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047-710-005
- e Z& =A- 47-25 rt) 111791 , P, E , MA 04 _ PERMIT. 0L...0028A t: 1 ' °• � OGSDON, Fred &Diana •'-HAYES , Kip _ q - �1 2 Pheasant Riin Court, Chico',`-', 22 Pheasant Run Ct, Chico Lot, (new sf) -- G EXEMPT` _ y gricultural Equip &-supplies stg 047 93` LOGSDON " s 69.B,P,E;M Fred,"& .Diana Y 22` Ph". easant • Run , Ct , Chico garage BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE., CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. y9- ©=19 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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 ISO�� ^ I �/ _P U t ZONING S� ' OWNEI,V 7 PHONE NO. OWNER'S ADDRESS Q,} . CNtcm OR G3 S-573 LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE 3 2"1 X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OFiIING ROOF COVERING FLOOGAC27r ESTIMATED COST OF CONSTRUCTION $ .4 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT ��''1'''1� SIDES MmZ 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date (9rl4ec*l Permit Fee - $60.00 Receipt No �g99 Signature of Owner �L5 FOOD The above describedAG Building is exempt. from a building per it. FL I PARC P.D I ROOFI ISSUel Manager Building Division By Date 1(47 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: o D ASSESSOR PARCEL NUMBER: Proposed uilding Use:Building Inspector: Date: =q� At time of permit app n, I was ad ' ed the following data must be submitted prior to permit processing and/or issuance: Date Received By All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: _. El18. Contact Land Development about ElImprovements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 020. Pre -inspection for required.. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- E128. -------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------. ❑29. 043 A, El Grant Deed, ❑ M.H. Title, ❑ Check to .D $ E130. Other: x...•, When you issue the permit, process as follows "ail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector (Date) Applicant: A±&J ` _' ..Date: -41'M 4&C /99 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ P lution mate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pen -nit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: !`....., n_-+__+ -FTI. -..,.L._. -...,.r. c-- --- ^- "'- ^ . . I r 9 ' D F J � 1 CJ n I IDENTIAL _ 93-69 B,p,F 1 q47 25-0-186 l Fred OGSDON, &Diana 22 Pheasant Run Ct, Chico garage /- C- V- ash' 1 c,e t+ ' d p� 11 .t rid t 7 i( 1r { JOB FINALED (Date) Signature c J ✓=OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ft's & Duplex) Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Block outs -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 -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 a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- ------------------------------------------------- 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. madeup w!Mech. Fastners-Bond Gas & Water ------- - ------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ga. Cu or AI- -------------- --------------------------- ----- ------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------------------------------------------------- 30. ----------------------- - - --- -- - 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 tr'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-&. P-latform 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. Sils. Proper Material & Anchors ----------------------------------------- ---------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------------------- 42. - ----------------- 42. Draft Stop in Walls (rat proof) - ------------------------------------------ ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- --- - --- ----- ------------------------------------------------ 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---------------------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- - 55. Siding -Nailing Veneer -------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------ Card B-1 Date Card B-1 -------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ------------------- -- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- --------------- 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance -------------- 71.