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Home My WebLink About041-360-03541 I` 36;.. 35` s - ; , 91, 4302 x�J 'WALKER,' CL- 3- �. CO}NTR OWNER xr t�� SCENIC VIEW DR, HEROKEE'.* 4 , ELECy e p (/Op -/;q h+L L /I30• (JF 11) GAS . D COMPACTION TEST RE vo SUPPORT STRUCT REQ, 041-36-0-035-"Y -9--�_ WALKER, CLYDE CONTR: UNKNO ' 9.5-SCEN I C V I DR, CHEROKEE: tr muY K 11 1 I J r. RESIDENTJUAJL.�- 041-36-0-035 91-4302, WALKER, CLYDE CONTR: OWNER SCENIC VIEW DR, CHEROKEE MH UTIL c 14, OFFICE COPY Address GAS Meter By Dated ELECTRIC Meter er Byy JOB FINALED (Daf) Signature . L �r- ,r raw....`... �-,.�:,-�,.,�,,-"---�a�.,..-r* c�"..�r . ..,: __ �- 1,...w=Y,,-•-�ti-.•,-.►_+.� - . COUNTY OF BUTTE t DEPARTMENT OF PUBLIC WORKS A, ;.1'96 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Oroville — Phone: 538-7541 ' 'f 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 atter, or need add' o explanation, please contact this office immediately. p r-�f-- Date � Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS do 196 Memorial Way, Chico — Phone: 891-2751 4 7 County Center Drive, Oroville — Phone: 538-7541:, 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE a 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.'lf you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r r Date_l �`_ Inspector_ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome Owner's name 0060itme L4 -PA � Owner's address 50: �- Insignia or hud number Manufacturer's name F,2o" .6,6 Serial nu b rq V.I.N. A-4�'s Year of manufacture — J. (Official—Appr$ving Installs 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. 513B White Owner, Yellow - Installer, Pink - D.P.W. J=OK O=Not OK - =Notdyable RESIDENTIAL (; = Not,fleaReady Date '' UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'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/Meth. Fastners-Bond Gas & Water -------- ---- --------- ------------------ ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- -------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI ----------- ------------- -------------- -------------------------- ---- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ 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 & Bearing NO V >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------- - _______ __ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolls ---------- ----------- 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 ----------------- I------ 63. -----------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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------ 7;. rotection7 . 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: V=OK O=Not OK NotReadyable MOBILE HOMES Date MOBIL OME UTILITIES Plans OK exce t #'s oninqFi�L<uirements-Setbacks-Easements- r 2-55'iIs; qpaefal MH Support Sketch er cation -Test -Fall -C/O Concrete t,W55te ation-Test-Easement Needed (Sketch) ect�ty; Location-Clearences-Grn &ohp-Concrete &.481—s; Location -Test -Wrap / or/ /" L"ft./ LPG e learance & Disconnect tility Clearance -- Ano 14 U/L/-OlGlL %" 66 So C-� _ Date j-/7- J Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date MOBI OME INSTALLATION (Plans) OK except #'s mg Requirements -Setbacks Easements Fo ngs; Size -Spacing -Marriage Line W.-IG'a * H" Test-Demand-Valve—Connector 4'41e�ty; MH Test -Crossovers -Breakers -Clearances L- raig,M(i Test -Fall -Flex Connector at H Test -Regulator -Connector a and Sewer Connected -C/O to.Grade-HD Approval ,aq andArlartririty Tannart I i rts sp.-Sketch 1 rt. of Occupancy o a Date /-.;t1-4?5L.._Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS t .� Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -'Telephone: 916,'536-7541 APPLICATION AND PERMIT PEERMF O. \ qv— ASSESSOR PARCEL NUMBER ASSESSOR 041-360-035 ZONING U , .BUILDING PERMIT OWNER CLYDE J. WALKER TELEPHONE 877-0712 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 522 DIGGER PINE LANE PARADISE 95969 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 44" Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20,00 Ener Plan Checking Fee Energy g $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SEANIC VIEW DRIVE CHEROKEE Permit tee �$Y�� $ 35.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME __[PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesFj lns4allationU Other ❑ rA Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200A 00VOR LESS 18.50 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. �ry License No. Classification INEx. YYYY--------'"' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.tk\ OR ADDNS. ACC. BLDGS. // 3.6asq.ft. NEW CONSTR MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED Occup. OUTLETS PREA.