbno eh pm° When issued Telephone G Fl Ch (• and hold for pickup. }1 I have been i ed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the, above data by ❑ phone, ❑ mail, ❑ co nter, by Date: M' Plans reviewed by: Date: Plans approved by: Date: Q/ p? Structural reviewed by: Date: Structural approved by: Date: Note transfer by:. Date: Yellow: Building Division '' 2'*x 2"x 3/16" STEEL ANGLE CHASSIS FRAME 3/8" CAD' PLATED BOLT,. Nur Ac WASHER COUNTER BORED FLUSH ,WITH BOT'TdM AT 8" D.C. -(8) REQUIRED 1/4" STAND BASE., kALILSCO.',AI)S PAD #503 DETAIL "A" 1/x" GRIPPER PLATE"'___ (2) REOUIRED 1/4" GRIPPER BASE 1 /2-1 3UNC=A307 x 4"_� BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WiTli 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME -- SEE DETAIL "A" 37-, 18 1/2" 36" MAX 40 BOTTOM OF 'PAD 01 /2"x 3° C..Rj LOCK PIN WITH 01/8" BRIDGE. PIN COACH "C" FRAME--. 2"' CHANNEL—, 1/4" GRIPPER PLATE TEK,'STS (2) RFOUIRFO GRIPPER AASl 1/4 L '11/2" A307 BOLT' (2) REQUIRED 3/8"x 61'x ?6" STEEL PLXTE ' / C—BEAM 1/2'I ' A3,07: BOLT—/ (2) RFOUIRED ATTACHMENT 10.00 -0 10.00 09/16 HOLE (Typ) 7 STAkQ BASE' TOP VIEW ...... COACIII "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J—BEAM ATTACH -ME -NJ 1/2" DIA. HOLE (8) PLACES + 30" -- STEEL FRAME TOP VIEW STATE APPROVAL z y. 0 0 a.z VV 5-11 0 an, U. . . . . . . . . . 0 I'll . . . . . . Ln ta 5, < 0 z 0 — TUF-1 PEOIv4AN'ENT.- F0UNDATj0N;,:'SYS-TL�k • t .2 RD CONTANY. Yll-08. RIDAD 4PPROVED_j X95823 -8 ,031' WAYNE T. POLVADO, -�5207 PE—LISTING NO. F94249 SHEET I of 3 A,mr GENERAL NOTES GUS GUARD TUT' -1 . 0 t. 1)I?SIG(Y—ENDS: LIVE LOAD -• '30:LB. yT•':.. 16. -FOUNDATION BLOCKS 16"x 16°x12" POURED IN PLACE AT GROUND LEVEL MAY FLOOR LIVE LOAD _ 40. PSF BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. WIND LOAD — 80 MPH EXPOSURE '"C? SEISMIC -ZONE "4" ; *SNOW LOAD 160 PSF (SEE NOTE ,� 15)' �`'• ' SINGLE `WIDE COACHES DOUBLE/MULTIPLE., COACHES 2. THIS ;FOUNDATION SYSTEM IS DFSIGNED ;TO BE .CONSTRygTED ON E= 2' ,MIN-. MAX. E= 2' MIN. / 1 i ° MAX. A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. . CHASSIS BEAM SUPPORTS SHALL RE LOCATED AND SIZED FOR:THE' LOADS t t y " �___' . VARIES 10'-70', (SEE TABLE ON SHEET #3) AS SHOWN IN THE "MOBILE: HOME. INSTALLATION INSTRUCTIONS". — 4. IN; AREAS WHERE_ -DIFFERENTIAL SETTI-f.MENT (D.S.) CAN OGGUR, S. -- - •= - — S --- -- S E 'MANUFACTURED HOME SHALL BE READJUSTED WHEN US EXCEEDS, 114 -- - — ---- - OR WHEN IT WILL 40VERSEL.Y AFFECT MOBILE HOME UNIT. ; , ❑ 5' CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. • FOOTINGS RIDGE BEAM %SUPPORT AS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE: ,AND I REOUIRED BY MANUFACTURER SHALL. BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND a . (TYPICAL) I—j ❑ ❑ MAT BE USED TO FILL LOCAL VOIDS UNDER PADS.' 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION.. .�-' `' 0 ❑ ❑ ❑ WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM' T A36 BOLTS' -SAE GR' 5=ASTM A449=ASTM A3725. 8' NOM, r 7. THE GUS GUARD ASSEMBLIES -SHOWN ON THIS PAGE'SHALL BE ,LISTEP `AND. I❑., 2's NOM. ❑ ` Al -LABELED BY•BSK AND ASSOCIATES. FOR THE FOLLOWING LOADS: ,— "ALLOWABL LOADS: HORIZONTAL VER31CAL.� PAD'5'IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES GUS GUARD TUF-1' 2200# •6000#;:OFFSET' • TO' OTHER. 'SIDE TO THE MANUFACTURER OR THE SUPPORT GUS GUARD MGP PAD 2200# 8000#-. `' ' AVOID CLEARANCE PROBLEMS. . ENGINEER. TYPICAL THROUGHOUT PAD �TYP) GUS GUARD E -Z TIE PAD 2200# 000# . 8- DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL • ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION: e . 9. EXISI ING COACHES MAY BE RETROFIT TEU 10 RESIST SEISMIO F'ORC'ES. •DY ' . • ' ''i� ,1E j. °�"'I f', , INSTALLING GUS GUARD TUF-1 .UNIIS AS SHOWN ON .THIS PAGE 'OF 'TYPICAL ,�;^'! .;? FOUNDATION PLANS. F .rr• , e "' 10. THE GUS GUARD iUF-1 SYSTEMS ARE SAFE FO R• INSTALLATION IN FLOOD' PIAIN AREAS WHERE DEPTH OF FLOODING DOES NOt' EXCEED, THE 1JEIGNT r OF THREE FEET. t t.. MULTIPLE UNIT INSTALLATION IS ACCEP:TA8LE, .PROVIDED ` THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT .IS„',, ' 4 v ,� THE SAME AS SHOWN REQUIRED PLR EACH UNIP.-. ,': 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ! (SEE SHEET 03).l. 13. AIL METAU COMPONENTS AND ATTACHMENTS ITEMS 5HACL BE P•R(XTECTIVE'COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD' IS.NbT REQUIRED: ANCHOR STAND TO CONCRFTE STAR ,WITH TO E 1. P ER M A NE'NT? FOUR (4) 1/2% 3 1/2” EXPANSION ANCHORS. -FOUNDATION. SYST.EM'.' 15.. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES .. AIIOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED'' STATE APPROVAL p o r z q o � w 0 �����7777 o 1; TM O t3 �1 ,? V g m x4 -M4 sm - N ABES,CO-GUS GUARD UV[Vl'Y pk WITH- EXISTING STANDARDS REQUIRED 'BY COACH ' 5851 FLORIN -PERKINS ROAD MANUFACTURER OR REPLACE THEM ON• A ONE TO ."' SAGE mbv rr0; CA`95823' ' ONE BASIS'. PH: (80Q) 382=8831,' WAYNE T,. POLVADO, PE -LISTING NO FAX'! (9 1,6) 3£33-520 •t. GAV t r, .1 F94249 SHEET 2 of 3 r 1 /2,•x 3 . 1 /2' I' ° ` r .Y �' 3/4" DIA. x 18" LG. EXPANSION ANCHOR , 1 (4) REQUIRED (4) REQUIRED -'3/8" ''3/8;' CAD PLATED BOLT, NUT & WASHER (4) RE0IUIREO. ';•••., } y,;,' :,.,�:; COUNTER BORED FLUSH WITH BOTTOM + I_ AT' 8° .O.C. \ ' (8) REQUIRED - -11;;,:�,�-1 ...I _�, r�:�il! -,1! rli-- ' ::�jF;:�r= !_, ul....,. i1- i:=�• .....� m-:.11�.;.1,;, ,is11i •d1=-(' --114 �� -111:.: �••.:-. •••': •: , CONCRETE PAD INSTALLATION ,1=11�•' Gam% 1 iilc 111 _1 .!=11.1:_.... ,.. y CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1 /2- 1 3UNC-A307 •x 4" BOLT WITH NUTS. UP .7 44' 8 (4) REQUIRED 44'-j'" io 6,6' ' 1 2 ., 112- 12 1 18 a 01 1 /2" SCH 40 PIPE RISER WITH - e 01/2" ADJUSTER HOLES AND .3/h THICK TOP PLATE ALONG EACH FRAME RAIL, 8 c 02" SCH 40 PIPE STANI) WITH TWO 01/2." ADJUSTER HOLES IO ABESCO ABS PAD x503 m STEEL FRAME r PGUR,ED IN. PLACE I!! x'1,'6x 12' .CONCR.ETE. z ` FOUNb,ATION I'NSTA'LLATIO`N ., •,.. • � Ill [t1 !.. ! 1]t ll[�- t!t t (1]i�l[l�l] (l . r, �N�ll�,d • • 1Ci .[�_ t I X11 -i-lt ►ttlt _tip„ �� l�� - i14a�l1:. , LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION 36" . MA i ; TOp�0TT'OM .:, �;.. . M1'([FGTi=W1DR 'lJNl1'S F• pip: ,; SINGLE WIDE UNITS /•► 01./,2"x 3" C'. R.' •: 0Fd ' P.IN;:WITH• ' s61 /8" Ma � � �, LENGTH •:p HOME ,.24 WIDTH OF 'HOME 26 28 40 UP .7 44' 8 81 8 IF 12 44'-j'" io 6,6' ' 1 2 ., 112- 12 1 18 OVER •. 6' - • 4.6 6 1 16 1 22 LENGTH OF HOME WIDTH OF H 14 E 16 UP TO 44" mo, (4) E -Z TIE PADS. GUS GUARD TUF- I PIERS ARE '6 6 44'- I' to66' EQUAL INTERVALS ALONG EACH FRAME RAIL, 8 8 OVER 66' IO 10 ` PIN ' B . 'CE ' ;•• ', " : ,''UMBER OF TUF- I ' REQUIRED ,SINGLE NUMBER OF TUF-1 REQUIRED i.' . ' • • _ , I�OFE . WI'DE• UNITS 'REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF- I PIERS ARE T0•BE.`PIACEb.AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL, � . '.,:,::::.,,:,.,.. ro" APPROVAL STATE • • �. ,y•�� ,F 44 FA ul PERM'ANE.NT -�.--N DAT �• )�U IONT''SY�TEM o > EiSCO-GUSy� G.UARD''COWANY:- A moi+ l f''WRI.N = ff,' iK NS ROAI:) MAMENTO, C'A1,0821l , �. (8.0©).• 38f1-(38.31: , ' • :� � ' • • ;;.(916)' •3✓a345,207 WIAYNE T. P,OLVADO, 'PE—LISTING NO. F94249 SHEET 3 of 3 S COMPLETE THIS INFORMATION: Recording Requested by: V kL_F—A1 PF—TP—U AND WHEN RECORDED MAIL TO: y4LE.R-IA PETRu kl kL4NLD. WA-, 5$o34 i�PN 03o-�-tt—p!I'�-ona IIIIllliiffllllilllllilllllllllifl 2100 1 --01038593 • Recorded I REC FEE 13.00 Official Records I TAX 25.30 CountyE f � COPIES 3.50 CANDACE J. GRUBBS I RecoROSEMARY rDICKSON der I Assistant 1 Myles 02:44PM 27 -Aug -2001 I Page 1 of 3 THIS SPACE FOR RECORDERS USE ONLY Q.0 ITCLPjM I F—r,.b Document Title DOCUMENTARY TRANSFER TAX: $ 2 S, 3� ❑ Computed on the consideration of property conveyed; OR Computed on the consideration or value less liens or encumbrances remaining at the time of sale ® Unincorporated area ❑ Town or City of Signature of Declarant or Agent Determining Tax -Firm Name MAIL TAX STATEMENTS TO: THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional Recording Fee Applies) QUITCLAIM DEED nn THIS QUITCLAIM DEED, Executed this 7% day of A U G U I T ,_49 2 0 f by first parry, C D N ST A N �r 1 N Q, u S U whose post office address is # IfO - 1110 VO IYN SO" -S T Co a u i i' 1-A M 19, C,. V3 8 7 6 0 Cl to second party, V 4 LE R1 A PET2 C/ whose post office address is 43,go-$ I I ,C' (,, jr 1 k L 1�N D W �� 3 iP WITNESSETH, That the said first party, for good consideration and for the sum of'� Dollars ($ '5-,o 1 O a zo, ) paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, release and quitclaim unto the said second party