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041-290-106
041-29-0=106 '''92=3640 P, E AVILA, Manuel 1918 Oregon Gulch Rd, Oroville. con`tr: Harold Balaz J mh u GAS COMPACTION TEST RE. SUPPORT STRUCT REQ--- 10 1-290-106 -,,— PERMIT#97-0368 A LA, Manual 91 Oregon Gulch Rd., Oroville Mob lehome Utilities ELECTRIC GAS ,LINE COMPACTION ST REQ SUppo STRUCT REQ____-- 0 =290-106. PERMIT #97�2418E A I �anual 918 Oilegon-Gulc h Rd., Oroville E LECTRIC*-/610 i)v GAS )-10' COMPACTION TEST SUPPORT STRUCTURE " OIL].-2n 1 on -1 PET-1i'lT x`98--0153 AVIT A el q18 C). e.11on Gtilch Oro ill - e I I'll- T V97-21-.18 =1r__} r� � r ` RESIDENTIAL C , y PERMIT PERMIT r • OWNER Jt CONTR. ` `ASSESSOR PARCELD41- 0- 0, 'LOCATION'C t Y. 01r) 7 n� c< a OFFICE COPY r 1' Address s GAS �/ Meter By Date ELECTRIC h Meter By Date 1 - \ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service _ Called PG&E — IJOB FINALED (Date) T 1 Signature 0 � L—. V=OK 0 = Not OK Not `=NotRepady MOBILE HOMES Date -MOBItE HOME UTILITIES(Plans) OK except #'s Requirements - Setbacks - Easements C'e�pW Special MH Support Sketch Or Sewer, location -Test -Fall -C/O -Concrete 4.r, Location -Test -Easement Needed (Sketch) LA"Electriqly; Location -Clearances -G p�oncrete 6 �• *6. -Pd Location-Test-WRp; / /'LYt (( jam' / /Nat oTG II Clearance & Disconnect j Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 equirements- Setbacks Easements Sine -Spacing -Marriage Line Test DemardValve-Connector MH Test-Crossovers-Breakers-Clearances i lost -Fall -Flex Connector ater and Sewer Connected -C/0 to Grade -HD Approval Ga ectricity Tagged •�e� awns -Type -Installation Cert. Exits; 11. Cert of Occupancy —49. Permanent Foundation nly: License Decal Date , ; ID Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A MISCELLANEOUS Date DECKS, C2 -W8, CARPQR , GARA E (Phos) OK except ra 1. Zoning Requirementstba -Secks-Easements 2. Footos: Soils-Size 3.. Decks; Girders and/or Joists,-Decking-Bracing-Stairs-Rails4. Wood Awn.; Posts-Beamsfiftrs.-Connectors. Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice•Decal-Enclosures 6. Carports; Windows -Doors 7. Electric I 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing—Veneer—Stucco-Mesh j 10. Roof; Shthg-Roofing 11. Ext; Steps-Doors4 andings 12. Braced Wall, Panels I Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connecyons-Thickness Dead Men -Lining i 4. Elec.; Receptacles and Lighting, Distance -GR j 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/9 Circulating Equip. -Pool Lghtg. Boxes-Erxlosmes-Panelboards4ns. to Main in Conduit 4 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche t I Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 ✓ o OIC 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth RESIDENTIAL (Single & Duplex) 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ J' Ftg. Depth Date 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts4Nrapped 35. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 36. 6a. Hold Downs and Special Anchors . 37. 7. Slab, SteelAlfrapped 38. 8. Piers -Fireplace Ftg.-Steel 39. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 45. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Garage Fire Protection Framing 11. Water Pipe; Test -Anchors -Regulator -Service Test 52. 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 14. Girders -Sills -Anchor Bolts -Joists Vents-Uppies 54. 15. Access & Ventilation 16. Insulation Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 17. Water Htr.; Vent -Access -Combustion Air Baffle 59. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Infiltration -Walls -Windows 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 45. Headers & Beams -Size & Bearing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. i --ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Data FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58, Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: S PERMIT NO.: Owners: L/ Name: Owners: 0 /?-,p IZ-6 Address: Mobilehome Year of Manufacturer Manufacture: Serial number --Z:-7 -Z � Insignia or 0 orV.I.N. HUD number: L Official approving installation: Date: If the mobilehome is movAfo_r relocateg0the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundatiorf system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor T* COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Lj t �7 Ly�d r OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a x Date Inspector REV 10/92 r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. {,, D Date Inspector REV 10/92 '•Y3 s r 421-11 k. Date Inspector t f REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE J OWN& PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. I .you have any questions pertaining to this matter, or need additional explanation, please co 6t this office immediately. 4 AA Al s r 421-11 k. Date Inspector t f REV 10192 t 11 a CONTRACTORS VERIFICATION — Z 3 0 Z I CERTIFY THAT I HAVE' INSTALLED TX ABESCO ANCHORING SYSTEM AS PER THE .INSTALLATION INSTRUCTIONS. I HAVE MADE NO OD FICATIO T T E AK'HORING SYSTEM OR TO THE BUILDING STRUCTURE. W COMPANY NAME: __ _ ___ =__ ____ CONTR CTORS LIC Q ---------- — -- - — -- DATE: ------------ SIGNATURE:_ _ ___ ___ . 1. PLACE CONCRETE ANCHOR~INTO`WET CONC �O 3 a 2 , ALLOW CONCRETE TO PROPERLY DRY 3 CHASSIS ION CONNECTION H SSIS C N 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER 4 SHOWN. '2. INSERT* STRAP THROUGH SPLIT BOLT. CUT OFF I m EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL ' STRAP IS SNUG. J � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, Cgliforria;95965 - Telephone (916) 538-7541 PERMIT (Rev. 12'/96) APPLICATION AND PERMIT 99- �/r ASSESSOR PARCEL NUMBER 041-290-106 ZONING U BUILDING PERMIT OWNER MANUAL AVILA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 918 OREGON GULCH RD ROVI LE C9NTRACTOR'S NAME TELEPHONE ' OWNER CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 3, BUILDING ADDRESS 918 OREGON GJ11,04 RD Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNLSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome LX_ Other • ELL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation O Othe ❑ / Describe Work: ff �r l C-� 6 . - Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S I j i 920.00 (40- Ut PERMIT FEE $ Q. ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 2.OAORLESS 23.00 0-3,t� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin g with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `l as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Iram exempt under Sec. Business and Professions Code for this Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. sLDs. SO 3.5QFT: NON-RID. ANC NEW CONST. C CU MULTI.OUTLET ES @7.50 POWER APPARATUS '".LROUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAS p I.50 Ex. Occup. OUTELEDTSq RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE INSPECTION X80 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Se I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com I i 'osep isions. 