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030-350-080
30-35-80 LLO & EDITH DAVIS ather Ave, ORovillell"W. 'PermitW4O 8P,E(util, MH) ELEC. GAS SU,PORT STRUCTURE RE JVD IContr: R Van• .-35 80 Permit# vern Is s ed' .7 e2l " 30-35-80 e '�ffift#253-89 -d now open' eck /Mli) 't 030-35-0-080... - 93-1916 B AVIS LLOYD,..&. EDITH 1435 6LVfE- _GROVE, '..OROVILft CONTR: M NELSON: "GARI AGE r i RESIDENTIAL 030-35-0-080. 93-1916 B ` DAVIS, LLOYD, & EDITH 1435 OLVIE GROVE, OROVILLE CONTR: M NELSON GARAGE a 94 4 " t� i '• H1.j +r v �1 1 • ,L f tt l JOB FINALED (Date) Signature _- V=OK O = Not OK -=NotApplReady MOBILE HOMES ' =Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/0 Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECW, COVERS, CARPORTS, GARAGES Plana OK except #'a . oning rements-Setbacks-Easements tangs; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors > -T-ETSLFi'tE ,JL.fTmg; Sils-Anchors-Studs-Rftrs-Trusses ,ySk6hg; Nailing -Veneer -Stucco -Mesh 9 f; Shthg-Roofing Ext.; Stepp- ors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel _ 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clears nce-Material-Su pport-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Flnal: -nr+rn.+''11r�J+.,+c u::'�--�.'7�,�T-•"�'�..,.-.�,:r:L-�v �t'�"�R COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE a OWNER PERMIT NO. ` A routine inspection indicates that the following violations of Butte County Ordinances exist at the Above address and should be corrected. Please notify this office when correction of work is con4i&ted. if you have any questions pertaining to this matter, or need additional explanation, please contact this of ' ' immediately. iOB f1 _X •s i i s ` �_ ♦ - — / ROM " /lk - Date ` 'S Inspector REV 101 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W P38-7541. ERMIT N 7 County Center Drive - Oroville;,Califo;nia 95965 - Telephone: 916 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-350-080 ZONING AR BUILDING PERMIT OWNER d &Edith Davis TELEPHONE 533-1883 S'Q. FT. OCC. BUILDING VALUATION OWNS 'S MAILING ADDRESS 1435 Olive Grove Lane Oroville 95965 528 , CONTRACTOR'S NAME M. Nelson Gen. Contr. TELEPHONE 872-1682 CONTRACTOR'S MAILING ADDRESS 1041 Ma le Park Paradise 95969 Fireplace CONSTRUC TI N LENDENonp R UNKNOWN Total Valuation LENDER'S MAILING ADDRESS - NonpPermit Filing Fee $ 15.00 Fee $ 9 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Nonp Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $161.25 ville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PA RICI-L MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other f;arage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New[X Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Det. Garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): 1 ~ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. f����5Z1 Classification ZJ_Z I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. (DWELLING OCCUP.N\ OR ADDNS. \ ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR U TI.OUTLET NON•RESID BRANCH CIRCUITS/ @ 5.00 (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20L. 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.. I:r1 I shall not employ any person in any manner so as to become subject l� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons e uence of the granting of this permit. X ,%�v�-� Date Z� $ignature of Applica t — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 161.25 rlAz DFEES CDF PARCEL PD p This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D EC R �PU IC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKSp D4 J Receipt No. 1115551 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �r�."''. y,".� `•d`'�7(f..,,rf •''+r�.:r,q;,yy.('+'r'�r'7`!�"'.-Nim--'^'f*' .. • r"'^'''I��-`�"r'�..-[*'K"`"r� �.-�►'�•u��T","�^l"�w..rvrr..y'n.:�l-._.^..:' ; .^,.� � _'� COUNTYOF BUTTE - DEPARTMENT Q„F.DEVELOPMENT SERVI - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /� ly z5 27-1 A, P_,44o-,6o3Lj Proposed Building Use fie M/6_aO C;:�' Building Inspector Date lD At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or iss ance: DATE RECEIVED BY A 1. All items have been submitted . ......................................... Fiv 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $....................................... . 11. Impact fees as shown on attached schedule . ..................... "....... . 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood) by California Engineer .................... �4. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ....................