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030-500-011
.- � 1 030-500-011 PERMIT#98-0615 JAEGER, William & Patri.'a 65 Orchardcrest Dr., Orov'lle �\ " +z MH on Perm Fnd y ,H 030-50-0-011 98-1071 ��ism JAEGER,_Will4am & Patricia' atricia \\, 65 Orchardcrest Drive, Or ille (New garage) SMR Const5;� F COVER: Total Pages: 7+ Cover- ' 9/20/2012' Carrie G. Fax 530-538-2140 From: ; Mario J. Gattavara, Realtor Coldwell Banker Lake Realty '459 Oro Dam Blvd Suite E oroville, Ca 95965. ' E-mail: matioisreatestate@yahoo.com (530)534-9777 Office r` (530)588-8373 Cell (530)876-8056 Alt (530)534=9789 -Liar = , RE: OrchardcrestIncorrect Recording .Notice. From..County • Incorrect- Notice of Manufactured,Home(MobileHome) Or Commercial Coach-. , Installation On A Foundation System. Which was recorded as Insignia 16193. (2 Pages) , • Documentation of Oregon Department Of Energy's Natural Gas Home Certification- Of ertification Of Compliance. With correct insignia of 16191. Which needs to be corrected and re- recorded. (2 pages) • Correspondence e-mails from lender who found.the insignia problem during the. sale process. (3 pages) Could you please amend the incorrect Notice created by the Butte County Building Division for re-recording, and provide a copy to my office, or I can swing by and pick it Fan 1 up. ' I appreciate your help. Thank you, - Mario -J. Gattavara RECORM"Mmaummuft AND Vfi= MAIi.2* BUT=CW jaY MMZMd D1VI81 M '? COUNfY cm?m ISS OROVUIB CA WO i 999•--t�09iZ4�� Waal Rgar" ty Of now & BAM D 1 las37P ig-elan-1499 t RIP I of 2 f NOUMJWM&MWACiVRMRDMB oRcobeflumfALCOACK, VMAVAAT N ON A pOiAmfCj M SVSRBM btu dtbas doenauee2 .t Ws eaptnt of the loud ajaeap d im aeoordoom vrAh Uffoeob ROOM tend SedW Cab Saatta! IBSS1, � dom=S b a�rbdee�aetbt nab local � bw bred soodabo r � aY of t6a snit laroon, upa dkw ad t� &.a.& rd� �vr."of the dela cd mmd�. When re000&d, d"do WAW"bs blGeaiad bI► aha► vouctj► eeoo:<Mc tatZr awl ovve�et of Oe reel peaptq► wed � 6s deemed to give oavetnmtbvs aotiar sf b ita �ooteats to afl p.rsoae tbueebb� ded&!a tybbh the and pvpsitlt. WMLUM U AND FATR� As 7, v w 80 o �T DRM OROVn:tIL,BUT1-4 CA 9 a" �_ - — 65 (RCHARDCRW DRM O_ROY�LZB. Bim& CA 9+?rwmw 65 SAME ¢tilrregNq�i� rw• own► was ` Rlf1'[8 ( UN'�Y AMMO DIVISION T tit Mff t DRM IWAMMMIM OYIW.B, BUm, CA 93965an 000mv -- W,Im >a i am 0611{BNAMXO�M�I�ud�..�r `!l�114'! O;11�WmwN m swrow4umBBV. oft Ky� I IAA) Bod er Ross From: Hauth Amanda R [amanda.r-'"uthCatate arms] : Senn Wednesday, September 19, 201210:55 ARA BE HU r, .Ross Subject' RD vefficaticn for 0348720368 - KROLL, MARK , Good morning Ross, Here is the information we contain on this. ho>ne:i Manufacturer: Fuqua Mfg Date: 4/17/1998 , Ser# 16191 p HUD# ORE 360761 8t: ORE 360762 Have a wonderful day? Ammt& I{ar" Manufactured Structure Ownership Program Amanda. 'R Hauth@state.or.us (503) 373-1249 phone (503) 378-4101 fax ' From; asc P BoduerColiwellsfamo com fmailto•Rocs P BodmCmwellsmmo coml .Sent: Wednesday, September 19, 2012.8:27 AM To: amandaj haujbOstatear.us SubJect: HELD verifwzWn fior 0348720368 - KROLL; t4ARK ; 'Good moming Amanda, Please verify ORE 360761, ORE 360762. Thanks! Ross Badger Loan Document Specialist Manufactured Housing Review Team (I4HRT) Wells Fargo Home Mortgage 1 2801 4th Ave,S 1 Minneapolis, MN 55408 MAC X9902-019 ' Tel 612-312-73261 Fax 877-746-6496 Boss P Bod'aer0wellsfarga.cam , • d ` r - Y I've attached the verification from the Oregon HUD agency that issued. the HUD tags (insignia) for the home. Also, the appraisal does list 16191. ON sis the serial but its mistakenly in the trad'elmodel section) Let me know if you have any questions as there are a lot of numbers in the wrong spots on the 433A/appraisal for this one. Ross Bodger Loan Document Specialist , Manufactured Housing Review Team (MHRT) wells Fargo Home Mortgage 1 2801 4th Ave'S I Minneapolis, MN 55408 MAC X9902-019 Tel 612-312-7326 1 Fax 877-746-6496 s R�s.�,l' 84l19.� el _r9�91Ct 0. _ •--.ypy',+A�� "�=e+.'�➢RK..r r-n5�a�.t'+G-2c..�:�-...a} ::Fra'/��P riarwa'=:?ct.�!C*Ce++al -. eaew+•c.:a'..^�`+�wj's.'S¢ am''<rev9+ — 1 Q(.�® MAIL._.. classic , ' A-=-::_=.;,.:�•�_:,:�.:.,......_-- --.,.mom_:._.-..._:__._-_ -_.-_..--, -�---- - . Hi Cherry; T,. Please see e-mail below. Before I can'get final -approval the 443A has to be amended and re=recorded based on e-mail below. The serial number is in the wrong place (showing under label numbers) an should be 16191 not 16193. F Also since we have to get the 433A changed have label numbers -corrected to show ORE360761/ORE360762 . Please let me know how I'can help: Nadia Artero s ' Mortgage Consultant NMLSR to 447921 y. Wells Fargo Home Mortgage 1 1110 Civic Center Blvd I- Yuba City, CA 95993 MAC A0709-011 Tel (530) 821-5344'l Cell 530-632-5936 1; Fax 530-751-8188 ' Nadia A_A_ eco wetlsfarao•rnm ' , - , www.rtadiaertero.Co� This Is an unsecured email service which is not Intended for sending confldentlal or sensitive Information. Please do not include your social security number, account number, or any'other•personal or financial Information In the content of the email. This may be a promotional email. To discontinue receiving promotional, -emalls from Wells Fargo Bank N.A., including Wells Fargo Home' Mortgage, click here NoEma.