1 Date l/ Ui n lure o Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and dem lition or construction of structures over 3 stories in h •ght. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. T TOTAL FEE $ l i HAZ. f1dEIMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicat a e for which fees h v ^ _ y /'^ / PERMIT EXPIRES ON `( the applicable provisions Resolutions to do work been paid. ` 1 ate �I^! lk-�47 Dal ReceiptNo. i) , Civ WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK -I S ECT R GOLDENROD -APPLICANT �4 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: YESX NO ❑ - DI HAVEX 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: CONTRACTOR'S 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: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: -- SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by,property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER gwfnr�r+Q•'e�+. D�::�r�y'rfMsa.�...i9�•wvayapeNyvm74ragrNRS� `'�t''..f�]aT- j[tvsn♦ COUNTYOF BUTTE - DEPARTMENTOFtDEVELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER [Ut No. Proposed Building Use 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 . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4., Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (constr •on approval required prior to occupancy). .. .. .. . :•� 20. Pre -inspection for required. ..oe��a�9,�T.°e (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded. deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance ..... ....................... Documentation of legal access . .....................:.............. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B eets zoning area an fr�gntage requirements . ............... 31. Existin violations ........................ 32. Plan chec ........ ............ . 33. S When you issue the permit, process as follows: "- Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONIN0 BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWN 51�UjIUNO DRESS ljJ( J CONTRACTOR'S NAME V TELEPHONE ' RACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS AWUNG ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNLSION•S AWE PARCEL WAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRU TUBE SF ❑ Duplex O Mobilehomqj?� Other sPECIFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other Describe Work:El Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 J__ PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zow oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O Tram exempt under Sec. Business and Professions Code for this Main Service sow To 46. NEW CONST. DWELLING OCCUR CCU OR ADDNS. ( & ACC. BUDS. so so 3.50FT. NEWS MULTI -OUTLET NOARESCONIo. 97.50 POWER APPARATUS 8 SINGLE 011r. CIR. Ex. Occup. ounETORFUTURES BAL Ex. Occup. oFuntrs pa D,oEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mi C. Wiring 23.00 _ X13 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDFJ PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. r WHITE -D.D.S.•B.D. ANAR •AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A.P. # OWNER PERMIT # ?"+� MH UTIL. CLEARANCE DATE e2 �S 7 INSPECTOR. ZR, l g ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH lo LD COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, C41ifornia-95965 - Telephone (916) 538-7541 PERMIT N (Rev.12/96) APPLICATION AND PERMIT - , � ASSESSOR PARCEL NUMBER 041-29-0-106 ZONING u BUILDING PERMIT OWNER MANUEL AVILA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 918 OREGON GULCH ROAD, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 918 OREGON GULCH ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation= Other ❑ Describe Work: 7,, 1 (Pre— /� T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0,1OR s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW NOCCUP. ADDNS. ( ,% SO 3.5QFT: NOR EW CONS. ICOUT�ErG NON-RESID.TANC cI c @7.50 @7.50 APPARATus 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES)__�1 0 1:00 Ex. Occup. ourEiEis AE�slo.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 - Misc. Wiring 23.00 PERMIT FEE $ t WORKERS' COMPENSATION DECLARATION I hereby "affirm. under penalty of perjury one of the following declarations: ❑ 1 Have" and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the perfo mance of the work for which this permit is issued. ❑ 1 have,and will maintain workers' compensation insurance, as required by Section "• 3700 of th'e Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling \ ' Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith �ly ' h tho p ovisions. _ _ Date ` nature of Applicant - ❑Owner Contractor ❑ A ent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. CONST. TYPE TOTAL FEE $ 143.00 D, FE IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indic a ve f which fees have ByA; PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 77 7' V'9y Date Receipt No. WHITE-D.D.S.-B.D. CAM -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,. nry.�: T.. r � � i; -T rC' 4y�+•�r- .. T • •.: ' ti. }i..w•�"'�irl�4''TvrR°^'+H~ `iMt+:a.x.�,,.• _, ... ,� :}..� J �i.l. -1 +'Ir�*:d'.. ,'^'`..'«i�-'-•.1.Ta.� ru'r'fy,�yJ�i i;•�'`.. . 3 Y COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, UALIFOIZ�NIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET / OWNER: ! GL # ASSESSOR PARWounflfte—dplior ER: O - Proposed Building Use: Building Inspector:Date: At time of permit application, I was advised the following data must to permitssing and/or issuance: Date Received By 111. All items have been submitted ------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the prepares of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. azardous Material Form. ------------------------------------------------------------------------------------------ ufacttmred Home data d installation instructions includ Tie Down S ecifications.---------------- ❑ ��10. Fees of $ ----------------------------------------------------------------------------------- Impact fees as shown on the attached schedule.----------------------------------------------------------------- 2. ornia Department of Forestry plan approval/fees.----------------------------------------- --------------- El 13. Flood elevation certificate. --------------------------------------------- 1114. -------------------------------------------- ❑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. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------ 022. Workers' Compensation carrier and policy number. --------------------- 023. Owner-Builder --------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ----- E128. Existing violations and/or expired permits. 