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HomeMy WebLinkAbout043-682-0160437682-016 PERMIT#94-2092 RICCl, RINALDO -.i�.,�.r-� 1663 SANTA CL'ARA-AVE'.;CHICO CONT: EXECUTIVE HOMES MOBILEHOM UTILITIES/%%9/QCCS bu"--,�zWS�C ELECTRIC GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 043-682-016 PERMIT494-2093 RICCI , RINALDO 1663 SANTA CLARA AVE . , CHICO g/$/qy .CONT EXECUTIVE HOMES MOBILEHOME INSTALLATION ' RICCI, Rinaldo 185 d`4 3 -G8Z -o I Co Sanchian Ave. between Rose & Oak Street Chico COMPLETE 7-10-62 I i i I L � � � � N RESIDENTIAL. 043-682-016 T` PERMIT#94-2092 RICCI, RINALDO 1663 SANTA CLARA AVE.,CHICO CONT: EXECUTIVE HOMES MOBILEHOM UTILITIES / OFFICE COPY (D�z. � Add //1 r �ess GAS.: p (� Meter By Datev D ' ELECTRIC Meter By Date 1= 1 JOB..FINALED (Date) . Signature r -. _, _T V = OK. O = Not OK - = Not Applicable, ' = Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s 1: Zoning Requirements -Setbacks -Easements - 2 Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/, /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILSMOME INSTALLATION (PlaDef OK except #'a 2 YDrain; MH.1a9*oF-aII-FI x Connector mer; MH T ulator-Connector 7. ensf sewerconnected o Grade -HD ADDroval 9✓Exits p. -Sketch 1 . rt. of Occupancy 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-Ralls 4. Wood Awn.; Posts-Beams-Rftre :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 #'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 1� �r V=OK O =Not OK' � ' -=Not Applicable Not Ready RESIDENTIAL( = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Mein; 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 -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 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 -Nall Protection 18. D.W.V.; Test -Fittings & Anchor-Nati 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/Mach. 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. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing It, Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-PurllW-roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggere 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 -Wells -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 :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 -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-Draina e & Wood -Earth Clearance Looked under Floor Yes ; 80. Following instld.; Drive ❑ Yes ❑ No; Walks Cl. 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 Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE < OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. 'r Address or location of mobilehome 1040 3 Owner's name Owner's address I Rn Wnr/�� Li'LI�c� Insignia or hud numberRAD 77.-905.3 gf ,4Z) -7..2 d0 6-Y _ • Manufacturer's name __T- ` Serial number of V I.N.C4PLP, 1-74 1 (10 S_�A <; 4 Year of manufacture _r (Offi/cia/l'�Approving,in/s�tallotion) h(Date)/ /x I V I f - _/ 17. / r41 /31 P,4:2" I& -e IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �; # 0 -014 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,. 7 County Center Drive - Oroville, California 9065 - Telephone (916) 538-7541Lyq` PERMIT NO. APPLICATION AND PERMIT y ASSESSORPARCEL 682U BER ZONING AIO BUILDING PERMIT oWMNALDO RICCI rEPx(ALLoN071 SO. FT. OCC. BUILDING VALUATION OWN€RNLI OTr CLARA AVE. , CHICO CONl:Ul1VE HOMES TE�P�14yyllNE6992 coN c44LeSEMATABE, CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ XX Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1663 SANTA CLARA AVE.', CHICO PERMIT FEE $ 23.00 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 SFO Duplex O MabilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesM Installation CJOther ❑ Describe Work: 3 BEDROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 f�E�LJICES SIAf(uf.E JAAM/L / (/GLI G(-4f'VrV -- Ci[7o�E RO00A OOVORLESS Main Service ( 2R LESS I 