forever, all the right, title, interest and claim which the said first party has in and to the following described parcel of land, and improvements and appurtenances thereto in the County of ,6 U 7`7- � State of C- L (l=o P.M 4 to wit: & C vrrn- C¢fl: Z . IN WITNESS WHEREOF, The said first party has signed and sealed th a presents the day and year fust above written. Signed, sealed and delivered in presence of - Signature of Witness - Signature of First Parry ON S 7-A 14ri N USL1 Print name of Witness Print name of First Party n r Signature of Witness Signature of First Party Print name of Witness Print name of First Party State of loJ�>�veriiiJ } County of �a47%'a appeared r beforeme, L'o�✓SAv7�i'�t/ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my kano and official seal. Signature of Notary Affiant Know Produced m RICHARD FEUERSTEIN -" COMM. #1299529 04 r =� .NOTARYPtlBlJC CALIFORNIA w Bl17 TE COUMY My Comm. Expires April 13, 2005 -276- Type of M __ do4e_<r . (Sealj the following described property in the UNINCORPORATED AREA, County of Butte State of California; LOTS 33 AND 34, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF HOWARD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25, 1927, IN. BOOK 9 OF MAPS, AT PAGE(S) 38A. EXCEPTING THEREFROM THE SOUTH 75 FEET OF LOT 33. THE ABOVE DESCRIBED PARCEL IS PURSUANT TO A BOUNDARY LINE MODIFICATION APPROVED BY THE COUNTY OFA BY DEED RECORDED MAY 19, 1989, UNDER BUTTE COUNTY RECO 89-18355. BUTTE RDER'S SERIAL NO. 'houoaL& win E, Mob)LP HOME (C.1 -t pion , f 977) Ss��.f�c I�uMB�Rs,, C- A -S -�-'l s �! a 08 -1-7'4 -7 # . 4 S lmr 4 e C a8 17 47 8 LV. uJ. rV1x UJV1 :l[S DEC -21-2001 02:592 FROrl;MNSTRNT7rIv M -SJ 50442" 309y 4 WJ0uI TO:142:T3144132 P=1/1 I 10/05/2014 05:18 FAX, Ij001 STATE OF CALIFORNIA - DEPARTMENT OF DOUSING ANO COMMUNITY DEVELOPMENT CIERTIFICATE OF TITLE: Manufactured Home Decal No: LBC7502 ` Manufacturer ID/Name Trade Name ata Model DOM DF3 i Ry Exp_ p CHAMPION, _._. CONCORD I 00/00/1877 00/00/1976 Serial Number LabeVInefgnie Number Weight Length I Width SPC SCC Exempt rUtD�Lp�rr i CAS2784CC087747A CAL016064 BO' 12 I 04 ' ICAS2764CCO87747B I CAL016055 ! I S I 80 � 12 +I Issued Total Fees Paid Jul 05; 2001 $142.00 Addressee CONSTANTIN RUSU 867 HARLAN AVE:. OROVILLE, CA 95965 •..fid" _ iiA•i� �l �^�' ``� -r. .:: Registered QWner{s) ,: •, '. . ��: -�; .� .. - _ CONSTANTa ,AUSU"' 867 HARLA'OROVILLjFN:rAVE; : , :CA 96965 Situs Address i 867 HAR:LAN AVE _ = 0RO.V,ILLE CA 95965':' ...— AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE . OROVILLE, CA 95965 Recorded Official Records Cou_ntyE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:50PM 11 -Jul -2001 REC FEE 7.00 COPIES 1.00 PENALTY 3.00 Kristy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT X Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The , property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to b 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 agr.cultmal purposes and residents within said zones and on adjacent property should be prepared io accept Bach inconvec:ience or dis�oinfort frem normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 0 3�j 3 `1 -��•w .ec.ti,c� �- rH aP ��ti%eGL . rl rJ �:ls%LIZi / /a U�%�► j �7.t1 iywQ./�j 1�!c�'J inti �s ` _ I, -J7.2 -s- � l .21 �f' 3 Date 7 1-0 ; State of California County of BUTTE On 7-11-01 FROPERT RS: CONSTANTUN RUSU before me, CHARITY D. BERRY, NOTARY PUBLIC personally appeared CONSTANTIN RUSU • aersonally ' known to we (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within inst:vment and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(les), and that by his/her/their signiture(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ` WITNESS my ban and official seal Signature;F Da BERRY Nftftk ►,QabINeA.P. # .o - .Z l i — �( '1 M EV. AN. 3, 2042 Got* SULMM DEPARMW- 4PPROV s OD E7P OWNER: (� DATE: LOCATION: CIG I - i� lC�l� Aw, f AP.#: D30, '° l I `' Dcl7 CONTRACTOR: (/ ZONING: r DATE TO INSPECTOR: b PERMIT HISTORY: [ ]NONE [ AS FOLLOWS: TYPE OF 2 ANCY: BUMDING INSPECTOR'S REPORT ig Description: [ ] . Co ercial/Usag'e: [ esidentiaU# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ J AbandonedNacant. '[�s [ ] No -Electric is currently : [ ] On 14,1"u6 Condition of electrical? O �� Natural Propane[ ] None[ ] Obvious problems: tion: Currently On[ ] OffD� Plumbing working Yes[ ] No[ ] Well: Yes[ J No(/]" Potable water: Yes[ ] No[ ] Obvious Sewage Problems: escription of Damaged Area: �r c r) • , 1�-fir? �� (Q�'� �_4 i A, ' . timate valuation of Damaged rear% I U, V 1 ipector: Date:7 ,3 0'-7 (S L/ iA DFIBUTTE COUNTY FIRE INCIDENT LOGI DATE 6129198 INCIDENT NUMBER 5881 REPORT TIME 23:59 LOCAL FIRE NUMBER 10437 STATE FIRE NUMBER 0 CASE NUMBER 0 LOCATION 867 HARLAN AV RP I rHONENUMBER 533-6018 COUNTY NOTIFICATIONS © EMD ❑ STATE WILDLAND FIRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSAIOTHER STATE HAZ MAT STATE ACRES LOGGED BY MG RO ABE STATION # 63 MEDICS OFFICER IB2109 B 130B WRA A9 AGENCYID BUT LOCAL WILDLAND FIRES F-1 LOCAL ACRES LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSAIOTHER: LOCAL HAZ MA INCIDENT NAME 1HARLAN START TIME: FH745 CAUSE JARSON LAND USE IDOMESTIC ACRES: O TYPE OF ACRES: DOLLAR DAMAGE .40000 LOCAL TYPES DAMAGE: SAVE F 5000 DIAMOND #: 16.0 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES: =# CIVILIAN FATALITIES: FF INJURIES: � FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC I SEN MG STATION 63 USFS INC # I INC P# LOG © INITIALS MC COMMENTS: l& 030-211-047 01-1751 867 HARLAN AVE; ,OROVILLE CONT: OWNER DEMO SF ppP �'s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75b,/.,/ 1115T NO. (Rev. 12/96) APPLICATION AND PERMIT - ,S / ASSESSOR PARCEL NUMBER 030-211-047 ZONING ^R . BUILDING PERMIT OWNER CON IN, TS1370-4688ry�7�+ TELEPHONE SO. FT. OCC. BUILDING VALUATION �'(�� yy ODU JW.00 OWNERS MAILING ADDRESS OROVITIE, CA 9596f; CONTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 500.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 857 HARLAN AVE, Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCELAP M PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other lX Describe Work: D"10 SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 _11-1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�o.A oa mss 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lathe following reason: Vas owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. SUP T. RESID. ULT'-CIR UT 97,50 POWER APPARATUS a SINGLE ounEr CIR. Ex. Occup. ounEr OR FIXTURES 20 @'.000 BAL p .0 FIXI Ex. Occup. OUTLETS REESID.OEA 00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth it comply with those provisions. X Date t -i ��,,.� Signature of Applicant - 0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD _..� CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. -�-�'� By Date I�Y�lT7�M kms. -t 7 ��i PERMIT EXPIRES ON 7'" 17" G�Z.. Date Re CV 3S"1324%7 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 12 'E. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERM NO. (Rev. 12/96), APPLICATION AND PERMIT — �f—f 7s ASSESSOR PARCEL NUMBER 030-211-047 ZONING BUILDING PERMIT _OWNER CONSTATIN RUS TELEPHONE -4688 SO. FT. OCC. BUILDING VALUATION CONT 500.00 OWNERS MAIuNG ADDRESS 4844 E AVE, OROVILLF, CA 99966 CONTRACTOR'S NAME O W LV 1'.n TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 500.00 ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 867 HARI-AN AVE. OROVI Energy Plan Checking Fee $ $ PERMIT FEE S 35,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF N1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK \ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: DEMO SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa MN 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 Wthe following reason: Er I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ( 3.5¢FT: cad MUACCo� RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FocrUREs X Ex. Occup.OF"IUT,E. qp .