029. .0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ gther: r 14 L41s Mootad cl When y-ou issue the p t, rocess as follows 11 Mail to owner, 01 1lTelephone and hold for pickup at n (Date) Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 1. Index permit application for the above items numbered: _CU` 2. Additional items required: D ver th inspector. Date:�e . Date: By: Date: By: Contractor, designer caner as advised of the above required data by o phone/Wail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by _ Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Contractor, designer, owner, w ¢sed of the above required ❑ phone, o mail, ❑ Building Division counter, by Plans reviewed by: L7t -) Date: a� Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Check List Date: Date: Date: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 c SCHEDULE OF FEES DUE r II OWNER A.P. # O` { PROPOSED BUILDING USE DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................. $ . -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... $ ,P<2. SCHOOL DISTRICT FEES ` h (paid at District Office) /A � —4�26 SHERIFF FEES (paid at Building Division) Residential ........ k x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ `} #Units Amt. Commercial (sq.ft.) . x =$ Sq.Ft. Amt.�w. r 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Original -Owner Copy -Building Div. DATE . (Rev. 12/96) O.B.- 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: YESX NO ❑ 3 I HAVE. HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME, ADDRESS: PHONE: CITY: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER. V��C/ SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. if your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information foryourbenefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building. permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification's on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, �6_, Mic el C2uilding Viira, C.B.O. M ger, Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER I r-, 1. Owner's Name: q YiV& All /cc 2. Assessor's Parcel Number: 3. Installer's Name: .1 e- %.4. -%4. Is the site currently under permit? Yes[,X] No[ ] Permit No. 91 5. Is the site an existing site? Yes[Xj No[ ] (If yes, furnish two plot plans): 6.- What is the electrical rating of the. mobilehome? O Amperes. 7.. What is the mobilehome site circuit breaker rating? ,O Amperes. 8. What is the electrical rating of the mobilehome site?� Amperes. ".. 9. Is the main service remote from the mobilehome site? Yes[ No[ ].If it is, what is the rating? Amperes. , 10. Is there -any other electric load to be served by the mobilehome site electric service (i.e. ell arage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a - The mobile home site: x _ G Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: `" inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?/,), 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION f pye G NMNW BWLpNrG DEPAFiTMENg APPROVED May 1995 8.5 Mobilehome Manufacturer: sl,t M V ; � Manufacture Year: /& If other than single wide, furnish Setup Model Number: Width:/0_(ft.) Length:(ft.) Tagalong or Expand Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: �- l Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 fLme Line 2 ne 2 .............................................................................................Main Beams Line2.............................................................................................e2Line 1 ne 3 2 .............................................................................................Main Beams ne 2 ne 1 ............................................. e 5 Tag or Triple e4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: I C` From ends -maximum] 4` Line 2 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size -minimum..,,;_,, Location (from front): 2 . Line 1 Openings Size minimum: [ ) x [ ]. Each side of openings with width over: I I` Line 4 Piers: Size minimum: [ ) x [ ]. Spacing maximum: C` From ends -maximum: I` '_ '. ; �' r• -ti �� OVER 'O B.I.N. REQUEST FOR INSPECTION Permit No. Locatj,-n: �l / 0 k (%- aa. ,.4k --7 wner. Contractor or Tenant: Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U.(PRE- Form Rough Rough ]INSPECTION Frame/Underfloor Top Out Temp. Service Corrections Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit Verity Utilities Bond Beam Water Piping Light Niche OTHER Insulation Shower Pan Nailing Corrections Corrections Corrections Final Final Final READY FOR A.M. INSPEC.ON 19_ P.M. Date: Time: Note: OWNER: AV( I DATE I LOCATION: " ( (1 I'1 �rCll(�I�'� A. P. # CONTRACTOR: (�� ZONING -----------------------------------------------------------------------------=------- ---------------------------------------------------- PRE-INSPECTION FOR: ------------------------------------------------ PERMIT�HISTOR :NONE AS FOLLOWS: TYPE OF OCCUPANCY DATE TO INSPECTOR FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED 0 HAS ELECTRIC ] HAS GAS HAS SANITATION FACILITIES 0 HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: 9 ACTION RECOMMENDED: ISSUE � HOLD FOR. OTHER: BY DATE , -4 , .. (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z°N'NO BUILDING PERMIT OWNER /�/� / / n ✓l G / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN S UNG DRESS „✓ 7 f CONTRACTOR'S ME TELEPHONE RACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHRECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee b BU0.DIN0 ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUBDNLS IONS NAME PARCEL QIAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRU TUBE SF ❑ Duplex ❑ Mobilehomqjl� Other SPECIFY/ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 OOLES9 Main Service so -v OR w oR LEss 23.00 � L� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ lram a empt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Calrfornia, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service sow TO IOooA 46.00 NEW CONST. DWELLAIO Occup. so OR ADONS. ( a ACC..LDS. RES1p ' MULTr,OIftLET @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES Bw®' Ex. Occup. ounEETSA��cio.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 M' c. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ MAZ. I o. FEES IMV FL000 COF PARCEL PD HD i ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date r08I9J ReceiptNo. WHITE-D.D.S.