-IReauest &weltsfargQ..cQm. Wells Fargo Home Mortgage Is a division of Wells Fargo Bank, N.A. All rights reserved. Equal Housing Lender. Wells Fargo Home Mortgage=2701 Wells Fargo Way -Minneapolis, MN 554.67-8000 From: Bodger, Ross Sent., Wednesday: September 19, 2012 2:40 PM . To: Arte% Nadia A. ftbjt: RE: 0348720368- Knots Hi Nadia. The 433A has an incorrect serial number listed for the home. We will -need to have this corrected and' re-recorded. Also, the , serial number and insignia should be switched as they're in the wrong spots. Serial number: 16191 (currently 16193 on -the 433A) Insignia/Labek ORE 360761, ORE 360762 ' •, - � �. � ICE, APEX ENGINEERING ' IN.VD P.O. BOX 1074 OREGON HOUSE, CA 95962 BILL TO: f-r"e,jr;ck and Harriett 65 Orchardcrest Drive Oroville, CA RE: Manufactured Home - HUD # 's 1005 and 65 Orchardcrest Drive, Oroville; CA r ITEM DESCRIPTION DATE INVOICE NO. 9-13-12 442 BILL TO: f-r"e,jr;ck and Harriett 65 Orchardcrest Drive Oroville, CA RE: Manufactured Home - HUD # 's 1005 and 65 Orchardcrest Drive, Oroville; CA r ITEM DESCRIPTION AMOUNT 12-032 Foundation Inspection 250.00 12=032 Foundation Certification 250.00 12-032 Received Check 9-13-12; #_ -500.00 TOTAL 0.00 TERMS:* NET 30 1 1/2% PER•MONTH*ON'UNPAID BALANCE OVER- 30 -DAYS fl Utu: 14 l UU L,)1 U1 VU 10 W WaI WICK, llr Oregon Department Of Energy's N A T U R A G A S H 0 ME CERTIFICATE OF COMPLIANCE_ r'u-�1u J: uym P. C of I (FOR USE ONLY BY AUTHORIZED AGENT) Owner: Stock, Orchard -Crest homes erialu: 16191 Address: P.O. Box 1300 Model#: GAS Yuba City, CA 95992 CFA: 8.0 Msg Phone: (530) 673-3885 GASU: 02032 Received Date: 4/10/98 Production Date: 4/17/98 HUD #1: 7(D� HUD 43 HUD u2: 3�,a96Z HUD #4: Dealership: Orchard -Crest Homes Manufacturer: Fuqua Homes - Oregon Phone: 541-382-4252 QUALIFICATION CRITERIA This home qualifies according to SGC Technical Specifications. using SGC prescriptive path 1H. (A record of approval is on file at the Oregon Department of Energy). HOME INFORMATION Floor: 1 R-11 blankets under entire belly CL38 Window Glz: 114.0ft2 2 R-11 blankets between I -beams CL48 Window Glz: 0.Oft2 2 R -ll batts from rim past I-beam CL52 Window Glz: 0.0ft2 Skylight Area: 0.0ft2 Wall: 1 R-21 wall batts SGD Area: 0.0ft2 x R xx insulated sheathing ------- Total Glazing: 114.0ft2 Ceiling/Roofs, Flat: x-R-xx oversized batts, or XXXX bags Slope: x R-xx oversized batts, or R 38 -bags The manufacturer certifies that. this --home has been built in accordance' with Super Good en Specifications. Manufacturer:: -q --- ------------------------ D ate - ZV- -- ---- IN -PLANT CERTIFICATION: (IPIA/SEO USE ONLY) ------------------------ ----------------------------- ---- -------- ---- ----------- --------------------------- -- ----------------------- D"ate: �%� ____ RECORDING REQUESTED BY: r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPYof of Document Recorded 19 -Jan -1999 1999-0002452 Has -not been compared with original - BUTTE COUNTY RECORDER • I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTJCE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Cbde'Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property descnbed with certainty below, as of the date of recording. When recorded, this document shall be indexed by. the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM L. AND PATRICIA A. JAEGER REAL PROPERTY OWNERILESSOR - 80 ORCHARDCREST DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE TIP 65 ORCHARDCREST DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERM?r OROVILLE, BUTTE, CA 95965 CITY COUNTY 'STATE ZIP , SAME UNIT OWNER (daleo property waver, write "SAME") BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY .7 COUNTY CENTER DRIVE 'MAILING ADDRESS OROVILLE, BUTTE, CA 95965 ..CITY COUNTY STATE ZIP 98-0615 , (530) 538-7541 BUB D G PERMIT EPHONE NUMBER . 1/14/99 SIGNATURE OF LOCAL GCY CIAL DATE NONE DEALER NAME (tT nota dealer Bale, write 'NONE') MAILING ADDRESS DEALER LICENSE NO. .r UNIT DESCRIPTION FUQUA '4/98, SILVERWATER/491 MANUFACTURER'S NAME DATE OF MANUFACTURE. MODEL NAMEMUMBER 360761/2 52'X25'8" 16193, SERIAL NUMBER(S) LENGTH X WPI H INSIGNIA/LABEL NUMBER(S) REAL. PROPERTY LEGAL DESCRLpTION • .ASSESSOR'S PARCEL NUMBER A.P. 1► 030-500-011 r SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 + . WFRTE - Cou tty Recorder CANARY - HCD r PINK - Applicam GOLDENROD - Building Dept. } LEGAL DESCRIPTION A.P. #030-500-011 All that certain real property situate in the County of Butte, State of California, described as follows: Commencing at the Southeast corner of Lot 14 of the Topham Tract, as shown on that certain Map filed in