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HomeMy WebLinkAbout031-254-026J TED LACEY 31-254-)< �l.p 1660 10th St,_ ORoville Contr: Jace Rash, Palermo -9//D/ Permit#2603-87B(new private 87, 31-254-� 1267-89B,P,E, — LACEY, Ted R2� 1660 10th St, Oroville (convert garage to living unit & add'1 square footage) L D"� 31-254-K ao mit#1 _39Di-E(ut l-, MH)-------------- ELEC. D GAS SUPPORT STRUC RE RE D COMPACTION TEST REQ. a 31-254-Q< SI �f ContR• Mobile Home Center i U PE it#1564-89MHI ssueD c $� x'31-254-/ Permit#1730-89B(new open deck 31-254-4 a"(p 377-90B LACEY, Theodore W. 1660 10th St, Oroville (demolish/sf) pl () Boundary Line Modification i I SUMMARY SHEET FOR LAND DIVISIONS 4A Zol- APPLICANT GENE WARREN , A T ADDRESS 1731 Grand Ave.. Oroville, CA 95965 19 1,9J OWNER Same, et al. PROJECT DESCRIPTION BOUNDARY LINE MODIFICATION LOCATION 6 parcels located on the northeast corner of '10th Street and Colusa Avenue. Thermalito area. ASSESSOR'S PARCEL NUMBER(S) 31-254-04 05.--06, 14. 16 & 20 ZONING A -R GENERAL PLAN Low Densitv PROJECT CONSISTENT? YES GENERAL PLAN CONFORMANCE REPORT March 1. 1993 LAND CONSERVATION ACT CONTRACTS? NO DATE APPLICATION RECEIVED March 30. 1993 AGENT/SURVEYOR/CIVIL ENGINEER Ron Graves & Associates ADDRESS P.O. Box 986. Oroville. CA 95965 DATE PLANNING DIRECTOR'S REPORT PREPARED ENVIRONMENTAL DETERMINATION AND DATE CATEGORICAL MMM TION - DATE FILED_ NEGATIVE DECLARATION - DATE ADOPTED MIT.NEG.DECLARATION - DATE ADOPTED, ENV.IMPACT REPORT - DATE CERTIFIED STATE CLEARINGHOUSE NO. DEVELOPMENT REVIEW COMMITTEE HEARING DATE APPEALED BOARD ACTION APPEAL HEARING DATE COMMENTS FOR PLANNING DIRECTOR'S REPORT ASSIGNED TO RECEIPT NUMBE DISK .. •- ry..:ur-.rte--.�,_ ..-.....-, �. _. .,.. -.. � � .. 31-254-05 377-90B LACEY, Theodore W. 1660 10th St, Oroville (demolish/sf). x^/,j�r �`r <)L ..4,+.-_� "'z L.��"� a=yYSMnr�..,�'';.�Y l��,i•,.., _ .. ��. ,y+,�'' 1% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . PERMIT NO. 7 County Center Drive - Oroville, California�959% - Telephone: 916/538-754 APPLICATION AND PERMIT 1— _ ASSESSOR PARCEL NUMBER _� G� ZONI p J,-(U�IF� - BUILDING PERMIT D l�ri JBO W,, �CEY31 H�,q.� T �AUf4 U'rltr SO. FT. OCC. BUILDING VALUATION lie OWNER'S MAILING ADDRESS 9Pnrkpr Ave. Orayilla,, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10,100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1660 Permit fee $ 20 .00 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 a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: Demolish Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification ` I, as the owner, Or my employees with wages as their SOIe 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 ACONST. ( DWELLING OCCUP.&\ OR DDNS, ACC. BLDGS. / h2sgft NEW CONSTR. ULTI.OUTLET2,50 NON•RES1D BRANCH CIRC ITS ea ( POWER APPARATUS 61 \SINGLE OUTLET cIR. Ex. Occup(ou OUTLETS OR FIXTURES 2AL@30 eLe FIXED APPLES. OR EX. Occup. OUTLETS (REST D,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit,is for $100.00 (valuation) or less. 1 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. =.., jj I shall not employ any person in any manner' so as to become subject- ✓ <_ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor, I certify that I have read this application and state that the above information is correct. I agree to comply to all County' Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sat County in con equence of the granting of this permit. I X Date a ignature of Applicant— Owner : Contractor ❑ Agent ❑- permit', i,srequired for 'excavations over 5'0" deep and demolition or construct- An OSHAt ion of structures over'3 stories in height. Mobile -Home Installation Fee $ Energy Inspection Fee. $ occ CONST TYPE TOTAL FEE $ 20.00 Az CUA PARK SCHL1. FLD PAR PD Ho ISSUE This permit is nereby issued under the applicable provi- sions of .the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. _..._ DIRECTO OF PUB IC WORKS C By _ f Date PERMIT EXPIRES ate --;� ���� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD ENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ofov'ilfe, Lalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �� 7 9 — ASSESSOR PARCEL NUMBER ZONINj,A BUILDING PERMIT °TUODORE W. LACEY T`9PKf4 SQ. FT. OCC. BUILDING VALUATION •.S t.. CO St OWNER'S MAILING ADDRESS 1683 Pnrkpr Avg, Ornville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3660 10th St, or-oville Permit fee $ 20.00 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 pas water heater or vent 5.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Demolish _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Jap I, as the owner, Or my employees with wages as their SOIe 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.IL+) OR ADDNS. ACC. BLOGS. /z¢sgft NEW CONSTR. MULTI -OUTLET C ITS NON-RESID BRANCH CI!CU' 2,50 ea POWER APPARATUS (SINGLE OUTLET CIR.e ) EX. OCCUp(OUT LE TS OR FIXTURE S BAL@30 eAL9 30 FIXED APP LHS. OR EX. OCCUp. OUTLETS (R ESI D.) EA. 2.0(] Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saoun y in co uence of the granting of this permit. X Date 'gnoture 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 $ occ CONST TYPE TOTAL FEE $ 20.00 HAz I CUA PARK I SCHL I FLD I PAR PD HD I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO�PL OF PUB IC - fY4 By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS M Dat9 �(J _ Receipt No. 596 � WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, 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 Oii or no) k4Se-�:. 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 1.