-B.D. ANAR •A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W110 -010 Q ot. -INN -44 K3 W110 J • 1 � 1 f . l j 1- C V, � , i'i � t mit`'. ♦ •� <*�y �• 3 Oil Oor 1000, 7 po 0$ CDP July 20, 1998 Manuel Avila 918 Oregon Gulch Road Oroville, CA. 95965 Assessor Parcel Number: 041-290-106 Building Permit Number: 98-0153 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Ordinance Number 3321 requirement that your Manufactured Home must be 1976 or newer and HUD approved. Therefore, your application for the "1964 Summit" home cannot be approved. If.you wish to discuss any of the above items, I.can be reached at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, AL"A- Glenn Gibbons Plans Examiner 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FO (One form per Building) ko School District n : e) ri Building Departfnent No. A.P. Nuffffi-er 2Q -/0/, Jurisdiction: City County' Property Owner Property Location/A Subdivision Residential Development Commercial/industrial = � -X1 No of Living Mobile Home Ynit.s. Insta0tion New Lot No. Addition Addition Building' Department Representative (Floor Plans reviewed by School District Personnel) Sq. Footage .90 (Group R) Sq. Footage (Including �Xterikor Roofed Areas) 9 /9. Date 490002 District Identification No. OM V'd)e Sc hool District certifies that 61 11 (Applicant) VIr (Street Address)- nildx,, . . I has complied with the requirements of ResolutionrNo. representing, square feet. School District Representative Paid by GheA. # ,9 &;13 4:3 2 77111 (Phone Number) (State) (Zip Code) 5�. by payment of $ qi� 4 JVB IL116 $ L W LL NHUIGATION $ Af I /V� —7�5 '1(05e) ;6G)C)-)./U 600060dVo �R--) :7 0 C)o o C) ra) Nofice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit rt action. you from challenging the Imposition of the fees in any cou If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the.School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to full�'mitigate its Impact on the school district's schools. y White (applicant), Yellow (building department), Pink (school district) feeform.xis 12/97)dmm 0 I — 29 — f O (o AP# CDF FIRE SAFE REQUIREMENTS q,? 0368 /- . fit• PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [PQ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance_ must be provide for by the land owner. Driveway Standards ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte'Lant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 rr// pounds. [Y7 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of r curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. q_1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. l�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. IN 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -3--, 2-29 14114A Ld AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all I building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing -traffic on that roadway. [ ] 3. Where a* one-way road with a single traffic lane ,provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. 'All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME - Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property . line with insufficient setback — Siding from the following list: Stucco - 3 coat Hardi=Board or Plank Masonry . Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 June 30, 1997 Jesus and Eugenia Avina 7240 Palermo Honcut Hwy. Palermo, CA 95968 ffutte Count PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7601 FAX: (916) 538-7785 RE: Application for Determination,, 027300-068, FILE DET 97-12_j Dear Mr. and Mrs. Avina: At the regular meeting of the Butte County Development Review Committee held on June 26 , 1997, the Committee granted a Conditional Certificate of Compliance for the above -referenced property. The conditions are: "Pay the recording fee in effect at the time the Certificate of Compliance is recorded. The current fee is $7.00 for the first sheet, plus $3.00 for each additional sheet. The estimated current cost for recording this Certificate is $10.00 without conditions, $13.00 with conditions. This cost estimate is based on 1 page notification (first sheet), 1 page of legal description attached as Exhibit "A", and 1 page of conditions attached as Exhibit "B"." 2. Provide two-way traversable access to the parcel from a publicly maintained road or state highway as defined in the County Code. 3. Provide approved access to the parcel from a publicly maintained road or state highway in accordance with the County Code. Minimum easement width to be 25 feet. 4. Place the following informational note on the Certificate of Compliance: "All new structures must meet the Fire Safe Regulations of the Butte County Code and Public Resources Code 4290 and 4291." - There is a fifteen -day appeal period before this certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If the condition is cleared prior to the end of the appeal period, a "clean" certificate with no conditions will be recorded. Should you have any questions regarding this matter, please contact this office Monday through Thursday, between 8:00 a.m. and 4:00 p.m. at 538-7601. Very truly yours, Thomas A. Parilo Director, Development Services By '�Gu cc Environmental Health D artment Building Division -,-----,Building Development Division 'i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaNfornia 55965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER + 041-290-106 ZONING U BUILDING PERMIT OWNER MANUAL AVILA TELEPHONE SQ. FT. OCC.1 BUILDIN LUATION OWNER'S MAILING ADDRESS 5970 MERRY WOOD DRIVE ROCKLIN 95677 CONTRACTOR'S NAME HAROLD BLALAZ TELEPHONE 534-1190 CONTRACTOR'S MAILING ADDRESS 3070 LOUIS AVE OROVILLE 95966 jog Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS OREGON GULCH ROAD Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S TO FW 1 @ 15.00 TYPE OF WORK New Addition[] Remodel Utilities] Installation❑ Other El Describe work: MH U 3 BDRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business ul fo and Professions Code and my license is in frce and effect. License No. Classification Classification ElAPLNS 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 200ATO1000A) NEW CONST. ( DWELLING OCC UP.g) OR ADONS. ACC. SLOGS. _37.50 3.64 sq.ft.I NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS 5.00 POWER APPARATUS e (SINGLE OUTLET CIS. Ex. Occup(oUTLETS OR FIXTURES 76 Ex. Occup. OUTLETS P(RESID )REA.) I20 ! 