--Elec. Outlets & Receptacles at Kit. Counter -------------------- -- ------ 72. Garage Fire Door: Swing -Landing -Closer 73.-A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Ftoor-Meth_ Protection ------------------ q - 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 Ca 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------- ---------------- - 81 Stucco_Brown_Finish- _ -- 82. A.C. Unit: Disconnect, Electrical, Plumbing ----- -------------------------- - -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - -------------------------- -- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - ----------------------------- - - 86.Ventilation Throughout House .. - -- - --------- - ----------------- --- - ------ 87. Glass Protection ...... ..... --------------------------------------------- ------ 88. Corrections from Previous Inspections -- -- ---------- ---------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------- ------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------...-------------•------------------------ --- --- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 ----------------------------- Date Card B-1 Date Card B-1 Comments at Final: J=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 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE S, COVERS, CARPORT ARA Ians)OK except #'s ning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel /p�j 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-RaiYs 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. AVp.; Columns -Connections -Splice -Decal -Enclosures 6. C orts; Windows -Doors lec ' rm Sils-Anchors-St ftrs sses iding; Nailing -Veneer -Stucco -Mesh 10. Ro@Kfh_thg-Roofing 11. Ext. eps-Doors-Landings .. 64s T-5 7- -3 Date 2 ((pJ Card B-1 S & Date 11-Z43 Card B-1 Ug Date (p 3 Card B-1 UtS 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �9 ASSESSOR PARCEL NUMBER 047-250-186 ZONING SR -1 BUILDING PERMI OWNER Fred osdon TELEPHONE 343-3041E SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING AlDDRESS aSanL- Run Ct. Chico 95926 528 M 9,504.00 CONTRACTOR•SNAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 9,504.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 97.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 161.25 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 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other GnraoP SPECIFY Gas piping system 1 -5 outlets 11 5.001 5,00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: GArage Permit Fee $ 20 �� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p ❑ provisions of Cha t. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200AT01000AI 37.50 NEW CONST. DWELLING OCCUP..) OR ADDNS. AGC. BLDGS. /1 3.64sq.ft. 18.50 NEW CONSTR ULT'.OUTLET NON-RESID BRANCH CIFIC', C ITS @ 5.00 /POWER APPARATUS 6) (POOUTLET CIR. Ex. p OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 FiIingFee 15.00 Heating 100 K 119.001 9.00 Make up Air Cooling L Hood 6.50 Ventilation Permit Fee $ 24.00 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 s W County inconsequence of the granting of this permit. X Date S!�N a 1 I ay_3 Signature of Applicant — caner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over S'o" deep and demolition Dr construct ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST TYPE TOTAL F$ 238.75 Az DFEES IMP FL- CDF PARCEL � PD D SUE This permit is hereby issued under the sions of the Butte Count Code and/or work indic a i f which fees I C OF PUBLIC By P EXPIRES Date — applicable provi- resolutions to do have been paid. WORKS �e/-/9 — Receipt No. A3012— 5— (f) WNIT!-D.P.W., YELLOW-A88LSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .y �r�i`.."yr-',,,.,�.-s �{4'Y�(lr^""'�,.srr'1,-. � _ ..- cl' . ■�-. � � . • �1 ��`'.'".