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HomeMy WebLinkAbout056-080-140Op 7) 056-080-140 STEINMETZ' PAUL 16—<V.VKAS R.D.., COHASSET MOBILEHOME UTILITIES ELEC. ;f 0--V—C3 GAS K'O COMPACTION TEST RE ft SUPPORT STFUCT REQ �:i�_— 056-08 1 -0-140 94-2207 MHI - STEINMETZ,, Paul`. 1850'Vilas Road, Cohasset (MAI/94-567) 0UC �., ' LM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 94/- IQr,2G7 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 899-7044 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1850 VILAS RD CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1 V PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome Other SPECIFv Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities ❑ Installation CK Other O Describe Work: MHI MHU#94-567 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS ( .0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3.50gFT.0, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .60 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IflESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. El have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to buildin truction, and hereby authorize representatives of the County of Butte to enter Pon th above mentioned property for inspection purposes. indemnify and keep harmless the County of Butte against allnts, s and ex uses which may in any way accrue against said n f thug n ' g of this permit.Datey- q— `'� c t - ❑ Owner ntractor ❑ Agent =permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100-00 Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON 01W provisions to do work paid. ate ff Receipt No. _163092 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4r.,,�ar>vMta.+l7'dywM,fr^t7"u►ty�Y7.i'�Y .. ...fir. ,;...ad/�.J.71L.'r+'ga ' CeUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER fN m -e Z A. P. No. (Z(6 - a gy /S�0 Proposed Building Use Building Inspector Q14 Date 8 - 2 - 9 Y At time of permit application, 1 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. ..................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico .plumbing permit . ......................................... 16. Plot plari and business license approval from City of Biggs/Gridley. ............. 1 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). .. . . st 20. Pre -ins ection for to Building' °" ` ctor p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 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. WheVu issue the ermit, process as follows: Ma' owner. Mail to contractor. elephone q•i0 (/ and hold for pickup at I A4 c•c_� office. Deliver with inspector. Other Parcel Creation ' Acreage Applicant Date ��� qN Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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) &--'q 2.. I (have/have-not) AA kC signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)'to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but"I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work. Sign "^TE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 1• 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. 8.3-2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 4211 bs(o- 086 - No p ZONING 5-_ BUILDING PERMIT OWNER . TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADO E T CONTRACT R'S N E /j�� Y `� TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ` i (mac Fi^ S� >J PERMIT FEE $ 3,dp PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G WflFEE @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Cl Installation Other O i — / M ( PERM$ Contractor TRICAL PERMITDescribeWork: ELECTRICAL Filing Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full farce and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the -owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed.on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. MULTI -OUTLET ) NON.RESID. ( BRANCH CIRCUITS @7.SO ( POW INGLE OUTLET CER APPARATUS ) 8 SIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 SAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring . g 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Q Q X Date_ - V - (� Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES G HAZ. D. FEES IMP FLOOD I CDF PARCEL PD I MD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON fDarel / / (p%q2 Receipt No. _ J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements?- Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �® Amps 6. What is the mobilehome site service rating? ------------- 2 C>o Amps . 7. What is the mobilehome site circuit breaker rating? ----- 50 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: Oe (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10 What is the,type of gas service? ----------=- =- - Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- f t -64— * 12. What is the mobilehome gas demand? ---------------------- l Q a GL *(This information not required if pipe length leoaln natural gas or less than 50 ft. on LPG.) O V �- NEXT PAGE MUST BE COMPLETED TO PROCESS �' A�LI ATION. BUTTE COUNTY DEPARTMENT OF PUBLIC'WORKS d! 7 County Center Drive, Oroville, PHONE: 538-7541. CA 3� / MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �(A l ����AJ MC-? 2. Installer's Name: 3. Is the site currently under permit? Yes , No (Ifyes, furnish permit number`=:_�, `Yes1 Is the site an existing site? No F� (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements?- Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �® Amps 6. What is the mobilehome site service rating? ------------- 2 C>o Amps . 7. What is the mobilehome site circuit breaker rating? ----- 50 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: Oe (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10 What is the,type of gas service? ----------=- =- - Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- f t -64— * 12. What is the mobilehome gas demand? ---------------------- l Q a GL *(This information not required if pipe length leoaln natural gas or less than 50 ft. on LPG.) O V �- NEXT PAGE MUST BE COMPLETED TO PROCESS �' A�LI ATION. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. UNIVEfZ:`SAL_ furnish Setup Model No. Year Width 0 (ft.) Box Length S 2 (ft.) Tagalong or Expando Size ft, x ) (0 ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2_ Other (specify) SUPPORTS (check one) 1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Sne 2 Main Beams -� — — _ — _ — — — — _ — — — Line 2 r Lion: Line 2 Main Beams 2 ,y Line 1 Tag or Triple Line 1 Piers: h Line 1 Openings: Size =Min. ------------ - 'k Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers•_ Siie-Min.------------ Spacing -Max- ------ From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------` ----- Location (From Front) Size -Min- ----=------------- nx n Each Side of Openings With Width Over --------- Line 3 Piers: _(Under Bearing Wall Only) Size -Min ------------------- „x , Spacing -Max---------------- From Ends -Max -------------- Line 4 Piers.: Size -Min --------- ----4"_30 Spacing- Max- -(-/,`--_-- '- From Ends -Max:" -=-i`-- Size -Min .------------------ „x Spacing -Max.-----=--------- _ From Ends -Max .------------- Line S Roof Loads: Size -Min .----------- _. "x "x "x "x 5c "x " k "x Location From Front) AP 1 ©� ld OWNER PERMIT MH'UTIL.CLEARANCE DATE INSPECTOR dS4 ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YES YES NO �G0 3 d Z?&- % v yNO OWNER PERMIT.'�k` MH UTIL.CLEARANCE DATE INSPECTOR r ELECTRIC GAS. Support Struc. Compaction Test Req• Service Other. Pipe YES NOI YESI NO Size Load Type Size Length Ml 'J low Wei r�J---� _ � r r i . School District ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM A.P. Number ) Property Owner_ Property Location/Address Subdivison Residential Development Commercial/Industrial (One Form Per Building) D CRY 0 No. of Living MHI Units Building Department No.i Y, CN -County Lot No. Sq. Footage 6 ?/�� Addition (Group R 0 :.Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departmen epresentat vv ., 'D e (Floor Plans reviewed by School District Personnel) District Identification No. 9S Da'�w 1(40 op'Z School District certifies that V�Gi/rf (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of R�esolut�ota-N�,..by-P yment of $ 7� a representing (p 9 square feet. t�a 7Z5 School District Representative Date Paid by Check Number Remarks: Bank Number _ Paid by Cash +` of If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department),* Pink (school district) i feeformmkl (4/92) skA- RESIDENTIAL 056-080-140 :94-0567P, E 0lR0 STEINMETZ, PAUL VILAS RD., COHASSET MOBILEHOME UTILITIES ' V J J i7 ®o /OAC �4 �•�'' � � PM 10� �7 88 � i 2 4�k;� rs3s�c ?,v-- — - y N20.49A JOB FINACED (Date) Signature j Y=OK O = Not OK Not Not ReadyMOBILE HOMES Date/Initials MOB HOME UTILITIES Plana OK except #'a —l'."—Zoning—Requirements-Setbacks-Easements els; S al' MH Support Sketch tion -Teat -Fall -C/O Concrete ater• cat - eat=Easement Needed (Sketch) ectri , ocation-Clearences-Grnd-/ /Amp -Concrete as; Location -Teat -Wrap: / /"L"ft. / /"N r/' /" L" ft.