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HomeMy WebLinkAbout041-520-010' 0 . - � � M IqADEZE 41-52-10 41 - 5 2 �-, ADELEINE CA E/S Oregon Gulch Rd -erokee 'Area 41-52-1 Hoops Oroville B07-0453 041-520-010 GAS MISCELLANEOUS Private Garage/Sliop SUPPORT STRU FRI. DETACHED GARAGE (960) 504 OREGON GULCH RD t.4, OMPACTION TEST EQ— GILL, RICHARD J JR ESTATE Contr: enter 41-52-10 ermit 41 52-1- 041-520-010 41 GILL, idCHARV M04 OREG6 � . ' � ' "CARPbk��TQ CABANA: 041-520-010 I GILL JA, ESTATE OF R 03-2692 2504 OREGON' GULC� RD COnt: MASTER BUILDERS 5�>/VTLL / 'GAS TA � � ESTATE OFRJCHARD J. GILL, 2504 OREGON GULCH RD, OROVILLE ADD-S14ED ROOF t��j 041-520-'10'10�1 06-0633 ESTATE OF J RICHARD J. GILL, 2504 OREGON GtfhCH RD OROV �^ i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2504 OREGON GULCH RD Owner: Permit NO: B07-0453 APN: 041-520-010 GILL, RICHARD J JR ESTATE Issued Date: 04/10/2007 By GLB Permit type: MISCELLANEOUS PO BOX 5144 Subtype: Private Garage/Shop OROVILLE, CA 95966 Expiration Date: 04/09/2008 Description: DETACHED GARAGE (960) (530) 680-4377 Occupancy: Zoning: FR5 U Contractor Applicant: Square Footage: GILL, RICHARD J JR ESTAT] Building Garage RemdUAddn PO BOX 5144 960 OROVILLE, CA 95966 Other Porch/Patio Total (530)680-4377 960 FEE INFORMATION DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $219.96 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage Wood Frame $329.94 DBOMSCF Fire Safe Standards Re $109.98 DBSMIP Residential $2.30 Total Charged: $943.28 Fees Paid: $943.28 Balance Due: $0.00 Receipt No: B2572 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 04/10/2007 penalty [$500]; Please check one of the following: Contractors Signature Date WORKERS' COMPENSATION DECLARATION I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: -- (This section need not a competed if the permit is or one hundreddollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 04/10/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O Hers Signature Date X 04/10/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signatunr Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to ante he above mentioned prop for inspection purposes. I hereby certify that I am the property or am a tLorize to a he propa5y owners behalf. CONSTRUCTION LENDING AGENCY 04/10/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me Of Per Ittee [SIGN] riot Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. E]Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT YES R NO) 2. OTIAVE 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: DETACHED GARAGE (960) Reference Number: B07-0453 Applicant Name: GILL, RICHARD J JR ESTATE Owner's Name: GILL, RICHAZRkTE AP # : 041-520-010 Signature of Property Owner: C/''v ' Date: l � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website:. www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name �+esj CL Fi N �D Mailing Adddress D �- /JOX Citb D lee e—•t7 Sta _ zi State Fax —�- E-mail APPLICANTINFORMATION CONTRACTOR Name CityD�C40 y/eL<:F— Address zi .� City State Zip Phone Fa E-mail State License Number Lic. # Class APPLICANTINFORMATION ARCHITECT/ENGINEER Name CityD�C40 y/eL<:F— Address zi .� City to Zip Phone Fax E-mail State License Number APPLICANTINFORMATION Name/?/ ell Address CityD�C40 y/eL<:F— Slte�' — zi .� PQ� F/ Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API Prert d r O �0 PERMIT NO. BIN # �_ WORKER'S COMPENSATION Policy Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: - -� %X Sq FT- Living rage pen Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): / For office use only: Zoning IfFlood Zone SRA ves No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTI LL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YE OR NO) 2. VE VE 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE 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 Description: DETACHED GARAGE (960) Reference Number: B07-0453 Applicant Name: GILL, RICHARD J JR ESTATE Owner's Name: GILL, RICHA EST Xr AP #: 041- 010 Signature of Property Owner: Date: ^� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: fd Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municit)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0453 Location: 2504 OREGON GULCH RD Parcel Number: 041-520-010 Date: 03/08/2007 Owner Name: GILL, RICHARD J JR ESTATE Phone: (530) 680-4377 Description: DETACHED GARAGE (960) Signature of Property Owner: Date: 03/08/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds i 0 0 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0453 Location: 2504 OREGON GULCH RD Parcel Number: 041-520-010 Owner Name: GILL, RICHARD J JR ESTATE Description: DETACHED GARAGE (960) Date: 03/08/2007 By: KEJ Sub Type: Private Garage/Shop Phone: (530)680-4377 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: ' FILE Date: 03/08/2007 BUTTE COUNTY FEE SUMMARY Permit Number: B07-0453 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 2504 OREGON GULCH RD Contractor: Printed: 03/08/2007 2:54 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/08/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-4500014617240-1010 $102.70 (� DBOMSCF Fire Protection Engine 0010-440001-4210500-1010 $0.00 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 03/08/2007 $102.70 DBMSC Garage Wood Frame 0010-440001-4210500-1010 $329.94 DBF GARAGE -Wood Frame Plan Che 0010-440001-4210500-1010 $219.96 03/08/2007 $219.96 DBSMIP Residential 1001-0-280-1011298 $2.30 Printed By: Karen Jones 833.30 $398.36 Balance Due: $434.94 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 03/08/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the'date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). � h'tFy,ga RECORDING REQUES'T'ED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: THE ESTATE OF RICHARD J. GILL, JR. P.O. BOX 5144 OROVILLE, CA 95966 A.P.N.:041-520-010 .... ��. ..� ■ 1w\11111 �tIJ ��tt will �':..... 21®Q13 —12 1 0 l9 •� Recorded I REC FEE 10.00 Official Records I TAX 96.25 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Barbara 09:00AM 04-Apr72003 I Page 1 of 2 Above This Line for Recorder's Use Only Order No.: 20550AM-ORO-C GRANT DEED Escrow No.: 205550AM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY J26.15 [X ] computed on full value of property conveyed, or l computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, :F MADELEINE J. CASTLE, TRUSTEE OF THE MADELEINE J. CASTLE LIVING TRUST, DATED 11/22/99 hereby GRANT(S) to RICHARD J. GILL, SR., CONSERVATOR FOR THE ESTATE OF RICHARD J. GILL, JR. the following described property in the UNINCORPORATE AREA, County of Butte State of California; 1,. SEE ATTACHED LEGAL DESCRIMON THE MADELEINE J. CASTLE LIVING TRUST, DATED -11/22/99 ,9- _ - - _ ---- - -By:-'--- MADELEINE J. CASTLE, TRUSTEEIVA cP- Document Date: March 31, 2003 STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On � � �\� o before me, ANGFIA n- MAST OTTO—NnTQRY PIIRI Tr personally appeared &IAncI CTUC' , ^A,—.. - personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me 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. WITpFESS .lny hand and official seal. ANGELA D. ill A TE 0TTS Pis area for official notarial seal. n� Commission #1381124 Cdr I�Ota�r icc-- Cna�lyibmia . Cl)My;Comm. Exp. OCT 22,.2008 Mail Ta 'Statements to: SAME AS ABOVE or Address Noted Below Preliminary Report Order No. BU -205550-3 AM 'Description The land referred to herein is situated in the State, of California, County of Butte, and is described as - follows: . PARCEL L• LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION" WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY Ot BUTTE, STATE OF CALIFORNIA, ON OCTOBER 29, 1980, IN BOOK '80 OF MAPS; AT PAGE(S) 72 8 AND CERTIFICATES OF CORRECTION RECORDED APRIL 27, 1981, IN BOOK 2616, PAGE 499, OFFICIAL RECORDS, AND RECORDED AUGUST 28,198 1, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. APN 041-520-010-000 PARCEL Ih A-..60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE. OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER, 29, 1980, IN BOOK 80 OF,MAPS, AT PAGE(S) 7, 8 AND 9 CERTIFICATES OF CORRECTION RECORDED APRIL 27, 1981, IN BOOK 2616, PAGE 499, OFFICIAL RECORDS, AND RECORDED AUGUST 28,198 1, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. m 4.� E V2 SECTION 9 T. 20 N. R. 4 E. 19 17AC• 24 E 1/4 COR. SEC. 9 Om GYB AC. 4.02 29 = 77I8AC \ � 21 @ 342.39 Iso' I1.67AC - GO Ac. Prq s Iso ve 9�\ RS96-99 d r� RS69-64 �fi \ `�0 t0 JO 4 ti B6 INC 492ACSoOaGS03AC. 25 G '• �� 12 11 \ 6" I O11 a 5.93AC. d 6.90AC. © \ I 13 O b 155AC. 1 1663 236./P4/,1j A 8 � 41-52 11 4 0 3 2 _%01AC n SO At. J.01 ACj C I GOLD HILLS e0M0R7 10.29-80 Assessor's Mop No- 41-52 L.0 TS ITHRU13 County of Butte, Cotif is map may or may not be a survey of the..land depicted rbon. You should not rely upon it for any purposk other in orientation to the general location of the parcel .or-par.REWSEOt 10-66 s depicted.. Mid Valley Tttle and Escrow 0+olnpa0y ex Issly disclaims any liability for alleged -'toss 0 damage. , vae,at fmm rMlance.uoon this mere 1A /3 m 16� & 63t0 p 94 InR 36 RO`g01 — ... a S \•s SOI AC. (2� p JI GULF i IS \ X60 32 _ _ x09.32 AD 3 - 33 _ 19.e1ac. j• —' \ 1 5�05Ac 12.31 AL. \ a 31 i 510AC - 4 \� SRO AC NJ 73 1.51 1 1 534.07 CENTER SEC. 9 SUBDIVISION I GOLD HILLS e0M0R7 10.29-80 Assessor's Mop No- 41-52 L.0 TS ITHRU13 County of Butte, Cotif is map may or may not be a survey of the..land depicted rbon. You should not rely upon it for any purposk other in orientation to the general location of the parcel .or-par.REWSEOt 10-66 s depicted.. Mid Valley Tttle and Escrow 0+olnpa0y ex Issly disclaims any liability for alleged -'toss 0 damage. , vae,at fmm rMlance.uoon this mere v,0 � --� ���a'[••Ia•N 6107 N• U . r� Z�o °� �—\ • ` ' •� � ' ' lig : ' � " ",+v tiv2 :ori/�• �� l n y� tea,•. � f ,I s,„�Fa iii •; �GQ . tii �• o ffp,a. •249 9 rip }� r o04 w� ��,y� �GUL �-' • �� • jIZ 9A;t "I `ice L• �• • ��`t` �'! Pao ..11 � 5 �� � ..l�A. j�`'1 Y t �� � � Vii,•• + Y .I 't : '�., r �'~ �`•'a'•'! Er 001: Ord- �A , jai � 8 >; ' ; �”` yE� 'rte•'' a c . ( y 8ca. rt- ". . i>; ;� :. � �� _— Y ". E.�'A Vii.: �-.\ ,• � i ... � '� ° .i 4 \ NQ/•JQ��M G�0.6Y f�� A1! /•_ `� ,G'''SF•'SQ ••yam ��, � • w01o•!y. rj tame." .mrso••� c° a8 se � ` ` Z AN ny �$°� 6 ar I•; rl"Z I ' �' � No»�ti•av-N �oa7.cs• ww•[rer�v NO �ayR I .2 a ���? ` p�c�gY,l �• C'oA��oo838�JS �►: ° ` s ' Q •, lz 3 � `0 � ii. +6 j. SZ �O_ .j�: ••. 1• .Oea,i�i1����'�6i. '�+.�Z � � _�. Y 3- �� �,`i :. .;�7� a' o '��•L �.' • ' is Q7 a ^��� ®' �. n �Oq9 � ;;>l ti nie •� sv-asi F- . )A. — ---/—/---- --`_---Lr--- n� •1GI—J.N_•—r---ro_.—.—r—r--rte-- n� •j \ /��• a./ 1. � IN / ro ti�W I,� 1 bra - • R� 1 .t • I °• 'dab•' $; /I�s,,,bcfa• H� p t4!cray An N-7 1 i w'v L �I Jtc� /E rifrurai I� f n� IS ao.�•• ru j la' 1 ��ta • I . .t • I ,I r: Y la la C" Ra v I_ k. ..-----------------------.---�=�=='q--•ate+._' _„_._•�,�/ "4.r i, � .. Mao sa•rs w oiscc - �I '.€ MW v/ Iwo -w �fo.) visav yp NOO't•7'00'W - ': •ZGi7.QO: \ � w ' nQ%�p �a;tiVa t 1 1 r i 1 i n- —tL a• yISa. ..V :.$q*.i.4l vz �a���r,o",nSri'00000 A. s ti ;r 34 .pees4L, e. �.. p: a D��� ` �� 2� og t+~ Ai -CIS emo i\Zcl,o i; 0 vio -ors-ipso •N�d � bar r� ter. ��z• � •rte �sr� esw►'�sr.aysss� T7/� WYNDia 11gi �'rS/79►o1r� t i � $ 1 S v ESA �t OZ v W M � � o al � �'' � o•O ��� o � 19I93 .o i K b �©®ao E . 0 K t I � I +; K I� a� v p W �W n a w ` ? E d - t cou ZN� '4j J � a �( ,(� a T � N L ,LL -40 r r -n I� a� v p W �W n a w ` ? E d - t cou ZN� .l p�,yr ,v»+�g• I�1rJliv bort - Nv9d 1e7s � s{'i r w •ar »rJ y ��ao'�S� . dovSa"i'oM � i � $ � s a r/ ti RECORDINGQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 illi 111 111 l illi l 1111 l 11 1111 l 11 1111 2007-0007135 Recorded I REC FEE 10,E Official Records I County of I CONFORMED COPY 1.00 Butte I CANDACE J. GRUBBS I County Clerk-Recorderl I DO 09:02AM 12 -Feb -2007 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the uni described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RICHARD J. GILL JR. ESTATE C/O RICHARD J. GILL SR. CONSERVATOR REAL PROPERTY OWNER/LESSOR P.O. BOX 5144 MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 2504 OREGON GULCH ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE • CA 95966 . CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0633 (530) 538-7541 BUIMPPLMITNO. TELEPHONE NU ER 2— SIGNATURE OF LOCA GEN Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") , NONE MAILING ADDRESS DEALER LICENSE NO. SAME ' CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2004 7523L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL417A/B/C27473-WA12 48'X 327 44'X 16' PFS0853382/3/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 041-520-010 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. Preliminary Report Order No. BU -205550-3 AM Description The land referred to herein is situated in the State of'Califomia, County of Butte, and is described as follows:- . PARCEL I: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION`, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 29, 1980, IN BOOK 80 OF MAPS; AT PAGE(S) 7, 8 AND 9. CERTIFICATES OF CORRECTION RECORDED APRIL 27, 1981, IN BOOK 2616, PAGE 499, OFFICIAL RECORDS, AND RECORDED AUGUST 28,1981, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. APN 041-520-010-000 PARCEL II: A.'60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EAMIEN , AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION", WHICH MAP WAS RECORDED IN _ - — THE"OFFICE-OF -T MRECORDER-OF-THE COUNTY OF -BUTTE, STATE OF CALIFORNIk ON OCTOBER. 29,1980, IN BOOK 80 OF MAPS, AT PAGE(S) 7, 8 AND. 9 CERTIFICATES OF CORRECTION RECORDED APRIL 27, 1981, IN BOOK 2616, PAGE. 499, OFFICIAL RECORDS, AND RECORDEDAUGUST 28, 1981, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL 1, DESCRIBED HEREIN. 05/02/06 TUE 11:37 FAX 530 532'3304 FREEDOM OROVILLE CALIF -+-+- BUTTE COUTY Z001/002 2243 Feather River Blvd Oroville, Ca 95965 (530) 532-3301 Phone (530) 53,? -3304 Fax FROM: JEANMNE CORSETTi ESCROW COORoINATOR TO: , FAX V.• PAAFS PLEASE LET ME KNOW SF YOU DIDN7 RECE2VE ALL OF OUR PAGE51 5/02/06 TUE 11:37 FAX 530 532 3304 FREEDOM OROVILLE CALIF BUTTE COUTY 0002/002 ,pFJITOs STATE OF CALIFORNIA NUMBER: BUSINESS. TRANSPORTATION AND HOUSING AGENCY w DEPARTMENT OF HOUSING ANO COMMUNITY DEVELOPMENT 9 ' w DIVISION OF CODES AND STANDARDS 8 �'1 /' O V 1 `t Q MANUFACTURED HOUSING PROGRAM If MANUFACTURER CERTIFICA1�, F ORIGIN DISTRIBUTION; ORIGINAL(PINX) FORWAROTOTHE COPY 1 "ITE) FORWARD TO PIE COPY2(YELLOW)' DELIVER TOTHBT COPY 3 (GOLDENROD) TO BE RETAINED B MCD 483.0 - S'Ide 1 • frig?) TORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). TTMENT AT P.O. BOX 1820L SACitAMENTO. CA 958/2.1929. W(THM FIVE (5) DAYS OF RELE/1$€t ORTER TO ACCOMPANY THIEJONIT TO ITS DESTINATION. MANYFACTURER. D. CHECK IF THIS IS A DUPUCATE MCO -ENTER ORIGINAL MCO N0. R NFAT N ' ^ NUMBER OF 3 ❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS SaQMMEBCIAL COACH:.. . OCCUPANCY GROUP MANUFACTURER NAME' FLEETWOOD HOMES OF CALIFORNIA, iP1C MANUFACTURER LICENSE NUMBER: , 9534 nuaws W+ 1 wOOD:A.