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 &diber \ Datea 9 d 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. I PERMIT NO.. // 1730-80B PERMIT EXPIRES OWNER TED LACEY CONTR. owner ASSESSOR PARCEL 31-254-05 LOCATION 1660 10th St, Oroville Temp, Power Pole Called PG&E— Temp. Elec. Service t Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0=Not OK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date I Card -131 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line I 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector . I 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -BT Date Card -131 Date MISCELLANEOUS GARAGES. (Plans).OK except #'s / G'�C ?,oning Requirements -Setbacks -Easements F gs; Soils -Size -Depth -Spacing -Connectors -Steel 7, meg"/ cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ts-Beams-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing ns -Con nections-Spl ice -Decal -Enclosures 6 C_a9xm4s -Wmdvws-Doors 8. Fimv, Sdts--ATfchors-Studs-Rftrs-Trusses - e neer-Stucco-Mesh 1 - oofing -Ext.; Steps -Doors -Landings Card -81 DateVZ-Card-131 Date Card -B Data,-- „ and -61 Date Date VhOLS (Plans) OK 6xcept #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GF1 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -131 Date Card -B1 Date Card -B1 Date Card -61 Date ' • X19 .' - _ O: E:lnfii83t�-.IC�rYtl-�::1Ffl4��i�".tri1{=1 ;#ooR OV -,:)6A igsoxs }{O (itm ts�)Y-_- - -- �nidnlu{a ,isoi�Yooi�Yrv�, } 3 - -- - _ ---- O �£ 3Ys"-Ja.Un- _ -- bnuo)g,,sbnU s;arirl+0aR .Ij C ;Ti)� _ To �tO.�' .• rn ift 10lir-a-vodr, tau rx, eV+ _-2� -.O.- 7rt, n_c.38 -b.. -nui-G _.s. -c 13 s :wolrtsv0.:) 2tmi,enia toliuo C! r-ynyv )ir`, r1�UFJF�-+tA .d17;C:�-22+,�flOA anrtV-J::Sn!L:'i��C__- - _.-- . ..._. _.. 2rlGItU`:+ nl 2lC:iVvT� int)1! �.i••�i;o�:;oJ .88 --'-------'---'----'- -------------y-------- _ - )1 !ii'!O'(f&f9 =� 2C'.JJO,'rA _ii7r'1 .dE _ _ _ '�•."•rt.•�.'-&Td19;3F�-�29%-26C.i .L� _.._.--__ ____.-.._..___--_._n _-..�iti.l� lsvo;gaA t)!! ab6z s or i1\_:i-l,e;asnnc'7 is4r^ u 's;&V�' Q2_-_._-- - - - v tsn3 .i g - - -- _- - C- �Ys�� --- r£]-bIs J - r8-bisC - -- ------ _ _ __ efso+;tlu> nntia�-.S8 - 1 - -- 3rsa� r,iS�.f i� r1S ...... _ re ol, _ _ ---- ___------` � .. +•�.ir:LJ `3Yk _ rCi 4in`� _...._-._.._._......^___... - _ - )10 (2nd t 1 c�6';e"r � ._•-. - - - 5TL3Cl trial rL?-C:?SJ '�'1JnA nQi` ?Illi aF; _Il_�1F.t�/11SOQ1�'I . _...__...._�--...._,..�.. �isr�t� °r. ,;�3rSlcstJu'Y �--- bnrlc2 .^.etr:1�3--pr �ai�1,�i pn:�s:;%� ,cl��i{ir•h-, n�.:f2 �!(s#PJ .Gy _---•----- -----__-_-_---------------- ------- � i)�,ax� 46;j 21isb'! n,---- •-'---_.._.._. .£ Ct!'T-2x=:8, s ------ -- __ - - - - --- _�.�_ -,H •'N4 ii 49bFi pr f I.)3 3 Sit?-rni :b te- _�----- -- --- _- - -- - -- _- 'ions `+�,,.n Y2.�:n v;irs ^.4 :3 i Oi+li (eiia"ti;;! ila..,v t.wl etni; .,c = UK 0=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood - 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches& Decks; Soils -Steel-% /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts;Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel" 9. D.W.V.; Fall-Fittings-Test=2-way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground -- 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card=B1.` Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Comb t' Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.1 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-Underfir. Access -57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 • Date Card -B1 Date Card -81 Date Card -B1 Date us ion Air -Baffle 17. Water Pipe; Test &Anchors -Nail Protection Date FINAL (Plans) OK except #'s 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Ext. Steps Door &Sidelight Protection -Landings 19. Shower Pan; Test, First Floor -Tub Access 62. Smoke Detector 20.' Test Tub & Shower, 2nd Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floo►- Ducts- Mech. 21. Gas Pipe; Size & Anchors Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures &'Tub Access -Spa Card -B1 Date Card -81 Date 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -141 Date Card -B1 Date 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; 22. Fixture & Transformer Clearance -Ins. Protection 23. Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 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 25. Romex Installed Close to Edge of Studs & C.J. -Closer 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In .Garage; Above Floor-Mech. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic Neutral Yes No 30. Service -Riser Conductors & Ground ❑ Yes 78. Guard Rails & Deck Construction-Post'Caps -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn.Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ❑Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No; Planters 11 Yes ❑ No Card -B1 Date Card -B1 Date 81. Stucco; Brown -Finish Card -81 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation throughout House 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnace in Attic 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric Card -B1 Date 90. Water & Sewer Connected -C/O to Grade -HD Approval Card -B1 Card -B1 Date 91. Energy Compliance Certificate -Other Certificates Date Card-B1Date 92. Roofing Certificate Date FRAMING (Plans) OK except #'s Eard-Bl Date Card -B1 Date Card -131 Date Card -B1 39. Sills, Proper Material & Anchors Date Card -B1 Date Card -131 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound • Date Comments et 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 OF PUBLIC WORKS PE BAIT NO 7 County Center Drive - Oroville; Galiforllla 95965 - Telephone: 916/533-7541. APPLICATION AND PERMIT ASSESSOR PARGE NUMBER Z04N/ BUILDING PERMIT OWNER TELEPHONE. S'3Y— is SQ. FT. OCC. BUILDING Vt LUATION DOK OWNER'SMAILING ADD E33 .1470 CONTRA C OR'5 NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' I. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 O Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCE AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[; Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition❑l Remodde�l�❑ Utilities [:1IInstallation[]Other O Describe work: fd/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the Owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ADDNS. ACC, BLDGS. h¢Sgft NEW CONSTR. T .OUTLET H CIRCUITS) NO N.R ESID 2,50 ea POW ERC APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES aA 50 FIXED APPLNS. OR Ex, Occup. OUTLETS (REBID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Penult 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. hrfi I shall not employ any person in any manner so as to become subject /Nlto the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult 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 or Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmJ#ss the County of Butte against all liabilities, judgments, costs, and a per which may in any way accrue against 4sainty in consequence of h anting of this permit. ' Signature of Applicant — Owner Contra Agent An OSHA permit is required for excavations 5 V deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 70 occu P. CONST.TYPt SCHOOL 1L001IIPAfRCELJ --_ PD f ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERIAAT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J —�� • Receipt No. �/ ®�3 1 WHITE-D.P.W., YELLOW-ASDe3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s� COUNTY OF BUTTE - DEPARTMENT_QF"PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET i Permit No. OWNER %�-!� �i \ " A. P No. Proposed Building Use�(�iG Building Inspector Date 5-31-k� 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 ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required . , , , _ Pre-Inspec. request to Pre -inspection q 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 ............ 24. Letter of signature authorization ..................................... 25. 26. ate) When you issue the permit, process as follows: Mail to owner. Mail to contractor.,. 1- Telephone-!�3Y_—_ IAO -741 and hold for pickup at ejej2,7e, office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other 19, Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date" Plans checked by Date Plans approved by clkf=s� Date Copy—DPW Sets of plans on hold in File cabinet AP folder 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) 6h /J r signed .an app cation for a building permit for.the proposed work. 3. I_have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -,I plan to provide .portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit Nu ber Date /r 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. PERMIT NO. — PERMIT EXPIRES OWNER jEn T,ACEY CONTR. Jac e Ragh ASSESSOR PARCEL 32-354-05, LOCATION 10th qt, ' mnvi l a1 �^�✓GtTc✓ �p � �S Temp. Power Pole Called PG&E Temp. Elec. Service Calle Temp. Go Cailel JOB FIN/ Signe = OK 0 = Not OK ' = Not Readiyable MOBILE HOMES MISCELLANEOUS Data MOBILE HOME UTILITIES (Plans) OK except #'s Date DEjCKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoning Requirements -Setbacks -Easements 2. Soils; Special •MH Support -Sketch I ngs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test Easement Needed (Sketch) "4. Wood Awn.; Posts- Bea ms-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / ._ P l -It. / /"Nat. or/ /"L"ft./ P'LPG 5. 'Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance -SEI r ; Sills-Anchors-Studs-Rftrs-Trusses Si g; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1. Date o9j; Shthg-Roofing Card -B1 Date Card -B1 Date 6>!&t.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION, (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date;! and -B1 Date 2.- Footings; Size -Spacing -Marriage Line Card-Nj&3 Date &5jyCard-B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 -B1 Date Card -B1 Date = OK o = Not Not Applicable RESIPENTIAL (Single and Duplex) - = ' = Not Ready i Date UNDEAFLOOR"(Plans),OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers=Post Caps -Anchors -Connectors 2. Ftg.,.Main; Soils-Steel-Elec. Grnd.-/, /" Fig. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. '3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth. - 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or •Exiting boors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- BI 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco. Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe;.Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub .Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67, Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71: Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 73. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. 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 76• Insulation -Foam -Looked in Attic. ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. 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 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -81 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date . MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation &Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric .89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT 7 County Center Drive - Orovillb, Cali'romia 95965 - Telephone: 916/538-754 ._y APPLICAT16H AND PERMIT �J ASS SSOR PARC L NUMBER (��[ N BE ZONI G BUILDING PERMIT 0 W aC� 6101 A TELEPHONE SQ. FT. OCC. BUILDING LUATION OWNER'S�QAI LING AD 'sA e Or CO ACTOR'S N E TELEPHONE CO RACTOR'S M LINGADDRESS/ (O Q r rn © Fireplace CONSTRiTCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1,640) Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 %'10 v i 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 STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other �'It Q SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW10.00 I—d TYPE OF WORK New[X Addition Remodel Utilities❑ stallation❑ Other ❑ Describe work: rl I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service °00V OR LESS 100 AMP OR LESS 10.00 ` Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check.One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and effect. License No. �� 3 Z Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADONS, l ACC. BLDGS. ys¢sgft NON-RCONST ESIT R BRANCH CIRCTITS 2.50 ea POWER APPARATUS eI SINGLE OUTLET CIR. Ex. Occup( OR FIXTURE"15.00 Ex. Occup. OUTLETS FIXED P(RESI D.)RE A. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in cons5 nce the granting of this permit. X 'V Date Signa re of Applicant — Owner ❑ Contractor&" Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height.By Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ l �r OCCUP. CONST.TYPFJ I IFLOODIPARCELI PD �HD1/.35E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date °ipt Lon. No.-D.P.W.. YELLOW-A3SE3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT` M PUBLIC WORKS - BUILDING.,DIV'ISION 7 COUNTY CENTER DRIVE - OROVILLECACIFNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPE[GATION DATA SHEET Permit No.-- A. o. A. P. No _ Proposed Building Use Q rG &j Building Inspector Date At time oflpermit application, I was advised the following data must be submitted prior to permit processing and/or uance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature author izat' n. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B). Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.-_15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for__ _. _ Required. Pre- Insperequest to (Date) p --- – - q Building Inspector J 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of —_ 21. _ — — ' 22. -- W you issue the m t„pro ess as follows: Mal to owner; Mail to contractor. S Telephone _,, and hold for picku0a.�office, Deliver w/inspector. Other AppI i c a natZo�ZDate 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. C 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 c, above required data by—phone—mail nter by date Plans checked by Date_f/�_Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW .W eount* af - Dam OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ted Lacey ADDRESS: 1660 10th St. CITY & STATE: Oroville, CA 95965 IMPORTANT: May 3 1989 SEE INSTRUCTIONS DATE OF CLAIM: y , ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) j AMOUNT Owner has decided not to do work. (Bldg Permit Appin #1267-89BPEM AP#31-254-05, Receipt #36998, dated 4/26/89) Building Permit Fees Paid ------------------------ $235.75 Ret-Rin F Fee----------=-------------------- 10.00 -ling Refund Due ----------------------------------------------- $225.75 --Plumbing Pprmit Fees Paid ------------------------ $ 40.00 Retain filing fee-------------------------------- 10.00 -----------------------------------------------$ 30.00 Electrical Permit Fees Paid --------------------- $ 43.00 Retain Filing Fee --------------------------------$ 10.00 Refund Due-----------------------------------------------$ 33.00 Mechanical Permit Fees Paid ---------------------- $ 22.00 Retain Filing Fee-------------------------------- 10.00 Refund e-----------------------------------------------$ 12.00 Refund Energy Inspection Fee ----------------------------- ----------------------------------------- $330.75 TOTAL $330 75 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this ./.., day of ...1.�.`..�Cl. ............ 19 .f et ......(��/Q............, Calif. G.y Signeturc Claim I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) fo s�. Dated this 4th ................. day of Ma.y 1989 at Oroville.. Calif. r .. yy .. .......... .................... .......... F7edertmerit Head or Authonzed D u Dept, Exp. Code �}AQ,-QQ%,,,,, Code, 4%rrl,Q5,O,QC n,,,,, PAYABLE FROM st. Permits FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ��D el/o e� C) �04 COUNTY OF BUTTE - DERARTM�NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT PERMIT NO. / 032 SIP R P RCE UMB — ZONI BUILDING PERMIT O E Ep,Ho �.- SO. FT. OCC. BUILDING VALUATION OW R'S AILING D� S 9 > CO ACTOR'S NAME TELEPHONE C RACTOR'S MAILING ADDRESS Fireplace CONS R CTI ON LENDER UNKNOWN Total Valuation Is Q aa Filing Fee $ 10.00 LEND R'S MAILING ADDRESS Permit Fee $ ARqHIJrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking 9Y g Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 14- USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas 1 In system 1 - 5 outlets P piping Y 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition ❑ emodel ❑ llities ❑ Installation❑ Other ❑ Describe work: n IJI^ `I/ ` ri U Permit Fee $ W7 077 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occ OR ADDNS. ACC. BLDGS. 1�2Q0ea NEW CONSTR I.OU LET NON.RESIO .BRA IRC ITS 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200990 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 �— Mobile Home Facilities 15.00 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. to the W. C. laws of California. NXI shall not employ any person in any manner so as to become subject 1coApplicant: 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 FiIIng Fee 10.00 Heating FU _r plar Coolin g _ Hood 3.00 0 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, a expenses which may in any way accrue against said C ty in o;seque f the granting of this permit. tor ❑ Agent Signature of Applicant — Owner ❑�Ii.ns An OSHA permit is required for exca 5'0" deep and demolition or construct- ion of structures over 3 tories in he' ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON3T.TTPE I=IFLOODIPAR7V HD ISSUE lr_ This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1-1 WHIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department. of Public Works 7 County Center Drive, Aroville, 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)vas-, 2. I (have/have not) 6/,- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Amber 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. .. -{ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER v Ce A. P. No.,_y Proposed Building Use Building Inspector Date i At time of permit application, I was advised the fol lowing 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 ..................................................... 