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056-090-077
z'056 -09-'O.-077 .^,� - `91=3578 r•SCULLY''GARY & KATHRYN 'CONTR: OWNER 3q'CO.HASSET LOOP` RD,COHASS �T-' ;AS r' :0MPACTIW'TEST REQ UPPORT STRUCT REQ s 3 056-09-0-077" 00-1106 n,RME, LES Rc .BAF.BARA/0 f- —/ 139 COHASSET LOOP, COHASSET NEW SINGLE FAMILY ash- 490- �- LO Cfll O ' C71 ig -NOTES t PERMIT NO. _ ,RESl0I'ENTpAL 056-09-0-077 00-1106 ORME, .LES & BARBARA ` 1139 COHASSET LOOP, COHASSET NEW SINGLE FAMILY i r SPECIAL CONDITIONS ? .CHECKED 1 BY r:. SRA �I. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL' INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY I dres I i G GS A '1 Meter By� Date ELECTRIC Meter By Date F t JOB FINALED (Date) 13)01 / / Q % Signature r ✓ = OK „ 0 = Not OK 1. - = Not Applicable MOBILE HOMES = Not Ready - 3. Date - MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap;-/ /" L'ft. t - / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line I 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shlhg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI i 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- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test " 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �- i V = OK 0 = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date derfloor (Plans) OK except #'s CA Setbacks -Easements -Flood -Slope 2 tg ain; Soils-Elec. Grnd.-/ Q-- Ftg. Depth 3. g., Garage; Soils-Steel-Elec. Grnd.-/`,7_/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth (Single & Duplex) 5. Stemwalls, Main; Ste el-Blockouts-Wrapped 6. S mwalls, Garage; Steel-Blockouts-Wrapped Date Hold Downsjand Special Anchors 7. Slab, sjpdrwrapped 8. Pi Fireplace Ftg.-Steel 2 ; Fall -Fitting -Test -2 Way C/O -Sewer Test 2fome F,sPipe; Size Anchors - Yard Gas Piping; Size Test _ 2 ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. 14. Plenums & Ducts;Clearanc terial-Support-Ins. Girders -Sill nchor o s- ' ts-Vents-Crippies 15. Access & Ven 16. Insulation Date 114 Card 13-1 Date Card B-1 Dat 3v fol Card B- 6 Date Card B-1 Date DeCIMBING ( er,K except #'s Water Htr.; Ve - cce -Combustion Air Baffle 1ater Pipe; T & Anchor -Nail Protection 1 ; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test)-wd& Shower, Second Floor -Tub Access 22!Gas Pipe; Sixe & Anchors Date W D Card B-1 V Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 ixtu e & Transformer Clearance -Ins. Protection 2 ec. eptacles Spacing -Lights & Switches at Doors 2 ze Boxes & No. of Conductors Stapled 2fome Installed Close to Edge of Studs & C.J. _ 2 qWp-Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 A Circuits in Kitchen & Conductor Size GFI - ire rze ga Cu or At ange Circle / / ga Cu or AI.Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes C) No erv' iser Conductors & Ground Main Disconnect Equi . Clearances Panels-Motors-Mech. Equip. bT'Clothes Closet Light -Shower Light -Spa Light 3 oke Detector Date '--� Card B-1 Vt3 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3 C. Ducts Insulation & Support ent Fan, Exhaust above insulation 37-. ondensate Drain & Overflow, Size & Grade 38. rnace-Vent Access -Comb. Air -Return Air Vent 115 outlet c Access & Platform if Furnace in Attic Date Q 1 Date Card B-1 3 Date Card B-1 Card B-1 Date Card B-1 Date AMING (Permit) OK except #'s 4r Sit oper Materials & Anchors 4 Studs. Nailing Spacing & Braces -Plates -Sound 4 ring Walls over Girders & Floor Nailing 43. D�top in Walls (rat proof) 44L Fire ps, Furred Ceilings -Stairs -Chasers -Tubs 45. eaders & Beams -Size & Bearing Date RAMING (Continued) 4 an ers-Post Caps -Anchors -Connectors 47--t-ling. Joist-Rftr. Ties-Purlin-Roll Brac.- Shting.-Rfng. 4 place Ties or Type A Flue -Fireplace Throat Clearance &Atttc recess; Size & Romex Protection -Draft Stop -Ins. Baffles SQ. _BdrrKVjlindows or Exiting Doors -Sill Ht. & Dimensions Fire Protection Frami 52. Property Line Firewall & Ope 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Xding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts _ 60. Brace Interior/Exterior Wall Panels 62. Infiltration -Walls -Windows Date 'l ��J! Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s 16 St or & Sidelight Protection -Landings moke Detector 5. ce Ve earance-Comb, Air -Connector - In Garage; Above r -Ducts -Mach. Protection edroom Exi ng 67 ath FixtureeAcce pse�5 ai 6 -. lec. Trimbpanee Size 69. Stairs r7V Fireplace or Stove, Clearance -Hearth 71. 7 . ixt. & Appliance; Ground -Air Gap -Cooking Clearance 7&_X --i o Outlets & Receptacles at Kit. Cr mgr' 74 r2WFire Door; S i ndsurr- C. Duct in Garage -Damper 7 r. Hir.; Vents -Clearance -Comb. Air ector-P.R.V. in Garage; Above Floor-Mech. Protection 74-1�1_b, Elec. & Mech. Equip. Listed for Location 78 c. Rece acles in Garage (F.F.I.)-Romex Protection 7 u ation-Foam-Looked in Attic uard Rai _& Deck Construction -Post Caps 81: . VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82,-Mlowing Instld./Drive eYFs 0 No/yValks 0 Yes i 497Planters ❑ Yes X10 @4/A -.C. Unit Disconnect, Electribal-Plumbing ants Ab ve Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 . ater Well, Disconnect, Electrical, Plumbing 8 xterior Elec. Trim, G.F.I. Receptacle -Underground 88. V awn Throughout House 89. Glass.Protebtion from Previous Gas -Electric 9T.4Lfhergy Compliance Certificate -Other Certificates Address Posted Date Card B-1 V [ ate Card B-1 Date 'J J31101 Card B-1 O Date Card B-1 Date Card B-1 Date Card B-1 Commehts at Final ;�.c-.«, t •'fit �^.+ti-�,.r'4..-iA•--v,.�L:a.�i.,-+�:7�-rr-=�-iS.tL`. �-..T...,�.;.: �'Y.at�,E. ��k`�.ti^'-ter Z`z.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r'*'Al� 06-110(o OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �i' Date - V Inspector -U. 0��-Claw REV 10/92 '�"� Y:=a"'"r+'.17�r..���A.-;-;,moi.-''•`A,�t,,. �' _ ;':a-- �.: r � � COUNTY OF BUTTE BUILDING DIVISION'' DEPARTMENT OF'DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Z PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above ai dress and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t/4, '�-�-+Y.—.ti`.r.�.+-=.�.-_.,•�...j.�'rL �uyvj r,.. -�-�--._� ��7•�.�r-"•.'i' `a�s�� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES `9 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Ai G OWNER CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 rf 7 County Center Drive • Oroville, CA • (530) 538-7541 ' CORRECTION NOTICE 60- l OWNER PERMIT NO. A routine inspection indicates that the following violations of )utte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this mater, or need additional explanation, please contact this office immediately. Date ` — 0- I Inspector REV 10/92 White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC -303 Pink - Attic copy, Gold - File copy CERTIFICATION OF INSULATION ADDRESS OR TRACT SACRAMENTO INSULATION CONTRACTORS LOT w P.O. BOX 854, WEST SACRAMENTO, CA 95691 LIC. #202026 ,1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC. #202026 ❑ P.O. BOX 9651, FRESNO, CA 93793-9651 LIC. #202026 r-�� ❑ P.O. BOX 1631, RENO, NV 89505 LIC. #10675 �� ❑ 3326 A PONDEROSA WAY, LAS VEGAS, NV 89118 LIC. #10675 DATE I , SULA T ON COMPLETED ( SQUARE FEET) (' SQUARE FEET) ( SQUARE FEET) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL MATERIAL FIBERGLASS------- -- - -- —FIBERGLASS - - - FIBERGLASS FORM FORM FORM BATTS BATTS & BLOW BATTS MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I D MANUFACTURER'S PRODUCT I.D. MANUFACTURER MANUFACTURER MANUFACTURER OCF OCF OCF BAGS R - VALUE APPLIED R - VALUE APPLIED MIN., INSTALLED R - VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS WEIGHT PER SQUARE FOOT INSTALLED THICKNESS I (01 KNEE WALLS IF R-VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R VALUE MANUFACTURER FIBERGLASS BATTS OCF AIR INFILTRATION SEALANT MATERIAL MANUFACTURER W R GRACE THIS IS TO CERTI XTINS CATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, MATERIAL STANDARDS AND REGULATIONS. • SIGN CATION' CO TRACT! TITLE DATE .1 MANAGER �) � (�_) I SIGNATURE-`G N CONTRACTOR TITLE — DATE REMARKS: White - Builder copy, Green - Builder copy, Yellow - Customer copy SIC -303 Pink - Attic copy, Gold - File copy COUNTY 01F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� D ASSESSOR PARCEL NUMBER 056-090-077 ZONING TD45 BUILDING PERMIT DWNLES & BARBARA ORME 893-5143 TELEFRONE SO. FT. OCC. BUILDING VALUATION 94,986 00 OWNERS MAILING ADDRESS 1502 PALM AVE. CHICO CA 95926 2,866-66730 CONTRACTOR'S NAME GARY LEE TELEPHONE JJ 13,140.6-6- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 50000 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee Permit Fee $ ARCHITECT OR ENGINEERS SWUNG ADDRESS Plan CheckingFee $ BUIL111 DGOHASSET LOOP, COHASSET Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fliiig_Fiiiej 20.00 USEOFSTRUCTURE SF a Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 10 7.00 77.