the office of the Recorder of the County of Butte, State of California, November 14, 1908 in Book 6 of Maps, at page 65; thence South 1 deg. 20' West, 1320 feet; thence South 1 deg. 20' East, 326.5 feet to the point of beginning of this parcel of land, in the Easterly line of County Road; thence along Easterly line of County Road, South 1 deg. 20' East, 1010 feet; thence South 8 deg. 58' West, 121.84 feet; thence South 58 deg. 33' West, 153.24 feet; thence South 25 deg. 33' West, 47.23 feet to a point in the Northerly line of lands heretofore conveyed to Southern Pacific Company, a corporation by Deed of record in Book 100 of Deeds, at page 88, records of Butte County, California; thence along said Northerly line, North 89 deg. 57' East, 585.40 feet to the Southwest corner of land heretofore conveyed to Margaret J: Westwood, by Deed of record in Book 218 of Deeds, at page 338, records of Butte County, California; thence North along the West line of said parcel, 244.50 feet to the South line of the old Bird Ranch; thence along said line, North 89 deg. 41' East, 554.50 feet, to the Northwest corner of land heretofore conveyed to Hannah G. Middlehoff, by Deed of record in Book 4 of Official Records, at page 70, records of Butte County, California; thence along the Northeasterly line of said parcel the following courses and distances: South 63 deg. 04' East, 64.20 feet; south 21 deg. 48' East, 21.5 feet; South 5 deg. 40' East, 50.3 feet; South 15 deg. 13' West, 51.8 feet to a point in the Westerly line of land heretofore conveyed to G.E. Middlehoff, by Deed of record in Book 4 of Official Records, at page 150, records of Butte County, California; thence along the Northwesterly line of said parcel, the following courses and distances: North 33 deg. 30' East, 59.9 feet; North 38 deg. 19' East, 63.7 feet; North 41 deg. 18' East, 66.6 feet to a point in the South line of the old Bird Ranch; thence along said line, North 89 deg. 41' East, 7.06 feet to the Southwest corner of land heretofore conveyed to H.J. Webber and Lucene A. Webber, husband and wife, by Deed of record in Book 1 of Official Records, at page 60, records of Butte County, California; thence along the Westerly line of said parcel, North 44 deg. 41' East, 110.3 feet; North 00 deg. 19' West, 232.0 feet to the Southwest corner of land heretofore conveyed to Marguerite F. Ramsey, by Deed of Record in Book 228 of Deeds, at page 425, records of Butte County, California; thence along the'West line of said parcel, North 0 deg. 19' West, 220 feet to the Northwest corner of said parcel; thence continuing North 00 deg. 19' West, 480 feet to a point; thence south 89 deg. 41' West, 1247.2 feet, more or less, to the point of beginning. EXCEPTING THEREFROM all that portion lying Southerly of the Old Bird Ranch. ALSO EXCEPTING THEREFROM that portion thereof lying within the property described in Deed to the County of Butte, by Deed from Eugene MacLean and Caroline S. MacLean, husband and wife, recorded April 3, 1937 in Book 86 of Official Records, at page 313, records of Butte County, California. too �1 STATE OF CALIFORNIA DEPARTMENT OF HOUSING ANO COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION:AND TITLING SECTION , STATEMENT OF FACTS This unit, is. a: Mobilehome 0 Commercial Coach T=. Q Floating -Home []Truck Camper Decal (License) No.(s) Trade."Name . Serial No.(s) - I/We, the undersigned,*hereby state that the unit described above: • Affiant further agrees to indemnify and save,harmless the Director of Housing and.Community ,Development, State of California, and subsequent purchasers of said unit, .for any loss the, may suffer resulting from registration' of the above-described unit in California, or from issuance of a California certificate -of title covering the same. I/We certify under penalty,of perjury,that.the.foregoing is true and correct. Executed on.zl Zj at Date- (City) (State) Signa ure :of?ea affiant Printed name of each affiant �� eve �i9%�Ci6Gr 5- Address�'v �r�tia 6-/� ), Citytate . HCO 416.6 (Rev 11/86)' t,. 10 "" •ra;Y'� THERMALITO IRRIGATION DISTRICT •-x410 GRAND AVENUE Nd 203$ OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 a SEWER SERVICE APPLICATION AND CONNECTION PERMIT x �, - �,r A� iii 190: Service Address: Owners Name: D1'' '" "*-"" �� `--��-•�J Date: April.~ 10, 1998 Address: �.W Orahardcres t Drive Acct. No.: �° a�5t '►6# '� Omville, CA. 95965 A. P. No.: 30.500-011. Phone: 877-8119 (Steve ,Canterbury) New Unit:~ etre Applicant/Agent: Adding Units: Address: Fees: - Phone: Permit: $ 30 00 IIID.: 600 00 Preliminary Review By: 'Date: Ext. Fees: _ Remarks:* Cannect:i= fees will be those " applicable at time SC -OR: 1000 Ota . of corulection to the sewer collector systema. Clean out up Lateral: to grade required at property. lire. Other: Total Fees: 1630100 ' Amount Paid: 30•00 r _ ,Collected By: ',,5, -FOX Finaled;By: ,Date: O Y �iOi� Location Jt•"' Size Line , ." J Signature of Owner/Agent: r MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) . Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. 5/95 n� � t°= RESIDENTIAL ' 030-500-011 'PERMIT#98-0615 t �. JAEGER, William & Patricia 65 Orchardcrest Dr., Oroville i PERMIT NOI -, - MH"ori Perm--Fnd- PERMIT EXPI "cb— R 7M/ C% OWNER . .r CONTR. ;ASSESSOR PARCELS LOCATION • _- - ' {�{ THE :HCD FORM 433A" -POR THIS MH CANNOT yit, I BE RECORDED . UNTIL ONE OF THE FOLLOWING" HAVE BEEN TURNED IN TO THE.BLDG DIV.: I (2) STATEMENT OF FACTS(ONLY ON NEW ,MH' S) - I INSPECTOR TO VERIFY SERIAL.& LABEL Y OFFICE COPT AddresEY�� .y GAS Meter By♦ Date ELECTRIC ,Meter By Datr 3 • Temp. Power Pole Called PG&E Temp. Elec. Service 1, Called PG&E ` Temp. Gas Seryice Called PG&E �JQB FINALED (Date) Signature r - 1. - V = No - = = OK RESIDENTIAL Not Applicable Not Ready Date NDERFLOOR (Plants) OK except #'s Ro"Ftg., etbacks-Easments-FloodSlope Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ )"FV. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteelAAfrapped 8. Piers-Fireplace Ftg.-Steel Stairs; Width-Headroom-Rise-Rundanding-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test 55. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. 11. Water Pipe; Test-Anchors-Regulator-Service Test 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance-Material-Support-Ins. 59. 14. Girders-Sills-Anchor Bolts-Joists Vents-Crippies 60. Brace Interior / Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr; Vent-Access-Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor-Nail Protection 64. 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; Sae & Anchors G.F.I. & Bath Fixtures & Tub Access -Spa 68. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 23. Fixture & Transformer Clearance-Ins. Protection Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 24. Elec. Receptacles Spacing-Lights & Switches at Doors Elec. Outlets & Recepticales at Kit. Counter 25. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 26. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Plb., Elec. & Mach. Equip. Listed for Location 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 30. Range Circ. / / ga Cu or AI-Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Insulation -Foam -Looked in Attic 31. Service-Riser Conductors & Ground-Main Disconect Guard rails & Deck Construction -Post Caps 32. Equip. Clearances Panels-Motors-Mech. Epuip. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 33. Clothes Closet Light-Shower Light-Spa Light Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #s 88. Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Fumance-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 (Plants) OK except #'s Comments at Final: 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 (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors ` 47. Cling. Joist-Rftr. Ties-P.urlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width-Headroom-Rise-Rundanding-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK Not Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Pians) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer LocatiorrTest-Fall-CAO-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestNrap; / /IL'fL / /Nat or/ PL°fL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Skiing; Nailing VeneerShxxo-Mesh 10. Rod; Shthg-Roofing • Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test )emarK Valve -Connector 4. Electricity; MH Test-Crosso%ws-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 10. Plumb.; Cir. TesWater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 F (A q Lj�- ,mss MISCELLANEOUS Date -DECKS, COWAS, CARPOJM GARAGES (Pians) OK except #'s 7I 1. Zoning Requirements-Selbac ks-Easements 2. Footings; Sods~Size-OepthSpocing-ConnectmSteel • 3. Decks; Girders and/or Joists0ecking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSphoe-Decal-Enclosures s. carports; Windows -Doors 7. Elecbic 8. Frmg.; Sils-AnchorsStuds-ifbs-Trusses 9. Skiing; Nailing VeneerShxxo-Mesh 10. Rod; Shthg-Roofing • 11. Ext: Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS -(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Eke.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Encbsures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESyJQ{iRAR��UEfj..�ll _ , ZONING BUILDINGPERMIT O "T4ILLIAM A�NJD PATRICIA JAEGER TELEPHONE SO. FT. OCC. BUILDING VALU 6n,966 OWNEF ••o�•If�a�1�D1129 LIlRF� O, YUBA CITY CA 95992 l CONAJMEE Mfj(�-{^Qf�'�S TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 232.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOIr�c�ADD��ssCHARDCREST DRIVE, OROVILLE Energy Plan Checking Fee $ ' $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PAC �9AP u l/J! PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EK Describe Work: PERM FDN Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 5.90 PERMIT FEE $ 65,00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z..AAOORLLEEss 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff the following reason: 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. OR ADONS. ( & ACC. BLDS. SO 3.52FT; NNON-RESIDFWAUCTI-OCUTCUT. @7,50 APPARATUS 8 SINGLE OUTLET C1 R. Ex. OCCu OUTLET OR FDCTURES 20 @ 1.00 BAL Q .50 OR Ex. Occup. ouTEiE s PLES 6.