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— : - «. _ _ 1• P 41-36 5 tTELMA"MORRIS•------- 4 --- -. ..�. �.._ �a W/S Condor Rd,300'N d Tape Rd, Cherol:e PErmit#3273-87P,E( - MH) j l�' 1 ELEC i GAS 't SUPPORT STR Q COMPACTIO EST REQ__ 1-36-01: �.. P ,'E i i MORRIS';;-Thelma G% W-,4 Condor Rd ,;Che kee ,r Aft ELEC�OiJ/� y/FlC GAS - r•. -�.. - COMPACTION TEST rREQ- SUPPORT STRUCT REQ_ 41-36-05 Permit#23� 63-91MH y y (MH Install) ; r • { I I . 4 z • I � �f , g ���-�C �� �. ` N = OK 0 = Not OK otApplicable= NMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s " Q Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements .2. Soils; Special MH Support -Sketch . 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / P'Nat. or/ P' ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility, Clearance_ 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elect; 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 Card -131 Date Card -131 Date Card -131 DateCard-131 Date 9. Health Department Approval r - - 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -61 Date Card -131 • Date 0 = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s pate FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground A 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 12. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes O No; Walks O Yes D No; Planters O Yes o No 80. Stucco; Brown -Finish Card -81 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -81 Date Card -61 Date Card -131 Date Card -61 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -61 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cb'lifornid95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. AS S OR P RCEL NOSE. ZONIM BUILDING PERMIT R or & A/0 T LE Ho so SO. FT. OCC. BUILDING VALUATION O NER'S ILIN DO ESS r j e NA TELEPHONE - CO�CT C A N ODRES Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ ,QO L NOER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL ADD E s Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 1 2.00 C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 -J USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S O.00ea TYPE OF WORKcri New ❑ Addition ❑ Remodel ❑ Utilities % Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR Main service 100 AMP ORSLESS 10.00 D Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad , OR ADDNS. ACC. BLDGS. 2/20sgft NEW CON5TR ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050aIsAL030 Ex. Occup. OUED P TLETS (RESID,)LNS REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /,i 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 dof 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. 2C�`-1'� Date �v .� Signature of Applicant — Owner Z Contractor ❑ Agenr An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ , occuP. I CO.ST.T77 I Fpoftl PA;o:EJ PD N s9UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /C��7Z �— L,y�^� Receipt No. OA � o 3 WHITE-D.P.W., YELLOW-A9eE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 4 COUNTY OF BUTTE - DEPARTMENT 9F PUBLIC WORKS -BUILDING DIVISION !' 7,COUNTY CENTER DRIVE - OROVILLEt,OCALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ` Permit No. 'f OWNER / �e a_ MD, r,✓` ► A. P. No. Proposed Building Use Building Inspector Date o At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED �y� All items have beItbmitte , r�i9lFi2. Plot plans i dup 1/ licate _ ed by preparer of plans. . 3. Complete plans In duple ate- r�`plicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. , 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . �/1' 7 Statement of Interim forNor���leated and AC Buildings. , 8. Fees of $ y �- U , , , , , ., Letter of signature authorization. %l ' 10.'Sanitation approval from i��O�1 //� Health Dept. �D 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 14Contractor's License Information (no., name style, clas5'i'f, r. : Owner -Builder Verification (Given to owner, Mail too nv� eM14 , —15. Improvements may be required. . .... . . . . 16. Mobilehome Installation Data. . . . . .. • Pre-Inspec. request to 1 Pre -Inspection for Required. Building Inspector n(Date) ecorded copy of Agricultural Acknowledgment Statement. qx 0 g Driveway Permit. 0. Plot plan approval from city of 1. Si n -t�I(L Apirm�+ 4 hCC[f 2. V-irl�� 7. g -f, f. When you issue the permit, process as follows: _ Telephone and hold for' Other y I i c ,,-- ai I to owner, Mai I to contractor. ickup at office, DeIiverrw/inspector., V �Gr v Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior.1tpermit issuance: (Circle new item not checked above). 1. Inde 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 v ed `f above required data•by_phone_mail ounter by date Plans checked by Date.��Plans approved by, Date ` Sets of plans on hold in File cabinet AP folder . — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW '� . TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance er�/- ���� Own-- Ioc4toon AP# Plan Approved for: Sewage Disposal . Hold final for: Final clearance O.R. for: Clearance for bedroomhome. Other t5� NOTE * * * Water Supply Water Supply Water Supply / _�zz� Sanitarian ate TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locakion Plan Approved for: Sewage Disposal Al Hold final for: Final clearance O.R. for: Clearance for _ 1 _ bedroom obile home. Other NOTE * * * San itar an ,111-3 AP# Water Supply Water Supply Water Supply Date 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) QL�,7�-� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ,Name Address City Phone Contractors License No. 4., I plan to provide portions of this.work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work -but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property "Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 7 County Center Drive,:Oroville, CA 95965 PHONE: 916-538-7541 Thelma Morris 6109 Vista Knolls Dr. Paradise, CA 95969 With reference to the above subject: Attached is: Application for permit .Building Plans "Engr. Calcs Owner -Builder Verification Form OTHER DATE__October 2_1987 RE:Building Permit Applciation #3273-87 A.P. # 41-36-05 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced ,[_JLt We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Orovi.11e, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER It appears this parcel was created in August 1961 at a time when Butte County _ required a 60' right-of-way for prQnerty divisiong. If 60' right-of-way is not avail- ahe. we can issue_ one permi-t-if you fill out and return the attached access statement. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works. .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Thelma Morris DATE October 2. 1987 6109 Vista Knolls Dr. Paradise, CA 95969 RE:Building Permit Applciation #3273-87 A.P. # 41-36-05 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 X/ 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 plana in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development'Section (DPW). sets of plans'in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: , 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, .for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. LXL OTHER . appears this parcel was created in August 1961 at a time when Butte County require a 60' ribht-of-way for ,property Visin„s,_ If 60'-ri2ht-of-way is not avaii- abi . we can ;.sue one-p6rmit if you fill out and return the attached access statement. Should you have any questions concerning the above, please contact this office. JFG/a j Yours very truly, William Cheff Director.of Public Works .F. Glander Chief Building Inspector f DECLARATION REGARDING ACCESS applicant for a 4 permit from the County of Butte for the parcel of land identified as Assessor's Parcel No. a t5. , declare that said parcel was created on 667-P76"f3E4 27 , 19 6 , by deed recorded in Book / of. Official Records at Page in the office of the County Recorder of the County of Butte, and that I first purchased an interest in said parcel on or about. 19 ?,LJ and that at that time I was not aware of any facts that would cause me to suspect that said parcel may have been created without the access thereto required by law. I declare under penalty -of perjury that the foregoing is true and correct. Executed this I day of 19 , at (j" /�/�(' California. Signed, r u L' u L' Retukn to DPW o AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT. . RECORDED BUT'TE C04" FOR RESIDENTTI_AL T4EVELOPMENT OFFICIAL. RECORDS By Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.87 -357:75 i>jl SEP 30 pe �0 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this C CJ. GRUBBS property may be subject -to inconveniences or discomfort arising fromLERK-RECORDERFEE — the use.of agricultural chemicals, including, but not limited to herbici es, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as'follows: Date: PARCEL L.: All that portion of the Northeast quarter of the Southwest qua -ter -lying West of the Condor Road, as the same existed on August 1, 1957', in Section 3, Township 20 North, Range 4 East, M.D.B. i M. PARCEL 2: Right of way for road purposes over the South 60 feet of the Northwest quarter of the Southwest quarter of Section 3, Township 20 North, Range 4 East, M.D.B. 6 M. PARCEL 3: Right of way for road purposes over the Southerly 60 feet of the Northeast quarter of the Southeast quarter of Section 4, lying Easterly of the Oroville Concow Road in Township 20 North, Range 4 East, M.D.B. a M. PROPERTY OWNERS: State of On this the?Cts` day of ����f�'f<,/�/' 19 el , before SS. -.me, the undersigned Notary Public, personally appeared. County of &Pye ) ■ / / Personally known to me. X Proved to me on the basis' ■ RICHARDFEUERSTEIN 8 of .satisfactory evidence. ■ NOTARY PUBLIC -CALIFORNIA :to be the' person(s) whose names) /-5 subscribed to suft Countyan 24 I� gthe within. instrument and acknowledged that .5;410 ■ AAyCanmtsa►one,�kes ■executed the same for the purposes therein contained. ■■�m�e a■■�■■■■■■.