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. BLDS. / 3.50 FT0,, OR ADDNS. ( & ACC. g CONTRACTORS LICENSE LAW I decl ire under penalty of perjury (check one) CrI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co e aind cense is in full force and a ct I / License No. Classification 5/ ❑ I, as the owne , or my employees with wages as their 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 CIRCUITS ( POWER APPARATUS s SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20@,.08 BAL. @ so FIXED APPLNS. OR EX. Occup. ( 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 TFWpermit is for $100.00 (valuation) or less. 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. ❑ 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in on a Lie of the granting of this permit. X a ure Date �f Signf Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 16 • 00 HA2_ D. FEES IMP FLOOD ^ pANC�[ D l/ I E 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 at If PERMIT EXPIRES ON :fZ4 l el Receipt No. 156464 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I��t�',�`Z'�fy'•Ys''��;4:�C;Y�`�-1�'.:�:[�; :•-��'�` ►�i',�+�'-r�r�°�i`�`�i `6W�•�` COUNTY OF BUTTE - DEPARTMENT DEN(E O MENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector 4Z� Date 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 su �tte�c®....................... . 2. Plot plans, 3/4 sets, si red 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�lC.IK/,v' 10. Fees of $.................................L,//dC K, 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 3 -Fleod elevation letter (100 year flood) y 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. .......... . �9. Driveway permit (construction approval required prior to occupancy). ... . F;,;4 sps; on requ 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. 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 . .......................................... 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 ou issue the p rmit, process as follows: Mail to owne : _ Mail to contractor. Telephone d hold for pickup at &d office. Deliver with inspector. Other Parcel Creation Acreage Applic 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 -Count e by _ Date Plans checked by Date Plans approved by Date A!4 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .t TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Uro E.H. USE ONLY I'I,A Ilan Attached _ ✓ Hour ITm Atmchcd ✓ Sent to 11.1). �7- a Owner Location AP# Plan Approved for: Sewage Disposal L.,— Water Supply: Public Private Well �-- Clearance forte bedroom n�obi cmc. Other Hold final for: Final clearance O.K. for: NOTE. Envir6nmental Health Specialist 8/92 --7-ZS-5q Date Return to AGRICULTURAL STA'1't~;li� EN'd' O� AChA ➢vvI EJU(3EIV IN a � 4 +-2 l l 4 6 r Building Division, � FOR RESIDENTIAL;1YEVELOPMENT o Section i26-8.1,of the Butte County Code requires this_ �� acknowledgement be recorded prior to issuance of a building 1 I ' ' ! 4 ' 027746 1 Rec Fee 6.00 r pernut. ' I COP 1.00 The property.described herein -is adjacent to land or included Recorded I Check 7.00 within an area zoned for agricultural purposes, and residents official Records I of"this Yproperty may be subject to. inconveniences or County of I ' discomfort arising from the 'use, of agricultural chemicals, Butte I I including, but .,not! • limited to herbicides, pesticides; and Candace J. Grubbs I fertilizers;.and from the pursuit of agricultural operations Recorder I ' including, but not limited to cultivation, plowing, spraying, 10 :10 am 30 -Jun -94 I P U BL XX 1 pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 029 M Lot 19 according to that certain map entitled "Subdision No. 1 of the Morehead Ranch", which map was filed in the office of the Recorder of the County of Butte,'State of California, February 4, 1922 in Volume 9 of Maps, at page 14, containing 9.96 acres, more or less PROPERTY OWNERS: .