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HomeMy WebLinkAbout056-080-1389 IN -„d56.-X0,8-0 -,l 9,1..,,-,3825 RONUEAU':4 -STE E .CON'TR r m M- EQUA P'. 112 SERE:ND I PtI TY'LN, COHASSET TRAVEL,,.TRA I CER *UT I L p: -7- /j - z e41 Ao R NTIAL Ili056-08-0-138 " 91-3825 be-14PPy =� 777. RONDEAU, STEVE 5 H v9e�,VT7 n' CONTR : M & M EQUIP.. 1 haS N�f 0 12 SERENDIPITY LN, COHASSET TRAVEL TRAILER UTIL 42 ce W�v u i /�'�s c�_ e S4"t%ej- W In tui l) 2D'q►-.,P or (0i i Oz i N � O 's 0— t o��tia�� r JOB FINALED (Date) Signature J=OK O = Not OK = Not Applicable Not'Ready MOBILE HOMES = Date M E HOME UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-/ /Amp -Concrete rap: / /"L"ft. / /"Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date9 j-qk Card B-1 V&D 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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C ` J=OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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 -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 ti'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 ---------------------------------------------------- --------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------- ------------------------------------------------ 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Size r a 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 0 Yes 0 No ------ ---- ----------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------- ---------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------- --------------------- ------------------ 33. Smoke Detector ---------------------- -------------------------------- ------------------------------------------------ Date -----------------------------------Date Card B-1 Date Card B-1 - ---------------- ------------------------------------------------- - --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except la's 34. A.C. Ducts Insulation & Support -------------- ---- - - -- ---------------------------------------------------------- 35. --- - ------ - - ----- ----- ----- - -- --- - - - --- - - --- ---- 35. Vent Fan: Exhaust above insulation - ----- ------ -- - --------- ---------------------------- - - --- - - - --- 36. Condensate Drain & Overflow: Size & Grade ----- -------------------- ------ -- --- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - -- - - - -------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic -------------- ---------------------------------------------- ------------------- Date Card B-1 Date Card B-1 - - ----------------------------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sits. Proper Material & Anchors ------- ------- - ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- -- ----------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - - - ------------------------------------------------ ------------ 42. Draft Stop in Walls (rat proof) ---------------------------------------------------------- --------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- - --- --- -- -- - ------------------------------- --------- 44. Headers & Beam -Size & Bearing Angle & Duplex) Date FRAMING (Continued)' 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50, Garage Fire Protection Framing _51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access __57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------ ---------- 60. Infiltration -Walls -Windows ----------------------------- Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings -------------- 62. Smoke Detector ------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector- ---- 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 -&-Rai-Is 68. Fireplace or Stove Clearances -Hearth ------------ ----------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------ - - - - ------------------------------- - 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ -- - - ----------------------------- - 7l..--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 -Meth. Protection - --- ---------------------------------- - 75. Plb.. Elec. &Mech. Equip. Listed for Location ------------------------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------7;.-Insulation-Foam-Looked in Attic 11 Yes -------------------------- - - 78. Guard Rails & Deck -Const ruct ion -Post Caps -------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 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 - -- --------------------------------- P g -- 85. Exterior Elec. Trim: G.F.I. Receptacle- round 86. Ventilation Throughout House 87. Glass Protection -. --- ------------------------------------ 8d. 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: COUNTY OF BUTTE •" OERU�891-2751 e 196 ial Way, Chico — Phone: 7 County Center Drive, Orovi le — one: 538-7541 ;* 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter; or need additional explanation, please contact this office immediately. I r Q'(-a'j C_3 cx-4,Qj- 11- 1,,e -to L w / S i N e Atf-/ t ;i 3 Yt �j }S Date ���� 7 %� Inspector' .:yr se:-+I��• ,�; � q�rr a+ M- V �1r'gwr%Tw.ct��5.7atF`F`i:r..r w,y .. st'.'