\`D C, 95776 SUGGESTED RETAIL PRICE: Stme rYr. Cy SI ZI 3.:r MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: V-NTERPORD• 7523E 2009 05%08/2009 NAh1G LiagV6,6bO �E"%oj&"8 �' Of1l'I dfFt%%j iA CAUF. DEALER NUMBER OR ODBAL7;S71FYL�EETWOOD DATE OF TRANSFER: HOMES OF OROVILLS 'i;tANSFEIjF.E11ESIfaNAT10N: 05/08/2004 DEALER OR.TRANSFEREE ADARESS:, 2243 FEATHER RIWTj OROVILLE CA 95965 s slim INVENTORY CREDITOR NAME: (city) • 'FLEETWOOD RETAIL CORP 2150 (PEST 18TH ST SUITE 300 HOUSTON TX 77008 Street Cl Its(ZIP) SECTION MANUFACTURER SERIAL NUMBER (1•e HCO INSIGNIA OR HIO LA9fil NUMBER LENOTH WOTN WEIGHT INCHES LACHES (POUNDS) 1 CAPI,417A27973-WA12 PFS0853382 576 192 30,•240 2 CAFL417B27473-WA12 PFS0853383 528 292t 35,180 3 CAFL417C27.4,7-WA12... .(�� 576 192 30,18 0 RPS0853389 3 I TRANSPORTER NAME; D & R -TRANSPORT, INC, TRANSPORTER ADDRESS: P.O. SOX 179 DIIRXAM CA 95918 34tte1 (QY) DESTINATION FOR UNIT DESCRIBED ABOVE: NAME S, C State '. Z. I cmv wow penepE a1 P" attlta IM le worim Sate of CetRatnm that the ebo.e hcte tae IM taq ootletl. 05/08/2004 WOODLAND YOLO CA E,Iawtad on M (COW") (sato) SIGNATURE OF AUTHORI," AGENT; C �_ DISTRIBUTION; ORIGINAL(PINX) FORWAROTOTHE COPY 1 "ITE) FORWARD TO PIE COPY2(YELLOW)' DELIVER TOTHBT COPY 3 (GOLDENROD) TO BE RETAINED B MCD 483.0 - S'Ide 1 • frig?) TORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). TTMENT AT P.O. BOX 1820L SACitAMENTO. CA 958/2.1929. W(THM FIVE (5) DAYS OF RELE/1$€t ORTER TO ACCOMPANY THIEJONIT TO ITS DESTINATION. MANYFACTURER. RECORDINGREQUESTEDBY2003--Ot�ie�► 1 Cb4B4 MID VALLEY TITLE & ESCROW CO. Recorded I REC FEE 10.00 AND WHEN RECORDED NAEL TO: Official Records I TAX 96.25 THE ESTATE OF RICHARD J. GILL, JR. County Of I P.O. BOX 5144 TTE CANDACE J. GRUBBS i OROVILLE, CA 95966 Recorder I ROSEMARY DICKSON E Assistant 1 Barbara MOWN 04—Apr-2003 I Rage 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 041-520-010 Order No.: 20550AM ORO -C Escrow No.: 205550AM GRANT DEED ,L THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $96.25 X j computed on full value of property conveyed, or computed on full valueless value of liens or encumbrances remaining at time of sale, unincorporated area; [ J City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, MADELEINE J. CASTLE, TRUSTEE OF THE MADELEINE J. CASTLE LIVING TRUST, DATED 11/22/99 hereby GRANT(S) to RICHARD J. GILL, SR., CONSERVATOR FOR THE ESTATE OF RICHARD J. GILL, JR. the following described property in the UNINCORPORATE AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION THE MADELEINE J. CASTLE LIVING TRUST, DATED 11/22/99 By,/. MADELEINE J. CASTLE, TRUSTEE Document Date: March 31, 2003 STATE OF CALIFORNIA AS COUNTY OF BUTTE ) On LAA �N 9% before me, ANrF1 A --n- MA-STR3 n7Tn_runrasry P11RI TC personally appeared 14ADPI PTuc 1 CAST' E personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me 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. WIT?, FESS jny hand and official seal. , 4 ANGELA D. MASTELOTTO his area for official notarial seal. Contmiasion #1361124 IVaonyrla = fatlloe'ria . t�qy Comm.. Exp.�OG"%. ?2,.800Q Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ... .. ..... t! 'Preliminary Report I)es on Order No. BU -205550-3 AM The land referred to herein is situated in the State' ofCalifornia, County of Butte, and is described as follows:- . PARCEL I: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 29, 1980, IN BOOK 80 OF MAPS; AT PAGE(S) 7, 8 AND 9. CERTIFICATES OF CORRECTION RECORDED APRIL. 27, 1981, 1N BOOK 2616, . PAGE 499, OFFICIAL RECORDS, AND RECORDED AUGUST 28,198 1, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. APN 041-520-010-000 PARCEL II: A 60 FOOT RIGHT OF WAY AND PUBLIC UTILITY EASEMENT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLD HILLS SUBDIVISION`, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER. 29, 1980, IN BOOK 80 OF MAPS, AT PAGE(S) 7, 8 AND. 9 CERTIFICATES OF CORRECTION RECORDED APRIL 27, 1981, IN BOOK 2616, PAGE 499, OFFICIAL RECORDS, AND RECORDED AUGUST 28,198 1, IN BOOK 2653, PAGE 325, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Q 1 rCont: 1-520-010TAT n,.. , 06=0633IN O T. E S 4,OREGON CHS J'GILL, GULCHRD, pROVILLEMASTER BUILDER S' t:: PERM FND (NEW) - S." � 1 A L J�•r 1 APN: Permit No_ Owner. } Site Address: I Contractor. I�Type of Permit: I, . V-, 1 41 r � 1 I, OFFICE COPY Address GAS _ Meter By� Date ELECTRIC �_2! Meter By Date CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 1 t DATE JOB FINALED: i _ SIGNATURE: CICT �<rr 7 l i 4' i CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 1 t DATE JOB FINALED: i _ SIGNATURE: CICT �<rr = OK MANUFACTURED HOMES MISCELLANEOUS DATE P ANENT FOUNDATION SOFT -SET oning-Setbacks-Easements 2 Soils; Special MH Support Sketch 3 Se Loctn-Test; Fall/C/O-Concrete octn-Test-Easement Needed -Regulator lec Loctn-Clrncs-Grnd Amp -Concrete Soea-r_d Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth �g; Sz-Spacing-Marriage Line `YGa H VTest-Demand-Valve-Cnnctr ec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr. i 1 & Sewer Connected -C/O to Grade 1 Gas and Electricity Tagged 13 Tt owns O Foundation its 1� S�� Cert of Occupancy I&I UU Label/Insignia Numbers Serial Numbers �C DATE D E C KS -C O V E R S'C A R P O R T S `GARAGE S r 1 Zoning-Setbacks-Easemenfs 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 1 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 1 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs ( 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses i 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 1 12 Braced Wall pnls s` °'D; ° o4_1 DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 I 5 Elec Pool Lting; 15 volts�F1 >� 6 Elec Enclsrs; Conduit Entries -Terminals Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg B6xes-Enclsrs= nlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche !� 12 Enclsr-, Fencing -Alarms 13 Bonding, Diving board or Slide -QjiLDead 'q a %�,., _ `e �o �{ ` y °'(a -(� / / / q, —4— d x v j • IX f C+' y Pool Drawing t { i I f = OK = Not OK RESIDENTIAL (Sing(& & Duplex) I UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 64 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation 0 DATE JFAAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Lan ding -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W ails -Ceilings 39 Infiltration-Walls-Wndws s DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ya ❑ CU or ❑ AL 48 Range Circ ga ❑CU or❑AL Chen Circ ga ❑CU or MAL Ins4lated Neutral 1:1 Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAit (PLUMBING 53 Wtr Htr; Vent-Acc-C nibs In Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping o'• o o,° o. DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent I IS Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vrits abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler oma• eo,• 0`s BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP060633 B. C. Building Permit 01-16.04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/26/2006 APN: 041-520-010-000 the Business and Professions Code, and my license is in full force and effect. License :. License Number: Z Site Address: 2504 OREGON GULCH RD ORO /Class Date: 7 , 2�4 Contractor: �/"f)&- A(//Z,01fi0 Map Index: Description: NEW MH, PERM FND, EX SITE (1804) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GILL RICHARD J JR ESTATE to its Issuance, also requires the applicant for such permit to file a C/O GILL RICHARD J SR CONSERVATOR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PO BOX 5144 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-0144 she is exempt therefrom -and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GILL RICHARD J JR ESTATE pP owner of property who builds or improves thereon, and who does C/O GILL RICHARD J SR CONSERVATOR such work himself or herself or through his or her own employees, PO BOX 5144 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95966-0144 year of completion, the owner -builder will have the burden of (530)680-4377 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: MASTER BUILDERS and who contracts for such projects with a contractor(s) licensed P O BOX 5144 pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95965 (530) 534-8556 Date: owner: License #: 817229 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 1/�Sv J Total Square Ft: 1804 S.F. Policy#: e2 i2 - Z6 G Valuation: $117,260.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to 12-q � 9 .become subject to the workers' compensation laws of California, l 1 ` and agree that if I should become subject to the workers' j�(1 (:�1 compensation provisions of Section 3700 of the Labor Code, I shall IQ lU 1 forthwith comply with t op provisions. O O/, 5 Date: l .51 Applicani. 5011,2- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one r' l C�/'n - � r - i i oG 'hundred' thousand dollars ($100,000),.. in_ addition, to the- cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolut' ns to do work Indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)/: _O/� 16 Name: BY iltn�/" Date: / Address: PERMIT EXPIRES ON: �_2�-O`i Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: • Signature: Date: LJyOyrner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONk OROVILLE: (530) 538-7636 - CIUCO: (530) 891-2834 A FEE WILLOFFICE #: 8-7541 BE REQ LWD AT MWE OFAPPLICA77ON P 9 G "PLEASE PRINT CLEARLY— P AHE NO. BIN # OVER FOR SUBMITTAL REQUIREMENTS K:IF0RMS"UIL0';G FORMSIgidggppiSubRgmts.doc Page 1 of 2 ... A JL.,I. yr Arfi.ICATION Applications for which a permit has not been tissued will expire o Yea after the date of application. In order ti one application after expiration, anew applicatiorenew action on an ne n, plans and fee will be ReRmds can only be made upon written request by the person who paid the fee. Permit and no ton request must work made prior to the expiration of the check fees for wo��on work has been done. Faittg fees, plan retimdable. plan checked and other department costs are not Received by Amount Bldg SRA �Yt �ZqJ Sheriff SM1P Date: f 1 ��1_qLi other REV 7-27. CO COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OP 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 t PERMIT APPLICATION DATA SHEET OWNER:y ��`I1L,r� ASSESSOR PARCEL NUMBER Proposed Building Use: w� on } (n . 1 ,Permit Technician: V.6. Date: -LL- o `Y Itgfits required in order to apply for a permit. All boxes MUS be checked OR marked NA in order to apply. U �N 1. Site plans, Or 4 bets, signed by the preparer of the plans. 2. Complete plans, 3 1 r 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ : 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (lInsta lation mama including marriage lin._ _e 'Info, (C) Floor Plan, (D) Tie down ort d Ins, all in duplicate. Q will SU blmI ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑% 11. Hazardous Material Form 2� 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other *Re almng items needed to issue the permit. (May require additional plan review upon receipt Qf ti dfollowing items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico � Oroville, as applicable 2Q'�3ip ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ x}18. Erosion Control Plan Required ........................ ........................:....................... a 119. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit........................................................................ nx ❑ -21. Site plan and business license approval from the Cit f Biggs ................... ' . California Department of Forestry plan approval paid. Sent by: ',% ..... �! 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ U 0 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. 410, 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ' ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. De striction....................................................................................... 35. Le I descriptio , .H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: lac"y (n When issued Telephone Cs 30 J lO D V - q Y71 bV(Q1C and hold for pickup. I have been informed of the above items and requirements for obtaining apuilding permit. Applicant: Date: 1. Index permit application for the al o a items numbered: Plan Check Letter 2. Additional items re5Rwas Contractor, designeas advised of the above data by phone, ❑ mail, ❑ counter, by Date: C144) Contractor, designer, advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: - Structural reviewed by:e,,-,'962-4 Structural approved by: Dat Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: FROM: Building Division - Development Services Environmental Health E. H. U _SE ON Plot Plan Attached �' Floor Plan Attached Sent to BD/DS / SUBJECT: Sanitation Clearance / /C /er/�,e,� �iL� ✓ r oda'—o 5� Q2e d� �ec�c�ctf /�s � �/^�o2O -O/D Owner Location h AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for dwelling. Other a..gz J' x 3 " Co v& -2e o ?8�p-eez 'x /A- rav e,o-aZ 104ri© a- & 0O L., /J /00 2 ve-e Hold final for: Final clearance O.K. for: NOTE: �-� 5CeT�� GT " vz ��ie �l'Ia «P_ ra / 2erYin cJ� ,O Environmental He Building Clearance 9/2005 hyK/ ©& BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner GILL, RICHARD APN No: 041-520-010 Application Date 3/22/2006 Permit No: BP 060633 Permit Type:t °`'��tA/_ �%��}_ Pf�M.�iitD� Esc SITS 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $341.67 $329.94 is 21 &ii- Q U $11.73 Cell 4.zf.- t 0 RECEIPT DATE Tech/Asst �J (' 3122/06 Kourtni 4 'S 6 7 7a 8 9 10 Balance of Building Permit Fees (from No. 1 above) SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* Applications After 2/14/05 ,: Per Dwelling SFD Per I New construction, vacant land, on 1 acre or less - Enter 1 or less acre value County 4096.87 Chico Urban Area 5372.09 EI Medio Fire District 3128.31 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 0 R-1 do R-2 7938.53 8031.53 7541.53 R-3 6780.53 Processing Fee is automatically added to impact fee total WATER TENDER FEE (Not collected when impact Fees Applicable) Ente► Bat.# DRAINAGE FEES* )welling Per Dwelling MFD ,, MH 3071.14 3117.43 3995.45 4889.56 2297.77 2326.36 6757.08 7633.49 6850.08 7726.49 6360.08 7236.49 5599.08 6475.49 RECEIPT DATE Tech/Asst CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 0 $100.00 $200.00 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 .