Loading...
HomeMy WebLinkAbout033-010-067337011-D;r&? 11 CLARENCE KOLKANA N -/-S- -Long- -Bar - Rd -,-5-00'-W Permit#80-89AWri-cuLtural B t Bldg Exemp V. -ba-y—stg) -010'-067,14 rM A',* -0 T' 148 9 AG' -3J:CO-67 6-91P9E Ln;,, hlle KOLKANA, Claren 6 k ! 35`4%�-Y-"Le",.�t" ' . 9 o,. 35 B& -Y -Le Ln Or ille� -�geob tractor r goatg cont:'Ha'r'ro'ld Blatz. .,(stor. barn fo h . 1 -4 , - (g 1 0 1 - // (=71' ELEC' I Wot� 0 COMPACTION TEST RE E 10, SUPPORT STRUCT R�Q �33-01-67 M "Permit LLAaL-19 I MH I AVV7 aren \el F. Ln 9 Or v. �le Harrold. Blatz mh I oj� N (install�tj' on'qlMH n 33-01-67 Perms 62-91B'<' (newgarage) *--, lei t. Yix 33-01- 7 Permit L263j-9iB (storage,91 shed) �33-01-67 2830-91B ,KOLKANAI, C. x 35 Bo -Y -Le LN, Oroville, deck/mh)_. 033-0L1'-7.0-067-," 7 1-378 KOLKANA "CEARENCE',--. *CONTR OWNER 35 Y'LtmLN , ORbV.1 LLE ELEC FOR GARAGE 9 u� � �:"CS�� ^�� � �, {' f },,ii }` R, L�ILDING DIVISION c � COUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ,nn .3- 0. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESS R ARCE NO , ' FLOOD PARCEL ZONING f OWNER dl,, encs ISSVKI PHO -N -E S OWNER'S DRESS �- L c7 19 i0 V l ` f 6 Q LOCATION OF BUILDING 0 r i/l _ USE OF B ING SIZE OF STRUCTURE �SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME 1 STEEL CONCRETE OTHER (Specify) TYPE OF SPNG ROOF CHER - / FLOOR PE ESTIMATED pCO T OF CONSTRUCTION $ —r1 �S AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date A !� " � Signature of Owner Permit Fee — $50.00 The above described AG Building is exempt from a building permit Receipt No. { (z C.C3 Manager Building Divi / By �`_ Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCEL I P.D/ I ROOF ISSVKI Manager Building Divi / By �`_ Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant 'tv ��1JFrl• .F"+Y'�}Cy�,►h �6Ca1!,ycrK Y'("r+"'T'y.�e.A.a'.47T�,+`r : ^t't.:l•�• i.+�.,..7P�v....,.ti..�t. COUNTYOF BUTTE - DEPARTMENMTQf3PEVE`LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER �Id Proposed Building Use PERMIT APPLICATION DATA SHEET Y/C,.N _ Building Inspector Date At time of Dermit application, I was advised the Ilowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ Ar 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ....................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ............................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ....1 18. Contact Land Development about (A) Improvements (B) Drainage. ..........�. 19. Driveway permit (construction approval required prior to occupancy). .. ...... 20. Pre -inspection for required. .. oe ild gInspeAction ctor�-Date c ) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation /�_�� Acreage Applicant ocd, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works RESIDENTIALF- _--- - 2634-91B ` 33-01-67 KOLKANA, Bo -Y -Le Ln, ClarenOToville 35 cont: Don Scribner Jia JC� (storage shed) / r r. X17 -9-I/ r: �s k, 1 t 'JOB FINA Signatur J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = .r Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope li 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel -Elea Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- --- - ---------------------------- ---- 17. Water Pipe; Test & Anchor -Nail Protection --- - - 18. D.W.V : Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access ----- 20. Test Tub & Shower. -Second Floor -Tub Access ----------------- -- ---- 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- Date - - Card B_1 - Date Card B-1 ---------------- - ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. -Protection - ------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ ------------ ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------------------- 26.-Equip.-Ground-made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - ---------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! / ga. _ Cu or AI 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 --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------ -------- ---------------------------------------------------- --- - Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------------- ---------------- 35. Vent Fan Exhaust above insulation ------------------------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------------------------- 37. ------------------------------------------------ - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- ---- -- -------------------------------------------- - - 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------- --- ------ ----------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39. Sils. Proper Material & Anchors - ----------------------------------------------------------- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------- --------------------------------------------------- 42. Draft -Stop -in Walls (rat proof) ---------------------------------------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------- --- --- ----------------------------------------- -------- 44. Headers & Beam -Size -&-Bea-ring 'ingle & Duplex) '- Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -50. Garage Fire Protection Framing 51, Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------------------ _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------ -- 57- Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolls 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1__ Date Card B-1 --- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's _ 61. Ext. Steps -Door & Sidelight Protection- Land ingk 62. Smoke Detector �- --------------- ------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage_ Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------------------- ------------------ --- 65. G.F.I-. & Bath- Fixtures & Tub Access -Spa ---------------- - - 66. Elec_ Trim & Subp_anel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth --------------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------ ------ -- 72. Garage Fire Door Swing -Landing -Closer ----------------------------------------- Duct in Garage -Damper - - -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb__Elec_ & Mech. E ui Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------- -- 7;. 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____0 Yes ----- - - - - ------------------------------- --- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- --- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. --Exterior--Elec.--Trim:-G.F.I. Receptacle -Underground ------ ------------------ - ---- 86. Ventilation Throughout House - - - - - - - - - - - - - - - --------------------------- ----- - 87. Glass Protection - ------ ----------------------------- ---------------- 88. Corrections from Previous Inspections --- -- - -- --- ---- ---- ------------------------------------ 89. - Gas Test -Meters Tagged: Gas -Electric ----------------------------------------- - ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------- - -------------------------------------- ---- -- Date Card B-1 Date Card B-1 ----- --- ---------------------------- - ---- Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Comments at Final: V=OK ., ' ` .. . O = Not OK' Not = Not Ready MOBILE 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. 'Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 4,11 ing Requirements -Setbacks -Easements .2 -footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors lectric AL"Ir Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 'L&,<oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date L ( Card B-1 Date Card B-1 Date V2 g� Card B-1 Q3J Date' Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,PA j/ 9r ).e C v -K t C -C k< Il✓8'�eC �--e � ,�� �S,r✓ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE p1: OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r Date t Inspector_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 *7 Couri�y Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE K01-/yAlu'4 " �'3 'NER PERMIT N0. 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. Dt �,u "P� [//D uj T iw_ F '-22 1,2 U /dl- // /t 1 fie- V vn Date ( i Inspector �� COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 q APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ - ZONING A R 1 BUILDING PERMIT OWNER CLARENCE KOLKANA TELEPHONE 533-4650 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 5275 OROVILLE CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking 9Y g Fee $ Penalty $ BUILDING ADDRESS 35 BO -Y -LE LANE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.—i SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE & STORAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities❑ Installation❑ Other❑ Describe work: ELECTRIC FOR GARAGE AND STORAGE RTTTIOLNG RF 01967-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW 1 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 IBX -'Il 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. I 3.6d sq•tt• 33.30 NEW CONSTR. ULTI.OUTLET NO N•RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 , Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai�aid County in cons e f the granting of this permit. X ?C t�,�� Date h., e� � `�� signature of Applicant — Owner j Contractor 11 Agent E] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 48.30 HAz 0FEES IMP FLOOD CDF PARCEL PO HD ISS E This permit is hereby issued under the work of t Butte County Code and/or work i is ted ab which f DIR UB BY PEEXPIRES Date applicable provi- esoI tions to do ave been paid. ORKS Date p� Receipt No.l ofA p WHITE-D.P.W., YELLOW-AS8E950R, PINK -INSPECTOR, GOLDENROD -APPLICANT .7 ft V4V .m-»• K-..