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HomeMy WebLinkAbout041-590-012FONT§EAN I W/S _Pring Hill Dr Oroville ..$ 2 -Mi.N Cherokee.. Permit#61-84A(Agricultura d Exe tion' ermit/pole barn -hay storage) -- ---------------------------- 46 a!--5-90-012 92-25- P,E BEAN, Don - 1,V7 Spring Hill rd 0 oville mh utilities A, 0!+l' _44 _-CPO 1-2— 9 =L548 . 8 BEAN,"_5dN__ 14 T, SfkjNGA HILL DR ELEC GAS •AJQ h -e_ COMPACTION TEST REQ SUPPORT STRUCT REQ A _h' 041-59-0-012 93-3279 MHI BEAN, DON 147 SPRIXGHILLDR, OROVILLE 'MHI 041-590=012,,L PERMIT#95-1025. BEAN, DON 147- SPRING HILL DR., OROVILLE CONT: BILLSON CONSTRUCTION RAMP/MH o)ed C6,?A scmit 2. I CM 01 ccaln n ed s' C)44 I -� -�.Ti RESIDENTIAL 041-59-0-012' BEAN, DON ' 147 SPRING HILL'DR, OROVILLE MHU ' 4 1 k^ p G OFFICE COPY r S r-- o Date__ { I ELECTRIC Meter By Date�� s e 'JOB FINALED (Date) + Signature r RESIDENTIAL 041-59-0-012' BEAN, DON ' 147 SPRING HILL'DR, OROVILLE MHU ' 4 1 k^ p G OFFICE COPY r S r-- o Date__ { I ELECTRIC Meter By Date�� s e 'JOB FINALED (Date) + Signature ,�_....t .. .. � '��, t.. - a*�;-.r.?+.v.as^'7"3irY``r�+R!:-Xl':'�•�'�'�Rb.«�"}�'IPRp'*'�y, '�'K�",�'U"a�j'-r'DTT+F •7 r -^-T ...._.: i.-t.X�Ai.`�C`*'6�•a"`n4�iSw 7C -LINTY OFBUTTE ;DEPARTMENTfiOF DEVELOPMENT SERVICES - BUILDING DIVISION �,— 7 CountyiCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 —PERMIT NO. ; APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ;4)41-590-012 ZONING..-. TJ l/ L BUILDING fl PERMIT OWNER ' (-' DON REAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r' P O BOX 135, NITEVO, CA 92367 CONTRACTOR'S NAME O10W TELEPHONE t CONTRACTOR'S MAILING ADDRESS - ` Fireplace CONSTRUCTION LENDER NOR UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - ^ Filing Fee $ 220 00. Permit Fee 1 $ ARCHITECT OR ENGINEER NOW LICENSE NO. Plan Checking Fee }, $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 p t,1. LI. TVA PERMIT FEE $ 23. 0 QVICWTUR, rAT. 05965 2T PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i! < Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. () SUBDIVISION'S NAME /3 PAK MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ( SF ❑ Duplex ❑ Mobilehome oj{ Other SPECIFY +ud}' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w r, @20.00 140.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities '@ Installation El Other ❑ rust► t�f 3 BDR Describe Work: • • 7� $ PERMIT FEE 60.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOVORLESS ) 23.00,2-1.00 0OA OR LESS ,T Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. SO OR AOONS. ( & ACC. OLDS. ) 3.5C - FT. - - v CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ; '; ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors.' (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BALO @ t.50 Ex. Occup. ( FIXED APPWS. OR OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This. permit is for $100.00 (valuation) or less. ❑ I have placed on file ,with the County of Butte Dept. of Development Services, Building Division 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 Worker's \ Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 6 Contractor MECHANICAL PERMIT iFiling Fee 20.00 Heating Cooling Hood 6 .50 a, 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 Butte County Ordinances and California State Lawsirelating to building construction, and hereby authorize representatives of the County,.of Butte to enter upon the above mentioned property for inspection purposes. I I I also agree to save, indemnify and keep harmless the County of Butte A.against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of/the granting of this permit. "' X �/(/ Date K -'i s; Signature of Applicant - Ef Owner ❑ Contrac or Agent An OSHA permit is required for excavatiq�s Ov r 5"0" deep and demolition or construction of structures over 3 stories in height. Ay' " Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONSr. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES IMP I FLOOD ICDF] fpAflCEL PD HD 1 'U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above foa which fees have been paid. DIRECTOR OFPUBLIC WORKS By ✓]1•� `%Date � %//J PERMIT EXPIRES ON % lDetel � 1-1 J0 Receipt No. 'I:48OS6 — $b3.00// rL763/ 4/" C.)�,•—/E��r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD-APPLICANT �..�C�: +�•�ti;i � 1j�w� A N'�- " ^S""• .., "y ..yc'FfiT:,�'�,_f/YY7,•h.;,poi •n-,rF'4; COUNTY OF -BUTTE- DEPARTMENT OFIbEVELOPMENT SERVICES - BUILDING DIVISION M 7 County Center Drive = Oroville, California 95965 - Telephone (9.16) 53&7541RMIT NO. ,, .•. ` APPLICATION AND"PERMIT ASSESSOR PARCEL NUMBER041-590-012. "` • ZONING - BUILDING PERMIT � OWNER �"'+ DON BEAN TELEPHONE 1 SQ- FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO' BOX 135 • N[JE'VO 92367- 2367-CONTRACTOR'S CONTRACTOR'SNAME OWN�.,���j��i - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0.Plan ('.hacking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Penalty $ BUILDING ADDRESS 147 SPRING HILI. DR PERMIT FEE $ 43.00 OROVILL,E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE " SF ❑ Duplex ❑ Mobilehome N Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installa ' -n—a Other ❑ Describe Work: 14HI 1A 4 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 NEW CONST. DWELLING- S . OR AODNS. ( 8 ACC. BLDS. ) 3.50 FTO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P 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 compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL..50 Ex. Occu FIXED APPWS. OR P. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 A s WORKER'S COMPENSATION INSURANCE .I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. j ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a It!!J Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT FilingFee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ . Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save,'indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. j� X ' s 4 Date —Z ^ I f Signatu're of Applic nt ❑ Owner ❑ Conactor Agent An OSHA permit is required for excavations o 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 1UU,U0 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 14300 ' HAZ. I D. FEE2# IMP ""' FLOo I CDF '�' I PARCEL PD �"" "" HD "' I This permit is hereby issued under the applicable provisions of the Butte. County Code and/or Resolutions to do work indicated above for which fees have been paid. DSI-;R^E-C-TOR OF PUBLIC WORKS By -f �� Date PERMIT EXPIRES ON T1 �L•��( �%' r (Date! Receipt No. iG896Q ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES '1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916).538-7541 _ 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 2.7`' PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, .please contact this office immediately. ryy,'G� o (-D'2— . Date 211g& Inspector REV 106/92' W ,r.-rts-^�.`...r-•...,,w;i�i+s�"`ait+..-s.� r�:'�,�Z;t�„w�x::rY�,_-�':f^i•F-�.r.,?�-ra,r��+dr'�,..cz.Ftt,+--k--...-�-� �'"r`- ...: r: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . . 1469 Humboldt Road, Chico, CA - (916) 891-2751' 7 County Center Drive, Oroville, CA - (916) 538-7541 .. 747 Elliott Road, Paradise, CA - (916) 872=6307 ;s CORRECTION NOTICE OWNER PERMIT'NO., A routine inspection indicates that the following violations of Butte County Ordinances exist.at,'' the above address and should be corrected. Please notify this office when correction of work `err is completed. If you have any questions pertaining to this matter, or need additional explanation,,; please contact this office immediately. 11 Y i C r 0, v I �/qf 0.!'cL S,t7�L+eJ e OL e) rDrl7aJeGy. IIhP' g C ti "} O ( lvIAJ P I {'1 r c c' ✓? . S�2 M pV n S I" —L 5EA V c _1 +S Date /0 2 Inspector- T • REV 10/92 �:y�.