$652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Oroville High/Golden Feather 110 W 12a RECREATION DISTRICT FEES* Oroville 736 $6,070 RECEIPT DATE Tech/Asst $8,603 0 PERMIT. Forms will be prepared after plan check :ZN 3 At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION foo c� � I- 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner GILL, RICHARD APN No: 041-520-010 EI Medio Fire District 3128.311 2297.771 2326.36 Application Date 3/22/2006 Permit No: BP 060633 Permit Type: NEW MH. PERM FND, EX SITE � Cauerfdl CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 Parches , 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $809.90 774 Lindo Channel $8,139 Plan Check portion of Permit Fee 776 Mud -Sycamore Creek $6,070 $323.96- $485.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 O6 > Ti / 3 SRA* Oroville ,- Yes Fire Plan Check - Non -Refundable $95.00 $95.00_ 1 - $204.98 (State Responsibility Area) Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $418.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $528.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $499.10 $485.94 $13.16 RECEIPT DATE Tech/Asst °ICP% 3/22/06 Kourtni 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per DwellingPer Dwelling Per Dwelling A lications After 2114/05 SFD MFD UF MH County 1 4096.871 3071.141 3117. 9 10 10a 11 11a Chico Urban Area 5372.091 3995.451 4889.56 RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst EI Medio Fire District 3128.311 2297.771 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 0 R-1 8031.53 6850.08 7726.49 ti° R-2 7541.531 6360.08 7236.49 R-3 6780.531 5599.081 6475.49 Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* Oroville High/Golden Feather 110 3 O6 > Ti / C Oroville ,- 6 4 I At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Gover n code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 BUTTEQOUNT'Y DEVELOPMENT FEE CERTIFICATION FORM FEATHER.RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) O PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) (� Project Location /Address Subdivision Name Building Pen -nit Number Assessable Sq. Ftge K14 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) on -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: hblrn� Building ❑ FRRPD ❑ CARD 0 PRPD ❑ DUD certifies that: Date Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment.of: Dwelling Units @ $ — Square Feet @ $ Remarks:, per unit for a total of $ per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: Recreation and Park District Representative Date I i 17 A -1 TRA 110 BUTTE COUNTY SCHOOLS IMPACT.FEE'CERTIFICATION FORM (One form per Building) School District . A.P. Number C', 41 - � %n• 0 10 Jurisdiction: � -City Property Owner 11 Gill 12i c i 'r Property Building Depa t No. LAD County Subdivision Lot No. Residential Development Q Q Sq. Footage I qjM No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # See �c�Chc-� sl�e�l: Commercial/Ingustrial New 0 Addition *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 060196 OR" i I Lt, UJ 1 bit School District certifies that (Street Address) (City) Sq. Footage 3 -9 -2 - Date j� Q (Applicant) I� ocz..Id�... 53+ (Including Exterior Roofed Areas) (Phone Number) C� 9sg�s (State) has complied with the requirements of Resolution No. I VS `170 C/A qi 0 square feet. School District Paid by Check # u Remarks: (Zip Code) by payment of $�i4 B 2926 $ ULL MITIGATION $ IDS 12--&) Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrltbn protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate Its hepeet on On school districCs schools. White (school district), Yellow (building department), Pink (applicant), f eform.xls(3IOSldnim Butte Count rDepartment of -Dc' Velop73C17t 5C rrCCS . °$vrr�° 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile c0Uta" BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process. WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. . I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The" Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there. will be no refun&,,of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not "limited to, verification the parcel was legally created, adherence. to. all mitigations and conditions imposed on the paFcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). ; Please print: Applicant Name:i'2 %�i'/�/�/�D tT �o /G� APN: rr Building site address:SD�D� D,cJ �l/LGiEi��, Permit No.:(7 COO W ---Q &0G3 q I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE y "`, O�Q,pp°FnnENT 6VTT� °y,�: O J 1 O oot,N-t: .o �..:+ 5 �euc woP�' Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 )530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement . [LESS THAN 1 ACRE1 Project Description. .SSD �/ 4, ' Ifv ��4z �a�`o Project Location and/or Parcel Number: 6_11), y/ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board: I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date:. Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 p�QP•RTME►T O� i �QT,F ve artment of Public Works ° C o u n t y o f B u t t e ° ° ° ° 7 County Center Drive Oroville, CA 95965 °COUNT-�° J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 A�eCrc WOFShawn H. O'Brien, Assistant Director Assessors Parcel Number: C) U t- 52-o:: <� c, Building permit # Owners Name:' /C i tL^ g,- Owners , Owners Mailing Address: Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: 046:10 3 ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ❑ Not a County maintained road ❑ Existing driveway conforms to County S-31 standard ❑ Other Approved by Printed Name Title L f� Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. 4 m I '641'-'520-010 03-2692 GILL JR; ESTATE OF, R 2504 OREGON GULCH RD, OROVILLE Cont: MASTER BUILDERS GAS TANK/LINE FOR 63-0124 "I' - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT m_?Aa9 ASSESSOR PARCEL NUMBER 441-520-010 ZONING BUILDING PERMIT OWNER ESTATE OF R. GILL A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 51440ROVTLLE 95%6 CONTRACTOR'S NAME MASTER BUMMS TELEPHONE hog_ aR CONTRACTORS MAILING ADDRESS !'U BOX 5144 OROVTLLE 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2504 OREGMGULC£i RD. Omv= Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeNE1 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: rAS TANK 4 1 TA?FC R'1ti AUJ^1.,11)f Gas piping system 1 - 5 outlets 15.00 S .00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR UE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�J J p/, License Class Lic. No. / �.+• / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TONG 46.00 NEW CONST. DWEW EE OCCUP. CU OR ADDNS. ( 6 ACC. BLDS. SO 3.50FT_ NEW gESID. m"TI.OUTLET @7,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2 Q x'50 aAL @ .so Ex. Occup. ouTIFTs M) E R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 I certify that in the performance of the work for which this permit is issued, I shall �-- not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith -comply with ose 0vi ids. X ./ Date Sigrfature of Applicant - d Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 35.00 LOcc HAZ. — D. FEES IMP — --- -- FLOOD -- — r CDF &,CEL PO HO "— — ISSUE, This permit is hereby issued under the applicable provisions of the Butte oQounty Code and/or Resolutions to do work indict ed a • ove f whi h fees have been paid. BY l Da O� PERMIT EXPIRES ON Dafe Receipt No. s�. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NJ` t 041-520-010 r 906-0639 a � � 1 ESTATE OF RICHARD J. GILL, , RE i 2504 OREGON GULCH RD, OROVILLE �O T E S Cont: MASTER BUILDER C'ADD'SHED ROOF I RESIDENTIAL AP N: Permit No. + Owner '1 Site Address: 11 Contractor. u Type of Permit_ ou Ii / SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE + 1 i I + DATE JOB FINALED: _ SIGNATURE: /o = OK Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE ID E Ca,_V,_�C O V E R S -CA R P O RTS `G A R A G ES 'g -Setbacks -Easements 1 Zoning-Setbacks-Easementso2p 2 Soils; Special MH Support Sketch Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; FaIUC/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Frmg-Brcng . Inch Sz Ft Lngth 5 Alum Awn; Columns -CnnctnsSplice-Decal-Encis rs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers q c` IT - DATE IPOOLS 1 Setbacks -Easements + 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -C nnctns-Thickn es s Dead Men -Lining . 4 Elec Rcptcls/Lting; Distance-GF1 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed - 7 Elec Bonding; Metal w/5'•Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr•, Fencing -Alarms 13 Bonding, Diving board or Slide 4 P �C Pool Drawing i r 0 OK = N01 RES IDENTIAL.(Single & Duplex) .' . I UNDERFLOOR I Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd .. Ftg Opth_ 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel -Bloc kouts-Wrapped 63 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DW V; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation c DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws o'er m o'er m DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 93 QCU or AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ 9. QCU or ❑AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ElYes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UA1t .PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe-, Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56, Shwr Pan; Test. First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub. Acc 77711, a4 8 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICA-L 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic r `mac DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath.Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker S7s & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls atKtchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-CimcCom Air Cnnctr-PRV• abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lottn - 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtct 9�Ga ns from previous Inspctns 9 es eters Tagged, Gas-Elec 9tr & Sewer Cnnctd-G/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler �C BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. L -Z License Class :. License Number: 91 Date: Contractor:./%%/�57�2 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and �policy �number are: Carrier: /cCN�b� %��G7�6_ys4a7 14 /11T!Y Policy #: D D l Zoo ❑ 1 certify that In the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to .become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pprro'vislo s. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work I'm which this permit IsissuQd — c3097 Civ.)' Name: Address: PERMIT NO. BP060639 Issued Date: 04/26/2006 APN: 041-520-010-000 Site Address: 2504 OREGON GULCH RD ORO Map Index: Description: COVERED PORCHES (896) Owner: GILL RICHARD J JR ESTATE C/O GILL RICHARD J SR CONSERVATOR PO BOX 5144 OROVILLE, CA 95966-0144 Applicant: GILL RICHARD J JR ESTATE C/O GILL RICHARD J SR CONSERVATOR PO BOX 5144 OROVILLE, CA 95966-0144 (530)534-8556 Contractor: MASTER BUILDERS P0BOX 5144 OROVILLE, CA 95965 (530) 534-8556 License #: 817229 Architect: Engineer: Total Square Ft: 896 S.F. Valuation: $14,336.00 Census Code: t 10q.0o 411 I 4q G7 3 -z2 -0G *7q 50219 q-2(�-OG This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Ind' ted above_for.which_fees have been paid: By: / Date: PERMIT EXPIRES ON: +2(A-09 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici I form or document of Butte ounty. I hereby authorize representatives of/Butte �County to enter upon the above mentioned property for inspection purposes. Print Name :. �1/1////(iJ/ Com' d L Signature: Date: CA Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01.16-04 pg 1 SITE PLAN .......... ..... .......... ........................................... .................. ................ ............... : ........... ....................................... ....... .................. . ............. .................... ........... ...... ...... ...... ..... ....... .................. ................................. ............. ...................... ........... ...... ------ ...... ...... ...... : ............. ................... ................... ...... ......... ..................... .................. 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Assessors Parcel Number E H] ILI M 0 K 10d I0 K Scale: I" Owner Name e5S rIM61 of zTR Address 1 Phone No. ,00 90-t -5-15o'9' Q -e6 Vle-644,,V - 610 Site Location S" A" 6U4,C11 '0�p45 A 1 -7 i -.4 FOR OFFICE USE ONLY Zoning: . ... . . . .. ' General Plan Desig: Size, Acrbs PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN P�FM: I I ex --6- M ::..........-:............._........................................................ . _.... 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Assessor's Parcel Number © 0 Y] -- 50 0 [0] — 1:01 © OD Scale: III= 7 Owner Name e5Sr1P_E XAQA19R0 G./LL Address / Phone No. p0 90Ao v "/50� V 6 o V/GGE e"y • RS -,q 6 4 Site Location -Z510 0 44,00Y 4 A9 &945 ki.._.� i1 it r�' /] ///��t/�f" Ahnna %5'�lJ� l2.0 77 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ` 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN I� M: USES: ti California Department of Forestry and Fire Protection butte County Fire Department Fire Safe Requirements r Permit!# o4 - o 633 Under authority of Public Resources Code Section 4290, the following checked items are required by CDF/Butte County Fire Department and made part of this permit These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space Measures [X] To ensure continued maintenance of properties in conformance with these standards and measures and to • assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided when the final inspection is completed. 1273.10 Driveways [XI (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length [X] (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. 1273.02 Roadway Surface Pq The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius [X] (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. 1273.05 Roadway Tumarounds [X] Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T' shall be a minimum of 60 feet in length- 1273.06 ength 1273.06 Roadway Turnouts [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. Revised 02/28/06 C is "wo" E Q U I R E M E N T S 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. [X] (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. [XI (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. IX] (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. Pq (c) Where a one-way road with a single traffic lane provides access to a gated entrance, a 40 foot turning radius shall be used. 1274.08 Addresses for Buildings [X] All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified 1274.09 Size of Letters. Numbers and Svmbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign 1274.10 Installation Location and Visibility of Addresses [X] (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. 1276.01 Setback for Structure Defensible Space (a) All parcels l acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road [ ) Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. . Revised 02/28/06 1 Same Practical Effect for Buildings less then 30 feet from property fine: [) If the Building Setback is less then 30 Feet from all property lines and/or the center of the road, the following shall be required; 0 Class A roof • Fully enclosed eaves on entire stricture • Fire rated metal doors on side toward property line with insufficient setback • Siding from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels [X) Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road constriction or final inspection of a building permit. Other Requirements- Installation of Residential Fire Sprinklers ' IN If your property was part of a parcel split after January 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 03/29/2006 Date Revised 02/28/06 Darren Read Fire Protection Planning SITE PLAN ............ ...... 7-- 7 .... .......... ............... .......... 7 ............. ............ ...................... .................. ......... ............ ............. 7 ............ ...... 7 ............... ...... 7 ............. ................... 7- ............ ................... ...... ............... ...... ............... ............. ...... ...... ...... ................... ................... .................... .................... ................... ...... ............ . . . ............ ................... ...... ...... ...... ............ 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L TR - Address / Phone No. 00 B0,ot' 422 V 64-014144,e 4ef. 95'96,6 Site Location -Z5�40 5;00 4eegf'4040 -*V 64144W 404 jO ",0X144,g:F_ 4A 95145 Contact: Name Phone 125"z?,o.) &** SD — V.37 7 FOR OFFICE USE ONLY 7nnin General Plan Desig: Size, Acres PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN P x - UM"_ ,x 8}1sFJL......;..... ;...... SITE PLAN ENVIRONMENTAL HEALTH ......_....._ .............-................ - - .- : ..... ...._....._ ._ ............ .. :...._ ......:.....:......:.............................1. Env: nmential Health COUNTY-CNTR DRI�IE....... :.....: :.....?.a .. ..............,► <oat�.......... 1 ... .. .. .. ............ .. .. .. .. .. .......... -- .............. - 1 ... .............................. ;.. .............. ..................... .. .. .. .. .. .. .. .. .. Go�vc .. . ,e�F PJEIL arm14 ...... . J . o ......_.... .. 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Assessor's Parcel Number. 0 © 0. — 0 F11 F9 — ® 0 0 Scale:$ _ Owner Name �sT•¢r� o.� . /1/G.s/�9.2D:_ .G/� ,�2 Address/ Phone No. ,PD coir S-Iyy 0.2D V -1 -44z -GA. 9S9 Site Location 2roS/ AeeGoA/ 64646W, ,40?e_A,0 g2.Q,dyv"e- e,4- 9Sms- Contact: Name M,1 SX41- A&,1' V oFAS " Phone �,3041A D —�/3 7 7 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acnes 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC); ZONING: GEN PLAN: USES: .. ............ .. X� : ... . .. Z ....: ............ .. .. ... .. ................ .......... .. .. .. .......... .. ... .. oiii » y/vv S s E'..f iruG ............ ... ..... ... .. _ ................. .............. ..... ./ .. ... .. .. yy- 6 `Xy rvF� o �,.. �.. .. ... i tX . oy� .. cq B o° .. ..................... .. .. ..L a a,.... ... .. a oT .. �e X 6 � D 5! X : X y y yX�,ioo�tr� LJ ! �..�...�..�.. Q.... _ _ ... U. 7 4 .... .... . ....... 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Date .. : .. ..................... ..:.. ..:.. ..GTL a! . :..... ° k ............. .. .. ............. Sig[?ature...... .. :.....<.:.:................... :...... :............. ....... ............ ......................... ............ • l ... ..................... .. ... .. .... . ................................. ,�, ---; ; �. S uT/ EL. �F: /0l1/ o /�of�T Eri Q ... .. .. ... . • ... f! �Y�9 T/G / S.. .. d: . . . . . . . . . . Q ©x/Sr/�DD�T��� !i ...:. ..:.. ..,. .......... ...... ...... ............ ...... ..... ...... ............. ...... ...... MAS:.Z.-2..2006.:.. . . . . . . . . . . . . . . . ..................... RIV ..................... ....... .....:....... :................. .. ............ ..:. ..:....:.. _....:...�T1'CE ..:.-TSR D Assessors Parcel Number. DD ry]/Q - ® 91 0 - el 21. [dJ Scale; 1 _ Owner Name .Address/ Phone No. '00 40X "'IV5,o' 0/10 V«4e- e19- 9�-'p6 Site Location .4o"410 meq_ 9Sil Contact: Name Y��2 Phone eS9oi d 9e - S! .? 7 7 • . • . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4-.O(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: - 5 '—e; I -r, n. .....:......:. .:...... ............ ...... .: ...........:......:.....:......:.......... .......... ........... .. .. .. .. .. ... .. t �- :.. .............. :. ;.. I . :.........................................,:......._...,....._..........._. 1 ... ........ .. ............:.............................. . . . ...:....:.. � Xy: ................ .::....:... ..:....:.. iJC ��... ......,.;.......;.. AuPtPteROVE.........$................................N ,: r✓ounf �r ?� :� .. i n al Hp al LJ f �' ......:......•.... ......:......;....... /._.Y..X....1. ...t ....._....•..... .. :...: _.... .......... C/DN t A-0-4 Da �3 iz XF y.Laet s - G r 9 .546; e1 .?.../� . .:....:.. 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IYXy Aosfr P73S :...._.:....r�..:......:....:......:......:.... . ..... ....... ;... : �Sbu�/f 44 -40110! �SL�GT/o�/.C•....;.- ;.... .:............:...................: . .. ............ ................ ............ .. ... .. .................. .. ... .. ............ :........... :...... ............ :...... ................... ......_....._................. a T� l I n '6�. TT FOR OFFICE USE ONLY PROVIDE FOR ALL Assessors Parcel Number: 0 [� -- �I � i1 -- 0 ©� Scale: 1':,,_ ° o ADJACENT PARCELS ° - ° Zoning: ---_-- SIZE (AC): Owner Namev� T/S�T� .O�' .�/�6/�t/L_6, %- ( ° - .. :. --... --- • _ ° ~�-^v�� ° General PlanDesig: __ ZONING: Address / Phone No. '0149"o ✓�//i%4/ Q/IQ_1I _ - - --- ° — --- _ Size Acres _ _— ---- ---------- - --- - Site Location 2�_01Lt �o�l. �s _ �/L� �� USEGEN FLAN ---- Contact: Name- -:: _� Mobilehome M=ufacturer:_ ,1i Manufacture Year. If other than single wide, furnish Setup Model Number:_ Width:_j�a'P_(i) Length:.�q�) Tagalong or Expando Size_(fr,) X ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeM Other. STFPPORTS: Concrete blockOO Other. Provide Tie Down Specifications for alt Mobilehomes: stxcL$wm$ Pier Footings Sizes and Location Lim i 1► MTUWma Lia.2 1 ..................................................................................... .. Lia.2 U00 27- ........................................ Main Bum .....:......:......... Lias 1 ................... 2 Lia. 3 ...............................................&1nBoma ..................................... ..................:............................. Lio02 Line 1 Tag or Tdpl, 1 . Line I Piers: Size minimum: x z Spaang maximum: 7- p •. From ends -maximum p • Line 2 Piers: Size minimum: x Spacing maximum: From ends -maxim • Line 3 Roof Loads: Size minimum Location .(from front): Line S Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: Each side of openings with width over. Line 4 Piers: Size minimum: /,2 x 2 Spacing maximum: From ends-ma�dm 0.• avER E1JTTE COUNTY BUILDING DIVISION APPROVED N 1. vwaer's Name: Z -_S7/97 -4:F O� �iGiyf%2D 4 i LL .-r-17 2. Assessor's Parcel Number. 3. Installer's Name:_1/i4i✓�'%1%!/�2XI /Y1 e gl j � 4. ZS the site currently under permit? Yesjo N01 ] Permit No. S. Is the site as existing site? Yes No[ ] (If Yc;p furnish two plotInas . p ) 6. What is the electrical rating of the mobdehome??�,e mperes. 7. What is the mobiilehome site circuit breaker 741ing?_Z�.,4mperes• $• What is the electrical rating of the mobilehome Amperes, E 9. Is the main service remote from the mobdehome site? Yes[ ] No jk( If it is, what is the rating? Amperes. I0. Is there any other electric load to be served by the mobilehome site electric service (r.e. well, garage etc.)? YesN Noj ] If Yes, Please identify the load and size: a) The mobile home site: - Load - LD Am eres. b) The mare service: P Load- — L d Amperes- /,,,*7 D 11. Type Of gas service at mobrilehome site: Natural[ j propane[ Noaej '] 12. Size of gasp pipe at the mobilehome taaI� � site from the meter or ' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand?_.*/X *(This information is not required if theP�P r e len B•T•U 8th is less thaw .6 feet on natural gas or less than 50 feet on propane), i i t'1k s4•`�f �'� 1 t Vy95 ,_ :t �73I.'I PPROVED PFS Corporation Madison - 4 . 1127104 HUD Manufactured Home Construction & Safety Standard O O 10 Q I Q 0 O O a I�.0101 y �■ o�. o O i O pil ,. I O O O O 0 0 'r•1 O IIVI,� Q Oiw II 1 ''' � I;►� � tr•. IrB� r cam - - ille>•:o,: L E G E 0 D � l X O THERMOSTAT p 'SMOKE ALARM p SMOKE ALARM w IU7/ elms " LI(IHT FIXTURE q OPT. R CIR.71 BEDIIOCII OF ® VIDEO DIGITAL CABLE PAWL BO W.9 10 VIDEO DIGITAL %it, CABLE CUTLET FAN FAN W/LIG14 LPANEL NOTES: b6X RAO RETURN AIR y GRILLE RE03STER CROSS -OWER REOUIREDA LOCATION / AIR SUPPLY OSUPPORT POST Q SHEARWALL Q 160 a 48'-0' Q 1602 S7 -O' a, PERIMETER P[ERINO 0111111, 17 PROOK[T WK WATERFORD �;. WHEN ROOF LIVE LOAD ► 20 pot 7523L NAWOa TIRE OPT FLOOR PLAN °"'m": AIVAR K. DATE: OV13104 sIrt R:v . FP.4 2.AC7UAL SHEARWALL TRIBUTARY HAS i %� i i �% BEEN INCREASED PER , i i �� e i i %% PORCH DESIGN CONFIGURATION, 3.TRAVEL DISTANCE FROM FARTHEST A «« Yb59gI BEDROOM TO ENTRY = 32.3 LF. rx TDY16Mm r3r, 4.1HS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR MILE 17-6' r -w TZ -U' e� 14'6' ABOUT ITS LENGTH (SIDE TO SIDE) AD/OR WIDTH (END TO DOI AXIS. POST AND SPLKE RANGE DDAENSIONS (FROM TIE O91RTS)'ARE TO BE STARTED AT TIE REAR OF END -70-M MIRROR DALES. An SIDEWALL ADD-ON WINDOW A A tt AA THS FLOOR PLAN AAO ATTACHED OPTION DETAILS (IF APPLICABLE) IS DESIGNED TO MEET THE FOLLOMM STRUCTUAI. R EOUIREMI NTS: w{ PROJECTION WITH FULL F 0 R C H � I� IMAbTEILro e-0 aII IofF al WIND ZONE(S) 1 ROOF LOAD(S) 30 IbB. wTBpy►RW L E G E 0 D RECEPTACLE SWITCH O THERMOSTAT p 'SMOKE ALARM p SMOKE ALARM w IU7/ elms " LI(IHT FIXTURE IT MUST FAN ® VIDEO DIGITAL CABLE PAWL BO VIDEO DIGITAL CABLE CUTLET FAN FAN W/LIG14 LPANEL b6X RAO RETURN AIR y GRILLE 2 O FLOOR RE03STER CROSS -OWER LOCATION / AIR SUPPLY OSUPPORT POST Q SHEARWALL Q 160 a 48'-0' Q 1602 S7 -O' ' © 160 a 48'-0" 0111111, 17 PROOK[T WK WATERFORD Moa WD. 7523L NAWOa TIRE OPT FLOOR PLAN °"'m": AIVAR K. DATE: OV13104 sIrt R:v . FP.4 V-1 yrv s yr L E G -E N D � RECEPTACLE 1 Tbl}6 btl6 SWITCH 6I (DTHERMOSTAT SN0(E ALARM aAN ftFnt am MET 4A11 Q SMOKE ALAIN ■vw■16r um . DE04iAi1VE POBi ISSDE9@�HE�TIM) *LIGHT FIXTURE � EXHAUST FAN' r ® VIDEO DIGITAL f f f f CABLE PANEL BO • ® VIDEO DIGITAL " CABLE OUTLET f tJ .. ' - C A C FAN FAN W/LIGH _ , Afa®oe■o Iia■■■ I PANEL BOY f I _ _ _ RAG RETURN AIR GRILLE n 1BNaoI f y 4 0 RECGISTER CRO9s-OVER LOCATICN / AIR SUPPLY T 0 a O9lRPORT POST 4' Q SHEARWALL DINING IN AO 160 I A8'-0' raf p 160157-0• L N © 160 f 41r-0- ' APPROVED dam. �• `•� PFS Corporatio " s oPT. Uufftw C& Madison - 4 � Q� w000LAw OPT. p ��� ��.� 0 1127104 ��, p 17 PRAIA T MME c -3 `. HUD Manufactule �• ��� / OPT. �`. " ��� « HOlne WATERFORD Construction 81 -NEER-`. Safety Standard � T POST Ilan¢ 1O' 7523L ■ • M I M DRAM TITLE OPT FLOOR PLAN 5T-0' D■A""■T` AIVAR K. ® -ALTERNATIVE ENTRY AN b DATE: DVI3/04 art I�r OPT FULL PORCH ai ro r-0•GEE TOTE a1 F P 2 > ` , we-vw • •C 1 M I se - FMPTf ►lee LD EMPTY THIO rIEIU Is GUM SFEARWALL G -STRAP ALLOWED tJI SPLICE LOCATION DIMENSIONS ARE FROM NITCN END LIVE LOAD: 30 LOS. OPTI FROM TO UNIT MATE 0 - -a - A e e•-1• - as' -S' A . e ae•-e• ae'-II' A e Sa•-a• - SS' -e• A e IS -S' - 47'-e• A e ss• -s• - ss• -e' A e D• - 11-I• e A e• -e• - ID•-/• 0 A 11•-0' - a1'-11' e A ae•-e• - !0•-2• e A SI•-tl• - es• -e• e A 431-0• - 17•-1 ♦ e A ee•-S• - SS' -S• e A 0• - 10• e C 10'-S' -• 11•-e• e C Ie• -ID• e C aT•-S• - ae'-e' e C SS -e' - 11'-S •� 0 C 13-1• - 17'-0' 0 C Se• -01 e C o - I -II c e S•-0• - 11'-0' C 0 IS• -10• - Ie' -S• C e aT'-S• - 20•-S• C e 31•-0• - 11•-S' C e 11•-10• - 4.e' -e1 C e 61'-11• - Se• -00 C e APPROVED PPS Corporation Madison .4 1/27/04 HUD Manufactured Home Construction & Safety Standard XL »-1 ACT W E WATERFORD 7523L mo TITIZ SPEC DM M IT: AIVAR K. OV"4 lEv =C. in 26'-2 V4' 3/ V4• 11-2 ENTRY 25-9 1/4 o DRAT DOOR PANEL BOX OUTIEi 2S -S S/R h e -t-* WATER INLET - -n --�----------,-----------n ; r --- -- - - a I ----- ( � I - I Le ml 2r -r rr 1 va• R -UNIT 127-0• L FURNACE DUCT FURNACE DUCT c-tNI AWITAH0. FBIEFU FOMBM IAEA FOM FMTA WYE IW N RUR H 941OUT NWA. a I ----- ( � I - I 0------ ------El-------E-D----all------El -0 SS 3/4' 91 VT ENTRY WINDOW DOOR !-3 y,• Is' -o• 20-0• QfAMAlj r RTRAP n 1 W.A. /PACI 1 -REAM 012 L E G E N D STANDARD FOOTI/G M68ANTITY TES: DRAWING IS TO USED IN CUUAIC- WITH TIE WS- ATION M"AL AND SUPPLEMENTS. FOOTINGS ARE SNaMI EXAMPLE ONLY. AND SPACING Y VARY.SASED ON PAE TC.. N9 YC. SOIL CCNDITIO m16ER ABOVE J... !. I R ut1• • 111' 1 MKOXT Nut WATERFORD fAWC11111 aATFRO TITU: PIER LAYOUT 301 ROOF LOAD PAM BY: AIVAR K. An: OV0104 L m M SP.E.1 1. 1" IEL Le 127-0• FURNACE DUCT c-tNI 0------ ------El-------E-D----all------El -0 SS 3/4' 91 VT ENTRY WINDOW DOOR !-3 y,• Is' -o• 20-0• QfAMAlj r RTRAP n 1 W.A. /PACI 1 -REAM 012 L E G E N D STANDARD FOOTI/G M68ANTITY TES: DRAWING IS TO USED IN CUUAIC- WITH TIE WS- ATION M"AL AND SUPPLEMENTS. FOOTINGS ARE SNaMI EXAMPLE ONLY. AND SPACING Y VARY.SASED ON PAE TC.. N9 YC. SOIL CCNDITIO m16ER ABOVE J... !. I R ut1• • 111' 1 MKOXT Nut WATERFORD fAWC11111 aATFRO TITU: PIER LAYOUT 301 ROOF LOAD PAM BY: AIVAR K. An: OV0104 L m M SP.E.1 1. 1" IEL I -BEAM AND FLOOR DIMENSIONS Fl.EE7K47W. WATERFORD 7523L OPTIONAL FULL PORCH 1 13'-4" 13'- 4 " 40'- 0" �13'=4" 56' TOTAL LENGTH ***** NOTE ***** FAISECTION= 56- 0" DIMENSIONS SECTION = 56'- 0" FOR 2X4 EXTERIOR © SECTION = 56'- 0" WALLS 301 /4 " " PORCH 99 1 /2 1 -BEAM 8' 48' To Porch -� ------------------------------------------------------------------------- 30 1/4 " 30 1/4 " 99 1/2 " © PORCH 44' To Porch - - 12' T --------------------------------------- ---------------------------------- 301 /4 " ---------------------------------------- 301 /4 " 99 1/2" © PORCH t: 48' To Porch - - 8 -- - - lo - -------;---------------------------------------- ------------------------------ 301 /4 " Fl.EE7K47W. WATERFORD 7523L OPTIONAL FULL PORCH 1 13'-4" 13'- 4 " 40'- 0" �13'=4" 56' TOTAL LENGTH ***** NOTE ***** FAISECTION= 56- 0" DIMENSIONS SECTION = 56'- 0" FOR 2X4 EXTERIOR © SECTION = 56'- 0" WALLS yy. Jim Pursell Page #1 Civil Engineer RCE 60924 Date: 20 -Mar -06 Job Number: 106-03-32 Job Name: Richard Gill Job Location: 2504 Oregon Gulch Rd. APN: 041-520-010 Analysis: 2001 CBC Dead Loads Live Loads Roof: Comp. Shingle 6.0 In" O.S.B. 1.5 Framing 5.0 Insulation 1.0. 