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056-120-020
1 56-12-20 r------ IRA RULEY W/S Cohasset Rd, 1/10 mi N Maple Ln, :� Cohasset \ � Contr; Reisers Const Permit#3468-84E(ele ser ch '& hook u existing/SF) +w 056-"1200=020,, YY,PERMIT#95 0768 Y RULEY, Wesleyi,k� r _ �F9783,; Cohasset, Rd Cohasset' Demo SF"�7- 7 ,� ^ 056--i*pE' T#95 9785;'Coh�jsset -,Rd.,�' ;Cohasset Ele >` Ser`Ch%MHS ,, 71 F� 056=120-020 fy, :�, `PERMIT#95 1561 ' SS RULEY;'WesleyJ: 9785 Coha%set"Rd ;,' Cohasset,- Cont*;� Skyline f ` MH on Perm Fnd i t r e 6 • o I ' r , '� til V r e 6 • o I ' r , '� til Lo J 11 -6-0 t4 Cb INSTRUCTIONS FOR RECORDING FORM HCD 43 3 A 1. Please review the HCD Form 433A before recording at the Butte County Recorder's Office. Verify that all -information is correct. You will be responsible to pay any fees if re-recording is necessary to,.correct -any�errors on the form. 2. Take the original .and copy of the 433A provided .by. our office to the Butte. County Recorder's Office at 25 County Center Drive, Oroville (in the Butte County Administration Center Building). Ask °them to record the original and to , `conform' the copy. They will. keep the original and give the copy back to you to bring to our office. We will copy this copy and give it back to you for your records. CACI' TM BUTTE COUNIV RECORDER'S OFFICE AT (530).5384.691 FOR OFFICE HOrURS. AND. FEES FOR RE.C:OMM DOCUMENTS. REMOVE PRIOR TO RECORDING Rev'd 2-23-09 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RULEY WESLEY J & ELAINE V BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 9785 COHASSET RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS CHICO BUTTE CA 95973 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 9783 COHASSET RD B10-1752 (530) 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILUING PERMIT TELEPHONE NUMBER COHASSET BUTTE CA 95973 1/27/2011 CITY COUNTY STATE ZIPIG CY OFFICIAL DATE ATURE OF LOCClHOMES SAME GOLDEN PACI - CHICO UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME 1118851 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION i' GOLDEN WEST 2010 72GV14482AH10 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0336390R 48'X 13'6" ORE516668 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 056-120-020 HCD FORM 433(A) REV 8/91 WHITE— County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. JP eSh- Sao- o� ��TrE CCU ry NOV 18 2010 b� SE,PAM1V'r ` .Rr✓ICES _ - "_C �•UJICT2LlfPaL•Itb�p6 94-48771 I: RECORDING REQUESTED BY . BItWEI% TITiE & ESCEM CO. 94-0487711 Rec Fee 9.00 Orders 2-941134 - 1 Check 9.00 Recorded I AND WHEN RECORDED MAILTO Official Records I Wesley J. RuZey County of ) 9785 Oohasset Road Butte I Ox -asset, CA 95926 Candace J*Grubbs I Recorder I 8:00am 5 -Dec -94 I BWTCr VS 2 SPACE ABOVE THIS UNE FOR RECORDER'S USE .-- AP# 056 -120 -OM Gift Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY IN CONSIDERATTON OF THE LOVE AND AFFECTION which the grantor(s) bear(s) to the grantee(s), DOROM E. RULEYY i do (does) hereby give, grant and convey to DIM" J. IaJ EY and EEAIM V. IVELif, husband and wife as Joint Tenants the foUowing described real property in the uninoo¢norat d area County of Butte State of California SEE 90 ATPAO SCIMX i8 C FOR rEMrZ.CN ooaulertArr TrANSFEe rAx s �' � . X mwLurED oN FULL VALUE as FROMM CONVEYED. This Instrumartt filed for record by Bidwell Title d Escrow 5 Ma OOWUTED ON Fuu VALUE LESS uENS AND Oompany a9 an accommodation only. It hits Rot been ex. EnttWefANra I MAINING AT TWE Of UM tlrnitled as to lbs elt cutlon of as to Its effect upon the UUAL 51c.Mn of D�kWl ar A6161 df—t f q tom• Ft- Nap 1 Dated: Nove ber 30, 1994 State of California County of Bt tte } SS. On Navetttler 30. 1994 before me, the undersigned, a Notary Public in and for said State personally appeared i DORDM E. RUI N*rnttht*,►tt► ,t***iht,t**** I **ierr rt,►taw rs i*w,►rtrtint�+taxir+i ***(This area for official notarial seal) who IF proved to me on the basis of satisfactory i evidence) tobethe person(s) whose name(s)idaresobsrn'bedtothe within . i imtrumeat and acknowledged to me that be/WicAhey-executed the some in hiOierAhrirauthorizedcapaciKies), and that byhisIberAheirsignatue(s) oFll���f �IL10N� on the inarument the persons) or dr- entity upon behalf of which the person(S) acted executed the uhst nmerlt m NOTARY PU31IC • CALIFORNIA GUM my hand official seal My Comm. Exvires h y 23.1995 Signature - MAIL TAX STATEMENTS TO SAME AS Atm BYE-0EDOe (W) I i 1 *Oy at, 6' Zajp � tI Order No. 2-941134 i + SCHEDULE C i I lThe land referred to herein is described as follows: ' i All that certain real property situate in the County of Butte, State of ttt t California, described as follows: I I i Being one acre of land situated just South of the land formerly owned by Harry and Carmella Fisher, and being in the Southeast Quarter of Section 22, Township 24 North, Range 2 East, M.D.H. & M., more particularly, - described as follows: The East one acre of the Northeast Quarter of the y k Southeast Quarter of the Southeast Quarter of the said Section 22; said I i parcel of land lies along and adjoining the South line of'the South Half _ of the Southeast Quarter of the Northeast -Quarter of said the Section 22, said Township and Range. MEASUREMENTS FOR SAID ACRE, approximately, and not surveyed, being as follows: North boundary line, from the County f Road and along the Southerly boundary line of the Fisher property 350.5 i j feet; back side 145.5 feet; from back to County road or Southerly I boundary line, 253.5 feet and 175AO feet more or less frontage along ' I + • County Road to the. Fisher property line.. I . •. 1, . � , t k I i � I 1 END_ OF DOCUMENT �! 4 � 1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the. date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RULEY WESLEY J & ELAINE V BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 9785 COHASSET RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS CHICO BUTTE CA 95973 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 9783 COHASSET RD B10-1752 530 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT W. TELEPHONE NUMBER COHASSET BUTTE CA 95973 W� W1/27/2011 CITY COUNTY STATE ZIP IG ATURE OF LOC CY OFFICIAL DATE SAME GOLDEN PACI IC HOMES - CHICO UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME ' 1118851 MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST 2010 72GV14482AH10 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0336390R 48'X 13'6" ORE516668 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 056-120-020 HCD FORM 433(A) REV 8/91 0,41 ima ea Q ivo4vy runuc in aa9 =or S:ua;aiaw.per11 PROF": DOlaD�i7( 1g �fttJI�Y*�'rte*�#fir*,k,�r►*,��i*+fit**,r�'`,w�r s itk*ik#*+k•#+k*ir Aft*ihk*r1liltyYl�wffidni.tit F .. . r N t110 OD's OfIw .�,`,. : . act pprroo S d18 n s :wtnss T--, "bed Ibe ,,evutenco cobs parn�() 1� 9 in�oumencenditiowldgedtomelhathrJhehtKj wscatedthcsprpein ti -� .OFFC[ALSE e AL l n►smannesrw>honze�c iq�t�v? "..d tcynlsrt>ernt,ou��nanue(s) IA�RIE-HIITON on�the itcsaurtrenc ibe�pelSon s() or theRdry uAon24eh� of which the r NctaAvpusi� caTM o�Nrn I persons) acted elcea►ted ldtsG>sa�imwu i ; 811iTE ours my bond officiallseal ; i' My Cotru� Ef DItCS Atay 23 799b art<�„ ,s � rs • Signature 4 MAIITAXSTATEMENTSTO A E Order 'rto. 2-94i134 ' I - SCHEDULS.0 Via land refetred to herein:i.s despiiped ae:#ollows: All •.that pertain, real p oparta►h �ituat� ..in th@. County of., Hatte, - State of 1 Cil form a; . descr abed as.. #o2lpws. ' ee g flns sore of land.situatad just South of the land formerly owncW Harry incl '.CarmQlXa ishi esid be i g in .the Southeast Qua}"ter # S�sat3on 22,.:.:Townshi 24 Kprth, ate go � $east;. M n a. & M„ mato Dnzl iaulerlY' � desaxiped;ea follows theaet aria Ac, V, the Northgaet puaxtQr•o the 5qutlseast 9uartet a� #.00 ab4theast'Sluarte a# the anis 9aot3on 22, said., parcel Of:•];and Idea along and adjoining :the £ouch line p# the South Haif of theoutheaat'OuazteXof'the Narthaast 0uazter of eaicl .the 5eotion;-22, said TOO* :Lpd Aud gp anga MEl►SUR$MENTSf POR $AIA; ACRS, a prxiwately, en not:::surveyed, be ag as> bl.lowa• Northfboundary line, Pram the County Road and 'alpng thQ Southerly; boundaac iirie of the 818her property 350: 5 I feet; peak eide'145 5 #aotf,fzam baok to`;County road. or 3otherly' !. boundary -Tins, 253.5 £64h Ani 175.;.00.