Loading...
HomeMy WebLinkAbout056-360-02356-36-23 [�:Y�OH GRAY OS�p -.36-0%.;`.11 3{ d i dr, 800' E FR Rd, 75' N Pereg} rine Rd Ni a Permit#386i--,844P,E(uutil, MH ELEC ePOO �..�� ��4*5 GAS�Q1 &AL ou SUPPORT STRUCTURE R'EiQ�`ILt�O—� COMPACTION TEST REQ r� 0 Permit#3864-84 I Issued 56-36-2.3 1758=90P,,E Pearce, Cl ence' & Nancy 76:5 /96 159?0 Forest, nch Rd,;��...�, ; (utilities/MH) E CQ GAS, - COMPACTION TEST REQ. SUPPORT'STRUCT REQ q 6-36-23 ' Permit#1847-90 - (installatio _ 56-36-23 3064-91B , PEARCE, Clarence 15990 Forest Ranch'Rd, For Ranch (porch/mh) a 056-36-0-023 �92-3249B --� PEARCE, Clarence & Nancy 15990 Forest Ranch Rd, Fores anch garage 7 f 056-36-0-023 I PEARCE, Clarence 92-3249B 15990 Forest Ranch Rdncy I garage Forest Ranch i — J JOB FINALE Signature J=OK O=Not OKNot r =Nat Readyable MOBILE HOMES ,. Date MOBILE HOME UTILITIES (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GA GES, Plans OK except #'s 1. ng Requirements -Set asks -Easements 2. ings; Soils -Size- Depth -S g -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures P. Carports; Win Do 7,�lortr:r 8. Fr ; Si nchors-S, s-Rftrs-Trusses 9. S g; Nailing -Veneer -Stucco -Mesh 10. of; Shthg-Roofing Ex Q Ste Doors -Landings Date 3-aCard B-1 Date Card B-1 Date ij Card B-1 C.4a 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 1 t.1 I=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 -Bloc kouts-Wra pped 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___ - -Card B_1 ---- Date -- Card B_- 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 Size/ / ga. Cu or AI-A.C. Wire Size! / ga. Cu or Al 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. --------------------------- Equip. Clearances Panels-Motors-Mech. Equip. 32. ------------------------------------------------- ------------------------------------------ -------------------------------------------- Clothes Closet Light -Shower Light -Spa Light -----Smoke SmokeDetector -------------------------------------------------------------------------------- DateCard 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 All ------------------------------------------ -------------------------------------- Date Card B-1 Date Card B-1 -------------- 6'ate 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 NO "Ingle & Duplex) Date FRAMING (Continued) ___45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- -------------- 55. Siding -Nailing Veneer ---------- -- --------- _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights-Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- - Date Card B-1 _ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ___________ 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec_ Trim & Subp anel_Breaker Sizes & Labels ---------------- 67. Stairs -& Rails _ _ 68. Fireplace or Stove: Clearances -Hearth ---------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71.--Elec.-Outlets & Receptacles at Kit. Counter ------------- -- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb__Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes --------- ---78. Guard Rails & Deck Construction -Post Caps. --------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looke_d under Floor ❑_Yes 80. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ -No _____ 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------------------------------------- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - ------------------- -- ---------_ __ _ 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - ----------------- 87. Glass Protection - --- - - -- ---------- 88. - - -------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric -- --------------------------------------- --- --- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- 91. Energy Compliance Certificate -Other Certificates ------------- ------ -------------------- ----------- - ----- - Date Card B-1 Date Card B-1 --------------------------------------------- -- ---- Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE DEPARTMENT OF PUBLIC; WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA*- (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. U NJ �F' Date3 Inspector REV 11/91 T;—; i - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION- AND PERMIT PERMIT NO. 9 -aa i ASSESSOR PARCEL NUMBER 056-360-023 ZONING TM -5 BUILDING PERMIT OWNER Clarence & Nancy Pearce TELEPHONE 895=8691 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 56, Forest Ranch 95942,.,;7 0€529 M :._-9522- / -� CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ X9522 ' LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $tom. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ` $ .75 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $C.Li61.25'- 15990 Forest Ranch Rd., Forest Ranch PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home' S I G I W @ 15.00 TYPE OF WORK New X1 Addition Remodel❑ Utilities[] Installation❑ Other❑ Describe work: Garage oft—Cx-ei6e—Pe'YYt4a+4--en Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200AT01000AI NEW CONST./ DWELLING OCCUP.&) OR ACDNS. \ ACC. BLDGS. _37.50 3.64sq.ft. NEW CONSTFL ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00(POWER APPARATUS &1 (SINGLE OUTLET CIR. I Ex, OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS.I, Ex. OCCUp. OUTLETS II RESID )REA.)\\ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,XJ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against i ounty in co Lien of the granting of this permit`. 9 X Date (� — / 2� Signature of Applicant — Owner Contractor ElElAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of'structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ CLCC.CONSTTYPE M I V Q y TOTAL JFEE $ HAz --� DFEES "-' IMP FLo CDF -� PARCEL PD ND I This permit is hereby issued u r the sions of the Butte u y d nd/or work indicate o r ich fees I PUBLIC eY P MI P RES Date 0-g __ applicabl e provi resolutions to do have been paid. WORKS DatWIQL. ?- Receipt No. 122792 WNITE-D.P.W., YELLOW-AS9[9SOR, PINK•INSPECTOR, GOLDENROD -APPLICANT I N� 1 CP ©� �P m 1d Cs-, 5 ��� 0To N COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINd&VGSION l� - 7 COUNTY CENTER DRIVE - OROVILL•E, CALIFORNIA 95965 - TELEPHONE (916)'538-7541 PERMIT APPLICATION DATA SHEET OWNER ��/QC t, , i� /,1�C�� �`/9/i��' 0. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 . ............. a 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... lobilehome,gata�anc�ianufacturgr' installation instructions, 2 sets: ........... 11. Impact fees as shown on attached schedule . .............................. 2. California Department of Forestry plan approval/fees. . 3. Flood elevation letter (100 year flgo y ptC!gfornia Engineer . ................. . �ki 4. Sanitation and plot plan approval -(7/ C� Health Department . .....:...... 15. City of Chico plumbing permit . ............... ................... ........ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... . PreJnspedion request 20. Pre -inspection for required. .. to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner Mail to owner )............ 24. Records copy of Agricultural Acknowledgement Statement . .................. a 25. Letter of signature authorization . ........................................ c^_ 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) Parceleels oning:are arid frontage requirements. ..Rk, ............. 3 xisting violations. , _ erm( moist. ................................................ 