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 43.00 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 Filing 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 �f one hundred dollars ($100) or less.) L I certify that in the performance of the work for which this permit is issued, I shallT 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 worke ' compensatio provisions of section 3700 of the Labor Code, I shall fo comply o e provisions. X_____ Date y � Signature of Applicant Owner ❑ Contractor ,,W -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 TYPE A E jCONST. D. F IMP 000 CDF PAR D HD SUE This permit is hereby is ued under the of the Butte County Code and/or indicated above for which fees have _49;�/ By PERMIT EXPIRES ON a provisions Resolutions to do work been paid. L' Date K} 2 Dat Receipt No.ap WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �r I . � - --nf � 1~' ���wr-V �+—n,...ilr•�--n.liL"itiil'trs�y �' H<..r vr...---���,- t. - ` i. ti �,,OUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i - 7 COUNTY CENTER DRIVE - OROVILLE;1GA ,'I 0RNIA,,95965 -TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER:, l � ASSESSOR PARCEL O r D' Proposed Building Use: uilding Inspector: Date: At time of permit application, I was advisedthefollowing data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 0 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. mplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on pl 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ------- ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. Hazardous Material Form. ------------------------------------- taw�anufactured Home data and installation instructions inclu . Fees of $ 00 -------------------------------- 0Impactt fees as shown on the attached schedule. ------------ ❑ 12. California Department of Forestry plan approval/fees. ---- Specifications.------------------ JORNA ❑ 13. Flood elevation certificate. ----------------- --------------------------------------------------------------------- OivSanitation and plot plan approval Health Department. ------------------------------------------- C ❑ 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: -------------- ------------ 018.1 C ---------- ❑1.1 ontact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 9, Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. 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. ----------------------------------------------------------- Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 4 Letter of signature authorization.------------------------------------------------ --// - Recorded copy of Agricultural Acknowledgment Statement. ----------------- - ---- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. ----------------------------- ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D -- /---� ------------------------ --------------- 030. Other: ------- When you issue the permit, prQceJ as follows ❑ Mail to owner, ❑Mail to con tor. )o Telephone (( and hold for pickup at O r,V ✓ l Qo . ee. ❑ Deliv with m ector. i Applicant: Date: Copy of Haz-Mat-form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: �Cbpy p 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 ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Diision counter, by Date: Plans reviewed by: Date: Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ��"q-�-xwyv,yjyy-��'y'itS43'}��w'.�'.,`r•.y'''q��rh.*+,"w*.-. -�: -�•'w..•, .-yam.. ., •..� .»•.-r -,,.-.�.... _, .v COUNTY OF BUTTE DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE•CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE'' OWNER Cs E r. A.P. 2D /� DATE PROPOSED BUILDING USE A�� tj+ "(�_� REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ . Additional Fees Due ............ $ 0'(2. Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES (paid at District Office) _110 SHERIFF FEES (paid at Building Division) p Residential ........ x $360.06-- $ Units Commercial (sq.ft.).. x $0.03 $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division). Residential (per unit) . x C947 = $(� • nits Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt: 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES, $.425-00 (paid at Building Division) PA' 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion YJ ) $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. Thes fees may be changed during the plan checking process: APPLICANT DATE /p Original -Owner Copy -Building Div. (Rev. 12/96) (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT --- PERMIT NO. ASSESSOR PARCEL NUMBER© _ `/'/� ZONING /j BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ ,20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit FeeA 00 Plan CheckingFee b a BUILDING ADDRESS {n Q Energy Plan Checking Fee E s PERMIT FEE t vogUF `20.00 LOT NO. SUBDIVISIONS NAME PARCEL M PLUMBING PERMIT Fling Fee USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome tK Other SPECWY 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 ❑ 1'ities ❑ Installation ❑ Other Ex Describe Work://►Ci f �'1 1 �� Gas piping stem 1 - 5 outlets 15.00 /SLD Building sewer 15.00 Mobile Home IgINK W @20.00 PERMIT FEE t Is-, D ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�ooV 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor 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 it the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. NRA DNS.. ( SG 3.50FT. Mu�o� =RES10. @7.50 POWER RA 6 SINGLE OUn ET CIR. Ex. Occup. OUTLET OR FOMAES erg V'. Ex. Occup. our�rs C. .1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES HAz. o. FEES IMP FLOOD coF PARCEL Po HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. — c7la 0 WHITE -O.D.S.•B.0. CANARY -ASSESSOR P NK• PECTOR GOLDENROO•APPLICANT (_P/C 0/11 It/ ) 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 C3 NO 2. I HAVE ❑ HAVE NOTA51-gned an application for a building permit for the proposed vwik. 3. I have contra ted with the following person (firm) to provide the proposed constructiow.:..� ADDRESS: S?O D�s,.�,O--�sT D.•. CITY:�ro� `/iQ PHONE: s?2 7 CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; S., and provide the major work: NAME: ADDRESS: PHONE: CITY: 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 Oyu / oo h M30 4-,- eo3gy 1,K'a0 �see 7 �,•�u%hz 53Y- 330 � Co.��{r.� SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: -Thu Owner -Builder Verification is required by Section 19831-179832-o-j'lhe— California Health and Safety Code. This verification must he completed aitd returned to our office before we are permitted to issue the permit. OVER _ I OWNER BUILDER INFORMATION 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-buildee, 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: , v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 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 str_ ious 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 contrac�prs 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+Micel X �1 Vi ira, C.B uilding Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code - OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM /� (One form per Building) O /0 School District ©rte h 1 0 N S Building Department No. —� a n A.P. Number D– Ij n!'/ % Jurisdiction: City County Property Owner r � Property LocationU Subdivision Lot No. Residential Development F Sq. Footage g No of Living MobilCHome Addition (Group R) ' Units Installation 14%-* Commercial/Industrial Building Department Representative (Floor Plans reviewed by School District Personnel) Identificatio'n,No 7 O l O p n 'I Yl� NGISchool District certifies that (Street ddss / k Y Lab–) ceity),� has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # Remarks: Sq. Footage DO %111�1UU-y �ALVIIUI Roofed Areas) /-) /9��— Date 1 (Applicant) (Phone Number) (State) (Zip Code) by payment of $a I �u Q , f7 B 2926 $ ULL MITIGATION $ Date w,466 /-/.): Notice: You may protest the imposition of the fees identified above by submitting a writtdqXrote�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 tees to fully mitigate its impact on the sthool distrj..gt's/ctioo ; White (applicant),Yello,�w�y,�b�uilding.+departrrftent), Pink (school district feeform.x s 12/971dmm THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 N0 :. 2038 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Bill Jaeger Date: April 10, `1998 Address: 80 Orchardcrest Drive Acct. No.: -3e=5ee=eff- Oroville, CA. 95965 A.P. No.: 30.500-011 Phone: 877-8119 (Steve Canterbury) New Unit: one Applicant/Agent: Adding Units: .Address: Fees: Phone: Permit: $ 30 00 600 00 Preliminary Review By: Date: Ext. Fees: Remarks: • Connection fees will be those applicable at time SC -OR: 1000 00 of connection to the sewer collector system. Clean out up Lateral: to grade required at property line. Other: Total Fees: 1630 00 Amount Paid: 30.00 Collected By: S, Fox Finaled By: Date: Location: Size Line: Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: ' Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. SMS LAND'D'EVELOPMENT .BUILDING / ENVIRONMENTAL HEALTH,- PERMIT CLEARANCE BuildingPermifNo. m� P" OWNERS- r 11 ' �tPaf NAME: I I a �"� rIC NUMBER: c C PRINT LAST NAME, COUNTY. ZONING � � 1� .. DESIGNATION: - FLOOD `ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS'PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR, MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO, LEGAL ACCESS, REQUIRED: YES • NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES. 