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HomeMy WebLinkAbout033-032-003033-O�Z-cep- 33-032 -X p3 WILLIAM &•JUANITA CHILTON Pp+ 392„ Green-St,,.,Or_ovi.11e.,.,.........,...,�I .. t Permit#V899.88P,E(util, MH) r r - - - ELEC. - - -- -- -� GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. O �! `dw _- . ,-,. --. - -<:. 3_ -03.2 .-y�'t O3 -•- _.,.r., Permit#34 -8� ,E( 1, MH) " ELEC . � GAS 'SUPPO T S R R COMPA TION TEST REQ. . 33=03 ` 3'�<<'1266-91P,;E�� y`� ' CHILTON, Willi ••`&4 Juanita—� �''ir , -392= Green °Ave, 0 viTl'e ��/�?. (utilities/mh) ELK GAS LA � 1 COMPACTION TEST REQ SUPPORT.STRUCT RE 1 33°32 ,G' 3, Permit#2877-9 HI-' ' (instal m - ` I fr 'f 1 - rr 033-O�Z-cep- 33-032 -X p3 WILLIAM &•JUANITA CHILTON Pp+ 392„ Green-St,,.,Or_ovi.11e.,.,.........,...,�I .. t Permit#V899.88P,E(util, MH) r r - - - ELEC. - - -- -- -� GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. O �! `dw _- . ,-,. --. - -<:. 3_ -03.2 .-y�'t O3 -•- _.,.r., Permit#34 -8� ,E( 1, MH) " ELEC . � GAS 'SUPPO T S R R COMPA TION TEST REQ. . 33=03 ` 3'�<<'1266-91P,;E�� y`� ' CHILTON, Willi ••`&4 Juanita—� �''ir , -392= Green °Ave, 0 viTl'e ��/�?. (utilities/mh) ELK GAS LA � 1 COMPACTION TEST REQ SUPPORT.STRUCT RE 1 33°32 ,G' 3, Permit#2877-9 HI-' ' (instal m - 1 � 77=9/Al RESIDENTIAL _ 33-032--1� 1266-91P,E + CHILTON , William & Juanita 2 a 7 7 - �� 414 Z: 392 Green Ave, Oroville (utilities/mh) j r OFFICE COPY i F�' Date - Met r ate-Metr By I' ELECTRIC 1�4/ Date 30 Meter By OFFICE COPY •� Address,'k)9 Z v`P� V c 111 GAS /� Q Meter By Dat ELECTRIC Meter By Date JOB FINALE Signature r j i \ JOB FINALE Signature r j r J=OK O Not OK Not Applicable MOBILE S I LE HOMES ' =Not Ready �S/� Date MOBILE—HOME UTILITIES Plans OK except #'s Zoni requirements -Setbacks -Easements j oils; Special MH Support Sketch j we • cation -Test -Fall -C/O Concrete j Ater; ation-Test-Easement Needed (Sketch) ter' Ity; Location-Clearences-GrnOaV/Amp-Concrete as; Local ion-Test-Wre : / /"L"It. t / /"N_r/ /" L"ft./ "LPG ity Clearance Daley— Card B-1 / -A - Date Card B-1 Date Ca -1 Date Card B-1 Date MOOLL4 HO INSTALLATION Plans OK except #'s . Zo g Requirements -Setbacks Easements o ' gs; Size -Spacing -Marriage Line Ga ef* Test-Demand-Valve—Connector icity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector . W r; H Test -Regulator -Connector r and Sewer Connected -C/O to Grade -HD Approval Ga4,j rid Electricity Tagged ) of Occupancy Dat �/ Card B-1 �,%„ Date Date Card B-1 Date PFs Card B-1 >1 Date r� A� ►.,R MISCELLANEOUS 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-Beams-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 -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 Cana B-1 Date Card B-1 V=OK 3 NSt OK -=Not Applicable ' RESIDENTIAL (Siegle & Duplex) ` =Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Purlin-root 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-Blockouts-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 3' -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 I 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 - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor -Ducts -Meeh. Protection 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 & Recep*acles 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/Meth. 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. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor -Meth. Protection Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 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 -Meth. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Pibg: Appliance -Fireplace: Clearance to Openings 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 Vint -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 8-1- 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 (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7544 PERMIT N0. Address or location of mobi lehome U-1 6 e ey Aol e 01Vu /1'C Owner's name (A2;JZ, ct 4 4- G Q ov" ✓�. C- !,, Owner's address 9 ! /S A61k" `O --v,/ 1-411d Insignia or hud number f ir7 � 2 90 q + �9945 Manufacturer's name J�40�9 .5v ti Senumber of V.I.N rr� �5� e3?__(7%`/ Year of manufacture ria tial Approving Installation) - j(Uat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White -;Owner„Yellow - Installer, PFnk COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R T 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, need additional explanation, pplease contact this office immediately. r - Date 40— Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Cot•;%.Centar Drive-'Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT- � ASSESSOR PARCEL NUMBER 033-032-001 ZOIINNG ARMH BUILDING PERMIT OWNER WILLIAM & JUANITA CHILTON TELEPHONE 534-0659 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 175 LAKELAND BLVD OROVILLE CONTRACTOR'S NAME MOBILE HOME CENTER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 392 GREEN AVE OROVILLE Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1 Duplex[] Mobilehome[X] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl re er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prof essio o Band my license is in full f ce n effect. License No. /d Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.& OR AD DNS.' ACC. BLDGS. , /x¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 6) SINGLE OUTLET CIR. EX. OCCU O p( UTLETS OR FIXTURES z0esoe SAL130 FIXED APLNS. EX. OCCup. OUTLETS PRESID. IIREA.) 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): [J The rmit is for $100.00 (valuation) or less. ave 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. ❑ 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 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 t ounty Ordinances and State Laws relating to building co ruction,,and hereby uthorize representatives of the Countyot Butte to e r on th ,above-mentio property for inspection purposes. I also� gree sav ( demnify an eep harmless the County of Butte against al1�l1abiIi • s jud ts, costs and expenses which may in any way accrue against id oun conse a ce of the granti g of this permit. Date �x ign to a of Ap ioant – Owner ❑ ContracAgent E] An OSHA permit is required for excavations overtor 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz. CUA- PARK -- — scr,y (/ FLD CD, of PAR v PD, ✓ i HD. ISS This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicate above for which fees have been paid. IR TO F PUBLIC WORKS BY Jv Date Z-27-91 PERMIT EXPIRES Date a --Z7--9 . Receipt No. 97305 70.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,� .... .. �.n„�,.,-„�.�'r`�i,,"`�"��i'�ts.gj;,,e�•°''s�:�q>5.-�"a`",ver'+��,ts"",iv'+°��,eek{r�'/,��ri?�`t'�.;:��yif`rita�:�i'•�z-.;,��.n. Y-. , >COUNTY OFS;PLU`�'E % D�'�ARTMENT,dF P}}tJBLIC WORKS - BUILDING DIVISION x Zia . - Y 7•'C 7 COUNTS ENT , IVE 0ROVILLE c �IFORNIA 95965- TELEPHONE: 916/538-7541 - PERMIT APPOCA ION DATA SHEET Per No. OWNER / l Ni AIV).. CVI i' oN' P. No. 03.3 - C32 --- k° . " Proposed Building Use Bui lding,Inspector Date—?- —ll( -q( rt At time of permit application, I was' advised the following data must be submitted pi'i`or 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 ......... >i*'&`Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4 Complete engineered plans and calcs, with wet signature on plans .. _ 7�- +5}.:'Hazardous Material Form ............... .......... `----6 Ener Design Compliance and supporting documentation .....:.. . . _ w T -'Stat`tsrtient.f=.fntent�`' &*Non Heated and AC Buildings .................. 