� IRESID I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 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 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 FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnifyand keepharmless the Count of Butte ag ainst all liabilities, Judgments, costs, and expenses which may in any way accrue against said C u in cons/e�nce of the granting of this permit. Date ��_ fZ Si n ture of g� y1 plicant — Owner Contractor Agent ❑ ❑ An OSHA permit is reqeuired for excavations o and demolition or construct- ion of structures over 3 stories in height,, Mobile Home Installation Fee S Q EAO,94�"-Fee $ occ CONST TYPE TOTAL F E $ HAZ — DFE IMP —� FLOG coF PARCE PD H Su This permit is hereby issued under the sions of the Butte Count Code and/or Y work indicated above for which fees 9I�IR T OF PUBLIC PERLM 5XPIRES Date applicable provi- � resolutions to do � have been paid. WORKS Datei—z1^� Receipt No. �®S,0140-00By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I PECTOR, GOLDENROD -APPLICANT i, ^'•'�'�Jr :..a. :.. vxy'..k'r�5;y��`if`p4J^! ^��. �. ''4jt 1'''`7`i""`aa''�"►sf.r Jyr:.....yNi„'4:ilj.. ..{'..J'ra�A. v--{"�'1. COUNTY OF BUTTE - DEPARTMENT OF FUI3LIt WORKS - BUILDING DIVISION f v 7 COUNTY CENTER DRIVE - OROVILLE ALIFORNIA 95965 - TELEPHONE: 916/538-7541 t PERMIT 0PLIPATION DATA SHEET j*=' Permit No. G� ' OWNER t 6 f il'S;,_ A. P. o. l 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 ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ............... t2 l 8'�► �� 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park,jq.e�,s paid .... .... 13. V !I ICL_ School District fees paid ....•.•..••• y 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 ... 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 'g ature thorization .............................. 26. I E V" cF Z 1 t 27. 5 A i K,!s L16367- d 2 - �- hen you issue the permtiit, pr cess as follows: Mail to owner. Mail to contracttor. _ Telephone and hold for pickup at _(D-1iQoffice. Deliver w/inspector. Other c� C9l �e +�a y fees C'�l"iD0Vpplican 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 ermit issu 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---naiI-counter by .date Contractor, designer, owner, was advised of above required data by -phone -mai I -counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW TO Buildina Department 1 FROM: Environmental Health SUBJECT: Sanitation Clearance L Owner Loca ion Plan Approved for: Hold final for: Sewage Disposal Water Supply G&--d- water-- ^anal clearance O.K. for: Clearance for 3 bedroom mobi home. Other NOTE * * * Water Supply Water Supply Date Sanitarian COUNTY OF BUTTE - DEPARTMFENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASS SS PARCEL NUMBER �� - 00- ZONING/ / t Z- BUILDING PERMIT OWN R r� r ITELEPHONE ^ o+- SQ. FT. OCC. BUILDING VALUATION OWN 'S MAI NG ADDRESS S� Ui (2-,r CO TRACTOR'S E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON$Ti'tj UCTION LENDER ✓AV/ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCH T.E^CTiOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e n' i InJ r Q- C Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent t7.00 USErr��O,,F STRUCTURE SF ❑ Duplex[] MobilehomelXl Other /W SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Li Addition El Remodel❑ tilitiesn Installation Other ❑ Describe work: � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 SS Main service 200A O0OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON.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.&) 3.60sq.ft. OR ADDNS, l ACC. BLDGS. / NEW CONSTR ULTI-OUTLET @ 5 00 BRANCH CIRC ITS S POWER APPARATUe (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\\ 20 76d Ex. Occup. OUT ETS PI RESID )RE A./ I 3.00 Temporary service 15.00 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 Szeif-insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 ventilation permit Fee $ I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this perr=UNTYORB BUILDING DEP XT Date Signature of Applicant – Owner 9 pp ❑ Contractor ❑ Agent ❑ EC 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 S00 Ener Inspection Fee $ gY P occ CONST TYPE TOTAL FEES 1 I$ HAz I DFEES I IMP I FLOOD CDF I PARCEL PD D I ISSUE This permit is hereby issued under the applicable provi- 1 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 I S� Receipt No.y ,/) NNITE-O.P.W., YELLOW-^SSfSSOR. PINK -INSPECTOR. COLDENROn-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. s 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) hw- 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 l'_S%iG0 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 l Social Security T�N// er ' ®� Date )? /� — zz/ 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. CAT. N0. NN01501 •r0 2931 (1290) J TICOR TITLE INSURANCE (Witness Acknowledgment) S STATE OF CALIFORNIA COUNTY OF e) SS. On , before me, the undersigned, a Notary Public in and for said State, personally appeared Kath1 PPn T LpArPmni personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in Chico CA and that said witness was present and saw Glyde J. Walker personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument, and that affiant subscribed his/her name to the within Instrument as a Wit'7191S. .................... ............ : .OFFRaAL SEAL . ` L 10YNER • NOTARY PUBLIC — CALIFORNIA • • PRWCIPAL OFFICE INBUTTE COL94TY • Ny CE1*" OctIS-19951 •................................. WITNESS my ha an is I (This area for official notarial seal) Signature Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT z FOR RESIDEM IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purpo&es, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, 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, omoke, 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: See attached i 91-032063 1 Rec Fee 7. 00 I STF 1.00 Recorded I Check 8.00' Official Records 1 County of I Butte 1 ! Candace J. Grubbs 1 Recorder I 1:35pm 18 -Dec -91 I XX 2' Date: Aa - 7— 51 PROPERTY OWNERS: lv J. ..Talker -- State of ) On this the day of 19 before SS. me, the undersigned Notary Public, personally appeared County of ) Present A.P. No. I �1 Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(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. Notary Public 06-1_3F6_n35-000.. J 91-52063 (:]E2 614 -. EXHIBIT A The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described -as .follows: PARCEL 1: The South half of the East half of South half of Southwest quarter of Southeast quarter of Section 3, Township 20 North, Range 4 East, M.D.B. & M PARCEL 2: - A right _of wa.y..foi road and public utility purposes over a strip of land 60 feet -in -width* lying -Nort-herly of and adjacent to the following described line: A portion of the South half of Section 3, Township 20 North, Range 4 East, M.D.M. described as follows: BEGINNING_ at the -Northeast corner 'of the Southwest quarter of the Southeast quarter of running thence West along the North line thereof, and along the North line of the South -half of the Southwest quarter to a point on the East line -of the Condor Road.; said right of way is for the benefit of appurtenant to the first above described parcel of :any portion or parts thereof. PARCEL 3: A right of way for a road and public utility purposes over a strip of land 60 feet in width the center line of which is described as follows: The East line of the West half of the Southwest quarter of the Southeast quarter of Section 3, Township 20 North, Range 4 East, M.D.B. & M. PARCEL 4: A right of way for road purposes over the Southerly GO feet of the Northea•s.t quarter-o.f the Southeast quarter of Section 4, lying Easterly of the Oroville—Concow Road and a right of way for road purposes over the South 60 feet of the Northwest quarter of the Southwest quarter of Section 3, all. in Township 20 -North, Range 1 East,-M.D.B. & M. ;— IND.OF UMr:�'.- . . END OF DOCUMENT Un NifC 1:3 rn tU U li Z O� Z O �! OF UW a ....�,.,,�.,r,,,y,wry;''k"Y`e•'r` i �.,-7eyr�s+r'�1esr.-.,;i.�yr�,.'i8t'.�,t:,;dyc'4tn;ct;i•'�('F=9R".�.�Y`�'i�"'Iqr�."p4'fi:''q'�"v`""�C.�+r[^."d.r+�.�W.-1'; '�' "= BUTTE COUNTY SCHOOLS DEVELOPMENT•'FEE CERTIFICATION�FORM .. (One Form per Building) A.P. Number (��-��-' Q,Bu°ilding Department No. -h n School District �f7 ��d ty County � Jurisdiction Property Owner %� G^�C� �/ (/ElG� t F"�e r Project Location/Address See- h!i C— V;&L.,), 8r,__N&roke(-1- Subdivision Lot Number Residential Development: a Sq. Footage # of Living MHI Addition (GroupIR) Units Commercial/Industrial: O Sq. Footage r' New Addition (Including Exterior Roofed Areas) Buildi g Department Representative Date s: -(Floor Plans reviewed by School District Personnel.) District I No. _ �,e fI School Districtcertifiesthat M (A pli a t Name)(Phone Number) �C (.Str 1 Address) (fA,(City (State) (Zip Code) has complied with the requirements of Resolution No. /4��M boy the payment of $. •� representing `��`Q square feet. SchooVDistrictAft re$ie� tatl ve Z.1 r /Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS:_ •�h I white-applicant, yellow -building department, pink -school district SCHOOL . FEE (8/88)_- -w .