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.01 Each as water heater or vent 15.00 15.0 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW UNI;T,R FAMTT.Y ('i umgnnM) Gas piping system 1 - 5 outlets 15.00 15 .0 Building sewer 15.00 15,. OC Mobile Home I S I G I W @20.00 PERMIT FEE S 157.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LES Main Service 2o0A OR LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCU. P OR ADDNS. ( 3 ACC. BLDS 3.5¢xSO : 87.11 ULTI-O =µgESIDT' ='_O, 97,50 E T OWER APPARATUCIR.S 8LOUTLE Ex. Occup.OUTLET OR FIXTURES 20 @''� BAIL @ .50 Ex. Occup. ouTLEtDTs A D,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 0.11 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��i1� Date _/7 Signa- -tura of Applicant - Owner 11 Contractor ❑Agent An OSHA permit is required for excavations ov r 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46-00 Occ CONST.eTYPE TALFEE$ 1586.36 HAz. FLooD CDF CEL UE f,° 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. h' By D e/ ;30 PERMIT EXPIRES ON : � IFDeja Rec ip o. —2 % () 3 • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-1NSPE7TOR GOLDENROD -APPLICANT E10 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Lounty Center Drive • Oroville, California 95965 • Telephcne ;5.30) 538-7541 PERMIT APPLICATION AND PERMIT 41SESSORPARCELNUMaM 09(.- 0q0- 477 roN JtTI— BUILDING PERMIT OwNERS /J Q O m V r N y3 _ v/-� Sia. F-_ _.I OCC. _ BUILDING VALUATION ' ' �__ �.. .__.__.__. /�19% 2.O J —�C� — —_ zE�, as MM//� OWNER'S ADORESS DL /' ,_M .gVe eHlCo CA q s926 COhrri'l 'S G NAME V P, -v �� TEIONIE 1.3 1 y O- 00 CONTRACTOR'S MAll ADORES! CONSTRUCTION LENDER I Fireplace I S D LENDEWS kWUNo AWRM Total Valuation S ( L' $(,� ARCH ECT OR ENo'NEM LICErme No. Filing Fee S 2 0.0 C Permit Fee g E ,wCHMECT OR ENMEWS MAuw ADDRESS Plan Checking Fee i4 q 5, R -S S 3 aua.owo ADDRESS Co hofer c Energy Plan Checking Fee S S C o jk' 5-? 15 PERMIT FEE S LOT NO. au°°N°'°""MMa rAJ=u MAP PLUMBING PERMIT FilingFeel 20.00 Each Trap bl 7.00 USEOFSTRUCTURE SFX Duplex O Mobilehome O Other °P�� Solar or heat pump water heater 1 23.00 Water piping15.00 Each gas water heater or vent 15.00 s TYPE OF WORK New Addition O Remodel O Ub'ities ❑ InshLlation O Other O Describe Work: Q/Z- Gas piping system 1 - 5 outlets 15.00 / Building sewer 15.00 Mobile Home ' S ! GI W @20.00 PERMIT FEE ! S ' -ELECTRICAL PERMIT Fling Fee 20.00 LES Mein Service zooA SOOV OR LesoR sS 23.00 3 l� �� p VAa ]/,j S U� / O _ C %Temporary • / O 3s�(� / /d�G �— v 7 �0 T17-O�rsl S3 Mein Service soon To I 48.00 NEWcoNsr. owELUNa Occup. 3.5¢so. CC OR ADONS. �L.. 6 ACC. BLOB. PT. NEW cow. MULTI.OUn.Er NON.RESIO. 97.50 POWER APPARATUS i 20,4 1.00 Ex. o��u . OVn.0 oA �� 9AL . .s0 FOLEO APPViS. OR EX. OCCU OUTLET! ESIO. EA 1 $•00 1 Service — 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 j 130 PERMIT FEE! s MECHANICAL PERMIT Fling Fee 20.00 Heating5 , Cooling Hood 6.50 Ventilation PERMIT FEI: f `Q Mobile Home Installation Fee S Energy Inspection Fee I i occ CONST NPI! TOT L FEE $ NAZ. 1 O. fees I I I FLOOD I COF p HO I GSUE 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. 163.3(p By Date PERMIT EXPIRES ON IMAGE BUILDERS CONSTRUCTION Tom Scott Project Manager 7 Three Sevens Lane (530) 879-303U Office Chico, Ca 95973 (530) 879-3034 Fax COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: 6A tf 4314 4A Les 0/f 19 f ASSESSOR PARCEL NUMBER: 5 G- 0 9 0- a-7 7 Proposed Building Use: 3 gtz -S'/r-- Building Inspector: G A AL- Date: / -7- $� 7 p p%.,9 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 -------------------------------------------------------------------------------------- lot plans, $/*sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plans, 1/4 -sets, signed by the preparer of plans. ----------------------------------------------------- 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑6. Energy Design Compliance and supporting documentation. ---------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------ -------------------------------- -- Pw, ❑ . Manufactured Home data and installation instructions including Tie Down Specifications.------------------ 0'0y Fees of $ ------------------------------------ 0/ Impact fees as shown on the attached schedule. ---------------------------------------------------------------- t12. California Department of Forestry plan approval/fees .-=----- 119l}9�--------------------------- 9P.FI elevation certificate. --------------------------------------------------------------------------------------- tion and plot plan approval Health Department ----------------- --- --- _Idle tr' 5. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval froom} the City of Biggs. --------------------------------------- ❑ 17. Planning approval for (A) Use: 0 }Z „/ (B) Parking: ------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- P&P. Owner -Builder Verification (Given to owner ❑, Mailed to owner X. -- ❑ Letter of signature authorization. -------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 531— r3� (Date) a � � i D. Other: ()yj til i 2 ���5 i.l a 11 ri, S i S o F ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. K+- C oP Fo2 4 5SC-55ait Telephone 9S 3 - -57/ Y3 and hold for pickup at CY1 LO office. ❑ Deliver with inspector. 2Q co �.5,00n� R� feeiv0 1GIdAk, ?� Applicant: Date: �Vll 7 aC fib Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: $v: 1. Index permit application for the above items numbered: _ additional items required: Q1W2 �,,.;,•r Contractor, designer, caner was advikd of the above data by ❑ phone,,Kmail, ❑ Building Division counter, by j h• tracto designer, owner, was advised of the above required data by %phone, ❑ mail, ❑ Building Division counter, by Contractor, designowner was advised of the above required data byXphone, ❑ mail, ❑ Building Division counter, by _ Contractor, designer of the above required data byWhone, jqmail, ❑ Building Division counter, by.. Plans reviewed by: Date. A - - I7Z Plans approved by: 2,6 Sets of plans on hold in Plan Cabinet, 0 A.P. folder. Note transfer by: Plan Check List Date: Date: Date: } ?�+ E.H. USE ONLY ' Plot Plan Attaehad Floor Plan Attae a S °• Sant to B.O. / TO: I Building Department FROM: Environmental Health42 SUBJECT: • Sanitation Clearance Orme- 139 Cali 4,rswY Zc)ap /Ptl S56 -,o,76- 07 7 Owner Location v AP# Plan Approved for: Sewage Disposal %< Water Supply: Public Private Well X Clearance for dwelling. Other 0io h S�eD7ic S�l�irrll. Hold final for: Final clearance O.K. for: NOTE: A,# /` o✓»or/ Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER �,A/' r4/� R/� `LE'� i�2//yJIE A. P. # .SE - 0 O- .077 PROPOSED BUILDING USE / ' ` 3'�'� S/%' DATE A4 Y Z O RECEIPT # DATE REC Vl(- ��)) BUILDING PERMIT FEES 2 -- Balance Due ................ $ -- Additional Fees' Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... SCHOOL DISTRICT FEES (paid at District Office) T':) s r tip � 7-1 SHERIFF FEES (paid at Building Division) — 3� O r 0 Residential ........ x $360.00. $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at.Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 2 8, WATER TENDER FEES (Battalion # ) $200,00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �C�,c CiyytD , DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) 't I COUNTY OF BUTTE DEPARTMENT. OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE `CA 95965ITELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER /Le3 PROPOSED BUILDING USE �n BUILDING PERMIT FEES -- Balance Due ................ $ -- Addition Fe e° Due ........... $ 83 -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ =! &C2 SCHOOL DISTRICT FEES A.P. #--56 DATE 1 -2, RECEIPT # DATE REC J (paid at DisictAffice) SHERIFF FEES (paid at Buiding Division) Residential ........ x $360.00 units commercial (sq.ft.)... . x $0.03 = $ � Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . 2�,x�= $ #Units Amt. Commercial (sq. ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) A,r _ 6. THERMALITO DRAINAGE DISTRICT FEES f VC -x,$510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) a 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 1bV'?