_� ... '�'w'r"*r � .. .,. �->b�'�S'i"�l�'� ..- s COUNTY OF BUTTE - DE°PARTMEN'T�OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �" ASSE SOR PARCEL NUMBER ZONING TH BUILDING PERMIT OWNER , Vr TELEPHONE SQ, FT. OCC. BUILDING VALUATION S= RoNrw k� OWNER'S MAILING ADDRESS It ks 12 SBRM --- LANE W01.016 9-"26'; CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ',a%�« Fireplace .... Q�ri' CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ M.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 12 SBWDIPM LANE ODRASM 95926 Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP P//7 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF [:1 Duplex❑ Mobilehomer] Other Building sewer 15.00 Mobile Home @ 15.00 • SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel Utilities Installation❑ Other [J M� U [ Permit Fee $ • Describe work: Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50+113,50 Main service 200A TO IOOOAI 37. CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. I declare under penalty of (check . p y perjury 1ur y(econe): OR ADDNS. 1 ACC. BLDGS. II NEW CONSTR ULTI-OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NO N•RESID A BRNCH CIRC ITS POWER APPARATUS h and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. ) License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76 � ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APLNS.I EX. Occup. OUTLETS P(RESID.)REA.) ! 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 ,� /�for sale. (Sec. 7044) Mobile Home Facilities 15.00 15.00 0/J I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 4836 — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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 Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte agains, TOTAL FEE $ 113.54 all liabilities, judgments, costs, and expenses which may in any way accrue against s i County in consef t granting of this permit. HAz I DFEES IM FLOOD I COF I PARCEL D H ISSUV X Date This permit is hereby issued under the applicable provi- Signature of A plicant — Owner Contractor E] Agent Elsions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicatefl 1�'ove for which fees have been paid. ion of structures over 3 ssrtories in height. DIRCTO �OFPELIC WORKS Receipt No. 10'91By 1'/Ial A Date .. PERMIT EXPIRE Date WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT ----- coi' /• �•�ti..:. 1� pw� cG 9 Z , i& a� N NER'S MAILING ADDI 12 SEREN: NTRACTOR'S NAME M&MEQI NTRACTOR'S MAILIN NSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S I BUILDING ADDRESS 12 SERRNnTPT' LOT NO SUBDIVISION NAM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPOCATION AND PERMIT [LING ADORE TM ,I BUILDING PERM - TELEPHONE SO. FT. OCC. 1A11 ocnn BUILDING VALUAT UNKNO PARCEL MAP /17 -! C) USE OF STRUCTURE SFE] Duplex[] Mobilehome® Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities n Installation❑ Other ❑ Describe work: MH U — TT 2 BDRM CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered /for sale. (Sec. 7044) IfQ 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__ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses whichmay in any way accrue against s i County in cor}sf the granting of this permit. X - Date Signature of A plieant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 101397 WNITE-D.P.W., YELLOW-ASSE3e0R. PINK -INSPECTOR, GOLOENROO-APPLICANT Fireplace I ( — Total Valuation —$ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home T 7 TR�(_A S ?n C F i I i ng Fee 5.00 20.00 7.00 7.00 5.00 15.00 @ 15:00 15.00 Permit Fee $ 45.00 Contractor RAO 764 ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 1$.50 service 20GATO 1000A, 37.50 �NMain EW CONST. / DWELLING OCCUP,&\ R ADONS. 1 ACC.BLDGS. / 3.54 sq.ft.EWCONSTR ULTCIOUTLET NON.RESID 9RANCH CIRCUITS) I @ 5.001 POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES RAO 764 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee 5 48-50 Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cool ing Hood 6.50 Ventilation Permit Fee Contractor $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 11,3.50 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated albove for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ! : - " ) Date PERMIT EXPIRES Date ,i--1 1, i -5� 0& - / / _.. 