� n M WaVik An V Worjgjagnship 8hAU Be TA Lopprdwtoe wflb Aieoogi:zed Good PraW"s and o! ,S Q0M Preaacribed for � � in the II� Banding, 0040 Ma go X6govia jaectriW00de- 46 e4-? APPROVED Butte County Environmental Health Date Signal re o� Dcans and epodftmUons MM be 'ills Nz tegt on �.h ,Job at all times and it is unl&Wf hpuL oto my obanges or alterations,on same written permission from tB DeVsrtm8ut of PiibU* IWCck , coaasj of But" - structures & �i Locai►cn oY �e eshote e`u�;}•tnQr;•� �haH n +clear o+ all ea�ern ts' ►dK I?Vocic d.— ? 74? 046 1— ys s�FA')/C7 ri ILC Al.k 0.1 COUNTY OF BUTTIb BUILDING DE" 0E C 16 9991 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 4Z 3. Is the site currently under permit? Yes EL? No H (If yes, furnish permit number % - 'JG ) 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 F71, (If no, clarify 5. What is the mobilehoge electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating? ------------- 09.04Amps 7. What is the mobilehome site circuit breaker rating? ----- 14040 Amps 8. Is there any other electric load to be served by the -------------------------------- Yes lko-*"No 11 mobilehome site service? (If yes, identify the load and size: (Load) ,.? _(Amps) 9. What is the mobilehome site gas pipe size? -------------- J (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?--------------------------------------------- CQ (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. o natural gas or less than 50 ft. on LPG.) Cep ��AI� q�® ISO,Q MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr. ,LtC�^st' 1�� furnish Setup Model No. �Yeari Width (ft.) Box Length(ft.) Tagalong or Expando Size _. ,f t., x L.ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's�i tal"" on manual and structural setup sheets (if not on file with the County of Butte):' . 4r_?f X I FOOTINGS (check one) 11� Wood -pressure treated or foundation grade.0 2. Other (specify) SUPPORTS (check one)[�; . Concrete block. 112. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ Z 7 Q„ Size -Min- ------------------ Spacing-Max - --------- -----------------Spacing-Max.--------- Edch Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min. ------------„x Spacing -Max.--------- ��_ From Ends -Max.------- '_ �” Line 3 Piers: (Under Bearing Wall Only) Size-Min.------------------ Spacing-Max---------------- �- From Ends -Max-------------- Line 3 Roof Loads: Size -Min.----------- ,k Location (From Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Size -Min.------------ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , Spacing -Max .--------------- , From Ends -Max.------- �_ „ From Ends -Max .------------- - Line 5 Roof Wads: Size -Min .------------ x Location (From Front) r � -0 08 m U O MODEL: DOUBLE WIDE PIERING WORKSHEET rrk . �.._PSF•ROOF LOAD PLANV SEE NOTE SEE PERIMETER PIERING REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE - 1.,—r-nONT or- UNIT rUNIT SEE PERIMETER ERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DFIAWING IN INSTALLATION MANUAL FOR RE CAPACITY AND FOOTING SIZE. QUIREMENTS OF MAIN R • AIL SUPPORT RIDGE BEAM POST LOCATIONS PIER LOAD CAPACITY IN LBS. MWIMUh1 FOOTING SIZE i�os�- ficza►,-t -tCliw� NOPE: Footing sizes based on 1000PSF soil bearing value. If soil con i i ' or the I�ome Technical Installation Manual for method of calculatifo�r see the piering plan drawing PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED JAMB STUDS A•r UOORSIDE ALL* DOOR ROADSIDE WALL* ' OPENINGS .11 OVER 24" 2? D`' Q�L+ 34!0rt 4 Z/-741 —1 it MASONRY FACED O�VERL ANG ACES IN OF FLOOR PORCH -POSTS AT RE. CESSED SIWALL WHEN POSTS•EXCEED 42" .14EAVY APPLIANCES IN OVERIiANG OF FLOOR 'DIMENSIONS ARE FROM FRONT OF UNIT. :. K•S•12p Ir88 POO ""o -7 0 ,cc ��to MATING LINE PIERING TABLE• INITIAL POST. AT FRONT 1ST INTERIOR POST 2N0 INTERIOR POST 3RD INTERIOR POST 4TH INTERIOR ETH INTERIOR RAR WALL 2 668 ' ys �'�83 SSI �Z' ' POST G POST POST • •" Al �rQ 4t -tCliw� NOPE: Footing sizes based on 1000PSF soil bearing value. If soil con i i ' or the I�ome Technical Installation Manual for method of calculatifo�r see the piering plan drawing PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED JAMB STUDS A•r UOORSIDE ALL* DOOR ROADSIDE WALL* ' OPENINGS .11 OVER 24" 2? D`' Q�L+ 34!0rt 4 Z/-741 —1 it MASONRY FACED O�VERL ANG ACES IN OF FLOOR PORCH -POSTS AT RE. CESSED SIWALL WHEN POSTS•EXCEED 42" .14EAVY APPLIANCES IN OVERIiANG OF FLOOR 'DIMENSIONS ARE FROM FRONT OF UNIT. :. K•S•12p Ir88 POO ""o -7 0 ,cc ��to AP # OWNER PERMIT MH UT IL . CLEARA CE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YEST NO YESI NO Size Load T e Size Length' 0-0,4 5ra L �� /y` 2 c %Ob L COUNTY OF BUTTE - DEPARTP';ENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 041-360-035 ZONING U BUILDING PERMITr, OWNER