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring '15.00 Permit Fee $ 48.50 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 o the W. C. laws of California. No4e -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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen s, osts, and expenses which may in any way accrue f the granting of this permit. against id County ' o �q;Zn X Date10 '-- f '2ys Signature of Applicant — Owner El Contracto"0 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 128 50 HAZ DFEES IMP FLOOD CDF PARCE P HD. •/ ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI E TO F PUBLIC By PER !EXPIRES Date applicable provi- resolutions to do I have been paid. WORKS Date// /d -R Receipt No. 126233 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT F.H. USE ONLY riIT n An- -i,<a 4 ci ' TO: Buildin., Department �s FROM: Environmental Health SUBJECT: Sanitation Clearance 1741, Owner 161cation AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well J Clearance for bedroom mobile home. Other V 11 Hold final for: Final clearance O.K. for: NOTE q L-nv1 oni tal Heald Specialist Date 8/92 ' e . i W_"1.'t-YMAV ."1 Y ;, ' {'a �'M: }IVV-v "'t t1C . r� 'r.J �jv' -i '-•1P 1 � �'��i�'•A'T�f"�'f' �R'7^U(j�is-i}•�'L `f M•( '�'fr'-��'r��h: COUNTY OF 13UTTE,,*&E0AkTMENT OF�UBLIC WO.1: BUILDING DIVISION 7 COUNTY CENTER DRIVE 'OOVILLE; CALIFORNIA 95965 TELEPHONE (916) 538-7541 P RMIT,APPLICATION DATA SHEET OWNER (X!a t �, `. P. No. U��m) lob Proposed Buildin Use /#J/- L) Of5k Building InspectorDate to • 13 -IFIL. w At time of permit application, I was advised the following data must1be submitted prior to permit processing and/or.issuance: DATE RECEIVED BY All items have been submitted. . 60 ( Plot plans/4 sets, signed by preparer of plans. . ......................... u 3. Complete plans, 3/4 sets, signed by preparer•of plans. a ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............:................................. 6. Energy Design Compliance and supportingjdocumentation. .................. 7. Statement of Intent for Non -Heated and A/C,Buildings. .:.............. .... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ..'.:......... . 12. California Department of Forestry plan approval/fee's. ...... ................. . . • Flood elevation letter (100 year flood) by California Engineer. ......c ........... Sanitation and plot'plan approval 0/ Health Department . ............ /O 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for.(A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. . _ riveway I0Z permit (construction approval required prior to occupancy). 20. ust Pre -inspection for required. ., . tto guild g Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classificaiion). .............. 22. Certificate of Workmans Compensation Insurance . ............ .......... _� 6p23. Owner -Builder Verification (Given to owner , Mail to owner ).r .......... Agricultural ecorded copy of Acknowledgement Statement . ................... ' 2 Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use., ......................................... -- 28. Mobilehome utility clearance . .......................................... = 29. Documentation of legal access. ....... -� _ ,. 30.-D66umentation of 50% subdivision developed or (A) Road improvements completed' - �� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone q.3�/ " 11919and holdfWpickup at 674�7,> office. Deliver with inspector. Other 44 Parcel Creation e���. _ ' �0 /S, 52 Acreage Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). fir' 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date i Plans checked by Date Plans approved by r�� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works /0 •- (� -C/-7- K ) COUNTY OF BUTTE - DEPA,4TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / ZONING tj BUILDING PERMIT OWNER/ TELEPHONE SO. FT. OCG`, BUILDING VALUATION OWNER'S MAILING ADORES .59 -7 0 /iiJ ellf 956 7 CONTF3�ICTOR'S AM� -Z TELEPHONE 15311-1190 CONTRACTOR'S MAILING DDRESS -300 7 a t Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation _$ Filing Fee ._.. - V $ 0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ c-->• ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS i A 11/ L Permit fee $ Z G • Cx.:> PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S @ 15.00 5 Q TYPE OF WORK New❑ Addition❑] Remodel[.. Utilities Installation 01 Other ❑ Describe work: � c�j aft r _ Permit Fee $ !7 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 (E, CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADONS. l ACC. BLDGS. 3.60 sq.ft. NEW CDNSTR ULT' -OUTLET NON .R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO Ca)76d FIXED APLNS.❑ Ex. Occup. OUTLETS PIRESIO'REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 CJJ Misc. Wiring 15.00 Permit Fee $ i WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerElContractor ❑ Agent ❑ An OSHAwork permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By - PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I a & 2 3-5 'NNITC-D.P.W., YELLOW -ASSESSOR. PINK-INBPECTO R, GOLDEN ROD•APPLICANT u TO: Building Department FROM: Encroachment Permit Section RE:`Driveway Clearance owner location AP # Driveway permit si ature y has been issued for the above property. date r e APPROVED ,butte County triviroritnental Health Date Dr Signat re a QS \' O 0 • v (� Qs V " 1, v-. PoL., 322' To: Butte County Department of Public Health Division of Sanitation From: Name of septic tank instal er Address A septic tank system was installed by me, or under my direction, at Address or location The system was installed as follows! Date of installation Tank dimensions: Length ft. Width ft. Water depth ft Material Leaching field: Length ft. Width in. Rock under tile in. Additional remarks: i o - Signed Date S27-88OR y Return to DPW AGRICULTURAL STATkMENT .OF ACKNOWLEDGE1MM 9 2- 4 8 5 9 6 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County' Code requires this acknowledgement be recorded prior to issuance of a building permit. - - ---- -- - - --- - - - - - II The property described herein is adjacent 92-04859 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers.; and from the pursuit Recorder I of agricultural operations including, 12:29pm 22 -Oct -92 I PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tu=a1 zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All that portion of the.south half of the north half of the northeast quarter of the northwest quarter of section 34, Township 20 north, Range 4 east, M.D.B. & M., lying easterly of the centerline of Oregon Gulch Road. The above mentioned northeast quarter of the northwest quarter of said section 34, being composed of a portion of lots 5 and 47, as shown on government survey map of said section 34. State County PROPERTY OWNERS: of (AU0DJWlA ) -On this the �_ day of�G%D�'j�r� 191a, before me, the SS. under -signed Notary Public, personally appeared of J� N ) a •.� Beverly A Faulkner U Comm 9973491 M=ao( OTARYPUBLIC CALIFORNIA e SACRAMENTO COUNTY n &IF nH� Comm.ExpiresSept. 17 19% AJAMUCL_. A VI1A Personally known to me. ® Proved to me on the •basis of s tisfac r ev' de e. to be the person(s) whose names) ." � subscribed to the within instrume t and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. - • Present A.P. No. 