% /"LPG, ell Cle rance 8 Disconnect Clearance Date/Initials 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 -Fell -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Reale 4. Wood Awn.; Posts-Beams-Rftre :Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compactlon-Structure Stability i 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 i ,V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. 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 -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ` . 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Teat -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wails Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walla (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 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 -Ina. 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 Faits 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 Walla; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 66. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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 Comnwnts at Final: y -056-08-0-140 94'2207 MHI^ ,STEINNETZ, Paul 1,850 Vilas.Road, Cohasset a' 'iMHI/94-567) a r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT I/ - �Z,? 47 ASSESSOR PARCEL NUMBER 0_ — 4 ZONING TMS BUILDING PERMIT OWNER P fi 7'F TELEPHONE 599-7044 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1t35(; MAS RD, 09100 CON TRACTOR'S NAME at TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 40,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1850 VILA (ASST PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF El Duplex ❑ Mobilehome 'UT Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation d'6 Other O Describe Work: MHI MHU#94-567 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 • Main Service( 200A TO 1000A ) 46.00 NEW CONST.( OCCUP. OR ADONS. ( 8, ACC. BLDS. ) SO. 3.51" FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (. ) OUTLETSIRESID.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. "' I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enteruponthe above mentioned property for inspection purposes. I also agree togye,`indemnify and keep harmless the County of Butte against all liabilities, ju' Phents, c s, and ex_pgnses which may in any way accrue against said County i nsequen f thug � 'fig of this permit. X/ Date'g-,L/- $I nature o . pylic t ❑Owner `0.� • ntractor O Agent t An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 00100 Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 143 00 HAL. D. FEES IMP FLOOD ...- CDF „-- PARCEL PD HD ISSUr✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By �I Date . ` , PERMIT EXPIRES ON ;y�� ��✓ (Date) Receipt No. i 63092 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s'F.`.. j'.:. .1$-',q,'. -., a -s, w ; 7es►ara�'r�"z-� ^'i9'��y'+6�5 ,, r, _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. J APPLICATION AND PERMIT`�� ASSEUY6A"VVNIr%0 ZONING rT�{•,'C_� BUILDING PERMIT owNE�A STERDIETZ 594-6074 SO. FT. OCC. BUILDING VALUATION OWN�EYYyR'SyyMyAILINAff1 4. 10 C�IICfl, CA 95927-4110 1 .V. [��1 CON5AC,T,2trE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan..Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDINGADDRE -' VILAS RD., COHASSCT PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 i Water P P in 9 15.00 LOT NO. SUBDIVISION'S NAME � PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF C)Duplex O MobilehomeOl Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 60,0C TYPE OF WORK New O Addition C)Remodel O UtilitiesXl. Installation ❑ Other O Describe Work: PERMIT FEE $ 80.W Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADDNS. ( s ACC. BLDS. ) SQ. 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification l I, as the owner, or my employees with wages as their sole compensation, will do !! the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) S SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 AL..50 Ex. Occu FIXED APPLNS. OR p (OUTLETS IflES1D.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development.Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to C, mRRly to all Butte County Ordinances and California State Laws relating to building yconst�Lction, and hereby authorize representatives of the County of Butte to enter upon th ab ve mentione8�property for inspection purposes. I also' agreeo�sve.,,,ind$mnify and keep harmless the County of Butte against all liabilities, jud¢�mAnfSosts cand expenses-Wfil'cfi-shay in any way accrue against said C % my in�cxnsequenc of -the granting of this permit. Date 7- g Signature of'Applica'nt= Owner ❑Contractor ❑Agent An OSHA-p•Er`m-It is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 166.00/ HA2. D. FEES IMP F D` CD PAROii Po �IDf !� ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By, S,�/Date PERMIT EXPIRES ON 7, (D " � etcl 156317 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /- 7 County Center Drive - Orov9le, Califdrnia 95965 - Telephone (916) 538-7541 PERMITN . APPLICATION ;,AND PERMIT q � -o527 ASSEZp�-0$OM 140 ZONING -� BUILDING PERMIT OWNU� CAUL STEIKIETZ TEL�IEP.L�HOO�JNE 894-6074 SQ. FT. OCC. BUILDING VALUA N OWN�NV 'B I�AIIJNbXE+110, CHICO, CA 95927-4110 TBr CONtIQER AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS VILAS RD. COHASSET PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome XK Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20-00 60.0( TYPE OF WORK New C3Addition ❑ Remodel ❑ UtilitiesXX Installation 1:1Other ❑ Describe Work: PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V OR LESS 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) L. @ 1.500 BAL. .50 FIXED APPINS. OR Ex. Occup. (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 163,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree Im Iy to all Butte County Ordinances and California State Laws relating to building onst ctiora and hereby authorize representatives of the County of Butte to enter u on th a ve mentio roperty for inspection purposes. I als agree t s ve y and keep harmless the County of Butte against all liabil' les, j m s, co and expensay in any way accrue against said Il Co ty i ns, Lien Eanting f this rmit. �7 Date 3 /- — natur Applic t - Owner ❑' trac ❑ Agent An OS rmit is required for excavations er 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL F $ 166.0 HA2. D. FEES IMP FSO CO F P;q�d I PD D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY,r � Date S!� PERMIT EXPIRES ON S�/7 Als (Date) Receipt No. 156317 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Pop �! '­ _;�OUNTYOF BUTTE - DEPARTMENT OF�DEVELQPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVfkt E,CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER U S fC/%V M e -f Z A".P�No. 6-56 - O 1 evv Proposed Building Use M t -f - y Building Inspector Date 3 SG 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.............. .. . . California Department of Forestry plan approval& ..3'OV� .S-(� ..... . -� 13. Flood elevation let 1k0 year flood) by California Engineer.. . 14. Sanitation and plo- lan-aCroval C;tA (Q 0 Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). .. .. ...� ; 20. Pre -inspection for required. .. t2eu; d°n-g nspedoo (Date 21. Contractor's license information. (No., Name Style, Classification). . 22. Cert�cate of Workmans Compensation Insurance. ......... . g .4:..... . 2 -Builder Verification (Given to owner 3. Owner ,Mail to owner 6L 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. 3 'FR .. .........: . ..... . . 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 �rou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 9 1L( -&07L/ and hold for pickup at (' I'office. Deliver with inspect- r. Other Parcel Creation _:3/7/1Y , q U Acreage Applicant _ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required dada by _phone _mail C hinter by _Date Plans checked by Date Plans approved by Date a Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works G.H. USE ONLY PloFloor rPI: nuu.ca h !i /s. u. TO: Building Department FROM: Environmental Health SUBJECT:' Sanitation Clearance ( dO ►n ►M.Q. Owner Location AP# Plan Approved for: Sewage Disposal Clearance for Z bedroom mobile home. Other Water Supply: . Public Private Well A -"- Hold -final for: Final clearance O.K. for: ('on5irix d, on sq< NOTE: i Environ/ ental Heal Specialist 8/92 Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance -Ste,"n,�,e7�z owner Driveway permit Iy() 2 -LI F si ature Af location —�T AP # has been issued for the above property. date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER. DRIVE, OROVILLE CA -95965 - TELEPHONE (916) 538-7541 OWNER (/ lLr' I A-1e—fes/ A.P. #_� PROPOSED BUILDING USE y DATE �41 REC. # DATE REC I. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x _$ :sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES � L (Contact Land Development Division) .............. (/ 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department)` 7. OTHER 009§0'I�1' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C/ 7 County Center Drive - Oroville, California 95.965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT 2 ,7 ASSESSOR PARCEL NUMBER O _ rM �'- � M BUILDING PERMIT OWNERTELEPHONE 6 e - 8��-�o't SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 116 CONTRACTO SNAME pp l TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ -20-0' LENDER'S MAILING ADDRESS Permit Fee $ Z �� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDING ADDRESS \ i 5.D sSe 1/ 5 r 1 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other sPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 TYPE OF WORK New ❑ Addition ❑ hRemodel ❑ Utilities OL Installation ❑ Other ❑ Describe Work: M �(– L) PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( BOOVORLESS 200A OR LESS 23.00 00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLINGOCCUP. OR AODNS. ( s ACC. BLDS. ) SO, 3.50 �, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON•RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) B20@ 1.000 Ex. Occu FIXED APP NS. OII1 p' ( OUTLETS I:SID.1 EA. / 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 O- vo Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way a rue against said County in consequence of the granting of this permit.—� X Date L� 7Aw Signature of Applicant - ❑ Owner ❑Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES �— HAz• D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON /Oa te! provisions to do work paid. Date �/ Receipt No. f (� WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP.ARTNIENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 PAJL S'fEINME'fz ' PO BOX 4110 CHICO, CA 95927-4110 RE: BUILDING PERMIT APPLICATION#94-0567 DATE: 3/9/94 A.P. # 056-080-014 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of.Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) .Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. --X -Documentation of legal access. Documentation of 50'; subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any questions concerning the above, please contact of this office. Y rs very tr ly, SCOTT RUTHERFORD Midtfael C. bieira, C.B.O. MCV:ahb Man ger, Building Inspection N88 0 W 1703 113 e' 0;-ar.2ao / • 0. R.113 r �. 384 _ ��' ahs - - ---- �N 9.15' I 0 BfLDINGS • �a O• 'n yt 4j`J N m o q7 pp S 88°09'25" E M °° 672.42' 0 30, J50' BUILDING IOX 62 fY►O�ILj SETBACK LINES' ;`,� REt�-hf FIt-Z�� r• ��•��'(o� PA -CC E L I sff-DTIC- 7AN1)e N ti^ o. o e -� ---_ ix Z v I -a - - - Z v i 804.77' N 88'084 9r� W t 20' WATER LINE, WELL �AN PURTEN NT F D AP FACILITIES pj EASEMEN1 TO BE RESERVED VV C c: 4 IN DEEDS. �- 60' EASEMENT � � •, C 1496 0. R. 515 a 5 3/4" I. P., RCE 16803 (D I o 0 „ Q N680810 W 1.� 670.00 IP RCE 11553 (R3) 3/4" IP RCE 11553(R5) ( •ti• _• _• -_ R=Division rn� AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 4 r 113 S 1 _,BFOR RESIDENTIAL DEVELOPMENT Sec on 26-8.1 of the Butte County Code requires this ' acknowledgement be recorded prior to issuance of a building permit. Y Tho --rtni Aacrrihai herein is adiarent to land nr inrinded 94-0113511' Rec Fee r_ nn within an area. zoned for agricultural purposes, and residents I Check 6.00 of this property may be subject to inconveniences or Recorded I discomfort arising from the use of agricultural chemicals, Official Records I including, but not limited to herbicides, pesticides, . and County Butte e of fertilizers; and from the pursuit of agricultural operations Candace t Grubbs I including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate Recorder I dust,smoke, noise, and odor. Butte County has established 10: 13am 14 -Mar -94 I PUBL XX 1 agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: r6 IFFIF 0 PC JZ -7 Cj— Date: State of California e%'! C v ) County of 1'V/? i� ) On /< </y" before me, _ personally appeared PROPERTY OWNERS: peisu (or proved to me on the basisSf satisfact to be the person h se name is/#e subscribed to the within instrument d acknowledged to me th yevidence) lt executed the same inst it authorized si tore on the insthe on or the entity n f h cap ac gna pens nt ty opo behof which the person a ed, executed the i�rument. 