— —. "r• 'W+"' ,t'yrR�{✓i':ma•, ;;..Ty ,.o.:w..+f.Tacit.�Y^✓; „w;n; "vY" +^. r,}i-%: }rc�:•,: ;xiw:}`i".ti +{*"t `4l:» ,pi,:,f. �Rrfw,�..,yy{t COUNTY OF BUTTE - D EPARTMENT,_,9f PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use At time of perm 7 COUNTY CENTER DRIVE - OROVILLE;XALIFORNIA 95965 - TELEPHONE: 916/538-7541 Nr' - PERMIT APPLICATION DATA -SHEET ' Permit No. I ication, 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings ............... — 8. Engineered truss details and layout in duplicate (required prior to plan check) — 9. Mobilehome installation data including manufacturer's installation , instructions ................................... — 10. Fees of $ t ................... — 11. Chico Urban Area fees paid ....................................... — 12. Park fees paid ....................................... ........... — 13. School District fees paid. . . — 14. Sanitation approval from Health Department —'15. City of Chico plumbing permit ............... — 16. Plot plan and business license approval from City of (see City for other requirements) — 17. Planning approval for (A) Use: (B) Parking: ...... — 18. Improvements may be required. Contact Land Development Section DPW — 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) — 21' Contractor's license information (No., Name Style, Classification) ... — 22. Certificate of Workmans Compensation Insurance .................. — 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... — 26. 27. When you issue the permit, process as follows: Mail t'o owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other / G' Applicant .Date Copy of Haz-Mat form sent Health Dept, Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--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 Date Sets of plans on hold in File cabinet AP folder Copy–DPW C 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) //r/t' 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. J plan to provide portions of this work, but I have hired the following persoA 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 Number Date I/>�� ?- -/, 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 PERMIT NO. 7 County Center Drive - Oroville„California 95965 - Telephone: 916.'538-7541 APPLICATION, AND PERMIT ASSESSOR PARCEL NUMBER / 033 -” - — 6 ZONI ' BUILDING PERMIT C-- l LEPQH ONEDa^fin SO. IT. OCC. BUILDING VALUATION f� �/�• /TE. OW/ MAING ADDRESS c Saj (Cq L) e COCA(TOR'S NAME onc r TELEPHONE i CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation !S LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee g ARC I ECT OR ENGINEER LICENSE No. Y Plan Checking Fee g ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S Penalty g BUILDING ADDRESS 3s' �h r,0 I/ Permit fee g PLUMBING PERMIT FiiingFee j 15.00 Each Trap 5.00j Solar or heat sump '.eater heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping I 7.001 Each pas water neater or vent 1 7.00 USE OF STRUCTUR?'_) SF !1 DuplexiJ Mobilehomi Other Q ECI FY Gas piping system ? - 5 outlets 5.001 Building sewer I 15.00! Mobile Hone I S I G I W@ 15.001 TYPE OF WORK New _ Addition Remodel( Utilitie� Installation[ Ot15er _' Describe work: HIC, Cf r t O ►^ bt V\e gto 'f\C(Q to Permit Fee g Contractor ELECTRICAL PERMIT Filing Fee 15.00 12 f, V2_ � EISS Main service 200A OR LESS i 18.501 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 :Jo. Classification I, as the owner, or my employees with wages as their sole comoen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) LJ t--, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I I am exempt under Sec. Business and Professions Code for this reason Main service _OGATc 1000A1 I 37.501 NEW .:JN5T. WF'- :NG ee OR ,c=• -:s. (AcC. 3LD-s ? 3.sesa.rt. I I 30 'a J.a.oas..�.-.•.1C.+ .:aC':TS 1 !@ 5.001 /?O:,cR ?otRATI, 41 TLET -:R. / I Ex. OCC -C( JI,-LE:TS JR=;XTJRES I a 7 7Tc , =x' Occu:). =-'E=-''_as'iD',pE_.) I I 3.001 Temoorary service I j 15.00 Mobile Home Facllir,es j 1 15.00 Misc. `Ninng ; 15.00 Permit Fee g — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for S100.00 (valuation) or less.!Heating — I have placed on file with the County of Butte Building Department U a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 71 1 shall not employ any person in any manner so as to became subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT =iiingFee I 15.00 1 I Cooling 1 i Hood I ! 6.50 Vencilaticn Permit Fee g 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 Lawsrelating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner i Contractor '`. Agent U An OSHA permit is required for excavations over 5'0" deep and demolition or construct. .on of structures over 3 stories ,n helgnt. Mobile Home Installation Fee S Energy Inspection Fee $ l' OCC =Ot1i ''°E FEE $ TOTAL �j, 30 r+AL u FEES ; IMP 1 FLOOD i COF i PARCEL PDT HD ,;sue -t I • i This permit Is hereby issued under sions of the Butte County Code and/or work IrldiCa[CC aDOve for which fees DIRECTOR OF PUBLIC By _... —_—.- PERMIT CPIRFS lar the applicable provi- resolutions to do have been paid. 1 WORKS Date Receipt No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �7 County Center Drive - Oroville, California 95965- Telephone: 916/536-7541 _ APPLICATION AND PERMIT ASSESSOR PARCELNUMBER' 33-01-67 ZO ING BUILDING PERMI OWNER CLARENCE KOLKANA TELEPHC5NE S0. FT. OCC. BUILDING V LUATION Q 280 M 5040 OWNER'S MAILING ADDRESS 35 BO—Y—LE LN OROVILLE 95966 CONTRACTOR'S NAME DON SCHRIBNER TELEPHONE 695-1851 CONTRACTOR'S MAILING ADDRESS 10480 LIVE OAK BLVD LIVE OAK 95953 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 566.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 28.25 Ener Plan Checking Fee $ Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 35AB0--YSLE LN OROVILLE Permit tee $ 94.75; PLUMBING PERMIT FiIingFee 1'x_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 F1 Mobilehome❑ Other STORAGE SHED SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ffk Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 10.00 100 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 and Professions Code and my license IS In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.y , OR ADONS. ACC. BLDGS. /2Qsgft NEW CON5TMULTIOUT No N.RESID R. BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50Q 9AL090 FIXED Ex. Occup. OUTLETS ( R RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. DQ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said u y in consequence of the granting of this permit. X_ _ Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL F $ 94. 5 Z. cuA PARK SCHL P c PA This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated ab a for which fees have been paid. R OR F'P BLIC WORKS By Date _/Z PERMIT EXPIRES Date 07� '-LZ_ Receipt No. 97024 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I' -1L tN'[Tf,.y. .� ... , c _il•r"l-.fr^ � - � -arn a..rp.��m •r�y.RT�'.,r,.,lr,�1'�I• �j _ {�y:.�e.�iy�'�itn;�,,. COUNTY OF' BUTTE -DEPARTMENT O�U �C WORKS - BUILDING -.0 - . 7 COUNTY CENTER DRIVE - OROUILLE, CA©IfORNM 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector_ DIVISION Permit No. A. P. N o. 5,? ----U llj _. J67 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ 11. Chico Urban Area -fees paid ..................................... 12. Park fees paid .................................................... 13. School District fees paid . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17'PGnning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information.(No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... --Ye�etter of.signatyre authorization .............. . ................. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoned and hold for pickup at A/74 -')office. 1e Deliver w/inspector. Other ?tom'«'7 f1 - . Applicant Copy of ! laz-Mat form sent Health Dept. ire Q/pI . ____,4r Pollution Date Copy of plans sent Health Dept. Fire De Other Date By The following data.must be submitted prior tof rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. o. 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_ntkil_c4unter by date / Plans checked by Copy—DPW Plans approved by Sets of plans on hold in -_/-File cabinet AP folder Date TO Buildinc Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance cc S V� o — 3 3--016 — cl Owner, , . ,, Locat on ► A r , � t Plan Approved for: SeOace Disposal 'Rater Supply Bold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * -21 Da rle Sanitarian • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone: 916/533-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / D .►o ,. ZONING BUILDING PERMIT OWNER � 2TELEPHONE ACr SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSfJ� 35 86 LN O GA- CONTRACTOOv ';; NAME chl(LNe� J CONTRACTOR''S MAILING ADDRESS /� /f &o L,`r/-e cAk rJ / !