12 School District fees paid ................. 3. Sanitation approval from 7:r T_ 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 uired . , , . 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 o, Mail to owner ❑) ........ Recorded copy of Agricultural Acknowledgment Statement .... .... . 24 Lettr of signature auth rization .......... ...............46yL. `5. 26. Whe .you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone . and hold for pickup at _office. Deliver w/inspector. Other Appl ican Date C 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—mall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Coov—DPW 0 Temp. Power Pole Called PG&E_ Temp. Elec. Service'3 / C Called PG&E Temp. Gas Service i3 Called PG&E Q� JOB FINALED (Date) � � O S 1 s Signature _ S� V4� / PERMIT NO. PERMIT EXPIRES TED LA Y . OWNER owner CONTR. 31-254-05 ASSESSOR PARCEL 1660 10th St, Oroville LOCATION 0 Temp. Power Pole Called PG&E_ Temp. Elec. Service'3 / C Called PG&E Temp. Gas Service i3 Called PG&E Q� JOB FINALED (Date) � � O S 1 s Signature _ =OK ` 0=Not OK • = Not Readiyable MOBILE HOMES Date MOBIJE HOME UTILITIES (Plans) OK except #'s A -Toning Requirements -Setbacks -Easements oils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 'Ry6ter; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; L ation-Test-Wrap: /I L"ft. / Nat. or/ /"L"ft./ /" L ,G 7. Utilitv Clearance Card -B1 Date Card -131 Date Card -131 Dat and -131 Date Date MbJMLEHOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line Is 3. ; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Appr 3 8. Gas and Electricity Tagged s; Insp.-Sketch 0. Cert. of Occupancy Card -B1 Dat and -131 Date Card -131 O. Dat ,::;/ Card -B1 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -131 Date Card -131 Date = VK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Heady 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 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt: & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped ! 50. Garage Fire Protection Framing 7..Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 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- UnderfIr: Access 13. -Plenums & Ducts; Clearance- Mated al -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 -B1 _ Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors •r Card -131 Date Card -81 Date Card -131 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Trensformer,Clearance-Ins: Protection 23. Elec., Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled, 25: Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &"Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31.'Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date "' MECHANICAL (Permit) OK except #'s' 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings - 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -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 W 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. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑:Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes 0 -No 81. Stucco; Brown -Finish - 82. A.C. Unit; Disconnect, Electrical •Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Openings. j 84. Water -Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date J Card -61 Date Card -131 Date Comments at Final: I I I I f I (NOTE An entry must be made each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY gENTER,DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT cNO... JS� Address or location of �X moJa bilehome h % UfS Owner's name �r�' `c� C (� Owner's address Insignia or hud number Manufacturer's name Serial number of V. I/ 0 8-b (Official Approving Installati Year of manufacture 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, Pink - 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 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 !��— 3 1 — 9!19— 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 J JCORRECTION NOTICE � (te A 1. PERMIT 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. '*-\ n /I /l - A i Inspector Date- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANY PERMIT romal'�'125 ASN PARC L NU — ZO G BUILDING PERMIT Ow T EPtI� SQ. FT. OCC. BUILDING VALUATION O N 'S AILING DD S C ACTOR'S NAM r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace COI,aToiUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ ARC IT CT OR ENGINEER 2A LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FllingFee 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[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' iti s� Installation❑ Other ❑ Describe work: Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 6OOV OR LESS Main service SS 100 AMP OR LE 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, Or my employees with Wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e,` , OR ADDNS. ACC. BLOGS. I /Zdsgft NEW CONSTR -OUTLET 2,50 ea NON-RESID BRANCH RA C RC S POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 20®30t eALaso FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. otice to Applicant: If after making this statement, should you become subject o the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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. 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 Inst said unty in conse ce of the granting of this permit. X Date nature of Ap licant — Ownro 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 $ 1 TOTAL PERMIT FEE $ Occup. CONST.TYPE SCHOOL --- Flo PARC PO �,� HD I su This permit is hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO=1JUB C WORKS By Date S S PERMIT EXPIRE Receipt No. WHITE-O.P.W.. YELLOW-ASet:e>lOR, P Nx-INGPECTOR. GOLDENROD -APPLICANT :r 'COUNTYrOF BUTTE - DEPARTMENT OF PUBLIC.WORKS - BUILDING DIVISION, ~ 7 COUNTY CENTER DRIVE - OROVILLE, l AIIFO A 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET f Permit No. OWNER C ��C//( C` 1// A. P. No. — a Proposed Building Use 1� ! Building Inspector Date '7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED (2. All items have been submitted. .................................. Plot plans in duplicareplicate, igned by preparer of plans........ - 3. Complete plans in d ecate, 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) i� 8. Mobilehome installation data including manufacturer's installation �instructions ................................... . Fees of $ �. ... .......................... 10. Chico Urban Area fees paid _ ...................................... . 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. .18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -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 ............ 4. Letter of sl nature apthorization ......'.......:. .............. 25. 26. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone — and hold for pickup at - office. Deliver w/inspector. Other �4�-� i/ A p p I i c a nr_SR�DeDate 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---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_countef by date Plans checked by Date Plans approved by 'r Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of. Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 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: Prope Socia Dare 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. �[e Oou h y � �///O? (0/e 9 � Return to DP� AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -4"_ � FOR RESIDENTIAL DEVELOPMENT `St,�cti.on 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 89-015423 for agricultural purposes, and residents of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte ; and fertilizers; and from the pursuit Candace J. Grubbs 1 of agricultural operations including, Recorder ; but not limited to cultivation, plowing, 10:07am 27 -Apr -89 `�- 5423 Rec Fee 9.00 Check 9.00 PARwsHOWN VS 3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ;1gricul- Lural. zones which have as a priority use for productive agricultural purposes, aiid ros i do ii i within said zones and on adjacent property should be prepared to accept such i nc()nveii i tante or discomform from normal, necessary farm operations. All. that real property situate in the County of Butte, State of California, described ;is f ol.lows: Date:' (� PROPERTY OWNERS: State of 8 O ORAIi�p) On this the � day of �Q,p,Pi� 19S/�7', before me, SS. the undersigned Notary Public, personally appeared County of � •C c��Y RICHARD iFEUER9'TEIN � I NOTARY PUBLIC -CALIFORNIA I cure county Personally known to me. ® Proved to me on the basis My commission Expires Feb. 16,1993 I of satisfactory evidence. be the person(s) whose name(s) subscribed to the within instrument and acknowledged khat. executed the same for the purposes therein contained. I N W ITNV.SS WHEREOF, I hereunto set my hand and official_ seal. j a� �I Present A.P. No. ( 0�5 T_ OS Notary Public 11 2cc 3pl Order No. 10126 D E S C R I P T I O N 9c�'r�c4c9cic�4�'c�4*�F9c*�k*�c9c 89-15423 0. All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Lots 7, 8 and 9 in Block 74, as shown on that certain map entitled_ "THMALITO, Butte County, Cala.", which map was filed in the office'of the Recorder, of the County of.Butte, State of California, June 8, 1887, more particularly described as follows: Coiamencing at a point in the Westerly line of said Lot 7; distant thereon 50.0 feet Southerly from the Northwest corner of said Lot 7; thence Easterly and.parallel with the North lines of Lots 7, 8 and 9, a distance of 225.0 feet; thence at right angles, Southerly 50.0 feet; thence at right angles, Westerly 225.0 feet to the.said Westerly line of Lot.7; thence Northerly along said last mentioned line, 50,0 feet to the point of beginning. 01 AC iL K—/ �1 I 4 170 0101 (D /3/4 /S /T S NL' G (D /1 COL USA h �s.,.s I 1 nn 3 9 ' / 89-15423 3 AL / TO T.1s1V' R i I 25 1 Tax Area Code 104-10 20 9 105 /0 12 k 1 14 h ' 9/ 66 AVE, :. . 1 290 O I I I O 1 ni37 * G 102 16 26 64 64 2 01 AC iL K—/ �1 I 4 170 0101 (D /3/4 /S /T S NL' G (D /1 COL USA h �s.,.s I 1 nn 3 9 ' / Z 6) I h •v� I ' r 1 B h ' 9 105 /0 12 k 1 14 h 9/ 66 r >j 28 NOTE -ASSESSOR'S PARCEL BLOCK LOT NUMBERS SHOWN ►. i i� not of ri,q Iaoc{, hnt if colup.*!a,j {rc;,i J,,,„ t howl) Ly tho pubii. 60''mcorrI% A VE, m Assessor's Map No.,. j/- 25 County of Butte,'Calif. F -NI) OF DOCUMENT NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, Fe C C_y do hereby declare as.follows:. 1. I am, (We are), the owners) of that certain real property.situated in the County of Butte, State of California, described in attached Exhibit A. } 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers, and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as, described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements.remain, said parcels or lots cannot be sold separately. DATED: v{G Si&nature of owner of.rec.ord Signature of owner ecor S.rA*I'E Ul' CALIFOMNIA ss. coy,: OF MUE . 