1 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 96-08-138 ZONING BUILDING PERM OWNER Arfs,— TELEPHONE _343-2502 SQ. FT. OCC.1 BUILDING VALUATIO OWNER'S MAILING ADDRESS t W 12 SERENDIPITY LANE G&tft8tff.F- 95926 CONTRACTOR'S NAME M & M EQUIPMENT TELEPHONE CONTRACTOR'S MAILING ADDRESS o CST d9 Sly Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 SERENDIPITY LANE COHASSET 95926 Permit fee $ 20-00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 'I �1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 17 —/0 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @15.00 30,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities n Installation❑ Other ❑ Describe work: MH U — TT 2 BDRM Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty p y of perjury lur y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) � I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.al OR ADDNS. ( ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCU ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. OCCUp. OUTLETS PI RES[ D IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 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 WoCertificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in co f th granting of this permit. X Date Signature of A plicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TO AL FEE $ 1 .5�/ HAz I DFEES 1 IMP FLDo COF PARCE' D H Issu This permit is hereby issued under the sions of the Butte County Code and/or worktinil a ve for wich fees TO OF P ELIC BY PEFOAIT EXPIRET Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 101397 WHITE-D.P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPA TME.NT OF PUBLIC WORKS - BUILDING DIVISION 'ti #-: 7 COUNTY CENTER DRIVI'_ - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No- Ic-� (O U "' X� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plan's and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ......................................... .......... 13. S hoot District fees paid ..:.......... . 14. Sanitation approval from _ �te V Health Department _ZZ S �� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requipments) 17. Planning approval for (A) Use: (B) Parking: �p18. Improvements may be required. Contact Land Development Section DPW &44/ 0- 19. Driveway permit°(construction approval required prior to occupancy) /D-28 �lY 20. Pyre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ! 25. Letter of signature authorization +� t -i: ' /N ) Fw 27. ,'k When you 'ssue the permit, process as follows: � Mail to owner. Mail to contractor. Jj1�4(N` Telephone_::3—�_21<3) Zand hold for pickup at/office. Deliver w/igtpector. Other r Applicant — Date f( 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 pri r o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: c Ci . /ld �'Y S/Gtic�rr,/ , Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date V Plans checked by Date Plans approved by _rx T± Date & % 1FZ Sets of plans on hold in Copy—DPW File cabinet AP folder 10: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance , 'J e4le &ka K /2 5�r�ii cl �� �`� L n owner -locati n AP # f 1 Driveway permit 4 &zie n eaPl has been issued for the above property. Allla -Z8 -0/ date si ature TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location ^AP# \ ,D Plan Approved for: Sewage Disposal Water Supply Fold final for: 'V Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * Sanitari to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 136, lJ(j�( ZONIT/0.5� BUILDING PERMIT OWNER S TELEPHONE 3%3-ZsvZ SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LI 17— sereSS CONTRACTOR'SiNNAME U1, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ a -5:90 - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checxing Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ' BUILDING ADDRESS Permit fee $ cop PLUMBING PERMIT FilingFee 15.00 d X15 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehometg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 C7. TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Ut' lities I stallation❑ Other ❑ Describe work:/ �����%LOOM — Permit Fee $ (7b Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 p Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification F-1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ACDNS. ACC. HLDGS. 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES\ 20 76e 460 FIXED APPLNS. 'DIIAL EX. OCCUp. OUTLETS RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 ST� Misc. Wiring g '15.00 Permit Fee $ r,sd — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor❑ Agent ❑ An OSHA over 5'f)" deep and demolition or construct- ion of structures toverr39stories oin height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE ITOTAL FEES r i3 s� HA z DFEES IMP I FLOOD I CO F PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.7 WNITE•D.P.W., YELLOW-A58E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 96RS3 10°25'20"E 3. 5 2' p 0� m mW N � tD = Ln 495.57' (R4) R -O -Z- Lia fV j5 0 0 I y � O z + mCD � �g� y o � � � Z o M tial p rr cn o CO � � r p a o D - --j o n °' O - o -4o m n m- cn m m — m co m n f� Z D \ Z rn� S\0° 5 22' W �329'65j n 901\ �\ \ c� I < \ \ 0�2\ 7—J IN �o cD rnm O n �m Ulm cn z 7 23 3 �" . �.0 ° � y a 0 o m a;� 3 (a N 1 .o°;«� 6 3 ? N UN W 0 A a n �c� O g' Zj �Ca'� �+ . b` O Qoca: 90 Er"(D-0 fig m a.; . R, u)G)3= Z3 -g F, {,ice' V. ; t+ ev- to "T 77; cr 49 It L This set of plans and specifications MUST be kept on the job at•all times and it is unlawfu,' to make any changes or'alterations on same without written permission from the Department of Public Works, County of Butte.