`v"""`"�"'-�,�+y,�^��-'�y'!f�s/►n^'.�."�.F�.�'„�'W^'�`'�-'"'^r�'NJ,L....w-f1�.r,�'r7-J"'.,�-"`'1t'4r,r'i.\F.�-��r....•Y. "„ ... tiw COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE C LTFdRNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER G'G� L S moi•/ , A. P. No. 9%- 2 -5r --,/SG Proposed Building Use a Building Inspector G 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 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. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . X�1�3. Flood elevation letter (100 year flood) by California Engineer. . . fia .4. Sanitation and plot plan approval Gf//e'er 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). ...61;4Aspedion re4dest- 20. Pre -inspection for required. .. to Building Inspector t (Date) 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance . ................... f 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 ................ ....................... 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 ow er. Mail to contractor. ✓Telephone -;y Vl and hold for pickup at l e - D 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 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: By 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 Counts y _ Date Plans checked by Date Plans approved by .0 Date Sets of plans on hold in, File cabinet AP folder Copy - Department of Public Works S.31< to B. u- i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Loc S �PM Z " nk' T / Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: �LL tA-- = Environmental Health Specialist ' . 8/92 1110-3 1 Date COUNTY OF BUTTE f 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 OWNER PERMIT NO. A routme smspection 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 corn pfeted. IN you h y questions pertaining to this matter, or need additional explanation, please contact s office immediately. ... � �,�� � .; j •- •• r-'-y--.n.i�S�irrT^� sem" "`Yi-ilk -o,s.. — > ,.....,...... - COUNTY OF BUTTE DEPARTMENT OF PUBLIC:' WORKS 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 LGsDow 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. you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. E. 4/ 0 —1;3 e�,g Date //—LS 3 Inspector REV 11/81 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) OCC -5 2. I (have/have not) N+V�� 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. 1 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 Num,ier Date ` Sal \ IC - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. e REsI®EN°rIaV�t4w/ l l0( i 4:lt-i 47-25�-t)__ 111-91B,P,E'W 6 HAYES, Kip 22 Pheasant Run Ct, Chico Lot 3 (new sf) j W p OFFIOE COP y �=G Address H� GAS Meter By Date 1' ELECTRIC I Meter By Date � I JOB i S191 OFFICE COPY .�'^� �1 °.e�5'Qr� ��/• Cry . AddresSP'; GAS Meter By— ELECTRIC y Dat ELECTRIC Date Meter By ✓=O.K O = Not OK ~r - = Not acable Red Not Ready RESIDENTIAL (Single & Duplex) , Date UNDERFLOOR (Plans) OK except It's Date _ frAMlNQ prji Yy(g,Main; Soils-Elec. r, .-/JW- Ftg. Depth •. F . arage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Porches & Decks; Soils -Steel-/ /Ftg. Depth S mwalls, Main; Steel -Blockouts-Wrapped Stem IIs, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors i Dr D.W.V.; Fall-Fitting-Tdet�2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; nchor-Regulator-Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date'Z j/ Card B-1 fX GP%_/Date Card B-1 t Date7,-Z7-4/ Card _13`f k44 d9 Date Card B-1 Date (f1W)W61efHtr.; Vent -Access -Combustion Air -Baffle / II&JV.; T%V Fittings &.✓rrlchor ail Pr(ptet`tion ower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date L 23 C�/ Card 8-1 Vt3 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except H's 22. Fi re & Transform learance-Ins. Protection lec Recepta Spacing- 'g Swit at Doors ize Boxes & No. of Condyclors`Stapled 25.J1errt .x Installed Close to Ed9e,19 Studs &S. -d. 2 q ound made up w/Mech. Fas rs-Bond Gael Wa A liance Circuts in Kitchen & Conduc r Size/ ubfeg 'Wir Siz i;/ ga. Cu o A A.C. Wire Size/ / ga. Q0Q0ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. lated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect Clearances Panels-Motors-Mech. Equip. 