`Ui�ESSfr� ,Q ,• A/01/,7 lP�� �P_ uol(o State of Californi County of G1� f C_ ) ' On- �% before me, �l111 el personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of i Signat Seal: A.P. 11 )�9� �9crl5ll_-66f�p ­0AC51 ". I / \ AT. NO. NNO1501 iO 2931 (12-90) (Witness Acknowledgment) STATE OF CALIFOPAOA On -4a - personally a J TICOR TITLE INSURANCE 15S. before me, the undersigned, a Notary Public in and for said State, personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the sub I Ing Witness ereto, said subscribing Witness being by me duly sworn, deposes and says: That thl5Aitness resides in/� and that said witness was present and saw /4 ;�/����� personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument.as a party thereto, and acknowledged to said affiant that he/she/they executed the same in his/her/their authorized +capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument, and that affiant subscribed his/her name to the within Instrument as a Witness. WITNESS my hand an f al seal Signature OFFICIAL SEAL ..4—'Vzy�. L JOYNER NOTARY PUBLIC -CALIFORNIA COMMISSION # 938455 C BUTTE COUNTY -` ILIy Commission Exp. October 18, 1995 (This area for official notarial seal) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, l;alifornia 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT �'y"o1093 ASSESSOR PARCEL NUMBER 043-682-016 ZONING A10 BUILDING PERMIT OWNER TELEPHONE 342-1071 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE, CHIGO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 1663 SANTA CLAIRA AVE MIT120 PERMIT FEE $ 43.00 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 MobilehomeXq Other sPECIFv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel 1:1Utilities ❑ Installation Other ❑ Describe Work: – PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service200V OR LESS ( 200A 0R LESS I 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( ACC. BLDS. ) SO . 3.50 FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW I declSarjo under penalty of perjury (check one) ErT am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and e ci/ % 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I B20 @ 1.00 FIXED APPWS. OR Ex. Occup. (OUTLETS IRESID.1 EA. I 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. Li'rhave 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, .udg ents, costs, and expenses which may in any way accrue against said County in con equ ce of the granting of this permit. Date 7 aS- 9 Sidn—aturd of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee S 100-0 Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEES 143.00 FLOOD CDF ARCS( l 1 This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON !De tel applicable provisions to do work paid. 17 te) 0/1 L11T Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ;.,.. firs`�"i'l'f�iL��oea•..-g*ri^�w`^rry+MY�n7�SfijlYQrfN�^�'�e'►.^-rw COUNTY'OF BUTTE - DEPARTME 4 WELOPMENTSERVICES -BUILDING DIVISION _.7COUNTY CENTER DRIVE -OROVILLE CALIFORNIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATASHEET sn. t OWNER No. O � Proposed.Building Use �% l� r' Building Inspector Date At time of permit application, I was advised the following t1ata must be submitted prior to permit processing and/or issuance: p 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 . ...................... Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets.(&Xi� 1 Fees of $ .................................. L g 1. Impact fees as shown on attached schedule ........................... . 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. .............T 17. Planning approval for (A) Use: (B) Parking: 18, Contact La �ment.about (A) Improvements (B) Drainage. .......... . 19. Driveway." m (ons ruction approval required prior to occupancy). ...Pr,;4 Ped.; r6q�� 20. Pre -inspection for required. .. to Building Inspedor (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 . ....................................... . 