_S t'k JT � A. 0 10. OTHER } ! l —Z_ it j — 2 9y27a 1 S1i/•,--)I MW car' F)a..A At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit., These fees may be changed during the plan checking process: APPLICANT X�l DATE Pursuant to Government -Code Section 66020, you are hereby notified that items 2,3,4,5,6, rn9, and 10 above ma have been imposed on your l pFoject.,You have 90, -days from the date of approval of the project or from theximposition of the above mentioned items during which you m y M�protest- The requiremefora protest are specified in Government Code Section 66020(a). C) ' X `7U Original -Building Divi -..2nd. opy-'Applicant 3rd Copy - Owner R ti 2%j97)'t) jRECARDING REQUESTED BY, 13I�WVELL TITLE & ESCROW AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 2001—I(b00543io Recorded I REC FEE 13.00 Official Records I County Of I / G CANDAJ. GRUB85 1 Re Recorder I \ \ ROSEMARY DICKSON I Assistant I Fay 09:00AM 09 -Feb -2001 I Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this 3 property may be subject to inconveniences or discomfort from the 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 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_'�� L— PROPERTY OWNERS: 1_ � S�-4,- � • Or rn� State of California ) County of % On a�? - 06, - Q\ before me, \N %No Qvbti� personally appeared -'-"',X- personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. W \ SS my hand and official seal Signat� re Seal: 0 LAURI BELL COMM A 117 7 0 63 NOTAAY PUBLIC -CALIFORNIA N . COUNTY OF BUTTE r,,, A.P. # S 6 - ©9 d 0 7 %;�,o, • Co�vwv (res Jan, 26.2002 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: BEING A PORTION OF THE EAST ONE HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1977, IN BOOK 62 OF PARCEL MAPS, AT PACE 85. AP NO. 056-090-077 PARCEL B: AN EASEMENT 60 FEET 1N WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES, OVER THE EAST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM DONALD V. SORENSON AND AUDREY SORENSON TO DEAN J. VIERTELL AND ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED 1N THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 1, 1964, IN BOOK 1311, OF OFFICIAL RECORDS, AT PAGE 330; THENCE FROM SAID POINT SOUTH 010 10'37" WEST ALONG THE EASTERLY LINE OF SAID PARCEL, 231.26 FEET TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT, THE FOLLOWING COURSES AND DISTANCES; SOUTH 52° 51'05" WEST, 235.95 FEET AND NORTH 820 38'48" WEST, 151.08 FEET TO A POINT ON THE WESTERLY LINE OF SAID PARCEL AND THE TERMINUS OF THE HEREIN DESCRIBED EASEMENT. PARCEL C: AN EASEMENT 60.00 FEET IN WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES OVER THE WEST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWESTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM DONALD V. SORENSON AND AUDREY SORENSON TO DEAN J. VIERTELL AND ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 1, 1964, IN BOOK 1311 OF OFFICIAL RECORDS, AT PAGED 330; THENCE FROM SAID POINT SOUTH 010 13'10" WEST ALONG THE WESTERLY LINE OF SAID PARCEL, 355.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT, THE FOLLOWING COURSE AND DISTANCE: NORTH 82138'48" WEST 29.32 FEET TO A POINT ON THE WESTERLY LINE OF A PARCEL IN DEED FROM KENNETH DOSS TO DEAN J. VIERTELL, ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 12, 1977, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 5409 AND THE TERMINUS OF THE HEREIN DESCRIBED PROPERTY. PARCEL D: AN EASEMENT 60 FEET IN WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES, OVER THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST HALF OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM JOHN M. SATTERFIELD AND THEODONIA SATTERFIELD TO CLAUDE PENRAT, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1973, IN BOOK 1831, OF OFFICIAL RECORDS, AT PACE 82, SAID POINT BEING ON THE CENTERLINE OF COHASSET ROAD; THENCE FROM SAID POINT SOUTH 010 00'24" WEST ALONG THE CENTERLINE OF SAID COHASSET ROAD, 384.74 FEET; THENCE LEAVING SAID CENTERLINE, NORTH 810 30'37" WEST 30.33 FEET TO A POINT ON THE WESTERLY LINE OF COHASSET ROAD AND THE TRUE POINT D-3 3/94 .fOF BFiGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT THE FOLLOWING COURSES AND DISTANCES: NORTH 81° 30' 37" WEST, 223.70 FEET; THENCE SOUTH 85° 17'36" WEST, 154.25 FEET; THENCE NORTH 49° 42'11" WEST, 355.15 FEET; THENCE NORTH 650 29'38" WEST, 246.58 FEET; THENCE NORTH 89° 51'49" WEST, 173.40 FEET AND THENCE SOUTH 52° 51' 05" WEST, 332.18 FEET TO A POINT ON THE WESTERLY LINE OF SAID PENRAT PARCEL AND THE TERMINUS OF THE HEREIN DESCRIBED EASEMENT. PARCEL E: AN EASEMENT 60 FEET IN WIDTH AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN BOOK 62 OF MAPS AT PAGE 85 FOR KENNETH DOSS IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT WHICH BEARS SOUTH 010 15'45" WEST 224.58 FEET FROM THE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT THE FOLLOWING COURSES AND DISTANCES: SOUTH 600 06'20" EAST 229.01 FEET, SOUTH 82° 38'48" EAST 105.75 FEET TO A POINT ON THE EAST LINE OF PARCEL I OF SAID PARCEL MAP AND THE TERMINUS OF THE HEREIN DESCRIBED EASEMENT. D-3 3/94 August 22, 2000 Les and Barbara Orme 1502 Palm Avenue Chico, CA. 95926 Department of Developtent Services P Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 056-090-077 Building Permit Number: 00-1106 This office reviewed and approved building plans for the permit application referenced above. The items identified below must be submitted prior to permit issuance. 1. Pay Balance of Building Permit fees in the amount of $1,035.83. 2. Pay impact fees: 2.1. Complete and return the Butte County School Impact fee certificatio-:i form. 2.2. Sheriff fees = $360.00. �vI qo,e Sanitation and plot plan approval is required from the Butte County Envi-onmental Health Department. 4. Complete and return the Owner -Builder Verification form. 5. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours -of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner 1 of 1 June 5, 2000 Les and Barbara Orme 1502 Palm Avenue Chico, CA. 95926 t • Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 056-090-077 Building Permit Number: 00-1106 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 'Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (Uniform Building Code section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (Uniform Building Code section 2320.4.1.) Braced wall lines must be continuous throughout the structure. A California licensed architect or registered engineer must prepare a lateral analysis for the areF-s of the building that do not comply with the Uniform Building Code. Please be sure to include on the resubmittal the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of ca;culations. Review of the building plans by the Butte County Building Division engi:ieer cannot be done prior to receiving the lateral analysis. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents were incomplete_ inconsistent, or not adequate to depict code compliance. PART - H The items identified below must be submitted prior to permit issuance. Thes.-- items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1 of 2 0 1. Provide 1 additional site plan, signed by the person that prepared the plans. 2. Provide 1 additional set of complete plans, signed by the person that prepared the plans. 3. Pay Balance of Building Permit fees in the amount of $1,035.83. 4. Pay impact fees: 4.1. Complete and return the Butte County School Impact fee certification form. 4.2. Sheriff fees = $360.00. 5. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. 6. Complete and return the enclosed Owner -Builder Verification form. 7. Submit a Recorded copy of your Agricultural Acknowledgement Statement. If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Glenn Gibbons Plans Examiner 2 of 2 RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner: 0 R /►1 L Building Permit Number: 00 - ((011:P1 Plans Examiner: 0 A. P. Number: d �56 - 6l0 - 67 7 GENERAL: A'Zoning requirements - (number of permitted living units). Z' Building permit valuation. .,3' Plans signed by the designer. "' Proper description of work on the application. Existing violations on the property. X" Recorded notice of violation. PLOT PLAN: A. Complete parcel size and dimensions. .,T. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard.- Special azard. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fees). ,%! FAU & FAS road setback. X Building or utilities across lot lines (record form). FLOOR PLAN: J^ Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). I�R bo?W-ow 46 A Egress windows (Uniform Building Code section 310.4). FRM %i 5 (Loa pN Skylights (Uniform Building Code section 2409 & 2603.7). !Glazing in Hazardous locations (Uniform Building Code section 2406). ,6. Required room sizes and ceiling heights (Uniform Building Code section 310.6). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). Y Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). Y- Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). k0. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception 43). . Wood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space). . Smoke detectors (Uniform Building Code section 310.9.1). 16.1. Water closet clearances (Uniform Plumbing Code 408.5). J4. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Page 1 of 2 STRUCTURAL DETAILS: Conventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code sedtion 2320.11.3). .3' Clerestory requiring balloon framing and/or engineering. X Three story building requiring engineered calculations and plans. -57 Foundation plan complete enough to construct building. A Floor construction details complete enough to construct building. Al' Elevations and wall construction details complete enough to construct building. X. Roof construction details complete enough to construct building. 4 Rafter ties or bearing ridge beam. -1'0**. Fireplace construction details and calculations if necessary. X. Garage door header size(s). Xf. Porch header size(s). 3. Stud heights. �. Expansive soil — special foundation design required. 45'. Retaining walls requiring design. . Special Inspection requirements. 1. Header sizes. k4' Gypsum wallboard nailing inspection required. MISCELLANEOUS ITEMS: �1 Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). /i Guardrails (Uniform Building Code section 509). a Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Roof covering type — (fire hazard). >l Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 1f Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). A. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). �-1. Attic access and ventilation (Uniform Building Code section 1505). .Y2. Combustion air for fuel burning appliances — LPG requirements. A- ound requirements. 14. Energy design compliance and supporting documentation. k5. Flashing at all exterior openings. W. CDF responsible area requirements. 14'Bui1 ing Permit requirements: 1 1. SRA. 14"'1 . Flood elevation certificate. 1G7_. Fire Sprinklers required. 1�7�. Special Inspection requirements. 1 5 Use Permit conditions. .6. Sub -Standard Housing letter. Page 2 of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 THIS DOCUMENT IS A TRUE CERTIFIED COPY O • TH " ORIGINAL THAT RECORDED oZ CI U 1 AS INSTRUMENT: NO. • 1- THE OFFICE ., OF THE RECORDER OF. THE COUNTY OF BUTTE, STATE OF CALIFORNIA. BIDWELL TITLE & ESCROW COMPANY SRX 0 i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the 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 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 D2: Z-0 ,Z PROPERTY OWNERS: State of California County of On before me, personally appeared 444,,,x`. F Q t � ""?, Q�c "Z Vg,s C�) r personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. =\re� hand and official seal LAURI BELLgSeal: M COMM i 1170763 � NOTARY PUBLIC -CALIFORNIA IA COUNTY OF BUTTEy1Comm. Expires Jan: 26,A.P. 4 % .200 24y, L- SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: BEING A PORTION OF THE EAST ONE HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 11, 1977, IN BOOK 62 OF PARCEL MAPS, AT PACE 85. AT NO. 056-090-077 PARCEL B: AN EASEMENT 60 FEET 1N WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES, OVER THE EAST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM DONALD V. SORENSON AND AUDREY SORENSON TO DEAN J. VIERTELL AND ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 1, 1964, IN BOOK 1311, OF OFFICIAL RECORDS, AT PAGE 330; THENCE FROM SAID POINT SOUTH 010 10'37" WEST ALONG THE EASTERLY LINE OF SAID PARCEL, 231.26 FEET TO THE TRUE POINT OF BEGINNING FOR THE EASENIENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT, THE FOLLOWING COURSES AND DISTANCES; SOUTH 52° 51'05" WEST, 235.95 FEET AND NORTH 820 38'48" WEST, 151.08 FEET TO A POINT ON THE WESTERLY LINE OF SAID PARCEL AND THE TERMINUS OF THE HEREIN DESCRIBED EASEMENT. PARCEL C: AN EASEMENT 60.00 FEET 1N WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES OVER THE WEST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, AI.D.B. & Al, AND INIORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT TFIE NORTHWESTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM DONALD V. SORENSON AND AUDREY SORENSON TO DEAN J. VIERTELL AND ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 1, 1964, IN BOOK 1311 OF OFFICIAL RECORDS, AT PAGED 330; THENCE FROM SAH) POINT SOUTH 010 13' 10" WEST ALONG THE WESTERLY LINE OF SAID PARCEL, 355.24 FEET TO THE TRUE POINT OF BEGINNING FOR THE EASEMENT HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT, THE FOLLOWING COURSE AND DISTANCE: NORTH 820 38148" WEST 29.32 FEET TO A POINT ON THE WESTERLY LINE OF A PARCEL IN DEED FROM KENNETH DOSS TO DEAN J. VIERTELL, ELEANOR JOYCE VIERTELL, EDWARD L. HALL AND LUCILE ELEANOR HALL, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 12, 1977, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 5409 AND THE TERMINUS OF THE HEREIN DESCRIBED PROPERTY. PARCEL D: AN EASEMENT 60 FEET IN WIDTH FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES, OVER THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST HALF OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEASTERLY CORNER OF THAT CERTAIN PARCEL IN DEED FROM JOHN M. SATTERFIELD AND THEODONIA SATTERFIELD TO CLAUDE PENRAT, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 24, 1973, IN BOOK 1831, OF OFFICIAL RECORDS, AT PACE 82, SAID POINT BEING ON THE CENTERLINE OF COHASSET ROAD; THENCE FROM SAID POINT SOUTH 010 00' 24" WEST ALONG THE CENTERLINE OF SAID COHASSET ROAD, 384.74 FEET; THENCE LEAVING SAID CENTERLINE, NORTH 810 30'37" WEST 30.33 FEET TO A POINT ON THE WESTERLY LINE OF COHASSET ROAD AND THE TRUE POINT D-3 ' 3/94 4 ' OF BEGINNING FOR -THE EASEMENT HEREIN DESCRIBED;; THENCE FROM SAID POINT OF BEGINNING AND ALONG " THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT THE FOLLOWING COURSES AND DISTANCES: NORTH 81'30' 37" WEST, 223.70 FEET; THENCE SOUTH 85° 17'36" WEST, 154.25 FEET; THENCE NORTH 49° 42'11" WEST, 355.15 FEET; THENCE NORTH 650 29'38" WEST, 246.58 FEET; THENCE NORTH 89° 51'49" WEST, 173.40 FEET AND THENCE SOUTH 520 51' 05" WEST, 332.18 FEET TO A POINT ON THE WESTERLY LINE OF SAID PENRAT PARCEL AND THE TERiNI1NUS OF THE HEREIN DESCRIBED EASEMENT. PARCEL E: AN EASEMENT 60 FEET IN WIDTH AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN BOOK 62 OF MAPS AT PAGE 85 FOR KENNETH DOSS IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY AND MORE PARTICULARLY DESCRIBED.AS FOLLOWS: BEGINNING AT A POINT WHICH BEARS SOUTH 010 15'45" WEST 224.58 FEET FROM THE NORTHWEST CORNER OF PARCEL 1, AS SHOWN ON SAID PARCEL MAP; THENCE FROM SAID POINT OF BEGINNING AND ALONG THE CENTERLINE OF SAID 60.00 FOOT WIDE EASEMENT THE FOLLOWING COURSES AND DISTANCES: SOUTH 600 06'20" EAST 229.01 FEET, SOUTH 82° 38'48" EAST 105.75 FEET TO A POINT ON THE EAST LINE OF PARCEL 1 OF SAID PARCEL MAP AND THE TERMINUS OF THE HEREIN DESCRIBED EASEMENT. D-3 3/94 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ` 4 c o Building Department No. 1 A.P. Number [/ `,W .(J-1 . (' Jurisdiction: City County i Property Owner L � Q � M Property Location/Address 1-39 U A 5-s C -r Loo P Subdivision Residential Development No of Living Mobile Home Units Installation Commercial/Industrial } " New Addition M Building Department Representative I r. Lot No. ............................................... :.... ...................... :... .................................... L� Sc. Footage 17-59 Addition/ *Supplemental to (Group R) Conversion Permit # '(No foundation inspection); .. ... ................................................. . Sc. Footage (Including Exterior Roofed Areas) a 4 0 6 I Date (Floor Plans reviewed by School District Personnel) District Identification No. Q Q -;�s 0-(J 5D School District certifies that (Applicant) /5oa az� (Street Address) (Phone Number) Zy (City) (State) (Zip Code) has complied with the requirements of Resolution No representing / square feet. r School District Representative Paid by Check # Remarks: 7 97. OD by payment of $ 3. I l 5. 9 5 - AB 2926 S i FULL MITIGATION $ Dat; Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timelyf written protest will prohibit you from challenging thi''imposition of the fees in any court action. 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 Environments' Quality Act (CEQA), 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) feeform.xis 110/981dmm a PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: 61gReceived By: O Q Date: A.P. #: aJ �o d� �- � �' Permit #: OC) - 1 10 ( Time: 10-.0 6 ContactPhoneNumber: OC/ -�s' 151 Purpos of submittal: Permit Application Data Item �c�� G� vU I ice, ❑ Engineering ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings_ Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: M'C:allJ v�� �5� 3 and hold foricku at the P P ❑ Deliver with next inspection. a'Cluco Office ❑ Oroville Office Revised Plan Check Fee: ❑ $46.00 Receipt #: 3 () 67Y?