1/2" Gypsum 2.5 16.0 psf. 16 psf. Wall: pF _SS p Siding 2.5 ES 4! Framing 3.0 1/2" Gypsum 2.5 . h m Insulation l.0 II C 60924 M .9.0 psf. D6' � Floor: Floor: ' rqt CIVIC FOF C 111��0 Flooring 4.5 3/4" plywood 2.5 Insulation 1.0 Joists Steel Frame 2.0 E UTTE COUNTY 12.0 psf. 40 psf. BUILDING DIVISIOM APPROVED Lateral Loads ` Wind: P=C,CggI where Exposure B Ce 0.62 @ 15 feet Ca 0.3" in/0.9 out windward roof q= 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof. I= 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic: ' V=2.5C,,IW/l .4R where ' 'Ca= 0.36 I= 1 R= 5.5/4.5 Soil Bearing Lateral Sliding Lateral Bearing 1000 psf Coeff.=0.35 200 psf/ft. (,LZ— .2 O _ 390?/6 o /b 2-zb fos� FTG A R&A _sn�'j . t _ cg M re . 4-,7r-,5 I WA ._T St7 @, �Z D SEISMIC GOVERNS Wall O= Wall O Wind V=(2.5xCaxIxW)/(1.4xR)'= 102 Seismic Roof: Windward Leeward q Rich Gill Page Lateral Analysis (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise: Run Pitch Factor Wall Improtance Factor 1= 1 14.5 1 = 0 3: 12 = 1.03 Wind 0.72 0.3 0 0.7 0 14.5 Seismic Roof: Windward Leeward q I P Roof Weight: P(15)= (Coef.) (Coef.x A + Coef. x A) (@75) 14.5 .(Ibs) Pitch = Rise:Run Pitch Factor P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 3 : 12 = 1.03 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 1.03 x 1100 x 16 = 18142 P(15)= 0.62 0.3 162 • 0.7 162 14.5 1 = 1456 14.5 1 = 0 990 x 12 = 11880 P(25)= 0.72 0.8 0. 0.5 0 14.5 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 1410 x 9 =. 12690 Wall: Windward Leeward q I P . (Coef.) (Coef.x A + Coef. x A) (@75) Base Shear (lb) (lbs) Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 990 x 12 = 11880 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 .0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(15)= 0.62 0.8 234 0.5 234 14.5 1 = 2735 Hardipanel R=4.5 W = 42712 P (Total) = 4191 Base Shear (lb) SEISMIC GOVERNS Wall O= Wall O Wind V=(2.5xCaxIxW)/(1.4xR)'= 102 Seismic Roof: Windward Leeward q I P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Pitch = Rise: Run Pitch Factor P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 3: 12 = 1.03 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 1.03 x 1100 x 16 = 18142 P(15)= 0.62 0.3 0 0.7 0 14.5 1 =. 0 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 1410 x 9 = 12690 Wall: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 990 x 12 = 11880 P(25)= 0.72 0.8 0. 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 Ca = 0.36 Total Wt.(Ib) P(15)= 0.62 0.8 0 0.5 - 0 14.5 .1 = 0 Hardipanel R = 4.5 W = 42712 P (Total) = 0 Base Shear (lb) SEISMIC will GOVERN V = (2.5 x Ca x I x W)/(1.4 x R) = 6102/ .i, R G/off �3 A, 1=-, ,; 2 y ,. c4l 4bp, Ac-<A_s GPEA.)(A-G IVJ 2x uIEPA : F« P� sires --------- )c(3 --� A.B.S < 5'c�_C_ oY�7 v.1a,�J r�> ,�T"_ A cc.�,vc�s�,•� �, y' RNs, ���T/a �, C y2 1)4n -C- l%�' 1"S. � �� = �g�z . =- � � �� vM,�, s 6'��Ll� e� /i✓� �t [1�p) Lp l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ZZ License Class License Number: Date: d� Contractor: /fMSZ& A111"a 2-f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number number are: Carrier:7v'v7� ZOO Policy #: D l / / ZOO I— ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to .become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio S. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP060639 Issued Date: 04/26/2006 APN: 041-520-010-000 Site Address: 2504 OREGON GULCH RD ORO Map Index: Description: COVERED PORCHES (896) Owner: GILL RICHARD J JR ESTATE C/O GILL RICHARD J SR CONSERVATOR PO BOX 5144 OROVILLE, 'CA 95966-0144 Applicant: GILL RICHARD J JR ESTATE C/O GILL RICHARD J SR CONSERVATOR PO BOX 5144 OROVILLE, CA 95966-0144 (530)534-8556 Contractor: MASTER BUILDERS P 0 BOX 5144 OROVILLE, CA 95965 (530) 534-8556 License #: 817229 Architect: Engih66r: Total Square Ft: 896 S.F. Valuation: $14,336.00 Census Code: t0J4 3-22 0 G OG p0212/ -21D CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutionsto do work Ind', ted above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) . —)! ^ n Name: By:��ai L - Date: q (-06 Address: PERMIT EXPIRES ON: 1-2(A-09 (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any off',c', I form or document of Butte ount� I hereby authorize reprdsenttaa%tives of Butte County to enter upon the above mentioned property for inspection purposes. 9� Print Name /"L ////�!/ [� v Signature: Date: , Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 EF' IP �L , 13UTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERNIIT. BUILDING PERMIT APPLICATION NO. ANDSUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (S30) 538-7636 - CHICO: (530) 891-2834 'B AFEE A7LL BEREQUAT ZWE OFAPPLICATION BIN # $ **PLEASE PRINT CLEARLY** OWNER LOCATION Name Address City Phone / F E-mail !� For office use on v Received by ,� Amount Zoning F P� °� - 81dg k - Flood Zone SRn No OCC. -1_SRA Type ConstReceipt # 4ZP 6.1 Subdivision Name Map Book PaPlanner lRIC"`1Date AppmveSMlP OVER FOR SUBMITTAL REQUIREMENTS Dater __ _Other K:IFORMSIBUILDING F0RMS\B1d 9APPt5ubRgmts.doc Page 1 of 2 � Total REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERNUT APPLICATION DATA SHEET www.buttecounty.net/dds OWNER: G 1 I I t 1 C nr ASSESSOR PARCEL NUMBER ` nn q i - 5�/'�2J O I l n J Proposed Building Use: t ; OVerPI l MW Permit Technician: KA. Date: `2 °� ` O(� It quired in ordeAo apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans 3 r 4 sets, signed by the preparer of the plans. 2. Complete plansor 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑/ 11. Hazardous Material Form. 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Re Ming items needed to issue the permit. (May require additional plan review upon receipt of the following items.) -SIV 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers ❑ 16. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 17. Soils Report and/or Engineered Foundation required. ❑/ 18. Erosion Control Plan Required. � 19. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 20. City of Chico Plumbing permit. ❑ 21. Site plan and business license approval from the City of Biggs. ❑` 22. California Department of Forestry plan approval ❑ paid. 23. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 24. Contact Land Development about _ Improvements, _Drainage. ❑/' 25. Fire Marshall Review (commercial projects only). 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Contractor's license information. (Number, Name Style, Classification). ❑ .29. Worker's Compensation Carrier and Policy Number. ❑ 30. Owner -Builder Verification (_ Given to owner, _ Mailed to owner). ❑ 31. Letter of Signature authorization. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ❑ 33. Existing violations and/or expired permits. ❑ 34. Deed Restriction. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ❑ 36. Other: ❑ 37. Other: When issued Telephone (SJ 0)(68D, 13-7-7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees, and other department costs are not refundable. Original -Applicant KBuilding/Plan Check/Data Sheets/data sheet page 1 9.27.05 vi® COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: /G �' ,I C �r ASSESSOR PARCEL NUMBER l l -520-010 Proposed Building Use: ousted ��C l IGS Permit Technician: K. Date: "2� ' NO Alliequred in ordeAo apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1., Site plansJ,3 br 4 sets, signed by the preparer of the plans. 2. Complete plan%l�pr 4 sets, signed by the preparer of *the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes) ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6, Energy compliance design and supporting documentation in duplicate. ❑ 7:` Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. `Hazardous Material Form,- \O 12. Acknowledgement of building permit application without required clearances., ces., ❑ 13. Other , x , is . t " 1 Re aurin items needed to issue the permit. (May require additional plan • review upon receipt of the following items.) 14. anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable o5. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑W 1 11 Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. . ❑ 0. City of Chico Plumbing permit............................I.......................................:.... ❑ 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry plan approval ❑paid.. Sent by rf 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check .... ❑ 24. Contact Land Development about _Improvements, _Drainage::' :.:.................. ❑ 25. Fire Marshall Review (commercial projects only). Sent by: .....................: 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.Y:.................................................... ❑ 34. Deed Restriction .............................<.:..................................r-..::............. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO..:.:..:,..` ........ ❑ 36. Other: ❑ 37. Other: y{ w.� E When issued Telephone ���� r ` 3� / and hold for pickup. I have been informed of the above ite 1 ands requirements for obtaining a building permit. Applicant: ` " Date: 1. Index permit application for the above items numbered: 7ZPlan Check Letter 2. Additional items re Contractor, design r; oo net, was advised of the above data by f phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: 4" 1 --\1 Plans reviewed by: Date: Plans approved by: Date: ` " ' Structural reviewed b . Dat Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheetsldata sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 w.buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner GILL, RICHARD APN No: 041-520-010 Application Date 3/22/2006 Permit No: BP 060639 Permit Type: COVERED PORCH AREAS 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $260.00 Plan Check portion of Permit Fee $104.00 $156.00 Balance of Building Permit Fee 2 FEMA RYes Yes Flood Elevation Review $109.98 0 3 SRA* Fire Plan Check - Non -Refundable $95.00 0 $204.98 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $104.00 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $104.00 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $157.43 $156.00 $1.43 q�5,��n�'nZq--/, qQ-per _ RECEIPT � DATE Tech/Asst L iE r,� 3/22/06 Kou� 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Applications After 2/14/05 SFD 9 Chico Urban Area 5372.09 EI Medio Fire District 3128.31 North Chico Specific Plan 3117 A SR -1, SR -3, SR-1/PD 7938.53 �c R-1 0 8031.53 do R-2 7541.53 R-3 6780.53 processing Fee is automatically added to impact fee total NATER TENDER FEE (Not collected when impact Fees Applicable) Enter Bat.#: 3RAINAGE FEES* )welling Per Dwellinc MFD MH 3071.14 3117 3995.45 4889 2297.77 2326 08 081 6475.49 RECEIPT DATE Tech/Asst 0 $100.00 $200.00 Kourtni � 10 10a 11 11a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �io 61 Is 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 mw\ArbUftecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 4 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner GILL, RICHARD APN No: 041-520-010 Application Date 3/22/2006 Permit No: BP 060633 Permit Type: NEW MH, PERM FND. EX SITE OQR)'?ppj • Part�tes , 1 . BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee . 2 FEMA RYes Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $809.90 $323.96- $485.94 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $418.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $528.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $499.10 S Balance of Building Permit Fees (from No. 1 above) $485.94 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 2/14/05 u Per Dwelling SFD ,� Per Dwelling MFD ,� Per Dwelling MH 771 Comanche Creek $8,069 County 4096.87 3071.14 3117. 775 SUDAD Ditch $6,975 Chico Urban Area 5372.09 3995.45 4889. EI Medio Fire District 3128.31 2297.77 2326. North Chico Specific Plan $13.16 RECEIPT DATE Tech/Asst "IU!� 3122/06 Kourtni 9 10 SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 �c R-1 8031.53 6850.08 7726.49 0 do R-2 7541.531 6360.08 7236.49 R-3 6780.531 5599.08 6475.49 RECEIPT DATE Tech/Asst RECEIPT DATE Tech- /Asst -� 1 1 - 1 Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat# $200.00 DRAINAGE FEES* " CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES` I Oroville High/Golden Feather 110 1I � ( 12a RECREATION DISTRICT FEES` Oroville , TV� GttteY'I "'� "' "5h_210(6 O`''"b� �. At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Gover n code Section 66020, you are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Butte 'County Department ofDevelopnentScr 'ces °e,1Tr�° 7 County Center Drive Oroville, CA 95965 -•: ° (530) 538-7601 Telephone (530) 538-7785 Facsimile c0UN�� BUILDING PERNUT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory .entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. - I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. ' I am required -to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application .through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there. will be no refund. of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �Z"IZI-2 L,7-- 4o iGL _ApN: Building site address: ��SD�Dtpr� /GLGi ��, Permit No.: () (0(�� �(9CD C63 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature, below: � Z SIGNATURE OF APPLICANT DATE y o\�� Department of Public Works �\N C o u nty� of B u t t e O 0 � 1. Michael•Cfump, LAND DEVELOPMENT DIVISION C i/ Storm Water Management Program Director 7 County Center Drive Oroville, CA 95965 �et.IC Wogs (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: •SSD G/ Project Location and/or Parcel Number: D/ - By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water .Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -,outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more•of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: ` Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 0 SID=E PLAN". ............ ................................. ...... ..................... ................... ................... ..................... .................... .................... ............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . . .. I . . . . . . . . .. . . . . . .. . . . . . . . .. . . . 