26. y of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... 11!�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. Whey you issue the =process as foflows: Mail to ow Mail to contractor. Telephone l9nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Appli-c-ant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other) A Date By11 The following data must be submitted prior to permit issuance: (Circle new item-no�t,,ehecked 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 Coun r 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 DEVELOPMENT SERVICES - BUILDING DMSION 7 COUNTY CENT] RIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE k2. 1. SCHOOL DISTRICT FEES (paid at District Office) ............... SHERIFF FEES .......... A. P. # -e� DATE �� �L REC. # DATE REC (paid at Building Department)��%%�j Residential...... x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES /4- (paid at Building Department) Residential (per unit) x =$ # units amt. o ercial (per sq.ft) x =$ sq.ft. amt. 14. RECREATION DISTRICT FEES (paid at District Office) ......................... /4�5. DRAINAGE DISTRICT FEES �i (Contact Land Development Division) .............. /v ,// � 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 u , AUG 04 '94 04:07PM AT&T FAX 9015RF . BUTTE COUNTY PARRS DVMDPMBNT FU CERTIFICATION FORM CHICO ARBA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) Property Owner Project Location/Address �1p6 ��� ��C2/ zll, Subdivision Lot Number(e) Residential Development: (check one) New Development Alteration/Addition kxMobilehome(s) Total Number of Dwelling Units Comment: Representative Date P.2 Non -Residential to to Residential *k****w****************x***ww**w***wwww,r*wwwww*wwwwwwwwwwwwwr,tw,rwwww*wwwwww Chico Area Recrea ion and Park Diatri.ct(CARD) certifies that (Applicant Name) .(Phone Number) (Street dress} & b . (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for -6'�— dwelling units @ $1,189 for total payment of $ CARD Re resentative Date PAID BY CHECK NO. _01 - BANK NO, PAID BY CASH RECEIPT NO. V Distribution: White --Applicant Pink --CARD park.fee (form revised 11/94) .a� FA y Yellow—Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) . Building Department No. 01-6 Jurisdiction 0 City �^ County Property Location/Addressi C,.' l aL/1 Subdivison Lot No. MHI Residential Development Commercial/Industrial ui 0 No. of Living Units It native . "--% (Floor Plans revieweM- 0 Sq. Footage �� Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) 7 Dat �is4FiGt-l3ers.onn.0 District Identification No. 9500Q —1 chloo Ut�ALJ School District certifies that1 (I (Applicant) (Street Address) �r It ---L- nl t (Phone Number) (City) (State) (Zip Code) ;i has complied with the requirements,of Resolution No. �%9� by payment of $ representing (p square feet. s , School District Representative 9 /- 2 � 19" 5 Date PA,py Check Number Remarks: Bank'Number -- Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) (.. • 5 �: ),t J ` I � �N,,, { .f rl�J L .f h . "�. i j �', • 4 .. 13 r� _Al SRh/�} C�AsPR A ✓E . ' •Sv . yeKgt lee GqR / yrti D cpt:e- tRC lvE/� :This * of p kept onthe lob Make any chane out written peen Pubur W°,,�, Cc ALL STRUCTURE$ AND EQUIPMENT INCLUDING OVERHAN&9 SHALL BE CLEAR OF ALL EASEMENTS, A SET BACK OF —/,,() FT FROM THE SIDE AND FT. FROM THE HEAR PROPERTY LINES AND D� FT. FROM THE ROAD CENTERLINE SHALL„ BE BLEAR OF STRUCTURES AND EQUIPMENT EXCEpT FOR A 2 M L: VE OVERHANG. R •J, � M�r t•� SCP/E /: 80 / s •- IaC-3 s9ti7,f I' s and specificstibns MUST 1. all tunes and it is or alterations on unlawful tc Sion from the pe are with.. 'd ty of &Jft. partment of TV-'. LwTicc e l,& . 