3f<1519.tibes Closet Light -Shower Light -Spa Light Smoke Detector Date - Card B-1 �/� Dae Card B-1 Date Card B-1 Date Card B-1 Date CH AL Permit OK except #'s C. Ducts Insulation &,Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 3 rnance-Vent; Acc - tmTrAir Vent -1 outlet ti ss Qpiatfivr5lf Furnance in Atti Date -Zi Card B-1 Vo Date Card B-1 Date Card B,1 Date, Card B-1 Mate nd 41--Se,aring Walls over GitTlers & Floor Nailing IVraft Stop in Walls (rat proof) 4 ire S ops; Furred Ceilin - lairs- h ub eaders & Beam -S' & Bearing d g. Joist-Rftr. ties -Pu in oof Br ru9Sr thug. -Ring. fireplace Ties o Typelu Fireplace Throat clearance 4; -Z,0 -4w 104-a ZAccess; Size & Romex Protection -Draft Stop -Ins. Baffles"tlt 49!Bdrm. Windows or ExAr-g-Doors-SilLU@4.. Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits ( Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood qDRoof Overhang -Attic Verits-Rafter Outriggers 55. Sid' - ailing Veneer 4 tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 9. Insulation -Walls -Ceilings 0. Infiltration -Walls -Windows Date - -q Card B-1 L16 Date -U, q1 Card B-1 (J Date ?3"q% Card B-1 GlfJ Date; Card B-1 Date FIN PI s OK except fi's . E . Steps -Door & Sidelight Protection -Landings oke Detector Furn ce; Vents -Clearance -Comb. Air-Connector- Iaraq Above Floor-Ducts-Mech. Protection 6. G.. & Bath Fixtures & Tub Access -Spa Elec. Tri Subpanel; Breaker Sizes & Labels 68!F' pia,e-6r Stove; Clearances -Hearth EI . Ou is at Wood Panel; Int. & Ext. 7 it. t. Appliance; Grnd.-Air Gap -Cooking Clearc Ince I .Outlets & Receptacles at Kit. unter arage F' -Door; S -La g CI r p_ 9 (70,16. Htr.; V learn-Comdegi-r-Collet to P.K.'V ( In GajGtTW.%bove Floor-Mech. Protection 7 lec. & Mech. Equip. Listed for Location 7b, -16e c. c ptacles in Garage; (G.F.I.)-Romex ection 7 tion -Foam -Looked in Attic es 7 . Gu ails-& Deck Construction -Post Caps 7 dn. is & Crawl Hole Door -Dr ' age &• Wood -Earth ' arance Looked under Flo ❑Yes Follow' Inst d.; Drive Yes ❑ No; Walks Yes ❑ No; P ers es kW No 8 . Stu Brown -Finish 82-0. Unit; Disconnect, EI rical mbin nts bove Roof; g. -A ap -Fi ac .-Clear a to O nings e ater Well; Disconnect, Electrical, Plumbing ter,Elec. Trim; G.F.I. Receptacle -Underground 49'-Sjlation Throughout House 8 orre ns from Previous Inspections -Z s J&qeters Tagged; Gas -Electric O-Wa-t wer Connected -C/O to Grade -HD Approval 91. emy Compliance Certificate -Other Certificates Date 7. Card B-1 Date / /- 9y Card B-1 2� Date % o{rT-Q( Card B-1 (/A Date Card B-1 Date /1-5-% Card B-1 K iS Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) V'= Ok .. O = Not OK Not = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s D 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support Sketch _ 3. Sewer; Location -Test -Fall -C/O Concrete 414 1. Zoning Require 2. Footings; Soils 3. Decks; Griders 4. Wood -Awn.; -Pc 5. Alum. Awn.; 6. Carports; W 7. Electric 8. Frmg; Sils-P 9. Siding; Naili 10. Roof; Shthg 11. Ext.; Steps -1 A.NFOUS iRTS, GARAGES, (Pla Setbacks -Easements 3pth-Spacing-Conned Joists-Decking-Bracir ms-Rftrs.-Coonectors Con nections-Spl ice -D ors ids-Rftrs-Trusses :)K except #'s -Steel stairs -Rails I -Enclosures 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; St@el-Connections-Thickness Dead Men -Lining'• 4. Elec.; ReceptaC)e's' and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elk.; 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-Watdr. Supply Test Date Card B-1 { Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /' L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 414 1. Zoning Require 2. Footings; Soils 3. Decks; Griders 4. Wood -Awn.; -Pc 5. Alum. Awn.; 6. Carports; W 7. Electric 8. Frmg; Sils-P 9. Siding; Naili 10. Roof; Shthg 11. Ext.; Steps -1 A.NFOUS iRTS, GARAGES, (Pla Setbacks -Easements 3pth-Spacing-Conned Joists-Decking-Bracir ms-Rftrs.