�( , (�Q �/'� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ C Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S-(p_�C> ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy ecg $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ca� , / O /, /V V 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 STRUCTUREA SF [1 Duplex Mobilehome❑ Other 5�0��- t5gled"/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK Ne4 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 1 , 2hdsgft NEW CONST R. ULTI.OUTLET NO N•R£SID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) OUTLET CIR, Ex. OCCup(OUTLETS OR FIXTURES 20030t IsALO Sot FIXED APPLINIS Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 175 Energy Inspection Fee $ occ CONST TYPE (� / TOTAL FEE $ /L/ HAZ. CUA I PARKSCHL I FLD I cDF PAR I PD j D• ISSUE permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 7� Receipt No. / V�/�( A� i' Z "I WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT �� , �� yea •.^�_:..... .. , RESIDENTIAL �3 2830-91B35 — -- KOLKANA,,' (decBk/ hLe`\LN'Oroville a/gl/? JC ;/=0x O=fyotOK = Not Applicable Not Ready 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/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) r. MISCELLANEOUS Date DECKsedVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoni g Requirements -Setbacks -Easements 2 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date�� Date 1. Zoning Requirements -Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r. MISCELLANEOUS Date DECKsedVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoni g Requirements -Setbacks -Easements 2 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing Date Card B-1 Date Card B-1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electr•c _81rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date�� Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK ,. O=Not 0-K =Not Applicable Not Ready RESIDENTIAL,(; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Dete Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access ----- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------------------------ 21. Gas Pipe: Size & Anchors ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------ --------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- ----------- - ---------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------- ------------------------------------------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size I / ga. Cu or AI ---- --------------------- -- ---------- ------------- -- - --- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------- 30, ------------------------------ 30. ServiceRiser Conductors & Ground -Main Disconnect ----------------------------------------------- -------------------------------- 31. Equi p_ Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33. -------- 33 Smoke Detector ---------------------------------------------------------------------------------- Date ------------------------------------------- Date Card B-1 Date Card B-1 ------------------- - ----------- ------------------------------ --- ------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support --------- --------------------------------------------- - --------------- 35. Vent Fan: Exhaust above insulation ---------------------------------- ----- ---------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- ...... ... .. 37. Furnance-Vent: Access -Comb, Air -Return Air Vent -115 outlet ---------- -------------------------------------------- ---- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------- --------------------------- ------------- --------- -------------------------- Date ------- --------------- Date Card B-1 Date Card B-1 - ---------------- -- - ----------- ------------------------------- --- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ---------------- -- --- --------- ---- ............................... -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------ ---------- ---. .- 41. Bearing Walls over Girders & Floor Nailing ---------- -- -- ------- -------------------------- ------------------------ 42. Draft Stop in Walls (rat proof) --- ------------- --------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------- 44. Headers & Beam -Size & Bearing tingle & Duplex) - Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Sid i ng- Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----- ----------------- - ---- - ------- ----------------------- ------------- D. ----------------------------- Date Card B-1 Date _ , Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 1{'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection - ------------------- 64. Bedroom Exiting 65 G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stags & Rails ----------------------------------- -- 68. Fireplace or Stove: Clearances -Hearth .. - - - - -- -- - -- -� ------------ - 69. Elec. Outlets at Wood Panel: Int. & Ext. . --- - --------- 70. --------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - ------------------------------ - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer Duct in Garage -Damper ------- ------------------------------- - --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - ------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------------------- -- 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection --- --- ------- 7;-- . Insulation -Foam -Looked in -Attic ❑ Yes -------------------------------- - - 78. Guard Rails & Deck Construction -Post Caps ------------- 79. ----------79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld._Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters 0 Yes ❑ No 81. Stucco: Brown_ - Brown -Finish -- --- 82. -- -A.C.- -Unit:-Disconnect. Electrical, Plumbing - - - -- - - -- - ---------------------- - 83. Vents Above Roof: PIbg.-Appliance- Fireplace. -Clearance to Openings ------------------------------------- - 84. Water Well; Disconnect, Electrical, Plumbing d5. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---- ---------------------------------------- 87. Glass Protection -- - - - -- . _ . - --- -------- --------------------------- 88. Corrections from Previous Inspections .. .-- --- ------- --- ---- ------------------ --------------- 89. Gas Test -Meters Tagged: Gas -Electric - ------------------------- ----=--------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ -------------------------------------- - r------ 91. Energy Compliance Certificate -Other Certificates -- --- ---------------------------------- --- Date Card B-1 Date Card B-1 -------------------- -------------------------- - ---- Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �i ERMI T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mattel,`or need additional explanation, please contact this office immediately. V i ITS '-5- G .,� % /i2s Date Inspector f EOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville. Calif6'rrnia'95J165 - Telephone: 916/538-7541 APPLICATION AND PERMIT i ,PE MIT NO.�Q ASSESSOR PARCEL NUMBER 033-010-067 ZONING AR1 BUILDING PERMIT OWNER C KOLKANA TELEPHONE 533-4650 S0. FT. OCC. BUILDING V ATION 1116 0 7812 OWNER'S MAILING ADDRESS P.O. BOX 5275 OROVILLE CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _ nwNRR UNKNOWN Total Valuation $ 7812 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 34.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 35 BO—Y-BO—Y—LE LAE OROVILLE Permit fee $ PLUMBING PERMIT FiIingFee 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❑ Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00 ea TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NEhi BEr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON•RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code7-1 for this reason NEW CONST. I DWELLING OCCUP.& OR ACDNS. ACG. BLDGS. , /z ¢sq ft NEW CONST R. U TI.OUT LET BRANCH CIRC ITS 1,2.50 ea /POWER APPARATUS &I (SINGLE OUTLET CIR. Ex. Occup�OUTLETS OR FIXTURES 1- GOC 01-1 30t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid Cunt nsequence of the granting of this permit. X- ��2 Date H � Z� "� �� ----T Signature of Applicant — Owner® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 12.75 HAz. can PA scH FLCy / CDF PAR PD I H IssuE This permit is hereby issued under the applicable provi- -i s of the Butte County.Code and/or resolutions to do work indicated ab ve for which fees have been paid. O OF UBLIC WORKS B Date �Z PE MIT EXPIRE Date L Receipt No. 97168 112"75 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M ... ""j"_`�"yy�.�r�?..`NYN`+ri'^9��"-ti''7'n��;j�•� _}•.f....'`"`.,� :Ie.�+.f1r�v..►r:. 5`�iii1. y'...' Y•_t rfvi,....-•... f•: �.`1•'[w. � .. r f .wa' 5'il COUNTY OF BUTTE - DEPARTMENaT AF PUBfLIC WORKS - BUILDING DIVISION AL _ 7 COUNTY CENTER DRIVE - OROVILLE, CIFORNIA�'95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DAtk SHEET - Permit No. OWNER C, LZk6i0CA A. P No.633 -a/0- 067 Proposed Building Use o, Deck,, Building Inspector Date 12` 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .............................. J 1 School District fees paid .............. Sanitation approval from Cw� %J Health Department F % City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from. City of (see City for other requirements) I . `. ' 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW, 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23.. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24', Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. '4' When you issue the permit, process as follows: , Mail to owner. Mail to coritractor. Telephone 533�165�0 and hold for pickup at office. Deliver vi./inspector. Other O r Applicant_ ,-"7,����, Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issu : (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: tr Contractor, designer, owner, was advised of above required data by—phone--Mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by Sets of plans on hold in Copy—DPW Date File cabinet, grans approved by_ P folder date date Date TO Building Department FROM:. Environmental Health SUBJECT: Sanitation Clearance Owner Location / AP Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Final clearance O.R. for: Cleary-nc NOTE * * * Sanitarian Water Supply Water Supply home. her Z Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilje, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. AssessoR PARCEL__�-; NUMBER — J ZON Na- BUILDING PERMIT O NI -R TELEPHONE 33 SO SO. FT. OCC. BUILDING VALUATION Q OWNE 'S1116 ON AI LI/�G AODRE�27 O7 VV 1 I 95 ( 6 � I CONTRACTOR,((((////'SSS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION'�A',I LENDER UNKNOWN Total Valuation is _7912- LENDER'S MAILING ADDRESS Filing Fee $ 70.00 Permit Fee $ ARCHITEC�T/AOR/jENGINEER V l ` LICENSE NO. Plan Checking Fee Ener Plan Checking Fee Energy g S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORES Permit fee $ .75 onow (C 2 PLUMBING PERMIT FilingFee 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[] MobilehomeE5L Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 1 G I W j10.00 ea TYPE OF WORK New ❑ Addition f2 Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Nri/L/ PICClI� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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.ai OR ADONS. \ ACC. SLOGS. , NEW CONSTR IU, - TS) NO N.RESID BRANCH CIRC ITS 12.50ea1 POWER APPARATUS s (POWER OUTLET CIR. ) j E Ex. Occup( OR FIXTURES Ie2AL-L?30el PIXE17I, Ex. Occup. OUTLETS (RESID.)REA.) I 2.00 1 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 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation pertnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE S 1,2 ?5 HAZ i CUA I PARK I SCHL i FLOI COP PAR Po i,-10.;ISSU= i This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. 6C� II 2.75 NITC•D. P. W., TELLOW-ASRE3300. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmeat of Public Works 7 County Center Drive,.Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916- 538-7541. An 'owner -builder" building permit has been applied for in your name and bearing your signature. 1 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: Property Owner Social Security Nu—mb-��- Date f- /Z� fl 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. s S' •,t 9.42,g' I1/ C 607,04 ,pPPPDX/Mi4TE E /ME RAS ORA/NAGE I S S.S" / S4 SB �' S9 ,SEcrio�v oo,�iVE.P N jr coo L.S. 4208 PER (Rl 195, I setback o )$ ft. from fhe- iroperty fines and a s tback 50 ft:ote road1mntArlinall be clear of This set of plans and specifications MUST be: (I 'kept on the lob times and it is unlawful tc y c anges or alters ions on a with- out written permission from the Departmenfi'o�i� Public Works, County of Butte. ��It::All Materials & Workmanship ronce with Recognized Good Pr a quality prescribed for the Sppecifie �� iform Building, Plumbing & Mechani � .National Electrical Code. �. for a 2 ft. eave overnanq-AW/ 1, 7.50.44' TO 1r 7 9 b \ 32. G 7/7. 8/' 6C,, Af NB8°SG'1S"Ween,") PD. 'j" �PEtt4.P Ir. ;6se in the Codes and C'4CL ? Z.21 ACRES EAST EAST(D) 410. /ELIE PHOIVE BAS/S OF BEAC1AV j ZS. 4106 Z by \\ Po LE :rt / S GO°33'WeO% /93.00' SG/°3(x'35"W(R M) /93.00' 2 S -54 141'00' /4/.00' S57°55'35"W "R, M) /4/. 00' 3 N 73 3G'3Z""E(M) 4 a =.i0° .0,5,90' Z-306-45' 5 N ZZ -05'25"W /2.63'(M) G 0r33vSV,_?S,1 R`,pwl Z -//B.37'. 7 A/45°00'00"'E S'0 -400"B N G7°50'35 "E .v. A0' rIC t AAIECbU GD' w/OE NOA/- EXCt ys/YE '-'� \ N , T R/G NT Of w,4r AO q ,PO.40 AND EPA\�TMENT PU/.tC/C U1'/C/TY /'Y/�Pf�SES 7U BE AP ,?p. eel no /N OEE09 fD.P Tf/E BEi•'/-Ir Or ALL PARCELS € /S f/E-'EBr OfFEREO r-ne OEO/17 rl-ON 3 / 70 I*f!E GOUNTY G1F BUTTE. �l/\ o dam/ I \ I r� u - - — i--- — — ,os rz w m ED 3.4° /NAIJDRAIL RE16HT IxQ MAX. VARIES 36" MIN-,.. - CP �r L x �oN II v � ` 4" L D m mo p -+ 's. (z)m � 6' TYF s x W I DT4 - � t j . p- Ll- 3 j rr x ' c x ICA Q� Ao � N N x x -P m N. -rj m15 <I �. ..I , nOI •` •� �� •' �• c 03. ' O W I • m ED 3.4° /NAIJDRAIL RE16HT IxQ MAX. �r L x �oN II � 3 6 "M/N. n W I DT4 - � t j . p- p • � i RESIDENTIAL •+-" 33 i 3 -10-67 1486-91P,E I -KOLKANA, Clarence i i 35 Bo -Y -Le Ln, Oroville cont: Harrold Blatz l (utilities/mh) q JOB FINALI Signature OFFICE COPY / Address�� i GAS j Meter By Date ELECTRIC Meter By Dates - -_.-- z---- - - ��, J J=OK O = Not OK -=Not Applicable Not Ready ® HOMES MOHOMES ' = DateMOBILE ME UTILITIES Plans OK except #'s 1 oni g Requirements -Setbacks -Easements oils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete er; Lgcatidh-Test-Easement Needed (Sketch) ctricity; Location-Clearences-Grnd-/ /Amp -Concrete D 6. Gas; Location -Test -Wrap: / /" L" ft. / "Nat. or/ /"L"ft./ /"LPG tility Clearance Date Card B-1 Date Card B-1 I Date Card B -f Date Card B-1 Date MOBILE ME INSTALLATION Plans OK except #'s o g Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line an - a — .ectricity; MH Test -Crossovers -Breakers -Clearances I rain; MH Test -Fall -Flex Connector ajpr-`MH Test -Regulator -Connector ater a d Sewer Connected -C/O to Grade -HD Approval s aqd Electricity Tagged x�: Sketch 19—Ce—rt. of Occupancy Dat Card B- Date Card B-1 i Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not ApplicableRESIDENTIAL (Single?& ' = Not Ready ° ` Duplex) 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-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Draina 9& Wood -Earth Clearance Looked under Floor Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks O Yes O No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; PIbg.-Appliance-Fireplace. -Cl earance to Openings Date 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. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87, Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE -1' DEPARTMENT OF PUBLIC WORKS j, 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 11 R PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. C��'K/ T S -Z�- X4 -T A-., t Date Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE s OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 53388-7541 PERMIT NO. FAddress or location of mobilehome ' a — Owner's name /k c Owner's address :5 1415 � Insignia or hud number 12 Y •• Manufacturer's name jl-492 / v. '�//n v .C) /T Serial number of V.I.N. HA �-S �Sl�-jC �I I �j Z Z Year of manufacture / (Officio Approving I: tallation) ate) 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. t, 5138 White - Owner, Yellow - Installer, Pink - D.P.W. A' 1 COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County 'Center. Drive-10roviJ.le, Calif ofh 95945 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 033-010-67 ZONING ARl BUILDING PERMIT OWNER Clarence Kolkana 916 TELEPHONE 432-0195 SO. FT. OCC. BUILDING A UATIO OWNER'S MAILING ADDRESS P.O. Box 5275, Oroville 95966 CONTRACTOR'S NAME Harrold Blatz TELEPHONE CONTRACTOR'S MAILING ADDRESS Unknown Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR LN ,INEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ 15.00 `➢ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PERMIT Filing Fee 10.00 3 OPLUMBING 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 SFE] Duplex❑ Mobilehomea Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 10.00 ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities 92 Installation ❑ Other ❑ Describe work: MHU _ LH Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 1 Main service EA. ADC'L 100 AMP 2.50 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- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , �22sgft NEW R. MULTI-OUT NON•RESID. BRANCH CIRCU ITS 2.50 ea APPARATUS e� (SINGLE OUTLET CIR. Ex. po UTLETS OR FIXTURES 20®50a DAL@30 Ex. Occup. our OUTLETS P(RESID )D APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15,00 Misc. 6yirin 9 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. ISI 1 shall not employ any person in any manner so as to become subject �! to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence o the granting of this permit. Xs Date / Signature of Applicant — Owner N 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 $ OccCONST TYPE TOTAL FEE $ HAI. ,_ can _ PARK SCHL _ FL CDF PAR PD HD Issue t/ This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab ve for which fees have been paid. � OR F UBLIC WORKS BY Date 410 JC?/ PERMIT EXPIRES Date _ 6, 1 4 LCt2-- Receipt No. 93620-92.50 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT • -� ..r-: • .. _ .... � ;.... ,..-r, "^�..' •' I f r K'4t."'n� r= ,r,.r.-._.:y.,:.t.=-i„41;.;r,r,.�;,_,{.;ti.�r•1...n,,: rr.....,:J= i,,,� .i �v' -�i�'-.'1, iT :; f .. . "Lida. - i . N -COUNTY OF BUTTE. _DIFPA ENT 0-0 Pl>B's`IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - �OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 J. PERMIT APPUCATION DAT&SHEET / .e Permit No. OWNER /� ri��� 0/*ilAl A. P. No.1,3 / Proposed Building Use ,'i/ -j/ - Building Inspector Date S..+ 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. !t Sanitation approval fromHealth Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 10Driveway permit (construction approval required prior to occupancy) Mry/37—E;i 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information .(No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. f 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. Recorded copy of Agricultural Acknowledgment Statement ......... — 5 25. Letter of s' nature a orizati`on r th � eye--�= ............................. .... 27. v �— When you issue the permit, process as follows: Mail to owner. �:�• Mail to contractor. ,% Telephoney3Z-Q lSan`d hold for pickup at c>a�c� office. Deliver w/inspector. Other Appl icant_&&w � gate Copy of Haz- Mat form sent - Health Dept. Fire Dept. air Pollution Date Copy of plans sent _Health Dept. Fire Dt. Other Date By. The following data must be submitted prior 1. Index permit for above items No. 2.- Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--nall—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by OAA4,. Date S Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance a r _ o�KAN� BOY Owner I Location AP# e • Plan Approved for: Sewa Q Disposal Hold final for: 7inal clearance O.K. for: Clearance for ? bedroom obil home. Other NOTE *** arian Water Supply Water Supply mazer—supply r--� Dam COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 = - - - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER©3 ` ZO " BUILDING PERMIT OWNERA/iA ce V,4 TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MXNG ADDRESS_?� CONTRACTOR'S NAME/ 4/C • x� TELEPHONE . CONTRACTOR'S MAILI G ADDRESS / /lidu1A Fireplace CONSTRUCTION LENDER_ //��/� UNKNOWN R Total Valuation $ Filing Fee $ ;0.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR EN :INEEP• LICENSE No. Plan Checking Fee p$ $ 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 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 ❑ Duplex[] Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea. 0.00 TYPE OF WORK New ❑ Addition❑] RemoRemodel[:]Utilitiesolnstaalation❑ Other ❑ Describe work: / 'l �` L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 2. C0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS, ( ACC- BLDGS. , /20sgft NEW CONSTR.U TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050t eALe30 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 1 15.00 Dv Misc. Wiring 9 15.00 Permit Fee s iD 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. . Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee s Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ro HAz. CUA PARK SCHL FLO EDF PAR PD j HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 6 ZD 2� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-AP►LI CANT r. Name suee1 Aware. City 0 stale L RECORDING REQUESTED BY D. Webb Huffaker AND WHEN RECORDED MAIL TO D. Webb Huffaker 685 Barron Way Hayward, CA 94544 15lie JI 5i4 _ Z.- ® / 9 ,- 89-017108 Recorded Official Records County of Butte Candace J. Grubbs Recorder 11:07am 10 -May -89 e9-17108 Rec Fee 9.00 Cash 9.00 r .. r r BG 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift This Deed, made the ........Twenty„ Ti f to . day of A.pr l.... .. .. one thousand nine hundred and ... Y..N ne Between. Clarence Wr..Kolkana and Frances E. Kolkana, husband and . .................................................................................... nd ... P.....W�bb.. Ei�.f al�ex..a .�.. �.��n. ,Grantor a n H .Hu,ffaker,.. husband and wife as JR�,t..tenant.$.................................................................................................. ....................................................................... ,Grantee ................................. ttnesseth: That the Grantor, for and in consideration of the love and affection which rant ........ heY....... ha Ye... for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, and to .tbei.r..... heirs and assigns forever, all ................................................. th at.... certain 160.. �i parcel ...... of land situate in the Southwest 1 4 Of,.Se,gti,9nA,.JTow ship„19 North.R«nge 4 East, M.D.M., unincorporated a ea ................. County of ........Butte............ ..... , State of.... and bounded and described as follows: A portion of parcel 1 as shown on that certain parcel map record- ed in the office of the Butte County Recorder in Book 113 of Maps at Page 20, more particularly described as follows: See Exhibit "A” attached hereto and made a part hereof; Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the Grantee, and to .. t.he.� X.... heirs and assigns forever. TM dm~ a oro, a Wr ai to" •,.en atay as rapt ar w n .npb darwemn aro n ro •ay aM. a n nerraee ro �, u a auDalnNe ar ma aaea W an aerorr.ry I rr prrNa. an.. nal M&1- arty •rrra,. MM a.praa. or npeaG, n to er bpai .aabr, el ., pa-, auaaoan, or erase I—. m an, eeat ft eanaa,_ 89-1T10O In Witness Whereof the Grantor, ha Ve.......... hereunto set ... their• • ••• .. • • . • • • . • • • • • .. hand s..... the day and year first above written. Signed nd Delivered in the Presence of - - _ 4- -arenceW. Clarence—W.Kol)ta a Q•� rances E. Kolkana ep" V 4-40 PC A A STATE OF CALIFORNIA On this ...4th ................. day of .... MAY......................... , in the yea ALAMEDA 88' 1989• , before me CouNTYOF.. ............... Gloria•na Dodd........................................................ ............................................... a Notary Public, State of California duly commissioned and sworn, personally appeared ................................. Clarence W. Ko•lkana and France$• E.,_KQAAna.•••.•............ personally known to me for proved to me on the basis of satisfactory evidence) to Im the person 5........ whose name. S ..........are ................................... subscribed to this instrument, and acknowledged that ....... thol ....... executed it IN WITNESS WHEREOF I have hereunto set my hand and affixed my officia seal in the. CaUfQrnJ.d................................................ County o ............. A 1 ameda.................................... on the date set forth abov in this certificate. OFFICIAL SEAL (aMyGLORIANA 0000Notaryy Public-CalilorniaNotary Public, State of CaliforniALAMEOA COUNTY Comm EaD. July 24. t9gt • My commission expires � � es -17108 EXHIBIT "A" Kalkana to Huffaker Beginning at the Northwest corner of said Parcel One as shown on said Parcel Map 113 M 20; thence South 890 28' 41" East along the North line of said Parcel 1, 497.03 feet to the Northeast corner of said Parcel 1; thence leaving said North line, South 00° 00' 00" East, along the East line of said Parcel 1, 439.10 feet; thence leaving said East line, North 890 28' 41" West, 497.04 feet to a point on the West line of said Parcel 1; thence North 000 00' 03" East along said West line, 439.10 feet to the point of beginning and the end of this description. Containing 5.01 acres more or less. Together with and reserving therefrom a 60 foot right of way for road and public utilities purposes described as follows; Commencing at the Southwest corner of said Parcel 1, said point being the Southwest corner of said Section 4; thence South 880 56' 25" East along the South line of said Parcel 1, 717.81 feet to the True Point of Beginning for the herein described parcel of land; thence from said point of beginning North 000 30' 58" West, 60.00 feet; thence North 880 56' 06" West, 220.19 feet; thence North 00° 00' 00" East, 432.99 feet; thence North 900 00' 00" West, 100.00 feet; thence South 000 00' 00" East, 60.00 feet; thence North 900 00' 00" East, 40.00 feet; thence South 000 00' 00" East, 431.89 feet to a point in the South line of said Parcel 1; thence South 880 56' 25" East along said South line, 280.74 feet to the point of beginning and the end of this. description. This right of way is appurtenant to and shall inure to the benefit of said Huffaker parcel, their heirs, successors or assigns and applies to any parts or portions thereof. The Basis of Bearings for this description is the same as that as shown on said Parcel Map 113 M 20. � ll1Np . = 4-.0 O N., encc m 2 ;o � l•�. 6 30-S •�_�f CAL�F���\P END OF DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Clarence Kolkana P.O. Box 5275 Oroville, CA 95966 With reference to the above subject: / / Attached is: OTHER DATE May t5, t99t RE' building permit application #1486-91 A. P. # 033-010-67 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced / XY/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. vx Sanitation approval from Butte County.Health Department at: 196 Memorial Way, Chico yX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. y Recorded copy of deed showing pqrcel 4 -gall, reated Recorded copy of agricultural ac nowledgement statement. OTHER Thi G narrpl wag rrpatp(l at a time when n_ arrel man G warp ranaii reel fnr Ali vi ai nn of nronerty. Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, Jim Glander William Cheff Director of Public Works J.F. Glander Chief. Building Inspector n 1 y b 91--18688 Return to DPW AGRICULTURAL STATEMENT OF ACUOWLEDG MERIT dqp FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code Comm. Exp. Sept. 11, 1992 requires this acknowledgement be recorded prior to issuance bf a building permit. 91-Q188 I Rec Fee The property described herein is adjacent I Recorded 7.•.00 Check 7. 