%feet more;:Qr less frAntage 'along Coanty--Road to he Fisher pr•'operty'1inp: i r i. I • 1 1 END 0FDOCUMENi FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B10-1752 Address or location of unit: 9783 COHASSET RD, COHASSET CA 95973 Legal Description of Real Property: 056-120-020 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RULEY WESLEY J & ELAINE Owner's address: 9785 COHASSET RD, CHICO CA 95973 INSIGNIA OR HUD NUMBER: ORE516668 SERIAL NUMBER OR V.I.N.: ALB0336390R MANUFACTURER'S NAME: GOLDEN WEST YEAR: 2010 OFFICIAL APPROVING INSTALLATION: DATE: 1/27/2011 ' PHONE: (530) 538-7601 H.C.D. 513 RESIDENTIAL J -- 056-120-020 PERMIT#95-1561 RULEY, Wesley J. 9785 Cohasset Rd., Cohasset Cont; Skyline " MH on Perm Fnd �1 a3 A? (o JOB FINALED (Date) Signature ------_---_; OFFICE COPY /y Addreess�s? 2 aAgZ� pis! GAS t Meter By Date 'M ELECTRIC 6 Meter By IAI Date JOB FINALED (Date) Signature J=OK O = Not OK =Not Applicable II(AOBILE HOMES ' =Not Ready .. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch i 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k Date MOBILE HOME INSTALLATION (Plans) OK except #'s e, Zqpjpg Requirements -Setbacks Easements 4 / Footi s; Size -Spacing -Marriage Line ' MH Test -Demand -Valve -Connector ' TkIlectricity; MH Test -Crossovers- Brea kers-Clea ranc Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval B�Gas and Electricity Tagged Exits; Insp.-Sketch 14. Cert. of Occupancy { Date Card B-1 Date Card B-1 A Date Card B-1 Date Card B-1 i t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL,(! ' = Date UNDERFLOOR (Plans) OK except #'s' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -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 #'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 ---------------------------------- Date _ _Card B-1 -- Date- - Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer_ Clearance -Ins. Protection - - -------------------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled - ----- ------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- ---------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------- ------------------------------- --- ---- ---- ------ ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------=------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Sizer ! ga. - - Cu or AI ------------------------------------------------------------------ 29. ----------------------------- ----------------29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------------------------------------------------- 30. ----------- ----------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------ ------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- - ----------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s 34.- A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation - ------ - ---- - ------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -- - -- - -- ------------------------------------ -- -- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - -- - - -------------- ---------- - ----- -- --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------=-------- 41. Bearing Walls over Girders & Floor Nailing ------ ------ ---------------------- -------------------- -------- 42. Draft Stop in Walls (rat proof) -------- ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing s. jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post -Caps -Anchors -Con nectors 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 Protecticn-Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing: 51. Property Line Firewall & Openings 52. Ext. Doors -One -3' -Check Garage -3rd Story, 2 Exits 53. Stairs Width -Headroom -Rise -Run -Landing -Fire Protection _ _______ 54. plywood on Roof Overhang -Attic Verts-Rafter Outriggers 55. Siding -Nailing Veneer_ ------------ 56.- Stucco Mesh -Drip Screed -Fd. Vents- Uncle rflr: Access --- - 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --- - -- ------- 60. Infiltration -Walls -Windows ------------ L _Date _-----Card B-1 _ Date Card B-1 Date • Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s. 61. Ext. Steps -Door & Sidelight Protection -Landings --- -------------------- 62. Smoke Detector , ' 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------ 64. Bedroom Exiting --------------------- ---------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---------- -------- 66. Elec. Trim & S_u_bpanel; Breaker Sizes & Labels ------ 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. - ----------------------- --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------------------- ---------- 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Hlr.: 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.I.)-Romex Protection 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps - - - - ---------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- ------------- ------------------------- --- 81. Stucco: Brown -Finish _ 82. A.C. Unit: Disconnect. Electrical. Plumbing ---------------------------------- 83. --------------------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical; Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -------------------------------------- 86. --- -------------------------------86. Ventilation Throughout House ------ - ------------------- ----------------------- 87. Glass Protection ----------------------- ----------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric _... -. ------------------ ------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- - - - --------------------- ---- Date Card B-1 Date _ _ Card B-1 ------------- Date Card B-1 Date - Card B-1 Date Card B-1 Date. Card B-1 Comments at Final: V COUNTY OF BUTTE - DEPARTMENT OF D,EVELO`PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��slaT- ASSESSOR PARCEL NUMBER 056-120-020 ZONING TM2 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1456 R 78,624 OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13468 HWY 99112,111CO 95971 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ z FEE 545. $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 9785 COHASSET RD, A ET PERMITFEE $ 315.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BR Q IJ Mobile Home I S I G W @20.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 aOR LESS Main Service ( 200AORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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. License Class Lic. No. su / 2 '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 NEW CONST. DWELLING OCCUR SO. OR AD NS. ( a ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES) 20 Q 1.00 BAL SO Ex. Occup. OUTLEEDTs (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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 019/4 Al CC iS Cz RLpp Al G MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number gZC-0.4 11" („Z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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' laws of California, and agree that if I should become subject to the1. workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those pr I ions. X Date j y�0 Signature of Applic n - ❑ Owner ❑ C actor X Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h 'ght. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST. TYPE TOTAL F E $ HA2. D. FE IMP FL D D PARCEL %HDcompensation This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B y Da e PERMITEXPIRESON 2 ( 6) Receipt No.$ WHITE-D.D.S.-B.D. CANARY- SSESSORK-INSPECTO GOL ROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OP E OPMENTSERVICES -BUILDING DIVISION w 7 COUNTY CENTER DRIVE - OROVILLE, CAL1FbRN1A;95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER W Q 5 / J le A. P. No. S� ' % 2 - Z Proposed Building Use IVDP 3,;ti /1%/y, �2ti.. Building Inspector Date 7 /0 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... t2Engineered truss details and layout in duplicate (required prior to plan check). .... ' Mobilehome data and ma ufagturer's installation instructions, 2 sets. ........... 4. Fees of $ 7� - r'fj0t .1� l (`i .......... Impact fees as shown on attached schedule. . Dngineer California Department of Forestry plan approv I fees����........... . 13. Flood elevation letter (100 year flood) by Californ) . ................. . X14. Sanitation and plot plan approval CH/ Cf Health Department. ............ 5. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements `(B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner I Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................... • • • bK Plan check li. . ti 34. When C issue the permit, process as follows: Mail to owner. Mail to contractor. / Telephone JY'?., 2,697 and hold for pickup at 6tyl office. Deliver with inspector. Other Parcel Creation r Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit iss 1. Index permit for above items No. 2. Additional items required: above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date _Contractor, Contractor, designer, owner, was advised of above re wired data by _phone _mail Counter by _Date Plans checked by �- Date _Z� Plans approved by Z S Date -W/5 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works •s�ti_ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H.u��E� ONLY q Plot Pin An h d CS Floor Phm Aamched Seat to B.D. / k �la�•z� ci'-k/e 9�Ss (.a'iJ'zSS-�7�.E��l , 4kha,5%&1 Owner y Location AP# PlanApproved for: Sewage Disposal Water Supply: Public Private Well 'Clearance for bedroom mobile home. Other ._22�.,-ee hedroo, mobs le, %ohm . Hold final for: Final clearance O.K. for: NOTE: IX�iin e r -ti el C�, Environ ental Heal Specialist 8/92 Date TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H.u��E� ONLY q Plot Pin An h d CS Floor Phm Aamched Seat to B.D. / k �la�•z� ci'-k/e 9�Ss (.a'iJ'zSS-�7�.E��l , 4kha,5%&1 Owner y Location AP# PlanApproved for: Sewage Disposal Water Supply: Public Private Well 'Clearance for bedroom mobile home. Other ._22�.,-ee hedroo, mobs le, %ohm . Hold final for: Final clearance O.K. for: NOTE: IX�iin e r -ti el C�, Environ ental Heal Specialist 8/92 Date 1. r—o irmin'l-ma-3cl opibliug :OT z :MoKq wmns5l:) noijAim?, :T3EMU2, COUNTY OF BUTTE — DEPAR7MT OF DEVELOPNEHT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916)'538-7541 e-5 /'•v l > /, PROPOSED BUILDING USE fiGl'i �3,L %,�/ � /I cz - A. P. S6. IZ DATE 7 / CV 6 : REC. # SCHOOL DISTRICT (paid at District Office) ......................... SdERIFF FEES ( paid at Building Department) ePA4c�.�j - Residential ...... x unit— Commercial (sgft)_ x =$ sq.ft. amt. DATE REC 3. URBAN AREA FEES . (paid at Building Department) Residential (per unit)__X � units amt. -- Commercial (per sq.ft) a a� 4. RECMTION DISTRICT FEES (paid at District Office) ...................... ... ....... 5. DRAINAGE DISTRICT FEES (Contac= Land Development Division) .............. SRA FIRE INSPECTION AND PLAN CHECX 3 $89.00...... (paid at Building Department) 7. 0TER $• OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. aPPLiCANTI Q r Ir DATE •'.i:..::.... ,� .:isv amu:: ...ry CDF-FIRE SAFE REQUIREMENTS? OS6-120 -O2Z 95 -156 I�U(e44. IjeS ley AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections .will be made by the Butte County Building Department for compliance. [k1 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartentantt-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ ] 2. The length of ver':i:%:1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :2-, os� - /20 -0zv P,Le,le-,, , udzsIeq AP # PERMIT # NAME [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. [k] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [, 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit. Page 2 of 3 Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 CENTERLINE t'UPPORT REQUIREMENTS THIS SHEET TO. BE INSERTED WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR Z00 -ROOF SNOW LOAD d o� A6 "VIEWED By y '�."c: .'^� ISSUE!) EI f, rAE, !(,G DEPT. liY Fpi.lpvr' (;P F•r;V!CFS DEPT. JUL 1.3 1933 UN0Ein-,t'i2C tr2S LABORATORIF_s PILE MH 9321 '.VOL 1 SEC. 4 ILL. -A 1 PG. 6-9� 1 i 0 SERIESR `Bn+IBAmerkahome. 20� ROOFLIVE LOADWO. BY G[� ' SHT. ` OF .,.`„ • y i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School .District U _ Building Department No, A.P. Number 5-4-n-.10 Jurisdiction: City j/County PropertyOwner Property Location/Address '? 72 Q � '' _,> Z , ee-- Subdivison Residential Development r Lot No. HWNo. of laving � MH Ad0dition Units Commercial/Industrial 0 0 New Addition (Floor Plans reviewed by School District Personnel) C,d c Sq. Footage /ync (Group R) Sq. Footage (Including Exterior Roofed Areas) Date /District Identification No. _ I (1 1 School District certifies that &aa) (Applicant) Address) Number) PIM - — (State). (Zip Code) has complied with the requirements of Resolution No.k —by payment o $yrw representing square feet. AB 2926 $ FULL MITIGATION $ WJh,,Pvljv 4" -1.� Sc o _. ,ist !c, . es � e � _ ---- ----------- to S Paid by Check # _— Remarks: rP' n6 Bank Number Paid by Cash a If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act.(CEQA), this project may be subject to additional school,fees to fully mitigate its impact on the school district's schools White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm it NOTES ,. . RESIDENTIAL PERMIT NO. — 056-120-020 03-1949 RULEY, WES I r 9783 COHASSET, CHICO DETACHED GARAGE M f i t I _ 1 • 1- 'J t. s SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER a JOB FINALED (Date) `�D•' i Signature CHECKED BY J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel fdy�Ci 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete ctric 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 3. 8. Utility Clearance Roof; Shthg-Roofing 4. Gas; MH Test -Demand -Valve 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Water and Sewer'Connected 1. Zoning Requirements -Setbacks -Easements 8. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Exits 4. Electricity; MH Test -Crossovers -Breakers -Clearances 10. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Verify #'s with Office 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged, Date 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, G RAGE (Plans) OK except #'s 1. Zoning Requirements -Setbacks- asements 20 p Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel fdy�Ci Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 6. 