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided, for by section 3700 of the Labor Code, for the performance of the work'for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number /The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) @f I certify that in the performance of the work for which this permit is issued, 1 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 forthomply with those provisions. X Date 'Loo�_ Signature f App icant - GY Owner ❑ Contractor ❑ Agent An OSHA rmit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. rvPE TOTAL FEE $ 35.00 HAZ. D FEES IMP FLOOD �- CDF PARCEL Po HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 7 PERMIT EXPIRES ON ate Re 15,00/326,967 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L VUR I T Vr OUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 13/9.6). APPLICATION AND PERMIT PER/IT NO. ASSESSOR PARM NU&*M��JJ 30 vL i t' — O � ZON"O OWN" PERMIT u 5 ,� TEtEP►10LE ,v %© SO. FT. OCC. BUILDING VALUATION CONTMCTOR•S wim U` W.ve + CONTRACTOR'$ MAILING ADDRESS CONSTRUCTION LENDER 1ENDEA•S MARM ADDRESS ARCMITECT OR ENOINEER ARCWTECT OR ENOINEERV MAILING ADDRESS RUaDING ADORESS v'll-e- 9.fg66 r a ,,t1 1/•-e /CJ Vr LOT NO. SUeOW KMV WM I.. -. ..... I USEOFSTRUCTURE SF DDuplex O Mobllehome O Other TYPE OF WORK New O Addition O Remodel O LANes O instpLktion O Other 0 --// Describe Work: *PERMIT FEE PAID SRA SHERIFF OTHER AAIIOVNT RECEIVEb s 35. *RECEIPT NVMSER - d� �(� L -7 * TO BE PVT INTO COMPUTER Total Valuation E Filin Fee $ Permit Fee S Plan Checkin Fee E Energy Plan Checking Fee S S PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat Pump water heater Water piping Each 9is water heater or vent Gas piping system 1 - 5 outlets BuildaIT9 sewer Mobile Home S G W PERMIT FEE I S 20.00 e ® O -fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 8*0vv oA ILss 23.00 Main Service 200A TO IOOOA 48.00 NEW CONST. OWEILSq OCCUP. OAA 1 . A ACC, 8LOS. NON- ID. MULTI -OUTLET Q7.50 POWER APPARATUS a SWX UE Dun" CUR. Ex. OCCU ouTIET OR FKTURES 200 I•00 RAL 0 .SO 1 Ex. OCCU FOZO APPUMS. OR OU1n TS ESID.) EA, 5.00 1 Temporary Service 23.00 1 Mobile Home Facilities 20.00 Misc. Wiring 23.001 1 PERMIT FEE i MECHANICAL PERMIT Fling Feel 20.00 I Hood I 1 8.50 PERMIT FEU: S Mobile Home Installation Fee S Energy Inspection Fee S :OCC_�4coi �OTAL FEE $ r2,,5, INAZ I D. FEES F IMP I FLOOD I COF PARCEL PD ND ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES NO ❑ 2. I HAVE d HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME:. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE:14 A� V1, apo r NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER ILI O.B.- I C OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code OVER t' Demolition Permits 0 Asbestos Notification Statement LI Date *2-17-o / AP#'3a_,2( 1 "OY'7 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5: A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant, 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project.. Si ,gfiarure of Applicant 2/19/91 NOTES RESIDENTIAL 030-211-047 01-1720 CONSTANTIN9RUSU 867 HARLAN AVE. OROVILLE CONT: OWNER MH INSTALLATION SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Address GAS Meter By ELECTR Meter By OFFICE COPY Date l JOB FINALED (D ) �`� Signature ./ = OK 0 = Not OK - = Not Applicable = Not Ready' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch 11. 3. Sewer; Location -Test -Fall -C/O -Concrete 12. 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date MOBILE HOME NSTALLATION (Plans) OK except #'s Elec.; Pool Lighting; 15 Volts-GFI 1. ZAeing Requirements -Setbacks -Easements Elec.; Enclosures; Conduit Entries -Terminals -listed 2. Footi ; Size -Spacing -Marriage Line Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. nd-Valve-Connector , Electrici ; MH Test-Crossovers-Breakers-Clearanc Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 5 ain; MH Test -Fall -Flex Connector Health Department Approval er; A�Test=Regulator-Connector Plumb.; Cir. Test -Water Supply Test ater and Sewer Connected -C/O to Grade -HD Approval Light Niche 8. Gas a ectncity Tagged egr'Tie Q -Type -Installation Cent. 1,-. zits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy Card B-1 Date Card B-1 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L) 0 G V - . (003� P174 o�_77�F7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed + 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes U No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg- Appliance- Fireplace -Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive D Yes D No/Walks J Yes :j No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg- Appliance- Fireplace -Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ;g• •.e.�.y.+w,,e;ar.,:�-vacic.�,r�jnw�_�,y�v.�„Y'+� .,r+..;s-..�.,.y;7' -� -; MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DR.tIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: eq�a-"a-/ib� PERMIT NO.: Owner's Name: 44 Owner's Addrees%s: Mobilehome Manufacturer: C olt� , �..- Year of Manufacture: / 01-7 6 or N.: Serial Numb(erro.. Insignia or HUD Nun;ber: Officia approving installation: Date: rte• /'K If the mobilehome is'moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor � ti;xt.'^�++ti.J;�d+�•, i ., .rM� ti..ti,��,..�P� � ''�;�3'�-v'Y MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: - 4q?0--4g// __ � _1 - Owner's Name: Owners Address: vc 011L, "r °Mobilehome Manufacturer: gr"� I r of Manufacture: I r Serial Number or V .N.: Insignia or HUD NuumIbe/r: % 16 Officiail appirov�in6 installation: Dater, If the mobilehome is�tnoved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B white -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 4� • • { Nl1M X110 WIN low i ' rot wt:N min TM 1IK VIM xffi;CO TK 00' C� K yam[► [o r re no Mum mm" or a titer GVdML„m� �� ut sc+�c� "m 03 s�o� or ewsw qt airs. wommoofflump i CoMIPY THAT I HAVI STALLED TM Mc IND.. INC. ANCHORING 51E9TEx A9 plM ,T'HE i�t9TRM SYAT�T�iON o 7vli� BuiLalt'iG�847�UL'! R� o YociPIAW.HCATIorrs t0 TKE t -b •6�� 0699 6ZS GZG*G6ttT990EGT 4ajJ 4+91tb0 TA -%A -mot billvaAllul lt1tr9 l"'- ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 IT NO. (Rev. 12/,96) ' APPLICATION AND PERMIT ��'�� ASSESSOR PARCEL NUMBERZONING 030-211-047 AR - BUILDING PERMIT OWNER RUSU CONSTANTIN TELEPHONE 370-4688 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4844 9 VE ST. OROVILLE CA 95966• CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL.DINGADDRESS 867 HARLAN AVE. ORO Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )CI Other SPECIFY Each Trap 1 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation (X Other ❑ Describe Work: MH INSTALLATION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI Wl 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lie. No. ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Wr I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main .Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a Ace. BLDS. 3.50FT. ,,DµpoIp ' MULTI.OUTLET 97,50 PSINGLE OUTLET COWER APPARATUS IR. Ex. Occu OUTLET ORFIXTURES BAL@':w Ex. Occup.. OFlxuT>EETS Aa of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wifina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis Issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 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 cc6ply with those provisions. X Date Zo_9 Signature of Applicant - 19 Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 5'A" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE 143.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE UE This permit is hereby issued under the applicable provisions of the Butte County Co and/or Resolutions to do work indic o whic fess have been paid. �� /�J By �C'" — Date ( ` ,9 PERMIT EXPIRES ON �� ��� ate ReceiptNo. 324925/143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive • Orovi'lle, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ' APPLICATION AND PERMIT - LI ASSESSOR PARCIBLALI ISER ZONING BUILDING PERMIT 3 ll- OWNER ,rn ' � _ .. ('S() TELEDHONE� SO. FT. OCC. BUILDING VALUATION OWNER'S ►WING ADDRESS CONTRACTORS MAKING ADORESS -- ELECTRICAL PERMIT CONSTRUCTION LENDER -DDv OR LESS 200A OR LESS 200A TO 1000A NEW CONST. OR ADONS, OWEI I OCCUP. a ACC. aLOS. LENDER'S MAILING ADDRESS Fire lace ' POWER APPARATUS 8 SINGLE OUTLET CIR. ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENOPIEFA8 U MANG ADDRESS Total Valuation S Filin Fee Permit Fee S S _ 20.00 SUD.D-IGADDRESS /- (0 1 ( of Plan Checkina Fee Energy Plan Checking Fee S S v S PERMIT FEE $ MECHANICAL PERMIT F Heating coolinn Lor No. SUBDN6pNaNAME PARCEL MAP PERMIT FEE $ Go PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap7.00 SF O Duplex O Mobilehome I�Other sPEcsv Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK Each as water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 New O Additieon O Remodel O Utilities O Installation 0/ "'� O Buildingsewer 15.00 Describe Work: j'� Mobile Home S G W (020.00 *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER a: q2� * TO BE PVT INTO COMPUTER — PERMIT FEE $ ELECTRICAL PERMIT Main Service Main Service -DDv OR LESS 200A OR LESS 200A TO 1000A NEW CONST. OR ADONS, OWEI I OCCUP. a ACC. aLOS. NON•RESID. MULTFOLITLET ' POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDmlRES ! Ex. Occu .FDMDAPPLNS. OR OUTLETS ESID.) EA. i Temporary Service i Mobile Home Facilities Misc. Wiring PERMIT FEE $ MECHANICAL PERMIT F Heating coolinn ng Fee 20.00 23.00 48.00 3.5¢ @7.50 ..n T-0 1.00 DO 5.00 23.00 20.00 23.00 g Fee 20.00 6.50 PERMIT FEE $ Mobile Home Installation Fee SG(j, Energy Inspection Fee $ i CCC CONST. TYPE TOTAL FEE $ Gd I• D. FEES IMP FL000 COF I PARCEL PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. 