00 to land or included within an area zoned Official Records for agricultural purposes, and residents County of of this property may be subject to incon- Butte I ' veniences or discomfort arising from the , Candace J. ' Grubbe 1 use of agricultural chemicals, including, Recorder but not limited to herbicides, pesticides, 10135am 13-118y-91. and * fertilizers; and from the pursuit _ - XX .2 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from.normal, necessary farm operations. All fhat real :property: situate in the County of Butte, State of California, described as follows: Date: jL_ State of California ) SS. County of Butte ) PROPER Y OWNERS: On this the 13th day of May , 19 91 , before me, the undersigned Notary Public, personally appeared Clarence W. Kolkana Personally known to me. xD Proved to me on the basis of satisfactory evidence. o be the person(s) whose name(s) is ubscribed to the within instrument and acknowledged that he xecuted the same for the purposes therein contained. IN WITNESS HEREOF, I hereunto set my hand and official seal. Present A.P. No. 3 -LO - Not ry Public Janie Stevens OFFICIAL SEAL JANIE STEVENS dqp NOTARY PUBLIC - CALIFORNIA COUNTY OF BUTTE Comm. Exp. Sept. 11, 1992 PROPER Y OWNERS: On this the 13th day of May , 19 91 , before me, the undersigned Notary Public, personally appeared Clarence W. Kolkana Personally known to me. xD Proved to me on the basis of satisfactory evidence. o be the person(s) whose name(s) is ubscribed to the within instrument and acknowledged that he xecuted the same for the purposes therein contained. IN WITNESS HEREOF, I hereunto set my hand and official seal. Present A.P. No. 3 -LO - Not ry Public Janie Stevens EXHIBIT "A" s 9. I -- S 6 8 ALL THAT" CERTAIN LAND SITUATE-IN'THE STATE OF CALIFORNIA, COUNTY" OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 1, AS SHOWN ON :THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY. OF' BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. PARCEL II: A NON—EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER BO—Y—LE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1988, IN BOOK 113 OF MAPS, AT PAGE(S) 20 AND 21. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. EN® OF DOCUMENT COON p OF gt1 UMt?KS DEPT - opN 2 v 1 W� � S •,,C h VEPsI/M£Ip[� CE - '-= `` fi! QRepcs .9 � NOTE:—;AA- MaiWah & WoAffwnshi Be in — -- Accordance wig Recognized Good acid [ of a quality prescribed for On SOMMee MOOIn *a Uniform Baijdigg, Piwnbing i "icbdniccd Codes sed ' � Code. f i This set of plans and specificatioT kept on the job at all times and it�q lawful I ��.s ac , ' make any changes or alterati g9 name with- i ' n frorr� l$�partment o4 out written perms as Public Works, Couniy Z X .� Zo 4 0 r' ^- /17 it k+ v5i be • , cr ci I ew . - -• - SEcriov co.Pis�E.P - � - • fo. P�2�' aeosS caP - - • L.S. �iZOB PEEP I•PJ I.IS .oc.PES FAST 730. .de • TO� ¢• '31 E f S I �Q. 77 ' I 717ei'6PMI .v e�8•so'Ts"wl.P .e•/) moo. 'l - ,F'EaaP�� sLi �ONf r" BAS/S Df r� •� , 0 �. A F- 0 3 3- o j a o �7 • 14AM 'W/. 00' SS1SS'3s''w�,eMJ /a/ &W' w1re•r .so 0/7, A setback of 5 ft. from the property lines and a setback dt ..io ft. from the road n.enteriine shall be dear of structures or equipment except for a 2 ft./ eave?16 overlham. Y _ q aLnrmCOUNTY BUILDING DEPARTMENT If �� APPROVED��,� �- G', GG'wroE AtW EXCYUSOV --- .PicarOf IvAI' 0rOP ~0 OAA Iu.Gc/C !/7/Ul7' dAvemses 10 BE \ /A' OEEOS fO.P ZWC Qfi •//? Q/ .0Zz ^4'rcrL9 a /S M '. W ED!/NlT' a-BP7re. A setback of 5 ft. from the property lines and a setback dt ..io ft. from the road n.enteriine shall be dear of structures or equipment except for a 2 ft./ eave?16 overlham. Y _ q aLnrmCOUNTY BUILDING DEPARTMENT If �� APPROVED��,� �- G', Ma!', /� iV!!�� f 9 �1 y1�1?� Jffis/�3 .S'sE4fi+�Tztt't? ts`.F i .ii S fp ��� VTIAU mt -t,OA A •t iM1Z 4&t, "me a alawom RA..Wow bee boon befinpozo3i dtiw ssznobw**A sk "I go b ill Z vAf %A bedi:--.mlq yfitcp 0 to two abcO bWm&*M A gnidmW9,tw.iW66 mvo4.mU 31 RUM s `C!#S��� ��� �3f?n cf'B�i�j ? `v►P : if�f "3! A ti Ps !r do adf 1 n!fj:jw t.,,G C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PER OMIT U Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL Na '33©ZONING -� /f OWNE PHONE NO. ROOFING ISSUE OWNER'S ADDRESS AoC Q L LOCATION OF BUILDING / ✓ l� ,v S o�Q,00SGb� �. �- USE OF BUILDING SIZE OF STRUCTURE TYPE OF CONSTRUCT N: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ffi�&Zqg6 ROOF COVERING IfollipC FLOOR TYPE ,vc ESTIMATED COSI,9F CONSTRUCTION vv': 0 0 $ AG Buildings shall comply with the building front, side,'and rear yard requirements of the applicable County Ordinances as follows: r FRONT 'z -b -k— SIDES O , REAR J10 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 7/4A- Signature of Owner A.ev� Permit Fee - $25.00 The above described AG Building is exemptj�rom a building permit. Receipt No. y1154s Director of Public Works By Date % -7 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD_ PARC P.D. ROOFING ISSUE I / ✓ l� Director of Public Works By Date % -7 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant W COUNTY OF,.BUTTE-DEPARTMENT WORKS - BUILDING DIVISION _ o� 7 COUNTY CENTER`DRIVE - O,ROVILLE, CANIFORNJA 95965 - TELEPHONE: 916/538-7541 kliPERMIT APPLICATION DATA SHEET t t ; 00 Permit No. /f OWNER 4f4AZC-:OCC- /-n6 /<A 4A A: P. No. _-,S 3 -n,1-4_ Proposed Bui (ding„Used,1416 �` h Building Inspector Date �� At time o ermit application, I Was advised_the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1: All items,hav'e been submitted. i.. ! :~ ................... 2. Plot'plans intduplicate/triplicate, signed' by preparer,of-plans....... 3.',Complete'plans,.in- dupl Cate/triplicate, signedtby preparer of pl,an's .. 4. Complete,engineered plans and calcs, with,wet signature cn plans 5. Energy Design Compliance and supporting documentation .. '... . 6. Statement of Intent for Non -Heated and AC Buildings, :.0.....`....... _ 7. Engineered truss details and layout in duplicate (requd'ired'priortoplan check) 8. Mobilehome installation data including manufacf'urer's'installation >� instructions .........-�.............................. 9. Fees of $ u 01A/ i y.- ' 10. Chico Urban Alga fees'paid;'."...................................... 11. Park fees,paid".....?'......................................... 12. School District fees paid ................. 13. Sanitation approval from i Health Department ... 14. City of Chico plumbing permit ...................................... ” 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planningapproval for A Use: PP ( ) (B) Parking ......... 17. Improvements may be required. x 18. Driveway permit (construction approval required.prior to occupancy) ... 19. q Pre -Inspection for required .. , , ' ' Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information,,(No., Name Style, Classification) ...... . 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ - 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. ,'„ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 3 R4�Fmatr• ' CA, ggr3 ' Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---ilail—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 Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY F BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Coun?y Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 033-010-67 ZONING ARl BUILDING PERMIT OWNER Clarence Kolkana 916 TELEPHONE 432-0195 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 5275 Oroville 95966 CONTRACTOR'S NAME Harrold Blatz TELEPHONE CONTRACTOR'S MAILING ADDRESS Unknown Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fire $ ARCHITECT OR Lu ,IPJEER None LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - s ovi 7e Permit fee $ 25.00 PERMIT Filing Fee 10.00 OkoPLUMBING Each Trap 2.00 L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�g( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 1 10.00 ea' TYPE OF WORK}( New❑ Addition[:]Remodel❑ U'lities❑ In tallationO. ther❑ Describe work: MII Ila fl -Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. Elas 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.� NeACDNS. , /2OsgIt S UC TB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I / Ex. Occup\OUTLETS OR FIXTURES 20®50Q BALI 30 Ex. Occup. OUED P TLETS (RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 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. EZ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating { Cooling ., 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 said County in consequence of the granting of this permit. X 1,Y JC .�.C� S' 3 �n� Date Signature of Applicant — Owner D� Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. t ll ti $ F Home Installation Fee I Mobile 45.00 Energy Inspection Fee $ occ CONST TYPE TOAL FEE $ 70. HAz. cuA PARK sc FLo cot PAR PD ) H 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. ETAF PUBLIC WORKS By. Date PERMIT EXPIRES Date Receipt No. 93620/70.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OWNER ��HI Proposed Building Use r .iA i OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICATION DATA:T / r tole-It NPPermit No. e/V` C A. P. No. 33— 0(0-6? Building Inspector Date At tii"rtUof�`permii`tapplication, 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) w(YMobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................ 03 P4 * School District fees paid .......:...... 1!5-- CA.' 14. Santion appval from Health Department —t 15. i aroCity of Chico plumbing permit ................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be Yrequ; ed. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Wbrkmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agriculti.1ral Acknowledgment Statement ......... 25. Letter of signature authorization ................... .. .............. 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _Telephone and hold for pickup at GWO office. Deliver w/inspector. Other . Applicant Q —Date � �3 �/ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked -above). 