1. Zoning Requirements -Setbacks -Easements ctric 2. Footings; Size -Spacing -Marriage Line 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 3. Blocking Roof; Shthg-Roofing 4. Gas; MH Test -Demand -Valve 12. 5. Electricity; MH Test Date 6., Water; MH Test Date 7. Water and Sewer'Connected 8. Gas'and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, G RAGE (Plans) OK except #'s 1. Zoning Requirements -Setbacks- asements 20 p 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel fdy�Ci 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. rports; Windows -Doors 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ctric .may F mg.; Sills s-Studs,Rftrs-T ses 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit Siding; Nailing -Veneer -Stucco -Mesh V� Roof; Shthg-Roofing 11'. Ext.; Steps -Doors -Landings . 12. Braced Wall Pals 12. Enclosure; Fencing -Alarms Date Date ard B-1 Date Card B-1 Date Card B-1- Date Card B-1 r Date POOLS (Plans) OK except #'s j 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 ( 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j 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 Conduit 9. Health Department. Approval f 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche I 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 J=OK 0 = Not OK - = Not Applicable . = Not Ready' - RESIDENTIAL. a Date, UND FLOOR (Plans) OK.except #'s on -Setbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.=/r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/' /" Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. HMd Downs and Special Anchors - 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 Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance=Material-Support-Ins.. , 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 -eDate . Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test &'Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 121. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No (S Ingle & Duplex) ,. Date FRAMING (Continued) -r ' 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection=Skylights-Plastic -60. Shear Walls; Nailing -Bolts i ' 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows I Date Card B-1 Date Card B-1 Date Card 13-1' Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb; Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & SubDanel. Breaker Sizes & Labels 70. Stairs & Rails . 71. Fireplace or Stove, Clearance -Hearth -• t 72. ' Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper -1 - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech: Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romek Protection 80. Insulation -Foam -Looked in Attic , t,.' 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes- 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: Aa 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B,-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Ingle & Duplex) ,. Date FRAMING (Continued) -r ' 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection=Skylights-Plastic -60. Shear Walls; Nailing -Bolts i ' 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows I Date Card B-1 Date Card B-1 Date Card 13-1' Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb; Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & SubDanel. Breaker Sizes & Labels 70. Stairs & Rails . 71. Fireplace or Stove, Clearance -Hearth -• t 72. ' Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper -1 - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech: Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romek Protection 80. Insulation -Foam -Looked in Attic , t,.' 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes- 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: Aa COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Cutty Center Drive Oroville, California 95965 •Telephone (530) 538-7541 J� (Rev. 12/96) 3, A 0 Ik APPLICATION AND PERMIT (,! ASSESSOR PARCEL NUMBER 056-120n020 _WNIN�Gcc 114-2 BUILDING PERMIT OWNER Wes & Elaine Rytley TE O74 5326 SO. FT. OCC. BUILDING VALUATION 576 11 10,wk. 00 - OWNERS MAILING ADDRESS 9785 Cohasset Road Chico CA 95973 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10.368.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 9783 Coha set R Energy Plan Checking Fee $ $ PERMIT FEE $227.90 LAT NO. SUBDIVISIONS NAME PARCEL MAP t PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: private detached garage Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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.POWER 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: $1 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 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 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.) P 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 1 ![i�,cc . `T� �__ Date Z _ ,,Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. / Main Service zoOA TO IOooA 46.00 NEW CONST. DW EWNG OCCUP. so OR ADDNS. ( 3 ACC. S.3.50FT. NEW T. RESID. MULTI.OUTLET @7.50 APPARATU 8 SINGLE OUTLET CSI R. EX. OCCU ourLEr OR FIXTURES a20 @ 1:00 FlXED APPLNS. OR 5.00 Ex. Occup. ouTLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $40.15 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $268.05 HAZ. I D. F D CDF I PARCEL I PO HD ISSU 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. l / f //_1/��of y .tl , Date � 64, r PERMIT EXPIRES ON / (Date) r Receipt No. '�/� U�C�! �V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FIA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovillej California 95965 • Telephone (530) 538-7541 3_01Frofq (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 120 ZONINGQQff�� BUILDING PERMIT OWNER Wess& Elaine Ruley TE1W 5326 SO. FT. OCC. BUILDING VALUATION 976 U 10,368.00 . OWNERS MAILING ADDRESS 9785 Cohasset Road Chico CA 95973 CONTRACTOR'S NAME owner . TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10 368.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS 9783 Cohasset Road Chir Energy Plan Checking Fee $ -0 $ PERMIT FEE $ 227.90 LAT NO. SUBDIVISIONS NAME PARCEL MAP T PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: private detached garage Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I 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. 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: owner of the property, or my employeeswith wagesastheir sole compensation, �:fls l do the work, and the structure is not intended or offered for sale. ❑ , 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 OCCUP. OR ADDNS. ( a Acc, B Ds. so 3.50F NEW pIESiD MULTI -OUTLET @7,50 PorOCIR. APUTLET PARATUS a SINGLE Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BILL @ .50 Ex. Occup. O.FIX�iAPP o .OR.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 0 5 WORKERS' COMPENSATION DECLARATION I 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 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.) 1 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 �At4xec� t / Date ��ii nature of Applicant - ❑ Owner ❑ Contractor ❑ Agerft An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FE IMP 1 ElCDF PARCEL Po HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ONtA6 applicable provisions Resolutions to do work been paid. i /� ? e 0 0 o Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT bF DE ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ^^ �- OWNER:PASSESSOR PARCEL NUMBER U Jk4 Proposed Building Use: Counter Technician: Date: 1 V Ittems, required in order` - o apply Mr a permit. All boxes MUST be checked OR marked NA in order to apply. ld 1.. Plot plans 3�r 4 sets, signed�y the preparer of the plans. QK2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. /4. Engineered truss details and layouts in duplicate. No faxes! r'❑� 5. Energy compliance design and supporting documentation in duplicate. i< ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. '* ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate......... .. : ..................... ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner.......................I ............. ❑ 12. Hazardous Material Form.............................................................................. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14—Fees as shown on ;the -attached Schedule of Fees Due Sheet ............................... . 15. Statement of Intent for Non -heated and A/C Buildings ..........................................' 16. Sanitation and plot plan approval from the Environmental Health DRPacel t in= �/I. ' of Chico Plumbing permit.........................................CaliforniaDepartment of Forestry plan approval (paid. SentJ.3.................... . Plan a rovalrfor A Use: old (B)Parking: Planning pp � ( ) O g: (CCheck: -13 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................:. ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 1 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ p one, ❑ mail, ❑ counter, by Date: _ Contractor, designer, ower, was advised of the ab ve d'afta by phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: <i Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: ;. Yellow Buildine Divicinn s: 19 :<✓ E.K.-USE ONLY -J, P102`Plan Anachad !4,C,:::3 Floor Plan Anzchad 0 Sant to 13.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for Amegiwg. Other o9 SL X a % ' Gc3(IY-A -r c A e Hold final for: Final clearance O.K. for: NOTE: Environme to Health Specialist 7 1�-v3 Date 8/96 0: Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 J530) 538-2140 FAX : DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: ,J25 9- F— YAP J� C- (e V Phone: 'R2' �(— �9 3 a � Mailing Address _-/ 7 93 Co (E�( JR Site Address: .'7703 CakasSet� �©�� SS�t� ,�a- 9S% 7.3 Assessor's Parcel Number: Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. 2. Is there a primary dwelling on the property? Is the structure already built, under construction, or under notice of code violation? YesNo Yes ❑ N 3. Will items produced in this building be offered for sale? Yes No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ NoR SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 3. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No Pd CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? I. 11 - - Yes ❑ No R'' 15. What type.of floor covering will the building have? -_ e�.v►'t 16. What type of %vall covering will the building have? � S 19"t- 7 1 of 2 A PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will 6e storing in.this building and it will not be used for any other purpose (no bathroom and no heating or cooling). , 2. ,( Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by. exception) in area in which only motor vehicles used by tenants of the building or buildings on the, premises are stored or kept" A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked ##W, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop I ❑ Home Occupancy' ❑ Other — Use = 1. Describe type of Workshop 2. Mot be approved by the Butte Coumy Planning Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number,before the explanation. t - r Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner -will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to theuse, or character of use, of this building will require permits from the.permitting authority. I understand that Real'Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print Owner's Signature: CSC Date: Z// 2of2 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than I acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. 'I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: 7 / (j NPDES & SWPPP Non -Compliance Certification Butte County Stonn Water Management Plan Revised 5/22/03 O.B.-1 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESP NO ❑ 7I HAVE � HAVE NOT ❑ 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: PHONE: 0 4. I plan to provide rtions of this supervise, and provid a major NAME: SHONE: CO] 5. I will provide some o e work but I the work indica NAME ADDRES. 'S LIC9N9E NO. but I ha�ed the following person to coordinate, R'S LICENSE NO. .cted (hired) the following persons to provide TYPE OF WORK NOTE: This Owner -Builder Verification 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 BiJII.DER IlVFORMATION Dear Property Owner: O.B.- 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 and to 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 you plan to do your own work, with the exception of various trades that you plan to subcontract, you should 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 work (including materials 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 cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations 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, Mic 1 Q. Vi ira, C.B.O. M er, Building Inspection NOTE. 77tis Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ... . ........ .... . . ...... . ........ . ........ �1. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION 7 COUNTY CENTER DRIVE STREET OROVILLE CA 95965 ADDRESS CITY, STATE and ZIP %5-034672 95-034672. 19'5-034672 1 95-0346721' Rec Fee .00 Total .-00 Recorded I Official Records I County of- I , Butte Candace J. Grubbs I - € Recorder. 1 r 19:35am 10 -Oct -95'1 7-COMS LXX2 SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WESLEY J AND ELAINE V RULEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 9785 COHASSET ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS COHASSET, BUTTE, CA 95926 OROVILLE, BUTTE, CA 95965 CITY COUNT/ STATE ZIP CITY COUNTY- STATE ZIP SAME 95-1561 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDNG PERMI -NO. TELEPHONE NUMBER ,�Gj 10/5/95 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGEN /OFFICIAL DATE SAME NONE UNIT OWNER (If also property owner, write "SAME'l - DEALER NAME (If not a dealer sale, write "NONE'l MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1995 OAK MANOR 2200 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 62t8t' X 261 ULI406686/406687 06 -70 -0970 -H -A/06 -70 -0970 -H -B SERIAL NUMBER(S) LENGTH x WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #056-12-0-020 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. OFHD \Jyc HCD FORM 433(A) Rev. 8/91 c0,fid CANARY—NCD PINK—Applicant GOLDENR00-8uilding Oept. yltt O�v`���� WHITE—County Recorder BUILDING PERMIT NUMBER: COHASSET Address or location of unit: 9785 COHASSET ROAD, Legal_Description of Real Property: A.P. #056-12-0-020 SEE ATTACHED LEGAL•DESCRIPTION. 95-1561 [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WESLEY J AND ELAINE V RULEY Owner's address: 9785 COHASSET ROAD, COHASSET CA 95926 INSIGNIA OF HUD NUMBER: ULI406686/406687 SERIAL NUMBER OR V.I.N. 06 -70 -0970 -H -A/06 -70 -0970 -H -B MANUFACTURER'S NAME: SKYLINE YEAR. 1995 OFFICIAL APPROVING INSTALLATION: e4 DATE: 10/5/95 PHONE: (916) 538-7541 H.C.D. 513C Q oi- 94-48771 . Order No. 2-941134 SCHEDULE C The land referred to herein is described as follows: 'i......... All that certain real property situate in the County of Butte, State of California, described as follows:. Being one acre of land situated Just South of the land formerly owned by Harry and Carmella Fisher, and being in the Southeast Quarter of Section . 