CLYDE J. WALKER TELEPHONE 877-0712 $O. FT. OCC. BUILDING VALU TON OWNER'S MAILING ADDRESS 522 DIGGER PINE LANE PARADISE 95969 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1'sAA Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �— SCENIC VIEW DRIVE CHEROKEE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[l Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New ❑ Addition[] Remodel❑ Utilities(f Installation[] Other ❑ Describe work: 2 BDRM Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 1 18,9n 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 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 Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUPM OR ADONS. ACC. SLOGS. / 3.64 sq.ft. NEW CON5TR ULTI.OUTLET NO N•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 8,50 — 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property4or,J).nspection purposes. I also agree to save, indemnify and keep harmless th'e County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ou ty i onsequen a of the granting of this permit. Date 12-14 Signature f AppIi t - 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 128.50 HAz 1 ODES I IMP P Foo CDF PARC PO HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees I E R OF PUBLIC By I EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS Date�-� Receipt No. 103586 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..fir COUN'TY OF BUTTE - DEPARTMENTV U)3LIC WORKS - BUILDING DIVISION i •� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET % %? -�^ ) Permit No. 1 OWNER l 11 VC/c, LT Wa ! e Tim A. o. ( -06 Proposed Building Use , IJV Building Inspector Date /(g//6ffZ 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 subm' ............................. 2. Plot plans in duplic a/triplicat , signed by preparer of plans ........ 3. Complete plans in dup Ica a triplicate, signed by preparer, of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Di rl t fees paid .............. 14. Sanitation approval from I`O V I� Health Department Q 8 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 fDriveway 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 ... 2 . Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. (e//,, 24. Recorded copy of Agricultural Acknowledgment Statement ......... 12 le-Icil 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:Ma' to owner. Mail to contractor. Telephone-gZ-0 rand hold for pickup at office. Deliver w/inspector. , Other Appl i Date /2-- 0 // 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. 42� - 2. Additional items required: - - Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter %O -A41 �1--N - /� by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date , Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder 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. 1 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 ave ave not) signed an application for a building permit fo a 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 111-Pi�- 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. l2� 0/'o COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSGR PARCEL,[JU=BE$�� `f/J� ZONIN BUILDING PERMIT O IR 13e '(� �,IPHO E) /1 /n d— S0. FT. OCC. BUILDING VALUATION OWNFyR' MAILIN DORESS b c) 2— CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ AR HITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I / Cn' Vi Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 ` Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 �– TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut- lit -es ?q Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200A OR LESS 18.50 – Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑NO 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 .Jo. Classification LJ 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.h\ OR ADDNS. ( ACC. BLDGS. 11 3.6Q sq.ft. NEW CONSTR. ULTI.OUTLET N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APLNS. EX. OCCUp. OUTLETS PIRESID )REA.I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 / 0 Misc. Wiring g 15.00 Permit Fee $ I — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 04 �nsent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 1 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of th'6.permit-ORBUITB X Date BUILDING DEPT Signature of Applicant — Owner ❑ Contractor ❑ Ag'�] ' 6 �� An OSHA permit is required for excavations over 5'0" deep an3aemolI ton or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEES ) 1 4F,5 I HAZ DFEES I IMP I F7 COF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date /Q2 Cpl–/' Receipt No. c O (� WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT