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HomeMy WebLinkAbout039-270-142- - - -- R. 39-2 _ 7 CANFIELD � � 3959 right St. Dayton lot 20 Contr: Irrl tion Pump & Ele F3959 270 -092r Permit#3689-86 01-1 ] lAG util, MH) IZIQUEZ, ANDY A. , ELEC aC0.4" I "'1'Z CARTWRIGHT ST., CHICO GAS (�. B l EX PERMIT - FARM EQUIPMENT -SUPPORT STR RE COMPACTION TEST RE .4w,ovO—erz qv /il/T/ P 39 -27 -IJP !4� Per B- =•- ? � I - r _ued.-1, 3d— e% V 1 r I I 1 BUILDING DIVISION COUNtY OF BUTTE e DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 60/_/l 1 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. ASSESSOR PARCEL NO. 1, �d` ZONING OWNER^ � -tZ / n 7 PHONE NO. OWNER'S ADDREiS-'tS qs C n cw G 7` C/� C IQ LOCATION OF BUILDING USE OF BUILDING q lolnC r SIZE OF STRUCTURE .� y + a X' = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —L_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT / `�''�� / �itiiyl+ 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. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms 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 o LPA' 0 Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building per —j Receipt No. �� PARC P.D ROOF I E � `� 7 b Manager Building Division p i By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant �� �� �.:.xti1�^i-��:wh/i'/�+lTd"iY'+�:^ttr�'x'FN'► ` `_"4aCrrn:t r �f � ,,.a �„�,� ;,K,�v'°r'S::r+l,_r -.. '�.t.a`,.wy� COUNTY 0F'WL*E - DEPARTMENTi�OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET " LQ Jli . .. ' q yl htt.MS Od.Wd Proposed Building Use: A6 y Building Inspector:, Date: - � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form.-----------------------------------------------------------------------------------�--- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.---------- ------- ❑ 10. Fees of $ s , 1111. Anpact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ___. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 1:120. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------e- � C1 22. Workers' Compensation carrier adil"policy number. --------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - --------------------------------------- E124. ------------------------------------ ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - --------------- 030. ______________❑30. Other: (Date) Wele you issue the permit, process as follows ❑ Mail to owner, Dail to contractor. phone ��- b �J and hold for pickup at C ' 1760 office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: a Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by' Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by, t? 'phone;-❑ mail, ❑ Building Division counter, by ! Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: ` Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: PERMIT NO. 3689-86P E NH t PERMIT EXPIRES OWNER NINA CANFIELD CONTR. Irrigation Pump & Ele ASSESSOR PARCEL 39-27-2 lot 20 LOCATION 3959 Cartwright St, Dat .. Temp. Power Pole _ Called PG&E _ Temp. Elea S-- '-- Called P( Temp. Gas Sei Called PC JOB FINALE( Signature OFFICE COPY t . � Address j GAS Meter By IELECTRIC Dat i Meter By L Date 4&— Temp. Power Pole _ Called PG&E _ Temp. Elea S-- '-- Called P( Temp. Gas Sei Called PC JOB FINALE( Signature J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBI1,EHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zo in Requirements—Setbacks—E sements 1. Zoning Requirements—Setbacks—Easements s; Special MH Suppor _ 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—Test /0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ae-Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ec icity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures lf,aS; Looatiort—Test—Wrap:/ /"L"ft./ /"Nat.or "L"ft./ "LPG 6. Carports; Windows—Doors X_Utffry Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. F otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; W Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. E iricity; M st—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 1 7. Ver and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Vis; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card _131 Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK _ t• 0 f Not OK,, Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) - - _-1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., "Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits . _ - 3. 4. Ftg., Garage: Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6._Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. 8. Piers_ Fireplace Ft .-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. - _13_!Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets &Receptacles at Kit. Counter Date ELECTRICAL Permit OK except Ws 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Gard B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transfor_mer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes =No --_ - - - - _- Service -Riser Conductors & Ground -Main Disconnect _ _ Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _- -- -- --- -- Date Card -BI Date - - - Date Card -BI Date 70. Plb., Elec. & Mech. Equip. Listed for Location 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic [3 Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes E] No: Walks El Yes E] No; Planters ❑Yes J_No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81, Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. _ Gas -est -Meters Tagged; Gas -Electric Card -BI Card -Bt 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ _ Vent Fan: Exhaust above Insulation Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date - - - 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -- '-- -- - --- Card -BI Date Card -BI Date Card -BI to Card -BI Date Card -BI D.,ie Card -BI Date Date