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Parcel Number AssessorsFOR EY 0: - M 91 K U1 FQ -Scale: I & 7 OFFICE USE ONLY /`,,/,0- PROVIDE FOR ALL Owner Name 1_11_4h29RQ 6.1 e- e- Zoning: ADJACENT PARCELS Address / Phone No. 1049 '440--r '5-15e v ogo vle-646. e"j. .95-9'e,6 Site Location 4,4ee-iaoA` 6&4e.hV 4044 t0A0,0X144,-C_ e,4, 9:M5 Contact: Name Al Air, r, e-1- � - - j 9 � �_ 4: � 4�/ Phone 6 So - VS 7 7 General Plan Desig: Size, Acres 4.0(r bil-t (A ZONING: GEN us, � PIAN: � �� � ��x (� %� % ® � , ! %� | �R \j \����i ���! �. i �!` .� | �/!��! . , � � 4., {{ ! 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Assessor's Parcel Number EM21 — F511212 -- ZOE Scale: Owner Name 'E57wre- e*� 'Tx - Address / Phone No. &OX d 6 Site Location Z-510!91 Aee4devV 46aZ41Y 4AQ egee yv"e- e-4- Contact Name M446622 A644",gAr- Phone —OJ 77 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS... SIZE (AC): ZONING: GEN PLAN - USES: ......... ......... ...... ------------- ........ .... ........... 'SITE FLAN '00 ............ ......... .... ........ ............... ...................... .......................... ...... ............................ ..................... ..................... ..................... ..................... ...... ......................... ...... ................................. ..................... ..................... ..................... ....... ............ ................... ..................... ...... ...... ........................... 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Assessor's Parcel Number. FQ1 [y] F/I F5-1 0 9 — 00 91 Scale: 1" Owner Name 4�M,00-e- 45144 7W , A10 Address / Phone No. /04 5,' 0/40 Vie- 446' e4 - grlp 6 6 Site Location z5-10 510, 45411zzl-1 I40140 45)194ple-ze e -4 - Contact: Name Phone eS-2-0.) A Re —4/7 77 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES;- . . .. ... .....................1 S I T P P1 A N - - -- __----___ t...........................�....... ::.............. ,. ...................:..... ................. 1V acv ...1vin s� .g 6 --ill-> .......:.. t.... . :. o . ..... . .:... : :..... G ....:......:................ .. _ .. _ .. ..-•.............. _ .. .... . .. .. .. .. .. -- _ .. _ .. .. ................... .. ... .. .. ;...... E 8r. 0 ,� ;�: .. 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Assessor's Parcel Number: 0 ®�� _ � I� 0 � - — DDi �►-i6i�/ U❑ "' ❑®R�rrF Owner Name �� T/9�F . � Scale: 1"•,,- � � _ ° FOR OFFICE USE ONLY PROVIDE FOR ALL Address /Phone No. Zoning: ADJACENT PARCELS Site Location 2$-p — Q2/L�--�'�---__g�- -- °"'` ° Genesi Plan Desig. SIZE (AC): -Cantac.: Namephone — U t� ' Size ----- ZONING GEN - -- - - - ----- -- ---- - - --- - — a_ 0U- - --- —.. USES: - ---- (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 01-9ti99 ASSESSOR PARCr.L NUMBER s 041-520-010 ZONING BUILDING PERMIT OWNER ESTATE OF R. GILL TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 51440ROVILLE 95966 CONTRACTOR'S NAME MASTER GUIDERS TELEPHONE - [� CONTRACTORS MAILING ADDRESS PO BOX 5144 OROVILLE 95966 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2504 OREGON GULCH RD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GAC TAl K R- TTN S FO BP0, 9 -1 7/, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S15 ff) ELECTRICAL PERMIT Filing Fee 20.00 RLE Main Service '.".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f force and effect.Xn / License Class Lic. NO. (,J (, Z Z 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2IIA TO LIOOA 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BLDS. SO 3.5QFT. NO"OWRESID. T. MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL 9 I.50 PPLNS Ex. Occup. ouXnFis RESID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that f I should become subject to the workers' co pe'nsation provisions f section 3700 of the Labor Code, I shall forthwit ply with se vi s. X Date - Sig ature of App Icant - Owner Aff Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP --- FLOOD - CDF PARCEL - -- pp - HD - ISSUEcompensation - This permit is hereby issued under he Butte unty Code and/or Ind Indic ed a v w h fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. n �. QDa FFF/J���ll / 1(pate) Receipt No. •00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL E_NTIAL _ 041-520-010__� r. 03-124/ GILL, RICHARD PERMIT NO. ; 2504 OREGON GULCH, OROVILLE • Cont: MASTER BUILDERS - CARPORT TO CABANA SPECIAL CONDITIONS CHECKED BY /SRA FLOOD CERTIFICATE REQ, FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS ' VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r I I GAS Meter By /� DateG �(/'�/ j ELECTRI Meter By Date - -- - - _-d JOB FINALED (D a v Signature J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking, 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date- Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date, DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNP.ERFLOOR (Plans) OK except #'s 6/z 4 ,,,� Zoning -Setbacks -Easements -Flood -Slope T i �� 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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. P' ire lace Ftg.-Steel Ly 6!f7 D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date l Lc,/ E 2 Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17, -Water. tr.; Vent -Access -Combustion Air Baffle A$e-Wiater Pipe; Test & Anchor -Nail Protection &9e -EMM; Test Fittings & Anchor -Nail Protection 20. er an; Test, Ir Floor -Tub Access 21. Te u & ­'Shower,Second Floor -Tub Access 22. Ga§,Bi xe Anchors 23. Fre.SpuaklerTest- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ixt & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors Iz2-Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners-8er 6as 8�lDtdtPL. 29. lance Ircul s in n & Conductor Size GFI S6b Ire Iz ga. u or AI-A.C. Wire Size/ /ga Cu or Al 31. R I -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. - Iser CondUctors & Ground Main Disconnect 33., Equ4i.Qearanees Panels-Motors-Mech. Equip. 34. E4etheset03Zt7 ght-Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ort 37. Vent Fa Exha ove insulation 38. Conden in & Overflow, Size & Grade 39. nate-Vent A - b. Ait-Return Air Vent 115 Outlet is Access & Plafform Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials 4LARcj �L4� Studs -Nailing Spacing & Braces -Plates -Sound 13,Bewmg Walls over Girders & Floor Nailing a t Stop in Walls (rat proof) 455 Fie laps E'rE' Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) 89. an .s -Post Caps -Anchors -Connectors 90. Glass Protection ing. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. Copectioos from Previous Inspections 49. Fire Flue -Fireplace Throat Clearance 59. s; Ize - mex Protection -Draft Stop -Ins. Baffles Gas t -Meters Tagged, Gas -Electric rm. Windows or Exiting Doors -Sill Ht. & Dimensions ter & Sewer Connected -C/O to Grade -HD Approval 52 a raming-RC Channel _ 53. une rtrewalr& Openings dress Posted 54. eck Garage 3rd Story, 2 Exits Fire Sprinkl P5&-'STa-irsL0dth-Headroom- Rise- Run -Land ing-Fire Protection Card B-1 to Card B-1 ywood on Roof Overhang -Attic Vents -Rafter Outriggers and B-1 ate Card B-1 &ZLF dmg-Nailing Veneer Card B-1 Date Card B-1 58.ftie es rlp ed -Fd. Vents-Underflr. Access AD -'Glazing Area -Glass Protection -Skylights -Plastic s;olts race Interi Exterior Wall 62. Insulati -W Ings 63. Infiltra -Walls-Windows Date `1 c` Card B-1 Date Card B-1 Date 7Card B-1 Date Card B-1 Date FINA Inns OK except #'s Steps -Door & Sidelight Protection -Landings 65- Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- Inage; Ab ` Floor-Ducts-Mech. Protection ed ding 1-1 F Bath Fixtures & Tub Access- ec. Trim & Subpanel, Breaker Sits & s 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive b Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wafer Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Copectioos from Previous Inspections Gas t -Meters Tagged, Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 9 dress Posted 96. Fire Sprinkl Date c2 !( Card B-1 to Card B-1 Date and B-1 ate Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Celifornib 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT -� ' �- ASSESSOR PARCEL NUMBER - D / ZONING BUILDINGPERMIT OWNER TELEPHONE �•' SO. FT OCC. BUILDING VALUATION OWNERS MAILING ADDRESS /� I D „a� �� • Y i1 7� �� � 1rte 121 - 2 1. C� CONTRACTORS CONTRACTOR'S NAME M�/� ; relle /`J,j` TELEPHONE 7 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ tom„ j.�, ?� ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 243. W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 157,95 BUILDING ADDRESS Qsoy ez Energy Plan Checking Fee $ qd PERMIT FEE $ x:20.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)q Other 14 Al- SPECIFY Each Trap y 7.00 23 (� Solar or heat pump water heater 23.00 piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: zz / 5/X / Xllwl T/L/✓ /`{F(4t�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 (n!) Mobile Home S G W @20.00 PERMIT FEE $ 73.C� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.p License Class �"% Lic. No. FJ1 ,- Z 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP, OR CC. 3.5QF'�. IA. JJ co"� MU NON-RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET ORFDRUREs 0' BA�. o Ex. Occup. OFD(UTED R'. D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S. j9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the,,1Labor Code, for the ! performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions X �� Date y sS Contractor ❑ Agent ` Signature of Applicant:�'O Owner)91 An OSHA permit is required for excavations over 60" deep and demolition or construction/ of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ ^^ 36 HAZ. �,.., D. FE IMP f FLOOD CDF PARCEL j PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ! 1y �,%.,lf PERMIT EXPIRES O ; i ' '/ the applicable provisions Resolutions to do work been paid. I Date J..J efe ReceiptNo. 373.JCO v 500.35 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I PECTOA GOLDE OD-APPLI ANT k. :000NTY OF BPTTF-•' f . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 ZC ER CORRECTION NOTICE /;? 6,/ PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1< ,I '• BOUNTY OF BUTTE � ' BUILDING DIVISION l'l DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and shou be corrected. Please notice this office when correction of work is completed. If you a any ques ' ns pertaining to this matter, or need additional explanation, please contact jWs office im diately. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico,. CA • (530) 891-2751 7 County Center Driven- Oroville, CA • (530) 538-7541 CORRECTION NOTICE NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you ve any questions pertaining to this matter, or need additional explanation, please conta is office immediately. r, I K L, .— /_ Date Z" Inspector k j� REV 10 92 %: . T F State of California rrrc Business. Transportation -and Housing Agency ,� 1110 _ (o t`"�' t — DEPARTMENT OF HOUSI COMMUNITY DEVELOPMENT a „j :} �,i � Division of Codes z aridards 3 W APPLICATION FOR 3011�oc� 'PAlterotion, ❑ Addition or Conversion, ❑ /Uternate'Approval, ❑ Technical Services, ❑ Insignia Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is' a_full force and effect. j / Q License Class },l6 Lic. No. ,V � ??Exp Dote2,4 .�� Contractor /I%//-sT�+c 1-4:�'411 11'16Vpate�� 2. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.51, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred SECTION 1 -UNIT INFORMATION I/We Are requesting services for the following unit(s): (Check Appropriate. Box) lh Manufactured Home/Mobilehome, Cl Manufactured Home/Mobilehome Component Structure O Commercial Coach (Occupancy Group ) Cl Special Purpose Commercial Coach J Decal or License No. Z" '2 fiO 7 Serial Number(s) J;4/ _--; z d �� Manufacturer Name/ Model Name COL NO. 1'�% N '* 'd G+ FEE RECD 1 1 DATE 4- 7rl` V 3 AANO. � 0 RT TO 5 RT BY Insignia/HUD Label Numberrr((s)) /r� !y'� Year of Manufacture 'If,? l •`.i'r`\1'E i ' CAL iFORfdlf•. SECTION 2 -OWNER/ APPLICANT INFORMATION paiimPr N 4 Inr . CG rrl rI' Y a`tmard "" /isio.l o r'r Ue..: rne. of r:GPNS ;,r\� Owner �C7ICiP+ ..RT3=iCA. i irlfi Address r -� .Fly (+T a:e:_ city C�di�r Location Address G Abr'::cPTi+•:--AZc..�.�. -!;;,V1 ,ti Suti,coun;; i:o: ^�y I• t /f7i I 1 — -- APP icon r 'RCA/ACT COCE M (k7d-/ _p r f ? A`f•_ES Address T �� Cati� 'i iti E'. i SNACT - `i Et. T M City Up6>/i Cel / 44-'116P — SECTION 3 - CONTRACTOR. ARCHITECT OR ENGINEER INFORMATION � rHSi�E:?iGA: Dt;l;:: r¢':ivaic Etits.i,•;y '•�`j. lglp PR2i: STContractor's Name C /C..-- 4111. Mt/UNIT - -- -- --- --- _._ Address VICLrI'{;C:N L;,•,Tp: Ta; n1 ,•;p.��r..C•;.01s. — - Architect/Engineer Name License No. FEE CCLL1:CTIrit1 ^!