8.- Engineered truss. details and (ayout:in,duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.............................. 10. Fees of $ .r.- .................... . * " ' 11'. Chico'Urb`an'Area fees paid 12. Park fees paid ........".............:.',= .:.................... 13. J316) eft/t/t School District flees 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)-Pdrking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for req uir4. ,4 Pre-Inspec. request to Building Inspector (Date) 21. Contractor's. lie ense'information (NC, Name Style, Classification.... 22. Certificate of Workmans Compensation Insurance ........... .. . 23. Owner -Builder -Verification (Giver\to owner -o, Mail to owner ❑)..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 . Letter of signature authorization 26. MAO d-eaA,,-y a tier � ............ . 27. Wh3�you issue the permit, process as follows Maii to owner Telephone�~'�VD3and hold for pickup_at of Other Applicant . Copy of Haz-Mat form sent ` Health.Dept�= Fire Copy of plans sent Healfti Dept.,-"""�" :_i e Dept. The following data must be submitted. pri 1. Index permit for above items. -No. 2. Additional items required: f „7 to permit issuance Mail to contractor. ce. Deliver w/inspector. Ilution Date Date 8 - t t( _ Q/- Date By (Circle. new item not.checked above).,. Contractor, designer, owner, was advlsed of above required data, by_phone_mail—counter by - -.date Contractor, designer, owner, -was advised of above required data by—phone —mal l—counter by date Plans checked_by-Ad Date 91 _Plans approved by- Date ) Sets.-hold-in�-_ File cabinet Cope �-�_ ;. --- ��`• AP -folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Teiepnone: 916.'538-7541, APPLICATION AND PERMIT ASSE35OR PARCEL NUMBER 33 -- 03Z 06 ZONNG ��n I!x!'/ ' BUILDING PERMIT OWNER /,d� �U��l ` /b� TEL PHON (1tv SO. FT. � OCC. BUILDING VALUATION OWNER'S MAILING AOORESS / 7.5 1_,4k8_1,4,Vs1 NEW 0A0 CA CONT CTOR'S NAM TELEPMONE ' Gnu o E2 CO ACTOR'S MAILING AODRE33 Fireplace CONSTRUCTION LENDER U vilJ UNKNOWN Total Valuation I S LENDER'$ MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ —00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S Penalty $ 5u1LOING ADDRESS` a f? �,h1 U Permit fee $ 5' -- PLUMBING PERMIT FilingFee 10.00 Eacn Trao 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each oas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 1 S i G 1W I j10.00 ea TYPE OF WORK New ❑ Addition ❑ Rf model ❑ Utilities ❑ Installations Other ❑ Describe work: 4/l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR L=ss 100 AMP OR LESS 10.00 1 Main service EA. ADD-- 100 AMP 2.50 CONTRACTORS LICENSE LAW /i%%/1 _ /�� I declare under penalty of perjury (check one): (/v�V tr 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. ( OWELLING OCCUP.e,) OR ADD NS. ACC. BLDG.. �2,iZcsoft� NEW CONSTRLTI-OUTL_T NON-ION9PANCM CIRC ITS 12.50 eat (POWER APoARATU. d) 1 SINGLE OUTLET CIR. Ex. OCCuo� OUTLETS OR FIXTURES 1209�'SOt eAL- 30tl FIXED APPLN5. OR Ex. Occuo. OUTL=Ts IRESID., EA.) I 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 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyotOCC 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 G Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ,an of structures over 3 stories in height. Mobile Home Installation Fee $ o' Energy Inspection Fee $ CONST TYPE /q 0� TOTAL FEES V rIA� CUA t PARK 5GNL I ' , n0 • ISS.,c � I FLD COF PAN PO I This permit is hereby issued urger 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. 6 "O »'TC-a.r.W., TCLL0W-^36E330A. 0'4R N5PCCTae, coLDCN-ao-^Pvt.,cANr r.y�_• e.�.�.�t`••r t�'�'�'r✓'w,T`:J"1 "t Y(51 ��'t-."4�'R:iv�'ih'��ky lN =} BUTTE COUNTY SCHOOLS DEVELOPMENT PEE CERTIFICATION FORM (-One- Form per Building) A.P. Number -53-0-3-,-1- 6 1 Building 'Department No. � School District' (0 � �enn City,= County ®'"Jurisdiction Property Owner 'l�t� 1,� u�v+ ��- r tA(X N `Project Location/Address , '(Sr" e 4ei✓ //--c Subdivision We5¢ery �ciJIL 14dll fi A/s Lot Number 3 # Residential Development: a Sq. Footage //Q Jt #t of 'Living I Addition ( Group R) �ll! I Units '` t Commercial/Industrial: �•�., , Sq. Footage New Addition (Including Exterior Roofed Areas) uilding Deparnent Representative _ ate Y. (J e District Id No.' - School District certifies that 7 s_ pplicanVName) ;, • ( Phone Number), i (Street Address) ✓(.0-ity) ( State) j ( Zip Code) ha complied omplied with the requirements of Resolution No. 140-� by the payment of $ representing square feet.., r choolDi,,frrict Representative Dat. PAID BY CHECK N0`. REMARKS: (4w :6`vLk.,� f% O BANK NO PAID BY CASH white -applicant, yellow -building department; pink -school district SCHOOL . FEE (5/88) i. 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes 2--7 No u (If yes, furnish permit number Alm-) 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 �If no, clarify ) 'k mps .r �d`� A 5. What is the mobilehome electrical rating? --------------- - ,1 6. What is the mobilehome site service rating? ------------- (/ o4 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------- --------------- Yes No (If yes, identify !fie load and size: (Load) (Amps) 3 � 9. What is the mobilehome site gaspipe size- ------------ �(in.) El10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the ` mobilehome?-------- ---------------------------------- 02/9 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU). *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide_, Mobilehome Mfr.//z�w� SV-51EA5furnish Setup Model No. Year Width 8 (ft.) Box Length 7/ Of(ft. ) Tagalong or Expando Size ft. 3r ft. On all mobilehomes manufactured ter October 7, 1973, furnish manufacturer's installation manual and structural setup eets (if—not on file with the County of Butte). FOOTINGS (check one) 1. d -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block:F] 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Ling 4 ` Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ k Size -Min. ------------------� Spacing -,az: --------- Each Side of Openings From Ends -Max. ------- " With Width Over Lire 2 Piers: Size -Min- ------------ Spacing -Max ---------- From ---------From Enda-Max.------- '- to " Line 3 Roof Loads: 1 if ✓ Siie-Min.------------ Location (From Front) 1 T/ .i I RM F=.1Z Size -Min.------------ k SpaEnd cing-Max.- ----- F s -Max.------- gine S Roof Loads: Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- From ------------------Spacing-Max---------------- From Ends -Max .------------- " 216 4" 60294:r 31 Sb Size -Mia ------------------- Spacing-Max ----------------- From ------------------Spacing-Max.--------------- From Ends -Max.------------- " Siie-Min.----- ------ ' "x "x "x "x Location (From Front) _ _ _ J k K � .[ o �I � V C Q � • ..►"Sym Kegs `^Q_ J a3AOSddV oz �I � V C Q � �n 1� a3AOSddV oz � V C Q � 0 0 a v � J I __ _ _ h�-r.►... K 2?0. N - - ...--- I r oo 0 o,i o �o 00 ;j. C) o CO, « o A imback-'of Vt: ftm:thee-' property 11ncz3 acid a sot bac0 '�• �J` �..�.^- •------�-- -._ .___.__._—_..._:.::..�' f 50Ft. from tliFmad' :..._ ` .... _— centerlil—ie is e'c,ear�o structures or equipment except F'�'TC or,a`2R—e:ave overhang:- :,�,.F•� -• - -5C =FT. !:'1lkluM FOI; MOBILES _. v r l ut cr Yh3+s�c►a of plan9 trr�cl ep 'tic3t_ I'on;M I,c, be y ............. _ �ss�' �kmpf � Iln iol, E1't=c7!I {i^S^5 rl!7t��i;i-is=un!al—tor r -- I tll ._ �� �.i k v C L. Fc or c. r: TL- IIN,Iiy cc�nn�ctions shall be with _ , _ _ .:. , _.. _.. - wWien per:; �rsi:n fiosl-71 -.L-) -j3 riin�nt" f'KBlr. 'C rr�n��ilehome,•either..... �.._.. i } coun{ o► Bu{ to ,. I – I ��. ((,�t • ... _.. �:��; ��: •,: _�r:rs:.'si;,a 1 clr.ti'Ic . _ �.. ..,4,. �... .,..--r-'• �N ons ,1 Shnl) _Qew�r1��� . ::�. NOTE:=_AII�Mnr�±;it;t� t', Wo p - - — - - !r. .{ �/ - 1. , F U t �-i _ ��`� f�r��'C1�TCCr'v Ifll �4Hr, ^ "�l: n.l L' f+,, I'�'(10tIGC� Cl a quality: hresc�i(: �i={rr•:{.��;� �4,nc Nod usio n=4hi _ Unil6rm B, ng, flr,,mbin7 1'c Me ' 1a cpI Codesawd v Z i� _ --- -• I- Ou. COUN >< �sMENi .ED�Agyp � 0 • y�•;i. I- Ou. COUN >< �sMENi .ED�Agyp � «w AP 4r`- 63 — 014NER�� ( 1 Tp PERMIT ZZ -6 Cj MH UT IL . CLEARANCE DATE � INSPECTOR ELECTRIC GAS Support Struc.' Compaction Test Re . Service Other Pipe YES NO YES NO Size Load Type Size Length i t F" f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Courity Center Drive - Oroville, Califtornia-95N5 - Telephone: 916/538-7541 APPLICATIMAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R ., - 33-032-01 ZONING ARMH BUILDING PERMIT OWNER William & Juanita Chilton TELEPHONE S -3y— Obs S0. FT. OCL`, BUILDING VALUATION OWNER'S MAILING ADDRESS 175 Lakeland Blvd., Oroville CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is ' Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 392 Green Avenue, Oroville Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. i SUBDIVISIOA NAME //�� w �C. -F i AckcrJ— PARCEL MAP `7— b Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [ik Installation❑ Other ❑ Describe work: MHT) (2RR) Permit Fee $ 40-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 in C)n Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ACDNS. ACC. BLDGS. , h¢sgft NEW CONSTRU TI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20®50S eALe3o Ex. Occup. ou LETS ED P(RESID IKEA.) 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' 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 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 accru againstaid County in cgn 6quenpof the granting of this permit. /�.�� o / �' / ✓ �%�- Date _Zl / / Signature of Applicant — Owner.0 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 $ Energyon Fee $Inspecti ,Inspects CONST TYPE TO TAL FE $ 92.50 O E A c PARK s FL PAR PD I , Issue. t/ 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. DIRECT R OF PUBLIC WORKS BY Date 7 2--T,% P IT EXPIRES Date Receipt No. 89009-92.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT wY COUNTY OF°BUTTOC-�- DEPARTMENT ��-.P{�;3LIC WORKS -BUILDING DIVISION 7 COUNTY Cl LATER' DRIVE - OROVILLE, �C9F©RIWIA 95965 - TELEPHONE: 916/538-7541 y� PERMI IOLICATION DATA SHEET Permit No. OWNER LL1 /4m 't t7I2-uAty I e' 41 L=0 PJ A. P. No. 3"0 -01 Proposed WProposed Building Use 0 Building Inspector Date -C-)_ / 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 y nd supporting documentation ......... . 7. Statement of Intent for Non -Heated aC Buildings .. 8. Engineered truss details and layout in dup ' ate (required prior to plan check) r 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3 School District fees paid .............. 4. 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: , 8. provements may be required. Contact Land"Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �� 22. Certificate of Workmans Compensation Insurance .................. y 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... V/fien you issue the permit, process as follows: Mail to owner. Mail to contractor. _?(I Telephone <3T17and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior t 1. Index permit for above items No. 2. Additional items required: By rm issuan ,�Zircle new item not checked above). Contractor, designer, owner, was advised of above required data by_.I,,_/phone___rnail—counter bya--_/ .date Contractor, designer, owner, was advised of above required data by_phone_mail_cpunter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date T0: Building Department ` FROM: Encroachment Permit Section RE: 'Dizveway Clearance J. �h,`(fon 392 6ree,, lf've. 3 3- 03 -z -O/ owner location AP,# Driveway permit 9009 76 has been issued for the above property. nb �f % —,69X sign re date A a%y TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance g �� -3 -.- Owner Location AP# Plan Approved for: Sewage Disposal Water Supplyo �Lf- Hold final for: Water Supply Final clearance .K. for: Water Supply Clearance Lor bedro =mobileome. Other NOTE * * * Rc'ur. rl, Lo DPW AGRICUL'TURA'L STATEMENT OP ACKNOW1,EDGEMENT FOR Rl?SI1?J?NTi?1C Dt VI?LOPMI NT Scct i.on 26--8. 1 of. the Butte' County, Code requires Lhi.s acknowledgement:. be recorded = pr:i.or. to .i.ssuance of a building permit. The property described herein is adjacent to land or :Included within an area zoned ACCEPTED FOR RECORDING .for agricultural purposes, and residents AT 8:01 A.M. of Lhis property may be subject to incon- veni.ences or discomfort arising from the use of 1gr.:iCL1ltL1ral chemicals, iricl.ud:i.ng, but noL 'limited to herbicides, pesticides, and IerL.i.'IJ zer. s ; and from the pursuit of: agr..iculLural operations including, i but not li.mited to cultivation, plowing, spraying, pruning, .and harvesting which occasiona.l..ly generate dust, smoke, noise, and odor. Butte County has e.sLab.l:i shed :igr i cii I lural zones which have as a priority use for productive agr.icu.l.Lural purposes, ;1.1111 rctiidcntr: within sa i.d zones and on adjacent property should be prepared to, accept such or d:isconform from normal, necessary .farm operations.-,_. FOR VALUE RECEIVED, ANN LYN_.-_ GRANT [o EDWARD CHILTON and JUANITA CHILTON, his wife c as JOINT TENANTS all that real property situate in the unincorporated area County of Butte , State of California, described as follows: All of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co., Cal." which map was filed in the 6ffice of the Recorder of the _ __._.___Co�tl1ty,of_ ►31.utte;_State of-Californaa,_November._lde,.•.I�OS i Map Book "9" at page 16, ti • .;,PROPERTY OWNER7: State of "/AZI ) On this the1,5 day of 19 bcfurc mc, SS, the undersigned Notary Public, personally appeared County or -�- _ ,qtr/��i0J/+9 ��lr/.o C�hr�f0/l� � �/0/✓�/9 �1CAit►�V/%�.� Personally known to me. Proved to me on the basis RICHARD �'r'�ifCFiSi�i� m of satisfactory evidence. ei N0TARYPUGLIC-CALIFORNIA �o be the person(s) whose name(s) Butiz county. mycornmissionExpires Jan. 24,7989 rpubscribed to the within instrument and g� acknowled ed 1_11 -IL t' xecuted the same for the purposes therein contained. I --/ N W I'I'NIaS 1dHEREOF, I hereunto set my haled and official. seal.. Present A.P. No. O 3 -'2 ���� Notary Public COUNTY OF BUTTE - bepartment 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) rte. 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 Number Date — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RETURN TO PUBLIC 14ORKS AP NO. -33-03-2-01 ( Lots 3, 4, 5 ) 91-026968 Recorded Official Records County of Butte Candace J. Grubbs Recorder 11:35am 2 -Jul -91 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, Wanda Juanita Chi I I Rec Fee 5.00 1 Cash 5.00 i I I 1 I I I XX 1 , do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in -attached Exhibit -tom lg-�7o w 2. I; (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as -deseribed in-the--above---noted-Exhibit--A, and that subsequent purchasers and d�s�. -;G�d '6 <�-- ) 6 w encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. This document is being recorded for purposes of correcting the lot numbers. Refer to 91-026960 DATED: July 2, 1991 Signature owner of record Signature of owner of record STATE OF CALIFORNIA Wanda Juanita Chilton ss. COUNTY OF BUTTE On 7/2 / 19 91 ; before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared Wanda Juanita Chilton.. known to me to be the person_ who a name issubscribed to the within instrument and acknowledged that she exec ted the same. WITNESS my hand and offical seal.f GG� S a�ur� Patty L. Carter Name typed or printed OFFICIAL SEAL RTen PALARTEn NOTAW PU13LIC C CALIFORNIA LaBUTTE COUNTY My comm. expires mAY 13, 19% 110ao uo"% NWN% a ON AFTER COr1PLETION, THIS DOCUrM r1U`ST BE RECORDED IN THE OFFICE OF TME COUNTY RECORDER Lots 3, 4 & 5 of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co., Cal." which map was filed in the office of the Recorder of the_-County".of Butte,,State of'California, November 14, 1905 in Map Book '4" at page 16. LD 1540 (5/88) CD q A setbac%of 5 ft. fl6m The s}- property lines and a setback of, 50`t. from the roedg centerline shall be clear of req_uTire-d-aytits _ iYtwentexcept e mobilehont% r a 2 f1. eave overhang. � —� ko F 13z n 73 r• 1 i J t A :-- .500 SQ. FT. MIN diUM tai ' FOR MOBILES - N 0 A O 0 I _ 1 13 5• -Utility connections shall be within' 4 ft. of 4he mobilehome, eithet diraktk/ r - 1 Irlf_of theroadside(left) of the G �' N O O This 80 of Plans aria spe4l MUST be er on 1tm Iso tt d i't is unlawful to - ma?:e n cl1 .; :cq�s ar ciferatin some without —_wrii'S.trm�i�^ -ori'rao Lea rtment of Pub- ------ , lie WW4' Cou;ity of. Site, NOTE --=All Mafelials & Workmanship Shell Be IN, Accordance w'rrh Rec )rn:,_04 Cood Practices .and — of _"uall- ;_prn4=- -iLo,1 for flee Specified use in the Uniform Bundic►g,_F um )ing & Mechanical Codes and — -- — the Nation -al tlact Tical Code.77 _ PARCEL CHECK LIST AND REQUIREMENTS Ownerial ��c ., �.`�% /G o Permit No. /7-10 6 k. P. No. 3 -m --o-3-4-1 Telephone No. ���{, O (err-' Date ��2 1. Parcel creation Map Book Legal Parcel Creation date 60' R/W Certificate of Compliance Other Page / l5pecl y _ 2. Pa cel created by subdivision map prior to July 1—,--m-9 Parcel size is less than 5 acres Parcel exempt from items 3 & 4 below 3. Legal Access Parcel fronts on publicly maintained road Parcel does not front on public maintained road D umentation on legal access submitted must be by Title Co. or licensed engineer or surveyor) 4. Road Improvement Standards r A. Parcel fronts a publicly maintained road Frontage Improvements not required Frontage Improvements are required ��- Frontage Improvement plans approved and improvementsmust be installed prior to building occupied B. Parcel not fronting publicly maintained road 1. Parcel Frontage Frontage improvements not required Frontage improvements are required Frontage improvement plans approved and improvements must be installed prior to building occupied 2. Parcel access to publicly maintained road Access improvements not required Access improvements are required Access plans approved and access improvements required prior to building occupied Copy of form sent to Land Development by Date Copy of form sent to Building Department approved for permit issuance subject toles items marked in 4 abov [=other Specify Date By COUNTY OF BUTTE - DEPARTT NT OF PUBLIC WORKS 7 Cbunty Center Drive,,Oroville, CA 95965 William & Juanita Chilton 175 Lakeland Blvd. Oroville, CA 9.5966 With,reference to the above subject: Attached is: XXX Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER " We need the following information: PHONE: 916-538-7541.. DATE__ mnrrh 210 1 990 RE: PErmit appin #3401-89 for mobile - .home u�ilities A.P. 33-032-01 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced 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. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 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. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. gMTHER When you were in our office October 6, 1989 you failed to sign the permit application licatioand Iill out the contractors license law and the worlaMn's compensat on insurance box. Please complete and return that your permit for-mobilehome utilities can be Tssued. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector ���. ` ' a�t:`'+�'�+..�.-1a�.`->.?J+�p4 .� ��~r-.5. 4*�_.�'.. a.y<.''� �a'. �.,�3t� �"a ►.�'��:� ..`..,\`�4! - :1.5�.tii--.'i`:."'¢��,...i�1.� ��i�%�,f '�.�°f���i�t-,.'!. ,��+r.Sr�ih-.;�J. o.1 � 1'.e.� ��. ��`f't�. Z,.�Z, �'� � � � � � .�,� �:'ra�'i`v�.`.� ^�'`�t a�,. �ti� iia'^. +,��\ T� �f. �y tti �� ati� i� �'1�„-! �` a - - _ : c •` - � - �, • � � _ ,. , � , ;. ' _ _ , .. - -_ i._ � - s. _ - '. .. ,. : t ' 4 c m CL . E 0 a� m :} C U a) E N coa� c 3 I N ca 0 r o 0 0 ` k I STATE OF CALIFORNIA yss. COUNTY OF BUTTE. y On AUGUST 14, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared PAUL W. FARRI S , personally known to me (or proved to me on the basis of the oath of PAUL W. FARRIS , a credible witness who is personally known to me)to bethe person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/she resides in BUTTE COUNTY that he/she was present and saw LESTER G, HARLES personally mom, n known to him/herto be the same person(s) described in and who`=� executed the within instrument, as a party(ies) thereto, sign, seal= and deliver the same and that said party(ies) duly acknowledgeds�almelleuleellusi in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party s(ies') request, subscribed his/her naMe as a witness thereto. WITNESS my h�K And official Signature OFFICIAL SEAL JAMIE STEVENS NOTARY PUBLIC — CALIFORNIA COUNTY OF BUTTE Comm. Exp. Sept 11, 1992 (This area for official notarial seal) Return to DPW AGRICULTURAL STATEME''NT OF ACKNOWLEDGEMENT J - FOR RESIDENTIAL DEVELOPMENT I=" 3 34,61 'Section 26-8.1 of the But ounty Code requires this acknowledgement be, recorded ,t G prior to issuance of a building permit. The property described herein is adjacent I i" to land or included within an area zoned 91-033468 1 Rec Fee 5.00 for, agricultural purposes, and residents I Cash 5.00; of this property may be subject to incon- Recorded I ; venienc_es or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I , but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I i but not limited to cultivation, plowing,. 9:20am 14 -Aug -91 I XX if spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established af;r• ic•u l-- tural. zones which have as a priority use for productive agricultural purposes, and resiciow s within said zones and, on adjacent property should be prepared to accept such inconven i r;ncc� or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, desc,r"ihed ;is all"that real property in the City of County -of - --Bu-t-te ,_State__of California,,described_as_� Lots 1, 2, 3,.4 & 5 of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co., Cal." which map as filed in the office of the'Recorder of the County of Butte, State of Caiifornia, November 14, 1905 in Map Book "4" at.page 16. PROPERTY OWNERS: State of: CALIF. ) On this the 14TH day of AUGUST 19 91 before me, SS. the undersigned Notary Public, personally appeared County of BUTTE ) E] Personally known to me. E] Proved to me on the basis of satisfactory evidenco. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged'that.y` executed the same for the purposes -therein contained. 1N WITNI-:.SS WHEREOF, I hereunto set my hand and official -seal. Present A.P. No. Notary Public s a 0 cc -10 M ` f • W cc �- ' mU Ly S 0a CQ ,30 LO ,UW M ` f • �IT- fl 91-0 6960 I Red Fee 5.,00 RETURN TO PUBLIC WORKS I Caeh ';5.0'O .i AP NO. 3 -3 - Q 3 , Z -- (Di . L 0-75 3 • ,`Recorded I {, Official Recordd I " County of 1 Butte Candace J. Grubbs I. Recorder 1 �� 9i36am- 2 -Jul -91 I. XX; 1 - NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersi edWandaivanita Chilton y do hereby declare as follows: 1. I am, We are), the owners) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. This document is being recorded for purposes of correcting the lot numbers. Refer to 91-026165. DATED: July 1, 1991 Signature caner of recor Signature of owner of record Wanda Juanita Chilton STATE OF CALIFORNIA ss. COUNTY OF BUTTE On July 1 19 91:6; ; before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared Juanita Chilton known to me to be the person_ who e name subscribed to the within instrument and acknowledged that she execited the same. WITNESS my hand and offical seal. OFFICIAL SEAL PATSY L CARTER NOTARY PUBLIC - CALIFORNIA Surm 00UNTY MY comm. ewes M" 13, 1m. Countyof Butte Signature Patsy L. Carter Name typed or printed - State of California, described as follows: L ..All of. -Block ? according to map entitled, "Map of the t Western. Pacific Addition to Oroville,:Butte*Co.,:Cal:" _ 'which map was filed in `the office'of the Recorder of:the . County�of'Butte,1 State_ of,Cali.forn .a November, 4.,.:,1905.._in.;,.,:,._J� Map.: Book_ ? at. -page ' 16,.... - .. -- - -- - -- END OF DOCUMEI E t i t -X. RETURN TO PUBLIC WORKS " AP NO. 33-03-2=01 (Lots 3, 4, 5) 91-26968 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, Wanda Juan do hereby declare as follows: a 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described iqz-a-V&ached Exh bit --A-. 2. I, (We).,. intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s•) as deeer-ibed iii-�—abovrn'o-t=e&-exhibit-l; and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3.' So long as such improvements re'main,'said parcels or lots cannot be sold separately. ' This document is being recorded for purposes of correcting the lot numbers. Refer to 91-026960 DATED: ' July 2, 1991 Signa Lute owner of record Signature. of owner of record Wanda Juanita Chilton STATE OF CALIFORNIA ss. COUNTY OF BUTTE On 7/2 / 19 91 ; before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared Wanda Juanita Chilton.. lulown to me to be the person 'who e name issubscribed to the within instrument and acknowledged that she exe4ted the same. V WITNESS my hand and offical seal. OFFICIAL SEAL NOTIi(,f PULL C CARTERSY L CALIORNIA �( BUTTE COUNTY ` MY Comm, sxplris MAY 19, a 1NNI (typedPat y L. Carter Name or printed) AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. Lots 3, 4 & 5 of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co'., Cal." which map was filed in the office of the Recorder of the.County'of Butte, State of'California, November 14, 1905 in Map Book "4" at page 16. LD 1540 (5/88) EN® OF DOCUMENT 91-0269.68 V Rec Fee, S 66, I Cash 5 Obt' Recorded Official . Records -1 r' County of Butte ,'Candace J. Grubbs i f' " x. ` .� Recorder l 11:35am. 2 -Jul -91 I XX NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, Wanda Juan do hereby declare as follows: a 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described iqz-a-V&ached Exh bit --A-. 2. I, (We).,. intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s•) as deeer-ibed iii-�—abovrn'o-t=e&-exhibit-l; and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3.' So long as such improvements re'main,'said parcels or lots cannot be sold separately. ' This document is being recorded for purposes of correcting the lot numbers. Refer to 91-026960 DATED: ' July 2, 1991 Signa Lute owner of record Signature. of owner of record Wanda Juanita Chilton STATE OF CALIFORNIA ss. COUNTY OF BUTTE On 7/2 / 19 91 ; before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared Wanda Juanita Chilton.. lulown to me to be the person 'who e name issubscribed to the within instrument and acknowledged that she exe4ted the same. V WITNESS my hand and offical seal. OFFICIAL SEAL NOTIi(,f PULL C CARTERSY L CALIORNIA �( BUTTE COUNTY ` MY Comm, sxplris MAY 19, a 1NNI (typedPat y L. Carter Name or printed) AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. Lots 3, 4 & 5 of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co'., Cal." which map was filed in the office of the Recorder of the.County'of Butte, State of'California, November 14, 1905 in Map Book "4" at page 16. LD 1540 (5/88) EN® OF DOCUMENT ct 'RETURN TO -PUBLIC WORKS 9.1 91-0E6� 165 1 Rec Fee 7.'0 0 j AP NO. 3 9 "e9 ? - .2 - 0/.. ("/v f.S The undersigned, Check.7'.'00, Recorded. 1 Official -Records 'I, County of Butte Candace J. Grubbs I tj Recorder 1 -. r 12:11Pm 27=Jun-91 I,., _XX NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY do hereby declare as follows: 1. I am, ([ie are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County,of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s*) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: ly • Z %' 9/ Signature o oulfTer of record STATE OF CALIFORNIA ss. COUNTY OF BUTTE Signature of owner of record On JT,Aj e ;2- l% , 19-!&1 , before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared 141AN�A known to me to be the person whope name subscribed to the within instrument and acknowledged that .4(? exec ted the same. WITNESS my hand and offical seal.l acr�"" a�a�aomaa�®c� aIn ® RICHARD FEUERSTl:llt9 93 Ki p ..rte NOTARY PUBLIC -CALIFORNIA a p ,is Butte County My Commission Expires Feb. 16,1993 �isaRAI a 00NX0a0Mwa0O®aaa0m®® Signature � X92 T2s ery Name typed or printed AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN TFIE OFFICE OF THE COUNTY RECORDER. III LD 1540 (5/88) C iunty of Butte _ _ -. "' " , State of California, described as follows: K fAll of Block 7, _-Western, according to map entitled, "Map of the '1 Pacific Addition to Oroville, ButteTo,al."' which map was'..'filed - in'the office of the 'Recorder of the ,, County`Of .sutte, j. Map Book �, - State of --e -16.• • California „November,;14; X905 .. in_ 1 ----_.