-Coonectors Con nections-Spl ice -D ors ids-Rftrs-Trusses :)K except #'s -Steel stairs -Rails I -Enclosures 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; St@el-Connections-Thickness Dead Men -Lining'• 4. Elec.; ReceptaC)e's' and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elk.; 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-Watdr. Supply Test Date Card B-1 { Date Card B-1 Date Card B-1 Date Card B-1 tibN 4r'r^+vy�'.�...•�.+_'.7.K'pitf'r�'Y� rs-rj�'.',t4•.i"x-_3: ,., i a. ►tib,. y'�'J[m .. "`st*•4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS- 196 Memorial Way, Chicb — Phone: 891,2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE to ER T NO. `. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office :7 when correction of work is completed. If you have any question pertaining to this matter, or need additional, explanation, please contact this office immediately. sa Date � — �� Inspector 15 _ COUNTY OF BUTTE V DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 ':5Y 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �v r Date 30 ^� VF Date- 'c7 �C6 V. Inspector �. Y� c 11- Q1 OWNER PERMIT NO. fy A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office t y: when correction of work is completed. If you have any question pertaining to this matter,or pied additional explanation, please contact this office immediately.. % . 1. 2` �v r Date 30 ^� VF Date- 'c7 �C6 V. Inspector �. Date 30 ^� VF Date- 'c7 �C6 V. Inspector �. COUNTY OF BUTTE r; r DEPARTMENT OF PUBLIC WORKS F 196 Memorial Way, -Chico =,Phone: 891-2751. 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE III -g OWNER U 0�PERMIT N0. , Aroutine ins ection indicates that the following violations of County Ordinance exist at t above address and should be corrected. Please notify this office when c ection of work is completed. If you have any question pertaining to this matt , o_r�n/e�end additional explanation, please contact this office immediately. 0-4 F-Peo'""i IDIOM t :x T +" nF i r t: a Date y �— �/ Inspector ✓ • �� �' \ ; .5 4: - to COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307. CORRECTION NOTICE OWNED �� PE MIT.'NO. A routine inspection indicates that the following violations of County Ordinance exis at the above address and should be corrected. Please notify this office wh n correction of work is completed. If you have any question pertaining to this tter, or need additional explanation, please contact this office immediately. '0 Zn ate- n i- I A! "iIIt, o A- /I I - in a� Dater_ I Inspector� 1,^�f.Vti Lei- 3 P LOCATION 44 "r- �Yd; tCX CERTIFICATION CV<; La A. P. NO. ROOF Ma t cria 1 Bi:niid Maine "hickness _ Thermal Resistance (R Value) EXTERIOR WALL Material FIBERGLASS Brand Name CERTAINTEED_ Thickness (Inches) 3 V 2. -' Thermal Resistance (R Value)l3_ CEILING Batt or -Blanket Type FIBERGLASS Br -and Name CERTAINTEED Thickness (Inches) t)_ _ Thermal Resistance (R Value)3� Loose Fill Type.. F.LBERGLASS._.-.....__._ Brand Name CERTAINTEED Minimum Thickness (Inches) IS No, of Bags_a Weight/ Baq__25 lbs Area Covered (Sq. .� t. } 10q?! -thermal Resistance (R Value)38 FLOOR,ELEVATED Materia l___F.IBERGLASSBrand Name 'CERTAINTEED Thickness Inches) Thermal Resistance (R Value)_ FLOOR, SLAB _ Material_ _ Brand Name Thickness (Inches) Thermal Resistance (R Value).._ FOUNDATION WALL Material — _ Brand Name Thickness (Inches) _ Thermal Resistance (R Value) _ I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALI.F.)) IN THE ABOVE BUILDING IN CONFORMANCE WITH ;THE STATE OF CALIFORNIA ENERGY. Rkoo REMENTS . NAWKLL�.S_�.NRUST.$IES INC — — __ 379407._- Firm Name/Owner State Contractor's License No. --_ _(V\0 3igrature Date I HEREBY CERTIFY THE ABOVE INSULATION -AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY -THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. Firm Name/Owner Signature Gen. Contractor/Owner Date Date COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 47_ ZONING BUILDING PERMIT OWNER Ki Ha es TELEPHONE 891-8630 SO. FT. OCC.1 BUILDING VAL ATION OWNE 'S MAILING ADDRESS 4154 Goldfinch Ct. Chico 95926 R_ eq 584 M 8,176 CONTRACTOR'S NAME ownpr TELEPHONE 318 cov 3,180 CONTRACTOR'S MAILING ADDRESS Fireplace 11011 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ile 6 LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee -09.