10 WITNE S my hand and official seal. JUDY N. BROWNFIELD COMM. # 977416 z Z `� +° Notary Public = California BUTTE COUNTY Signature r Seal: MY Comm. Expires NOV 8, 1996 A.P. It ,C)J`f U V END OF DOCUMENT N 88009' 25" W 1703113 0 o-0 0 a r.24o / 384 (VA tea. t , � N co o Qom• \ J 1 88°09'25" E d NO B ILDINGS� OD 04 r 30 �•�. /� 3 50' BUILDING lo, 5'2- MOBI i cl SETBACK LINES <<h. ron(P)I 1 EL I 0 'mac o 804.77 0_0 ZN `a•o10 jw C I P A° �60' EASEMENT N° 1496 0. R. 515 ? a COL V j �7 � n ge., 2 " �rn `k 12 N 4 N (38008'10"W m S 0 1139.15' I �EL•�rr FIt=LpS Q' I Hit, .cr -o �o a0 e55 - In f—to MEE Oz `"f0 I �� x �M. - �° 3 N 88°08 4 <<h. ron(P)I 1 EL I 0 'mac o 804.77 0_0 ZN `a•o10 jw C I P A° �60' EASEMENT N° 1496 0. R. 515 ? a COL V j �7 � n ge., 2 " �rn `k 12 N 4 N (38008'10"W m S 0 1139.15' I �EL•�rr FIt=LpS wcp Q o o o an m 0 (D e3�y� S 0 3 A c' H a �F i Ik v�co di to c al 3 s )► I �20'WA TER LINE, WELL, AND �p 1 APPURTEN NT FACILITIES ` r jrjr s� EASEMEN TO -BE RESERVED X13. IN DEEDS. a..l. STRUCTURES A D . EQUIPMENT INCLUDING o� CtAIVGS SMALL N® St= CLEAR OF ALL ESIEIVT3. m A :SET SACK OF �?� � I. FROM- .l I,� SIDF AND E PROPEtF`� . LINES AND ° e S FT. FRO.V, i � '� g: H.._ .13 )Air CENTERLINE SHALL BE CLEAR OF -STRUCTURE ` AND EQ'i1jpM__ENT EXCEPT FOR A 2 FT. EAVE OVER TANG. 2 -VIEWED BY !3U z = CO.; FIRE DEPT. CALIF. DEFT. of FORESTRY ❑ approved as*submitted 1� 670.00'1JicJvv w""rn "nyl T g ^r atriaci ad Sh . tS . P RCE 115531 (R 3) 1 Signature *Date 3/4" IP RCE 11553(5 3/4" I. P., RCE 1680: I .cr -o 00 Z 3 5 li' n wcp Q o o o an m 0 (D e3�y� S 0 3 A c' H a �F i Ik v�co di to c al 3 s )► I �20'WA TER LINE, WELL, AND �p 1 APPURTEN NT FACILITIES ` r jrjr s� EASEMEN TO -BE RESERVED X13. IN DEEDS. a..l. STRUCTURES A D . EQUIPMENT INCLUDING o� CtAIVGS SMALL N® St= CLEAR OF ALL ESIEIVT3. m A :SET SACK OF �?� � I. FROM- .l I,� SIDF AND E PROPEtF`� . LINES AND ° e S FT. FRO.V, i � '� g: H.._ .13 )Air CENTERLINE SHALL BE CLEAR OF -STRUCTURE ` AND EQ'i1jpM__ENT EXCEPT FOR A 2 FT. EAVE OVER TANG. 2 -VIEWED BY !3U z = CO.; FIRE DEPT. CALIF. DEFT. of FORESTRY ❑ approved as*submitted 1� 670.00'1JicJvv w""rn "nyl T g ^r atriaci ad Sh . tS . P RCE 115531 (R 3) 1 Signature *Date 3/4" IP RCE 11553(5 3/4" I. P., RCE 1680: NIS i 011 L I zilsirl. C T?W�A j;s t 'nj' la Vd lliv--' HM101 A, fje to'r"'- iv Ot YTIA-1 t4 1-r� j,'-4 y , - -4 j VA 00 11 AP# CDF FIRE -SAFE REQUIREMENTS 1*51"r0sb % PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�(r1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-,rte-bant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of ver`:i^tel curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. �] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of VILDING DEPARTMENT v AP # PERMIT # N [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [)(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates �] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements'below. V-] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal'to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction Dr fi_ial inspection of a building permit. Page 2 of 3 ��J►�`� COUNTY UiLD9"'G DEPARTMEW P �' _s6 - df — / moo AP # 7 `PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves S7 e--- / &."cz-z /0� e- - NAMEr [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient•setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials J� Date Signature Page 3 of 3 BUTTE COUNTY BUILDING DEPARTMENT 4PPROV f\ O• d ct f9 i � A 0 ••r I r m -� N • PC • O�„ tog •t y C '..T' • e••• - 0 v .7 M0 10►•f 1�J� CL m rt n n r.ryy n O n .-P� „O� n Lp e(�po '3a A. N d0 ON UQ d 4 ]7i O a C a• a. 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C.Oty� a O M��) m ".=33,0 om Gn O�.•O.n9 j7 n 0.m]yy • fO fi�1• yQf/� • y y J rn C 0c amr �NN ( n aaO G. •+ eo pC. °0CD 9 dCF0 N y3 ; momn m r m m-, 0 a r {... . �• O r- ] 0 a O0 - T r R CD • r'u"r • OilO 0aim-0,m Z v o r+ m m m c -� b r ii _- _ CD O O Z .�d R• m oco y [r] m r ►•• r M, o.- v n � CD b n cn •l't b •' t v C _ _ _ .-ice C) R' wi , IV 0 � p C CD 1 C• � n CD 0 M SIERRA WEST SURVEYING LICENSED LAND SURVEYING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (916) 877-6253 i BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Or6ville, California 95965-3397 Dear Sir/Madam: July 27, 1994 I have been asked to review the Flood Insurance Rate Map, in relation to Assessor's Parcel Number 040-29=0-041-0. I have determined that this parcel of land is located in Zone X, according to Panel 225 of .600, Butte County, California, Flood Insurance Rate Map, except for a few feet on the east side. If you have any questions,'please call 877-6253. Sincerely, Robert G. Agee, Jr. RGA/jee ,Letters�6901Warr.Ltr 6907 Warren