0.1_1% Y eZ� 19A_ before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, ix,r:;r,r1:tlly appeared fA1201/ knot,-: tri rte to be the person whose name_ subscribed to the within instrument and ackrn.wledged that _l_ executed the same. Wll".\TSS my hand and offical seal. ��I��er��erarasaraaaaaaraad. RICHARD FEUERSTEIN ■ '°e► NOTARY PUBLIC -CALIFORNIA ■ ■ #` Butte County ■ ■ My Commission Expires Feb. 16, 1993 ■ MMEr Signature (typed or printed) LD 1540 (5/88) -Please-'hCLv.2 ReeO ed ® Cot,ln �St keeor4,er5 OVC-c, 89-016600 1 Rec Fee 7.00 1 Cash 7.00 Recorded 1 Official Records 1 County of, 1 PARTY SHOM Butte 1 I :Candace J. Grubbs 1 AP NO. — Recorder 1 11:08am 5 -May -89 1 BG 2 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, Fe C C_y do hereby declare as.follows:. 1. I am, (We are), the owners) of that certain real property.situated in the County of Butte, State of California, described in attached Exhibit A. } 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers, and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as, described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements.remain, said parcels or lots cannot be sold separately. DATED: v{G Si&nature of owner of.rec.ord Signature of owner ecor S.rA*I'E Ul' CALIFOMNIA ss. coy,: OF MUE . 0.1_1% Y eZ� 19A_ before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, ix,r:;r,r1:tlly appeared fA1201/ knot,-: tri rte to be the person whose name_ subscribed to the within instrument and ackrn.wledged that _l_ executed the same. Wll".\TSS my hand and offical seal. ��I��er��erarasaraaaaaaraad. RICHARD FEUERSTEIN ■ '°e► NOTARY PUBLIC -CALIFORNIA ■ ■ #` Butte County ■ ■ My Commission Expires Feb. 16, 1993 ■ MMEr Signature (typed or printed) LD 1540 (5/88) -Please-'hCLv.2 ReeO ed ® Cot,ln �St keeor4,er5 OVC-c, 99-15423 2cc 3pl Order No. 10126 D E S C R I P T I O N All that certain real property,situate in the County of Butte, State of California, described as follows: A portion'of Lots 7, 8 and 9 in Block 74., as shown on that certain map entitled_ "THERMALITO, Butte County, Cala.", which map was filed in the office'of the Recorder, of the County of•Butte, State of California, June 8, 1887, more particularly described as follows: Commencing at a point in the Westerly line of said Lot 7, distant thereon 50.0 feet Southerly from the Northwest corner of said Lot, 7; thence Easterly and.parallel with the North lines of Lots 7, .8 and 9, a disance of 225.0 feet; thence at right angles, Southerly 50.0 feet; thence at right angles, Westerly 225.0 feet to the said Westerly line of'Lot 7; thence Northerly along said last mentioned line, 50.0 feet to the point of beginning. Signature ■■ /�" flA ■ "' RICHARD. FEUERSTEIN ■ / ■ ■ "� • NOTARY PUBLIC -CALIFORNIA ■ Nam-Itype or print ■ 1` ' Butte County ■ ■ ■ MY Commission Expires Feb. 18, 1993 � ... . LU 1540 (5/88) 1-'l ease hcrvv- Reeo•Aed ® Coun {�eeorder'S O�� 014NER PERMIT MH UT IL. CLEARANCE DATE INSPECTOR,-��G� ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO &D lti4 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive GOrovil,l�a, California 95965 - Telephone: 916/538-7541 / e Z _/ APPLICATION AND PERMIT seoR PA C NUMB ZD N BUILDING PERMIT OER 0T TELEPHONE SO. FT. OCC. BUILDING VALUATION AILING A RES' ►ryvi eT'S &NR'.S,111 N TEL PHONE TOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I 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❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationZ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service I1101 OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 NEW CONST. ( ,a DWELLING OCCUPS. , h2sgft OR DCONSTA a ou NEW RUL LET NON-RESID, BRANCH CIRCUITS) 2.50 ea . POWER APPARATUS &) (SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES eALO 30 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 $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in any way accrue ainst said o my in equence of the granting of this permit.This Date ture of App Kant —ner ❑ 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. F $ Mobile Home Installation ee � Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup, CONST.TYPE �=LJFLJPARCELJ PD ND Issu permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ' PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate[-D.P.W.. �� / 6 [R�ecelplt NO.�.1 YLLLO W-ASel050 R, PINK -INSPECTOR, GOLDENROD -APPLICANT ..,COUNTY OF BUTTE - DEPAb�-TMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CTALIFORNtA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �p Permit No.� OWNER/ A. P.. No. Proposed Building Use 'i Building Inspector Date 8 �� 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 .............................—::::............. — d �J 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing- permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use -.—(B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required .... Pre-Inspec. request to Pre -Inspection q 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 ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. - _ . � Telephone and hold for pickup at office. Other .� I Applicant e5 ,J, -(Date) Mail to contractor. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by �� Date Sets of plans on hold in File cabinet AP folder Copy—DPW NOTE -e —AN Materials A Workmanship Shall Be & Accordance with Recognizel .Good Practices and of a dual"; prescrio.;ej for I he Specified use in the Uniform Building, Plumbin Mechanic®! files e n I Q w �r � l 4/9F% M0 HOME MUST BEAR. .U.D. LABELS rc - Lo t TOOam eritbeeFT tion of, the gtbac \lnes an .Coad ,rope j3��{COS t\ -\e \ be c neat eXceP1 center\��e or .eco\9 hang 4' C� - -sfiN�a ,yes g����$� Cx s 5 tiwy.. . INS set & pis =d SPOCNiccMem T M0 on the iob at J tunes and it is unla%Eful rake any changes or alrerations on some wffho, ,yriften permission from the Depas#erne�a4 worAs, J v 7 —" BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: /!