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 Creationn Acreage Applicant ~moi 49 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 r to 1. Index permit for above items No. -rk� 2. Additional items required: ;{Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte�,by _ Date Contractor, designer, owner, was vi ed of above required data by _ phone _ mail Counter by Date Plans checked by Date 9 30.9z4atans approved by Date / -2 Sets of plans on hold in File cabinet SAP folder Copy - Department of Public Works F.H. usr ONIN I'LL, AII.Jwd TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ^ ° _, Qa . j. -Z '-36 -- z..? wner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 ��-24 -gL Date A� V - Al q4ioaH 104uewu0z!Au3 4uno:) &4rq (13AOVddY 1. "16 ski " tx -r (W�dj- 7,v,fl;,S,Iyd YW� q% xP � J7 -4f 6 5 s yj ?l4 " ®4k j,,s tip i Cf Ov 91 c � v ell' ®4k j,,s tip i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND P.ERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' - - .130 ZONIN BUILDING PERMIT OW' TEL PHONE g9s-f SQ. F'�. OCC. BUILDING VALUATION 6 OWNER'SILING ADDRESS t . o roc5T/�t�te C0 TRACT 'S Iy.Ayl� TELEPHONE CONTRACTOR'S MAILING AO ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,7 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING RDDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE/_,',, �. SF E]Duplex❑ Mobilehome❑ Other � IRA4/�t-1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 ' TYPE OF WORK New2'Addition /I�L�,�,l Remodel❑ Utilities❑ Installation[] Other Describe work: —eele, ,� A C0KCfZFT,E %QUAID.,11'40M Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. / DWELLING OCCUPM 3.6Q sq.ft. OR ACDNS. ACC. BLDGS. l NEW CONSTR I. UL OUTLET @ 5.00 NO N.R ESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. i Ex. Occup(OUTLETS OR FIXTURES 202-7FIXED APPLNS.6 Ex. OCCUp. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Vencil ation ntil PeFee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstNounty in consequee of the granting of this permit. / p X (/%92Z::::� Date % �!D / signature of Applicant — Owner Contractor C]Agent ❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz 1 0FEES I IMP FLOOD I CDF PA CEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. / Z % % Z WHITE-D.P.W., YELLOW -ASSESSOR. PINI( -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE-- Geoartmenc of Public Works 7 County Cancer Drive, Oroville, CA 95965 Phone: 916- 52d8-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid 'unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ✓ 2. I (have/have not) 2signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contactors License No. 5. I will provide some of the work but I have contractad (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date '7—lav 1_477" NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This' verification must' --be" completed and returned to our off ice-befo ia-ve,-are .pe,r- mitced to issue the permit. P IM Z 0 in 0 W® m ,Qr 3 ®cn z J 0 EVA MMFI:I•i a ta z,iT dresI Ranch, CA 955-$42 (9�:i'� 8094-55'2'3 A►s, lvx'lZUS'j,c lief'-. A,r 32 z�BPTDr-5��,� I wide one-hour protection ON sine of common wall tm- h since e door- 01- oor oc ll�ogc� �joM E core gLo J I 6/ .1(e df ',j/ (. SA-ck ! 5Lp i Zu BhJT� COUNTY co -n ` ��TS WILDING DEPARTMR11 - i APPROVED wv%er �142 (S. (-C E gest (L_vw�c_(^ �co • S7� 17 , -- — Z -v 6yr4rle em CLOem, SPECIFICA TIONS - 1. CONCRETE - f'c= 2000 PSI (P 28 DAYS 2. REINFORCING - ASTM -A615, GRADE 40 MIN 3. BLOCK - GRADE N, f'm=1500 PSI @ 28 DAYS 4. GROUT - f'c=2000 PSI © 28 DAYS - 5. MORTAR - TYPE S, 1800 PSI @ 28 DAYS - 6. LAP SPLICES - 20" MINIMUM - 7. FOOTINGS SHALL BE EXCAVATED INTO FIRM, UNDISTURBED .SOIL TO DEPTH D *FLOORS HORIZ BARS VERT BARS **TW B D - ONE #4 @32 "0. C. #4 @24 "0. C... -.'6" 12 " 12" TWO #4 ®24 "O. C. - #4 @24 -0. C. 8_" 15 " 18" * FL OORS REFERS TO NUMBER OF FLOORS PER UBC^ TABLE 29—A FOR HEIGHT OF 24" TW REFERS TO BLOCK _ OR LESS, REFER TO TW THICKNESS, 6" OR 8" UBC SEC. 2404 (f) FULL Y GROUTED HORIZ BARS VERT BARS REINF. @ CIL OF WALL DOWELS TO MATCH VERT REINF -, UNDISTURBED SOIL a� C v3"CLR m O(� 3"CLR m 4'-0" MAX DB 1-#4 CONT. IN FTG � Z 4 HIR HEIGHTS OR CONDITIONS REQUIRE ENGINEERING d RESIDEN77AL CMU FOUNDAT70N ' I"" JUAIC I scmz s/4'_r-o' DATE. • 4/92 BUTTE COUNTY BUILDING DEPARTMENT D WG: cmuFTGR STD 12.4 7- R E ENTIAL:, d 56-36-23 = 3064-91B PEARCE, Clarence 15990 Forest Ranch Rd, Forest Ranch (porch/mh) JOB FINALE Signature %/i �- 9 ?, J=OK O=Not OK =Not Applicable ' = Not Ready MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans) OK except 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ff's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date -Card-B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date k DECK§f CO S, CARPORTS, GARAGES, (Plans)OK except ff's `Q. Zo Requirements -Setbacks -Ea is 2. Footings; Soils -Size -Depth -Spa g -Connectors -Steel 3. D ; Griders and/ fists -De g -Bracing -St -R 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Rooj; Shthg-Roofing 1 xt.; Steps -Do - an s Date . SV-YZ, Card B-1 Date Card B-1 , Date Card B-1 44> Date Card B-1 Date POOLS (Plans) OK except ff's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK NotNot Applicable RESIDENTIAL Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope - 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel- Bloc kouts-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-Arico'or Bolts-Joists_Vents-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ti's --- --16. Water Htr.: Vent -Access -Combustion Air -Baffle - - -------------------------- -- 17. Water Pipe: Test & Anchor -Nail Protection --- --------------------- 18. D_W.V.: Test -Fittings & Anchor -Nail Protection ---- ---------------- - -- -19. Shower Pan: Test. First Floor -Tub Access 20. Test --- Tub & Shower. -- Second Floor -Tub Access ---- ----------- ----------------- ---- 21. Gas -Pipe: Size & Anchors --------- ----------------------------------------------- Date _ ------Card B-1 Date ------ -- Card B-1 Date 1Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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 Size / i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ----------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- ❑ No ---------- ----------------- ----------------------- - 30. Service -Riser Conductors & Ground -Main Disconnect - - - - - ---------------------------- - 31 Equip. Clearances-Panels-Motors-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 n's -------- 34. A_C_Ducts Insulation & Support ------------------------------ 35. Vent Fan; Exhaust above insulation ------------------------------------------ 36. ------------------------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 ti's 39. Sits. Proper Material & Anchors - -- - --------------------------------- ------------------------------- ------------ 402 ------------------------------------------------------------ 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 Single .& Duplex) Date . FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors -- -46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ---- 47_ Fireplace Ties or Type A Flue -Fireplace Throat clearance -- - - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ---- -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------50.