_ C ",!EF! INFORfIA TION:Attn--- �.U V C« #3 l -le - DATE iTENIS ISSUED: rfCD 59 C tsps [] ;cR edric [! M.!.;r. ATTACHMENTS Tle.lavmCcrt.11 Other I shall UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED- THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST,Or-COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 Orin if -LABOR CODE, INTEREST, AND ATTORNEY'S FEES. q CoNSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Nome Lender's Address 5. CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspe6ti6h purposes. / Signature of Applicant or Agent Date Address / ' b /�' ����� ©/�dG�'��t✓% C�/I. �i� SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION Describe the proposed work/activity in detail. Attach additional pages if necessary. Where structural alterations or additions are proposed, complete plans, specifications, details, and calculations are required to be attached to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alternations or'additions. Indicate the Total Cost of the Work to be Performed SECTION 5 - SIGNATURE AND CERTIFICATION I/We hereby make application for the services designated above. If applying for replacement of a lost insignia or label for the unit described in item number 1 above, I/we certify that there have been no alternation, additions, or modifications to the unit which would affect compliance with California or federal law or the rules and regulations of the Department. (Where alterations or modifications have been made, an inspection must be obtained.) �%/� (�' Signature / Lam' /Date DEPARTMENT USE ONLY Y, APPROVED O CONDITIONS (see reverse side) O DISAPPROVED (see reverse side) Signature of Department Representative 4- ? �-03 Date HCD 415, Side 1 (Rev 05/99) DISTRIBUTION: YELLOW - DEPARTMENT, WHITE - AREA OFFICE, PINK - OWNER/APPLICANT INSTRUCTIONS: Insignia Inspection: Complete Sections 1, 2, 3, 4, 5 and Contractor/Owner Builder Declarations. Submit the application and the required fees to one of the" appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the inspection date. Alteration, Addition or Conversion: Complete Sections 1, 2, 3, 4, 5, and Contractor/Owner Builder Declarations. Submit the completed application and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule the inspection date. Technical Services: Complete Sections 1, 2, 3, and 5. Submit the completed application and required fees to the appropriate Area Office listed below. Upon return receipt of your processed application (White Copy), contact the designated Area Office to schedule an appointment for services. Southern Area Office, 3737 Main Street, Suite 400 Riverside, CA 92501 (909) 782-4420 Northern Area Office 8911 Folsom Boulevard Sacramento, CA 95826 (916) 255-2501 Alternate Approval: Complete Sections 1, 2, 3, 4, and 5. Submit the completed application and required fees to: Department of Housing and Community Development, Manufactured Housing Section, P.O. Box 31, Sacramento, CA 95812-0031. If you have any questions you may contact the Department at (916) 445-3338. SECTION 1 - UNIT INFORMATION: Check one box to indicate the type of unit for which you are requesting services. If Commercial Coach, also indicate the Occupancy Group Code (i.e. B2, E2, Al, etc.) in the space provided. Enter the unit serial number(s). The serial number(s) can be located on the Manufacturer's Certificate of Origin, the Certificate of Title, registration documents or on the front cross member of the unit. Enter the year the unit was manufactured. Enter the manufacturer's name and/or trade name. This information can be obtained from the Manufacturer's Certificate of Origin, the Certificate of Title, registration documents or may be designated on the outside of the unit itself. Enter the decal or license number. This number is located on the license plate issued by DMV or the decal issued by the Department of Housing. Enter the California Insignia Number(s) or HUD Label Number(s) that were issued for this unit, if known. SECTION 2 - OWNER/APPLICANT INFORMATION: Enter the owner's name(s) and address of the unit. If the address for the owner is different than the location of the unit, provide that information is the "Location Address" area. If the applicant is other than the owner, enter the name, address and telephone number of the applicant. The Department will contact or correspond with the party that is entered as the applicant. If the applicant is the some as the owner, the applicant information is not required to be completed. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION: If the services are being performed by a contractor, enter the contractor's name.and address. Also enter the contractor's license expiration date. If requested services involve an Architect or Engineer, enter the architect or engineer's name, 'address and license number. SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION: Provide a description of the work to be performed (i.e., installing a new roof, installing new windows, etc.) Enter the total cost of the work to be performed (total contact price). SECTION 5 - SIGNATURE AND CERTIFICATION: The signature of the applicant is required along with the date the form is signed. If the application is for a replacement insignia or HUD label, the signature must be of the owner of the unit. CONTRACTOR/OWNER BUILDER DECLARATIONS Contractor: Contractors proposing construction are required by state law to provide the following information: Item 1 - Licensed Contractor Declaration: Enter the contractor's license class, license number, license expiration date and the contractor's signature and date. Item 3 - Workers' Compensation Declaration: Place a check mark next to the declaration regarding the workers' compensation coverage that applies to the contractor. If the second declaration is marked, the contractor must also provide the carrier's name and policy number. This item must be signed by the contractor and dated. Item 4 - Construction Lending Agency: If there is a construction lending agency for the performance of the work for the service being requested, enter the name and address of the lending agency. If there is no lending agency involved, enter the word "none". Item 5 - Certification: The certification must be signed and dated by the contractor or and agent on behalf of the contractor. Owner Builder: If the work or activity as described on the application, is being completed by the owner, the owner must complete the following items: Item 2 - Owner -Builder Declaration: Place a check mark next to the declaration which is applicable. If the third declaration is marked, enter the section number from the Business and Profession Code which provides the exemption and the reason for the exemption. The owner muss also sign and date this section. Item 5 - Certification: The certification must be signed and dated by the owner. DEPARTMENT USE ONLY APPROVAL OF THIS APPLICATION IS CONDITIONED TO COMPLIANCE WITH REGULATIONS OF THE DEPARTMENT: Any approval issued by the Department pursuant to this application is conditioned upon the applicant's compliance with the applicable provisions of the California Administrative Code, Title 25, Chapter 3, and the Business and Professions Code as it relates to contracting. HCD 415, Side 2 (Rev 05/99) Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: i). S —. BUILDING LOCATION: �/D�D,vleo An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydmnic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efflclency Type and Plping Before Over- Equipment heat pump, eta) Model Number (AFUE, etc.) Location R - Value Sizing (Btuh) Capacity (Stuh) CEC Certified ' Cooling Equip. Compressor Unit' Actual Distribution Duct or Type (air cond., Manuf. Make & Efflclency Type and Piping heat pump, etc.) Model Number (SEER) Loza—don R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the E y Effici S nd s, and are two oj4 he criteria lured for equipment sizing and selection. p Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy External Water Heating CEC Certified Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standbys Insulation (storage gas, etc.) Model Number or Btuh) (gallons) Efflclency Loss (%) R -Value 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resin-snce and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), i:st Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to 'tle 24, Part 6, Subchapter 2, Section 111. •�� ��sT�� � �` 2g Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL Air? A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ` O ZONING ,. BUILDINGPERMIT OWNER S - 4 4 I`LL TI2 • TELEPHO S3 dS3' SO. FT, OCC. BUILDING VALUATION . DWN S6 I'NG ADDRESS � y/�F 554 R23, _1 124 . 00 CONTRACTOR'S NAME ly?lis�!/lG��2S` TELEPHONE 3%D z- CONTTORS MAILING ADDRESS . 40 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 440-321-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00- .00Plan ARCHITECT OR ENGINEERS MAILING ADDRESS PlanChecking Fee $ 157.95 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 420.95 LOT NO. � SUBDIVISICINSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome� Other , j�Dir/o�c/ SPECIFY Each Trap 7.00 28.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Additiono Remodel ❑ Utilities ❑ Installa�tiio/n1 ❑ Other ❑ Describe Work: - !! / / yx , /9yy/T��/� p�zu %..Q0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 '15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 78,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceeo*v oR LESS 2oDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and ,my license is in full ce and effect. License Class Lie. No. 2 I 2—z- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service Zoog TO I000A 46.00 NEA CONST. DWELLING OCCUP. ( N SO 3.5¢FT: ' 19.3 Co" Mu�oB NON•RESID. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAL @':50 Ex. Occup. oU RsID.ED ALNS °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s . 39.39 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with 'Pose provisions. X Date Y�- Signature of Applicant Owner Contractor [3AgentT An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. �TYPE HAZ. __ DE IMP / FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicateq above for which fees v PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. / O� at o ate Receipt No. 376300 . 500.35 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I PECTOR GOLDEND-APPLICANT ��'�r s..a .��. T�� \,1' F,�•RYWt� ^9 SY �M � • .��• if • .. Y T �iT ^ 41n�i•�."' '�•i.�.n.` SiR'� _.. COUNTY OF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA. ^95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: i �- Counter Technician. Date: O Items required in order to Apply for a permit. All boxes MUST be checked OR marked NA in oisder to apply. Plot planor 3 r 4 sets, signedXy the preparer of the plans. Complete plan , 3-o 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will'ibe indexed and returned to the plan review line-up when required items are received. 1 Date Received- _ By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ . ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Za.ining items needed to issue the permit. (May require additional plan review upon receipt of th following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... �p i 5. Statement of Intent for Non -heated and A/C Buildings ............. '� i - 16. Sanitation and plot plan approval from the Environmental Health De art nt in ❑/�7. City of Chico Plumbing permit ........................................... F 18. California Department of Forestry plan approval paid. Sent b S -�- 0' 19. Planningapproval for A Use: p(B)ParC Par 1 -h k` O , PP ( ) —�() SP3� ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre- spection for required ................` qa ❑ 23. on actor's license information. (Number, Name Style, Classification) ...................... Wor er's.Compensation Carrier and Policy.Numb.er..............:.............................. t'n' 5.ner-Builder Verification (❑ Given to owner;"1] Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... ' ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits...............................................:::........ 4 •. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, 0 Check to H.C.D. $ ❑ 31. Other: When issued Telephone % O "' and/hold for pickup. �— I have been informed 'e above ' s and quirements for obtaining a building permit. App 'cant: ' / nat. / 4 ndex permit application for e abQv items number d: 2 dditional items required 0111 M,'� ntractor, designer, owner, was advised cf t above data by Contractor, designer, owner, was advised ofthe above':data 6 Plans reviewed by: Date:. • ''T Structural reviewed by:, r" Date: Note transfer by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone,,—,,O mail, ❑ counter, by Date: Plans approved by: VIA.i Date: ' _Structural approved by: I Date: f . - j...' W - ' IYellow: Building Division E.H. USE 0NLY Plot Pian Attached 0 — Z 4 Roar Plan Attached Sant to B.o. lto:)? TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance faco r) r� Ow-ner L cation AP# Plan Approved for: Sewage Disposals Water Suppiy: Public Clearance for dwelling. Otherl✓� Hold final for: Final clearance O.K. for: NOTE: Health Specialist 8/96 Private Well Date - 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. personally plan to provide the major labor and materials for construction of the proposed property improvement: YESk, NO ❑ 2. I HAVJ?El_ HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: RESS: PH CONTRACTOR' 4. I plan to provi a ordons of this supervise, and provide ajor NAME: ADDRESS: • PHONE: CITY: NO. have hired the following person to coordinate, CONTRACTOR'S -LICENSE NO. 5. I will vide some of the work but I have contracted (hired) the the ork indicated: AME ADDRESS -PHONE - SIGNED: PROPERTYOWNER: DATE:_ f e ^� persons to provide TYPE OF NOTE. T�Fiis Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 9 I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and.unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, _ ,66 � Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One form per Building) ; School District J ( U / 1 - Building Department No. A.P. Number �S�'"D� 0 Jurisdiction:City /��f /County Property Owner C/4t&tt � % v`4 (( , Jr - Property rProperty Location/Address Subdivision Lot No. D R--/ 2(// ................................................................................................................ : Residential Development Sq. Footage No of Living Mobile Home A'd�n/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial New Addition �y Building Department Represen atry i. t - DO#ict Identification No. (Street Address) U or Plans reviewe to1175b. has complied with the requirements of Resolution No. representing ,j y square feet. Representative Paid by Check # Remarks: Sq. Footage (Including Exterior /n Roofed Areas) Date School District Personnel) certifies that (Applicant) (/ (State) /of- �o ABII 2926 (Phone Number) 9S9 Zoc>o (Zip Code) by payment of $ 1 8� S Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' feeform.xls (10/98)dmm r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # 7 I ` z? -0—()10 PROPOSE�B'DING USE y' DATE L !� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES ��. .Balance Due ....................... $ ��° Additional Fees Due .................$ Additional Fees Due ................. $ �/ Revised Plan Checking Fee .........$ I2. SCHOOL DISTRICT FEES ....7 t (paid at District Office) (Available after Plan Check) .3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) :ejn;euBlS- Ne4 O :Budmspuel----_:BunNed ^� SBO x IVA08ddV NH1d JNlallfl8 "P101SIAIQE)N INNF/ld lr'fa� I8juewuajAu3 A40oo arms '39^Oaddb I d PERMIT NO. 3437-84B PERMIT EXPIRES _-_ - Irebqh� OWNER MADELINE CASTLE CONTR. R & R Const ASSESSOR PARCEL 41-52-10 ' LOCATION E/S Oregon Gulch Rd, 250'S Condor Rd Cherokee Area i 3 a F 4 l Temp. Power Pole Called PG&E R I Temp. Elec. Servi Called PG&E I Temp. Gas Servici II I Called PG&E JOB FINALED (Date) j, Signature A R .gk J =, O,K , 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES f MISCELLANEOUS t, Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DE S, COVERS, CAR RTS, ETC. (PI s) OK except #'s oning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3 Dec s; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5.)Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6.a Carports; Windows—Doors 7. Utility Clearance 7.1 Elec. Card -BI Date Card -BI Date C08`131 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _£{,S Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date OLS (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Y. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector i 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.'. Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy { 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date CCard-BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -131 Date w le J = OK 0 = Not OKI - =.Not Applicable * = Not Ready RESIDENTIAL JSingle and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers S. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 6. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date, Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic LJ Yes 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No 75. Following instld.: Drive El Yes ❑ No; Walks ❑ Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) ! COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275t 7 County Center Drive, Oroville — Phone: 534-4541 , Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r1WNFR 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. ,7 i 2-r, �j✓ �, ,f d e z- -77- Inspector / Inspector Date_-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS PARCEL NUMBER _S a-- ZONING , _ c BUILDING PERMIT OWNER T LEPHONE SO. FT. OCC.1 BUILDING VA TION OWNE 'S ILIN DRESS ro CO CTO NA t TELEPHONE CON R CTO MAjI,, yG AD � ESS 1210 T�1W, S r Fireplace CONSTRUCTION LIMIDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ t' BUILDING ADDR SSS /� N V "l / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Q 2 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 RUCTURE USEZ�`Ol [:1SF Duplex❑ Mobilehome her SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Uti lities [JInstall n ❑ Other ❑ Describe work: D r — st S�hk Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service S 100 AMP OR00V OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLOGS. I I 2/4sq ft CONTRACTORS LICENSE LAW I decla under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full,�force and effect. License No. Classification ,j ❑ 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 NE WC ON NON -RESIT R. BRANCH TLETITS 2.50 ea NEW CONSTR.POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu zoesoa PCO OR FIXTURES BAL®30 IXEDTS Ex. Occup. OUTLETS P(RESID.)REA.) 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. 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 FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' 'es, judgmen , costs, and expenses which may in any way accrue against ai County i c nsequ ce of the granting of this permit. c ` �te 2 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 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 195D L This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC - OF PUBLIC By PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date �3'z�r—p 1C i -A i� Receipt No.� 9/7 WHITE-D.P.W.. YELLOW-ASSESSO . PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. - PERMIT EXPIRES OWNER MADELINE CASTLE CONTR. James Hoops ASSESSOR PARCEL 41-52-10 LOCATION E/S Oregon Gulch Rd, app 250' S of l Ir Condor Rd, Oroville Temp. Gas Service Called PG&E JOB FINALED (Date) i Signature $,OFFICE w•4 COPY,' AddresA OC Temp. Power Pole GAS Called PG&E. -Meter By f --•DateL• �~ ELECTRIC`S(141 Temp. Elea Servi ,Meter By Called PG&E— Temp. Gas Service Called PG&E JOB FINALED (Date) i Signature V=OK O = Not OK, ` — = Not -Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS IC Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's !Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2r.S6ils; S ecial MH Support—Sketch ! 2. Footings; Size—Depth—Spacing—Connectors er; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails A. Waley; Location—Test—Easement-Weeded-(Sket ) ; 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ctricity; Location—Clearances—Grnd.— Amp—Concrete { 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures &`Gas• ovation—Test—Wrap:/ /"L"ft./ /"Nat. or/ cj/jL"ft. LPG 6. Carports; Windows—Doors (St- tility Clearance I 7. Elec. { !Card -BI Date Card -BI Date Cfard=B Date iii —S , Card -BI Date CM -8 I at and -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (PI OK except N's V-Z.-ning Requirements—Setbacks—Easements IDate { POOLS (Plans) OK except N's 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line { 2. Soils; Compaction—Structure Stability $✓(was; MH Test—Demand—Valve—Connector { 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances { 4, Elec.; Receptacles and Lighting; Distances—GFI amain; MH Test—Fall—Flex Connector } 5. Elec.; Pool Lighting; 15 volts—GF] 6 ater; MH Test—Regulator—Connector ater and sewer C �&ted C/0 to Grade—HD Approval I t 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas a,d EleclfiKity Ta ed 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ts; Insp.—Sketch %j�,' Cert. of Occupancy } 9. Health Department Approval +; t 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date lCard-BI Date Card -BI Date -I at %i•/ - Card -BI Date Card -BI Date Card -BI Date a Tq5-"v3 S-/. xiro I w J = OK 0 = Not OK - = NotAppficable RESIDENTIAL (Si,ng,le and * = Not Ready Duplex) ' Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21, Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes CJ No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-_P_urlin- Roof _Brac.-Truss-Shthng_.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211 ; Ext. 70, 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 1104g /IIVAIIIYL Date D COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 mpger., or need additional explanation, please contact this office immediately. Inspector__ V Date 1 COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2781 �r 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. r - Ctol r•.• � I I 'Inspector' Date -� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ement.s of the California Administrative Code, Title 25, Chapter 59 permit number-,", —for the following location. V 1Z Owner,', Owner's Address Mobilehome Mfg. Model Year, Serial No. Insignia No._. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date, By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Wil COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATrON, AND PERMIT ' . PERMIT NO. ASSESSOR PARCUMB R ZONING _ BUILDING PERMIT OWNER tELILPHONE S0. FT. OCC. BUILDING V A,6eAfION O 7 MA�J�JG/aRESgr.�I _JT CONTRACTO_ .S NAM -'- AJC- TELEPHONE I X33 x•26 - CONTRAC O •S MAILING ADORE - �- 2iJ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADRESS, IV,PLUMBING PERMIT FiIingFee 10.00 r � Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MA Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK r ,� New F1 Addition ❑ Remodel El Utilities [:1 Installation L`S Other ❑ Describe work: i - 273rd ' E� — - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 1 2/20sgft 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 Profession ode 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 CONSTR.ULTI-OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. 20®50C Ex. Occup(o OR FIXTURES eAL®30 FIXED A EX. Occup. OUT ETS P(RESID,)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. R-1,--t-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. 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif keep harmless the County of Butte against all I' • s, judgments osts nd expenses which may in any way accrue ag nst sai Coun in eq enc the anting of this permit. ,XI, Date ?- Signature o Applicant — Owner ❑ ContractorIm 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 $ TOTAL PERMIT FEE $ D OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF PUBLIC By P9 IMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A' z--b'�` l� - Z" �S Receipt No. 2 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Z MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish'Setup.Model No. /3 Year Width_(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome'unless otherwise specified. *If center piers are other than drawn above, -a raw in•locations, spacing, and dimensions. Footings (check one) <---Tagalong or Expando,' • Single �1.00d either pressure treated or �.� .._ i' foundation grade . U (ft.)(in; x (in.) (in.) 2. Other: (specify) Center support Center upport Su"Su check on ( locations* footing sizes Footing Size (in. y Et 1: Concrete block. �� -- Max. Pier Spacing [].-L Other. (specify) (ft.)(in.) ii & . *If center piers are other than drawn above, -a raw in•locations, spacing, and dimensions. <---Tagalong or Expando,' show support details. in.) (in.) lox -- Typical Support ' (in. (in.) Footing Size x (ft.) (in.) (n.) (in.) �� -- Max. Pier Spacing (ft.)(in.) -1 � Q -- Max. Overhang (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED'. *If center piers are other than drawn above, -a raw in•locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:/�//" ,4'57-/f 2. Installer's name: M�,% 144- iHrrj,�'IATW i C 2 //0 C-- 3* Is the site currently under permit? Yet No (If yes, furnish permit number ) OR Is the site an existing site? Yes'/ / No (If yes, furnish two (2) 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 S. What is the mobilehome electrical rating? ----------------------- A!9 U Amps 6. What is the mobilehome site service rating? ---=----------------- X60 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------- -- I ----------------------------- Yes 777 No (If yes, identify the load and size: Gt)X, C l (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------- 10. What is the type of gas service? ----------------------------- Natural /% LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? ��� (f t.) 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.) 4 August. 28, 1984 Butte County Building Dept. Oroville, California 95965 Gentlemen: With reference•to the existing. .home located at Rt. 7 Box 318, Oroville, California, namely assessor's partcel No..41-52-10, upon occupancy of the new mobile home to be installed on this property within the next 30 days approximately, the present home will be used exclusively for storage. Sincerely,. Madeleine Castle °Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL R,Ecor-nu E., FOR RESIDENTIAL DEVELOPMENT 13UT!TE C00�+UA�TY-ct,j1- Section 26 -8.1 -of the Butte County Code requires this acknowledgement ARTY SHOWN -be recorded prior to issuance of a building permit. Aug la 10 10 Ah 19 84! The property described herein is adjacent to land or includedCLr".;aNGk "4 within an area zoned for agricultural purposes, and residents of this [L.E(d!( Rfi:i':UiiUR property may be subject to inconveniences or discomfort arising from 54--30872 4EE 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, •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: DESCRIPTION: Lots 1, 2, 3, 4, 5, 6, 8, 9, 10 and 13, as shown on that certain Map entitled, "COLD HILLS SUBDIVISION", which.Map was recorded in the office of the Recorder of the County of Butte, State of California, on October 29, 1980 in Book 80 of -Maps, at pages 7, 8 and 9. A Certificate of Correction of said Map was filed April 27, 1981 in Book 2616 of Official Records, at page 499• Date: August 28, 1984 PROPERTY OWNERS: adeleine Castle State of California ) On this the 28th day of August , 19 84 , before SS. me, the undersigned Notary Public, personally appeared County of Butte ) , *-Madeleine Castle** TA.H- A D. COLL ETTE on L,/ Personally known to me. LXYI Proved to me on the basis NOTA-rY PUBLIC -CALIFORNIA ® of satisfactory evidence. ®Cute County ® to be the person(s) whose, names) is subscribed to ® IVY Commission Expires June 10, 1988 s the -within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. w Q o 1 7K Present A.P. No. !4 / --SI —I D cc Q Notary Public O a . C7 m END OF DOCUMeNT I YA ' W O O I W O O Go I / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS J 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT PERMIT NO. .2 M0 _F _A ASSES O ARCEL NUMBER Z _ BUILDING PERMIT OWNEqAy TELEPHONE SQ. FT. OCC. BUILDING VALUATI N OWN 'S AILING ADD5 3 CON7R,4,C TOR'5 NAME TELEPHONE CONTRACTOR'S'MAILING A DR S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR SS S J Acp PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Solar Water Heater 20.00 ro Water piping 5.00 LOT NO. bo SUBDIVISION NAMEl 1_ � 14 ��LC J_, A PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ---O'ther SPECIFY Building sewer 44,5.00 Mobile Home 10.00e TYPE OF WORK New ❑ [:1Addition Remodel ❑ m Uti lities �� Installation❑ Other ❑ Describe work: 06 Ike,Main Permit Fee $ 40,00 Contractor ELECTRICAL PERMIT Filing Fee 110.00 service SOOV OR LESS 100 AMP OR LESS 10.00 (� /161 07) ' Main service EA. ADD'L 100 AMP 2.50 2 , 10 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.ULTI.OUTLET 2,50 ea NO..RESID BRANCH CIRC ITS NEWCONSTR. ( POWER APPARATUS &) NON -RESID, SINGLE OUTLET CIR. Ex. Occu Ts OR FIXTURES 20@50e P�o SAL®30 FIXXEEDD APP LNS, OR Ex. Occup. OUTLETS (RESID.) 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 shal I 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. � nn �� �,� Xr _.x �� f 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 stories 'n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0J OCCUP. GROUP I TYPE OF CONST, I EV I PARC PD ND Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l -31- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �3 �O A setback oft, from tl e _. property lines and a setb ck 6.7 - of 50ft. from the road'' ' centerline shall be clear o C. Q A+ D # T'S structures or equipment a Cepi for a � ►�_ eeve over ang, RP NOTES—AII Mat rials & Workmanship ShcM 'gt, ith Accordance with Recognized GoodPractices of a quality presc ibed for the Specified use in: -Ab Uniform Building, umbing & Mechanical CodeswA {:e National Elect al Code. This set of plans id spe ificafions F At he� "' J kept on the job at al times and it is mask® any changes or Iterations on some wi`he)uf-• E v WrittenIrermission fr +e Department of Public 10 Works, County of B tte. Owl ftSTii� w Moos Ir I . L::] X permit will b required for the installation of he m�I,:leh�mP. 4� scyp Utility connections sh 0pGh roL LC in 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehori�e. I 4wNC2' dco I :F oy1X T7,oV& l tir s7ae �,v''�a' e'po"r,4�,a,,, �,-�,,,; ' z 0/1 730 o -T BUTTE COUNTY BUILDING D'EPARTMEN APPROVED «H R D. ?d6 "I , i�, - ." MMMMM--- 1111MMIM M�m :NOTE E-1 His "USEU R ONd EJ' M,� wbo co -CRETE R ANY I N -AgoVE.7 �C) fi M�m :NOTE E-1 His "USEU R ONd EJ' M,� wbo co -CRETE R ANY I N -AgoVE.7 S1,1111 IIOV, I ec��: • _ / COMMPVMV o BY: qN sr �a✓LC .ASO y D.44& O&V 66eC- '(- ow►wN+c+ Gc-,e. ewe- Gfl�/