-f'�- &-Xd--ditional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: OWNER -BUILDER ,VERIFICATION. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until ' this verification is received. 1. I personally p to provide- major labor and materials for construction of the proposed property ' vement : YES .. NO D 2.. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.prQ,vlo the, proposed conistruct�on: NAME: wd ADDRESS: CITY:_ . PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the workbut I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: d,pATE: J— �, - D I NOTE: This Owner -Builder Verfeation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit, OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California andto have'a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. „ , . { If yod pied to do�your own work, with the exception of various trades that you plan to subcontract, YOU shdnid be aware of the following information for your benefit and protection: ♦ If you employ.or otherwise engage any persons other than your immediate family, and the workinc materials ( �g and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obli-tions under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Z 6X-1 Mic el C. Vi Ara, C. Ma ger, Building Inspection NOTE: This Owner -Builder information is required by Section 19830 of the California Health and Safety Coda OVER R NTIAL -09-0-077 SCULLY, GARY &9�-3578 : KATHRYN CONTR ER M9 COHASSETT LOOP RD MH UTIL COHASSET r 0 TviSPast 13`t I'3 s �' •® � � . (� B—.3 d.o ►� �o. u t3�t.e�,�, i JOB FINALE Signature J=OK O = Not OK Not Ap = Not Readyable MOBILE HOMES Date SMILE HOME UTILITIES Plans OK except #'s vZoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3? Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd-P/Amp-Concrete 6' Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7 ell Clearance & Disconnect 8. Utility Clearance Dateg-//-!?Z_ Card B-1 4S0 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-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 It ✓=OKE O=Not OY Not Applicable Not Ready RESIDENTIAL'(: ' =- Date UNDERFLOOR (Plans) OK except tt'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 -Bloc kouts-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 h'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 -Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors - -------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --- -------------------------- -- _ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------- --- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------- ------------------------ 22. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - - --------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------- - ---------------- ------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------- ------------------------------------- ------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------I----------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except H's 34. A.C. Ducts Insulation & Support ----------------- - -- ---- ----- - ---- - - -- ---------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- ---- --------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------- I ----------- 37. -------------------`---------- 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 h's 39. Sils. Proper Material & Anchors --- ---- --------------- --------- ----------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ----------------------------------------- --------------------------------------- 41. ------ --------------------------------------------------------- 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 >ingle & Duplex) Date FRAMING (Continued) 45. f'iangers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-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 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 ti's _________ 61. Ext Steps -Door & Sidelight Protection -Landings --------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In garage; Above Floor -Ducts -Meth. Protection --------------- 64. -------- 64. Bedroom Exiting 65 G F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- ---------------------- 67. Sta rs & Rails 68. Fireplace or Stove:_Clearances-Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- 70. -------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance - ---- --- - - -- -------------------------- - 71. Elec_ Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------------------------------------------ -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In garage: Above Floor-Mech. Protection 75. Plb . Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.1.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes --------- 78. - 78. Guard Rails & Deck Construction -Post Caps 79. Fdr. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------------------- - ------------- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Verts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Vertilation Throughout House ---------- ------------------------------------ 87. Glass Protection --------------------------------------- 88. -------------------88. Corrections from Previous Inspections ----- ---------------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------------------- -- -- --- Date Card B-1 Date Card B-1 -------------------------------------- -- -- --- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE I' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 7 to v, Ae- k k* SNP (-c, PVL lNG?AP ^ (? A I N P pfd S iC �J� 42 Q I eG^i CIOiVGf N, • N.S >< G �/ r% i .S Cpy �,. Pct lit) f MY a P ! / / v 2F- -5e r L/ c -e ] el -(.e,. l c t. O 4� /* Ser X n . ► , Date 9— //— Inspector �N 5; -re REV 11/91 ELECTRIC GAS Support Struc. Compaction Test Req. Service Other Pipe YESI NO YES NO Size Load Type Size Length i 30 aoe • 1 } , r b f i ' , r• - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Celiforrua 95965 - Telephone: 916/538-7541 f APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 56-090-077 ZONING TM 5 BUILDING PERMIT OWNER Ga hDES TELEPHONE 283-3474 ,SQA FT. OCC. BUILDING VALUATIOW OWNERAK P.O. Box 736Quincy 95971 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $2 PLUMBING PERMIT Filing Fee 15.00 T.nnp Rd Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP / (p2 -�'� 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 S I G I W 3@ 15-00145.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation❑ Other ❑ Describe work: MHU (2 Bedroom) Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS j 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC, BLDGS. _37.50 3.6asq.ft. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 Ex. Occup. our ETS PIRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,�y� rI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penMt 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 consequ nce of the granting of this permit. X Date /0 -/0 '4 ( Signature of Applicant — OwneCrg 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 i Energy Inspection Fee $ OCC CONST TYPE , TOTAL FEE $128,.50 L I I HAZ DFEES I IMP FLOOD -- I CDF PARCE PD HD t/ ISSUE v This permit is hereby issued under the sions of the Butte County Code and/or work indicated ab#W for which fees OR PF LIC By P MITE PI S Date applicable provi- resolutions to do have been paid. WORKS Date` Receipt NO. 100905 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -COUNTY OF BU E - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY C TER DRIVE - OROVILW CALIFORNIA 95965 - TELEPHONE: 916/538-7541 M PERMITA PLICATION DATA SHEET //�� ,� / ) Permit No. OWNER CfJ� ILL �"��V �VL-L V A PAD. D�C�,-'(!7 Proposed Building Use MHU Building Inspector Date ZL12�^ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEfVED APPROVED 1. All items have been submitted . .................................... a 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 plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid .......................................'" 12. Park fees paid ..................................................... School District fees paid .............. 