'NO COMMENTS/CONDITIONS:' MAP INFORMATION: C�:W_c 1-+m bC IZ'cST UIJ 1 -r I DATE OF RECORDING I (x193 LOT I I BOOk. ' I ?J0 'PAGE COMPLIANCE -WITH OLD -SUBDW ION LOT ORDINANCE REQUIRED? '(MAP RECORDED PRIOR TO BOOK 17 OF MAPS_AT '_ PAGE 23):, YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to. B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS.WHICH APPLY.TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERIWSE NOTED. >_<1. Maintain a 50 ft. building setback from centerline of road. + _ 2. Maintain a ft.building setback from right-of=way/centerline of 3. Comply with Zoning code for building setback from road. t 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. 'Maintain a ft. leachfield. setback, from _ 6. Pay„water tender fees in the amount of $ to Battalion Number of the Butte County fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures .in accordance witii the' National ” F r - 'Fire Protection Association Standard for the 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. Fire Department specifications, serves the parcel. 11'..PayKT.D.D. (Thermalito Drainage District)feein the amount -of $ Q, A.� ! _ 12. Meet,.the requirements of the Department of Fish'and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Peyment to be made to the Pimmiing Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site - significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25 26. 'All] 1NWHO13M mn 311(18 10 h.1N(100 8661 6 t ddd a3n13038 LD 7,96 C:\WP51kF0RMS.K\8LDGPERM.CLR ` RESIDENTI/' _ _ 030 50-0 017 98-1071 B,E- `- r # JAFGER, William & Pa -t' is a • - - �T b5.Orchardcrest Drive, Oroville i (,New garage) SMR Const 'PERI:tM _ __.•. `PERT EXPIRES - J` ' OWNER r CONTR.. ASSESSOR PARCEL J LOCATION - • CHECKED ,. BY ' ' SRA s - " R" 3,. • FLOOD CERTIFICATE REQ. ,.- FIRE SPRINKLERS REQ. y J SPECIAL INSPECTION'ITEMS ' S VERIFY ti Temp. Power Pole . ; Calle d"PG&E r - Temp. Elec. Service + - Called PG&E Temp. Gas Service Called PG&E. • JOB FINALEO (Date) Signature; V=OK O = Not OK tt Ready MOBILE =NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /Vft. / /Nat. or/ /°L°ft./ /LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance a, . , 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; Sine -Spacing -Marriage Line 3. Gas; MH Test-DemandVahe-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 t 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 f i . MISCELLANEOUS Date D KS, COVERS, CARPORTS, GARAGES lana OK except #'s 1. ing Requirements -Setbacks -Easements 2.Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders.and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding;, Nailing VeneerSh=o-Mesh 10. Root; Shthg-Roofing 11. Ext.; Steps -Doors -Landings - 12. Braced Wall Panels Da Date Card B-1 Date -4 Card B-1- Date Card B-1 Date POOLS Ian t #'s 1. SetbacksE sements 2. Soils; Compaction -Structure Stability 3. Pod 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. -Pod 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 r Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready c Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N 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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation - =- '1V -" °J 'A" 'al "; 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled 26. Romex kstalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 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. Fumance-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 (Plans) 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 RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance. 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 65. 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-VJa IIs -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CO;;r OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' +CJI- County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERgM�IT NO. (Rev. APPLICATION AND PERMIT g� 16 % 'N1 ASSESSOR PARCEL NUMBER 030-50-0-011 ZONING AP BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 400 GAR 790n OWNERS MAIUNG ADDRESS 80 ORCHARD C-R.EST DR, OROVIT-12 95965 CONTRACTOR'S NAME ONXERX SMR CONST TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ AA qq BUILDING 5 DRESS ORCHARD CREST DRIVE, OROV�TLLE Energy Plan Checking Fee $ PERMIT FEE S IR I -S LOT NO. SUBDIVISIONS NAME PARCEL MAP - - .. PLUMBING PERMIT Filing Fee 20.00"' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service aonoR'Rs 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.P 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, I do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To I000A 46.00 NEW CONST. OW ELUNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.52FT. 14.00 NEW NON-RONDTS. RANCTI GLEETS 97.50 OWER APPARATUS a SINGLE OUTLET CI R. Ex. Occu OUTLET OR FIXTURES 20 @ �'0° BA L @ .50 Ex. Occup. ouTLEEDTs REWSIo.