'nkl -17 L Notary Public END OF DOCUMENT U k ,V RESIDENTIAL 041-29-0-106 92-3640 P,E AVILA, Manuel 918 Oregon Gulch Rd, Oroville contra ,Harold, Balaz� c - mhu I i f f JOB FINALED (Date) Signature P d=OK •' O = Not OK Not ApplReady MOBILE HOMES ' =Not Ready ` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH $upport Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG, 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date • DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK , O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --- 18. D.W-.V.; Test -Fittings & Anchor -Nail Protection -------------- -- -------------------- 19. Shower Pan; Test, First Floor -Tub Access ------------- --------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ------ ------------------------ 21. Gas Pipe: Size & Anchors -------------------------------------- - -- - ----------------------------- DateCard B-1 Date Card -B-1 -------------------------------------------- - ------- ------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- ----- ------ --------------- ------------------ -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ----- - - - - - -- -------------------------- 25 Romex Installed Close to Edge of Studs & C.J. ---------- -------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------- ------------------------------- ----------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------- - - - -------------------------------------------- ---------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. Cu or At --------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral C1 Yes 13 No -------------------------------------------------- -------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------- 31_ Equip_Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------- 33. Smoke Detector ------------------------------ - ------------------------------------------------- Date Card B-1 Date Card B-1 -------------- -------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except p's 34. A.C. Ducts Insulation & Support -------- ---------------------------------------------- 35. Vent Fan Exhaust above insulation --------------------------------------------------------------- ------------ -------------- ----- --- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- -- - ----------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ---------- -------------------------------- --------------- -- --- ---- -- - ---------- Date Card B-1 Date Card -B-1 --------------------------------------------------------------- --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ----- - --- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- ---------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing -- - - -- --------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors -46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue-FireplacE•Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer - ------------ 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------------- Date Card B-1 Date Card B-1 -------------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector----------------------- _ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------------- ------------ ---------- ________ 64. Bedroom Exiting 65.--G.-F.1' & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- ------------- ---- --------------------- 67. Stairs -&-Rails--- 68. Fireplace or Stove: Clearances -Hearth ----------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. -------------------------------------- ---- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------------ 72. Garage--D-Fire oor; Swing -Landing -Closer ----------------------- 73. A.C. Duct in Garage -Damper ------ -------------------------------------- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------7,-.-Insulation-Foam-Looked in -Attic ❑ Yes --------------------------- ------------- -- 78. -Guard -Rails Rails & Deck- Construction -Post Caps ------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes [1No ----------------- ----------------------------- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing -- - --- --- - - - ------------------ -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - ------------- -------------------- 84 Water Well; Disconnect. Electrical, Plumbing 85. Exterior Elec. Trim; G F.I Receptacle -Underground 86. Ventilation Throughout House . ... . --- ------------------------------------------ 87. Glass Protection ------ -------------------------------- - ----- ----- --------- 88. Corrections from Previous Inspections - -- ------------------------- -------------------------- 89. Gas Test -Meters Tagged; Gas -Electric - ---- - ---- --------------------------- pp --- ----- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates - - - - - ------------- ------ -------------Date Card B-1Date Card B-1 - ----- --------------------------------- ------------- Date Card B-1 Date Card B-1 ------- --------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY Or BUTTE Oroville, California GENERAL CLAIM CLAIMANT: MANUAL AVILA ADDRESS: PO BOX 855 CITY & STATE: LINCOLN, CA 95648-0855 DATE OF CLAIM: 10/6/97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO DO WORK. (A.P. #041-290-106, B.P.#97-0368 & i 97-0369, RECEIPT #210069, DATED 2/27/97, OWNER: MANUAL AVILA.) TOTAL AMOUNT PAID....................................$398.00 RETAIN REFUND PROCESSING FEE ................$ 25.00 RETAIN BUILDING PERMIT FILING FEE ........... $ 20.00 RETAIN PLUMBING RETAIN ELECTRICAL PERMIT FILING FEE ......... $ 20.00 RETAIN PTAN CHECKING EER $ 2300 RETAIN SRA PLAN CHECKING FEE ................$ 43.00 TOTAL AMOUNT TO BE RETAINED ...................$151.00 TOTAL AMOUNT TO BE REFUNDED.........................$247,00 TOTAL 247. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this �G� day of 19at �/ k/L' O�/tJ Calif. �i Signature of Claimant I I, the undersigned, hereby certify that, to the best of my knowledge, the services or artic s ied above h eenl�erformed or delivered and that there is a Bud et Appropriation [ I or Specific Board Approval [ I (Check one) forte e ` ,I Dated this l day of �� , 19�7at V �y l � Calif. ' - Dep rtment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION P .RMTTS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: a Receipt Information: I rr�� (} Number: � `�y -1 Date: /Q% Issued To: I ► 1C.t lrn VI-Qe X (yam Amount: $0 Fees Retad.nPd:_ - rn.14-ulJ Processing Fee: $ 06 Bldg Filing Fee $ Plbg Filing Fee $ El dc Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ oqs 0D �� �IG` ppeeti-an Fee $ -(3-60 Total Amount Retained $ 00 D 6/ TOTAL REFUND DUE 1� REFUND CLAIM APPLICATION CLAIMANT'S NAME J�/1 a 9 Rv i MAILING ADDRESS PO ZC1C . 1915's �^ r C \ q llc� ( ol ASSESSOR PARCEL # RECEIPT NUMBER (S) ©'?