-..:-.»1^:...ria-.- �✓.fic1.9'-3f ri�. �G-i�' li`-tyr.. fir; -r ��r-.:1�+,.•... ... - ./ `�„...::� �t COUNTY OF BUTTE' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751, 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE t; .'N F OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work t is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date REV 1 0 Inspector V= OK O = Not OK NotApplicable MOBILE HOMES L2.'Soils; Special MH Support Sketch - . ewes•-L-dcation-Test-Fall-C/O Concrete _ (gfgier'Location-Teat-Easement Needed (Sketch) L&.4lectricity; Location-Clearences-Grnd-/ /Amp -Concrete er"�, Location -Teat -Wrap: / P'L'Y(y, / /"Net. or/ P'L"ft./ P'LPG K, 7. a Clearance & Disconnect �tl ty lea ce Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line i 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances S. Drain; MH Test -Fall -Flex Connector 1 6. Water; MH Test -Regulator -Connector 1 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch i 10. Cert. of Occupancy r h, Y MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosurea; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready .RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Teat 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 48. Cing. Joist-Rftr. ties-Purlin-roof Brsc-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insu lation-Wel ls-Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates Comments at Flnel: em-unf* of ­ Jq�fu OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Millard Massey ADDRESS: Rt 7. Box 319A CITY & STATE: Ornvi 1 1P CA 99969 DATE OF CLAIM:. August 9, 1993 SUBMIT CLAIM TO DEPARTMENT 'RECEIVING GOODS OR IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Applications have expired. (Bldg Permit Appin. #92-2546P,E, Receipt #122333, dated 7/20/92, A.P. #041-590-012, Owner: Don Bean). Total fees paid --------------------------------- $113.50 Retain plumbing permit filing fee ----$15.00 Retain electrical permit filing fee --$15.00 Retain plan -checking fee ------------- $20.00 Retain refund processing charge ------$25.00 ,KAmount retained ------------------------------- 7500 Refund due -----------------------------------------------$38.50 (Bldg Permit Appin. #92-2547MHI, Receipt #122333, dated 7/20/92, A.P. #041-5902012 Owner: Don Bean). Total fees paid--------------------------------- $105.00 Retain building permit filing fee--------------- $15.00 Refunddue----------------------------------------------- 90.00 Total refund due ---------------------------------------- $128.50 $128. 50 i TOTAL $128. 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim la true and correct as stated.. �./j fin/ ♦ //),+ ` `/7 � /� Dated this �.n.tt .day of .....::.1..�!!t �5. 19. .� at........� ,C...... '.1,• Calif. �li.rJ. .... ....A�... ../...� �1. � ........... ............. . .. Signature of Claim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed orde- livered and that there is a Budget Appropriation ❑ or Specific Board Approval[] (Check one) for th ame. Dated this 9th ................... day or ...,.August..,.., 1993, at .,.Oroville taut. ................ .......... ................ ... ......... .. Department Head or Authorized Deputy Dep`' 40-002 Cod Code.........442....10500. . . ................ PAYABLE FROMConst Permits FUND ... ode ............... C ............ ....................................................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I I Pe, -,r, m S90, , 0/�- S D6 n 13&q n Ida 55�y fir ? Qo, a�9A Qro�;I�e 45465 -�- A(AKJ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-590-012 ZONING U BUILDING PERMIT OWNER DON BEAN TELEPHONE S0. FT. OCC.. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 135 NUEVO 92367 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Ip,w Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SPRING HILL DRIVE OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION d NAME PARCEL MAP 89/33 Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I PIP @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationk] Other ❑ Describe work: MT4 TT R RT)RM INSTALLED W.10 PERMITS Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 1$.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS ry and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I-am"exempt under Sec. , Business and Professions Code for this reason Main service 200ATO10o0A1 37.50 NEW CONST. DWELLING OCC UP.&\ OR ADDNS. ACG. BLDGS. // 3.6Q sq.ft. NEW CONSTR. ULTI-OUTLET N O N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS I! SINGLE OUTLET CIR. / Ex. Occu o TFIXTURE pl 20 76 5AL- 46A FIXED APPLNSOR Ex. Occup. OUTLETS (RESID.I EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 .00 Misc. Wiring 15.00 , Permit Fee $ 4$.50 M — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®/ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned 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 saiq u ty in co se ien of the grantingof .permit. / ` .� X fZDate'" Signature of Applicant — Owner Contractor Agent An OSHA permit is required for excavations over 5' " deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 113.50 HAz DFEES IMP FLOOD CDF PARCE PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 122333 WMITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .�-'Rs�,; ♦... r ' �jYyrlgr+c�7�'RRi'"_'w"' M'11"'- .:�w ..w.* .... �r , r� , COUNTY OF BUTTE - DEPARTMEN.T„AOPPUBLIC WORKS - BUILDING DIVISION r� 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (916)538-7541 OWNER �UN Proposed Building Use PERMIT APPLICATION DATA SHEET A. P. No. OW-- Building Inspector Date % Zo Z - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY KA 1, All items have been submitted . ........................................ 2. Plot plans{3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ti10. Fees of$ .......................................... 11.. Impact fees as shown on attached schedule . .............................. 12. r California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year 14. flood) ­by California Engineer. . Sanitation and plot plan approval O�rdlfe Health Department . ............ � City, of Chico plumbingpermit. ............ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......, . . �� 18. Contact Land Development about (A) Improvements (B) Drainage. . - fJ 19. Driv-?%(jy permit (construction approval required prior to occupancy). ..... . i Pre -Inspection reqs 20. Pre -inspection for required. .. to Building Inspect 21. Contractor's license information. (No., Name Style, Classification) . .............. 1Certificate of Workmans Compensation Insurance. ......... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 4.'Recorded copy of Agricultural Acknowledgement Statement .................... , Letter of signature authorization. ........................................ 26 Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ..................................... . ... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to own�r_.l Mail to contractor. _� /Telephone and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation�14ZQ �L Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. - Other Date By The following data must be submitted prior to permit issuance: (Circ(e new -item not checked above). 