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. t. B.iltg 1'nspector (Date) 21. Contractor's license information. (No., Name Style, Classification):- ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................... :........ 26. Copy of'recorded deed of parcel creation and 60 right ofway-to'a public road. .... . 27. Letter of intent on building use . ...................... `! .................. 28. Mobilehome utility clearance ..... .:............ . 29. Documentation of legal:access. ......... e ............................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meetstzoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ...'................................................. . 33. .X ' When you,.issue thg• ermit, r cess as follows: Mai to owner. Mail to contractor. (,.-'`felephone�ri hold for pickup at J office. Deliver with inspector. Other P . Parcel Creation /� Acreage Applicant • Date � Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner; was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail ounter by _ Date Plans checked by Date Plans approved by Date. Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION -ANI) PERMIT ASSESSOR PAROLE=N E O �O 3 ZONIN /y� ' BUILDING PERMIT OWNER i 1 L LU el S �.�� ���/3 ONv TELEPH E 3p/ So. FT. OCC. BUILDING V LUATION v' OWNER' MAILING ADDRESS /.' / CONTRACTOR'S NAMETELEP ONE /pi.,/l/t� o/J 6 caG�GG� Ca ae 7A–/mak elz CONTRACTOR'S MAILING ADDRESS /,0 5// � �� �� /�� Fireplace CONSTRUCTION LENDER - UNKNOWN Aorl� Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ . J ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ .7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS GL-- Z. W. Permit fee $ r PLUMBING PERMIT FilingFee 15.00 � c //a cam. / ' Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other e�,, &-PBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New AdditionjJ Remodel❑ Utilities[:] Installation❑ Otheer/❑ Describe work:. 6&R•1i & 0 Pr X �`7 — Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 " Main service 600vORLESS 200A OR LESS 18.50 _ Main service 200A TO I000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. e5 1� 7� Classification �.�% I, as the owner, or my employees with wages as their sole compen-Ex. sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW M CONST. ( DWELLING OCCUP OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS ORFIXTURES++ 420761 OCCUp. OUTLETS FIXED PIRESID IREA./ Temporary service . Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. bt to the W. C. laws of California. ❑ I shall not employ any person in any manner so as to become Jsuch Notice to Applicant: If after making this statement, should you becomemit to the W. C. provisions of the Labor Code, you must forthwith comply wprovisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 tilation Fee $ tractor I certify that I have read this application and state that the above infbile is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 696 _ — Date Signature of Applicant — Owner ❑ Conrractor� Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures'over 3 stories in height. Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ I HAz I DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. S� WHITE-O.P.W., YELLOW-ASSE730R. PINK -INSPECTOR, GOLCENROO-APPLICANT L .ti THERMALITO IRRIGATION DISTRICT a c O 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SENDER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: ' Address: Acct. No: Cc, °5G65 A. P. No.: Phone: No. Units: s Applicant/Agent: 0- n —1,,; s Agents Proof: Address: t , , ,' r, , Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: "•s y SC -0 R l�A. CC)1,: 1. .�lJ l ' ,moi• - .A'A i. li' 1 S.C. 1st mo. rJ L.:> ,�. :�•4: �. Other +.�t�klZ., .•,,� ,�.I h .'.� Total Fees Collected By: Date: Field Review By:, --I/,.I./ �'%art"',/.�.`,� Date: /�—. � 09 Remarks: 9 _. A _.l..I MONTHLY SEF -VICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date atove, or on date of D.P.W. approval of completed building sewer; whiche omes first ("existing construction", prior to Mar. 5, 1974). Em►ironmentallW ❑ 180 days after date above, or on date of D.P.W. approval of completed building s�IB, %1cf 6gr comes first ("new construction", after Mar. 5, 1974). 1'� proville, California DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID PERMIT NO. 4064-88P, E(MH) ` PERMIT EXPIRES !2_2x1- 1 OWNER LLOYD & EDITH DAVIS f f.CONTR. owner ASSESSOR PARCEL 30-35-80 LOCATION Feather Ave, OPAvilIe rt s �i Temp. Power Pole Called PG&E_ Temp. Elec. S Called PC t Temp. Gas Si Called PC i JOB FINALE[ f, °� Signature =OK 0'= NotRESIDENTIAL (Single and Duplex) - =Not Applicable _• Not Ready a Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) .1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting - 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs &Rails Card -B1 Date a .•' Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 7In 5. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -61 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -61 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) =,OK 0 = Not OK ' = Not Ready able MOBILE HOMES MISCELLANEOUS Date MQWtt HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s .LCW Ct7zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails piter; Location -Test -Easement Needed (Sketch) 1 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.= Shthg.-Rfg.-Bracing . lectricity; Location-Clearances-Grnd.- p -Concrete -6.-Gaa;-6esaFie�-Test-Wrap: / P'U'ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors -rUtility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date -Card-B1 Date 10. Roof; Shthg-Roofing Card -B1 Date% and -Bi Date 11. Ext.; Steps -Doors -Landings Date O E OME IN ALLATION (Plans) OK except #'s e4'.'Z9Kng Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date ootings; Si -Spat n arriage L' Card -B1 Date Card -B1 Date H Test- nd-Valve- onnec or Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . Dr in; MH Test -Fall -Flex Connector 1. Setbacks -Easements MH Test -Regulator -Connector { 2. Soils; Compaction -Structure Stability er and Sewer Co ected-C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining ' . Qe_-end Elec Tagged .0(--9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI X10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Datej,30 Card -61 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEI ARTMENT OF PUBLIC WORKS — 7 COUNTY- CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. `�' ' �� Year of manufacture (Official Approving Installation) (D.t�) 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. 5138 White - Owner, Yellow - Installer, Pi,k - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �_ Q Inspector � Date O � z COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R — PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date— —d! COUNTY OF BUTTE DEPARIOENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center :Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER — PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector mak. Date i . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. Q 'APPLICATION AND PERMIT A AfiSS sSOR P RC^L N B R ZONIN BUILDING PERMIT owN R a TELE PHO o/1� S0. FT. OCC. BUILDING VALUATION OW - R' AIL N DDRESS �� r CO ACTOR'S NAME r, TELEPHON CO RACTOR'S MAILING ADDRESS Fireplace CONJTfPUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT UR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Y, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 00 V ` Solar or heat pump water heater 20.00 LOT NO. Z SUBDIVISION NAME PARCEL MAP 4 3 L Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehomeytl Other ter[[ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer1Z 44�11 5.00 Mobile Home S G10 IJO.00ea' TYPE OF WORK New ❑ Addition ❑ Remodeliti99X InstallationOther ❑ Describe work: �11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. CONST. ( ACC. BLOGS. / DWELLING OCCUP.01 , 20sgft NEW CONSTRTI.OUTLET 2.50 ea NON.RESID .BRA CH CIRC I 5 (POWER APPARATUS e� (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 5ALO 30 Ex. Occup. FIXED P UTLETS (RESID )ISIS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / O Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in sequence of the granting of this permit. X� 19 vl Date � fi0 Signorure ofAp Owner ❑ Contractor [I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE - $ occuP, CONST.TYPc SCHOOL LOOD PAR L PD s5 E This permit is hereby issued under sio ns of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PEYWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z' Zy,,Pf !� Z Receipt No. WHITE-D.P.W.. YELLOW-ASOCS3 PINK -INSPECTOR, GOLDlN ROD -APPLICANT 5 ~ COUNTY OF BUTTE - DEPARTMENT OF,P,�U,PLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-•OPOVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET i ► .� Permit No. OWNER / i A A V i S A. P. No.. - Proposed Building Use ,, /�/ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ........ :............................................ �2. Scho01 strict fees paid ................ 3. Sanitation approval from Health Department .. /,2 --N" T- 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. 1�j pro.