4. EL.ECTF;6-AL, mECHAMCAL,1 cc rvifh Rals Wor6,anship Shall Be in Accords ce with Recognized Good Prc-+ices sand of a qual; y prescribed for the Sppecified use in the Uniform 13 ilding, Plumbing & M®chaniaal C L Nati al Electrical .Coal®. odea and 3Q0, Cf!/ �o nt i ✓� 20 q � , CONSTRUCTION ( NOT PLI SHALL CO- NIFLY WITH CURT yo. ) PLLMOM CHECKED ) dT i DITl BUi'ZE COUNi`f BUILDING pEPARTM R.0 .&' T, VED App .1; ?. W 13WILDINGDEPT. Cr%Py , C1 � � R R4i. •�' 4'1 �� 1a Y • .4 .:.,.:i'a.i_ is .✓v c a - . Jw •� lruwa - �aa,.,;:� r c ter. ...t .r..••��.r ., t { .y., .. ,. � _ y..... "sia-s:. . i.=•f l�vp.1 -'."� -d_-ra.+czw. 's. 4... 5. 'What is the mobilehome electrical rating? --------------- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ---- -- : - . What is the 7 County Center Drive, Oroville, CA --- 7. PHONE : -538-7541. mobilehome site circuit breaker rating? ----- l od Amps 8. 77 MOBILEHOME INSTALLATION SHEET... .:...........: other electric load to be served by the ,. ;_:,�..:..._ - _ .. ..... ... . 1. Owner's . Name : 2. Installer's Name: 61� 3. Is the. -site currently under permit? Yes FT' No a (If yes, furnish permit number) OR site an existing site? YesI RIs.the No R (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields. -and clear of all setbacks and easements? Yes a No (If no, clarify (If yes, id&ntify the load and size: (Load) (Amps) 9. What is.the mobilehome site gas pipe size? -------------- • (in.) 10. What is the type of gas service? -------------- 7---- Natural � LPG 11. What is the gas pipe length from meter or tank.to ,the mobilehome?•=---;---=--:_.----=---------:----------- --.-,= _ 12.What': Is' the mob ilehome•'gas•-demand? --------------- �(BTU):= *•(This "inf61'maitiob -not required,'if 'pipe "length less4;tha 6rif�� natural`'gas -nor `'less'+•than `'SO ft �on'LPG;) -;f •�}"�, t �•.� ,,. ---- _.now�- i:7;'i'[f� j.;[1�1:'jC.}.<:dc• �iX�~ - .. f1LU:'ii? �.i:,;':-:. :T.��� wdr..rse. �uJ, _--i , tti ni. .:.,t Y f(� r t � �i lilyr ,tp, j, .r�yttrfr i•. ... ``) _ f. fC�y e :' -E dbn:.I ti,7.FLyi1t �l:i�a•.c+da�li..i.�a.tii, ►�(l "i�it?,a a, . ..r t• v .A f�i :i` _ rti t. is t:::"" .. .: rr . !7 .. .!`offT• 5. 'What is the mobilehome electrical rating? --------------- Aa►ps• 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- l od Amps 8. Is there any other electric load to be served by the .mobilehome site service ? -------------------------------- Yes ,No (If yes, id&ntify the load and size: (Load) (Amps) 9. What is.the mobilehome site gas pipe size? -------------- • (in.) 10. What is the type of gas service? -------------- 7---- Natural � LPG 11. What is the gas pipe length from meter or tank.to ,the mobilehome?•=---;---=--:_.----=---------:----------- --.-,= _ 12.What': Is' the mob ilehome•'gas•-demand? --------------- �(BTU):= *•(This "inf61'maitiob -not required,'if 'pipe "length less4;tha 6rif�� natural`'gas -nor `'less'+•than `'SO ft �on'LPG;) -;f •�}"�, t �•.� ,,. ---- _.now�- i:7;'i'[f� j.;[1�1:'jC.}.<:dc• �iX�~ - .. f1LU:'ii? �.i:,;':-:. :T.��� wdr..rse. �uJ, _--i , tti ni. .:.,t Y f(� r t � �i lilyr ,tp, j, .r�yttrfr i•. ... ``) _ f. fC�y e :' -E dbn:.I ti,7.FLyi1t �l:i�a•.c+da�li..i.�a.tii, ►�(l "i�it?,a a, . ..r t• v .A f�i :i` _ rti t. is t:::"" .. .: rr . !7 .. .!`offT• _.�.. .. .: a.:::a.r i:v i ,rv~r• �-'� 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA o.•-", PHONE: 538-7541 - MOBILEHOME INSTALLATION SHEET ._.. ..-_...........U.-__ v� 1. Owner'''s. Name: / f}.�•d o /C' 2. Installer's Name: �/r�C" 77C)6 E S "' 3. Is the site currently under permit? Yes No f (If yes, furnish permit number ) OR Is.the site an existing site? Yes 121 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields -and clear of all setbacks and easements? Yes No a (If no, clarify 5. What is the mobilehome-electrical rating? --------------- /4' 0 Amps • - 6. What is the mobilehome site service rating? ------------- �;,l 40 Amps 7. What is the mobilehome site circuit breaker rating? ----- - Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F No 12 (If yes, idantify-the load and size: (Load) 'l -(Amps) 9. What is the mobilehome site gas pipe size? -------------- • 7 (in.) YP g ------------------- 10. What is the type of as service? Natural � LPG 11. What is the gas pipe length from meter or tank'to,the mobilehome? --------------------------- - ---- --.