-Garage-Fire Protection Framing ------ 51. Property Line Firewall & Openings Doors -One 3' -Check Garage -3rd Story, 2 Exits ------- -- 53_Stairs; Width -Head room-Rise-Run-Landing- Fire Protection - - -- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ----------------------- -- - ----------- 56. Stucco Mesh_brip Screed -Fd. Vents-Underflr. Access -------- -- 57. Glazing Area -Glass Protection -Skylights -Plastic ----------- - 58. Shear Walls: -Nailing -Bolts 59_ Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date- _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ----------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage_ Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting - 65. G_F.I_& Bath Fixtures & Tub Access -Spa 66. Elec. _ Trim & Sub_p_anel: Breaker Sizes & Labels 67. Stags & 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 inGara a -Dam er 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------- 75. Plb__Elec & Mech_Equip. Listed for Location 76. Elec_ Receptacles in Garage: (G.F.I.)-Romex Protection 77. 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. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - -- -- -- --------------------------- --- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim:-G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- - --- ---------------------------- - 87. Glass Protection -' ' . - - • ... -- -- - --- -------------------------------------- 8d. Corrections from Previous Inspections _ 89. -Gas -Test -Meters -Tagged: Gas -Electric --- 90. Water-& Sewer Connected -C/O to Grade -HD Approval 91. Energy -Compliance -Certificate -Other Certificates -------------------------------------------------- --- DCard ---- ate -------------- - -----------------B-1 --------------- - Date ---- -Card B-1 --- _Date Card _B- 1 - - Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 APPLICATION.AND PERMIT PERMIT N0. 1 � � ASSESSOR PARCEL NUMBER -� 56-36-023 ZONING TM -5 BUILDING PERMIT OWNER Clarence TELEPHONE 895-8691 SQ. FT. OCC.1 BUILDING VALUATIO 2 00 OWNER'S MAILING ADDRESS B Ranch 5942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation$ 2 808,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 1 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Covered Porch Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee ' 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP. OR ADDNS. ( 5 ACC. SLOGS. , /20sgft NEW CONSTR. ULTI.OUTLET BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 300 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. VI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai7. County in �cTeque/qe of the granting of this permit. X Date Signature ;T Applicant — Owner Y Contractor ❑ Agent ❑ An OSHA permit is required for exccoationslover 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONSTTYPE TOTAL FEE $ 4 ° 50 HALcuA PARK `$CHL FL CDF PAR � PD H ISS This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. IRECT R OF UBLIC WORKS By Date PER IT EXPIRES ate _ --- Receipt No. 97247 '\WHITE-D.P.W.. YELLOW-ASSE330R, PINK-INSPECTOR,GOLDENROD-APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL�-E;Xft-tFORNIA 95965 - TELEPHONE: 916/538-7541 PI;RMJT APPLICATION DATA SHEET n Permit No. OWNER_ ClA� �f/C � 6-_12-G6�- P. _ Proposed Building Use 100 40— e,_ Building Inspector 5-6-�3&--6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED II items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Enemy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................... 1 School District fees paid .............. Sanitation approval from ���/G �) Health Department -►II 41 dJ 5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to 1 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...................... ......... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. nf1— Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: t✓ /fin Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date 14 Contractor, designer, owner, was advised of above required data by—phone —mai I -counter by date Plans checked by Date F11ans approved by 10` Date ' ZSets of plans on hold in Copy—DPW File cabinet v AP folder TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location,�7,jp AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other 0 NOTE ,e � Sanitarian Date W I1J n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-1541 APPLICATION AND PERMIT PERMIT NO, ASSESSOR PA CENUMBLER ��� ZONING BUILDING PERMIT OWNER1)1. G TELEP ONE SO. FT. OCC.' BUILDING VALUATION I LING PDDR SS 2 s�' y CON TRAC DR.'SS_WAA E TELEPHONE CMI LI RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 A RESS Permit fee $ PLUMBING PERMIT Fill ee 10.00 Each Trap 2. ea Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5 1 Each gas water heater or vent US�O/F STRUCTURE SF ❑ Duplex[] MobilehomeY'f. Other ���� SPECIFY Gas piping system 1 - 5 outlets Building sewer 5. Mobile Home S I G I IN 10.0 a TYPE OF WORK New ❑ Addition Remodel ❑ Utilities lities Installation ] Other ❑ Describe work: �7 (�ic���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing'Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ACDNS. ACC. BLDGS.l20sgft NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t AL930tt FIXED APPLNS. Ex. OCCUp. OUTLETS RESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICA MIT Filing Fee 10.00 Heating Coo 9 Hood Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAL CUA PARK SCHL I FLD CDF PAR PD I HD. ISSUE This permit is hereby issued urger the appiicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-ASeE1SOK. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE.- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone:. 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/ ) Iq/signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name _ Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner. Social Se cu ity Numb Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. iG A setback of"O property lines 50 ft. from the r centerline shali be clear of structures or equipment except for a 2 ft-., eave overhang.AW OF 41_ -mss.. A e ZpT ��-,� _ .3(; N. ',�, fq ,qs This set of plans and specifications MUST b6 kept on the job at all times and it is unlawful tc. make any dhanges or alterations on same with- out written permission from the Department of Public Works, County of Butte. ' E. —All Materials & Workmanship Shall Be i Accor ance nized Good Practices an of a quality prescribed for e ' ' d use in As \ Uniform Building, Plumbing & Mechanical Cod �j the National Electrical Code. es and' JI LUJNU DEPARTMENT fvl dv' - �� ��� V D zg quo vj5!0 FRdKt PORE' '--T7 10 y, q .)Lill COUN -DP-OAC')-rA Ar-. WILDING.- ' - -..- - S.... . - El. 60� ji Oo fcsi.Y4 I z 0, X, 1.7. i 7j3 �. -7 qb IDENTIAL 56-36-23 __- 1758-90P,E jPearce, Clarence & Nancy 15970 Forest Ranch Rd, -Chico (utilities/MH) JkR ARAwe!yAddress Al e nil C9tAn.� O1C. l "� C GAS r��_ �— Date Meter By I ELECTRIC Date? Meter By - . �. N,, c, nom. �Ala-+ • may• >ytie.e� �" � !e� .. JOB FINALE Signature COUNTY OF BUTTE t" DEPARTMENT OF PUBLIC WORKS - • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PEP IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whenr ction of work is completed. If you have any question pertaining to this matt -;,O -,r need additional explanation, please contact this office immediately. a x f Date_' �2� �" Inspector) J _-X% I .. ... �.. a --..�:s-i.� ��-.mow.• fr@i.kxi:+�`+�s+ic'.�s4+'F%iYWsYT3E�.-�.:�Akt.2.M°dES.•r.....w.- .c -.ar+r�-. _ < '^ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 € 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER 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 ma er, or need additional explanation, please contact this office immediately. Date [, r `.' Inspector 1 . s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date—a� 4 � Inspector_�'(.�N fC MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0.