■■■�*■■■ IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. � S /0-0-5— . V, f 46 � � 7) A 6109 Vista Knolls L Paradise, as 95969 Dept ofPublic Works Dec 23, 1989 7 County Center Dr � 3,;', )�rFo -- Oroville, Ca Re: Zoning and Trailer Violations A P #41-36-0; a ' The travel trailer which is now being used will be vacated, taken off the, block and used as a travel.trailer when the mobile passes inspection. i The second trailer which is a shell is being used as a hay storage shed for the animal feed. 'Sincerely, , Thelma Morris i File No. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. 1 r/f C/_, Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Thelma Morris 6109. Vista Knolls Dr. Paradise, CA 95969 RE; Zoning and Trailer'Violations Condor Rd.,and Red Tape Lane Cherokee,'CA 95965 n December .5, 1989 A.P. #41-36-05. Dear Ms. Morris: With reference to the above subject, my letter dated October 23, 1983 and our discussion on October 23, 1989, we reinspected the property on November 8, 1989 and found the .following: 1) The mobile home', which is partially installed, is not being occupied .but.has se11rage a sewage disposal system installed. 2) Two travel trailers being occupied by your son Carl Morris, but not connected to,a sewage disposal system'. The -area is zoned "U",which will allow one living unit',.unless a Use .Permit is obtained for an additional unit. - You must obtain mobile home utility permits from..us to use a travel trailer or the mobile home as a''living unit.and remove the remainder of ' units. A mobile home installation permit is required to block and install a mobile home prior to occupancy. l A'living unit must be connected' to approved crater supply and sewage disposal systems and be supplied with utilities necessary to operate the required facilities and systems. Please contact this office within 10 days of the date of this letter and apply for.the required permits or advise us of your intentions concerning these violations. Yours very truly, William Cheff Director.o public Works JFG:ds3.F. Glander cc: Assessor Chief Building Insppctor Building Insnectnr - :Y. File No. BUTTE COUNTY -• Tor Action 1, 2,3) Public Works Dept. (For Information �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & crnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. October 23, 1989 Thelma 0. Morris 6109 Vista Knolls Dr. Paradise, CA 95969 RE: Zoning and Mobile Home Violation A.P. #41-36-05 Condor Rd. and Red Tape Rd. Cherokee, CA 95965 Dear Ms. Morris: With reference to the above subject, on October 9, 1989 our inspector found you have a travel trailer and a mobile home on this property, and both appeared to be occupied. In 1987, you obtained a permit to install a two bedroom mobile home. However, no inspections or approvals were made by this office and you have not obtained a mobile home installation permit. At the time of permit issuance in 1987,.you wrote a letter advising that the travel trailer would not be used for living after the mobile home installation. This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: 1.* Mobile Home installed without permits, inspections and approvals. 2. Travel trailer used as 2nd living unit in violation of zoning require- ments. Since permits and inspections are required for the above work, please contact this office within 10 days of the date of -this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stip until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected an&pptoved: f: Please be aware that Butte County has entered into a Code Enforeem_ent Program that seeks volwitary compliance: with the Butte Couri-ty Code abut provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, JFG:daj cc: Assessor Building Inspector 0 Williza Cheff Director of Public Works J. F, Glander Chief Building Inspector DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 October 23, 1989 RONALD 0. MCELROY Deputy Director Thelma 0. Morris 6109 Vista Knolls Dr. Paradise, CA' 95969 - RE: Zoning and Mobile Home Violation A.P. #41 -36 -05 - Condor Rd. and Red. Tape Rd. Cherokee, CA 95965 Dear Ms. Morris: With reference to the above subject, on October 9, 1989 our inspector found you have a travel trailer and a mobile home on this property, and both appeared to be occupied. In 1987, you obtained a permit to install a two bedroom mobile home. However, no inspections or approvals were made by this office and you have not obtained a mobile home installation permit. At the time of permit issuance in 1987, you.wrote a letter advising that the travel trailer would not be used for living after the mobile home installation. This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: 1. Mobile Home installed without permits, inspections and approvals. 