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Home My WebLink About041-340-033'41-34-33 ,'4, 870 '91B TURNER, Jerry ;'� ��• , 51.0t,Rocky Top Rd', Oroville (demolish/SF) d' r c+7 �F� -�- 1{'-:'x _ , n""'.`�,�,;•;,p•h�1�-f�7I��"Rd�. ^;'fl.;.r-+a •-•�P7S. �•7Gt".C'"�:--Tw COUNTY OF BUTTE - DEPARTMENT OR PUBLIC WORKS . PB�tAiIY Na. { 7 County Center Drive - Oroville, California 95965 - Telephone: 916/53®7541 APPLICATJON AND PERMIT ASSESSOR PAREVE ;rUMl1rM 41-34-33 ZONINI U BUILDING PERMIT OWNER JerryTurner T LEPHONE r 533-4990,. SO, FT. OCC. BUILDING VALUATION 1500 OWNER'S MAILING ADDRESS 5424 Walmer Rd. Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 35.00 BUILDING ADDRESS 510 Rocky Top Rd. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL- MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE c��I SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe?(® Describe work: _ AER0 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business " and Professions Code and my license is in full force and effect. License No. Classification. [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 OR ADDNS. ACC. BLDGS. , /20sgft NEW NON.RESID R MUBRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20 @30 p OUTLETS OR FIXTURES eAL0 FIXED APPLNS Ex. Occup. OUTLETS ((RESID )EEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. R' 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 bed eemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless° -the Count of Butte against g y p Y g all liabilities, judgments, costs, and expenses which may in any way accrue against said C unpy in consequence of the granting of this permit. X _ .//'cel t/l__. Date Sigaatur of Applicant — Owner 2 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ 35.00 TOTAL FEE $ HAL CUA PARK SCHL FLD • CDF PAR PD ) HD • ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. ,[� P D R. ¢^TO OF UBLIC WORKS BY Date �I PERMIT EXPIRd Date Receipt No. 88254 WHITE-D.P.W.. YELLOW-ASSE0e0R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .f PERMIT NO. — CA ✓� �l1/ ASSESSOR PARCEL NUMB R 41-34-33 ZOITING U BUILDING PERMIT OWNER Jerry Turner TELEPHONE 533-4990 SQ. FT. OCL`, BUILDING VALUATION �rPp EST. XXR 1500 OWNER'S MAILING ADDRESS 5424 Walmer Rd. Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is ' Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee , $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 35.00 BUILDING ADDRESS 510 Rocky Top Rd. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFXN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtheKEJ Describe work: XNXMM4X DEMO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 14 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.8d OR ACDNS. (ACC. BLDGs. ) , /zQsgft NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 200500 BALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X Date N —/— VI/ Si re )0 f Applicant — OwnerkR Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAz. CUA PABX SCHL FLD coF PAR PO I HO. ISSUE This permit is hereby issued unaertne sions of the Butte County -Code and/or work indicated above for which fees DR TO O UBLIC BY �` PERMIT EXPIR S Date — 92— applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 88254 WHITE-D.P.W.. YELLOW-ASeE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement Date AP# OYL 3q -33 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The .permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applican OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 0 y MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB #� (Please see reverse side Ag—ias ALM Notifi.ad: ❑ i, -..l ❑ California Air Resouxoa,s Board 0 cal osEU► ❑ Buildimq D-part—nt INSTRUCTIONS ON REVERSE ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) 3IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#': FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE SIZE CITY STATF ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 6 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLFBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of,a facility together with any related handling operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft.'asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. PROJECT JOB #: Your OWN IN-HOUSE I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL, SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541 APPLUTIGN AND.PERMIT A33933 R U B -- 2 NIN BUILDING PERMIT OWNER _ '�- r e HON S S0. FT. OCC. BUILDING VALUATION ( OC/ OWNB A_ IN AD Rfi3 / V C RA R'S NAME TELEPHONE CONTRACTOR -!-S MAILING ADDRESS Fireplace Total Valuation is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n — C —� Permit fee $kv S —` PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME I PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 -,` USE OF STRUCTURE SFAS? Duplex❑ Mobilehome❑ Other "CCC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. A a NEW , /20sq it CONSTR.ULT.OUTLET NON.RESID BRANCH CIRCUITS) .50 ea 2SO POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 0050 e 2AL030 FIXED PR Ex. Occup. OUTLETS (RESID. IE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. -—❑-t-have--placed on fi-le with -the County-of-Butte-,BuiIding Department" a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject _.to the W. C. laws of California.