�ry Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name v; Serial number of V.I.N. (Official Approving Installation Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. m FOR DATE (O[ ( ` . TIME %2 4pi M 1 nc OF vol' PHONE._.. . AREA CODE NUMBER EXTENSION �TEL'EPHDNED� �� WANTS TO SEE YDU� fETURNED YDUR:CAL L� ���� : PLEASE CALL " �,•���� AGAIN � t" R�USM SE PATTENTIDN -'S31ON N J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE EMMITIES Plans OK except #'s on' equirements-Setbacks-Easements oils; MH Support Sketch ewer; L n -Test -Fall- oncrate_ er; Loca ' -Test-Easement Needed (Sketch nciLocati n -T cation-Clearences-Grnd-/ mp-Concrete fest-Wrap: " "ft. or/ / ae<Rlity Clearance Date',7.;t3-Q4> Card B-1 0 15Date Card B-1 %yYetl4r; MH Test -Regulator -Connector 7. Water and Se er Connected -C/O to Grade -HD Approval s and EI tricity Tagged It n .-Sketc Cert. of Occupancy Oate� Card B-1 Date Card B-1 Data �o Card B-1 Date Card B-1 . s• MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size=Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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-Pane Iboards- 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 (ES ' = 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- Bloc kouts-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. Gas Pipe; Size -Anchors 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. 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 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 Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 13 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 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 ingib & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -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 T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows r 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 & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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 0 Yes 0 No; Walks ❑ Yes O No; Planters ❑ Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County -Center Drive Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r PERMIT NO. l ASSESSOR PARCEL NUMBER 56- 6-2}'TM-5BUILDING ZONING PERMIT OWNER ► C895-8691 TELEPHONE SQ. FT. OCC. BUILDING VALUA-T-JE,__;Z OWNER'S MAILING ADDRESS P.O.Box 56 Forest Ranch 95942 CONTRACTOR'S NAME OvIer Mobile Homp Service TELEPHONE 345-12q2 CONTRACTOR'S MAILING ADDRESS Fireplace ' CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationEXI Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ADONS. ACC. SLOGS. /z2sgft NEW CONSTR ULTI-OUTLET NON-RESI D. BRANCH CIRC ITS 2,50 ea ( POWER APPARATUS e' SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SO¢ °AL®ao FIXED Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 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 liabilities, judgments, costs, and expenses which may in any way accrue again s ai ounty in co sequ a of the granting of this permit. X A61Date V EM Signature of pplicant — Owner Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Nion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ i CONST TYPE TOTAL FEE $70.0 HAz CUA PARK scHL FLD, R PD, HD Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees By :D7IRC;TpOF PUBLIC PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date 2 `eipt No. ll2 00 /LITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 2aZI COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Cal 'ifornia 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT OWNER ^ ^ ^ `,ICC_ l/�' lq..� I D WNER'^�V IL�G ADD ESS YY// JJ k 5-4v CON TRACTOR NAM 0E��� CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILIN( BUILDING ADORE55 1590 Fo C // 17 4Z TELEPHONE PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace NKNOWN Total Valuation $ Filing Fee Permit Fee (CENSE NO. Plan Checking Fee Energy Plan Checking Fee LOT NO. SUBDIVISION NAME - - (PARCEL MAP USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther '•r.:SPECI FY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ :Installation_} Other ❑ Describe work: �X� e,-�-i-�--..`�=L Permit fee �MEP+ ' 10.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 e Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 V OR AMP ORLE SLESS 1 10.00 Main service EA. ADD'L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Profession Code and4y 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) ontract- I, as the owner, am exclusively contracting with licensed contract-ors. ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , New DONS. A ) 20sgft U TI OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 0 56t- 2000 0 EX. Occup. OUTLETS FIXED PLNS(RESID IREA.) 2.00 I Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor i I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsa' County in conseque rit. a of the granting of this � �� %� � �� � Date Signature o Applicant — Owner Contractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveerrr 3 stories in height. Mobile Home Installation Fee $ D Energy Inspection Fee $ occ CONST TYPE � TOTAL FEE $ /vj//'' i HAz I CUA PARK SGML I FLD I PAR I PD I HD I ISSUE This permit is Hereby issued under the appiicabie provi- sions of the Butte County Code and/or resolutions to do work indi-cated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. &6&.1 — - - - WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS D&VELOP.MENT.FEE CERTIFICATION FORM (One Form'per Building) A.4P. "Number 65-6 -5/,7 - 6 -D,�3 -C% School District (711(ed Property Owner Building Department No. City n County Project Location/Address tRl,�IeT /6-970 'fp,0957 Subdivision t, I - , `' Lot Number Residential. Developmen't: ` a EJ Sq # of Living ME Addition Units Jurisdiction Footage N40 (Group R) Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. %,J / / Y o n School District certifies that (Applicant Name) (Phone Number) '/ (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. _°� (F by the payment of $ representing %iV(io square feet. %',Aw School District `Representative Date PAID BY CHECK NO. Jt7" BANK NO PAID BY CASH REMARKS: (�� (�l.! M-4. -4AW - � e , 'ON e e c white-appl°icant, yellow -building department, pink -school district SCHOOL.FEE (8/88) d %� � 'i1 f 3� rt, v.:V BUTTE COUNTY SCHOOLS'DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number �5w"n/3(�-n ��J.'� Building Department No. School District City = County _IX Property Owner G/ Jurisdiction Project Location/Address K4917V P%//•,ST 0/104 1_GYf/�S% t Tk. /s9729 Ane,,5si 0. Subdivision Lot Number r Residential.Development: r ��j�� Sq. FootageN40 # of Living Uil Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior .Roofed -Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel)- Z. ersonnel)- ;,,;, .. .�.� >^—.- �, "iY" i"i.'S�;9R'e�AM'v� "i•,t�t'^. , -4 a . i_et 'Y .rt :,.�eSi•��rk�^Y+�• �7.''++� n En �ky DistrictIdNo $ School District certifies that (Applicant Name) (Phone Number) _(,Street Address) ?_ (.City) _ ( State) (Zip;Code ) has complied with the requirements of Resolution No. by the pavmeht of $ representing /IMO_squaze feet.. , ) 5 9� School Distric epresentative Date PAID BY CHECK NO. c -�— REMARKS: �(il DU O� m . 4. 4kW ) BANK NO ) 'MJ " r' PAID BY CASH white -applicant; yellow -building department., pink -school district ; SCHOOL . FEE ( 8/88) 11 (a3 LE� r7431 (° k o o , rC,t Q S�ui /�T?e an • 171AU - GOUN V, Bioc�� �C5 DEv,-SO, 1g Not AP 014NER -OAQ PERMIT -9t) MH UTIL. CLEARANCE DATE INSPECTOR i3✓�'1 ELECTRIC GAS Support Struc. Compaction Test Re Service Size Other Load Type Pipe Size Length YES NO YES NO •Z10 w !t ,bol , This set of ,•i !' Plans and specifications MUST b� kept on the job at all times and it is unlawful to' make any .changes or alterations on same without written permission from the Department of pubile Works, County.of But6e. FP t 03 0 S1cs-r I GQ REQ To of N J !i -F T�ES 61 E N G o M pi-"OV.i J., �R %. rp. ��'� p56 346 -b -4.23-4 i NOTE.