22, Township 24 Korth, Range 2 East, M.D.H. & M., more particularly : described as follows: The East one acre of the Northeast Quarter of the Southeast Quarter of the Southeast Quarter of the said Section '22; said ''Shy>;::};rt:;;-.•`;`<;.;; ;'; r,,.ti,�•..,.5 ,.. parcel of land lies al oi:g and adjoining the South line of the South Half >_:> , `: •:=.,;.•.:5:•.;•:: ;;;:: of the Southeast Quarter of the'.. Northeast Quarter of said the Section 22,. ::>••,:.. said Township and Range.. MEASUREMENTS FOR SAID' ACRS, apprazimately, and not surveyed, being as follows: North boundary line, from the -County Road and along the Southerly boundary line of the Fisher property 350.5 feet; bacic.side.145.5 feet; from back to County .road or Southerly boundary line, 253:5 feet and 175.00 feet sora or less frontage along County Road to the Fisher property line. ENO OF DOCUMENT RECORDING REQUESTED BY BIMI LL TITLE & ESCROW CO. Order # 2-941134 - AND WHEN RECORDED MAIL TO Wesley J. Ruley 9785 Cohasset Road Cohasset, CA 95926 94-048771 1 Recorded I Official Records I County of I Butte I Candace J. Grubbs 1 Recorder I 8:00am 5 -Dec -94 I 94-48111 Rec Fee 9.00 Check 9.00 BWTC VS 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# 056-120-020 Gift Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY IN CONSIDERATION OF THE LOVE AND AFFECTION which the grantor(s) bear(s) to the grantee(s), DOROTHY E. RL.TLEY do (does) hereby give, grant and convey to WESLEY J..RULEY and ELAINE V. RULE.Y, husband and wife as Joint Tenants the following described real property in the unin(=110rated area County of Butte , State of California: SEE THE ATPACIM SCHEWLE C FOR LEGAL DESCRIPTION OOQIMNTARY TRANSFER TAX s COMPUTED ON FULL VALUC OF PROPERTY CONVEYW. OR COMPUTED ON FULL VALUL• LESS LIENS AND ENCUMBRANCES REMAINING AT TIME OF &ML SlpnaNre of Declarant or A nt determining tax. Firm Name Dated: November 30, 1994 This Instrument filed for record by Bidwell Title d Escrow Company as an accommodation only. It has not been ex- amined as to Its execution or as to Its effect upon the title. State of California County of Butte 1 SS. On Noiv+enber '30, 1994 before me, the undersigned, a Notary Public in and for said State personally appeared DORCt*M E. RULEY************************* (This area for official notarial seal) ********************************* who 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 aclrnowledged to me that he/she/they executed the same in $'� of OFF ti ICIAL SEAL his/her/their authorized capacity(ies), and that by his/her/their signature(s) �r' pE� LAURIE HILTON on the instrument the person(s) or the entity upon behalf of which the m ym NOTARY PUBLIC c:ai.IFORNw person(s) acted executed the instrument. f� BUTTE COUNTY WITNESS`my hand anq official seal. 11FOR My Comm. Expires May 23, 1995 Signature����`(r1 I --- MAIL TAX STATEMENTS TO SAIF AS ABOVE BTE•DED-06 (9/94) RECORDMG REOUESTEO BY BIUM16 TITLE & ESCROW CM 94-048771.1 Rec Fee 9.00 Order s 2-941134 - 1 Check 9.00 Recorded 1 AND WHEN RECOROEOMAL TO Official Records 1 Wesley J. RAW . County of 1 9785 Onhasset band Butte i aoh:3sset. CA 95926 Candace J. Grubbs 1 Recorder 1' 8:00ao 3 -Dec -94 1 BWTC VS 2 ISPACE ABOVE TM LINE FOR RECOROER'B USE APs OSC-120-4020 Gift Deed. TM FORM FosretoMrE><iTmEaESCROW carPArlr IN CONSIDERATION OF TSE LOVE AND AFFEMON which the Ytaamr(s) bear(s) to the graotee(s), ' DORO'M E. BABY do (does) hereby t;We. saru and convey to iifSlEV J. MMEY and EUUNE V. RLIIEY, h dxwd and wife as Joint Tenants v. the following described teal pmputy is the ttllnoa�pt7r8UBd aced County of Butte State of Califomia:. • SPSr MM ATnv3m SQ•SD= C FUR IMAL DE9CR]PrMON ' ooaaerrur TIAMM vs t fT x •••• •mm Of PULL VAM or 1 WM. oouverts TUU kw*wnom fled for record by' Bk%mU TRW d Escrotr at Wrnian of PULL vruus an iTes yrs` i 02 an aeUnoddaM a*., 'a his. root :,� :..,- ._• arowwitss mrn.rwo wi VM or a aiva andnedAs t0 ffs e • r or 8210 ft effect upon the =& - t$1Bd: 1rbVtwbes 30 1994 •�i3, State of C ilif . ,•.1 ` } : 2,•:,, , Z,, r .. .•. CouoOf A:rt.. ty : SS. - 1 , On f!k3var�es 30. .1994 ` ' befine ine. the ttedersigtted, a Notary Public in and for said State personally appeared ' DOF�fY E RUIEY+�•***r►*at•*:i*at+war** . Mf1f4Affr4Nf,►f�f4*A4M*fftrffRff � - (This area for oiiicW flntariaf Boal) . b me on the basis of sa idsa pry evitiencefopbedion •: ireetruaentard toP1ehxbd+h ryeretvrodd�gieraein faVAerMrerrauthtitizade�a 'a.>, OFFICIAL SEAL' mics). and da Wttio giuluo(s) on dr iRtnngtt the pasort(s) or die er6ty upon bdnlf.af which The � (xrs«K aced exeared.the irtsenirnent v • IWARV oi3kfC' e t fCRi1 A :: • my ftandt idd (3Ui E L,, ar j ne ,�X95 MAIL TAX STATEVINTS TO SANE AS >BOVB 1 Cw STATE OF CALIFORNIA �•o � DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT , DIVISION OF CODES AND STANDARDS • REGISTRATION AND TITLING SECTION STATEMENT OF'FACTS This unit is..ai Mobilehome [:]Commercial Coach Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) OG _70 - 09-70 _ H -,4 • ,S�yGIN� 0(6-70 0c� :— I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on Aa 9S at C141co C�9 —V Date (City) (State) Signature of each affiant Printed name of each affiant M Address 13z/6, //w y' 99 C i ty C p State - 014 HCO 476.6 (Rev 11/86)- t .�Y •>y ..i'"° ;�:. Y.:r LT..,R... .'ri..:S�i3+, iV_,i3 ... *'-v.+`•f •. a 056-120-020 .,, PERMIT#95-0.768 RULEY, Wesley' 9783 Cohasset Rd.,-Cohasse:t Demo SF COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS' N 7 County Center Drive - Oroville, CaftnieJ95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-120-020 ZONING TM2 BUILDING ERMIT OWNER WESLEY RULEY TELEPHONE 343-6595 SQ. FT. OCC. BUILDING VALUATION MT. OWNERS MAILING ADDRESS 9785 M, CHICO CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9783 CORAM RD COHASSET PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF LM] Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEM MISH SF — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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. License Class Lic. No. OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL 0 .SO Ex. Occup. (oFFIXED ELETS PLNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 15 I certify that in the performance of the work for which this permit is issued, 1 sha11TOTAL 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 wit those provisions. f -- — X Date Signature of Ap i (nt - i19 Ownere C tractor ❑ Agent An OSHA permit is required for excavat over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST: TYPE FEE $ 35,00 HA2. I D. FEES IMP I FLOOD I CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (! LI 1 t BY Date PERMITEXPIRESON I (Date) Receipt No. K -% WHITE-O-D—.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIS N 7 County Center Drive - Oroville, tiliforiiia 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT 26 ASSESSOR PARCEL NUMBER 056-120-020 ZONING TM2 BUILDING ERMIT OWNEREELEPHONE WESLEY RULEY 43 SQ. FT. OCC, BUILDING VALUATION EST. 500 OWNERMAILING ADDRESS 'S CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9783 COHASSET RD, COHASSET PERMITTEE $ 35.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Do Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMOLISH SF Mobile Home S G W @20.00 PERMITTEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONNEW I 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. 