�v ments may be required. 18. Dri eAivay permit (construction approval required prior to occupancy) ... 19. Pre -Inspection forrequired .... Pre-Inspec. request to • . Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . . 23. Recorded copy of Agricultural Acknowledgment Statement ............ 12`Z��- 24. Letter of signature a horization ......... ................ ......... . 25. 26. 11 When you issue the permit process as follows: Maillto owner. / Mail to contractor. Telephone_753T�2and hold for pickup atn office _--Deliver w/inspector. Other. Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phonemail counter by date Plans checked by Date Plans approved_ Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW BLAKES ' HOUSING CONCEPTS 2175 FEATHER RIVER BOULEVARD Oroville, California 95965 r To: Butte County Public Works L --Butte County Health Dept. P 0 & E. , t i • � i S a{ ;`vi+ r.�4µ,���}) j��;s tatty � ,�,5. ��. r.�y r..+rr •y , Telephone (916)p4.8336 t.. This is to authorize•Don or Jolene Blake to•obtain permits on my behalf. Name /�D7Z71'11��roN� .�n� �Ccc Z766� Address �0 AP Date .i pr. l F COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone. Type of Work Signed: Pro 0 t Per er -- Social S�cu r I t y, umber ` — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE - OROVILLE, CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A. P. No.: Phone: No. Units: Applicant/Agent: - Agents Proof: Address: Fees: Phone: - Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other , Total Fees r � Collected By: " Date: Field Review By: t Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). A' y DISTRIBUTION: WHITE -TID, YELLOW- APPLICANT, PINK -DPW, GOLDENROD,- DPW to TID AGRICULTURAL S'PATEMENT OF ACKNOWLEDGEMENT k,.i eturn to, DPW a Y�^ fte'' °5 FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code requires this acknowledgement 'Section `+be recorded prior to issuance of a building permit. _ The property described herein is adjacent to land or included 88-04iB6 "within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use- of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on .ldjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. . All that real property situate in the County of Butte, State of California, described as follows: See attached sheet to my of I. L'IOn this the 201-1+ day of 'DiFCJ2M—12 19_@S, before (�SS. me, the undersigned Notary Public, personally appeared- o f �L,L-� ) �p t"il-4 �•� � 5 :.� soca■t■■■■■■■■■■■■.■■■�■�■ CYNTHIA A. COLLIER t a'` NOTARY pUBLIGCALIFORNIA ■ Butte county ■ My Commission Expires Oct 30,1992 f"SZ Proved to me on the basis.. of satisfactory evidence. to be the person W whose name(V ( S subscribed to the within instrument and acknowledged that 15tkc executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 30-36--13D .'Return 'to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement x+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 arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations *including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described ;IS follows: See attached sheet STATE OF CALIFORNIA C, COUNTY OF (ss. a 0. Zn. Vq5;� before me, the undersioned,-a Notary Public in and for E ���L/� I e ,,// .�. said State, personally appeared ��. �L�Is.�.� v personally known to me u to be the person whose name is subscribed to the within instrument. as a�witnes thereto. who be�ing^ b�y. me duly P sworn, deposed and said: That he resides in t A]=a Q�1`.( F $ that he was present and saw— E personally known to him to be the same person described Q in and who executed the said within instrument, as iL par _thereto, sign, seal and deliver the same and S■■■■■■■■■■■■■■■■■■■���■ V)that the said—' L16\4 A,) I S ■ __ ■CYNTHIA A. COLLIER= 3 — ■ oR; NOTARY PUBLIC -CALIFORNIA ■ Bulb County c duly acknowledged in the presence of said affiant, that / MyCornin"onExpiresOct. 30.IM =ot executed the same, and that he, the said affiant, thereupon at ■ E L request, subscribed his name as a witness thereto. ITNESS my nd and o ial_seal. Signature 19_@J�?, before Name (Typed or Printed) %This area for official notarial seal pally appeared- u o u n c y ox: yrs-• 1 1 �,.>-.cr;r—. '[ ' " �.*'^" — a--4 ,+ -- ,.•.•cf r,e..r"z�ass+ra+e�rxr. �csamao/o■■a■/■■a■aa■■■■■■ � CYNTHIA A. COLLIER NOTARY PUBLIC -CALIFORNIA / Butte County ■ My Commisslon Expim Oct. 30,1992 �7 �,-T—Pee+a�����•� *� mp Proved to. me on the basis of satisfactory evidence. to be the personNd whose itame(lo ( S subscribed to the within instrument and acknowledged that 15ff45 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. z�', 61-1W1XeA=:� Notary Public Present A.P. No . 