1. Index permit for above items No. 2. Additional items required: r / 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_mall oun 'r by date s checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING 63'a-00— Wl BUILDING PERMIT OWNERe" c� �� C LA TELEPH NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADC/D, SS/SY/ -27, 27 _ CONTRACTOR' N M n4,0 1W AN /• T LEPNONE CONTRACTOR'S MAILING AD RE55 Al /�0� / U /-r/ Fireplace - CONSTRUCTION LENDER/NoNe- -M VNKNO WN Total Valuation is Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN ;INEER LICENSE NO. Plan Che -king Fee $ Sr Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e � � 2� Permit fee $ ;?5.6 p 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[] MobilehomeKI Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00 ea TYPE OF WORK � New ❑ Addition ❑ R model ❑ Q Utilities installatiopE Other ❑ Describe work: 14 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 aoov OR LESS Main service 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. ❑ 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.5 OR ADONS. ACC. SLOGS. , 'esgft NEW CONSTR U TI.OUTLET NO.- BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 2AL&30 el9 FIXED APLNS Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories irVheight. Mobile Home Installation Fee $ , 00 Energy Inspection Fee $ occ CONST TYPE .— TOTAL FEE $ Q co HALcuA PARK scHL Flo coF PAR Po I Ho. IssuE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 36 a ��� WHITE-D.P.W., YELLOW-ASSE330 , PINK -INSPECTOR, GOLDENROD -APPLICANT �ccyt..sY'+x ry^�n�`y��i'1G"'�v'x"3{c�n..lr'^sy,`+�� .r,.►rw--- .-.- � .,...i,:y.ip,:•ti:'Yds'�cRr��''s-+,"ip".a"+��'r.wf'�n+'"t7y'�"•F'•:,Frr'axy*••m+,n .»�..-,...nwt•s`�'-�r=-•-x. ` BUTTE COUNTY SCHOOLS'DEVELOPMENT FEE CERTIFICATION FORM ' (One Form per 'Building) A.P. Number0*9'j-0f0-67 Building Department No. School District 6&-'jV4F City D County Jurisdiction Property Owner Project Location/Address ,;�,,,.r•; �QlV6' i.:�-�12 GC Li& Subdivision " Lot Number Residential Development: 2/61 Sq. Footage W t # of,Living MHI , "Addition ( Group R) Units Commercial/Industrial: a Sq. Footage ; _ New _Addition (Including Exterior Roofed Areas), Building Department Representative Date }�(Floor Plans reviewed by School District -Personnel) .-District. Id No. +-04 School District certifies that (Applicant Name)' ({ (-.'i-` (Phone Number treeW Address-)," . , "\ (City) ( State) '(ZipCode) has complied with the requirements of Resolution No. <f�- 7// 0- 0,6 by thJL;� mt of_ $ -3��� representing lo square feet. j ` " SchoolD' ict Representative Date PAID BYk CHECK NO. % I BANK NO, PAID BY CASH \ REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AP # �-'f td—C,77 OWNER PERMIT -it MH UTIL.CLEA NCE DATE INSPECTOR ELECTRIC GAS. Support StrUc. Compaction Test Re . Service Size Other. Load -T e Pipe Size Len th YESI NO YES NO 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: 3: Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site'an existing site? Yes 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 No a (If no, clarify ' 5. What is the mobilehome electrical rating? --------------- Amps 6. What*is the mobilehome site service rating? ------------- O Ci Amps 7. What is the mobilehome site circuit breaker rating? ----- oZ Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------- � a ---------- 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 F-1 11. What is the gas pipe length from meter or tank to the mobi-lehome?------------------------------------------------ 12. ------------------------------------------- 12. What is the mobilehome gas demand? ----------------------0 iJ� ' g *(This information not required if pipe length less[ itt '� natural gas or less than 50 ft. on LPG.) ,� By . 1'11JL J. JAL, OUrl V 1. L:�1La If other than single wide, 9 Mobilehome Mfr. �'"� > — furnish Setup Model No. Year Width 3(7, (f t.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manuf..Co., installation manual and structural setup sheets (if not on file with the Coutty"`p� Butte I v-, 1. Wood -pressure treated or foundation gad. ?. 2. *0'Lhe(pecify) FOOTINGS (check one)� SUPPORTS (check one)71. Concrete block. 2. Other (specify) �, Y Pier Footing Sizes and Locations SINGLE -WIDE MULTI-WIDE Line 1 Piers: Line 1 Ooeninaa• Size-Hin. ------------ „ Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. Each Side of Openings From Ends -Max. ------- '- " • With Width Over --------- • �r Line 2 Piers' Size -Min ------------- Spacing-Max * ------------Spacing-Max.--------- S From Ends -Max .------- Line 3 Roof Loads: l e. Size -Min. ---------- Location (From FrontAF) Line 4friers: Size -Min ------------- ,k Spacing -Max.--------- From Ends -Max .------- Line S Roof Loads: Size -Min. ------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ .k Spacing -Max---------------- From Enda-Max.------------- e 5 Piers: (Under Bearing Walls unly) Size -Min .------------------ Spacing -Max.--------------- From Ends -Max.------------- Location (From Front)I _ _ �_ _ _.1 1_ '_ '- COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location !'- C�`�c�(� (i��fi� 11 )0J2_, (X4 '% Mobilehome Installation Permit No. /��/, �� f FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width Z(v x Box Length x 3 = 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ... = 1;500 4. Ovens ........................................ = 6 50 d 5. Cook Stove Top ................................. 6. Hot Water Heater ............................. 7. Dishwasher & Disposal ........................ _ �-o 0 D 8. Clothes Dryer .... _ �r4 D 9.. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ... First 10,000 watts @ 100% ................................ = 10,000 Remaining watts @ 40% ...................... =?qS 10. Air Conditioner watts @10.0%.. _ 16900 /- Largest Demand b Central Heat System 0 watts- @ 65%;. TOTAL DEMAND WATTS REQUIRED 3% S "Demand Watts Required" - 230 /6172 AMPS De -rate Mobilehome to 1,61 2 AMPS ZA- -f- � �; � z � � �"� � 7� � j6h CLAIMANT: ADDRESS: CITY & STATE: _ DATE OF CLAIM: e"d* q ✓Jutte_ OROVILLE, CALIFORNIA GENERAL CLAIM IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL 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 /c7rrect as stated. %�/ /%� //%% Dated this ��/, ,&�................ day of ............................. 19et�//QG � %L� Calif. � ......... .......C�.�.�k — Signature of Claimant 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 F-1 (Checkone) for the same. Datedthis .................................... day of ............................. 19....... at .............................. . Callf..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................ PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. RESIDENTIAL 33-0 1-67 1962-91B KOLKANA, Clarence 35 -Bo -Y -Le Ln, Oroville cont: Don Scribner (new garage) JOB P Sign J=OK O = Not OK =Not Applic Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS COVERS, CARPORTS, GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Coluinns-Connections-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electri - mg;,Sfls-Anchors-Studs-Rftrs-Trusses id�ailing-Veneer-Stucco-Mesh woof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date � Card B-1 Date Card B-1 Dat % Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERF OOR (Plans) OK except N's on i ng -Setbacks -Easements -Flood -Slope , 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth g.. Garage; Soils-Steel-Elec. Grnd. `L_F)g. Depth 4. Ftg.. Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------------------------------- -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ---------------------------- ----------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------- 26. -----------------26. Equip. Ground made Up w!Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------ -- - - --------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI ------- ---- ------ ----------------------------- ---------------------------- ---- 29. Range Circ. / r 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 -Meth. Equip. - - ---------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- 33. Smoke Detector -------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 -------------- ------------------ ------------------------------------- - -------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tt's 34. -.A. -C.- Ducts Insulation & Support 35. Vent - Fan:- - Exhaust- -a-bove insulation -------- ---- - -------------------- ---- - --- - -- - --- --- - --- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------------------------------- - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- -------------------------------------------------------- - - 38. Attic -Access-&- Platform if Furnance in Attic ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except p's 39. Sils. Proper Material & Anchors ---------------------------------------------------------------------- 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - -- - -------------------------------------------------- -------------- -- -- 42. Draft Stop in Walls (rat proof) - ------------------------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------ -- -------- 44. Headers & Beam -Size & Bearing jingle t Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- _ 55. Siding -Nailing Veneer_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------- ---------------------------- Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----- ------------ 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth -------------------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer ---73.