- •_—•— - ---- - - - Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor. Code, you must forthwith -comply with such provisions or this permit shall be deemed revoked. - MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation- — - --- - -- - - permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 611-11 TOTAL FEE $ HAz. CUA PARK SCHL I FLD I CDF I PAR PO I HD• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By y Date PERMIT EXPIRES- Date Receipt No. Aggnq WHITE-D.P.W.. TELLOW-ASSE330R. PIX -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE-- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: .916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �_5 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:. Name Address . Phone Type of Work Signed: Property Owner Social Securi Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:.916-538-7541 - DATE April 5, 1991 Jerry Turner • 5424 Walmer Rd. RE: Oroville, CA 95966 application #885=91 - -. -A. P. # 41-34-33 With reference to the above subject: , Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome-Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or'check exemption -statement. Complete plans in including plot plans. Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico XX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise - Planning approval from Butte'County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. XX Recorded copy of deed showing 60' right-of-way or parcel mag or old unrecorded. XX Recorded copy of agricultural acknowledgement statement. parcel map. OTHER Should you have any questions concerning the above, please contact Rod Taylor of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector 41-34-33 aPermit#885-91P,t (utilities/mh) ELEC GAS COMPACTION TEST REQ - SUPPORT STRUCT REQ I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.75419 � �_ APPLICATION AND PERMIT ` __Aa5JJ35OR PARC9L NUMBISR ZONING BUILDING PERMIT whewTISLISPHONIS .533-4990 SO. FT. OCC. BUILDING VALUATION 'OWNER'S M I INO ADDRESS o ille 66 CONTRAX%;ffl NAM r11ATn Pr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ XXYS•NqX LENDER'S MAILING ADDRESS Permit Fee $ 15-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ro 'lle Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome®XXOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home n M W I 10.00ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liliesInstallation[]ther ❑ Describe work: mobilehome utili les (2 bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS I00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTR.MULTI-OUTLET BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e� SINGLE OUTLET CIR. Ex. OCCUp\( OUTLETS OR FIXTURES 200 0 20®SOQ FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1.5.00 Misc. �yirin 9 15.00 Permit Fee $ 37.50 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said oun n consequence of the granting of this permit. XDate J� Sig a re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excava 'ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E HALCLIA- PARK SCHL FLD PAR PD I Issue. This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 882.59 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t'i� 'R't•. •'p��=;�"�"•�''� i�,w {, r .,e, i„ ��,� wry •- COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE�;,•.OL±QVII�LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 yn� t PERMIT APPLICAT,ION°DATA SHEET �� \ ' Permit No. OWNERu`X �9A1�- A. P. No.' Proposed Building Use Mad Bui Iding 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 APPROVED All items have been submitted . ................. .... ......... :�Z6Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobileh,ome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... Park fees paid .................................................... School District fees paid .............. 14 Sanitation approval fromHealth Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... �A4/ — — Letter of si atureputhorization................................... 026.* l ci 1,6 27. W en you issue the permit, process as follows: Mail to owner. - Telephon and hold for pickup at office. Other Appli Mail to contractor. –Deliver w./inspector. Date Z/—/— The /— – 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 1. Index permit for above items No. 2. Additional items required: (Circle nel item not checked above). Contractor, designer, owner, w s advised of above required data by_phone_Jnail—counter by ..date Contractor, designer, owner, as advised of above required data by—phone —mal l—counter by date Plans checked by fA1 Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date TO Buildinv Department FROM: Environmental -Health SUBJECT: Sanitation Clearance z 7'u ,-n fee 0- A/ L,-) a -/// - -3 el- 3 Owner Xocatidh AP# Plan Approved for: Sewaqe Disposal Water Supply L e `� Hold final for: Final clearance O.K. for: Clearance for E2-,bedroo mobile ome. Other Water Supply Water Supply NOTE Sanitarian bate COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �� signed an application for a building permit for the proposed work. 3. I -have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to .provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. W Return to DPW Section requires prior to AGRICULTURAL STATEM W OF ACKNOWLEDGEMENT - ! , FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code this acknowledgement be recorded issuance of a building permit. 