30— 3 zJ -t3D NN, " NtA W :fX �n+rar•w r ry�'-. PW P23=41 7. 8 ITUATZ DESCRIBED', AS, FOLLOWS 'Fw rim PARCELMAP, `RECORDED PARCEL:'p. 2,," IFS HOWNZ` ON T'CERTAIN ' OFF;. OF:,-�.THE,,%'I,�"RECORDER"*'."OF: THE COUNTY'`' OF -BUTTE, STATE -.w. CALIFORNIA, ON.,` FEBRUARY 24, 1972j, IN BOOK ,41^*OF,-.MAPS GE I 37. -.2 RESERVING THEREFROM A NON-EXCLUSIVE PUBLIC EASEMENT FOR I.NGRE.1 AND EGRESS AND PUBLIC UTILITIES. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLICS=;' UTILITIES OVER THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF,' -`,- THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,- ON.` FEBRUARY 24, 1972, IN BOOK 41 OF MAPS, AT PAGE(S) 37. EXCEPTING THEREFROM ALL THAT PORTION LYING* WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 4 PARCEL III: -- A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY.PU.RPosiS,l,�.',,..'..*,,.,, OVER THE FOLLOWING DESCRIBED LAND: COMMENCING AT THE, SOUTHEAST CORNER OF- LOT 8*'- BLOCK' 97":-: THERMALITO, ACCORDING TO THE OFFICIAL MAP THEREOF, RECORDED - IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE ,.. ._OR.,. vw: � - CALIFORNIA, JUNE 8, 1887; THENCE WEST ALONG'; THE SOUTH LINE Op'.. fit• LOTS 8 AND 71 OF THE ABOVE MENTIONED MAP, A DISTANCE OF --2 68.51:'. FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND_HEREIN.''.' 'HEREIN.''-.' DESCRIBED; THENCE FROM SAID POINT OF BEGINNING ON A CURVE CONCAVE,,.'�-.�k TO THE RIGHT HAVING A RADIUS OF 20 FEET THROUGH A CENTRAL' ANGLE3.,V? OF 89 DEG. 581 00" AN ARC DISTANCE OF 31.40 FEET; -THENCE NORTH"A"!_'r_'.` DISTANCE OF 444.01 FEET TO THE NORTHERLY LINE OF THE- ABOVE-,-?,`' DESCRIBED PARCEL; THENCE WEST AND PARALLEL WITH -THE SOUTH LINE 07'";-, LOT 4, OF THE ABOVE MENTIONED MAP, A DISTANCE OF 60.0 FEET;;"� THENCE SOUTH A DISTANCE OF 443.99 FEET TO THE BEGINNING OFA`,' CURVE CONCAVE TO THE RIGHT, HAVING A RADIUS OF 20 FEET, THROUGH -A-%' CENTRAL ANGLE OF 90 DEG. 201 00" AN ARC DISTANCE OF 31.43 FEET TO.-...;'* THE SOUTH LINE OF SAID LOT 7; THENCE EAST ALONG THE SOUTH LINE Of-'=` LOT 7, A DISTANCE OF 100.0 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF, PARCEL I,.DESCRIBED HEREIN. PAGE 4 k .•+ rJ AP'#�`(� OWNER d 1.J -S PERMIT MH UT IL. CLEARANCE DATE I -a 6 p INSPECTOR 0 It ELECTRIC GAS Support Struc. Compaction Test -Req.' :vice :e OtherPipe Load Type Size Leniath YES NO YES NO �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS MIT NO./ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLI16ATION AND PERMIT - ASS SS R PA CEL R ZO -0170 N BUILDING PERMIT o ERT441 ELEPHONE SO. FT. OCC. BUILDING VALUATION O ER}� G AI ADDRESS /IV/ t � CON ACT S AME Vt TELEPH NE CONTRACTOR'S MAILIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee ,$ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 10 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 19vi IleSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I WO.00ea TYPE OF WORK New ❑ Addition Re del ❑ Utilities I st IlationA, Other ❑ Describe work: I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code" and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered —1for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 1 2.50 NEW CONST. DWELLING OccuP.N OR ADDNS. ACC. BLDGS. h(CSQft NEW CONSTRTI-OUTLET NON-RESID _BRA CH CIRC ITS 2.50 ea / APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU p OUTLETS OR FIXTURES 200300 DAL* 300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. to save, indemnify and k p harmless the County of Butte against Qliabili alls, judgments, cost xpenses which may in any way accrue County in se of he anting of this per D e Signature of Applicant Owner❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPC JSCHOOLJFLOJTA;;;L�N-59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which fees 1 E 0 PUBLIC BY PER ITE PIRES Date the applicable provi- resolutions to do have been paid. WORKS I—Z Date Receipt No. WNITE-D.P.W.. YELLOW -ASB E330R. PINK -INSPECTOR, GOLDENROD -APPLICANT m 1. Owner's Name: 2. Installer's Nam 3. Is the site cur (If yes, f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET Is the site an existing site? (If yes, furnish two plot plans.) Yes X No F-1 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes L&j No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- ,670 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- C�� Amps 8. Is there any other electric load mobilehome site service? -------------------------------- to be served by the Yes No V1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------- --- (in.) 10. What is the type of gas service? "-�'==-- Natural El LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------=------------ (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information.not required if pipe length less than 6 ft. on natural gasror less than 50 ft. on LPG.) MOBILEROME SUPPORT DATA If other than single wide, �p Mobilehome Mfr. " furnish Setup Model No. " Year Widt (ft.) Box Length�-(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) 1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE ,.in`c y �— Main Beams� — ine 2 — — — — — Main Beams� — — — — � Lin Lin --- -- ------ Line Tag or Triple f.ina �• Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max .