- NOTE:—All MaterldIs & hlorkmanShip Steal! B-6. rk ' Accordance with Reco'gonizer-4 Good Practices nd -�e of a quality prescribed for i•, pe�cif ed use in the Uniform Building, Plumbing 0"t Mechanical Codes and the National Electrical Code. 60' EASEMENT Q. 1496 0. R. 515 `r 50' BUCO ILDING k SETBACK LINE • S880 08' 10" E —�60 l . �z) _RE_N_Y 1,670.00V LANE (ESMT r 3/4" I. P. RCE 29465 M CC W O N U) (\J 0 O N m 277' -�� 50 BUILDING L I SETBACK I c) G+/ / � — N' 0P� A setback of 8 p from the / ��-� Q property lines a id a setback PARCEL \ ���G of 80 ft. -t"om the . ost? / i centerline shall tc c es of v / 5.07 Ac. structures or equipmen xse for a 2 ft. eave overhang, �- N 50 3 60 EASEMENT i 4! / 0 Q m� � �' 30'30 �' N � / • • 670.00 / N 88°07.34" W 105 V- 9I-45340 Returp, to. D'PW AGRICULTURAL STAIMN ENT OF ACI'�1L OWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 1 91-043340 to land or included within an area zoned 1 Ree Fee for agricultural purposes, and residents I Cash of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records i use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte 1 and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder 1 but not limited to cultivation plowing 8 s Olam 29 -Oct -91 I I 7 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal,.necessary farm operations. 5.00 5.00 MP 1 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real �property:'.situate in the County of Butte, State of California, described as follows: 66v CO v A! T CAI Date: © PROPERTY OWNERS: State of On this the �day ofAC. 19 / / , before me, the il" SS. undersigned Notary Public, personally appeared County of ) F] Personally known to me. � Proved to me on the basis ofsatisfa *-ory evidence. to be the person whose name(, subscribed to th, within instrument and acknowledged.that executed the same for the purposes thereiq,N,cgnta h1ed. IN WITNESS WHEREOF, I hereunto set my hand and off ,6 ,al,��eal'.i, .y ■sota��ri��eora���e®sotnew JUDITH M. ■ •�D r NOTARY `a C NO PUBL LIF' Present A.. R. ho.��b OS ' 1 ■ Butte " My a CommissiIs on Ex ire � � � ' P rch 1 i,195��j.^ �v-•�P�:b�-i-�ti.• ,�' p�r•��ora�o�taoela�aefa ®ea�i END OF DOCUMEN ''' Return to DPW AGRICULT'LMAL STAT,.r`ILNT OF A M, GWLEDGE`MN- T FOR RESIDENTIAL DEVELOP��iT Section 26—$.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent ,.,,,m FED OM RE" e � NI ��t_���.. 3i � to land or included within an area zoned ..� Ly � for agricultural purposes, and residents rhe 8:0-1 A.M. of this property may be subject to incon— veniences or discomfort arising from the Ze use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: Date: PROPERTY OWNERS: State of On this the day of 19 �/ , before me, the SS. undersigned Notary Public, personally appeared County of 4rit— ) /' 7 Personally known to me. JP Proved to ne on the basis of satisfactory- evidence. to be the person( 70whose name(;.Z_t— subscribed to t14 within instrument and acknowledged that ._ executed the same for the purposes therein. contained.' IN WITNESS VHEREOF, I hereunto set my hand and official seal. • i' JUDITH M. W! i ■ , —� NOTARY PUBLIC- LIF lA Present A.P. No. �G O 1 ■" Bane ■ 'i MY Commission Expire rah 11, 1994 3i V epi! �liC. d Date: PROPERTY OWNERS: State of On this the day of 19 �/ , before me, the SS. undersigned Notary Public, personally appeared County of 4rit— ) /' 7 Personally known to me. JP Proved to ne on the basis of satisfactory- evidence. to be the person( 70whose name(;.Z_t— subscribed to t14 within instrument and acknowledged that ._ executed the same for the purposes therein. contained.' IN WITNESS VHEREOF, I hereunto set my hand and official seal. • i' JUDITH M. W! i ■ , —� NOTARY PUBLIC- LIF lA Present A.P. No. �G O 1 ■" Bane ■ 'i MY Commission Expire rah 11, 1994 3i V epi! �liC. Recurn to DPW. AGR1CULMRAL Sl'A112-04T OF ACKINOWLEllGLi`il?NT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-045340 1 to land or included within an area zoned 1 Ree Fee 5.00 for agricultural purposes, and residents 5.00 I CashRecorded of this property may be subject to incon- I veniences or discomfort arising from the Official Records I ec use of agricultural chemicals, including, Count yofI but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder i but not limited to cultivation, plowing, 8:01am 29-0ct-91 1 HP 1 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: Ko / Al // - , o �j— 66v2'7-1 coca/Vi• Date: W lqg k PROPERTY 014NERS: AS7 1-4Z State of On this the day of Z4 C 19 before me, the SS. undersigned Notary Public, personally appeared County of ) , / Personally known to me. Proved to me on the basis of satisfy tory evidence. to be the persVIIvithin whose name(; subscribed to instrument and acknowledged that executed the same for the purposes therein contain-�:i.. IN WITNESS WHEREOF, I hereunto set my hand and official seal.,.- `• ■ JUDITH M. WI S6 Q Q t , "Is NOTARY PURL OF A Present A.P. No. j _7V D ■ MYOommisSIo n ExplregWmh 11, 199dw ary P1' �.b1i c� ...._ _. • Goon PBV w�RKS oS�`lozI S s 0 T. 24 N. R. 2 E. Ay. Q. B. 8 M. Q` 76 PNP 97 IL =�?as�, Afu,o CREEK ® 12 a M / / as If204 c 10Ac q-9 @I Z" /3t4rAc w / 60AG. ut IWas + sssa#tcC. 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