2. Travel trailer used as 2nd living unit in violation of zoning require- ments. Since permits and inspections are required for the above work, please contact this office within 10 days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the. issuance of citations, fines, and the recording of a Notice of Violation. � cw 'Count L A N D O F N A T U R A L W E A L T H A N D B 'E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 October 23, 1989 RONALD 0. MCELROY Deputy Director Thelma 0. Morris 6109 Vista Knolls Dr. Paradise, CA' 95969 - RE: Zoning and Mobile Home Violation A.P. #41 -36 -05 - Condor Rd. and Red. Tape Rd. Cherokee, CA 95965 Dear Ms. Morris: With reference to the above subject, on October 9, 1989 our inspector found you have a travel trailer and a mobile home on this property, and both appeared to be occupied. In 1987, you obtained a permit to install a two bedroom mobile home. However, no inspections or approvals were made by this office and you have not obtained a mobile home installation permit. At the time of permit issuance in 1987, you.wrote a letter advising that the travel trailer would not be used for living after the mobile home installation. This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: 1. Mobile Home installed without permits, inspections and approvals. 2. Travel trailer used as 2nd living unit in violation of zoning require- ments. Since permits and inspections are required for the above work, please contact this office within 10 days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the. issuance of citations, fines, and the recording of a Notice of Violation. J7, A revI Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works JFG:daj cc: Assessor Building Inspector J. Glander C 'ef Building Inspector 6109 Vista.Knolls Dr " Paradise, ca 95969 16 Oct-1989 Dapt of Public Works 7 County Center Drive Oroville, Ca Attention: Bill- Correction Notice 41-36-05 The anonymous ph one call you received was incorrect. I obtained' a permit for the'trailer sitting at Redtape Road and Old CondorRoad 30 Sept 1987. Here is a copy-of my cancelled check. There were things to be corrcted on it but.my son would not live in it, so the work was never completed. If at any time he decides to live in it,. I will have the work completed.- S_. • ThA�aOorris4p i t- e COUNTY Of DEPT. OppUTTC OP B WORtcg OCT 19 1989 PAY TO THE ORDER OF ANY BANK OR BANKER FOR DEPOSIT -ONLY II" 0 C T -2 '8 7 . ®a3ssaoorJd -r !• c�a 9 ` Ve o .3 dS ld 0 NNVB INV ,kVd :r � S� � c � - TREASURER" Zu 1 a' ltd TAX COLLEC � T ^ " - 1 T- ' 3 w ^ COUNTY OF BUTTE %IiYaCIR�L7 W0 OD os a -)O 0, w 0 ^ COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: ELECTRIC GAS Support Struc. Compactior TestReq. Service Size Other Load Type Pipe Size Length YESI NO YES NO (U yr COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS + ►� 196 Memorial Way, Chico — Phone: 891-2751 • ! 7 CSunty Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE _ iWNER b PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector.4/ / / Date i S RESIDENTIAL f JOB FINALE Signature �i 8 j a X363-�( 41-36-05 4ZlB,P,E MORRIS,,�Thelma. W/.S Condor Rd; Cherokee (mliU) A ....d=OK O = Not OKNot , Not Fleadyable MOBILE HOMES Date MOQJLE HOME UTILITIES Plans OK except #'s Zoning Requirements -Setbacks -Easements L_2_611-; Special MH Support Sketch L2 -ewer; Location -Test -Fall -C/O Concrete _"star; Location -Test -Easement Needed ($tch) �tricity; Location-Clearences-Grnd- mp-Concrete -pl— 6. Gas; Location -Test -Wrap: / /" L"ft.u/ i 1,,e/"Nat. or/ /"L"ft./ /"LPG wy Utility Clearance Date Card B-1 Date Card B-1 Date Car -1 Date Card B-1 Date MOBWt HOME INSTALLATION (Plans) OK except #'s . Zqping Requirements -Setbacks Easements I oo Ings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector + %t.-,..... _ 1_4 4. Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector bluer: MH Test-Reau!Wo -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged jow5iFS; Insp.-Sketch a Cert. of Occupancy ) r Date 2 9 ,�9 /Card B-1 Date Card B-1 i Date k(j/y/b%/ Card B-1 ,ji: - Date Card B-1 z� f9 e_rl /✓ i��IvnG / /;n /p i _ �_n�jo��-��•�- oS P 0--, 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-11- Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 U V OK O = Not OK - =Notyable, Read Not Ready RESIDENTIAL (Single & Duplex) =•• ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51 ProP ertY P 9 Line Firewall & O enin s 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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 / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11Yes ❑ 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 #'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 & Bearinq 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 #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -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 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) �-.,r•ry+...-�s::7t:-.a'+*�'7»+�i'! .r-..,�.�..+raw+._;.�r-C::'�0.�'M�ti"'�-^+•ar..lt't=rr's.%�f'�-�'vACr�-:.:ar. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538-7541 747 Elliott Road, Paradise —Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. !!cf �, G�s[�/i� !�r> c. -edi Int,- ocs �' (,/c3 6 /hC ���40� Y�'uv �o /t / l 1p4vA �c- ,. Date Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS ` 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 _ 747 Elliott Road, Paradise — Phone: 872-6307 .a CORRECTION NOTICE E A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date U 2 G/ Inspector �J s i Date U 2 G/ Inspector �J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. e4 4v, G�_�� u �"' �P r �a � 5 � ✓ r of , Wil' --� Date Inspector zi MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. ' �! Address or location of mobileh/ome <'f 7 - r Owner's name- 1y ame 1y Owner's address r I Insignia or hud number ,14 Manufacturer's name i Serial number of V.I.N. S+ S 2-120 Year of manufacture — (OffiX1al ApprSving Installation) I (D c IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY,OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 CountyCehter Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT` <f PERMIT NO. 2363-91 ASSESSOR PARCEL NUMBER 41-36-05 Z 1, + BUILDING PERMIT OWNER THELMA MORRIS TELE HONE 877-7050 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6109 VISTA KNOLLS DR PARADISE 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 $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS /' co `Dnr[. Oi" Penalty $ BUILDING ADDRESS CHEROKEE Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGW 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation(–) Other ❑ Describe work:1 –30 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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) ElI, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.61 OR ACDNSCONS. ACC. BLDGS. , �z¢sgft NEW RES'D. U NCH CILET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20®506 SALO 30 FIXED APLNS Ex. OCCup. OUTLETS (RESID.)REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00ct- 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. IB I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains ai County in co sequence of the granting of this permit. Date Signature of Applicant — Owner E Contractor ❑ Agent ❑ V 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 $ 70.00 E HAL cuA PARK scyr `/ FLD _. PAq Po . ✓ i H ISSUE: This permit is hereby issued unoertne 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 %– ZZ– V PER#Af EXPIRES Date - 7 .ZZ-- 17-1 Receipt No. 88542 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . ' ,.., ii -r .y ,-...i,..:�+..f..:y .1 ..4. '{i•"S A.''".,�,hr,S�P�r'.t'ti'ii1i+1�'ij._'7����.(7�Zn.rv`7..r�`..a"1-...ih.�*.+... .. fix. -r.. -r,.. .yiJy.^rr-�}-n..~�-. - .,. COUNTY OF BUTTE' DEPARTMENT, OF PUBLIC�WORKS - BUILDING DIVISION •k . 7 COUNTY CENTER DRIVE ROVILLE CALIFORNIA 95965 - xi EPHONE916/536 7541 PERMIT APPLICATION- DATA SHEET. Permit No. OWNER T Lw 44 Im 0 12, At S A. P. No. Proposed Building Use i Bui'l`ding Inspector Date At time of permit application, I was advised the ffool,,lowing data must be submitted prior`to permit processing and/or issuance: '•r N. 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 Forme s 6. Energy Dt riIplian'�e�Oargd e4 ii�edo'clSfrientation ......... .7—Statement of Intent for Non -Heated and AC Buildings Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation Instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. ParkJees paid ..... ' 13. U t^d H id n N,S School District fees paid ....... : . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City�for other- requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior,to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... I 22. Certificate of Workmans Compensation Insurance ... :.............. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................... ............... 26. 27.', When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone and hold for pickup at office. Deliver w/inspector. Other / 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' ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer,wne was advised of above required data by_phone�mall—counter by�date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR ARCEL NUMBER—A C7 ZONING BUILDING PERMIT OWNER �- L 0 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWL4ER'S MAILING ADDRESS CONTRACTO 'S —MJE' TELEPHONE .O .V E'le 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 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS, 00 AMP OR LESS 10.00 Main service EA. ACO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW p 1 y (check one): I declare under penaltyof perjury ) ❑ 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.. S. OR ACDNS. ACC. y:¢sgft NEW CONSTR. I.OUBLOf CIRCUITS) NON.RESID BRANCH CIRC ITS 2.50 ea -BRANCH_ / POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL ti e0 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EAJ 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. ❑ 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stoTies in height. Mobile Home Installation Fee $(j Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 0� HAL. I CUA I PARK I SCHL I FLo F I PAR 41 Po 1 HO. ISSUE This permit is hereby issued unaer the applicable provl- 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. CK-,5--c(c9-o WHITE-D.P.W.. YELLOW-ASSESSOK. PINK -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) Aip 2. I (have/have not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but- I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner �. Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:*916-530-754.1 DATE 7 -1R -A1 THELMA MORRIS RE: MOBILEHOME INSTALLATION PERMIT 6109 VISTA KNOLLS DRIVE PARADISE, CA A.P. # 041-36-0-005 With reference to the above subject: / X/ Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER SCHOOL DISTRICT FORM Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of,agricultural acknowledgement statement. now Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, ANNE William Cheff Director of Public [dorks J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916/-n538-7541 DATE 6/og visk Kno11s lir. RE: lnoWehome_ 'THstafiatl'o� /"��''"� t' Aa rad Is e, OA 95-96 A . P . # With reference to the above subject: ]X__7 Attached is: Application for permit Mobilehome Utilities Installation Sheet .Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Ve rification Form List of Codes Enforced OTHER �C�n1 . F©rpo / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBLEHOME INSTALLATION SHEET 1. Owner's Name: Th elm A / ' (© r to J S 2. Installer's Name: eIWO 40"17's 3. Is the site currently under permit? Yes Ij No. F1 e (If yes, furnish permit number 2030 -?0 0 ) OR Is the site an existing site? . Yes [—]. � No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?- Yes No (If no, clarify 1 5. Whatis the mobilehome electrical rating? --------------- 30 Amps 6. What is the mobilehome site service rating? ------------- /00 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? -------------- x =� ��---------- Yes FV No (If yes, identify the load and size: a (Load) c� Q (Amps) 9. What is the mobilehome site gas pipe size? -------------- On (in.) 10. What is the type of gas service? ------------------- Natural LPG F-] 11. What is the gas pipe length from meter or tank to the, mobilehome?--;------------------------------------------ * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide4�n n-�, Mobilehome Mfr. (Xe i �C ` furnish Setup Model No. Yearw ICS (��(ft.) Tagalong or Expandor'Silz�e'-3 �* ',ftvx� ,* ft. Width (ft.) Box Length 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)1. Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIPE MULTI -WIDE Main Beams Line 2 , _ _ _ — _ — — _ _ ------ Main Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. -___________ k Size -Min- ------------------ Spacing -Max- --------- , Each Side of Openings From Ends -Max- ------- '_ " With Width Over --------- Line 2 Piers: Size -Min ------------- Spacing-Max - ------------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads. Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max---------------- From Ends -Max .------------- Line 4 Piers: Size -Min .------------ Spacing-Max.--------- _ From Ends -Max .------- e 5 Piers: (Under Bearing Walls Only Size -Min ------------------- 'k Spacing -Max.--------------- r_ n From Ends -Max .------------- - Line 5 Roof Loads: Size -Min.------------ Location (From Front),- 200' _ This set of plans and specifice�tdone %lU bfl kept on the iob at all times crud it is WOWNI to make any changes or alfPr--!++ons an self@ withOlAt r written permission from the Department of {public IW6r6. County of Butte. 4UfE:—All Materials 6( Workmanship :hall ;i6e uv, Wordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical C and +he National Electrical Code. ' (i 'NZ -4 , 140' tr l Q 1209 _ �c" l l b withON H setback of.5 ft. from the, 4 ft. of the mobilehome, ither property lines and a setback -directly behind or within he reoV �$alf f tib of 50ft. from the road - �h g centerline shall be clear of �. obileho 100, stip ures or equipment-exce I a �'` 60' . }� C._:. ti .� J ....... ID9(2 i40• Big i TE NTV B - "f INRTPAErPR lay A 20' 0;6 p ►1 n0° 1001 12+j' t 140, 160` BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 0 4/ _ 2/0 ,_, DQ45_rOne Form per Building) //6_ (9 0/ A.P. Numbed%��"�� �Q= 0('� Building Department No. School DistrictOra-116p 9 - Cityr--1 County[X] Jurisdiction Property Owner Project Locati Subdivision Residential Development: Lot Number ' Sq. Footage &, Q �y # of Living MHI Addition (Group R) Units Al. - _ `� . ! r. •.� . .. "-. - i=rs.++i. .:„+...+++Y' ..i .e:=.. . ..i-..._1 -:F, ::..,tw..rw}t ,rYr:,p3 :.its-,jb.Q• aaq:w;•,yk, :v'F_ >s.. -.....t .... .a..�......r :;.^ .l: •�3"`.'r '....-i-.> ,.+. 