—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Wniform Building, Plumbing & Mechanical Codes and the National Electrical Code. ro A setback of iS ft from the property lines and a setback of 50ft. from the road centerline shall b Dclear of i structures or equ nt except for 2 ft. eavie"bi whang. top�0X 5t?'F A permit will 6e require? y 4 �Mo(�Lr f���aestallation of the mobileh` 4 .. �F fKS Tldgt �pc.e_ BUTTE CO N BUILDING DEPARTMENT F,PPROVED /75—S—:90 ,cuff. �r • BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 53817541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: RA, kl� 3. Is the site currently under permit? Yes � No 1_JI (If yes, furnish permit number ) OR Is the site an existing site? Yes V; No 5. (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 -ft. away from sep tic tank and leach fields and clear of all setbacks and easements? Yes No 711 (If no, clarify 11. What is the gas pipe length from meter or tank to the / mobilehome?--------------------------------------------- /* * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on y�natural gas'or `lens than 50 ft. on LLC,) 1 (BTL') 5. What .is the mobilehome electrical rating? --------------- W40 Amps 6. What is the mobilehome site service. rating? ------------- ' mps 7. What is the mobilehome site circuit breaker rating? ----- /00 Am s ' 8. Is there any other electric load to be served by -the . -------------------------------- M LJ mobilehome site service? Yes No (If yes, identify the load and size: W 4- (Load) O (Amps) 9. What is the mobilehome site gas pipe size? -------------- r (in.) I 10. What is the type of gas service? ------------------- Natural LPG i 11. What is the gas pipe length from meter or tank to the / mobilehome?--------------------------------------------- /* * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on y�natural gas'or `lens than 50 ft. on LLC,) 1 (BTL') MOBILE:iOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �jE�TuJ6Q-D furnish Setup Model No. Y' ar %y7V width (ft.) Box Length (>0 (ft.) Tagalong or F,xpando Size ft. x_, ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).y j� � FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) 1. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations R SINGLE -WIDE MULTI -WIDE Main Beams Line 2 .r..-- -- — — — — —— — — — ---� -- -- — ---- Line 2 — — — — — Main Beams — — — — r Line 2 Line 1 Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - ----------------- Spacing-Max. --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: 2 oLine 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ x „ Size -Min ------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- „ Spacing -Max_ _______________ „ From Ends -Max.------- �'_b " From Ends -Max -------------- Line 3 Roof Loads: Size -Min.------------ F "x "x .'k "x "x "x "x "x Location (From Front) _ Line 4 Pier -e: Size -Min .------------ k Spacing -Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -[lin.--- -- -- - x Location (From Front) Size-Min.------------------ ":C Spacing -Max.--------------- From Ends -Max .------------- " If X -Wo, 7 - =2 0 V COUNTY OF BUTTE-.DEPARTf1,iENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A A ASS Ea550R PARCEL NUMBER 56-36-023 ZONING TM -5 BUILDING PERMIT OWNER Clarence A. & Nancy A Pearce TELEPHONE 895-8691 SO. FT. OCC. BUILDING V UA ION OWNER'S MAILING ADDRESS P.O. Box 56 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 15970 Forest Ranch Rd., Forest Ranch Each Trap 2.00 Pri. Rd on WS of Forest Ranch Rd., approx 75' N of Solar or heat pump water heater 20.00 LOT NO. • SUBDIVISION NAME peregrine Rd. Z PARCEL Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex❑ Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 E4V(�T G Cr /SIS I IV l7q Main service eoov100AMP oR LESS OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 9.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense 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) FlI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.g OR ADDNS. ACC. BLDGS. 21/20sgit NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS & \SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 2LO eAL030 FIXED APLNS. Ex. Occup. OUTLETS PRESID OR 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 Contractor 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 o Consent to Self Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s d County in conseque a of the granting of this permit. �r�Gl,-�� X Date << Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $.2.50 HAZ CUA PARK I SCHL I FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date t_ —it— Irc, I✓� ff— 9 Receipt No. _537 %, WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DkPAR-TiVIENT OF PUBLIC WORKS - BUILDING DIVISION Of t ( �{ 7 COUNTY CENTER DRIVE - OF%O%j;I;, $A&4FORNIA 95965 - TELEPHONE: 916/538-7541 f`.°' PERMIT APPLICATION DATA SHEET IJ Permit No.Ap - � OWNER C- 4*0( 2'j LC PCNA RcG ` A. P..No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted pri6rto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions................................... .................. 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department X15. City, of Chico plumbing permit........ ............ 16.- Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . f _ 26. -27. When you issue the permit, process, sffollows: Mail to owner. . Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant Date`�t "7D lI Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date ,r. 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). Contractor, designer, ow was advised of, -above required data by _phone_—nail—counter by date —� —"� Contractor, designer, owner, was advised of above required data by—phone —mal l—counter Jys,, date/ _ Plans checked by Sets of plans on hold in Copy—DPW I Date Plans approved by File cabinet AP folder Y.l l . TO Build� inaDepartment FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# e Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom gqJ/ mobile -home. Other / NOTE * * * Dat® Sanitarian TO: Building Department FROM: Encroachment,, ,ertit Section RE: Driveway Clearance owner location AP # Driveway permit /llovice lieelYel has been issued for the above property. Zq;a date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL —61 -Q /p' ZO,�-S BUILDING PERMIT i o ER fit AP_F_ w, A- 144/Vc,V TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING A1DRE�O��`7 eH 5 J ! CONTRACTOR'S NAME A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace j CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10_00 j LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR AL ENGINEEij LICENSE NO. Plan Checking Fee $ &0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7-0 &)W57— � e sr d� F19 �7 C Permit fee [ $ �7 �� klD ��_ S( £ D �Each PLUMBING PERMIT Filing Fee 10.00 i Trap 2.00 R . 75 fF RErsR//ig %�D• Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00e 3d, OA -)TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation 4VOther ❑ Describe'work: /�}����(�b� LD�IIG°12�D Sf1! c2 Aa7N Ay., hYO 1��AG-L GD�(1— Permit Fee r $ O } Contractor ELECTRICAL PERMIT Filing Fee 10.00 n ,�{ L �I }��' MD , C n /tO` C/ 7 V L+IIG fie/ J V CCJ 1 Main service 6001 OR LESSi 100 AMP OR LESS 10.00 10-00 1 Main service EA. ADD'L 100 AMP 2.50 ^ 56 I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force: and effect. License No. Classification dl, 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)Mobile L� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6`\ OR ADDNS. ( ACC. BLDGS. 