4 anitation approval from Health Departmen2-9/ 15. City of Chico plumbing permit ............................... _ !r 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 1Improvements may be required. Contact Land Development Section DPW A& 19. Driveway permit (construction approval required prior to occupancy)Z!T/cj`*/ FS 20. Pre -Inspection for required Pre-Inspec. requejt -- Building Inspecto (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23 -owner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... :Recorded copy of Agricultural Acknowledgment Statement ......... ZQ — 2, � 25. Letter of signature authorization ........................... ....... . 26. 27. When yo ' sue the permit rocesXnsd follows: Mail to owner. Mail to contractor. Telephone hold for pickup at P, .� office. 'Deli.ver`w/inspector. Other 1 Applicant >� j�,cif Date 0 Copy of Hdz-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 1. Index permit for abo 'tel 2. , Additional items required: or,torperli t issuance: (Circle new item not checked above). Contractor, designer,ffr�,was was advised of above required data by_41K0ne�nail—counter by�L.date Contractor, designer, advised of above required data by—phone —mal l_counter by date Plans checked by 9W Date —!6 0191 Plans approved by RW Date 1Zft6 101) Sets of plans on hold in Copy—DPW File cabinet AP folder TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Cfo 7'7 owner location AP # Driveway permit n Bnia- a eeleJ has been issued for the above property. si ature" date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSR P RCEL R f d '- 0%% ZONING BUILDING PERMIT OWNER SGuLL� TELEPHONE f�33y7 SO. FT. OCC. BUILDING VALUATION OW ER'S M (LING AD 5 /� / CONTRACT R 6 y.A�yE. TELEP ONff CO ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ .00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 /— Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE�f STRUCTURE SF ❑ Duplex❑ Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S W @ 15.00 Q TYPE OF WORK New❑ Addition❑ Remodel Utilities Installation❑ Other ❑ �Describe work: ,A ,�4 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 00V OR LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING Occ UP.tr\ 3.6a sq.ft. OR ACDNS. 1 ACC. BLDIT I NEW NON.RESIO CONSTR. BRANCH CIRCUITS @ 5.00 POWER APPARATUS tr OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES 20 76 p FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ , — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Penult 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 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 TOTAL FEE $ HAz 1 0FEES IMP FLOOD cDF I PARCEL I PDJ HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF, BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) U,14u F 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 ��gaz ti�SS� r2 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date /D — q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. u .� Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 4 Section 26-8.1 of the Butte ;County Code requires this acknowledgement be recorded_ prior. to 'issuance of a building permit. _ 94i 4429.$ 15 occasionally generate dust, smoke, noise, and odor. Butte County has established agric:.u]- Lur.al zones which have as a priority use for productive agricultural. purposes, and r.es.i.deul.s within said zones and on adjacent property should be prepared to accept silEh inconvenience. or- discomfort from normal, necessary farm operations All that real property situate in the County of Butte, State of California, duscri,bed as f ol.lows : SEE ATTACHED SCHEDULE "C" Date: (O�' `^�' PROPERT OWNERS: P l r YLI -� - State of ) On this the 11 I-- day of ��40 � , 19 before mc, ) SS. the undersigned Notary Public, personally appeared County ofl '� tt9S ) r'` _ n C-) 11 . t I) I , C-1 t i * OFFICIAL SEAL � �r 1�1 Personally known to me. E] Proved to me on the b<is.i s SANDRA WING of satisfactory ev:idc nce. m NOTARY`PUBLIC—CALIFORNIA * y NOTARY BOND FILED IN to be the person(s) whose name(s)C .. ° PLUMAS COUNTY Subscribed to the within instrument and acknowledged that My Commission Expires October, 23, 1991' :xecuted the same for the purposes therein contained.'I'N W.l:'1 CSS **#►�* sra*s**s****************** HEREOF, I hereunto set my hand and official seal. Present A.P. No. om/-W�� _v�� DV Notary Publ. c: 91-044296 1 Rec Fee 9.00 , 1'he property described herein is adjacent I STF 2.00 to Land or i.ncluded within an area zoned Recorded I Check 11.00 I'or r.Igr:i.cult.ur.a1 purposes, and residents ecec Official Records of this property mr:iy be subject to incon- County 1 ' ven.i.ences or discomfort arising :from the j Butte 1 t use of a,r:ic:uJ.t.:uraa chemicals, including, but not l.imi_Led to herbicides, pesticides,. Candace J. Grubbs and ferL;il.izers; and from the pursuit Recorder of * agr.i.cu.ltural operations i ticluding, I10:42am 21 -Oct -91 I XX 3 but not: J:i.m=i.l:cd to cultivation, plowing, - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agric:.u]- Lur.al zones which have as a priority use for productive agricultural. purposes, and r.es.i.deul.s within said zones and on adjacent property should be prepared to accept silEh inconvenience. or- discomfort from normal, necessary farm operations All that real property situate in the County of Butte, State of California, duscri,bed as f ol.lows : SEE ATTACHED SCHEDULE "C" Date: (O�' `^�' PROPERT OWNERS: P l r YLI -� - State of ) On this the 11 I-- day of ��40 � , 19 before mc, ) SS. the undersigned Notary Public, personally appeared County ofl '� tt9S ) r'` _ n C-) 11 . t I) I , C-1 t i * OFFICIAL SEAL � �r 1�1 Personally known to me. E] Proved to me on the b<is.i s SANDRA WING of satisfactory ev:idc nce. m NOTARY`PUBLIC—CALIFORNIA * y NOTARY BOND FILED IN to be the person(s) whose name(s)C .. ° PLUMAS COUNTY Subscribed to the within instrument and acknowledged that My Commission Expires October, 23, 1991' :xecuted the same for the purposes therein contained.'I'N W.l:'1 CSS **#►�* sra*s**s****************** HEREOF, I hereunto set my hand and official seal. Present A.P. No. om/-W�� _v�� DV Notary Publ. c: Order No. 2-155065 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: .Being a portion of the East one half of the Southwest quarter of the Northwest quarter of Section 14, Township 24 North, Range 2 East, M.D.B. & M., described as follows: Parcel 2, as shown on that certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, on October 11, 1977, in Book 62 of Parcel Maps, at page 85. AP No. 056-090-077 PARCEL B: An easement 60 feet in width for roadway and public utility purposes along with the right of use and maintenance for said purposes, over the East half of the East half of the Southwest quarter of the Northwest quarter of Section 14, Township 24 North, Range 2 East, M.D.B. & M., and more particularly described as follows: COMMENCING at the Northeasterly corner of -that certain parcel in Deed from Donald V. Sorenson and Audrey Sorenson to -Dean J. Viertell and Eleanor Joyce Viertell,.Edward L. Hall and Lucile Eleanor Hall, recorded in the office of the Recorder of the County of Butte, State of California, on May 1, 1964, in Book 1311, of Official Records, at page 330; thence from said point South 010 10' 37" West along the Easterly line of said parcel, 231.26 feet to the true point of beginning for the easement herein described; thence from said point of beginning and along the centerline of said 60.00 foot wide easement, the following courses and distances; South 52° 51' 05" West, 235.95 feet and North 82° 38' 48" West, 151.08 feet to a point on the Westerly line of said parcel and the terminus of the herein described easement. PARCEL C: An easement 60.00 feet in width for roadway and public utility purposes along with the right of use and maintenance for said -purposes over the West half of the East half of the Southwest quarter of the Northwest quarter of Section 14, Township 24 North, Range 2' East, M.D.H. & M., and more particularly described as follows: COMMENCING at the Northwesterly corner of that certain parcel in Deed from Donald V. Sorenson and Audrey Sorenson to Dean J. Viertell and Eleanor Joyce Viertell, Edward L. Hall and Lucile Eleanor Hall, recorded in the office of the Recorder of the County of Butte, State of California, on May 1, 1964, in Book 1311 of Official Records, at paged 330; thence from said (Continued) 91 -.4429.8 3 Order No. 2-155065 point South 01° 13' 10" West along the Westerly line of said parcel, 355.24 feet to the true point of beginning for the easement herein described; thence from said point of beginning and along the centerline of said 60.00 foot wide easement, the following course and distance: North 820 38' 48" West 29.32 feet to a point on the Westerly line of a parcel in Deed from Kenneth Doss to'Dean J. Viertell, Eleanor Joyce Viertell, Edward L. Hall and Lucile Eleanor Hall, recorded in the office of the Recorder of the County of Butte, State