� - a�_C' —� O C0_ .. PERMIT R 7 — O3& � C� �, Request a refund of fees paid on the the following reason's:^: above receipt number(s) for Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees [V3"" SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE;�&2rj,�Zd=,Z� DATE 220 �� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUMDNG DIVISION 7 County center Drive, oroville CA 95965 «� Phone: 916-538-7541 MANUAL AVILA PO BOX 855 LINCOLN, CA 95648-0855 RE: BUILDING PERMITS DATE: JUNE 24, 1997 A.P. # 041-290-106 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 zets,•signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit.. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. _ Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing"violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: /�T,RI T THAT y0U HAD BEEN ILL AND WOULDPROPER-Ty gN BE DOING THE WORK ON YOUR Rg IF vO.0 WQT]T it T TKF TO APPLY FOR A REFUND,_ PLEASE SIGN wHERE fNDfe*TBp 1N REB ANB WE WliAb pR9GESSEg 4. R -A -R -1 -1 -AL REFUND To V011 WE HOPE YOU Should you have any questions concerning the above, please contact of this office. - 4Manger ery t , C. Vieira, C.B.O. MCV:ahb , uilding Inspection COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI 7 County Center Drive - Oroville, California 9.5965 - Telephone (916) 538-7 �y-1_l�P�RM T o. (Rev.12/96),1 APPLICAT104AND PERMIT `7 I( lJ�� ASSESSOR PARCEL NUMBER 041-290-106 ZONING U BUIL ING PERMIT OWNER MANUAL AVILA TE EMN—E2123 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 855 LINCOLN, 95648 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 918 OREGON GULCH RD Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 23.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome JT Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [X Installation ❑ Other ❑ Describe Work: 2 BEDROOM 1 BATH 12 X 60 Gas piping system 1 - 5 outlets 15.00 Buil Ing sewer 15.00 Mobile Home bp I R I r 1 920.00 PERMIT FEE Sqn nn ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.0 0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: -� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( ACCO SO 3.5¢FT. NOR f& EW CONST. ULTDS NON-RESID. B ANC cl cu @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCu OUTLET OR FIXTURES 21 @ 1000 B . PPLNS Ex. Occup. ouTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.0 Misc. Wiring 23.00 PERMIT FEE $ ' 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �.i I certify that in the performance of the work for which this permit is issued, I shall vv not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those provisi ns. X___ Date S gnature of A ant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FE $ 166.00 HA2. D. FEES IM FL cOF PAR L PD su This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date d ate Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i4,ii-�iNy�,�„AL�1in'r-••°-•Mir,i��e.•P��"'if �'rl�.�� •�'�Y' �.,L � �T������,1,�,�_,. ;���r`',�iy ,•-...ti�'(i� t` z r.. '�..'a.,..i`Cl4 �r�� r e r";� - ti 't x; •, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDl7V IVISION 7}COUNTY CENTER DRIVE - OROVILLE, CAL,��`"95965 - TELEPHONE (916) 53 7541 PERMIT APPLICATION DATA SHEET OWNER Ik-V u a / AV ^l rA ASSESSOR PARCEL NUMBER: q l 02 ! D � Proposed building Use: 4,41414 Building Inspector: 4^. Date: — — 9 7 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-------------------------------------------------------------------------------------- •Yh ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ---=------------------------------------------------- ❑4. 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! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- a ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. -------------=---- 10. ees of $ ------------------------------------------------------------------------------------- Im act fees as shown on the attached schedule��)a?-;)Q- alifornia Department of Forestry plan approv _ � ❑ Flood elevation certificate.-----------------------------------------------------------------------------------J. . 4. Sanitation and plot plan approval Health Department. ------ Ell 5. -----❑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. -------------- -------- 0 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------------- 0 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. -------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ ❑25: Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- (Date) 028. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $--------------- E130. -------------- ❑30. Other: - -- ------- When you issue the permit, process as follows Mail to owner, ❑Mail to contractor. []Telephone and hold for pickup at officeDeliver with inspector. Applic A/�� Date: 2� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, cf Air TUlution Date: By: Copy of plans sent ❑ Health Department, 11 Fire Department, ❑ Other: Date: , By: 1. Index permit application for the above items numbered: .` ', ❑ Plan Check List 2. Additional items required: I �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 ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build g D rsion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 5 ;. I P. 4 .................. ti :.{:\.?zhz:.Mz�: T.'.\\,. \\. T'T...: � S.h�:::: j\ Y?3T:•:;v:?....,6: iX??•:^. ... .: 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]. NO[ ]. ' —.2..-1 HAVEbQ HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: , DATE: 1 –/– NOTE: / NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record permits are not required to be signed by property owners unless they are personally pe rforminn g their own work If your work is being performed by someone other than yourself, you may protect pe . yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: and the work (including 0 If you employ or otherwise engage any persons other than your immediate family, materials and other costs) is S300 or robe fo the an employers project, and such persons are not licensed. as contractors or subcontractors, then you Y 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation -�'-*mance, disability inSUrauce costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowe to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "o�vnerbtrildet' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are a,,., -are of these matters. The building permit will not be issued until the verification is returned. SincereI i I Ivtichail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. • '7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES; 7 ERVICES- 7 County Center Drive - Oroville, California 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541��` �l(U T ASSESSOR PARCEL NUMBER 41-29-106 ZONING U BUILDINGPERMIT OWNER MANUAL AVILA TEg"Zi NE2123 (�({ SO FT OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 855 LINCOLN, 95648 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 918 OREGON GULCH RD Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 43.