1 , j �Z¢sgft i NEW CONSTF ULTI.OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) ( SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES e20ee0x ALO 300 FIXEEx. Occup. OUTLETS PRESID.IREA.) 1 2.00 Temporary service 10.00 Home Facilities Ho 15.00 Mibi. g 15.00 j Permit Fee $ 3 -2 • SD WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. d1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor i MECHANICAL PERMIT FilingFee 10.00 i Heating Cooling g ,- 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag said County in asequence of the granting of this permit. Date Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ S v HAz I CUA PARK I SCHL I FAD I PAR PD I HD 1 ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B Y the applicable provi- resolutions to do j have been paid. ; WORKS l Date Receipt No. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number�S� 3(�-Q ��.?J '� Building Department No. School District `'ff(CQ City D County' Property Owner - Project Location/Address IS -970 roR,,isT Subdivision Lot Number .r Residential Development: Da Sq. Footage ISD # of Living 1I Addition (Group R) Units 14 /Very ^CD• Jurisdiction Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. AJ d�l� School District certifies that (Applicant Name ) ( Phone Number) (Street Address) (.City) (State) ( Zip Code) has complied with the requirements of Resolution No. by the pa ent pf $ representing "square feet. School District -Representative Date PAID BY CHECK NO.I % On 4.i BANK NO �♦tel • ff.. PAID BY CASH white -applicant, yellow -building department,.pink-school district SCHOOL.FEE (8/88) 1 103 7+n COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated. Name Address . Phone Type of Work Signed: Property Owner Social SecurityNumber Date S- 02,1 - 9b NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Re, ^to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT. � ~ OR'RESIDENTIAL DEVELOPMENT_ Section 26-8'l of the Butte County Code requires this acknowledgement be recorded yzior to issuance of a building permit' / 90-20380 / The property described bereiu ia udjuceu� / 9 | 8eo Fee ' � �heok' 7:.00 to lund or included within an area zoned Recorded for a8ricui�ural Purposes, arid residents Official Records of this property xmy he yu|`jacL to incon- County of "enicncoa or diacom[ort arising lcom the [ i 1/ l bemi l i ludi Butte use o e&r cu ura c ca a^ nc ug^ > Candace J. Grubbs but not ]imited to herbicides, pesticides, | Recorder | ` and fert.jliuere; and from the pursuit ! 11:43am 18 -May -90 | o[ ag/icu]�urul operaLions includio8, �-� _ _ BG 2 / but not: 1imi,ed to cultivation,. plowing,' spraying, pruning, and harvesting which - occasionally generate dust, smoke, noise, and odor. Butte County has eatubliehc'\ aAricul- Lurul zones which have as a priority use for productive a&riculturul purposes, ooJ reeiJem_o within said zones and on adjacent property should be prepared to accept such ixc^nvcoieoco or discomfort from normal, necessary farm operations. All that rea] property oituare in the CouuLy of Butte' State of California, J,scrike'| oe [ollowe: Date4�Z pD0I9IRTY OWNERS: ��/ State o{ On this the day of h,[urc mc, SS' the undersigned Notary Public, peradnalIy appeared County of 911�: RICHARD FEUERSTEIN aE] Personal] y known to me. Proved to me on Lhe li��S(l s Butte County 13 of sati factory evid(. MY Commission ExPires Feb. 16. IM OLo be the person(s) whose name(s) subscribed to the within instrument and acknowledged that wov executed the same for the purposes therein contained. 1*N WJINE'�S WHEREOF, I hereunto set iny hand and official seal. �- Praeenc A.P. No Not���-��1�.ic ' , osEos -4e .. _ R •'tia ani f i • f t t s .. _ R •'tia ani f ,r 380 EXHIBIT EXHIBIT "A" All that certain real property situate in the County of Butte. State of California. described as follows: PARCEL A: A portion of Parcel 4 as shown on Parcel Nap recorded in Book 77 of Parcel Napse page 62 and lying within a portion of the SW% of Section 32, Township 24 North. Range 3 East. M. D. B. 6 M.t being more particularly described as folloMst Parcel 2 as shown on Parcel Map for Otis Dodge filed for record, in the office of the County of Butte. State of California on December 23. 1983 in Book 94 of Parcel Maps, at page 9. PARCEL B: A non-exclusive easement 60 feet wide for ingress and egress and for•publLe utilities over and across°Parcel 1 as shown on.said parcel map recorded December 23# 1983 in book 94 of Parcel Maps, at page 9. PARCEL C: An easement for ingress and ogress and for well purpose& and maintenance over and across a strip of -land -l0 feet in width the centerline thereof being -mora .particularly described.•as..follows: beginning at Southwest corner of Section 32.'T64 hip 24 North, Range 3'�East. M. U .. S.•.;87 �48'.16"E. 250.79' feet' �to the Southwest corner - of . . w Parcel; 2 as, shown;. ontiParcel ;Map filed for record. December 23. •1.983 'in .Book 94 of Parcel Maps, at.page"9; thence North'00;.01' 53" E."21 feet to the,pbint of beginning of said 10 .foot strip of land; thence from -said point of beginning directly West 60.00. fact to the and of said line. Y t " END OF DOCUMENT 0� i,�P,0611*91 , co .6k MOBILEHOME SUPPORT.DATA eo If other than single wide, Mobilehome Mfr. 01VONG`T7/y furnish Setup Model No. Year Width (ft.) Box Length CEJ (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). 1. Wood -pressure treated or foundation grade. 2. Other (specify) FOOTINGS (check one)❑ SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) t Pier Footing Sizes and Locations SINGLC-WIDE MULTI -WIDE in .— Line 1 Line 2 Line 2 ` _ _ _ — — — — — — _ Main Beams — — — — — — — — — — - - � Line 2 line 3 Main Beams — — — — — — — — 1> Line 4 Tag or Triple . 4 Line 1 Piers: Line 1 Openings: 6 �Size-Min. ------------------ Size -Min. ------------ ..x Spacing -Max. --------- „ Each Side of Openings From Ends -Max. ------- With WidLh Over --------- Line 2 Piers: Size -Min. ------------ „ x Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ":L Spacing -Max________________ From Ends -Max .------------- _ Size -Min .------------ Spacing -Max.--------- , From Ends -Max .------- . ,. Line J KOOI Loans• Size -Min ------------- e 5 Piers: (Under Bearing Walls only Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- _ "x "x 1. "x "x 11 x "x Location (From Front) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: Qjil� 3. Is the site currently under permit?Yes No (If yes, furnish permit number ) OR r— Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 1 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- -�> Obi Amps 7. What is the mobilehome site circuit breaker rating? ----- ��j�� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No Ll (If yes, identify the load and size: OU-- /ffP(Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) i 10. What is the type of gas service? ------------------- Natural � LPG . 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------517-6 (ft.) 12. What'is the mobilehome gas demand? ---------------------- *(This information not required if pipe 'length less than 6 ft. on natural gas or less than 50 ft, on LPG.) (BTU) %Cf612 O r-v'`11LI 7 11 /4W G�,rcrt `f 5TT� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' Es 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PSaAA�/ / V b Pial(../ V • • W'Y. OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance '? exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �a= µY. L f (f �— U d .. i� :1 Date �� t3 `U Inspector IDENTIAL OUT51�� ; 56-36-23 1758-90P,E ' ' Pearce, Clarence & Nancy 15970 Forest Ranch Rd, Chico '! (utilities/MH)} (r J OFFICE COPY 4 Ve-1 Address f s ! } r GAS C. — �— Meter By Date ELECTRIC ? a3 Meter By ^ I o3c T. t o L� - - - - -. t K l 3 �a L I i JOB FINALED (Date) Signature COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: COMPLAINANT' ADDRESS: PHONE NUMBER: OTHER COMMENTS: P. �/ aZ l ��7d gra„��c� <,. �e�, �� ��� �� �'�.M_ r'.. ,- .