1 By PERMIT EXPIRES ON Date .',, ._7�r -Li, ,�; ..7. -..r -..y n •vw. � . r^_rT�mYf•."""....,.�,�,-n.+.•m.w�wn*-�p4P�i"..-p��..- -�,,, � � , •.•�.. ,n COU XTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 { PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: uilding Inspector: Date: ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuances Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- �..' ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---- =--------------------------------- ----------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 1-14. 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! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- El 7. -----t-------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ gg Hazardous Material Form. ------------------------------------------------------------------------------------------ Y•. , anufactured-Home data and installation instructions including Tie Down Specifications.-----"" ------------ t-'Fees ---------- ° Fees of $ ) �'� Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- .. P 15. City of Chico plumbing permit- ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17.°Planning approval for (A) Use: (B) Parking: - ------------- ❑ 18. Contac ;Land Development about ❑ Iniprovementk ❑" Drainage, 0 I egal Parce . ❑ 19. Encroachment Permit•for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23.�Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- . Letter of intent on building use. --------- -------- i --------------- ------ - -- Sf 7. Manufactured Home utility clearance. --:,� `� ---- -� - -1--- -- - ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, []GrantDeed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- E60. -------------- ❑ 30. Other: ------- Whn you issue the permit, procedss'as follows ElMail to owner, ❑Mail to contractor. e Zlelphone and hold for pickup'at.0 ( U di 16 offie4. ❑ Deliver with inspector. 2oa Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: - Date: By: 1. Index permit application for the above item§. numbered: 11 Plan Check List 2. Additional items required: '� ' • Contractor, designer, owner, was advised of the;abovepquired data.by ❑ phone, 11 mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above regivred��dat� by 11 phone, 13 mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div' ion counter, by Dat Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bad/' D' ision counter, by Da 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. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE Mtf A.P. # 036-2)1- G qr) DATE /— I �2 -6 I RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ SCHOOL DISTRICT FEES l l (06- le) On I -On i, 1 l 3660 (paid at District Office) 3. SHERIFF FEES (paid at Budding Division) I �' Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ f Sq. ft. 4.. URBAN AREA FEES Residential ............................ —x—=$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the pl n checking process. APPLICANT DATE 2` 'V-0 17\ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government'Code Section 66020(a). Original - Building Div. - 2nd Copy -Applicant _ 3rd Copy - Owner (Rev. 6/00) IROVED Butte County Environmental Health r--ure- . ---- at N r z AM MUCTURE8 AN' EQUIPMENT tNCLUpy� OVERIiANC�S SHALL BE LEAK OF ALL EASEMENTS, A SET BACK OF � FT. FRONT THE SID � 11s 51''x""' � ���� �FT. FROM THE REAR PROPERTY L€14ES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STTRU T JRES AND EQUIPMENT EXCEPT. FOR A 2 FT. E.AVE OVERHANG. PIP i � � m z �_ rte) W U :n 0 =r (n CL c 0 � � m z 1.' Owner's Name: t -/-1 11 1`1 P. U f 2P 2. Assessor's Parcel Number: 3J �-� f - t{:7 3. Installer's Name: Q b f- & ref bow I 4. Is the site currently under permit? Yes[ J] No[ ] Permit No. 01-011 5. Is the site an existing site? Yes[V] . No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? 2 ,o ,o Amperes. 7. What is the mobilehome site circuit breaker rating? I o o Amperes. r 8. What is the electrical rating of the mobilehome site? 2.0 o Amperes. 'fAdJ • 9. Is the main service remote from the mobilehome site? Yes[, No ] If it is, what is the rating? Lo Amperes., , 10. Is there any other electric load to be served by the mobilehome site electric service '(i.e. well, garage etc.)? Yes[ ] No[vj Eyes, please identify the load and size: . a) .The mobile hom_e.site: Load- -- Ahperes- - b) The main service: S Load- Amperes= 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ 12. Size of gas pipe at the mobilehome , site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS: THIS PERMIT APPLICATION �� U19P RoPA May 1995 8.5 ril Mobilehome Manufacturer: _ P may`*anufacture Year: UctZ g,1,91 E If other than single wide, furnish Setup Model Number: .2.75 �! 7y 7 0&g -GO& Width:�_(ft.) Length: 1-6 (ft.) Tagalong or Expando Size (ft.) x --(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade['] Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Line 1 Piers: Line 1 Openings Size minimum: r XF i Size minimum: [ i to ] x [ -S I Spacing maximum: Each side of openings From ends -maximum: with width over: ` Line 2 Piers: / iC3O Line 4 Piers: Size minimum:. [ 4-0 x [ -91--1. Size minimum: [ iy ] x [ ]. Spacing maximum: Spacing maximum: g- ` From ends -maximum. .2- © From ends -maximum: L ` Line 3 Roof Loads: Size minimum Location (from front): r Line 5 Roof Loads:' Size minimum: Location (from front): pM OVER Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 2 ne 2 .......k......)V.....:� Main Beams..............>......,.Ile.Lice2 ...yp......h.....�........,x,. ..... ...... ........,....... ...... ;..:.�..e2 Line 1 ae 3 fLinLice ne 2 ......�.... ..............sF.......N ......a........)Main Beams},......ne2 ne 1 ............................................ e S Tag or Triple a 4, ine 1 1 Line 1 Piers: Line 1 Openings Size minimum: r XF i Size minimum: [ i to ] x [ -S I Spacing maximum: Each side of openings From ends -maximum: with width over: ` Line 2 Piers: / iC3O Line 4 Piers: Size minimum:. [ 4-0 x [ -91--1. Size minimum: [ iy ] x [ ]. Spacing maximum: Spacing maximum: g- ` From ends -maximum. .2- © From ends -maximum: L ` Line 3 Roof Loads: Size minimum Location (from front): r Line 5 Roof Loads:' Size minimum: Location (from front): pM OVER Received Jan -02-01 10:14am from 360 740 7893 - TJT CALIFORNIA page T Fax,36u-740-7393 Jan 2 '01 9.27 P.01 TIE L2�D W �l t Ai>Kp----•'---�- -- t SPS (70 MPM E1IPOWFL r) i RWO •�-+res---- 2lloo (66 MPH UPWIM V) �r-•-- Wof (100 M►M LVORIRE r) 4 RE ------ toxo ►Sl , IRX:.� 1 SOML t6 low Po -I. ------- *sril T �COAC1Ti ttAAA103" st0#wOaNO Lo�DWTT j+ TOTAL ffy s 0tA>IgL x jig=ANCifOIW-" 47Wt WN L o ADAC1! * CoNCl= s1J►H xNC'HORN -- ATSO� TOTfit" � C" 3ts0/ Wm also! HG LOAD p� i TE DOTH 9tA" 31 801 W��A 40-5.48,H 'F91, TYPE 1, CLASS 0. �M KOEpAL SPECIFtCA�Q� � •� ZINC PLAYED. TIE tt ;SY�p�, ANO 1L AT LEAST t �/ THE SID[! 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A* MWIMUM Of Ir M" AW SM' 4. t>,�ro� LT 12 1Ir T�,.ao'41 do wuM �/•' cMfeottcNT AI+? ti, �TT601 fTRA!'S TO CtiOstl K" IN 1rAkm $NOwN. Qi UO[ MAP I= 4000 "M W' SMP "W4CT" C" •t i. r� A110�14A TO 0►POftTt C11AWsis RAM' i. OWN, aw TMI kmw swI at. WT 0►/ LICCA MAP Amp TlalrrtcN . •o1,t ulmt sTlu►r a sdua gQ?EI ieot M NONs Mt Otto • Ti+t eutflOE CMAsst! ILWi. ji�'"TR OOw11f ARC s(OWRIO At tACN END Or [AGI MWONTUU ifMW of TME W►Nul'ACiuR[0 vola. ewes CIIN ar UICO. x; • oolniNAT1oN 0r �• r I •� r 11101 Yrtf BEAM CRaW W ovda" W0T9 03 CuI 0003 awrttitMT Trot i air Mt 0 W is Aw or Am OVA" AW sw Fly o v g W 11K •ICW **e UVAIJ CRARM2 ut WACA ►L "m t3 lot vc* - 1110 Kar J ri TM am mm go Tlt OOMMs COX K wthilto "Moo Or or tit"" met of a"" SEW "m I CSS IPY THAT I HAV_ INSTALLED TLHEI-W VRIN.WD..U IHC. ANCHORING SYSTO A9 P �IN��L� OSI MUC ONS. INGAB'1IL MA !RL 0 YOOtP1CJlT10N9 T'0 iHZ CWAN1r Aura, COXTRACTORS LiC4 b It 66411d 9689 6f.S OLS.EA6£fSo9QYZST uoj3 wdottl8 to-Se-uer 8I1480AI1tl3 1f1:A9 I q . A.P. # d 3o - 2-11 --o OWNER PERMIT # MH UTIL INSPEC m ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO uF �: a: TIEDOWN CERTIFICATION Installation Permit Number: Property Ownees Name: 7ILI �h( Sri/ Address or Location of Unit: 6 `1 A -K WI Iq Aa Ttedown System Number: SPA ETS-126 I �w* that those portions of the tiedown systems installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the to of their listing or with the terms of the engineered plans and specifications. Peat Name e1c 104 iii' ;\• a • F . i'' ••� 1,M _M;pet; : . School District i A.P. Number Property Owner Property Location/Address BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. County a 'Subdivision Lot No. '7r 4 ..... . ........................................................................................................ . Resid_ential Development Sq. Footage No of Living .