- -A.C.-Duct in -Garage -Dam per -------------------------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------- 78. -Guard -Rails & Deck -Co nst ruct ion- Post Caps ------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.'Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------------- - 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ --------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ _ _ 84. Water Well: Disconnect, Electrical, Plumbing --------------- 85. Exterior Elec. Trim:.-G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. . -..... -- ------------------- 87._Glass Protection 88. Corrections from Previous Inspections ---------- 89. ---------89. Gas Test -Meters Tagged; Gas -Electric ----------------------------- -------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- 91. Energy Compliance Certificate -Other Certificates -------------------------- ------------------- ----- ---- Date Card B-1 Date Card B-1 --------------------------------------------- -- --- Date Card B-1 Date Card B-1 --------------------------------------- -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 r APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 33-01-67 ZONING AZ I BUILDING PERMIT OCLARENCE KOLKANA TELEPHONE SO. FT. OCC. BUILDING VALUATION 672 M 12,096 OWNER'S MAILING ADDRESS - 35 BO—Y—LEE OROVILLE CONTRACTOR'S NAME DON SCRIBNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 98.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 49.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B35 BO Y -LEE DRESS OROVILLE Permit fee $ 157.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SU BDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W lo.00ea TYPE OF WORK New KX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: DET GARAGE Permit Fee $ Contractor \ ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 BusinessPOWER and Professions Code and my license is in full force and effect. f1�� License No. Qj ZA Q Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.ad OR ADDNS. (ACC. ) , /zQsgft MULTI -OUT NEW RESID,CONSTNHCIRCU NO N.R ESID BRANCH CIRC ITS 2,50 ea APPARATUS SINGLE OUTLET CIR. ( 6 Ex. Occup(OUTLETS OR FIXTURES 20 ®SOC sAL(P30 FIXED ALNS. Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file. with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyoto Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequeence of the granting of this permit. X �'1 fiU�l"�-� Date w Signature of Applicant — Owner F-1 Contractor Agent ❑ An OSHA permit is required for excavations over �/0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TVP — " TOTAL FEE $ 157-79 HAL c A PARK SCHL I FLD CDF I PAR I Po i H ISSu This permit is hereby issued unoer the applicable provi- sions of t e Butte County. Code and/or resolutions to do wor d' ated ov for which fees have been paid. D) R OF PUBLIC WORKS ey p e ' 7 /0 PERMIT EXPIRES Date �� Receipt No. 94134 ' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTAF PUBLIC WORKS - BUILDING DIVISION ®� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965Y YE E ZONE: 916/538-7541 • PERMIT APPLIC,ATI'ON DATA SHEET Permit No. C OWNER A. P. No. Proposed Building Use49r4�r Building InspectorJa Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ......................... 2. Plot plans in duplicate/triplicate, signed by preparer ofFplans......... 3. Complete plans in duplicate/triplicate, signed by prep�arer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ` School District fees paid ..... .:......... T Sanitation approval from () LK D Health Department .7' City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: -(B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 91171 Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... :7 �-� Certificate of Workmans Compensation Insurance .................. .: 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signatureauthorization ..... ' s " '�'..;. .. .................... When � yo�uu issue the permit, process s follows: -Mai l to er. Mail to contractor. _(/Telephone 6� �� �id hold for pickup at cmoff ice. Deliver w/i'nspector. Other Applicant Copy of Haz-Mat form sent Health Dept. Fire D Air Pollution Date Copy of plans sent Health Dept. Fire De Other Date By `r The following data must be submitted prior toer it'ss ce: C' cle_ new item not checked above). 1. Index permit for above items No.4-7 2. Additional items required: Con�Factor, ct r, designer, owner, was advised of above required data by�one_lnaiI—counter by A. date Z designer, owner, was advised of above required data by_phone_mail_co ter by date Plans checked by Date Plans approved by /_Date44/�;/11_ Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department 1 FROM: Environmental Health SUBJECT: Sanitation Clearance ^ �u&vudf-, k -o / I CL'A_0_1 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply F ^anal clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * at® Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovill,e; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - ASSE�PARCEL NUMBEg a� OWNER C._! ^`�',r'G , JTL/ �jdy jC l/ -N/ ZONING TELEPHONE BUILDING PERMIT` SO. FT. OCC. BUILDING VALUATION O WNE�R—'SIIMAILING�VADDRESS S�J•i,�/�T R A C T O R AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation ,q CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee 5 10. Permit Fee Plan Checking Fee $ S $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS BUIL IG ADDRESS �— Energy Plan Checking Fee S Penalty Permit fee $ $ 7 . PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping 20.00 5:00 Each qas water heater or vent 5,Op USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other `325fj „/ 'SPE F Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W0.00ea 5.00 \,-� TYPE OF WORK Newlj Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: L7- 7— 71 Az Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8,00 VAMP ORSLESS 10,00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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. El1, 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 Main service EA. AOD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.Li OR AOONS. ( ACC. BLOCS. )''/:¢sgft NEW CONSTR. ULTI.OUTLET NOt�RESJD BRANCH CIRC ITS 2.50 ea (POWER APPARATUS ,e) SINGLE OUTLET CIR Ex. OCCUp(OUTLETS OR FIXTURES 200 5 00t e ALO 30s FIXED APPLES. OR EX. OCCUp. OUTLETS (RESiD.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 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 Count of Butte to enter upon the above-mentioned property for inspection purposes. y I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is require- r excavations over 5'0" deep and demolition or construct- ion of structures ov, 3 t r' in "eight. Receipt No. WHITE-D.P.W., YELLOW-ASe C330R. PINK-INSPCCTOR. GOLOENPOO-APe1-ICAUT Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TY C_ �7 TOTAL FEE $ /J / r %,.S�— HAL CUA I PARK scHL PLo I COP I PAR I PO I HO ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT FXpip;=q n.t. I ISO 7 1 ;1 -;,, 't 7 R 4" OP '10 "0 7-7, ft tit" T it j N I lit MO. )Oh.g4.W. IS r IS P-1 It— lv4 /4 <A t I I ki 1"! 0 o i, -i Im AO'-. W, I to A r), . I j i I It E. 7 77 nm X& I 5� 17 r X 441,�� j Tell, v APF, 1!iU. 4 1, . .... aA4 A4;44,r- 4 -R� W5, S O�e x , -0, t�A , L 9 e -Z 1-11 011 `tIi I ICW AAS 49K 4>\ fAP Z)PfJATI� WA G4 IOD >11 I I 2X -i P -8L. TVrf LAJ-r_— >1 'VA r t r 15. tF, r3�el, TYA 'frioK ol,46 5�6 4KC: r�j*e,-4, 4WS, �IW*W M -i Tm 4-V T G X, 7_140t 6A 4 4 �4 r 1*1,.� 6i'm 10, 00 'This set of ations MUST be plans and specific SW ful to unlaw. pt on tho job at all tirMS and It is ke same with. crations on ny chalves or alt make a 8A nit of out written permission from the Depafte 4p Poblic Works, COWY Of Oults' kkk N "Ile e+ IK P A Wor I Sm 1, NOT�,-­:All Wcrlals pr,3cfices an �Ood �h Recognizod Accor4anco Wii the tat iho specified U Z y o MechanlG nd lot aso B41iding, Plumbirig & hj,;dO v -v:F'1%1*`Q,' -, ""' r,' -, It J. xms end Ix( ricictl code. �ZA4'�Lj;tl trgo4l'M C_�Trp of-- ncli L ecf P _N 7 F Lj C'n""m Ctx aX & 2. LJ 'tZl r�AfZ Ig JJ a L L -1,1J. W� t W k%l,,.,,�/ ci's NR VS . __Z' 4 31 Iola,, T Y 91 � UW e� Ira at tOAY '4 Z4 sy CIL Sij�IO I 77-7 Z - > N t IL IVNK I g 2TV( I " I Tw�-4,� o -,W L joy-, X All LE I U1 J., i'p ". 4A I , R F Z J<f IOR 1 ? %'CSC 4< AY 0 1 TY" 9 p" -i- A 'IN 0 V v Iwoo *.W 60, Ilk . . . . . . WOO- m4 Sy"54 I Q, "'J , -*W*w IV if F"T No. S, 14 0 VI gy io yn -pqf�r 1" N M:f\N IPAF OG L Si , I r V!* MWO 401 ;k 5!Tki OP A rz jr W ��06. iv �NWKT 'ALL - 44 —1,61, M%-X­ axa, 'gill wo;i LAH 1,10 "Y IT If 1�0 V PIA4� 10 - * � : , 7 Oazz-16 v+�4, L I J S, Wr4- 71 e'QIj tj PIK- P 101A 7 kit 4. &0, 7il 3, :;1w S, Y� AR 'A well, W lit ISO fX C.. vi (I L .1A IAN tj Voo u j 7' 7" ji 44, 1 IS -Oww" t t tk�* Onj r "All fl- J"� O"Ok, Al 44 T "­4*7 7WT z *"Z �4 ALL. IT 745m; t;",k es M Vtt�!j AM` R Offloo " RIP 4 1`�JT li� iv I t 7 '77 7r Al 71. k1; P '41; V�,� -,k) Z ,, �40- 'IN ON kk," , jjt !, �Irll "p .4 �0411 Iv M V 77,73, k� P% 1A 2 kI IJ l 4 . 11 T It X Z WM! 'J"Pam 9 0 all , AY 4_4 11n, *a- I )',A b entStIi L 'r-4 ( - I , V , ft 4" UIM� -14,kI " W ." "'14 UTTE -COUNTY I_vo 48, 41 P Y u 4 k' 0 -y­ Of, q­ lq� f, kt; 7-7 �",7­71F y777=T �, '2 If Ir -v. Al� =4 7� v, 42 i"J" M1, 77 7 :A 4', �. W1, 41