of California, on August 12, 1977, under Butte County Recorder's Serial No. 5409 and the terminus of the herein described property. PARCEL D: An easement 60 feet in width for roadway and public utility purposes along with the right of use and maintenance for said purposes, over the North half of the Southeast quarer of the Northwest half of Section 14, Township 24 North, Range 2 East, M.D.B. & M., and more particularly described as follows: COMMENCING at the Northeasterly corner of that certain parcel in Deed from John M. Satterfield and Theodonia Satterfield to Claude Penrat, recorded in the office of the Recorder of the County of Butte, State of California, on April 24, 1973, in Book 1831, of Official Records, at page 82, said point being on the centerline'of Cohasset Road; thence from said point South 01° 00' 24" West along the centerline of said Cohasset Road, 384.74 feet; thence leaving said centerline, North 81° 30' 37" West 30.33 feet to a point on the Westerly line of Cohasset Road and the true point of beginning for the easement herein described; thence from said point of beginning and along the centerline of said 60.00 foot wide easement the following courses and distances: North 81° 30' 37" West, 223.70 feet; thence South 850 17' 36" West, 154.25 feet; thence North 49° 42' 11" West, 355.15 feet; thence North 650 29' 38" West, 246.58 feet; thence North 89° 51' 49" West, 173.40 feet and thence South 520 51' 05" West, 332.18 feet to a point on.the Westerly line of said Penrat parcel and the terminus of the herein described easement. PARCEL E: An easement 60 feet in,width as shown on that certain Parcel Map recorded in Book 62 of Maps at page 85 for Kenneth Doss in the office of the Recorder of Butte County and more particularly described as follows: BEGINNING at a point which bears South 01° 15' 45" West 224.58 feet from the Northwest corner of Parcel 1, as shown on said Parcel Map; thence from said Point of Beginning and along the centerline of said 60.00 foot wide easement the following courses and distances: South 60° 06' 20" East 229.01 feet, South 82° 38' 48" East 105.75 feet to a point on the East line of Parcel 1 of said Parcel Map and the terminus of the herein described easement. "ANU OF DOCUMENT ��*cap„s...a..F•..-.�r�i..y:.+�r.'ss.:+'S,ki..s».�.,.r..,r-�.1r��sE+.�sR,A."i,.%.1'�"'^�"tY..r.� CHICO-UNIFIED SCHOOL DISTRICT 1163 EAST SEVENTH STREET CHICO, CALIFORNIA 95928 (916)891-3006 " COUNTY 01= BUTTE BUILDING DEPT SEP 2 1 1592 C.U.S.D. SCHOOL DEVELOPMENT REFUNW AGREEMENT Terms 'and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND pursuant to C.U.S.D. Resolution No. 491-92 I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor Parcel No. 56-090-077 represented by C.U.S.D. ID No.920375 for one of the following reasons: I will not be building a residential unit on this parcel and I have.cancelled my building permit. Credit for demolition of an existing residence.(copy of permit & County Appraisal Report attached) _ Other WTI.T. NOT T;R 1PT ACTUr, A MOBTT F ROMP ON THTS PARrm AT TRTS TTNE_ Development fee paid $ 1,.388.82 Less administrative fee $(?-_50) ($2.50 per residential unit) Total refund $ 1fl3fi 8_32 Applicant Signature " Printed Name P-0. ROY 716 (916) 283-3 7A Address' Phone No. QTTTNCY, CA • Q5071 City/Zip ******************************************************************** Date f School District Representative Date White -applicant, pink -building department, yellow -school district REFUND.APP B.S. 43 (2'/91) 0 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per,.Building) A.P. Number -5-6U94-0777 Building Department No. School District ef- city county Jurisdiction Property Owner Z_ Project Location/Address 7 7 Subdivision Lot Number Residential Development: kFootage_ # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (including Exterior Rbofed Areas) 0/6 /13uilding Doal:t6e# Repiesent(*tive Date'. & (Floor Plans, reviewed Dis ict Personnel) wed b:V Sch 0 D I; s t r i c't" Id No 03 2 -5 (To /Ivi,)b -School District certifies that ., ----(Applicarft Name) (Phone Number) '7-36 .(Street Address) wr (City) Y (State) (Zip Code.) has complied with the requirements of Resolution No. by the payment of $ representing square feet. School District Representative Date,. _.PAID _BY -NO. ., ---REMARKS: BANK NO' _ PAID BY CASH white -applicant, yellow -building department, pink, -school district SCHOOL.FEE (8/88), TO 5 Buildina Department FROM:` Environmental Health - SUBJECT: Sanitation Clearance n ct ,,. Owner _T Location A!# Plan 'Approved for: Sewage Disposal Water Supply T° Hold final for: Water Supply Final clearance O.K. for: , Clearance for`o- bedroom mobile home. Other Water Supply NOTE l A 1 Sanitari at Dreq�G/o e I C,47HLcDR,4t MUN6 7HROU6HOU7 661-01, rI7FW0DEL-2662A_, 2 BEDROOMS 2 BATHS.,. "APPROXI I§ SO. FT. Boor CASE C,47H,cDR,41 V/ NG Room l2'-8 X15'-0" 0 (wood ENTRANCE -------- I BEDROOM OPT. : L WAK-IN 1O, BAY TM Westfield' BY FLEETMICWrp) WF/t7/DEC89 I U7/1/7y ---- --------- OP 7. III= ErTjo OP T.. r+ K 7CH61v. DBI. DOORS --fold 1$j,4S7-Lr1? . . . . . . . . . . . T BM?Oom BlfR ------------ i! C47" C,4 MeA R IT. 2. RO,41,4N T 7U f OP7 - -------- A4N TR Y �,0011 rI7FW0DEL-2662A_, 2 BEDROOMS 2 BATHS.,. "APPROXI I§ SO. FT. Boor CASE C,47H,cDR,41 V/ NG Room l2'-8 X15'-0" 0 (wood ENTRANCE -------- I BEDROOM OPT. : L WAK-IN 1O, BAY TM Westfield' BY FLEETMICWrp) WF/t7/DEC89 I BUTTE COUNTY 6EPARTMENT OF PUBLIC WORKS 7 County'Center Drive, Oroville, CA PHONE: 538-754.1. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: �} (o % m % � /� /)0M0 3. Is the site currently under permit? Yes � No F .(If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes�4 No 1-1 (If no, clarify P 5. What is the mobilehome electrical rating? --------------- ( �v Amps 6. What is the mobilehome site service rating? ------------- �G OQ Amps 7. What is the mobilehome site circuit breaker rating? ----- / D D 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: (Load) 2f Q (Amps) 9. What is the mobilehome site gas pipe size? -------------- c'i (in.)' 10. What is the type of service? ------------------- Natural LPG / gas i 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 0 Ap.p�,2� MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr.I �pP�li>04/h_ furnish Setup Model No. e'—,6 9 �2 4 Year Width (ft.) Box Length D G (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 71. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) F1. Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line 2 , _ _ _ _ _ — _ — — -� _ — — _ _ L=, —2 Main Beams Tag or Triple �tine6 Line 1 Line 1 Piers: Line 1 Openings: Size -Ming ------------ Size -Min. ---------------- Spacing -Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ y� „ Spacing -Max.--------------- From Ends -Max .------------- Size-Min.------------ Spacing-Max.--------- , ti From Ends -Max .------- n Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k Spacing -Max.--------------- From Ends -Max .------------- Line 5 Roof loads: Size -Min .------------ „x „ „x „ „ „x „ k „ „x „ „x Location (From Front) eowtt* a ,t ✓Jutte OR OV ILL F,.CALIF ORNIA GENEii�!_ CLAIM CLAIMANT: D & D Mobile Home ADDRESS: 26 Sale Ln. CITY & STATE: xen Mutt, CA yhOrtl) IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: September 15, 1992 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES COUNTY OF B E BUILOINa Fl@I� 0 C T 0 9 1992 DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #91-3744MHI, AP#056-090-077, Receipt #101367, dated 10-21-91. i Total Permit Fees Paid ------------------------------ $105.00 Retain Plan ------------------- Retain Building Permit Filing Fee---------- 15.00 Total Permit Fees Retained-------------------------- 35.00 TOTAL REFUND DUE ------------------------------------ $ 70.00 I I i I TOTAL I $70100 I,the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or de ive,ed, and that this claim is true and correct as stated. y ! y Dated this ............ . .......... day of ... �.t.... .......... 19 ,/,�, at .. .t.�i..i:? Y{.S'... . Calif. f ; r? I... ��• . : -.Sr, (�Le ...................... i8•igniture of Claimant i I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles,specifi'ed above have been�Performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval E] (Check one) for th me'V t' .. ...... ....... Dated this 15th ............... day of .September 19 92, at Oroville.. , calif. .......................................... ..... ....................... ertment Head or Authorized D e Dept• 440-002 Exp' 4210500Con . Permits Code............................................ Code ................................................PAYABLE FROM ..................