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 astheir 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 NEW CONST. DWELLING OCCUR \ OR ADDNS. ( 8 ACC. BLDS. ) s0. 3.50 FT. CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FDCTURES) 20 Q 1.00 BAL .50 Ex. Occup. ( OUFIXED TLETS (RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 wit those pr isions. X__ Date Signa ure of App I nt _,6 OwnerC tractor ❑ AgentIf An OSHA permit is required for excavatmfm over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE It 35.00 HAZ. 1 0. FEES I IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By 1� �� Date PERMITEXPIRESON Date) Receipt No. 7 % t-) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �r 1 ji\ 1 < 41 ► 3 io 'G 1 910 1 — n+ 1� 0 c N v; 1 Wcrs r A m o 0 c N v; 1 Wcrs r A m o J n, r_ u � t 1 ^t 1 t r 1 1 � t / ,1Y._ 4 Y FIQCE�C�O�PfY Address GAS ate . Meter By ELECTRIC S Date Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/554-4541y- �= , APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4l .- 1ij6) -- ZONING j',/1_% BUILDING PERMIT OWNER �_�7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / 1-f"X le, x' ,/ f CONTRACTOR'S NAME - !'F/ _f r/? r - ;V9--'1726 TELEPHONE CON�,T,))RACTOR'S MAILING ADDRESS c .� !7/�Y /-76) /'/,/w,_- 1 G ��/�1�� Fireplace CONSTRUCTION LENDER f "r' F UNKNOWN I Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER , , .,,/tom% LICENSE NO. IPenalty Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS W11f C/f /.��G1JF 1 i d 4:1J, ,� w,Vr PLUMBING PERMIT Filing Fee 10.00 LrA"j - Each Trap 2.00 Solar Water Heater 20.00 '44ti ffg' %- Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF❑-- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S FGTWI .00 e , TYPE OF WORK New ❑ Addition ❑/ Remodel ❑ Utilities ❑ Instal lation ❑ Other ©� Describe work:/ fC� �idU��F «���/�f _ / /!A ! �/./ f.� f/ �/� Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 16�, `j U / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. ' 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 NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20@50t p(ourLETs OR FIXTURES BAL@300 Ex. OCCUp- OUTLETS FIXED P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring L/ ! f %J7� % 15.00 g �� �S _ /��� /�C 7 O �✓ /f ' G �+ Permit Fee ' $ _1 Contractor MECHANICAL PERMIT Filing Fee 10.00 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. O/ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all 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. V X r. A/ i 4% -/P ( , �, � C1 ., r r- ) cL Date ' Signature of Applicant — Owner El Contractor Agent ❑ An OSHAf permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD tseuE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. �t p DIRECTOR OF PUBLIC WORKS BY '� .--si9.w4� Date ��o'� PERMIT EXPIRES Date / Receipt No %� �� WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3,q A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m tter, or need additional explanation, please contact this office immediately. Inspector_._ �t � � / Date 1 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95963 - Telephone 916/534-4541 APPLICATION, AND PERMIT PERMIT NO. w ASSESSOR P RCEL NUMBER _ .� (�/) ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALU N OWN 'S MAILING ADDRES ! C NT ��C++TQR'S AME 6-1(/S 9 L HONE ly N / Q CON ACTOR'S MAILIPA A .DRESS v G Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER' MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER y LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING RE 5 C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: e — j�� Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0OR LESS 1 1000 AMP OR LESS 10.00 /10�� Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®50C and Professio s Code n mY license is -in full rce 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 NEW CONSTR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR.( POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(o XTs OR FIXTURES SAL@SO FIXED EDAPPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. Wiring i 15.00 S.,00 v Permit Fee $ 0 Cd Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 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 liabil' ies, judgments, sts, nd expenses grantiwhich may in any way accrue against ai County in co se ue c of he ng of this permit. �+, X Date b r� V r 94 — Owner g pp ❑ Contractor Agent ❑ Signature of A li�erTstories An OSHA permit iired for excavations over 5' " deep and demolition or construct- ion of structuresin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 195 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P LIC IO BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS D�ayte� s/a Receipt No. WHITE-D.P.W., YELLOW -AS SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �r,.r ` � �_, �. .� L.�.wo'*«.iCG•='.�.:3..G';is:+..li-•„}irrF.:;.•.^ti'=�,1'� ,::?1.� . 5 r ..-+ s ,. _ Y ,. �. 056-120-020 'PERMIT#95-0767` RnEY,• Wesley 9785 Cohasset Rd., Coha9set t Ele Ser Ch/MH OFFICE COPY Address GAS Meter By D ELECTRIC x Meter By Da •ter 1 OFFICE COPY Address GAS Meter By D ELECTRIC x Meter By Da •ter .. _ r -. . �-is,sr-ra�•a:,-;.-.+n i-,+r.YF':"9„1'r�' � r7;:'fi'_C.a ,-. .r- COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION !' r 7 .County Center Drive -' Oroville, California 95965 - Telephone (916) 538-754V PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 1M2 BUILDING BUILDING PERMIT OWNER - \ �I , •� ' F' `� V TELEPHONE TELEPHONE 343 SZS SO. FT. OCC. BUILDING VALUATION OWNERS Mkaw..,ADDRESS 41R5 Rp. CqTCO 95926 CONTRACTOR'S NAME T EF'R ' TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS '• ; "• 0785 SE R COHASSET PERMITFEE $ vi PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑' Mobilehome sp Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1� Installation ❑ Other ❑ Describe Work: SERVICE UPGRADE Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service 000V OR LESS ( z00A OR LESS ) 23.00 J . \JlJ 23-M M Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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. License Class Lic. No. OWNER -BUILDER DECLARATION a I herebyaffirm under penalty of perjury that I am exempt rom the Contractors License P tY P 1 rY P Law for the following reason: \ to I; a� owner of the property, or,r ly em®foyees with wages as their sole compensation, will do t ie work-ap.d the`structure is not intended or offeed for sale. I, •as Qdhor of the property, am exclusively contractigb with licensed contractors tc const)ylct the project. ❑: I ain%x1mpt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR sO. OR ACDNS. ( 8 ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 ®1.00 BAL .50 Ex. Occup. ( OUTLEETS RES D.)FA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP. 23. 00 PERMITFEE $ 66.00 c r WORKERS' COMP TION DECLARATION I hereby affirm under penalty of p fury one he following declarations: ❑ 1 have and will maintain a f ate of consent to self -insure for workers' compensation, as provided for by , ection 3700 of the Labor Code, for the performance of the work for which is a it 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 ECHANICALBERMIT Filing Fee 20.00 Heating c Cooling Hood 0 Ventilation PERMITFEE $ Contractor 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.) Q I certify that in the performance of the work for which this permit is issued, I shall not employ any person "In? any anner so as to become subject to workers' compe sation laws of California, agree that if I should become subject to the worke s' ompen ation provisions section 370b of the Labor Code, I shall forthw c mply 31 those provisioass_______ I X Date Sign.atu ee ,of ant - ❑ Own ContJac,AnOSHApereis*.