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y SF ❑ Duplex ❑ Mobilehome Li' Other SPECIFY Each Trap 7.00 Solar or heat pumpwater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation YO Other ❑ Describe work: 2 BEDROOM 1 BATH 12 X 60 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w ±L!7 PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 i. Main Service0E A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACc. BUDS. SO 3.5¢FT. NEW CONST. .uL.TI-OUTLET NON-RESID. @7.50 PowER APPARATUS a SINGLE OUTLET CI R. EX. Occup.OUTLET OR FIXTURES BAL O,,50 Ex. OCCU OUITELETSPRESIU.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) -' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with those provisions. / --~ Date i na re of cant - XOwner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143..00 HAZ. D. FEES IMP FLOOD CDF PARC PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Oere Receipt No. 210069 D. CANARY•A WHITE-D.D.S.-B. PINK -INSPECTOR GOLDENROD -APPLICANT t.<'1'`'�i`tw1C"Y7rf.;li'y:...7sdt.`.�t ,�•�,:`v'��'i, •rti-}�� t.yy�-� t .yN R - ~•,:.•r.,, -r �.., 4i�t'�i''"1.F+,.'t...'.a''',7�-'„L`�p..��;rr; y. COUNTY OF BUTTE DEPARTMENT �OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIs CAI RETIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /4,*,,, . a A lr i /,o- ASSESSOR PARCEL NUMBER: y/% ! 9 Proposed Building Use: M IN r Building Inspector: /Z& Date: _ Z -7 - Q 7 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. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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. --------------------------------------------------------- r' Hazardous Material Form. ------------------------------------------------------------------------------------------ anufactured Home data and installation instructions including Tie Down Specifications .------------------ 10. Fees of $------------------------------------------- ------------------------------------------ Impact fees as shown on the attached schedule. ----------------------------------------------------------------- Z_�California Department of Forestry plan approvaUf&B�-- --_.-------------------------------------------------- ❑ 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. -------------=------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization. --------------------------------------------------------------- ----------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑126.LLee er of intent on building use .----------------------------------------------------------------------------------- .: . �L / Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------ ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: When you issue the permit, process as follows Mail to owner, ❑Mail to contractor ❑ Telephone and hold for pickup at office. ❑ eliver with inspector. O'v _. ApplicanDate: Copy of Haz-Mat form sent ❑ Health Department,• ❑ Fire Department, ❑ Air follution Date: By " Copy of planssent o Health Department, ❑ Fire Department, ❑ Other: Date: By: ,` P 1. Index permit application for the above items numbered: ❑ Plan Check List- 2. ist 2. Additional items required: i / , =7 Contractor, designer, owner, was advised of tl a above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner,- was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ P1an_Ca6i e_f,; ❑ XP. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. -`_' ` ]"iiTl4• 1?]:N�'.wa►�jp'i`%"{A7 i`!� � ✓ j =, ''•'.ry ,adv -'-.r ...r_.a-rWyn'f^ea�.'�r:�r'.K«� ,�.ar,.. �v .uax• r..,1, ,siay TtuujrP�:res COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,. OROVILLE CA 95965 TELEPHONE (916) 53877541 SCHEDULE OF FEES DUE OWNER ,,,, A�Ei �L� A.P. # ���,� � I � 'A PROPOSED BUILDING USE DATE ,�2 -7— 9 REC # DATE REC 1''-, BUILDING PERMIT FEES .'� BDue.................. ue ................ $ . Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... '$ —_ 2. SCHOOL DISTRICT FEES r (paid at District Office) ✓ 3. SHERIFF FEES (paid at Building Division) Residential ........ __j__ x. $360.00.,= $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES /$425.00 (paid at Building Division) , 6Z<7. SRA FIRE INSPECTION AND PLAN CHECK T $89.00 (paid at Building Division) PA 0 o 49 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) . 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed durin the plan checking process. APPLICAN DATE Original -Owner Copy -Building Div. (Rev. 12/96) r . 4—ze 1 a. I� l i i _, _ _ - - ��� ' -�t° ,Tis set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of .public Works, County of Butte. O Pef`m' will ra 4ufre7 for fHe 'nsf011atiO Of a 11706lIehA e G(_,2�c:h 322' ,n*-aftCW,%awe f"Wremsnts mtist.be co►tipj9W f d aW APPaovIed by C.D.F. i NOTE— . AI! Materials,, & !Workm anship Shab Be bt Accordance with `Recogrzed Good Prcctices and of a quality prescribed. fj r fhe Specified use in fhe Uniform Building, Plumb�g & Mechanical Codes and the National Electrical � oda_ Z l` Location of stru�I 8" eQulpment shall; tae as/shoWn & clear of all easements. -4( – - PiEVIEWVE BUTTE CO. FIRU�OT. CALIF. DEPT. Of F�eRESTRY ❑ approved as,�4mitted ) approved conditions per atta d sheet. Signatur7 Date 7 f ALL STRUCTURES. EQUIPMENT INCLUDING OVERHAN"GS. HALL BE CLEAR OF ALL MENTS. A SET BACK OF FT. FROM T SI E AND 31) FT. Ffill THE REAR PROPERT LINES AND SO F-1. FROM THE,ROAD CENTERLINE SHALL BE LEAR OF AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE V r N- oil/ BUTTE COUNTY BUILDING DEPARTRRENT��� �P � 10 E D �� 1.1r, l's grit r10 lqo, miti'v/ UO mo "IU6 ICI, .JN"'r "cit iraf*M t.3 cI no4agirl.cantai�O'y alai j.A,f AboO ::fir A � A. a u tte,oun y LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM Will) GHLt I-, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director RB: Private Road Name Dear Property Owner: We are in the process of naming all unnamed private roads in the County with three or more residences thereon to insure proper mail delivery and to help emergency agencies (fire, ambulances, sheriff) locate your residence. We have received a proposed road name for the private road which serves .as access to your property from one of the property owners along your road (see attached petition). Please advise if this road name is satisfactory to you. If we do not hear from you within 19 days from the date of this letter, we will assume the name is satisfactory and will assign the name to the road. If you have any questions, please contact this office at your convenience, Phone Ho. 916/538-7339, or 7 County Center Drive, Oroville, CA 95965. Very truly yours, William Chaff Director of Public Works • Doug hold Street Address Coordinator DA: ss f y Att. 1-11/1' (, ,,6, / .. b�.Oo