1. Index permit for above items No. ` ` IV", 4ZZP f f2 0—FV 2. Additional items required:i2+¢ Contractor, designer, owner, was advised of above required data by _ phon ail Counter _ to Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date _ Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Cal'lformla 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 UMB RO O/Z. ZONING BUILDING PERMIT OWNER P Jq TELEPHONE SO. FT. OCC. BUILDING VALUATION OWVOR'S MAI G�ADO'E S VCYO ^ A 92367 �`,,��JJ (�/ (�}`- CONTbCTOR'S NAME WIVIe TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ Permit Fee Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ cc)- 0c7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ` - Penalty $ BUILDING ADDRESS / 6q� /- ( I Permit tee $ _ U Q� PLUMBING PERMIT' Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP' Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom04 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home G7VO 1 15.00 70.(�ro TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit;ieJ� ❑' l Installationo- Other ❑ Describe work: �__/ ��> !/ �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' Main service 600VORLESS 200A OR LESS 18.50 Main service 20CATO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR AODNS. ACC. BLOGS. // 3.6Qsq.ft. NEW CON5TFL MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. F Ex. Occup( OR IXTURES 20 760 Ex. Occup. OUTLETS PRESID )REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities I 15.00 _(y() Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the.County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X g pp – Owner Contractor ❑ Agent ❑ Date S nature of Applicant ❑ An OSHA ion of structures toverr 3g stories ineheight Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE ISQ TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I Po HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �22 SJ 3 WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 5-5() - 0 ( 2- This set of plans .and specifications MUST kept on the job at all times and it is. unlawful. make any changes or alterations on,same wi Dep sartMent out written permission from The ial, Public Works, County of Butte- KOTE-,Aff Materials & Workmanship Sh 1 Be in Accordance with Recognized Good fract es and of* a qualify prescribed for the Specified v'se ili.the L! 2. khchan!W CWOi and Uniform Building, Plumbing F6 National Bectrical' Code - xi :�,- _ 70' 'A A 1z -7 yJ - 86 LorAWn of structures & equipment shall be as shown & clear of all ea"r%ft. 61/s. BUTTE COUNTY BUILDING DEMATMENT APPROVED 2 f • riV! :i! `:r v' 1707 2,^tCS;gC ic�s.� r f f• a� til v<: i ,ic ;� �,� (3 f";3(T!f°!fi',-7,SCj Ii II # c.�4f�i tll 'J:S;: #, l li?!r iftli2;:S!�Yr� S"s;rt;(i',.,� f�+,• .111: 10'fi: • r„lJ ai,c ,1i o ID ll(^44 e is z,'srt ..•y a`�, f t . i•rc r:;rii�:7 : E,: if..,.• -`.qtr r� r+N;!y,:�.( F4adR;;j'.a • "}I i Ye a"". k� •caf •zip 3ti � ., i , u ) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - OroviIIe,. CaXfocriia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 041-590-012 ZONING U BUILDING PERMIT OWNER DON BEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 135 NUEVO 92367 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 20. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SPRING HILL DRIVE OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work: MH I INSTALLED -W/0 PERMITS _ Z^� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. 1 ACC, BLDGS. 3.64sq.ft. NEW NON-RESID CONSTR. BRANCH CIRCUITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 1@ 76 FIXED Ex. OCCUp. OUTLETS P(RESID ILNS REA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. A_ -I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee - $ 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 accrueHAz against said un in cc ser pence of the granting of this permit. / r� X Date " (/ Signatu a of Applicant — Owner Contract Agent An OSHA permit is required for excavations over 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $105.00 DFEES IMP FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.122 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date " ' Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle, new item not checked above). '. 1. Index permit for above items No. _4V 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phon e �16-n Counter c Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �. COUNTY OF BUTTE - DEPARTMENT 4F -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /V P. No. 91-,5-70 `O/2 Proposed Building Use Building Inspector Date Z 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check ... . V 9. Mobilehome data and manufacturer's installatio ' ^' F s. ... 10. 11. Fees of $ . Impact fees as shown on attached sche ul 12. California Department of Forestry plan approval/fees................. ..... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .... 20. Pre -inspection for Pre -Inspection req estrequired. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ......:.. ..... . 22. �23. Certificate of Workmans Compensation Insurance. ........ Owner -Builder Verification (Given to owner ; Mail to owner //). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. l ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34 - When Y9u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon 3 -75-61 and hold for pickup at Qom- office. Deliver with inspectof. Other Parcel Creation Acreage , Applicant ate %Z - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date " ' Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle, new item not checked above). '. 1. Index permit for above items No. _4V 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phon e �16-n Counter c Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �. u COUNTY OF BUTTE t�~� 13UILDING DEPT U 2 0 1992 STATE OF CALIFORNIA COUNTY OF RIVERSIDE On F N Z before me, ,the undersigned, a Notes, Public in and for said State, ersonally appeared jDOn1ALID ' K � ,known to me to be the person whose name 1:5 subscribed to the within instrument and ac%ritcvieged that HE executed the same. WITNESS my hand and official se signature SHELLEYSTOKKE v, COMM. #962035 11 NOTARY PUBLIC -CALIFORNIA A RIVERSIDE COUNTY N My COMM. Expires Mar. 25 1996 COUNTY OF BUTTE - DEPAR7MNT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �Ja,✓ PROPOSED BUILDING USE A. P. NO. ay/���6 0 2 - DATE 7/- 7,0 Z 1. School Distric Fees (paid at District Office) ::�/2. Sheriff Fees (paid at Building Department) Residential ......... X =$ ?�ZOI/ Ute_ unit amt. Commercial(per sq.ft.) R =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District'Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prix= to issuance of the permit. t APPLICANT DATE �CbUNTY OF BUTTE - DEPARTMENTi3OF PUBLIC WORKS 7 County Center Drive - Orovllle, Califvirnla 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB RD _� i ZONING BUILDING PERMIT OWNER G /V TELEPHIONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MRING ADDRESS QCV0 kl-Z-v4L BIZ. 6 CON RACTOR'S NAM 0 0J TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ U _&r-7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ �J PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome,�yl Other t�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home TSTG W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities v Installation❑ Other ❑ Describe work: 44— E I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR V OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. DWELLING OCCUP.Si\ // OR ADDNS. ACC. BLDGS.NEw 3.60sq.ft. CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@7FIXED Ex. OCCUp. ,0UTLETS 1PRESID IKEA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 9 PP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES [/ /O�� HAz I DFEES IMP FLOOD CDF PARCEL I PD I HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. f 333 WHITE•O.