--- -- (ft.)_ 12.• --What' is the' "' mobilehomegas'demand? =--- -*------- -- . ---- ....r -- j*(Th is "infor'mition'not required `'if 'pipe ' -length less ;than 6rtft� on -- natural'gas :or less. ).rr;r:-c / less . ;50 •�f t•. _on _ LPG. s. 1•::c : '� �'' Fi .: vii j'iF.._..._.._ M`i.�l...1)I.: 1•^1,: :-�; .._....,_...... �:: ./ Y''.:'•_ •n »+«w.M.-!e�+. .-. ........,. - \i., - •ktjY 7. ,ii .. t' ,.. •\, i{.i. _,.•i. `'Melt ». ,. _ ') ,.. .:!.,,M.1`u- r .� apo �e x / 80, n/ ffs f r �/ C j BUTTE COUNTY RESIDENTIAL PROPERTY RECORD PROPERTY LOCATION: Page %I BORHOOD & SITE DESCRIPTION ✓9 TRANSACTION RECORD 1 A& USE TYPE LAND VALUE COMPUTATION cOCATION Care Urban ❑ Suburban ❑ Rural Price Seller & Buyer S rc Vat Single Multi-Sgl. Appr. Width. Year Area Mod. Unit Site Total Fact. Value Valu @.+l Value Peripheral C -]Foothill C3Other ❑ Use Coder 171 Area. Sales Area Code: Duplex St. lights: Yes ❑ / g RCLND COMP UTATI Apt. - IMPROVEMENT MIX Lot ❑ Acreage Q C & G. Flat No �] Homogeneous Heterogeneous ❑ 3—,! = '4—c— Level Rolling C] Other Court 173 Garages + Predominant Uses Res. ® Res. income ❑ Sdwiks$ Yes, ❑ 1w Motel APPRAI$ R DATE: p /1_ —j Com•l. ❑ Indus. ❑ Agri. ❑ Profsni. ❑ CONSTRUCTION RECORD Slopes Up ❑ Down ❑ CDU R NG Res. -Apt. N �o : Total Property Permit UTILITIES -SITE IMPTS. No. Item Amount Base - Appr. Date Year Year Age nd. Desir. Util. No. Units Cost s Woters - Public ❑ Well �' Diteh ❑ �y 2 REMARKS 'a tr 7K,'I Electricity, Yes No ❑ First Hoak 1 97 A % Good SUMMARY `` 71 Gas, Public ® LPG ❑ None ❑ Improving 2f Stable ❑ Declining ❑ j3,� C� Second Ft Sanitary Swrt Public ❑ Indiv. M / y y D /�:X �l Misc. R.C.L.N.D. t A. P. N. j Book Page Parcel _ ✓9 166 Use Yonformity Yes ❑ No ❑ 167 Bldg..:Closs: r W5 168 BR, :, 10 2❑ 3❑ M s Dirt ❑ Grovel ❑ OF Comparable 3 Use Coder 171 Area. Sales Area Code: ti 162 Appraiier No: j 163 Incomplete, P.U. 19: ..... a 164 Zonings _ 165 Zoning Conformity: Yes ❑ No ❑ 166 Use Yonformity Yes ❑ No ❑ 167 Bldg..:Closs: r W5 168 BR, :, 10 2❑ 3❑ M — ..... , U a U - U Y2 IJ Ys LJ Storm Swr, Public C3 Natural a Comparable 1 }. _ or _ 1 170 Base Year, Comparable 2 Street: Conc. ❑ Asph. Dirt ❑ Grovel ❑ FP�/ Comparable 3 171 Area. %' ti St. lights: Yes ❑ No g RCLND COMP UTATI Plmbg. Extras - 172 Land Ty6e, Lot ❑ Acreage Q C & G. Yes ❑ No �] CLASS: 3—,! = '4—c— Level Rolling C] Other Flotwork 173 Garages Yes 'Q No ❑ Sdwiks$ Yes, ❑ No APPRAI$ R DATE: p /1_ —j Slopes Up ❑ Down ❑ 174 Pooh Yes ❑ N �o : Total Property s View ❑ Sector If m Fact. Area Unit �ost Cost Unit ost Cost Unit Cost Cost ASSESSED VALUES TREND land y' First Hoak 1 LOT TYPE % Good SUMMARY Improvements Improving 2f Stable ❑ Declining ❑ j3,� C� Second Ft - / y y D /�:X �l Misc. R.C.L.N.D. t Total R.C.L.N.D. 3 0 9 Assessment Year 197 19 19 19 ' OCCUPANCY --~' Appraiser s' Owners ❑ Tenants •� Mixed ❑ Gar. A D F O V7 AMA Date e�P-frt. R.C.N. MAINTENANCE P -rear R.C.L.N.D. E G A F P v v P�� r G Land Value Patio Total Summation r TRAVEL TIME & DISTANCE Comparable 1 }. _ or I Shopping$ E A F P sic AC Comparable 2 A_ tJ _3 1� Schools$ E G- A F P f l FP�/ Comparable 3 Cores E A " F P %' Kit. Extras Listed Price - Plmbg. Extras Sale Data , SITE TOPOGRAPHY Misc. Extras TOTAL PROPERTY 'APPRAISAL 34 Level Rolling C] Other Flotwork Land At K Above ❑ Below ❑ Grade Improvements Slopes Up ❑ Down ❑ S -S ❑ Total Property s View ❑ Sector ASSESSED VALUES R.C.N. land y' LOT TYPE % Good �� Improvements Corner ❑ Interior ❑ Key Cul-de-sac ❑ R. C. L. N. D. j3,� C� Total Property Misc. R.C.L.N.D. Entered Total R.C.L.N.D. 3 0 9 to County 5-69 '