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. n &unt* of i" utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Gary & Kathryn Scully ADDRESS: P.O. Boz 736 CITY & STATE: Quincy, CA 95971 IMPORTANT: September 15 1992 DATE OF CLAIM: -- SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #91-3744 AP#056-090-077, Receipt #101483, dated 10-31-91. Total Sheriff's Fee Paid ------------------- $360.00 TOTAL REFUND DUE--------------=------------ $360.00 I I i i TOTAL i $3601 00 I, the undersigned, .ieclare under penalty of perjury that the services or articles c 'med have been performed or delivered, and that this claim , rue nd correct as stated. Dated thi .........:`.!................... day of ...•�..:-rti..l... 19.:c.�., et... l.'i.SY..V :. ..... Cali ��...C. i. ` L� e� �.......... LT.�' L �.z fT..............1.h.:... ....... :... j 1 Signature of Claimant / I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriations or Specific Board Approvals (Check one) for tbAl sem Dated this 15th ............. day of September 19 92at Oroville callr. ........................................ ........................... ......Zep.)rtm�entHead or Authorized D epu Dept. Exp. Code........4.40M.O02............... Code ...... 1,Ql,l,Z.I.9...................... PAYABLE FROM f Devel ......Sheri opment Fees FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. P,;�v Z -S F _. -- r . 1A "_., � l —�� c �? U C-OU.NTV-®F jqUT-T-g BUILDING Dr PT —S, E P-1-5ri992 y P,;�v Z -S F _. -- r ._ ___-____._- - T F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center•DrIlve - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3:17 �e_=v ASSESSOR PARCEL NUMBER 56-090-077 ZONING BUILDING PERMIT OWNER GARY & KATHRYN SCULLY 283.TELE3474 HONE SO.FT. occ. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 736 QUINCY 95971 CONTRACTOR'S NAME D & D MH (800)1655-2191 TELEPHONE CONTRACTOR'S MAILING ADDRESS 26 SALE LANE RED BLUFF 96080 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee J20-00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD S COHASSET LOOP ROAD -@M"& Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeO Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio Other ❑ Describe work: MH Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No.. Z1,[f�5 Classification �- `� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA1 37.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEWCONSTP ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS & SINGLE OUTLET CIR. I OCcU Ex. Occup(OUTLETS (OUTLETS OR FIXTURES 20 76 APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA .J 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 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 consequ a of he granting of this permit. X Date U �2 `9 Signatur of P icant — Owner ❑ ontractorXAgent ❑ An O5H p rm� is r wired for excav Ions over 5',eep and demolition or construct- ion of str tures over stories in heigf,t. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz -- I DFEES I IMP FLOG COF 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 OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 101367 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _ ...?.r r� w`..+.. w �'y.•J-n"✓1^'�.Y"^'�J'..�I,1•,..l.i-�}r�r� ��.w b W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-�OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PEEMI>A` PLICATION DATA SHEET Permit No. OWNER SGV L A. P. No. �� n6q c5'717 Proposed Building Use ftj a Building Inspector Date d / 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 plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings — 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 1-0 Park fees paid .................... School District fees paid .............. 61-1- 14. 1— 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Z5!Cette o signatu e authorization ................................... 27. S -- When y5owllssue the permit, process as follows: Mai to,�w�� r. Mail to contractor. Telephone and hold for pickup at bOnc, fice. Deliver w/inspector. Other t Applicant Date Z� �2/ �� r Copy of .Haz-Mat form sent Health Dept. Fir e . it P tion Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior tormit issuance: (Cir �neW�ter�f"i nbt ch cked above). 1. Index permit for above items No. a� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by /� Date �6— o� Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER 15 G ('/� L- 4 A. P. NO. PROPOSED BUILDING USE y DATE REC. # DATE REC School Distric Fees LS -19 i -ZZ (paid at Dist ic_t Office) ,,,,,, 2. Sheriff Fees (paid at Building Department) Residential .........._X-3�O =$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT .., r,. ' i�'^+ "5�•1 �f'�1 -sf k+ -aa �.. �\ r'i� !.. t� ���.� f, . .:. r—..T .nom 9.rA � �i. ^' ,.'�'FT,^ .r . ,.:r.e`3'�"tR�.r')..... Sra�r...+r.. - I�� . r• i . ,u.• ... F .,.� a �- BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Forpiper Building) A.P. Number _5_6 02 --07' Building Department No. School District (/�'� City 1� County Jurisdiction Property Owner ('p % 5G Project Location/Address 07- ���,,�/`� lJfh`/T' -� 7 Subdivision Lot Number Residential Development: G , Sq Footage # of Living MHI Addition (Group R) Units q_. _ Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) 0/6-) /Aj/ Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 10w3�Zs ( 'km School District certifies that (Applicant ^Name) (Phone Number) (Street Address) (City) orI (State) .(Zip Code) has complied with the requirements of Resolution No. by the payment of $ 3 Ff8 Q representing 9'2? square feet. School District Representative date PAID BY CHECK qNO. * BANK NO PAID BY CASH 1102Mi,110 � white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) v� �U pm EL EL z U. DO C Ot w 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovifl?, CA PHONE: 538-7541. MOBILEHONE 'INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No F] (If yes, furnish permit numbers"35 '79 ) OR Is the site an existing site? Yes No (If yes, furnish two plot.plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach ' F-1 fields and clear of all setbacks and.easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1190 Amps 6. What is the mobilehome site service rating? ------------- z D % Amps 7. What is the mobilehome site circuit breaker rating? ----- % D D 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: 14 2P(( (Load) z (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?--------------------------------------------- z v (f ) 12. What is the mobilehome gas demand? ---------------------- �.�a TU) *(This information not required if pipe length less thapl t. 01T natural gas or less than 50 ft. on LPG.) �' �; �0 ,� MOBILEHOME SUPPORT DATA j /1,110 If other than single wide, Mobilehome Mfr. /�(�00, furnish Setup Model No . 66 > Year Width f i / (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)M 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 121. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE L"'' _ - Line 1 ,in. 2 _ _ _ _ _ _ _ _ _ _ _ Line 2 Main Beams ne 2 \y` line I Main Beams Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- , „ Each Side of Openings From Ends -Max.------- '_ " With Width Over --------- Line 2 Piers: Size-Min------------- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ , u Spacing -Max.--------------- From Ends -Max .------------- Line 4 Piers: Size -Min.------------ Spacing -Max.--------- , From Ends -Max.------- e 5 Piers: (Under Bearing Walls Only Size -Min ------------------- Spacing-Max ---------------- From ------------------Spacing-Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min.------------ Location (From Front) J t 7-10,115L 'D& flet of Ochs and' MUST be kept art 69 job, of all i4nes nif is 11mirlwful f, make any changes ar crIfercjfforls oh some withoul written permission fforn the Deporfrnent of Pub#c work& County of ®after. 1-7 4. r -� ' ' NOTC—AR Materfia!Workmars.hip Shah Be ir, Acwdances ,with Reccrin!;,ed Goo. -I Practices arts' \ l d# a *Mhty pre. -'C: tot +C, ' "pecif "ed U&'q In flhif Un form Bvilding, Plumbing & h1schanical. Coct-P OW the National. electrical Code. J Lu 44 7 LO > LP Do I D it] A of -Operty lines and a setbad, >I F 5,0ft. from the road fr renteriineshafll be clear of -J cturas or equipment except 2 ft.* oave over"iang. + a.11 eeo-sem"To 0 X1 00 �. FM 00 I)EIPAMM" OVFM�Jr t 0 I LO Phis set of plans or -.1-.4 rr, nns MUST be rerh an fhe kX ct fn"i fc an - of purd WCAS, courify O -r NOTE—Atl kip in %w Plur.nbing CO&M, Ar'4.tIw NotlQrW 'I from the, A-41 11nas end a s-etbacy- 0, 50ft• from the road cehterilne ,hall be clear of w.svucuras or equioment exp Iry e pm & *z - 85 y is A ".t% / �Flee ! )-