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 NO. APPLICATION,AND PERMIT 9 ASSESSOR PARCEL NUMBER+ 041-590-012 ZONING BUILDING PERMIT OWNER DON BEAN TELEPHONE 534-7561 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 135 NUEVO 92367 CONTRACTOR'S NAMEOWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 147 SPRING HILL DR PERMIT FEE $ 43 , 00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ClMobilehome Li Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Util' 'es ❑ Installation CX Other ❑ Describe Work: auELECTRICAL PERMIT FEE $ Contractor PERMIT Filing Fee 20.00 Main Service ( '0'ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 SD. FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P P 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 compensation, will do e work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) zo @ ,.00 eAL. Ao Ex. Occup. ( OUT ETA RES D.IOR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County. in consequence of the granting of this permit. a X Date ✓ �` Signatu a of Applic nt - ❑ caner ❑Con actor Agent ,� An OSHA permit is required for excav ions ov r "O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S143.00 HAZ. I D. FEE IMP F�Oo CDF � PARCEL PD ..� �" HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 16d- f'� Date PERMIT EXPIRES ON Zl/ lDe el Receipt 148960 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT +��.t�L..-'711+�.�/�^..^.n.'�y;.•("syr..w.v.�.�n(''v.'�fy�,....--�'.Jt�.,y'�.-...���rr.r✓r•�,.'f•y''+rx'`�'+4�`rh-T„-'�fY+1./'.s''1.?'r.�.^�.. �1!''J,,,..�r'-G '�r..a�i.i n .. COUNTY OF BUTTE - DEPARTMENT OFDEALOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO.VILAtif'ORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA �. r OWNER L)r) ri CP (',� I� A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE RECENED BY 1. All items have been submitted. r 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... ol .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot, plan approval Health Department . 15. City of Chico plumbing permit. ..................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. a "�d ���speaoe ff (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization. ..... i ................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................: . 28. Mobilehome utility clearance . ......................-r.. 29. Documentation of legal access . .............:......................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ............................................... 33. x -r 34. When you issue the permit, p oce s as follows: Mail to owner. Mail to contractor. Telephone 31 and hold for pickup at co C60 office. Deliver with inspector. Other / Parcel Creation � Acreage ApplicantMDate 1/ / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent 'Health Dept. Fire Dept. Other Date By The .following data must be submitted prior to permit issuance: (Circle new item not checked above). / 1. Irdex;permit for above items`No. _ t 2. Additional items required:'! Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail -.-A Cou a by _ Date Plans checked by ` M Date Plans approved by Date77/W9 /9 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. ' APPLICATI04 AND PERMIT ASSESSOR PARCECNE - i_57e?e ZONING - - BUILDING PERMIT .. . 'OWNER - - _ K�J yam, TELEPHONE 53q-75 l SQ. FT, OCC. BUILDING VALUATION OWNER'S ADDR - /-:��/ r/�"�1 /'� 3/ (TELEPHONE _ CONTRALTO R'3 AME CONTRACTOR'S MAILING ADDRESS - - - _ Fireplace CONSTRUCTION LENDER - - UNSOWN _ Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee - $ ARCHITECT OR ENGINEER - LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS / / / L j PERMR FEE $ 0 PLUMBING PERMIT - Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME - PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE ST - O Duplex O Mobilehomx Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 _ TYPE OF WORK New ❑ Addition -0 Remodel O Utilities ❑ Installation Other. ❑ Describe Work: - N I PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A } 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. ) 3.5C FTSO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) - ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions 'or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor Cl 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 $ DCC CONST. TYPE TOTAL FEE $ HAZ• I D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON Mare) 11c //10 Receipt No. - T Z((QQ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . zsst c a and BUTTE COUNTY SCHOOLS IMPACT FEE.CERTIFICATION FORM1d300Niaiine r' (One Form Per Building) nine JOA1N(l0O School District ------------- Building Department No. A.P. Number _U=QRZ. Jurisdiction _ City County Property Owner --vV-- Property Location/Address��/� Subdivison Y Lot No. Residential Development �] _ 0 Sq. Footage 'No. of Living Addition (Group R) Units Commercial/Industrial Sq. Footage } New Addition (Including Exterior Roofed Areas) Building partment Repre entative Pat (Floor Plans reviewed by School District Personnel) District Identification No. -9-3v5-2-8- 1112L) 9- v_5 2 8) School District certifies that ...(Street Addres� - � / —}------------------- ---- (City) has complied with the requirements of Resolution No representing _ square feet. School District Representative (State) Paid by Check Number _—_ Remarks. Bank Number Paid by Cash - i -tAppucanq (Phone Number) (Zip Code) by payment of $ to If, subsequent to the School District Representative signing thislButte County Schools Impteat t Fee Certification Form, the School District is notified by the applicable Local Planning Agency t this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subje additionalct_ school fees to fully mitigate its impact on the school district's schools. / Iv White (applicant), Yellow (building department), 'Pink (school district) ��form.w'(a/s2i '"" BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: P p 2. Installer's Name: - 3. Is the site currently under permit? Yes a . No (If yes, furnish permit number 93-- --aslj� ) OR Is the site an existing site? Yes a No (If yes, furnish two plot plans.) 4. Wi-11-the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes a No F (If no, clarify 1 (If. yes;' identify `the load and size: (Load) /(/DYI4- (A.mps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10 What- is the type of gas ~services = --- - Natural` LPG n -- w ---- _ _ �.. U - 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on 9.1-3a P� natural gas or less than 50 ft. on LPG.) BUTTE COUNTY r NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPMIA DEPARTMENT' APPROVED Z O O 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps O 7. What is the mobilehome site circuit breaker rating? ----- Z D Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No F (If. yes;' identify `the load and size: (Load) /(/DYI4- (A.mps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10 What- is the type of gas ~services = --- - Natural` LPG n -- w ---- _ _ �.. U - 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on 9.1-3a P� natural gas or less than 50 ft. on LPG.) BUTTE COUNTY r NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPMIA DEPARTMENT' APPROVED MOBILEHOME SUPPORT DATA ,�:A lyP PofU If other than single wide, Mobilehome Mfr. E F 1 �i^yY ``� 0 1yAurni6h`letup Model No. Year Width (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, -furnish manufacturer's installation manual and structural setup sheets (if not'on file with the County of Butte). FOOTINGS (check one) ❑ 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)1. Concrete block. I 2. Other (specify) T Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line. L _ Main Beams Line 2 Main Beams — —• �.F-LMC Y Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size-Min---------------------- Spacing-Max -- ". Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ l/1 Ik JOI Spacing -Max.. ---------.From Ends -Max.----- -- " Line 3 Root Loads: Size -Min .------------ Location (From Front) x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .----- 11 x -- - Spacing -Max ----------------- From ------------ From Ends -Max.------------- �- e-4 Piers Size -Min .------------ Spacing-Max.--------- From Ends -Max .------- 1_ 1 Line 5 Roof Loads: Size -Min .------------ "x "x 'k 1.x 11x "x 1.x "x -- - -. Line-_Pier.s: .kunaer nearing watts: unay/ Size -Min ------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- Location (From Front) '11Q AP 014NER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR T' ELECTRIC GAS Support Strue. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YES NO O RESIDENTIAL 041--590-012 PERMIT#95-025 BEAN, DON 147 SPRING HILL DR., OROVILLE "CONT: BILLSON CONSTRUCTION - -326 RAMP/MH / 3279 I JOB FINALED (Date) ! e_ Signature = OK O = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch ,1 0. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Y - < A KA J=OK O=Not OK Not = Not Readyable RESIDENTIAL (Single & Duplex) . Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or ________ _p Type AFlue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped -----"------------ 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -- --------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- -- ------------------ - ---19. Shower Pan: Test. First Floor -Tub Access --- -_ - - - 20. Test Tub & Shower, Second Floor -Tub Access - - 21. Gas Pipe: Size & Anchors Date - - -Card B-1 Date Card B-1 - -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except M's 22. Fixture & Transformer Clearance -Ins. Protection ------- ---------------- ------------------ ----- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------- -------------------- ----- ---------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------=------------------------------- 26. Equip. Ground made "up w/Mech: Fastners-Bond Gas & Water ----------------------------------------------------- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At --------------------------------- - ------- ­ ---------------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ------------- --------------------------------------------- -------------- 31. -Equip.-Clearances-Panels-Motors-Mech. Equip. --------------------------------------------------------- ------- 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. -.A. -C.- Ducts Insulation & Support ---------------- - ----- ------- -------- --------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------- -------------------------------------------- 36. ----------------------------36. Condensate Drain & Overflow: Size & Grade --------- -------------------------------------------_ ---. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- ------ ---------------------------------------------- --- -- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------ ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------- -- - ------ -- --- ----- -- ----- ---- ----- --- ----- --- - ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sits. Proper Material & Anchors ---------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound ---------------------------------------------- Bearing-Walls ----------------------------------.BearingWalls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) - - - -- -------------------------------------------------------------- ------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---- --- ----------------------------------------------------- 44. Headers & Beam -Size & Bearing 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows r --------------------------------- Date Card B-1 Date Card B-1 ----------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except St's 61, Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62, Smoke Detector ---------------------- 63. ----------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ----------------- . 64. Bedroom Exiting v: 65. G F.I & Bath Fixtures & Tub Access -Spa ' 66.' Elec. Trim & Subpanel: Breaker Sizes & Labels -------------------- 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------.-. ------------------ -------------- ------------ - --- 71. --Elec. -Outlets & Receptacles at Kit. Counter ----------------------- ------ 72. Garage Fire Door: Swing -Landing -Closer ---73.-.A.C. Duct in -Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. , In Garage: Above Floor-Mech. Protection ---------------- --------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------- ---------- -- 78. Guard Rails & Deck Construction -Post Caps •----------------------------------------- - 79. Fdn. Vents & Crawl Hole, Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing --------------------------------- 83. ------- --- -------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - - - -- --- -- - ------------------- -------- ------------ 84. Water Well: Disconnect. Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ------------------------------------ ------- 86. Ventilation Throughout House ..------------------------- ------ ---------------- -- --- 87. Glass Protection 88. Corrections from Previous Inspections ------------------------------- 89. ---- ------------89. Gas Test -Meters Tagged: Gas -Electric ---------------------------------- 90 . Water & Sewer Connected -C/O to Grade -HD Approval ---------------------- 91. -------------------91. Energy Compliance Certificate -Other Certificates - -- -- - --------------- ---- --- DCard B-1 Date Card B-1 - --- ate -------------- ---------------------------------- Date Card B-1 Date Card B-1 ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BI,:TTE - DEPARTMENT OF DEVELOPMENT"� SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 R�� 0 PER APPLICATION AND PERMIT -I _ ASSESSOR PARCEL NUMBER 041 —590-019 ZONING U BUILDING PERMIT OWNER DQN BEAN TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWN ERS MAILING ADDRESS 12TT EST. 2,500 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 4383 WOOD2�0SE DR, n 9-596-5 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ n Penalty $ BUILDING ADDRESS PERMIT FEE $ 109.10 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O MobilehomeX7 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RAMP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 Main ServiceBOOV OR LESS ( 20OA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( a ACC. BLOS. ) S 3.50 FTO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) vo.l am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and my license is in full fo nLi f et. License No.9� 7 Classification ❑ I, as the owner, or my employees with wages as their sole co pensation, will do the work, and the structure is not intended or offered for s (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW Efl APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occu FIXED APPWS. OR p' (OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. tK I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, Cos 1, and expenses which may in any way accrue against saidHA2 County in copse a the r in of this permit. X Date Signat a of Applicant - ❑ Owner O 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 $ C5 CONST. TYPE TOTAL FEES 10910 D. FEES IMP F.LooD CDF r PARCEL PD Ir This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By / D e PERMIT EXPIRES ON 1 9 6 lDet I Receipt No. 171103 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J /-­.A-COUNTY'OF BU- Ed-bEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFYORNi'd*§5965 - TELEPHONE (916) 538-7541 ZRMIT APPLICATION DATASHEET OWNER A. ,; o - Q Proposed Building Use_ r��P Building Inspector Date ';* F At time of permit application;,, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, -,-All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. } 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. ) 6 �= 7. Statement of Intent for Non -Heated and A/C Buildings . f 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . ' 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. .. .......... . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. F` 17. Planning approval for (A) Use:, (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. ...... 20. Pre -inspection for Pre -Inspection request p required. . . to Building Inspector (DaEe) 21. Contractor's license information. No., Name Style, Classification . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. .......... . ....................... 28. Mobilehome utility clearance. *9 29. Documentation of legal access . ..................... :................ \11. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When yo ssue the pe mit, process as follows: Mail to owner. Mail to contractor. Telephonnd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant ' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by._ phone -mail o nter by _ Date Plans checked by Date Plans approved by Date -�- Sets of plans on hold in File cabinet AP folder J_) 7 _Gl� Copy - Department of Public Works -7 COUNTY OF BUTTE :r BUILDING DIVISION r, DEPARTMENT OF.DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 } 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE =` OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conta is office immediately. (\/J 0 A i Date JI. "1 10 Inspector REV 10/92 T9 suaJECT: 04.nitO49n 00 AAS5C,6- Iq V 14C[Dr. Oqt 0 12- 7 Location ' --"-I '. - AP psrAe;0 Nro U - N-- (..,— pia'fil, Approved for: Sewace Disposal Water Supply Water Supply for: in& p, 4-,lIcleIar';inc4-o.K. for: Water Supply cii�a'r'a"n-""c'e! for` bedroom mobile home. other .11�6 (V --q Y A, Pl"'- 19 -( A— &--c,5 7;_—J�Jf I 13 Yui 13 Pacific Gas and Electric Company June 7, 1991 North Valley Division), Customer Services Department 350 Salem Street P.O. Box 49 Chico, CA 95927 Butte County Building Department 7 County Center Dr. Oroville, CA 95965 Gentlemen: Chico 343-5515 Willows 934-5491 Orland 865-4461 Paradise 877-6273 Occasionally our field personnel become aware of what may appear to be newly established residences or living quarters that are receiving electricity from.a non -inspected source such as an agricultural pump, stock water pump, etc. or perhaps from an existing residence. No doubt many of these are substandard according to local codes and may warrant your attention. For your information, the following appears to be such a situation: Customer - Donald Bean-,& Millard Massey Supply - Mobile Home -;power supply from construction power pole. Electric Meter #N80256 Location - Spring Hill Dirve, Parcel #11 -Rt 7 Box 319A Account # KFM 17 44611* If you have any further questions_ regarding this matter, please contact 'me at (916) 896-4209. Sincerely, J HN L. BROUILLARD ustomer Services Rep. A - i 6 PTN W. 112 SEC. 9, T. 20N. R. 4 E. M. D. B. d M.r„ ; soy `t� %.1;--.7 .4 Ft: EE Assessors MOP NO. 191"D9 County of. Butte, Calif. ' February, 1987.. COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: Pacific Gas and Electric Company June' 7, 1991 ia" North Valley Division Customer Services Department 350 Salem Street P.O. Box 49 Chico, CA 95927 Butte County Building Department 7 County Center Dr. Oroville, CA 95965 Gentlemen: 1/0-5-7-)�_ Chico 343-5515 Willows 934-5491 . Orland 865-4461 Paradise 877-6273 Occasionally our field personnel become aware of what may appear to be newly established residences or living quarters that are receiving electricity from.a non -inspected source such as an agricultural pump, stock water pump, etc. or perhaps from an existing residence. No doubt many of these are substandard according to local codes and,may warrant your attention. For your information, the following appears to be such a situation: Customer - Donald Bean;& Millard Massey Supply - .Mobile Home -power supply from construction a power pole. Electric Meter #N80256 Location - Spring Hill Dirve, Parcel #11 -Rt 7 Box 319A Account # KFM 17 44611 If you have any further.questions'regarding this matter, please contact me at (916) 896-4209. Sincerely, aJ HN L. BROUILLARD• ustomer Services Rep. COUNTY OF BUTTE - Department of Public Works 7,County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) "I(: 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted'with the following•person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions of this work,.but-I have hired -the following person to coordinate', supervise, and provide the major work: Name Address City Phone'' Contractors' License 'No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date _`\ \d o IA 0 _ --I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. "'--4••�r�=f:ication must be completed and returned to our office before we are per- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING f� J a /T"-)— OWNER PHONE N0. OWTR'S ADDRESS �s 7 LOCATIO BUILS 'OF 'T'` -D r CCOAT) IQ USE OF BUILDING r- - r SIZE OF STRUCTURE X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify)r211z TYPEO S)f ING ROOFCPVER G FLOOR TYPE AA Lo >r 14- C -I -Alp ESTIMATED COST OF CONSTRUCTION * $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �//�//\�' ,f i f t - -9-t so I"" `L J FRONT `- SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft: in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 4451rL^ Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. a �/1 7 Director of Public Works By. ! Date -8" White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 DON BEAN P.O. BOX 135 NUEVO CA 92367 With reference to the above subject: /. / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER We need the following information: RE' 92-2546 PHONE: 916-538-7541 DATE 8-20-92 A.P. # 041-590-012 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. — Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect.. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. _ Sanitation approval from Butte County Health.Department•at: 1469 Humboldt Road, Chico _y 7 County Center Dr., Oroville. Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER 1. Driveway permit. 2. Owner/builder 3. Recorded A.G. statement.' NOTE: Please submit ASAP to avoid further action. Should you have any questions concerning the above, please contact nAVR WASNRY .of this office.. BETWEEN -3 & 5 P.M. - Yours very truly, William Cheff Director of Public Works J /.F. Glander JFG/a' � J u TED CLEVELAND ASSESSOR COUNTY ADMINISTRATION BUILDING OnOv|LLE CALIFORNIA 95965-3382 'BUILDING DEPT COUNTY OF BUTTE Telephone: 916/538-7721 AUG�1��� ' . '-- � « �v�� �uly 23, 1997 . . �c �hom I� May Concern: On 04-06-87, an appraiser from our office notedthat there was a mobile home which appeared to n be curretly licensed on Assessor's Parcel 041-590-012. If you have any further J. ase contact this office. Very truly yours, � TED CLEVELAND Assessor of Butte Count y . ' . ' . COU TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, C4*fornia-95965 - Telephone (916) 538-7541,�� MIT_NIL �- APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 041-590-012 ZONING U BUILDING PERMIT OWNER ON BEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGADDRESS OX 1 35, NUEVO, CA 92367 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.AQ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23 .00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 147 SPRING HILL DR,IVE PERMIT FEE $ 23.00 OROVILLE, CAL 95965 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. 0 SUBDIVISION'S NAME PA§J MAP 3,3 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 1AX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G @20.00 40.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities iI Installation ❑ Other ❑ Describe Work: MU 3 BDRM PERMIT FEE $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 2ODA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. I & B ACC. OLDS. ) 3.50 FTO- . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification r 1, as the owner, 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) ElI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES )(O 20 @ 1.00 BAL. .w Ex. Occup.FIXED APPLNS. OR UTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Is hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. N.to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S63 00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date ✓ ^ Signature of Applicant - ❑ Ow er ❑ Contraor Agent An OSHA permit is required for excavati s ov r 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S` 146.00 HAZ- I D. FEES IMP — FLOOD •— I COP PARCE PO I HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r� a By to / PERMIT EXPIRES ON 0 7119 -V - ID el (Dake) -� � 8 D Qr9� ReceiptNo. HX148056 — $63.00// 1y �y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -7 ........... -REVIEWED BY BUTTE.CO. FIRE DEPT. FORESTRY CALIF. DEPT. of approved as submitted _i+-nditions approved with co per attached sheetS Signature Date q:y!reMents'Must be coriplet6d a8'specifi ed -and ap PrOved y 01, r/91, 510-OlZ NCTr aterials �i' Work-r_v,,nship Shall Be tri Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use ir: the Uniform Building, Plumbing & Mecha101081 Codes and the National Electrical Code. l r This e o plasia and sp=' kot on s ob at all times an mato sagas or altemMosls on 8=9 wltb;blA rvritGe. paission.from the DepartWorks ca. \01 0 NJ APPROVED Butte County '-,vironmental Health ouIPM WLunINc 44D i �R 04. �+ L �ENlEN'1'S• - ST w s"Akl BE C► -E .., a ; h'1E SIDE AND OVR4 ` S�AD p�, Vii►fl���. �,.+"� ....--......-�-' 1�'' LTG J f, 1+ SIT 1Bp1 i �{ N J r DJ - T. -�- $Ti :U%G. nviro.� ntal Health CIE�►A 2 �.• �� OV�i6'IA1`I W, �.. �5 71992 Orcuille, California 6 f *. tVi16.1 +�i.7ii;:i.i {jyjtf `{;f:r'13r\>!1•rt"tl � v46rEti ' ti P. rn r AL4 6 for 3 / _ ! ATTACHgNT 1 -D��lJ \ AP # PERMIT # AME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. (] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availabil- ity, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. L 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius. ] 1. No roadway shall have a horizontal inside radius or 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. �G 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [>C1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ['] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic land and unobstructed vertical clearance of 15 feet along its entire length. -2&IC--3 [IQ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [/L4 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates. p�1 1. Gate entrances shall be at least two feet wider than the roadway it serves. �C1 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic land provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. V 1. All parcels 1 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. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [� 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegeta- tion and fuels caused by site development and construc- tion, road and driveway construction and fuel modifica- tion shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements -36�r-3 Date Signature j J I Other Requirements -36�r-3 Date Signature Return tt''DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f' FOR RESIDENTIAL DEVIIAPMENT AUG 0 2 1993 ,follows: yf.1. • Parcel 10, as shown on that,curtain parcel quarter of Section 9, Township 20 Mirth, Rarvic Map was rc-co;•d�d Aug1Jst-2/1, 1942 in 1.1..ok 09 Irl' �I TOGETHER WITH AND RESERUING-THLREFROPi eascr�:er Ls purposes as shown on the 'Parcel Mnp tc) OC a portion of the Northwest It East, M. D. B. & M., which P-1rc0L Mi]P ;, at pages 32 and 33. 1'0C• road and public utility ,:hcive. Date: OWNERS: . State of �) On this the _A? day of 1 1953, before me, the 4 SS. undersigned Notary Publi ersonal appeared County of , — _"T) WVALSE"` Personally known to me. Proved to me on the basis BARBARA L. RINES �� of satisfa tory evidence. R,YERt10 =?"T� to be the person(s) whose name(s) �� MV CDMmawm e.pbw on s. 1993 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P.-No. nji' 5 Io -o 9, Notary Public Section 26-8.1 of the Butte County Code 1 requires this acknowledgement be recorded prior to issuance of a building permit. 93 032836 1 Rec Fee 5.00 The property described herein is adjacent I Cash 5.00 to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records 1 of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural .chemicals, including, Candace J. Grubbs -1 - but not limited to herbicides, pesticides,1 Recorder and fertilizers; and from the pursuit 10:48am 2 -Aug -93 I PURL XX 1 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that r-eal.:property'--situate in.the County of Butte, State of California, described as ,follows: yf.1. • Parcel 10, as shown on that,curtain parcel quarter of Section 9, Township 20 Mirth, Rarvic Map was rc-co;•d�d Aug1Jst-2/1, 1942 in 1.1..ok 09 Irl' �I TOGETHER WITH AND RESERUING-THLREFROPi eascr�:er Ls purposes as shown on the 'Parcel Mnp tc) OC a portion of the Northwest It East, M. D. B. & M., which P-1rc0L Mi]P ;, at pages 32 and 33. 1'0C• road and public utility ,:hcive. Date: OWNERS: . State of �) On this the _A? day of 1 1953, before me, the 4 SS. undersigned Notary Publi ersonal appeared County of , — _"T) WVALSE"` Personally known to me. Proved to me on the basis BARBARA L. RINES �� of satisfa tory evidence. R,YERt10 =?"T� to be the person(s) whose name(s) �� MV CDMmawm e.pbw on s. 1993 subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P.-No. nji' 5 Io -o 9, Notary Public her. I-je9-10y Jin;its; `?= 6580 Pony Dr.ivF; And,-rrson Cj. i, ... , .600! DEC 22 15� ►' !��' CLERK - RECC-k'LiER Order No. ......... �6136-Ci SPACE ABOVE FOR RECORDER'S USE ONLY "I I R ; I Deed of Trust INCORP07ATING BY REFERENCE CtRTAIN PROVISIONS OF A DIM OF TRUST RECORDED IN THE COUNTY OF, BUTTE This Deed of Trust, A- This day or I)I'C:!?I!IIlC,'.' 19 92 17.i0111MI DONALD K. REA(; AN10 NARTI..%ki A. (1 -LAS; ir.,,l;;;r,,.l l wiI'I: herein called TRUSTOR, whose address is P• 0. Hi)x 135 Nnrtt,u, f:;:l i i'r,I I,i;f 92367 INumher and :I1c.0) (City) (/one) NORTHWESTERN TITLE COMPANY OF BUTTE COUNTY, a corporation, herein called Trustee, and (State) COLE,dec'd,as to undivideri ,:.I.1Ll;'„ .irt�.;AIti9DE A. oration, h 1 herein the Estate of ANIT JUNES,as to detl,�.til) .irlL';DU(IAI_L) ER':IIi; :lllfdE , '`' tr' undiv:i.ded 1,5.30% int;DONALD as to undividt��-� LSE'E, ,,.s to urtrlivi.ded 12.50jo int;hl. UI. JONES, 2.80n i.n!:;Li�,_�( �lILLIAfI JONF:S;a, to ui,dividun 1vi.ded j. IttICt�5F'fft: That Trustor irrevocablyGRArJTS, TRANSFERS , 4rlein called BENEFICIARY. AND ASS,GNS TO TRUSTEE IN TRUST, WITH POWER OF SALE, that property in the QIP inrc,r_u�;r rt(- ;sr[.. of, ; IIt! . , County of Butte, State of California, described as: Parcel 10, as sllow(i of) tl-t,It i:rrri:,l.in FTar,.;�.1• 1-1; 1, o(' Section r), cif --I pc;rt Tun of the Northwest Map was Township' ?(I P�4artll, R�srrl�'East, f1, D. 8. & fel. which reco;.dc:d August i4, .L'Itl:{ .i.tl Ll, ol: F1l itl I-1;_1rce1 Mi.Ips, , at pages 32 and 33. TOGETHER purposes L•JITH AND RESERUII'.IG THERLFROf1 c>senser ;.s 1•or road alld public utility as shown on thr. llarcel M-,ip r.eFerrccl to al-jovu. THIS DOCUMENT IS HEINE f;E-RECORDED IN ORDER TL! C:UItf;LCF A, TYP-RAP ERROR ON THE INTER; ST OF RENEF1r,IAL (TER(:FNTA(;ES. TOGEIHEVWITH the rents, issues and profits thereof, SUBJECT, HOWEVER, to the right, power and authority given to and conferred upon Beneficiary by Paragraph 5 of Purt B of the provisions incorporated herein by reference to rollect and apply such renes, issues and profits, For the Purpose cf Securing payments of the indebtedness evidencuJ by a .promissory note, of even dote hcrowrth, executed by Trustor in the sum of THLR.TEE.N...Tf1.OUSAND.-NLNI_..H.UR!P.RE.D..S A/TN-fEE.N. AJj.D. l.1 OU_____________ ............ Dollars, ..1.3. 917_ 64 any additional sums and interest thereon which mug hereafter be loaned to tho Trustor or his successors or assigns by the Beneficiary,' performance of each agreement herein contained. Additional loans hereafter made and interest thereon shall be secured by this Deed of Trust only if made to the Trustor while he is the owner of record of his present intereo in said property, or to his successors or assigns while they ore the owners of record thereof, and shall be evidenced by a promissory note reciting that it is secured by this Deed of Trust. To protect the security of this Deed of Trust, Trustor agrees: i y the execution and delivery -of this Deed of .Trust,and'the Noto secured, herebythut provisions 1 t 6'' induslvo;,of,.Port A-' nd visiertr-1 1 9, 1�Ri rnrc al sive f arf"B of+fhe deed of TrusF pec rcfedron Feliru'a`ryiy;�1962_in,8" n ook_II6`'2 of pff tial; ecoid at Pages.595.and 596;ni Prov office oft e ecoroor or theCounty'ef tSutte, Cnhiomia, shall be -end they are ircreby ,ncorf.omtod herein and made an integral part hereof Sec for qll on 2 246�of°the roil' o'C-�ao"�'�"`• a';"�� tas,�- s• Q ppurposes os t ar U IC•. 6EAN ..... - MAF2I�YNA�.:�t.Al I�_ ........................ STATE OF CALIFORNIA, COUNTY OF ...R.ileT.s die.-•-.,•------.-: ................................. h On December 17 1982. _ _ �•-••--•-----•---•.-..-.._..�............................ .. ... .. ...... before me, the undersigned, a Notary Public in EOLIS J. DUFFEY and for said Count and State, y pp Donald __•-_ • Bea. •• y personale appeared Y.. � : NOTARY C:UU1 JT Maril ri E1.._ Mean__________________ known to me to be the ersonfsJ whose names) is (are) Y.. - , P RIVERSIDE COUNTY ��tT>i3 subscribed to the within instru�rrenf a now ed th t -----the! executed the same. CALIFOn,-flA c .. trey Commis fon EXPIres i,t:g:r5t. ?, 1334 r (USE FOR REAL ESTATE IN BUTTE COUNTY ONLY) North Nvestern Ti tee C'mmn.1nv of Notary Public E� D.OF DOW~�, t r t .mss _�l'�"r� -r �NTI�' �' ��."]+l•�i'�' �`T_ e14 :�' �i-�S �lr__ _ _ _ �y,,� � .1kw'- s.z•.�va«€�+. �, ,� .l .ee..:-�•m a r..�?�'-a� � — r � '-���-i �i � � t ,gyp rx. � N( -"r- atcriaJs & Wer ktr.?.-ra.ship Shall Be to !Accordance with Recognized iTcm�l bracticee and Of a Qua uty Prescribed .(cr the tct--;Lft id ,tee ±r► the Unifforn: Bulding,11timbIng & Mechanloal Codes and the National Flectri.cal Code. o,+ic . This set of plana and S `t� _GM to/ kept on tha job at r.L •;;. ;P° r t F1:tfre Ol13 on Same Wi it:: -M ^ t h,3 De al Of ?Oita �I►ork3; t ou^-� of But' -a- 2 - i pROVED "utte County imental Heaith ---Au 152 - to ------- Signa re 60U'pµ�� U°mss. �- STKUCTL'RPS AICD cAR O RL OVEr��',A'.ti1G5 Na1 L 8E C4 7He S1DE AND S�. ,QTY LINES A S� �. ,�. �,;-.n =, ?F;0 NE BAH ' SE ,Gtr �•i'. � '•Tr _ ••- : ;-.!'!u t poft p 2 FT. SWE 5 r�� •tip � %� l l �/ i �•__. �i PROBED p�c05 Butte County Environmental Health ------------ tf� Yy t,;, o v� ►gnature oC) Zs� cSU 116 COUNTY / BUILDING DEPARTMENT AP)ROV cz, nrrlCV V GV �/3 VL o I rri -I- - K3 TO I ��AgAgf �. T _ (ti TO A T1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND- PERMIT- PERMIT NO. ASSESSOR ARCELNUMBER 1 zDNING -' / - - _• BUILDING PERMIT OWN - - - TELEPHONE - SQ. FT.' " .- OCC'.-- BUILDING VALUATION OWN MAI G ADDRE - l� �� CONT, O n S NAME - - TELEPHONE - - ' CONTRACTOR'S MAILING ADDRESS Fireplace CONS ON LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ , O Permit Fee - $ ARCHI.JrCf OR ENGINEER. E LICNSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN:40RLSS - Q Y7 PERMIT FEE $ gor; _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 - Solar or heat pump water heater 23.00 Water piping LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent USE OF STRUCTURE - SFO Duplex 0.- Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets Building sewer t@2 Mobile Home S W e TYPE OF WORK New O Addition O Remodel O Utiliti Installation O Other O Describe Work: o/( _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( eooV OR LESS ) 200A OR LESS 23.00 Q Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( & ACC. BLDS. ) 35C SO F CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETSIRESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00,;20, 00 Misc. Wiring 23.00 jFEtE i] WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. _ I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O 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 $ occ CONST. TYPE TOTAL FEE $O HAZ. I D. FEES I IMP FIOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (betel Receipt No. Gf 3 ® o S WHITE-O.D.S.-EI.D. CANARY- ASSESSOR PINK- PECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE-- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY .CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538-7541- OWNER JVD /VU/!/ A. P. # ?0' U/ 2 PROPOSED BUILDING USE �I`.n U DATE a &2. REC. # DATE REC SCHOOL DISTRICT FEES (paid at District Office). SHERIFF FEES /. 1/1 (paid at Building Department) �- iv5T/� Residential...... x =$ unit amt. Commercial (sgft) x sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid -at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6.. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department)` 7. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 'r=`v�w'r�"`L'^"`""''r:' '"`""rev`^"-y`.-.''�.r'^.,[.",`+''V"'+w'M�"`�.'rr".rar..r..''""�a'o'�-.+i4� �•^.wF..�..r.y,;�.'a'���r r^�,.,;i�,...,....�� 'T��`'t-..y-.. �- '. `- - COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Oel/- Date _>S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. P�plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ...................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and m n acturer's installation instructions, 2 sets. ............. 10. Fees of $ i' ....................................... Impact fees as shown on attached schedule. ...... . . 12. California Department of Forestry plan approval/fees. 572.7` 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18.-C-ontact Land Development about (A) Improvements (B) Drainage. . 9. Driveway permit (construction approval required prior to occupancy). ... . Fred nspedion n:quest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23 -Owner -Builder Verification (Given to owner , Mail to owner. . .......... 4. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B);Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....... . . . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup ata /t- (� office. Deliver with inspector. Other f� ��,���. Parcel Creation 1 G��!^"'�D Acreage Applicant ate � Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept.., Other. Date By The following data must be submitted prioMID issuance: (Circle'new item not checked above). 1. Index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by S Date r�- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance A J A6 AP# l� Os�ner Lo a 3. Pian Approved for: Sewage Disposal �- Water Supply Hold final for: Water Supply _ 7inal clearance O.K. for: ,�- Water supply edro il--ho-mm. Other e�cl �/ ! Q/e Oh /l 1 an � NOTE * * * oh LC_ end ah no Yov e .t7 F 7 :Sain%-a a