------- Line 2 Piers: Size -Min. ------------ 1/7 „'�® x Spacing -Max. --------- From Ends -Max .------- _ Q Line 3 Roof Loads: Size -Min.------------ Location (From Front) Line 4 Piers: Size -Min .------------ 'k Spacing -Max.--------- ,_ n From Ends -Max .------- „ L1t,C WtlYD: Size -Min. ------------ "x "x ” Location (From Front) Line 1 Openings: Size -Min. ------------------ ,,x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .__________________ Spacing -Max.------_------_- „ From Ends -Max .------------- „ 1 e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ Spacing -Max.--------------- „ FromEnds -Max .------------- _ =���Owfflw��M ®®WWWVWN�:.���® pA�0 'DARrMF�i �------------------------------------- ; FU UA HOMES INC. COLUMN SUPPORT SPEC. SHEET ��,�hCT D� D O y W- w� .•ate L Yr U� LINE30 CD APR 1 c� (oft ,Q O -g�. Li, • 3lOt-Ap I I 11:91 2� 30 -3 4p • � i ��/� ?,� ti`s ik Lb I 5o'- 2p TKMSM E9-S t OIYNYIAP•DI DOWNWARD SPECIAL INSTRUCTIONS 0L SPECIAL J\STRUCTIONS i COL. L'OAD(LBS-1 LOAD(LBS. 1 1120 2 'O, I 10 7 3 n 726, I i 2 5 730 13 is 6 390 4. 15 U V 7 I u G d / 0 �r-p din the SOiI be �tr� � into tl e�/ Footing or pad size must be determined by diet g':� do%vnviard lord. Ex: Soil beartnc) capacity '1500 PSF. L) %vttvdard IOa 3200 LBS , 2. 13 SO. F T . u Footing size - IS00 F i 1 th s to ®•f . n +. a3s �rnd sp liic�,ti��io:M __. kept on t�a� �o� et n!1 �� tlS�T be maul any ch >�c►T S raA, sand t It unlawful to � +►ori tlf en ^,,. •, , r� long perr��r.sac�n .r ®n larnnc wlthow lic From B tl1Q DepartmenI.t o_ f pub• I'��..,� .. At Rf terir�ls1 . /orl<rnunship Shall B® in Warlta, County of B '%cc Fdc,�nce wi'h Re;c!Dlicc- ,.-ed ized Good Practices and of u quu;ifiy prescrir tl�e Specified use in fih®Unif rrn �uiiding, pluiy�b& Mechanical Codes and Fhe ational Electricalde. 1 Utility connections shall be wfthfn 4 ft. of the rnobiic�horne, Dither directly behind or within the rear half of the roadside (left) of the / , -'mobilehome. r -A perr,,,, •wii; be -'required for 10stallation of the mobilehome,_.. .'LABELS � BEAR H.U.®1 ; A setback of 5 ft, from the i property lines and a ,setback a IkT of 50ft. from the -road i centerline shall be clear of ; structures or equipment except I for a 2 ft. eave overhang. CL60,OL CA Act ewj*0�7,e-e7 7s, I ► 4 0o VE _71��___.__ 030�,)35-O- 'opo —Ca ble).7 acqC.!e. 1 E -A perr,,,, •wii; be -'required for 10stallation of the mobilehome,_.. .'LABELS � BEAR H.U.®1 ; A setback of 5 ft, from the i property lines and a ,setback a IkT of 50ft. from the -road i centerline shall be clear of ; structures or equipment except I for a 2 ft. eave overhang. CL60,OL CA Act ewj*0�7,e-e7 7s, I ► 4 0o VE _71��___.__ 030�,)35-O- 'opo —Ca ble).7 acqC.!e. ,� \ , . .,z..t.. ,� .. 1i*:*.'�' :. ,� �,..,ry�.iti�l�.vz.�`ti�rb.1.►ft✓..%:�% �,"��` :7k: r..,:' `�_ J4 M,l.. s f }'}:V y'r~' ,jam • J. iti,,,'.iY 4�f.`i\! 4,i \/. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL ` i CALIFORNIA 9596 - TELEPHONE: 916/538-7541 ; PERMIT APPLICATION DATA SHEET /Permit No.�j�+� 2� OWNER �G© U 1 S A. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All Items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. J 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval fcr (A) Use: (B) Parking: 12. Certificate of Workman's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 14. Improvements may be required. 1 • • . . Mobi lehome Installation Data. . . . . . . , . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval f-om city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, poc s as follows: Mail wner, Mail to contractor. Telephone" and hold for pickup a /Naffice, Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., w Other Date The following data must be submitted prior to permit issuance: (Ci le new item not checked above). 