� ,.� � . _ , •� :�. ,, _ �. ,�. .� ,, ', , � . , \ \_. ��� �. � , �� -; . .. _ �, •' '. •,�, , , . j ;. `r ,I t, PERMIT NO. 3863-.84P-E(MH) ' PERMIT EXPIRES 9 /y, " OWNER JOHN GRAY CONTR. owner C. ASSESSOR PARCEL 56-36-23 is LOCATION E/end pri dr, 800' E FR Rd, 75' N Peregrine Rd, FR £�. OFFICE COPY V" p .�. Address rr h I" GAS k ' Meter By Date ELECTRIC e" Meter By S Date 3 Temp. Power Pole> Called PG&E 7 Temp. Elec. Service i' ` Called PG&E / Temp. Gas Service ' Called PG&E / JOB FINALE[ Signature J j Y,= OK„ 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES .L 0 0 MISCELLANEOUS J - Date MOBILkHOME UTILITIE lans) OK except#'sV`i� i Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s oning Requirements -a acks ase 1. Zoning Requirements -Setbacks -.Easements oi IsQgRjjMHS ort Sketch ' 44 =ZZ, IF Sewer; Location-Test-Fall-C/0-Concret 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails VS iter; Location- EasNeeded (Sk tc ,gWElectricity; 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing Location-Clearances-Grnd.-/ 40/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors Utility Clearance 7. Elec. Card -BI Date Iq Card-Bll Date Card -BI Date Card -BI Date Card -BI S Pate 3 Card -BI M Date -712 <i Card -BI Date Card -BI Date Date MI0§tf_EH0MEf INSf ALLATIO P a ) K except #'s Date POOLS (Plans) OK except #'s oning Requirements-Setba ements 1. Setbacks -Easements F ings; Size-Spacing-ir+e- 2. Soils; Compaction -Structure Stability as; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining Electricity; MH Test -Crossovers -Breakers -Clearances i 4. Elec.; Receptacles and Lighting; Distances-GFI Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI Yz—ater; MH Test -Regulator -Connector ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed iter and Sewer Conne d -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater d Electrilciwfagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit s; I p. -Sketch 1 . ert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date .f, Card -BI Date Card -BI Date Card B -I Date 85 Card -BI Date Card -BI Date Card -BI Date uo a. — 5Oa I r = OK t r = Not OK = Not�Applicablp RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10.Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Cfearance-Material-Support-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive E3 Yes E) No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541. i PERMIT N0. Address or location of mobilehome 1S%i) �n2�f-� ¢� �(, /- N / nk. Owner's name Owner's addre Insignia or hud number &L — `t lil! 0U ) ;.. Manufacturer's name /w r'lsfAd/12i/ !, Serial number of V.I.N. 111-3 S-9� x/05 Year of manufacture h: P" (Official Approving Installation) ( (Date) i IF THE MOBILEHOME IS MOVED OR RELOCATED,- THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. k 5138 White - Owner, Yellow - Installer, Pink - D.P.W. 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 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector.. ice,. Date—q/ 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 A routine inspection indicates that the following violations of County Ordinance ex at the above address .and should be corrected. Please notify this office w en correction of work is completed. If you have any question pertaining to this m tter, or need additional explanation, please contact this office immediately. 4 / � .ii _ }'tl's' 1 � C. 1 �if� - ..v�v' �f't/V i GLS✓� Inspector / Date/ `�/� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 363 - ry PERMIT I 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 maVer, or need additional explanation, please contact this office immediately. /` /K,4 � '.,-Er- r - "t/ L Inspector /� l Date / As- COUNTY OF BUTTE " s DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 .CORRECTION NOTICE OWNER / PF A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. t Inspector ��2 f `"��/� Date J 41 d �9'Z ~ 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 hWAIGM \ DCORAIT klf% A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately.. 4 A I A n �v 0-A' QC�� _- 46 i CJs'✓! .� v � - 1" ti►�.ctil/ � 2 !r GCYCY'✓'tl L �✓fi� � , VU — '!T-51.) G� (.J Inspector /� "� W Date w , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE ?d 63-'6a 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 ma er, or need additional explanation, please contact this office Immediately. Inspector !G' -'� � Date 3' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 'APPLICATION AND PERMIT ASSESSO aC� fj PARCEL tAUMBEa3 ZONING 6 6 J BUILDING PERMIT OWNER LEPHONE SQ. FT. OCC. BUILDING VALUATION O N R'SING AD KESS < (//�O__ CONTRACT R'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER ?� LICENSE NO. Plan Checking Fee $At45< Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit tee $ `oZ�',Ob BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 _ f Each Trap 2.00 Solar Water Heater 20.00 _ Water piping 5.00 OT N SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USED STRUCTURE SF ❑ ❑ DuplexMobilehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 1 110-00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IZ2/Other ❑ Describe work: A— 0/1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON-I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- s I n, will do the work,and the structure is not intended or offered "JVale.(Sec. 7044) I, a,. 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•RE SID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & RESD. (SINGLE OUTLET CIR. 20050¢ Ex. OCCUp(OUTLETS OR FIXTURES BAL®30 FIXED PR Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in any way accrue against said County in con uence of a granting of this permit. X `�� Date Sig Lure of Applicant — Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion f structures over/in height. 3 sstp Mobile Home Installation Fee $ ,QTj TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. PARCEL D D ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TO OF PUBLIC By. l P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ltories O Receipt No. �/ 6 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r AP OWNER PERMIT `lk O J d Y MH UTIL.CLEARANCE DATE a J INSPECTOR , ELECTRIC GAS. Support Compaction Struc. Test Re . Service Size Other. Load .,Type Pipe Size Length ' YESI NO YES NO '144 2AfA" i'.i.,'..., t l�rJ _ __.. cc �aati. :� .. .y s r� , r^ �•.L .�.. _� ,W .._d..,,.., . Q. ::.i. �a r.• �` �` i1a�.I ~���K1 . 4w- �Z . 1 I i � �r +} 1 �� t � ' (� a ♦,`a a���t41k +� X,' �,i+r i [;,� � .,`Mfflr �,�1 F•f + yli.�y �°i .1 �, '�I'4 •. t.* r.f t ! l_, I 1 ' II tea:. e 7*3"ITy.l. S t : t`� ,' rel • �1( � { ti+�` • • - -,•.gyp. n : .r x d . I - A-04, is WVl.l,lflf ID _,. . 1.11•' •.i a,+�:�.a �"•s.r;, r ;: r.tlI"1,b 10T.2?