FRAMING(Plans) OK except N's Com; lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills: Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: -Furred Ceilings-Stairs=Chases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ _ _ - _ - (NOTE Anentrymust be made each time youvisil jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE'�` OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobile home Ilk Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture i'f (official Approving Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 10 3 6 61 �'-�-r A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -r %U du -JS ��i iS GrG ✓C'��...i Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2759 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3 -/ �7 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. W ;p f� 1AZ2--- Cis' 2Z-5-7 E Inspector 4 /' &eoo2 Q, Date / 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N0. 7 County Center Drive - Oroville, CalifoAia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ n }- 02� ZONIN c) BUILDING PERMIT OWN , IeIck TELEPHONE ; Z- 6 L ,SQA FT. OCC. BUILDING VALUA ION OWNS MAILING ADDRESS r�Cl~+�J CO_NTRACTOR'S NAME Qu13e4 TELEPHONE CONT9-A CTOR' AILING ADDRESS , , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Vv Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 D,r,Y7�c�� GrJGir �� Each Trap 2.00 - .Y9.s"9 C"41e f' S f , 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(V Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00 ea , dV TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities,K Installation❑ Other ❑ Describe work: -.a • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Ot W Main service EA. ADD'L 100 AMP 2.50 SU CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (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 Fl 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) 75 I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yi , OR AODNS. ACC. BLDGS. /20sgft NEW CONSTR ULTI-OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. ) �•o Ex. OCCU eAL00 OUTLETS OR FIXTURES 2L@3i Ex. OCCUp. OUTLETS P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,vr, otract- Misc. H g 15.00 Permit Fee $ 3,7. So 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 FiIirig 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 agai t ajd Count n con qen of the granting of this permit. �j X Date V Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is requi d for exc vations over 5'0" deep and demolition or construct- ion of structures over 3 s ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP. cONST.TTPE I F LAOoJ PARC L P HD 1 suE This permit is hereby issued under s.ons of the Butte County Code and/or work indicated above for which DIREMR OF PUBLIC P1 Ii EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �q -3 0BY � WHITE-D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC, WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CA•LIFORNIA 95965 - TELEPHONE: 916/534-4541 ' PERMIT APPLICATION DATA SHEET Permit No. OWNER Ccs.*, -!� \P I( A. P. No. 39 -a-7- 2 Proposed Building Use (M N Building InspectorDate 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. . . . . . . . . . . Plot plans in duplicate. i_plic, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from C%.tcu Health Dept.. . . /� ��� �� WK 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner El, Mail to owner ❑•). _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 7. Pre-Inspection`for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. / 9. Driveway Permit. 20. Plot plan approval from city of 21. �. 22. ti When you issue the permit, process as follows: Mail to owner, Mail to contractor. ---&--lfeIephone 399 --S63Ly and hold for pickup atC—�office, Deliver w/inspector. Other Copy of plans sent Health Dept., The following data must be submitted pr 1. Index permit for above items No. 2. Additional items required: Fire Dept., Other Date it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---inall—counter by ' date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by— date Plans checked by Date Plans approved by /� Knate Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance L.� 2 O Tec 6. ��-7-z Owner Location AP# Plan approved for: Hold final for: sewage disposal 41� water supply Vr Final clearance O.K. for: Clearance for Z bedroom mobile home. Other Note*** water supply water supply _ Sanitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT F'U T E C 0 U N TY, CA. FOR RESIDENTIA,DEVELOPMENT RECORDER'S tJPIG'.HE �y Section 26-8.1 of the Butte County Code requires this acknowledgement'.,.!.._A,,,_R be recorded prior to issuance of a building permit. 86-44205 iQ86 DEC 12 PIS 12: 09 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thiRECORDCD AT R QUE$T OF property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbPaIrr I�S'; and fertilizers; and from the pursuit of agricultural operations inclu , ed to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: NOT COAAPARED M4M ORIGINAL DCCUMENT._ ... . Lots 19 and 20 of Block 6 of the Town of Dayton, as the same appears of record on the Official Map of said Town, filed as of record in the Office of the County Recorder of the County of Butte, State of California. Date: State of ) SS. County of ) On this me, the PROPERTY OWNERS. the /o _ day of :,�-, J 191;/_, before undersigned Notary Public+, personally appeared Personally known to me. Proved to me on the basis ' DONALD DRf%4'0Nrr of satisfactory evidence. -� NOTARY PUEDC-CAUFOR,MA Uo be the person(s) whose names ) subs ribed to E01r; county btyCommission-7ra,resScD!.16.1989 % the within instrument and acknowledged that -.executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r Notary Public Present A.P. No.:T��-f _ –•' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �3 7 County Center Drive - Oroville, California 95$65 - Telephone 916/534-4541 :23 — APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBERZO P ? — NG BUILDI PERMIT OWNS TELEPHONE '5. SO. FT. OCC. BUILDING VALUATION OW ER'S MAILING ADD ES is ONTRAC ORSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ d ARCHITECT R 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 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI SIO NAME PA EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome10— Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00ea TYPE OF WORK J New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation Other ❑ Describe work: v _ Permit! Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS4L 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification el, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a ,h¢sgft NEW DCONSTR.� A ) ULTB.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) i SINGLE OUTLET CIR. Ex. OCUp(OUTLETS OR FIXTURES 20050¢ CBAL930 EX. OCCUp. FIXED APPLNS. OUTLETS (RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 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. 22/f 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 1 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, a expenses which may in any way accrue against said Count iiIse en of the granting of this permit. p� X I Date �-O �� Signature of Applicant — Owner ❑ Contractor❑- `Agent ❑— An OSHA1 permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h ight. Mobile Home Installation Fee $ L4 S Energy Inspection Fee $ TOTAL PERMIT FEE $ t7D . occup.CCINST.TYPEJ FLOOD PAR PD \ i HD I 9UE This permit is hereby issued under sions of the Butte County Code and/or 'work -indicated above for which E TOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'T�7/� h Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a i OWNER ., ...... ,: ...- .. -... �. ... .. -.. .. ... ... -mss .3 :�. .,. - ,. w COUNTY OF BUTTE - DEPARTMENT.OF,PUBLJC WORKS - BUILDING IJIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAI''ll ,6AkVIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET��... �j Permit No. Proposed Building Use Building Inspector 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. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. X15. 'i 17. T:, 18. 19. l!t� 21, 22. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. • Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . Letter of signature authorization. . . . . . . . . . Sanitation approval from 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 -Inspection for Pre-Inspec. request to Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city,of Prow' off. G?,1�Gv1Z�-P�/ nf/p1 cQ i ,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 Applicant (Date) Date W 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--jnaiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: 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. • , - . ` .. X07 n; `.�. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes Ey No T-1 (If yes, furnish permit number �� �`Cy /�) OR Is the site an existing site? Yes No F (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 H_ No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------- .--,---cep Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the F mobilehome site service? -------------------------------- Yes No __ � (If yes, identify the load and size: •(Load) ,�D (Amps) 9. What is the mobilehome site gas pipe size? -------------- -i (in.) •�� 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe•length less than 6 ft. on natural gas or less than.50 ft. on LPG.) (BTU) ,�l MOBILEHOME SUPPORT DATA ► IfJothei than single wide, Mobilehome Mfr.0 furnish Setup Model No. Width /2-- (ft.) Box Length SO (ft.) Tagalong or Expando Size, _ Year /q7Y ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) FX Wood-pressure treated or foundation grade. 0 2. Other (specify) SUPPORTS (check one) F]1. Concrete block.® 2. Other (specify) e Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- ,( Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. --------- Location (From Front) _ Lin, n, Line 1 Line 1 Openings: Size -Min- ------------------ „x n Each Side of Openings With Width Over --------- s '� Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ , u Spacing -Max.--------------- From Ends -Max .------------- e v riers: Size -Min .------------ Spacing -Max---------- , From Ends -Max .------- Size -Min------------------- Spacing -Max.--------------- ._ u From Ends -Max .------------- Line 5 Roof Loads: Size -Min ------------- x „ nx ,k a nx n nx „ "I nx n ux „ Location (From Front) ,_ „ ,_ ,_ „ _ „ ,_ �7� /�O✓I,R6 �Cd ��O Q�E�SzPh�'t.�,E 1z�� �t.✓c� v��g. �' SOt/�P�. p f' �.tJ�T"lOrs% Maim Phis set of plans and .specifications 1wa�, �� t {- MUSE b• M 14 LA t`"keptton the job at all times :and it is unlawful f 1 rriak any changes or alterations on same without ; written permisson from the Department of PublicI a a,}- Works, County of autte. : ; A setback of 5 ft.;fror> the { i property limes anda'setba,;k , of-50ft4-rom-the road *-�-' j - t Centerline -s a� be clear; oi 14f t , i t 7 1 • structures of equipmerate `cepf . J i ' a 2 ft 6 I t for ;. a �;e' ouerhdng, j.+ f.,.� t 1-7 7Z 1 _ _..{_. J t 1 , 4 t I NT__ `: f MM l NOTE;-. ll' c ialsA & Workmanship S fall, e i 1 { 54*i' A6cord6r. cta w :�ccognizcd Good Prat iced do �{ �,` •�, f o . q cjucz rty' p L:cr:lrc:i 'for 6e &pgcifjed se -i th niform. trildi FlGmbin �a Mechanical odek-an r °, -C , , • i 7 9 i. ar Ei �. t Q Nct' nal E trical Code.. S £ C ;EF 1 . � � , � , ••` � 'moi -S-' i t� { i I / 1., �•�•�• �-r.F -I -t 1, ~tom '.. _.t �1.-rr i a _ _. _ t .,.1- .,:._•./. 1 -+ + •y -.t -i,. I..t.,_i...�..��.: .i.,.-.f��•� I. [ 1}} �• J 4.1 , 1