1. Index permit for above items No. Ilda 1% 2. Additional items regluired: C Contractor, designer, owner, was advised of above required data by—phone---Mai [—counter by Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by Plans checked b, Copy—DPW Date Plans approved by Sets of plans on hcld in File cabinet AP folder _ date _ date Date y 4064-88 194-89 PERMIT NO. a GJ — PERMIT EXPIRES a ✓ / c OWNER LLOYD DAVIS CONTR. owner- ASSESSOR PARCEL30-35_$0 LOCATION Font. er Aver-Oroyiun— Temp. Power Pole _ Called PG&E— Temp. Elec. Service Called PG8' Temp. Gas Sen Called PG8 JOB FINALED Signature = OK ' ' O=Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS O ,COVERS,CARPORTS,GARAGES, (Plans) OK. except #'s g,riing Requirements -Setbacks -Easements ootings; �oilsi(ie-Depth-SpacjAg-C Hecto -Steely / Decks; Girkari and/or Joi ec ' g -Bra g -so - afs 4. Water; Location -Test -Easement Needed (Sketch) n.; osts-Beams-Rftrs.-Connec.- Shtong.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG lumns-Con nections-Splice- Decal- Enc losures por s; in ows-Doors 7. Utility Clearance - nchors-Studs-Rftrs-Trusses ai -ng-veneer-Stucco- Mesh Card -B1 Date Card -B1 Date 1 g- oofing Card -B1 Date Card -B1 Date 11 - - s Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -131 Card -61 a and -61 Date Date Card -B1 Date 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 Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrappe 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -61 Date 67. Stairs &Rails Card -B1 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meth. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -61 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date 92• Roofing Certificate Card -81 Date Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT Or—PUBLIC WORKS gyv 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 R APPLICATION AND PERMIT m4/ ASSESSOR PARCEL NUMBER — 2 Q ZONING 31 BUILDING PERMIT ow RTELEPH L � ON s33-o�3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS`� I CONTRACTOR AME TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ 1:3.10 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS F,qw:g� ALP= - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS G W 10.00 ea TYPE OF WORK New [- Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` , OR ADDNS. ( ACC. BLDGS. / ,tsq ft NEW CONSTR '.OUTLET NON-RESIC .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR, ) EX. OCCUp(OUTLETS OR FIXTURES ewL9 200SOt30 FIXED Ex. OCCUp. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. go I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm , costs, and expenses which may in any way accrue against i Cc ty n co sequence granting of this permit. XDate Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP, CONST.TTP! SCNooL PLooD PARcln 1/ Po No S o This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RC R UBLIC By PERM' EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS te Da3 -� �% �•.� /!� zr , r ,5l / / Receipt No. N ( � WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PS .. .- , - . _ i., , . i.. - .. r r � .''� * ^.':.�ti .r;.f' -• , a ...:.*i-+: "''.tii' �S+i�; ��sT.z s... � -.-�4� COUNTY OF BUTTE -DEPARTMENT OFh�UBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, G`ALIF©RWA~95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 1tt ` J Permit No. OWNER Z A. P. No. C34 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ;8 1. All items have been submitted . .................................... Plot plans in du licate/triplicate, signed by preparer of plans........ 3. Comp le plans in duplicate/tripllca� te', signed by preparer of plans .. 4. Complete engineeredl plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... i 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. chool District fees paid ................ . r13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may bE required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred • ... Pre-Insperequest to p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: \ _ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other i Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by `vf<S Date Plans approved by o5, Date '�— Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in -processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mate r'als for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an application for a building permit for the proposed w k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name I Address City Phone Contractors License No. 5. I will provide some of the work but I.have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Numb r. Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 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