91-012613 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder Ff and fertilizers; and from the pursuit 8.01am 3 -Apr -91 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee 7.00 Chenk -7 nn CD 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real :pro:perty:.situate in .the County of Butte, State of California, described as follows: Date: /-,2-�P/ State ofo,2i&%,e�J) County of`�'"�`(�-) OFFICIAL SEAL DOROTHY A WISE NOTARY PUBLIC- CALIFORNIA BUTTE COUNTY MY COMMISSION EXP AUG. 21,1992 ��4 Present A.P. ,5e C Schrdk19' q //,1 eh ed /i1sreo-o- PROPERTY OWNERS: On this theg?eVd day of1� J 19 before me, the SS. undersigned Notary Public, pe sonally appeared _ 4 Personally`known to me. 1:1 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ` subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. J Nofary Public The North 220 feet of the South 440 feet of the N r h 12613 r 880 feet of-the Northwest ��J�L-D✓t-� quarter'of-the Northwest 0 „ quarter and the North,2,20 feet of the South .440 feet ' -� of the North 880 feet of the West half of the Northeast ' quarter of the Northwest quarter of Section 27, Township 21 North, Range 4 East, M.D.B. $ M. Excepting therefrom the Westerly 990 feet of tt.c Northwest quarter of the Northwest quarter of said Section 27. RESERVING THEREFROM a right of way for road purposes over the. Southerly 30 feet thereof. TOGETHER with a right of way for road purposes over a strip of land 30 feet wide lying adjacent to and Southerly of the Southerly line of the above described.property and also a right of way for road purposes over the Southerly 60 feet of the Northerly 250 feet of the South 440 feet of the Northerly 880 feet of the Westerly 990 feet of the Northwest quarter_ of the Northwest quarter of said Section 27. Said right of way is for the benefit of and appurtenant to the above described property and shall inure to and may be used by all persons who may hereafter become the owners of said appurtenant property or any parts or portions thereof. EXCEPTING THEREFROM all minerals. The above described property is located in the County of Butte, State of California. END OF DOCUMENT .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 41-34-11 ZONItNG TT BUILDING PERMIT OWNER JERRY TURNER LEPHONE 533-4990 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5424 Walmer Rd, Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$.. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .510 Rocky Top Rd, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑XXOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio CXXX)ther ❑ Describe work: MHI// Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. / , hosgft NEW CONSTR OUTLET NON•RESID BRANCHCIRC ITS 2.50 ea (POWER APPARATUS S) SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 2ALO 30 eL0 FIXED APPLNS. Ex. OCCUp. OUTLETS IRESID )REA.)\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I I shall not employ any person in any manner so as to become subject �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Cou ty in consequence of the granting of this permit. X Date �i.� " 9� Si ure of Applicant — Owner Contractor ElAgent F-1 An OSHA permit is required for excava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 49.00 Energy inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HALcuA PARK SCHL I FLD I coF I PAR PD ) HD. ISSUE, This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do workindicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 88259 WHITE-D.P.W.. YELLOW-ASSF390R. PINK -INSPECTOR. GOLDENROD -APPLICANT a ,. �.. -. , �' - 3 :`..` w rte" , , ,;j _ S �...•� .i ;'r�['*, .:L=�-yrs'4....r..y.,......,^.,.,.yc,•.Sft�`•Y''tr• ._.. ,SrJ e'�). �R�:'r{"tiT`1..�'.��.Gc..�„w�y,�,Ytf�}'ti-.:tr'�s..-.-sr int--�. wy.. �..f•.t'#,- ;`.`.sr„Ii. .1..K"".'��. COUNTY OF BUTTE - DEPARTMENT'OF 'PUBLIC WORKS - BUILDING DIVISION -• w "t ,7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERM APPLICN'TON DATA SHEET T \ Permit No. J OWNER �1f��V ^�//T„/I iC'=—P A. P.. 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 APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 1. Chico Urban Area fees paid ....................................... 12. Park fees Dald .................................................... .::/13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... C 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter o -4 ,f/signajAre authorization ................................... L Gam" �tv 0 PA, u&J211d,190XI7 P" _-eLd rb issue the pet, pr cess as Telephone permit and Other Date) Mail to contractor. office. Deliver w./inspector. APPI icant JDate 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 _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works ► 7 County Center Dri've', O'roville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received: I 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) IAN signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securi Number Date z/- /- 17/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPAR41M M' OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: -V— -y^ �: �. f l Q Aj M %z 2. Installer's Name: F-1 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach / fields and clear of all setbacks and easements? Yes No 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG [—]—] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (ft.) (BTU) Mobilehome Mfr. MOBILEHOME SUPPORT DATA If other than single wide, furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) E1. Wood -pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one) F�1. Concrete block. 11 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 1 Main Beams Line 2 Line 1 Line 3 Line 2 Main Beams ----------- — t.ine 2 Tne ine 1 — -- _ — — — — -- — ine Tag or Triple i.ine 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ ` e Size -Min. ------------------ Spacing -Max- --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ .k „ Size -Min ------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- ,_ Spacing -Max -_______________ From Ends -Max.------- _ " From Ends -Max .------------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min .------------ , Spacing -Max.--------- ,. From Ends -Max.------- „ e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing -Max ----------------- From ------ ------From Ends -Max ------------- - '- Line 5 Roof Loads: Size -Min.------------ x x „ „x „ „x 1.1x. „ ,yt „ „x „ ,Lx „ Location (From Front) .. r