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 .115.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan -Checking Fee $ Penalty $ BUILDING ADDRESS 22- Pheasant Run Ct, Chico Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 20.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 3 NAME I PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e . TYPE OF WORK New RR Addition❑ Remodel❑ Utili ies//Installation[] Other ❑ Describe work: Master # �d d Permit Fee $ 50,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VOR L AMP ORLESS10.00 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �j l/WSJ 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 ❑LNS I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 2,50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDG S. / /2 OSq ft 0 NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC U IT .50 ea /POWER APPARATUS a) (SINGLE OUTLET CIR. 200 30 Ex. Occup(OUTLETS OR FIXTURES 8AL030 Ex. Occup. ourLETS D APP(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ x-50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with'the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 26 MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Dual Pak Cooling 2-517 T 6.00 Hood 3,00 3.00 Ventilation 2 3.00 6.00 Permit Fee $ 31 .00 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 t sav ,indemnify and keep harmless the County of Butte against all li biliti ments, costs, and expenses which may in any way accrue agai st s 'd Co ty in consequence of the granting of this permit.I/ X / �l1/- Date Si re F Appli ant - Owner tX�Contractor Agent ❑ i n OSHA permit is required for excavations over S' "deep and demolitio o�IptQet ion of structures over 3 stories in height. -!'O if Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 c T PE TOTAL FEEQ�'-fr4�30' HAZcuA PARK SCHL FL PAR D HD IssuE I A ,�l This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions (g jidated above for which fees have j�cDI E R��LICWORKS C By Date Z ` IT EXPIRES Date V' provi- to do been paid. /� IS Receipt No. - 3 _S76 1 WHITE-D.P.W., YELLOW-ASSESSORP Ir -INSPECTOR. GOLDENROD -APPLICANT it.PER TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ofrner Location AP# j Plan Approved for: Sewaqe Disposal c/ Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom m home. Other NOTE * * * Water Supply Water Supply Sanitarian Date .. r� y. r,y �y , A. Xb-'"�iry�.j 14-r�4Y,k o 'Ykj `tl'T+� it' .:xrt ►f� ar � �� ti _ COUNTY OF BUTTE - DEPARTMENT;,OF 4BZId.WORKS - BUILDING DIVISION 1. 7 COUNTY CENTER DRIVE - OROVILLrE, CALIFORNIA 96966 -TELEPHONE: 916/639-7641 PERM IT°'APPL'ICATION DATA SHEET Permit No. OWNER 0 V ccl ��* Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED-,_- AP3Rq�E(D O!t // 1 All items have been submitted . .................................... 2. Plot plans in licat replicate, signed by preparer of plans. . 3. Complete pla—ns in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including er's installation instructions .. J� ,j ; .. ./... ................. �`� = '►�. Fees of /(o (C:.�� 6 Q .................. a 1 Chico Urban Area fees paid ...... ...................... Parkfee ped .................................................... I,District fees paid .............. l Sanitation approval from I C-0 Health Department a-' I ) 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... Lette f si nature authoriza 1 n .. ........ . e�r q to 7.He e o ✓' ✓y C Wh n ou issue the permit, r c ss -as follows: Mail to owner. Mail to contractor. Telephone��/' ��i and hold for pickup at r ffice. Deliver w./inspector. �t Other Applicant .Date^�7 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 submitterior o perimit i stsce(Circ a 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---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans a firtbedsby` Date �v Sets of plans on hold in File cabinet AP folder C R PC) Copy—DPW COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR CEL U R 1v7 R` ZONI J_ P'j�y BUILDING PERMIT- - - - SO. FT. OCC. BUILDING VALUATION NER\ M ILIN AD - Do `nc, C RACTOR' NAM � TELEPHONE eo CONTRACTOR'S MAILING ADDRESS CO STMUCTION LENDER UNKNOWN Firepla Total Valuation I $ ©0 ZTTZF2� -41V LENDER'S MAILING ADDRESS AR HI ECT OR ENGINEER LICENSE NO. Filing Fee 10.00 Permit Fee Plan Checking Fee $ $ Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS S r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00_01Q. Q Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME - PARCEL MAP Water piping - 5.00 - Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building -sewer 5.00 Mobile Home Is G' W O.00e - TYPE OF WORK NewK Addition ❑ delUtilities Installation❑ Other ❑ Describe work: ✓/ ss,�p C, Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00 AMOR LESS RSLESS 10.00 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed-"-NON.RE 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 E:1FIXED I, as the owner, Or my employees withwages 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 EA. AOO'L 100 AMP 2.50 ELLING OCCUP.8 NEW CONST. 0OR AODNS. ACC. BLOGS. ( 1�2dsgft NEW CONSTR ULTI-OUTLET SID BRANCH CIRCUITS) 2.50 ea APPARATUS&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES? 0eaot eALO 30 APPLES. OR Ex. Occup. ouTLETs (gE51D.) EA.) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 1 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 10.00 Heating Cooling - Hood 3.00 Ventilationd� Permit Fee $ D 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLo PA Po HD ISSUE " -. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date - - Receipt No. O UO& WHITE}O.P.W., YELLOW- K-sIg _PIN - a,DENROD-APPLICANT •Y 2.1Y` d:+ir'tiid''rar }� i"''1�i' '#i+frnW1'�tli+Ir,"'v`.anx•'"t�"R'r►�T"`'"./7'{�"�S`s`^7"T'TfTt .BUTTE COUNY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION.AND PARK DISTRICT Assessor Parcel Number(s)..; �. Property Owner k ! P L 14 -V� 5 Project Location/Address 101�,6-146AA-$7 e U/� Subdivision Lot Number(s) ' Residential Development: --(check one) I -New Development Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total7Number.of Dwelling Units Comment: Bu lding ear ment Representative Date war,r��r�r��r�r�r�rwx�rirvr�r�r�r��r,r�r,��r�r�r�rir�rir�rir�r��tw;�w�r�r�r�r�r�rr,r�r��rrr�r��rir�rw,r�r�rir�w�c�r,r�www,rvrw Chico Area Recreation and.Park District(CARD) certifies that 1P 1-1A`{ES 841-8�3c� (Applicant Name) (Phone Number) 4I SL4. GotC>Fioc.+i Cr (Street Address) 34 106 C q.SSaSo (City) = (-State) ( Zip Code ) has complied with the requirements of Butte Co. Resolution No: 89-081 by payment fordwelling units @ $722 for total payment of $q.0C , CkI CARDa resenta. v P e Date PAID BY CHECK NO : BANK N0. O PAID BY CASH RECEIPT NO. J� � park.fee (7/89) REMARKS: .-„ .. ,-•. _ .. .. .,�,,.: r; .�avt"= ;'�•r.. :5:-�'-'•,� _. .,.i , r — r .. .-�cxs'�rr T`� : 9.. ,,,. Z. _ .vF BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form,rbr Building) A.P. Number 7- 2-5 Building Department No. School District / Q City U County Juri•sdictioh Property Owner Project Location/Address AZ4 5,.� Subdivision Lot Number f �- Residential Development: Sq. Footage %g a # of Living 'MHI Addition (Group,R) _ Units 393 Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roof2 d Areas ) Date (Floor -Plans reviewed by.School District Personnel) District Id No.. r ` School District certifies that-. (A licant Name) (Phone Number) S (.Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 'gW9-7 0 by the payment f $ aga,g'7 .representing 3.9310 square feet. School c1t Vepretlentat,iye Date PAID BY CHECK NO. ( REMARKS: BANK NO 90 PAID BY CASH white -applicant, yellow -building department ;;:pink -school district SCHOOL.FEE (8/88) 4 Return to DP',r' AGRICULTURAL STATEMENT° OF °ACKNGWI.EDGE,�>E1�'I' „n.F FOR RESIDMI TIAL DEVELOPMENT Section 26-8.1 of the Butte County. Code ....,,requires this acknowledgement be recorded -prior, to issuance of a building permit. :......:::..:... FEB 15 1991 >.,.•The) property described herein is adjacent to'= -land or included within an area zoned ''agricultural for -purposes, and residents. .;.,• of this property may be subject to incon- veniences or discomfort arising from the 91'0p use of agricultural chemicals, including, 6058 but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of :agricultural operations including, :but not limited to cultivation, plowing, spraying, pruning, and harvesting which _occasionally generate dust, smoke, noise, and odor. Butte County has established 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 real property situate in the County of Butte, State of California, 'described as 'follows: �•;Parcels 1, 2,3 & 4 as shown on that. certain Parcel Map recorded January 23, 1991 in the Office Of the Recorder of the County of Butte, State of California, in Book 121 of Maps, at pages •and 48. :.Reserving Therefrom a 60 foot non-exclusive easement for road and public utilities -as said ;-.'-,,:easement- is shown on said map. "Ap#,047-250-184, 185, 186, 187 «.. •,., Date: -,-,State of California) SS. County of 3 tr, ) ONiglio vigil nustill III ltlutllltnIII all tlflat unnIII* ...,; Pre�EiLt�A.P. No. On this the /s day of undersigned Notary Public, personally appeared Kip Hayes and Nancy Hayes QX Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) e subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained.IN tV_rLe WHEREOF, I hereunto set my hand and official seal. Notary Public OFFICIAL SEAL MELINDA DALEY, " NOTARY PUBLIC — CALIFORNIA COUNTY OF BUTTE " ... Comm. Exp. Feb. 22, 1991 iilllllllllllltllllllltllllllllltllt1111u111tI1111111t111r ...,; Pre�EiLt�A.P. No. On this the /s day of undersigned Notary Public, personally appeared Kip Hayes and Nancy Hayes QX Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) e subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained.IN tV_rLe WHEREOF, I hereunto set my hand and official seal. Notary Public AFTER COMPLETION OF REPAIRS. TRUSSES MUST BE INSPE TRUSS MANUFACTURER OR LOCAL BUILDING DEPARTMENT TO COMPLIANCE WITH ALPINE [)ES16MS Atli) SPECIFICATIONS. REPAIR TO REINFORCE TRUSS FOR i.5'x3.5" NOTCHES -in STRUCTURAL TOP CHORD WWRE S{0W4. 3,038,876 U"MMI M PLATES ()ESIGNEG FOR ABLE $.16. y NOTE: SEE DRAWING CAUSR427-91019002 FOR LUMBER. PLATES ANO OTHER DATA NOT SHOWN HERE. (S)-2x8"FIR=LARCH j1 SCAB. ATTACH SCAB TO ONE FACE OF USING 10�d COWON_-NAILS-ATSMTO- NE FACE OF J6�3 '2' OF CHORQ_SiFiA ACE_,$ELOAf'NOTCtS= . �r--1; S"%3 ; Sl"- tpp�;cal noLcf� size—� . R-10580 W— 3.50' 0 o a cs o Q 0 0 o a 0 0 c=, v 0 o p, a 0 0 0 0 LPI t� t= � TRUSS � 0 o v o 0 0 EbN'iTYI[IOUS SUPPORT (�-P 5 w` 6 A, 17-0-0 ( 6-8-8 j �Y`l�w^�\v 4 34-4- 0 OVER SiTPPOR£S"SH(77�did FZ—li78� �t� V� •�•■•�— sx��v FURNISH A COPY (' 'THIS OESISN TO £t�CTION COEtTRAGTtJR 39-VIMgpOR E awoeaat; Tte V 15. � SCAt F = n {ate TANTltwu �, .� VAsraa�,c �„ ARNI NG a�aVA �•m�w.ao� t a�cu.* weye cE. e"m � oanct6aE11� �B'C 36.0 PSF 10.0 PSF v a&w Tsaesr+t•s� ber-�:•aatc to a� w ORNG Q 8 875 co vwmwIQTa tiE ' riR tsaBsO gam- t4 Wt. 4ala w l 5.0 ImMUM�"al11� S Ecmarses, TUM& resat to wait FSft%U M � ,�E CA-Et�G FM 9WR �rIM ar � s as Wwomomm. team attvl tan I 31.0 000 OVAL eE LiTaaaLrGA LaeatE MTM wo lLy- ILTVb® VLVNM gwSaw. WARM gl na Awd' � UiBw oa�Eaa w 96ML OSA LEN, 34-E--0 aurral vaeaF v '�Se ` �o•awvG 1.25 OEUttatas ANN as am scn�' s as sEorty a a®m. asMy mun n+t+ � Twuft wr "WA 24.0" SIGN G TC LL TC OL �B'C 36.0 PSF 10.0 PSF AEF 55267-R42 PATE 03/27/91 ORNG Q 8 875 ec OL 5.0 pSF CA-Et�G FM TOT.LD. 31.0 P5F OSA LEN, 34-E--0 DUR . FAC . 1.25 SPACING 24.0" TYNE REPAIR 43 tit 6s. m -\I 12" ApPROVE.D �:..'countyEt�vironrnc�€:*�►o 2 tA 4E -A a N m -r -Rj t\i CN -:t -47- :5 C 9% LIE Vf 9,4c I a C). 7 c is