---._..._.. a t I pa g - _ L. —c�� ter,—.._•_. _. ... r e ., EN® OF DOCUMENT ' � l t co Y L'! Ir 07 mU I L J CJ 00 e�9 z O " 7) LU a COUNTY OF BUTTE - DEPARTkENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT NO. D-� ASSESSOR PARCEL NUMBER 33--0:3- a -o I ZONING IM14 9 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME nW N er TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. PIa Checking Fee $ Energy Ian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penal IfyAl $ BUILDING ADDRESS P e rm I Atee r� $E)IhO- t P UMBING PERMIT Filing Fee 10.00 h rap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3L I `�' � SU DIVISION NA (' -�-e�/`� �-C i t t c_ � � �- / d "� PARCEL MAP ter piping 5.00 ach qas water heater or vent 5.00 USEOF ST UCTURE � [:1SF Duplex❑ Mobilehome Other SPECYFY 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 New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Insta at nCJ 0 r ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p l y (Check.One): ElI am licensed under provisions of Chapt. , Div. 3 of the Business and Professions Code and my license ' in full force and effect. License No. Classifi ion I, as the owner, or my employe s with wags as their sole compen- sation, will do the work,and the tructiuke Is not intended or offered for sale. (Sec. 7044)Mobile F1I, as the owner, am excl sively co tr, ng with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. usiness and Professions Code for this reason NEW CONST. DWELLING OCCUP.0d) '/z2sgft OR ADDNS. ACC. BLOGS. NEW CONSTR' U TI.OUTLET NO N.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS SINGLE OUTLET CIR.e ) / Ex. Occup\OUTLETS OR FIXTURES 20030¢ eAL030 FIXED APLNS EX. Occup. OUTLETS PK (RESID IEA.) 2.00 Temporary service 10.00 Home Facilities 15.00 I Misc. Wiring15.00 Permit Fee $ Contractor WORKMEN'S COMPE SATION INSURANCE I declare under penalty of perjury (chec one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd Co my in coase uence of the granting of this permit. y� P� X D 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 $ 4 5,p� Energy Inspection Fee $ TOTAL PERMIT FEE $ , ocCUP. CONST.TYPE I FLOoo PARCE PD E HD 139UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi - resolutions to do fees have been paid. . WORKS ; Date Receipt No. chi �a l L WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT 33-032-1 Permit#2900-88MHI 'Issued COUNTY OF BUTTE- DEPARTMENT"OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERIN, ��i�/,A- �- ��� % �a• , .Ci��i?'�oti 33--03- A, P. No. Proposed Building Use Building Inspector—/,?--. Date2�y 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 p4 ns. , 3. Complete plans in duplicate./triplicate, signed by preparer`plans. 4. Complete engineered plans and calcs, with wet signature onQl),, S. 5. Plan _with Energy Design Compliance Statement. c/ 6. ��p� School District "Fees Paid" Stamp on F dor Plan. 7 Statement of Intent for Non -Heated and AC Buildings , 8.. Fees of $ , , , , 9. Letter of signature authorization. 10. Sanitation approval from Hea-Ith Dept. 11. Planning approval for (A) Use: (B) PLk. , 12. Certificate of Workmen's Compensation InsU�nc . . . . . . 13. Contractor's License Information (n�o% name stye, classif.) 14. Owner -Builder Verification (Given Yo o. ner❑, Mall to owner ❑ ) Improvements may be required. 16. Mobi lehome Installation Data. . . . . . . . , • , • . Pre-Inspec. request to (Date) �,�17: Pre -Inspection for Required, Building Inspector 4�Recorded copy of Agricultural Acknowle gment Statement. 19, Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicie (required prior to plan check). 22. When you issue the permit, proc, s as follows: Mail to owner, Mail to contractor. Telephone k v and hold for pickup at—off ice, Deliver w/inspector. Other Applicant��i� � LL���iDate y-00 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedpjior to.permit issuance: (Circle new item not checked above). 1. Index permit for above items No. /[o 2. Additional items required: 2222.� Contractor, design r, owner, was advised of above required dataphone�nail—counter bete Contractor, designer, o ner, was advised of above required data by—phone —ma il_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date a. eouid* J'Buft OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: William and Juanita Chilton ADDRESS: 175 Lakeland Blvd. CITY & STATE: Oroville CA 95966 IMPORTANT: / SEE INSTRUCTIONS DATE OF CLAIM: 10/10/89 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) Owner has decided not to do work. Permit Application #2899-88B,P,E, AP#33-032 O1, Receipt #22216, dated 9/7/88 Total fees paid 92.50 Retain plumbing permit filing fee--------- 10.00 Retain electrical permit filing fee------- 10.00 Retain plan checking fee------------------ 15.00 TOTAL AMOUNT RETAINED-------------------------------- 45. TOTAL REFUND DUE ----------------------------------- --$ 47.50 AMOUNT TOTAL I $47 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. { yy� I ,'..• iJi�'Ir de of ... 19let.�%.at„ti��.�l... Calif. Dated this......�'j.......................... y �Siof I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Hoard Approvals (Check one) for the ren�i 12th 89 Oroville de o[ 19'....... at Cellf. ........D, 1 s Jr � ............. Dated this Y . ... ...........Oct................................................ .D a ea or Anthorizeuty Dept. EYp. Code.........44.0.-QQ�............... Code ......4.�JQ.QQ.....................PAYABLE FROM .. DO NOT WRITE BELOW THIS LINE - AUI DEPT. & SUB. PROJ. SUB. 0BJ. CLAIM NO. V. NO. Permits FUND )R'S USE ONLY INV. DATE ENCUMB. I GROSS AMT. COUNTY OF BUTTE - DEPAR5MEN1$.OF PUBLIC WORKS _ Pmyovl 7 County Center Drive - Oroville, California&95965 - Telephone: 916/538-754 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O (/` AGA BUILDING PERMIT OWNER _ n ��i1ie11;"�{ i tee (: D/✓ TELEPHONE -I)6S SQ. FT. OCC. BUILDING VALUATION "pUa,v ER'S AI�NDRESS OWN75 a /�� /a1, v /`d vel CONTRACTOR'SNAME aWA/ e. - �TELEPHONE59 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ �}a,QQ-- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ems✓ - Each Trap 2.00 Lb t/ 1 `e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAM dtGi ` f/oA✓ PARCEL MAP Water piping 5.00 E ch q water heater or vent 5.00 USE OF STRUCTURE - Mobilehoe Other -"Building SF ❑ Duplex❑ m SPECIFY _� -'� Gas piping system 1 -5 outlets 5.00 sewer 5.00 Mobile Home S G W 0.00 ea 3 d d"C7 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities'in is allation❑ Other ❑ Describe work: Permit Fee $ v,. Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 OR Main service 100 AMP ORSLESS 10.00 OSA Main service EA. ADD'L 100 AMP 2.50 _Z,v 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 n [Z 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) El 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.Ed , B/z¢sgft New CNSTR.� DONS OTR. '-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e1 (SINGLE OUTLET CIR. I / Ex. Occup\OUTLETS OR FIXTURES SALI 30 eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 It r Misc. Wiring 15.00 Permit Fee $ r%, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County ' co equence of the granting of this permit. 9� ���d 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 $ TOTAL PERMIT FE $ 'Lid 5 occuP. CONST.TYPE NOI PARCE PD H�S9UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which I R P By LReceipt PERMIT EXPIRE a the applicable provi- resolutions to do fees have been paid. ;1CORKS te � No. 020 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -.. ..:-T ,-. l....a'+..r✓"`�/"�y/./_...,r.,,:�.�...-;e .