'i' Commercial/Industrial: Sq. Footage New Addition (Including Exterior = Roofed Areas) Building De ment Representative -Date (Floor Plans reviewed„by School District Personnel) J District Id No. 97 Qp School District certifies that _* n . Applicant N e)( (PhonerNumber) !p U Street Addr s) ti 40 _ .. .r—. ' � 1 �.,� 14 ( ity ) l ('State) '(Zip Code ) has complied with the requirements of Resolution No. 1406-: 96 by the payment of $ 8 69 � � representing ,J�y square feet. Sc ool`Distri Representative Date PAID BY CHECK NO.��� BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEI?AatThrENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT "Mr ip ,, AA RA ASSESSOR PARCEL NUMBER ZONING411 -36-6 5- u I BUILDING PERMIT OWNER TELEPHONE M 11101E s 77 766 o S0. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS 6,7 11/5-rA K AJo4L- s P(1- DIS E CONTRACTOR'S NAME TELEPHONE ow0C__� aWfl- - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ _10.19g._ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 3co / Each Trap 2.00 Q 1=1 /itD -A—AP6 CH EAbtL>5�1 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,K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00e O,Qp TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [X Installation❑ Other ❑ Describe work: MNy - A -M + _ {!,32-7 3 - J0 Permit Fee $ / Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 /0, 00 Main service EA. ADD'L 100 AMP 2.50 �5O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTRES'D, BRANCH NO ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES BAL20 @0SOQ 30 Ex. Occup. out LE((RESID .)OR EA.) 2.00 . Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 1 N Ile 1+15.00 Permit Fee$ 5. O WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue said County in consequence of the granting of this permit. X t7_/4&d4,, a2`X Date /hEsions Signature of Applicant — Owner Rr Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEEI Joro HAz cuA PAK CHLall FL PAR PD.against This permit is hereby issued und of the Butte County.Code and/or work indicated above for which fees DIRECTO OF PUBLIC By, / PER EXPIRES Date resolutions to do have been paid. WORKS Date o, t'— Receipt No. 5y 7 ;1— WNITC-D.P.W.. YELLOW -ASSESSOR, PINK-INSPECTOR,GOLDENROD-APPLICANT OWNER w?r�r•.r.r.. r.,,.�y.:y.-.v"�.r.J i�:�..+•_.�•+�;t���,��'+'.i1d`���°iNs n'It'�.w-:,`•Y'.�-.•T.,'�� �:.•`:..r..y.G.,. �',' d''�y,ja'..' COUNTY OF BUTTE - DEPARTMENTS-QF:�P___WBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE. OiiOVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 _ PERMITAPPLICATION DATA SHEET { / I • I Permit No Proposed Building Use .44 Nlj Building Ins A. P. No.. I/Z- 36 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance -J4 DATE H�E,CEIVED,_.,/ APPROVED _4z< All items have been submitted . .................................... t 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 .. T 5. Hazardous Material Form ......................... . 0 6. Energy Design Compliance and supporting docu rvtation ......... 7. Statement of Intent for Non -Heated and AC B1 �n s .............. 8. Engineered truss details and layout in duplicate F j6ired prior to plan check) ' 9. Mobilehome installation data including man-ufacturer's installation instructions ...................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... .13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................................... . c, 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval,,f�r (A) Use: (B) Parking: ...... 18. Improvements a 46 be required. Contact Land Development Section DPW 19. Driveway pdrmit (construction approval required prior to occupancy) 20. Pre-Insp ction for required :.. Pre-Inspec. request to Building Inspector (D"ate) 21. Contractor's license information (No., Name Style, Classifications ... <, 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter o!s�ignature authorization .................................... 26. R 27. Wheni'O ui issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at :office. DeliVer6W/inspector. Other z- 5.Y APPlicant��;�,���I%��%7��c�✓' Date`s U �i -e Copy of plans sent Health Dept., Fire Dept., Other - Date The following data must be submitted prior to permit issuance: (Circle .new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--tnail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_m counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance -..-7X. !a ba 6.-- All rq /10- RI V r Owner Loca ion AP# s� Plan Avproved for: Sewace Disposal Water SupP1y Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for ___ _ bed_oo mobile omen Other NOTE ..� ---/ Sanitarian Da t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, 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 mat rials for construction of the proposed property improvement '(yes or no) 2. I (have/have not) 4LL� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the -proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number _ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and.Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.