�lred fo� a tions ove'6deep and demolition or construction of structures beers St., height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.09 HAZ. D. FEES IMP FLOOD P(RCEL PD HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to indicated above for which fees have been paid. , ' 1 ,'� ., ; �• V BY i Date ' A PERMITEXPIRESON f `� do work Recei tNo ° 7Z' L- a� S?l4 07 A IN PECTOR GOLDENROD-APPLICANT(Date) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541"� PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-120-020 ZONING ' BUILDING PERMIT OWNER WESLEY RULRY TELEPHONE 343-6525 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 97A5 17,0ASSET RD, COHASSET i PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SERVICE UPGRADE Mobile Home I S I G W 11 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( a00v OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCURS OR ADDNs. ( a ACC. ) O. 3.5¢ FT. NEW CONST. MULTI -OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL .00 EX. Occup. (oFIXEEDrs (RES PPLN. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 66.00 Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) -� 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 _ Date ��/ Signature of ant - ❑ Own Contractor ❑ Agen(01 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.0 CI HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISS 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. /��'�'� ` /7/ /�% By Dat � PERMITEXPIRESON� / (pate) Receipt No. f 72- Zr- I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;ar xll.''�kYUV`+Y+"�,�1 _..:'iT K't:.�,r•nay.TriYT""jr'�f.^INvn/�:.r.^+'�r.';e7•,f,'^.T�`.rRcl`�t3A7C`"y,'i�Y!"'fL�yj-. /""'�'1M"�1'\•oL''`.'mw+`-'r�r�iar+t`�►�i1'Y>'FiF7YN�+•'i".!'y"x'�-...-rrnt ."'1P.'M = -. COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAir='iFPKMA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. 5-6 Proposed Building Use PIG( fit, Lp / Sen d/c ei ,L-12 Building Inspector r Date e 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings. ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .....Aspe' ' meq, Pre -inspection for 2 %eC rn L.- required. .. to Building Inepector rB io19 C---� Contractor's license information. (No., Flame Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ............ : .............. Owner -Builder Verification (Given to owner , Mail to owner _)............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . .......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... : .................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation //�/� Acreage Applicant G( c.C� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date v Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 18-B County Center Drive Oroville, CA 95965 (916) 538-7282 FAX (916) 538-2165 July 3, 1995 j 1469 Humboldt Road �+ Chico, CA 95928 (916) 891-2727 FAX (916) 895-6512 Skycrest Building Systems Att: Gene 13468 Hwy 99 Chico, CA 95973 Suite Count, L A N D O F N A T U R A L W E A L T H A N D BEAUTY A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW DEPARTMENT OF PUBLIC HEALTH DMSION OF ENVIRONMENTAL HEALTH ❑ 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 El 749-Effie*-Resd Randise, CA 95969 (914i-i3A88, RE: Building Clearance, 9785 Cohasset Rd., Cohasset; APN-5-6=120=20 Dear Gene: The application which you recently submitted to this Department to obtain a building clearance on the above referenced property. has..... been reviewed. A clearance cannot be given until the following are completed to the satisfaction of the Health Department. 1. Locate the property lines and locate the well accurately in relation to known points on the lines, ie., corners. 2. Submit a copy of the deed showing the width of the easement drive way. 3. The septic system for the mobile to replace the burned house cannot infringe on the area for 100% replacement *of the existing mobile home. 4. Apply for a permit to install a new septic system or demonstrate that the existing septic system is adequate to use for the new mobile home. 5. The leach lines must be 50 feet .or farther from the existing well. 6. Resubmit plot plan taking into account the above and where you plan to put the septic system. Observe all required set backs. It appears that you will have to relocate the mobile closer to the drive way easement. A Skycrest Building Systems Page 2 July 3, 1995 6. The Health Department has no well record for the exist ' ing well. It will be necessary to demonstrate the wateris.. bacteriologically potable. Pay $33.00 fee, in advance, for the Department to take a water test. 7. Demonstrate well provides adequate water supply for two residences. Submit results of a well .yield test as per.Health Department requirements.. 8. Submit two copies of the floor plan. Please contact me at the above address or phone as soon as possible Monday through Thursday between 8am and 9am. so the item(s) indicated above may be resolved. :Sgincrely, Loral n I. EngeJKlenner, R.E.H.S Environmental Health Division, Chico LIE/dd//bldclear/Ruley.195 cc:-k,B'uilding Department Wesley & Elaine Ruley, owners 2x P.T.D.F. SILL W/)''2"4) x 10" A.B. W/ 2" 50. x %" WA5HERS ® 61-011O.G. d WIN 12" OF END5 z `�— Ix4 TRIM (TYP.) FRONT ELEVATION 1/4" APPROVED Butte County Environmental Health FLOOR/FOUNDATION PLAN Date t, Signature Lj i 1 -1 77, DATE: JUNE 4, 2001 SCALE: AS NOTED DRAWN: M. MAYBEE JOB: SHEET OF SHEETS —•--------------------------- I I o I I I I eJ I I I I I I I ( NC. SLAB Y I OVER 4' AGGREGATE BA5E I N I O O I I U LU N I O I_ I I I I o L----------------------------� ;t I6' x "I' SECTIONAL GARAGE OR. 4'-0" 4'—O" 10 op 00 241-0" APPROVED Butte County Environmental Health FLOOR/FOUNDATION PLAN Date t, Signature Lj i 1 -1 77, DATE: JUNE 4, 2001 SCALE: AS NOTED DRAWN: M. MAYBEE JOB: SHEET OF SHEETS OWNER'S NAME : W ES ¢ EEGA N6 R u L E Y. PR6PERTY ADDRESS : 9 ZS S Co NA SSET RD ASSESSOR'S PARCEL #: SCALE: NOTE: ell Xater%b & Workmanship Shall Be In Accordance with Recognized Good Practices aid of a Quality Prescribed for the Specified use In the IIniform Building, Plumbing & Meaha 1 9WOO and the National Electrical Code. fry ��e Sale R►P�ete'� ' r� 'era em n� must be i celland aPPco OLS SPec�tied i a r Ex I s TAV6WNG 4 A5 O r( i f'ROP05Ep s ..62,g„�F oQtiQ� T.. Ni EZ.,.r z ro r' 2� h / P �0 _... op SO �. REVEWED BY BUTTE CO. FIRE DEPT. T,y CALIF. DEPT. of FORESTRY I ❑ approved as submitted O approved with conditions 70 per attached sheet rl S9gra�re DW -13 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS, A SET ®ACK OF .3E) FT. FROM THE SIDE AND 3-b_ FT. FROM THE REAR PROPERTY LINIE6 ANIJ O FT. FROM THE ROAD CENTERLINdr SHALL BB CLEAR OF STRUCTURES AND EQUiPME€ T EXCEPT FOR A 2 FT. EAME OVERHANGas z FOR OFFICIAL USE ONLY �r PLANNING DEPARTMENT BUILDING DEPARTMENT This set of -plans and specifications �tii18T`be ept on the job at all times and it is unlawful to make any changes or alterations on samewithout written permission from the Department of Public orks, County of Butte. ENVIRONMENTAL HEALTH DEPARTMENT CALIFORNIA DEPARTMENT OF FORESTRY e9 4 609 X4,ri, O'cdrr�v' S . w Q I )wNER' S NAME:- ?ROPERTY Ar RESS : 9 78 S Cc HA S5671.0 ,SSESSOR' S ".PARCEL 'CALE : FOR OFFICIAL USE ONLY IF YPLANNING DEPARTMENT BUILDING DEPARTMENT ENVIRONMENTAL HEALTH DEPARTMENT CALIFORNIA DEPARTMENT OF FORESTRY i Ica t