�/�CJ/� ��D�iri �P �� �► r� 3. Is the site currently under permit? Yes a No 1 (If yes, furnish permit number /hit ) OR Is the site an existing site? Yes [gj No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 1 No 7 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /On Amps 6. What is the mobilehome site service rating? ------------- l D D Amps 7. What is the mobilehome site circuit breaker rating? ----- /6 a Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (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 ® LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- / 2 v (ft.) * 12. What is the mobilehome gas demand? ---------------------- B Ur o (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ' If other -than single wide, Mobilehome Mfr.'V furnish Setup Model No. O Year—a—S _ Width_(ft.) Box Length(ft.) Tagalong or Expando SizeAln _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.2. Other (specify) SUPPORTS (check one)�1. Concrete block.�2. ,Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams -----.,,, Main Beams ine 1 — — — — f.Line Tag or Triple fine 4 _ Line 1 Line 1 Piers: Line 1 ODeninxs: Size-Min.------------Size-Min.------------------ �k 'k Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- _ With Width over --------- 'r Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ .k �, Size -Min - ------------------ 'x Spacing -Max.--------- _ Spacing -Max._ -------------- From Enda-Max-------- '- " From Ends -Max .------------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 4 Piers: Size -Min .------------ ik Spacing -Max ---------- From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ Spacing -Max._______________ From Enda-Max.------------- y' 1I1r ` w. •` ' t ,'#�I•Sr kk`f tri. ="`!'f "di ij z,i+ W J r d'� f r �'. i 5 " .. I d • �ieturn to DFW AGRICULTURAL• STATUMENP,`& `ACKNOWLEDGEMENT ; NOT COIdMPARED VATH FOR RESIDENTIAL DEVELOPMENT .'ORIOI,NAL DOCUMENT d cion ° YS ;5`requires this acknowledgement 'be' ' recorded `�- �� > �,E°,.�: ,,, i f. APR 2. prior ~to `issuance of a building ,'permit. - �,u:p _ �. 989 u • Jheproperty :described herein ' is adjacent .: t ��;� .L, ! , ;,z „' •. -- -y - . to land or included within an area zoned 5 gg-01542 for.'.agricultural purposes, and residents - of this,:`property may be subject to in con-� veniences,l or - discomfort arising from ' the use,of agricultural chemicals, including, but not limited. to herbicides, pesticides', ..`r:. and:;fert.ilizers; and from the pursuit. ` of agricultural operations including, but 'not limited to. cultivation, plowing, h F I spraying, pruning, and harvesting which "r .occasionally generate. dust, . smoke, noise,• and odor,; ji' Butte ,County has establ :i shed ,igr i i'u I " Lural zones which have as a priority use for. ` productive .agr cultural. purposes, .incl rrs i deli i within said zones and on adjacentproperty should nbe ''prepared .to 'accept. such inccnrvc-Ili ellc v or disconform from normal,, necessary farm• operation>''�'�� 2 r All that real property .situate in the County 'ofµ $utter State of California, descrihed inti AP follows: SC1 s Wo F Date: O PROPERTY OWNERS: State of ,v%) On this the. day, .,of - 11 _, 19�, before nic,, ' SS. the undersigned Notary Publicersonally appeared County of T el :,4=11 i < RICHA 3D FEUERSTEIN • NOTARY PUBLIC-CALIFORNIA . - BureCounty] Personally known to me ®.Proved to me on the h,n5i5 M Commission Expires Feb. 16,1993 y ■ of-satisfactory evidence. �■■■■�■■■■■■��■■i.■■■■■■>.■o be the person(s) whose names) subscribed to the within'instrument and.acknowledged that executed the same for the,, purposes therein contained.. IN WITNESS WHEREOF, I hereunto, set . my hand :and official- seal.Irde- . Present A.P. No. 1 ��`'� Notary. Public 2cc, 3pl Order No. 10126 D E S C R I P T I O N All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Lots 7, 8 and 9 in Block 74, as shown on that certain map entitled_ "THE"IALITO, Butte County, Cala.", which map was filed in the office'of the Recorder, of the County of•Butte, State of California, June 8, 1887, more particularly described as follows: Couamencing at a point in the Westerly line of said Lot 7; distant thereon 50.0 feet Southerly from the Northwest corner of said Lot 7; thence Easterly and,parallel with the North lines of Lots 7, 8 and 9, a distance of 225.0 feet; thence at right angles, Southerly 50.0 feet; thence at right angles, Westerly 225.0 feet to the said Westerly line of Lot 7; thence Northerly along said last mentioned line, 500 feet to the point of.beginning. i 3 /- 2,6 � --�S i i 3 /- 2,6 � --�S 3 /- 2,6 � --�S G7 C..l 1�M CY.- Cll !J a-rrs:.:—;Y�l9 sYAlF fC6fItSLi'�-:'-att NRlmYiL-ilFatstsalgl�lLaX9Y'tbaa�[p fll TVP ��s f r o o fa " 3F ?MFR Aff �r � fm � tIM ;* � .o �- , r�tz�, .fit .� �,�.-�� .�� wr.t�'s� �� 'arts' a- Wt CK Orr TAUAM iC .W= M •UP= to cm ca-M&WAM mo semmonum } ' L cm lt2"- : O O - ifCl'.t -a* `itfitxw =me" =me " Eri- "I-- v ca rlQl� �E6�' f. �Anvv ftt. _ S=? r c� ct Joet A"x .tw. an 'ate ee�+s+a�xo .stnt,au� .a a "Immo.s M �)■ }y�y �soft��.T�� i Or ft -l" "Im te-.&. ��� ' --. slimk -rig, QH= msY. w_ u o t -r e l =mm ft em fi r. m EftGi;,m? *a ucwr unu v"mvmir 1rrAo" am p� Baa. �latap sta�c5 a e: aaaf+�caess ani atm: eottr� iso icrnc "acasa tit a 3.�7i�'� EBIICm. _TWAOM M EPOWFO# tctfw: +1Rit E. R't7� .f41�. ;S' !L'GiiHt 'Of wSlet, -8 mos aut wm &L-3- act id rK * TERMOAW V I