-:4'Mobile: Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)': ,................................................................................................................... �• 0 Building Department Sq. Footage (Including Exterior zR ofed Areas) 7 Dat Plans reviewed by School District Personnel) District Identification No. 010-158 c4w f I le. I in Ito r School District certifies that has complied with the requirements of Resolution No qsquare feet. School District Representative ' Paid by Check # Remarks: Q 01�S_A, ' Il C[At, (Applicant) 37&- (Phone Number) I (State).' (Zip Code) by payment of $ 11AB 22926 S FULL MITIG TION $o7// -7 - V Date Notice:. You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm Ir d PERMIT NO. 6424-75P P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 12/22/746- OWNER 2/22/7'6OWNER A- Coggenshall CONTR. owner LOCATION (A.P. 30-211-23 ) 867 Harlan Ave., Oroville I Temp. Power Pole Called PG&E Temp. Elec. Serv. Calle G&E Temp. as Serv. Iled PG&E OB FINALED c 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 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih 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 c al THERMALITO IRRIGATION DISTRICT i14410 GRAND AVENUE O'ROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address:F Owner's Name: A • (�.. - „ -, . �,-: Date: � n pr A Address: Q f- ``I A� , Acct. No: 1 SSW , Phone: i=7 LLrNC1 7 - No. Units: Applicant/Agent: N�/(A Agents Proof: W /R Address: Fees: Phone: \ Application $ Arrearage Preliminary Review By: Date: Ile— 2 LG7 "CSA 26 Remarks: SC -0 R 1st mo. S.C. r• -: Other l Total Fees 0 . Collected By: Date - Field Review By: Date: Z Remarks: o W 11 4 id_ r t MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: E1,/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 constructio-i", 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, YELLCW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6 ��� trl'-76- aurhorrce representatives of the bounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date b Signature o V Jmitee or Agent Receipt No. / 3 � ('s % 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. 0=-C R OF PUBLIC WOR/KS BY Date) � g permit expires Date BUILDING Owner , O �,QL U SQ. FT. OCC. BUILDING VALUATION Mailing Address�j LL e e�' Jo^ i�,,z , Fireplace Contractor ry Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Te(eptione No. Permit Fee Building Address Y(.7#412Z. .%7' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r --f' algpnA%,1-T77 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. Q^� �— �3� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. t t�bn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Parc Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. 114ons Recd Parcel Approval Plans Approval Permit Fee $ $ i NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 A;tA` Main service incl. 1 meter Additional meters, each 1.00 Single Family 51Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2 Light fixturesb a 11) Receps., switches & fix outlets km in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work,for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE aurhorrce representatives of the bounty of Butte to enter upon the above-mentioned property for inspection purposes. X Date b Signature o V Jmitee or Agent Receipt No. / 3 � ('s % 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. 0=-C R OF PUBLIC WOR/KS BY Date) � g permit expires Date � NOTES RESIDENTIAL 030-211-047 01-1741 RUSU, CONSTANTIN 867 HARLAN AVE. OROVILLE CONT: ONWER 2 OPEN DECKS SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ZG -/ v V= OK Card B-1 Date Card B-1 0 = Not OK Card B-1 Date Card B-1 - = Not Applicable MOBILE HOMES . = Not Ready Zoning Requirements -Setbacks -Easements Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed iSketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; -/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE , CARPORTS GARAGES (Plans) OK except #'s Zo ' equirements-Setbacks-Easements T 3. 4. ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready 60. RESIDENTIAL (E Date 61. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Date 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation 75. A.C. Duct in Garage -Damper Date 76. Card B-1 Date Card B-1 Date 77. Card B-1 Date Card B-1 Date 78. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No Date 31. Service -Riser Conductors & Ground Main Disconnect Date 32. Equip. Clearances Panels-Motors-Mech. Equip. Date 33. Clothes Closet Light -Shower Light -Spa Light Comments at Final: 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing r jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters .1 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/✓� ,-p IIT NO. (Rev. 12/96) APPLICATION AND PERMIT '/ VSOGPR[t6,J / ZOO BUILDING PERMIT OWNER TELEPHONE CONSTANTINn RUSO 370-4688 . OWNERS MAILING ADDRESS 4844 VE.St., Oroville SO. FT. OCC. BUILDING VALUATION 25 o en 1 792 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation s12792. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 26.00 BUILDING ADDRESS 867 Harlan Ave. Oroville Energy Plan Checking Fee $ $ PERMIT FEE S 87.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (2) Decks — Open Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00R LESS Main Service 200, 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.PSING License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Mf I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. s0 3.5¢FT; NNoZAES'.NECONSTMULTI.OUTLET @7.50 8 OUTLET COWELER APPARATUS IR. EJ(, OCCU OUTLET OR FD(TVRES B 20 @ I.00 Ex. Occup.DFlURErS Aa 0) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Mr I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w h those provisions. X _ Date j,(a / Signature of Applica Owner ❑ Contractor ❑ Agefft 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 $ occ CONST. TYPE TOTAL FEE $ 87.00 A2. FEES IMP FLOOD COF PARCEL PD HD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for hich fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date -)h6,401 Defe Receipt No. ' "' WHITE-D.D.S.-B.D. CANARY -A S SOR PINK-INSPECTO GOLDENROD -APPLICANT VVUR I T Vr OU TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT 'T/NO. ASSESBORPARCELNUMBER Cd �O 2 j ! -�'j ZONING BUILDING PERMIT �� TELEP'NON! Cd rl" O cId _ So. �• OCC. BUILDING VALUATION OWNEA•S MVJNG A07 CONTRACTOR'S NAME CONSTRUCTION LENDER LENDERS MAILING ADDRESS . MCMITECT OR ENGINEER L10EN8E No. ARCWTECT OR ENOWEERS MALING ADDRESS eUIDM ADDRESS IDT NO. I SUBDNBUnk"E I USEOFSTRUCTURE SF O Duplex O Mobllehome eother TYPE OF WORK New O Addition ❑ Remodel ❑ UtlGties O installation O Other ®� Describe Work: *PERMIT FEE PAID SRA •. SHERIFF OTHER AAAOVNT RECEIVED *RECEIPT NUMBER cgI q * TO k PVT INTO COMPUTER Total Valuatlon 1 $ rnin i-ee $ Permit Fee $ Plan Checkina Fee $ Energy Plan Checking Fee S $ PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W PERMIT FEE I S ELECTRICAL PERMIT Main Service OOOV OR LESS IOM OR lfs8 Main Service 200A TO IOOOA NEW CONST. OWELLMo OCCUP. OR ADDNS, i ACC. BLD8. NEW em NON•REBID. MULT40UTLET POWER APPARATUS A SWX UE Owty CLL Ex. Occup. r OUTLET OR FwTuFtEs ! EX. OCCU F=D APPLNB. OR 3 I OUnErs CRESID.1 EA 1 Temporary Service I Mobile Home Facilities 20.00 GC7 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ng Fee 20.00 23.00 46.00 3.5t"' 5.00 23.00 20.00 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heatina I Hood I 1 8.50 PERMIT =Et! S Mobile Home Installation Fee S Energy Inspection Fee S OCC NST. TYPE TOTAL FEE $ O° HAZ. I D. FEES I IMP I FLOOD I CDP I PARCELI PD I ND I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date f ,•F - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 71COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:' 1. vusu ASSESSOR PARCEL ER: Proposed Building Use:Building Inspector: Date: At time of permit- application, I was advised the following data must be submitted prior to permit processing and/or. issuance: Date Received By 111. All`iiems have been submitted �------------=---------------------------------------------------------------------- ❑ 2 Plot plans, 3/4 sets, signed by the preparer of plans. ------ Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All'engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------- 116. -------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- 137. ------------------------------------------ ❑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-------------- X -C od elevation certificate. --------------------------------------------- anitation and plot plan approva f0 UI �� Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: Ell 8. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------------ 4--- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) ----------------------' --- 020. Pre -inspection for required. Request to Building Inspector ons 1321. Contractor's license information. (Number, Name Style, Classification). ----------------------------------- 022. Workers'. Compensation carrier and policy number. -----------------------------------------------------..---- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 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: . f. (Date) When you issue the permiittj process as follows ❑ Mail to owner,/'❑ s'1 to contractor. Telephone ��� "110 and hold for pickup erlu Vl �C, office. Deliver with inspector. Applicant: Date:i!4i 6 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan, Check.. List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, 11 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Build'D' Sion counter, by Dat . 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. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Anached FloorPl.n Attsc @d Sent to B.O. C / Rte. 2 " AjQ. Owner Location AP# Plan Approved fo : SewageWater Supply: Public Private Well Clearance fordwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environ 8/96 alth`Soecialist S Date a J r ALL STRUCTURES AND EQUIPMENT INCLUDING OVER14ANGS SHALL BE CLEAR OF ALL EASEMEWS. A SET BACK OF --.V'_ FT. FROM THE: `' :% S FT, FROM THE REAR PROPERTY :':0 _ FT. FROM THE ROAD CENTERLINE i= E CLEAR OF 'STRUCTURES AND EQUIPMEN 8 L*�%CEI'T'. FOR A 2 FT. SAVE OVERHANG. _ 3- r� p0 C r l; I � �, s Q 1 a w CDiia E) el _ u g� fin. _.. ;,•. r,1.2 _ o — J ti ,f J r ALL STRUCTURES AND EQUIPMENT INCLUDING OVER14ANGS SHALL BE CLEAR OF ALL EASEMEWS. A SET BACK OF --.V'_ FT. FROM THE: `' :% S FT, FROM THE REAR PROPERTY :':0 _ FT. FROM THE ROAD CENTERLINE i= E CLEAR OF 'STRUCTURES AND EQUIPMEN 8 L*�%CEI'T'. FOR A 2 FT. SAVE OVERHANG. _ 3- r� p0 C r l; I � �, s w CDiia E) el _ _ co 0 = ror c� Q^ • I vV �, s c VARIES 36" MIN. -411 0 0 m C-,) 7< w m lu m N- F -a �A M 3 A:K rn N -P MAX. A 3(o��MIN. STAIR rri G E COU �v W I DT4 ktx W A Q O� ;C 0 m C-,) 7< w m lu m N- F -a �A M 3 A:K rn N -P Q -c 4r 8. 1 (i MAX. A �I r �I II MAX. A 3(o��MIN. STAIR E COU �v W I DT4 W A Q O� ;C o N o �,►emuVED3 r A� X C) z May 1995 - ,J 6.5 — r 34" a �. J/HAMORAIL 906HT �1 7Ci Q -c 4r 8. 1 (i MAX. A �I r �I II MAX. A 3(o��MIN. STAIR E COU �v W I DT4 AKMNG DEPART 3A O� ;C o o �,►emuVED3 r A� X May 1995 - 6.5 — r z 3 �'S�SSO/z pt. p@C11 C-7 10 z 3 �'S�SSO/z Al APPROVED Butte County Environmental Healfh NOTES RESIDENTIAL �030-211-047 02-0724 HORTON,DAVE 867 HARLAN AVE., OROVILLE ADDITION TO EX DECK 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER V JOB FINALED (Date) Signature 0 CHECKED BY ,s OK 0 = Not OK - = Not Applicable MOBILE HOMES r • = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"tt./ PLPG a 7. Well Clearance & Disconnect , 3. 8. Utility Clearance 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Carports; Windows -Doors Card B-1 Date Card B-1 Date Electric Card B-1 Date Card B-1 - Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector } 6. Water; MH Test -Regulator -Connector _ Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 5. Elec.; Pool Lighting; 15 Volts-GFI Date 6. Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS,_rARPORTS GARAGES (Plans) OK except #'s tf2. , 3. oning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral C) Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: --�.+saax:«nw,s+rriwF't�a41 �.d°tf'z�i4vVL,os%'.ihbt�+..►+*,Ir{."N%-iht':ii?rr,c�w�T'.'�+*isM.»M�TM+F:.� 4'ni:'�^I�r�'L1i+iY'.++�S�Y•qua«wrsw+-r:�•+•r+-ti'^�vT;:�*a"e....� ....,K. ., .-- .� ..-...... � 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 -�� IA ASS___ESSORPAFiCE o.36_a� _6qZONING BUILDING PERMITRUPW - OWNER A/W.N Wft TELEPHONE FT. OCC. BUILDING VALUATION ESQ. •��+� V W1902,000 . r NE 5 �Na AD REQ Y r 1 771E SS C'S NAME I ,+ TELEPHONE CONTRACTOR'S MAIU/VNGG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Z 652.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ B+' LIILDINGADDREss � [ �IttAN AVE. ORMLUV CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 84.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome OJ( Other SPECIFY Each Trap 1 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ ,, Other Describe Work: ADD ID 'MST= DECK Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00' Main Service zo.A OR LESS 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under, provisions of Chapter 9'(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LIC. NO. OWNER -BUILDER- DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors coto 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' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢f7_ NOµR�ID MULTI -OUTLET @7.50 S OUTLET CIR.OWER APPARATUS Ex. Occup. OUTLET OR FIXTURES 20 @ 1 1.00 SAL .50 IEDI Ex. Occu DLIT rs'REs o.GE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23. 000 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section'3700 of the Labor Code, I shall forthwith comply with those provisions.. �� _ �„�M X �. t Date ��_ Signature of Applicant - O Owner ❑ Contractor -•❑.-Agent An OSHA permit is required fog excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 84.35 HAZ. D. FEES IMP FLOOD CDf PARCEL PD ISSUE This permit is hereby issued under the Butte County Code and/or in indicated above for which fees have By PERMIT EXPIRES ON -.7AS the applicable provisions Resolutions to do work been paid. Date �a� 40 Dere Receipt No. 3 /J 6 704 T 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 • Orbvil4, California 95965 • Telephone (530) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT 0,z -7) ASSESSOR PARCEL NUMBER - 030-211-047 ZONING BUILDING PERMIT OWNER HOKON DAVE TELEPHONE SQ. FT. OCC. BUILDING VALUATION 236 0 fflzmm .OWNERS MAILING ADDRESS 867 HARLAN AVE. OROVI CA 95965 1,652.00 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,652.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ tlrG ftofAN AVE. OROVILLE, CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE S 84.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑x Other SPECIFY Each Trap 1 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: ADD TO EXISTING DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I IN @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWELR License Class LIC. No. 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. COtoI, as owner of the property, am exclusively contracting with licensed contractors construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoOA TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( S. 3.50F°: FT.* NOR EW CONST. MU IC -O NON RESID. C @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCcu OUTLET OR FIXTURES 20 @''50 BAl @ .50 Ex. Occup. DurELErs R D1 E 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date j� �\ _ fgnature of A licant - ❑ Owner ❑ Contractor❑ -Age t An OSHA permit is required for excavations ov 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 84.35 HAZ. D. FEES IMP FLOOD CDF PARCEL pD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f r which fees have been aid. By Date 7/4�1 PERMIT EXPIRES ON Date I ReceiptNo. 3 IF 5/3 Y PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.D. CANARASSESSOR Ltcv 12/96) w;SES50"P. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONaYa 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT r, APP "�ICATION AND PERMIT C 2 -- V 7J y UMBER i ZONINO BUILDING PERMIT TELEPHONE ,SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS J C t"o2 VS�' CO W AAC T O R S�NAME TELEPHONE j _... . COrR1ULiCRS MAIUNO ADORESS PERMIT FEE I S ELECTRICAL PERMIT I Filing Fee' 20.< Main Service CON; taUG TION LENOER 23,00; Main ice 200A TO 1000A I 46.00; _ Fireplace ( ° a ING eOCCCUP. ) I 3.SC� 1 w Le�:Dc'.s w&uNG AooREss _ Total Valuatlon $ ARCWTECT OR ENGINEER UCENSE NO Filing Fee b 2 o C Permit Fee ARC"ITECT OR ENGINEERS %WUNG ADDRESS Plan CheckingFee S _4 C y 9U40P1G ADC KESS t /� /2� C� �I� Energy Plan Checking Fee S " 23.00: PERMIT FEE $ A'�fr� LOT NO SUBDIVISION'S NAME I PARCEL MAP PLUMBING PERMIT Heating Filing Feel 20 C Each Trap Cooling - 7.00; USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [Q Other / SPECIFY \ Solar or heat um water heater I 23.001 Water piping \, 15.00• Each as water heater or vent\ 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y I / Describe Work: Jy r Gas piping system 1 - 5 outlets ___1 5.00 Building sewer 1 15 00- Mobile Home I S I G I W @20.00' I "PEPAIT FEE PA10 SRA • . SHERIFF OTM AAOVNT RECEZVED "RBCEst'T NVNISER 41-x(0 /" 7 " TO N !VT ZNTO COMA Receipt No. WHITE •D.D.S.-S.0. CANARY -ASSESSOR PINK -INSPECTOR DOLOENROO•APPLICANT PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S «` CONST. TMPE TOTAL FEE S HAZ. I D. FEES I IMP FL000 cOF 'PMCEL PO I "° This permit is hereby issued under the applicable provisi, of the Butte County Code and/or Resolutions to do N indicated above for which fees have been paid. By, Date PERMIT EXPIRES ON /late) PERMIT FEE I S ELECTRICAL PERMIT I Filing Fee' 20.< Main Service eoov oR LE ss ( 200A OR LESS ) I 23,00; Main ice 200A TO 1000A I 46.00; _ NEW CONST.\ OR ADONS. ( ° a ING eOCCCUP. ) I 3.SC� 1 NEW CONS . NON-RESIO. �� MULTI.OUTLET I 1 @7.50, _ PO= APPARATUS d SINOL�'OUnET CIR. _. Ex. OCCU OUTLET OR FO TURES^ BAS 8 1 w I Ex. OCCU ` ` OUTLETS RFSIO°EA / I\I 5.00' Temporary Service I i 23.001 Mobile Home Facilities I j 20.OQ! Misc. Wiring 23.00: PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20 Heating 1 Cooling Hood ( 6.501 Ventilation I PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S «` CONST. TMPE TOTAL FEE S HAZ. I D. FEES I IMP FL000 cOF 'PMCEL PO I "° This permit is hereby issued under the applicable provisi, of the Butte County Code and/or Resolutions to do N indicated above for which fees have been paid. By, Date PERMIT EXPIRES ON /late) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES JO NO 'D ti 2? I HAVE X HAVE NOT 0 signed an application for a building permit for the proposed work. `3 I have contracted with the following person (firm) to provide the proposed construction: PHONE: 4. I plan to provide supervise, and provide the NAME: ADDRESS: CITY: CONTRACTOR'S LICENSE NO. f this work, but I have hired the following person to coordinate, aior work: CITY: PHONE: CONTRACTOR'S -LICENSE NO. 5. I will provide some of the work but I have contracted (hiredy the, following persons to provide the work indicated: NAME ADDRESS PHONE TYPE -OF WORK SIGNED: PROPERTYOWNER: i (/ SOCIAL SECURITY NUMBER:` DATE-AA 1 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORitiIATION I Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information abouty our obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IIMrely, ��1 el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER RESIDENTIAL 030-211-047 CONSTANTIN,RUSU 01-1328 867 HARLAN AVE., CONTR: THERMgLITO MHU SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS. REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date)qj�zV Signature 0/9 19 V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILgHOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Zoni Requirements -Setbacks -Easements. Footings; Soils -Size -Depth -Spacing -Connectors -Steel oils pecial MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails e cation -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ectricity; Location- Clearances-Grne Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat, or / /"L"tt./ PLPG Electric nett Date eltl lity Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 I Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Battle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing c 'ingle & Duplex) �L V Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF OUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PE�nIT NO. (Rev.12/96) APPLICATION AND PERMIT 511--1.30 /SSESSd!r(T°LL 47 ZONING AR - BUILDINGPERMIT OWNER CONSTANTIN RUSU TELEPHONE SQ. FT. OCC. BUILDING VALUATION .370-4688 OWNERS MAKING ADDRESS . 4844 Ve ST., OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 867 HARLAN AVE. THERMAum Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other sPEclry Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lides EX Installation ❑ Other ❑ Describe Work: ICU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE $ Rn f)n ELECTRICAL PERMIT I Fling Feel 20.00 LESS Main Service z,.AOR LESS 23.00 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.6 License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ® 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. s0 3.5¢FT. =R °�IpT' MULTI-OUTLETCU. BRANC 97,50 SINGLE OUTLET POWER APPARATUS CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 100 8 . Ex. Occup.DUTIEDTS Ra D,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE S 63.00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of_a valuation of one hundred dollars ($100) or less.) IV I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the worker compensation provisions of section 3700 of the Labor Code, I shall fors comply with those provisions. ,.j XPIL_ Date ,��4� t{, 11,01 ► Signatur of Applicant - ® Owner ❑ Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0•deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S, Occ CONST. TYPE TO AL FEE $ y6 /0 z HAD FEES FLOOD X CD4 P EL HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Aindicaabove for which fees ve been paid. a�of fi�w Date 7/WV PERMIT EXPIRES OdOl O Det, ReceiptNo. 324683_ /$166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT or7-U,NTY OF BUTTE - OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER SS$SSOR PARCEL o 3 0-- Z- 1 o Proposed Building Use: Building Inspector: Date: At tiiiie.of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ' ❑ 1 items have been submitted-------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑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. -------- F< ' ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ -----------------❑6. 0 6. Energy Design Compliance and supporting documentation. --------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------=---=------------------------------------------- t ❑ 8. Hazardous Material Form.----------------------------------=------==-=-------------------------------------------- E, ❑9 anufactured Home data and installation'itions including Tie Down Specifications.------------------ nstriic 11-Z OW0. Fees of $--------- �1---Z , --- � -------------------------------------------------------------------- ❑ 1 jeImpact fees as shown on the attached schedule. -------------------------------------------=--------------------- California Department of Forestry plan approval/fees. --- ZA2 A------------------------------- Flood elevation certificate. ---------------------------------------------------------------------------------------- 1113�/4.* Sanitation and plot plan approval Health Department. ------------------------------------------- �.; /0—q( EL/j .,. - ❑ 15, Ci of Chico plumbing permit. ---------------------------------------------------------------------------------- i ❑ 6 of an and business license approval from the City of Biggs. ---------------------------------------------- 7 arming approval for (A) Use: (B) Parking: -------------------------- Contact Land Development about ❑ Improvements, 13Drainap&,egal Parcel. ----------------------- 9. Encroachment Permit for driveway (construction approval prior to occupancy). ------------ ---------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). --------------- 4-------------------- 022. Workers' Compensation carrier and policy number. ------------------------ -- 6.ecorded wner-Builder Verification (Given to owner ❑,Mailed to owner O) -=-------------------- --------------- er of signature authorization. ------------------- i t copy of Agricultural Acknowledgment Statement. -------------------------- -------- -----------------------=- ---: �t': --=--1---------------------- ❑ 26. Letter of intent on building use. ------------------- ❑27. Manufactured Home utility clearance. ----------------------------------- --------------------------- `�--==------ 1,11 ❑28. Existing violations and/or expired permits. -----------------------'- r----------------=----�=-------------------- 029. - --- k ----- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ i .