^,�.�...: v.:'7�:.'Y.,-,+�.y,.v... .c.. ...er'+V.T�"�r"a.:,-'r�.+yr iy 6,3 :J+�:/✓«rw Y-/1 "At COUNTY - .« COUNTY. OF BUTTE - DEPARTMENT F•FjUBLIC WORKS - BUILD.IN,G DIVISION a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-75,41 PERMIT APPLIG fibN DATA SHEET T r+ Permit No. 3.; �"01 OWNER (/`� a�yr 7L, V u a� : f a..... �`/� (� A. P. No. Proposed Building Use ZV l/ Building "Inspector �� _Date / O At time of permit application, I was advised the following data must be submitted prior to permit processing _'and:/or issuance-.,- a 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. F 4. Complete engineered plans and calcs, with wet signature on plans. 5.lams_. ith Energy Design Compliance Statement.` ,��p 6. �� �e� School District "Fees Paid" Stamp on Floo"r'Pl�n. 6� MPILI l 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , 9. 12. r 13. f� 14. —15. 16. 7. 18. 9. 20. Letter of signature authori�:tion.. . . . . . . . Sanitation approval from C`Dy t• e- Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request t (Da�e Pre -Inspection for Required. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to'owner, SH to contractor. Telephone *' and hold for pickup at office, Deliver w/inspector.` Other AppIicant Date Copy of plans sent Health Dept., .- Fire Dept., Other Date The following data must be submitted prior o perrTfit issuance: (Circle new item'not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, design r;owne was advised of above required data byv phone---nail_counter 0& 'mate Contractor, designer, o ner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder aw,714rd VENOM TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C. Own Location Plan Approved for: Sewage Disposal Hold final for:. Final clearance O.R. for: Clearance for bedroom obile home. Other NOTEr* V,// � Sanitarian �.�-63- Q -o AP# Water. Supply 04Jt /, Water Supply Water. Supply " CAPS ACEI GRUBBS U• AP NO. _3_3 03 -12 CV. 1, Q rS 3 �j NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, do hereby declare as follows: 1. I am,- We are , the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and-encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such.improvements remain, said parcels or lots cannot be sold separately. DATED: Signature of owner of record STATE OF CALIFORNIA gnature of owner of record ss. COUNTY OF BUTTE On l9 -,P1 .before me, the undersigned, A Notary Public in and for 44P State of California, residing therein, duly comnnissioned and sworn, personally appeared known to me to be the pers n 5: whose named subscribed to the within instrument and acknowledged that executed the same. WITNESS my hand and offical seal. ��;,;j.� OFFICIAL SE.AL Signature �:' PATSY L CARTER �'m �' • ^ NOTARY PUBLIC - CALIFORNIAN `. , P BUTTE COUNTY S a�% My comm. expires M'AY 13, 1992 �; Name typ d or printed 1680. UPxft CwY►a AA 9'JU AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) RECORDING REQUESTED BY o t " 11 4 "D k vi 1._... ,t_ B1 1 AND \VHCH RECORDED MAIL TO �(!�.�.�G' ccs G'L%C.G'� y�-' f� '���I�• U L 5Z Me i :�• r & -44%�f-=:!' C %•J /.�`_.�a, " �:)(,'.', 17 kTe ' j - •' .. r GE c Orcicr No.._ Escrow No.�_ F MAM TAX STATeMENT9 TO SPACE ABOVE THIS LINE FOR RECORDER 5 USE l Doc fnentary transfer tax $....... .1.�. ,� . • • • • • • 4� 67computed on full value of property conveyed, or �� •� �L� Q cJ� 0 Computed on full value less liens, and encumbrances TA *Y PAtD remaining thereon nt time of sale. �:.C.��•,-t,-P, � , . ; `.'� . , �..��-:��..�f,��%,:-Lam..:.......... .. f . _ / •• „Signature of decl nt-or/agent determining. tax •—Rrm name ibtbual.--.I� 01111 e IncV,3Deeb , WESTERN TITLEYORM NO. 109 FOR VALUE RECEIVED, ANN LYN i I GRANT --to EDWARD CHILTON and JUANITA CHILTON, his wife as JOINT TENANTS all that real property situate in the unincorporated area County of Butte , State of California, described as follows: Alt of Block 7, according to map entitled, "Map of the Western Pacific Addition to Orovi l l e, Butte Co„ Cal." whi,h map was filed in the office of the Recorder of the County of Butte, State of -California, November 14, 1905 in Map Book "4" at page 16. Dated__ 0(,t.obor' 272_, _ 19 72 j PEI -029394 R e c Fee 7.00' .: Cash 7.00 Recorded. f `; Official Records 1 County of�'��� I Butte Candace J. Grubbs { Recorder .¢� 8 : 01am 1 -Sep -88 RB 2 AP N10. 33 03 —2 --W NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY The undersigned, " �A" 7 do hereby declare as follows: 1. I am, Aare , the owner(s) of that certain real property situated'in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the.location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. Signature!(��off owner of record STATE OF CALIFORNIA ss. COUNTY OF BUTTE i imWZ�ature of owner of record On 14�7 194EL, ,•before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared/%�������.,���,«;, known to me to be the pers nT whose named subscribed to the within instrument and acknowledged_ that A,/Lxvy executed the same. WITNESS my hand and offical seal. OFFICIAL SEAL PATSY L CARTER m , m NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My comm. expires MAY 13, 1992 168Q f ipees 4 QmW* 44 94M I A - a-l'� Signature Leg:s Name typ d or printed AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) ,1✓ ` ti'1 RECORDING REQUESTED BY AND WHEN RECORDED MAIL TONAME � oaesS v/�e//����.�GLG�/%v��% STATE / 'itle Order No. Escrow No. I 1 !1nn� 91-iov" 0 2 s2 Fli l�72 � (11314155.. GJ(:;;i►'. FEL 0 1 ► / .J SSE THIS LINE FOR RECORDER'S USE — Docymentary transfer tax $....... 1.� �C • .. • ..... • . 0 Computed on full value of property conveyed, or \ �. PAID p Computed on full value less liens and encumbrances remaining thereon at time of sale. t Signature of decl ant'or agent determining tax—firm name 1 � nbibi ual `ain 'tenancy 30eeb WESTERN TITLE FORM NO. 105 ' t FOR VALUE RECEIVED, ANN LY GRANT to EDWARD CHILTON and JUANITA CHILTON, his wife as JOINT TENANTS all that real property situate in the unincorporated area County of Butte , State of California, described as follows: All of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co„ Cal." which map was filed in the office of the Recorder of the County of Butte, State of California, November 14, 1905 in'' Map Book "4" at page 16. Dated_ October 27, 19 72 j Ann I,vn END OF DOCUMENT MAIL TAX STATEMENTO TO NAME IORESS CITY 81 STATE I 1 !1nn� 91-iov" 0 2 s2 Fli l�72 � (11314155.. GJ(:;;i►'. FEL 0 1 ► / .J SSE THIS LINE FOR RECORDER'S USE — Docymentary transfer tax $....... 1.� �C • .. • ..... • . 