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ '00- MECHANICAL PERMIT Filing 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 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 fo h comply those provisions. -� X___ Date _ � _ Signature of Applicant - ❑ Owner ❑ Contractor ' gent 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 OTAL FEE $ 9A 7 '1 CONST2TE HAZ. FLOODCDF ARC PD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ateto PERMIT EXPIRES ON l� provisions to do work paid. / q_4 / C/ .t Receipt"7C198 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING D o BUILDING PERMIT ' OWN R lam. t% ( T L 4ON � y SO FT. OCC. BUILDING VALUATION OWN S MANNO /10D 9�9 ol CONTRACTOR'S NAME I- TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAULING ADDRESS Fireplace Total Valuation $ % ©f ` ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ , 20.00 ARCHITECT OR ENGINEERS MAJUNG ADDRESS Permit Fee $ c� Plan Checkin Fee $ �. 3 BUILDING ADDRESS w Energy Plan Checking Fee S d S PERMIT FEE S o 3 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT ` Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex O MobilshomeA.—emS —, Q oar �q ��� EclFv 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 ,A_Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work:�c� , n72 Q�q�rt� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 Main Service zoo. oa LL S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin g w ) ss anons e, ith Section 7000 of Division 3 of the Busined ProfessiCod 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 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. O 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.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that'd I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 46.00 NEW CONST. OWEff OCCUP. SO � ` Q OR ADDNS. s „�, Ls, 3.5¢x: NEW coNs o RCUr NON-RE.510. MULTI @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BIN01.w E S. ORI Ex. Occup. OUTLETS (RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ev, a� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ ccNST �� TOTAL FEE $ 2— NA'. D FEEs IMP FLOOD CDF PARCEL PO Ho ssuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date To Receipt No. =,_7 7-0,--E WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: i w ASSESSOR PARCEL NUMBER: ® 3D-- -'5'0 a - 6) Proposed Building Use: Building Inspector:" Date: At time of permit application, I w advised the following data must be submitted prior to per it processing and/or issuance: Date Received By 111. All riems 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. ----------------------------------------------------- 04. 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. 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. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑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. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------ ----------- 111.9. ---------❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license inf6rmation. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. 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: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. 4�Telephone g7 t 3G L 5' and hold for pickup at dw ce. ❑ liver with inspector. Applicant Date: 3e�>�� Copy of Haz-Mat form sent C3 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 items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: 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. uenergl Construction Notes 1- All work to be done according to code. 2. All exterior walls to be.,2x4 D.F. 3. Slope finish grade away from structure at 2% grade (1/4 per ft.) minimum. 4. Verticle siding to be used for braced wall panels on all sides except front of garage 6" and 10" Nailing schedule will be used on verticle siding. Building plan preperation by: Lowell Forward P.O: Box 1830 Chico Ca. 95927. - (530)- 891-4629 Contractor: Steve Midkiff License # 5-3 YQ2.6 A new attached garage to be built at 65-Orchard'crest Dr. aoville Ca. 95965 Owner: William Jaegr 0 ., 0 �d �a u' `1%P ROOF BVI 00 W 4 -RING REOtAwry� P Provide ePProved flashing at an eater° or Thi ez of plans and speci8oattans ffiu be kept on the`job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pubb -0 WM*4 oet'di , of Ftatte, wrwa in V'•Xte•�or ODUF O Ior A.�. PJ." Mr, o� TJ bo. % 00 00 10 C. �¢ o� ANLI ELECT RICALI NOT PiII-a CHECKED: I. CCNSTRUCTION { EDIT"O. - cHALLCO�APLY WITW CURRENT C NEC. UMC lAND UPC.• o�i��' ✓� l'romde c®rti$cate/s of con�farma�e f� . BUILDrn u� A. P 1P 0 V . �s r • . 4 El 3 J n , • r 4z4FOST A. 7w gats *Memo" �a sw-wemmmmmr •� t •b, PO 1 I oat 4 so— O 1 /2" x10" anchor bolts Lr -- -- — — — — — — — — — — — — — — — r �lrovae'h" x"10„ anchor bolf� on P.T. mudsill _ I Ig 6 O.C. max. abd ;:. —L—------------------L—J 10 —.• i i 0 (2) #4 bars r continuous T&B. continuous footing garage I U A P J continuous footing garage I U A P