--------------- ❑ 30. Other: When you issue the permit, pr ces follows ❑ Mail to owner,Y❑Mail to. ntractor. 0-Te-lephone j3 tJ and hold for pickup at 7 office. O Delivei with inspector. Applicant: Date: Copy of Haz-Mat fonn sent ❑ Health Department, ❑ Fire Department Air ollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 0 e Date: By: 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: 1 Contractor, designer, owner, was advised of the above required data by ❑ pho e, ❑ ail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ ph e, ❑ 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: Plans reviewed by: _AM C�, 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. R i .Y. "'J" I T yr uu"E - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r , 7 County Center Drive • Qroville,,California 95965 • Telephone (530) 538-7541 (Rev. APPLICATION AND PERMIT _ 3 PERMIT NO ASSESSORPARCELNUIBE1 v �~� BUILDING PERMIT ERMIT owNOTs wAu+a ADDREs� r '^ QN �'� SO. �• OCC. BUILDINQ VALUATION L1 L4 COCTOII'f NAYE ©ry NrMVI .� wm VAFMR7 MALINO ADDRen CONSTRUCTION LENDER LENOERI KARJN0 ADDRESS ARCHITECT OR ENOIFEEA ARCNnECT OR ENONEERs WiLINO ADOItEs9 OULDNOADORiESS v t-. lti,,,-- fe LoTNo. I-WM0N-' NkW USEOFSTRUCTURE SF O Duplex O Mobilehome �C Other SPECIFY TYPE OF WORK New O Addition O Remodel p Uylities (q Installation O Other O Describe Work: /~V/IJ (L7/ ed F 0 w, *PERMIT FEE PAIb SPA -. SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER 6 (� * TO BE PUT INTO COMPUTER Fireplace Total Valuation S Filin Fee S Permit Fee S Plan CheckingFee S Energy Plan Checking Fee S S PERMIT FEEt Each Trap Solar or heat pump water hea Water )lping Each gas water heater or vent Gas piping system t . 5 outlets Building sewer Mobile Home PERMIT FEE S ELECTRICAL PERMIT Main Service am OR LEST aooA oR iEss W;MainService 200A TO I000A NST. DWE11OCCUP. ACC.SDs1o. MUffiMLTI-OUTlE7 POWER APPARATUS a SNO1.E OUTLET q0. Ex. Occu OUTLET OR FOCTUREs ! EX. Occup. FoAPPINg. OR 1 ovnETs Esio. Ew I Temporary Service Mobile Home Facilities O rig roe 20.00 7.00 23.00 15.00 15.00 15.00 ry 15.00 020.00 Feel 20.00 48.00 3.5¢' Q7.50 23.00 20.00 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 120.00 8.50 PERMIT FEI: I S Mobile Home Installation Fee S 0 0 Energy Inspection Fee o 1 TO AL FE S NAZ D. FEES n.o00 COF p No ISSL This permit is herebyIss d under the applicable provisions i of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ` SITE PLAN.REVIEW APPLICATION ✓� Date: 6 41- D 1 AP# 11 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name:r 2- S k- ' Owners Address: LI8 LiY116 Telephone No.: Y 6 B 8 Situs Address: G'7 Nog rzu2 .j j 4v , Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES 'INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved 1§ Site Plan Stamped Approved By Date C -1-f- A Page 1 of 5 ❑ Resolve Problems Prior to Approval ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • - ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) F -1100 -Year Flood Plain: (See atta bed) • Flood Zone: • Flood Panel No.: 09800, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front S C) Side �5 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road 13 Thermalito Impact -rtzq F�p 1 ❑ Other --------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with.school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: S-11-89 Legal Access Provided: ❑ No ® Yes , Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: No IM Yes, Complies with County Standards for Deed Creation: ❑ No El Yes Road NameAf21.i�N Q✓�. Comments: • f Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger - ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ----------------------------------------------- Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 FEW 0 IMI a Summary of Specific Requirements: This information provided in this summary is based on the application information and on -the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 PLANNING DIVISION -BUILDING PLAN APPROVAL Use;, ©K Date: 6-71—Q �I J- Parking: Landscaping: o Other: 1 1 Signature: ar7 a ! 4. ! ar7 M. - - x-C40,� Z C O U QED C M 01 = cc a) CU ca E ®� z Cf) w 0� J F1S 3 a ! M. - - x-C40,� Z C O U QED C M 01 = cc a) CU ca E ®� z Cf) w 0� J F1S 3 ENCROACHMENT PERMIT COUNTY OF BUTTE ♦ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ♦ Oroville, CA 95965 ♦ Phone: (530) 538-7681 ♦ Fax: (530) 538-4356" Download Forms: www.bbttecounty.net/publicworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone: (530) 538-7339 APPLICATION I I WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and hi hwa s, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicants Name: 2. Address: 3. Phone: 4. Assessors Parcel Number. 5. Location of Work to be Done: 6. Applicants Signature: 7. Date: CONTRACTORS INFORMATION 8. Contractor's Name: 9. Address: 10. Phone: 11. Fax: 12. Contractor's Number. 13. Certificate of Insurance: Yes 0 No 0 14. Contractor's Signature: 15. Authorized Agent TYPE OF WORK TO BE DONE 16. Please Check: Curb: Cl Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): 18. Other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this form) and special conditions written below, permission is hereby ranted. 19. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 20. 0 All work shall conform to accompanying: Detail O Plans O Special Conditions 0 21. Date Issued: 22. Expiration Date: 23. Surety: Yes 0 No 0 Mike Crump, Director of Public Works By: '*Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week. Page I of 2 General Conditions — See Page 2 GENERAL CONDITIONS 1. It is understood and agreed that the County has prior right to the use of its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit. Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and clean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, clean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any part of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation - 1 provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way. 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors of Butte County, and other public roads junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim. 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. I , a=. The relative compaction from the bottom of excavation to a plane five feet (5) below finish surface grades shall be no less than ninety percent (900/0) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. -r b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. •' C. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8' lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installations, parallel with roadway, shall be placed as close to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other ground(s) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as goos as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway approaches cut or damaged by or as a result of construction — operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two inches (2') of asphalt concrete over eight inches (8') of aggregate base, according to current California State Specifications. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shag cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. it. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. TIERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE * N9 2123 OROVILLE, CALIFORNIA 95965 TF-LEPHONE: (916) 533-0740 FAX (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 867 Harlan Avenue Owners Name: Constantin Rust Date: 06-19-01 Address: 867 Harlan Avenue Acct. -No.: 108400 A.P. No.: 30-211-047 Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ T.I.D.: Preliminary Review By: Date: Ext. Fees: ' Remarks: ' SC -OR: Lateral: Other: Inspect- 39 DO Total Fees: 35, Amount Paid: -35-00 Collected By:� P Finaled By: Date: / s i&Zs G-/ Location: o �/ Siie Line: o %'.� A� :�f�_ /.� fro%�G� .a h �}aG � ,S-/ �� �•� ��6Ji�I,P , X07/ Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (RAC.) Blue Book: Paid SC -OR: Meter Book: (SIC HG's) Rov. W86 '_ NAI.F WAIL DETAIL 2aX4" 5TM PWO MvsI fa,:;rn14 MovE. 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