0 Computed on full value of property conveyed, or \ �. PAID p Computed on full value less liens and encumbrances remaining thereon at time of sale. t Signature of decl ant'or agent determining tax—firm name 1 � nbibi ual `ain 'tenancy 30eeb WESTERN TITLE FORM NO. 105 ' t FOR VALUE RECEIVED, ANN LY GRANT to EDWARD CHILTON and JUANITA CHILTON, his wife as JOINT TENANTS all that real property situate in the unincorporated area County of Butte , State of California, described as follows: All of Block 7, according to map entitled, "Map of the Western Pacific Addition to Oroville, Butte Co„ Cal." which map was filed in the office of the Recorder of the County of Butte, State of California, November 14, 1905 in'' Map Book "4" at page 16. Dated_ October 27, 19 72 j Ann I,vn END OF DOCUMENT ��•- . .5,, a r1, +�-� tiff' ` { "\, J c> 4, �� s��°� 6�'S'l �� �d 'L(,�y0 . •n�,��0 CLAIMANT: ADDRESS: — CITY & STATE: Oroville, CA 95966 IMPORTANT: April ril 30, 1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS Oa SFI?vtrFc `T9111�� OROVILLE, CALIFORNIA GENERAL CLAIM William & Wanda J. Chilton 175 Lakeland Blvd. DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Refund due to expiration of permit. Permit #3401-89MHU AP#33-032-01, Receipt #48326, dated 10-06-89. I Total ermit Fees Paid ----------------------------------- $92.50 Retain Plan Checking Fee -----------------f $15.00 Retain Plumbing Permit Filing -Fee ---------- -- 10.00 Retain Electrical Permit Filing Fee--- - 10.00 i o a ermit Fees Retained------------------------------- 35.00 TOTAL REFUND DUE ------- ----------------------------------$57.50 j ,I TOTAL $57 30 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. I /� yn� 9 Dated this •%•1......... day of ...:........... . 19�!•�.. et .[.e:2.6�zL�.(.L.•... Calif. ignature of Claimant !, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have bee erfortned or de- livered and that there is a Budget Appropriation or Specific Board Approval I[D (Checkone) for the same., Dated this 30th April 91 Oroville " ` ...:....................... day of ......... ................. 19....... et .............................. . Calif. ..... .. ..... ............... ............... . ..... partment Heed or Authorized Deputy Dep` 440-002 Exp. 4210500 PAYABLE Const. Permits Code ............................................ Code ................................................ 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. � U���� � �tio?. .. !' `, f�J -���-���z�U i��o����.�.��. �e �e ����� N�,,,r � �► ;� ,s �� � ��� "/�/7 4A � I ( G I s .� Y ' v Page No. 1 08/31/90 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMITS ISSUED 08/16/90 TO 08/30/90 LIST 813 A. P. # PERMIT # OWNER'S NAME CONTRACTOR 06547-0-030 0009-90 wm, GLEN OWNER 06148-0-049 0117-90 FIESTE, E. MAVIS OWNER 047-61-0-018 0839-90 DAMRON, ALICE/DENNIS DAMRON, DENNIS 042-09-0-073 0962-90 EVANS, CLIVE OWNER 042-09-0-073 0963-90 EVANS, CLIVE OWNER 064-47-0-003 1302-90 MASON, KELLY/BETTY OWNER 073-15-0-023 1323-90 HARVEY, MELVIN BLAKES AFFORDABLE HOMES 011-01-0-065 1490-90 OUILICI, BROOKE/MICHAEL MAIS, BERT 027-22-0-110 1550-90 HAMILTON, JEFF BEST LINE 027-27-0-036 1592-90 PERIGO, MARY CLARK, DAVE 030-18-2-007 1598-90 MONROE, WILLIAM OWNER 002-05-0-153 1725-90 COBEEN, IRENE owe 006-02-0-169 1783-90 SMITH, MARVIN OWNER 011-25-0-033 1844-90 HEATH, SAM CAMP, GENE 069-25-0-018 1980-90 GABRIELSON, HALDEN THEVEOS CONSTRUCTION REMARKS LOCATION CARPORT,WKSHOP,SHED 15202 TOREY PINES RD, MAGALIA INSTALL/MH 511 BELL RANCH RD, OROVILLE NEW SINGLE FAMILY 95 DOMINION DR, CHICO NE►N DUPLEX 2851 HWY 32, CHICO MINI STORAGE BLDGS 2851 HWY 32, CHICO POWER POLE 14277 WYCLIFF WAY, MAGALIA INSTALLATION/MH 1256 ROBINSON MILL RD, BANGOR NEW SINGLE FAMILY 274 CENTENNIAL AVE, CHICO 6 SINGLE FAMILY 514 HAMILTON LN, OROVILLE INSTALLATION/MH 8000 RESERVOIR, OROVILLE INSTALLATION/MH 1106 12TH ST, OROVILLE CONV AG TO COMM 1091 EL MONTE AVE, CHICO INSTALLATION/MH 4138 CAMAS CT, CHICO NEW SINGLE FAMILY 2197 HONEY RUN RD, CHICO ADDITION/REMODEL 5328 TREASURE HILL DR., OROVILLE VALUATION ISTD 10848 08/17/90 0 08/23/90 101706 08/16/90 119560 08/30/90 248400 08/30/90 0 08127/90 0 08/29190 167778 08/28/90 60770 08129190 0 08/30/90 0 08/30/90 41132 08/22190 0 08/24190 105168 08/24/90 30400 08/16/90 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov J'&,'C61i,fornia 95965 - Telephone: 916/538-7541 3401-89 APPLICATION AND PERMIT n AS^a T261A6JEL NUMBER j3,,jj ��JJ ZONING AR MH BUILDING PERMIT 'VffLIAM & JUANITA CHILTON 534-96511$XXX JUEPHONE So. FT. OCC. BUILDING VA A ON OWNER'S MAILING ADDRESS 175 Lakeland Blvd roville CONTRACTOR'S NAE .", ll TELEPHONE CONTRACTOR'S MAILING A DR SS NONE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 e Avenue, roville Permit fee $ • 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00ea 30.00 TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation[] Other E] Describe work:-- mebilebelp>11i yes _ (2 -bedroom) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR SLESS 10.00 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjurycheck o e): ❑ 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 Main service EA. ADD'L 100 AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. I , 2/4sgft NEW CONSTR. LTI-OUTLET NON-RESID BRANCH CIRC UITS 2.50 ea POWER APPARATUS h) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20050C eALO 30 Ex. Occup. OUTLETS RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 37.50 P WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (S_bBGR-ene): ❑ 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. fif I shall not employ any person in any manner so as to become subject Y� 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. 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 of the granting of this permit. ®,�rr?? 77 %X z�_ty4" r, � "� Datey/� Signature of Applicant — Owner Z' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE AL E TOTAL $ 92.50 HAZ --� cuA -'— PARK "— A PD HD I su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF UBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate 6 'z0 '3 Receipt No. ���,7(� U'i0� WHITE-D.P.W.. YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTVZ*1301F PUBLIC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 "I I PERMIT APPLICATION DATA SHEET Permit No. OWNER w -rA. P. No.3-�3� •.d Proposed Building Use Building Inspector U Date 1y -l0_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. .. DATE RECEIVED APPROVED i F; 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 . "-a �"�. - 10. Fees of $ .................... - 11. Chico Urban Area fees paid. .. ..................................... 12. Park fees paid .................................................... A 13. CW14. School District fees paid .............. Sanitation approval from nrb Health Department ; 1 (0 -84 U'f3 / 15. City of Chico plumbing permit............ -- - ` 16. Plot plan and business license approval from City of City for *other `requirements) .(see . 17: Plan ning.approval for (A) Use: (B) Parking: ...... 18. Improvembnts 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) T 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 ❑) ..... i'✓ 24. Recorded copy of Agricultural Acknowledgment Statement ......... :y 25. Letter of signature authorization ................................... 26. <' 11 ; When yo issue the permit, process as follows: 74 Mail to owner. Mail to contractor. r Telephone and hold for pickup at office. Deliver w/yinspector. Other J Applicant -� .ice ,i�%ri� r'. , , Dater.// Copy of plans sent ' Hea`Ith Dept:,. Fire Dept., Other The following data must be submitted prior to permit issuance: (Circle new item not c ecked above). 1. Index permit for above items No. r 2. Additional items required: N t Contractor, designer, owner, was advised�of above required data by—phone _--jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone;--mail—'counter by date Plans checked by Date Plans approved by4e- Date /n-1_ Sets of plans on hold in . File cabinet AP folder Copy—DPW