- ORDER NO. 101435 -MN S C H E D U L E C The land referred tohereinis described as follows: All that certain real property situate in the'County of Butte, State of California, described as follows: PARCEL A: - A portion of Parcel 4 as shown on Parcel Map recorded in Book 77 of Parcel Maps, page 62 and lying within a portion of the SW% of Section 32, Township 24 North, Range 3 East, M. D. B. & M., being more particularly described as follows: Parcel 2 as shown on Parcel Map for Otis Dodge filed for record in the office of the County of Butte, State of California on December 23, 1983 in Book 94 of Parcel Maps, at page 9. PARCEL B: A non-exclusive,easement 60 feet wide for ingress and egress and for public utilities over and across Parcel 1 as shown on said parcel map recorded December 23, 1983 in Book 94 of Parcel Maps, at page 9. PARCEL C: An easement for ingress and egress and for well purposes and maintenance over and across a strip -of land'10 feet in width the centerline thereof being more particularly described 'as follows: Beginning at Southwest corner of Section 32, Township 24 North, Range 3 East, M.. D. B. & M.; thence S. 87° 48' 16" E. 250.79 feet to the Southwest corner of - Parcel fParcel 2 as shown on Parcel Map filed for record DecemberZ23, 1983 in Book 94 of Parcel Maps, at page 9; thence North OQ° 01' 53" E. 21 feet to the point of —_ be.ginning of said 10 foot strip of land; thence f said point of beginning directly West' '60.00 feet to the end of -said line. Return to. DPW AGRICULTURAL STATENEk OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Frl�!r { E; sw Section 26-L l .of the Butte County Code requires this acknowledgement. WN be recorded prior to issuance of a building permit. JAN The property described herein is adjacent to land or included within an area zoned for agricultural purposes,' and residents of th�El'•3L%s)!�(J: property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, 'noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. .+• All that real property situate in the County of Butte, State of California, described, as follows: Date: PROPERTY OWNERS: 85-- 635 I N4t!►� C4 4.G .ail (` , State ofbCAL)rU1'l1R►I. On this the day 19-V,before ) SS. me, the undersigned Notary Public, personally appeared County of A(J1-1lLe ) 4/ / Personally known to1ine. / / Proved to me on the basis of satisfactory evidence. to be the person(s)q:iahose iiame(s) w4EP , subscribed to the within instrument and acknowledged that Trr/E y executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto -set my hand and official seal. :NOTARYPUBUC FFICIAL SE's 9ANDRA HOMJ .CALIBUTTECOUNTY m. Expires Oct. 1 Present A.P. No.7- -i Notary Public END OC IAdFNT "�v 8, 019 9 B 0 �- 6-b o 0RC_ �S A+) March 21 1985 AC,Q E E M Et4T OTIS L. and SHIRLON DODGE do enter into a water agreement for the use of water with JOHN and NANCY GRAY,, This agreement is to be terminated with the completion of power lines and hookup to the well 1 deeded to JOHN and NANCY MAYer A easment for ingress and egress and for well purposes 4 and mainteykime, over Akd aoi4s', i"strip 6jr linin -,40 feet in ililridth the centerline theref being more partieUlary described as foll"s: I Beginning at southwest corner of section 32#1 township 24 north# rw*e 3 eastv Me D. Be & M.; thence S. 87* 48.1 16" E. 250.79 feet to the southwest corner of parcel 2 as shownon pareel map -filed for record december 23s j 1983 in book 94 of parcel mps., at page .9;, thence north 0O*),61"354.- E':",'*'.' JO -feet to said 410 f0ot strip of land; thence froW said point of beginning directly west 60 feet to the,end of said line. alas it C TY -Qut4- Wi-`MORS 101i 4mf'8`;2 USER9"' -4 f 17 FT Y) aj&44-1 STATE OF CALIFORNIA On this.... ":q. day of .... .,in the year ........ ........... ser. .............. ......................... before me, COUNTY OF ..... 16V.7.7_4 . .......... ............... a Notary Public, State of California, duly commissioned and sworn, personally appeared .\. S. ........ \ ................................. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person _5 . whose name.�...................................................... OFFICIAL SEAL subscribed to this instrument, and acknowledged that . —r he Y .. executed it. SANDRA HOMER IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal NOTARypUBLIC-CALIFOAMAin the .................................................... ............... County of BUTTECOUNTy MV Comm...so ............ 4P'V'7-4Vc . .................................. on the date set forth above in this certificate. Tft d=ffn0nl is prey a general larm ~ may be pWw tor use in altntlie transactions am in no eaoot_10� way acts. Of Is imended loact, as a substittite for ft a&Ace an an anarney. The printer den not Notary Public, State of California make any w&"", 81,11her express of Inotlee as to the WDO worry, d any provialan of the duAlUft of draw forma in any apecitic transaction. My commission expires Cowdery's Form No. 32 — Acknowledgement to Notary Public — Individuals — (C.C. Sec. 1189) — (Rev. 1/83) STATE OF CALIFORNIA On this .... C7114 ..... day of. .4* ............... in the year .... ........ ..................... . ........... ..., before me, . COUNTY OF ....47:771��7 ....... 68. 45r ...... ..... d, PW 1 ... - Pee f - ............. a Notary Public, State of California, duly commissioned and sworn, personally appeared ... .............................................. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person .1ol. . whose name :1� subscribed to this instrument, and acknowledged that .17 hey.. executed it. OFFICIAL SEAL IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal SANDRA HOMER in the ......... NOTARY PUBLIC - CAUFORNI]A ............. County of BUTTE COUNTY . ............. .............. oil the date set forth above My Comm. Expirei Oct. 14,1988 in this certificate. TN3 dwmen, is Only a general torn, Which maybe Vow for use in 9ftle traftuclillm and in no way wM' or "'i"tended tO am- 63 8 sub" te ter ft S&AM an an attorney' The Printer does not Notary Public, State of California ake any we"". either 0XPr05b Of brobad as to the legitoaJ valkidy at any powlsor ft _ 54Aabdrry of ftso cams in any apaWic transaction. My commission expires Cowderv's Form Nn .19. — a- . .. .. . .__ - C I his set of plans and specifications .]VIU'ST bt kept on the job at all times and if isunlawful to make any.chang s or alterations on some withou'• wr'iiten permission from the.Department of Pub lic Works, County of Butte, NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a qual �y prescriL-ed for the Specified use in the Uniform Dui:ding, & Mechanical Codes and the National Electrical Code: Utility connections,shall bewithin 4 ft. of them obilehome, either directly behind or within the rear half of the roadside (left) of the 1 rr ome. rul 1 1 (o FT x PI?° po5Fo PU l -F -b ck ofd from the "ropey. etbarl� of 50it. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. 5,,nriC /At fi pkv 14 411C- . %Y�w�i� /all 13 LAG /L 9'y 9xs°� n�oi3s F rt TNOP To FA cN_ B TTE COUNTY BUILDING DEPARTMENT PROVED rl?1-5ANr P0c- F SaoJ ()IN /,VG '01wen r `% BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner' s name: 2. Installer's name: /ah 3: Is the site currently under permit? Yes / No (If yes, furnish permit number OR 1 Is the site an existing site? Yes / / No L (If yes, furnish two (2) plot plans.) ; 4. Will the mobilehome be located at least 5 ft. away from sepiic tank and leach fields and clear of. all setbacks and easements? Yes /X /. No (If no, clarify ) • s . ----------------------- Amp. 5. What is the mobilehome electrical rating?)� . 6. What is the mobilehome site service rating? -=-------- -2—o O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- V Amps 8. Is there any other electric load to be'served by the mobilehome ---------------------------- /- -K----------- site service.?�11' - --- Yes No ZZ. (If yes, identify the load and size: (Load) (Amps); 9. What is the mobilehome site gas pipe size? ---------------------- f ; 10. What is the type of gas service? Natural 1-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural 'gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED.*�y MOBILEHOh SUFPOR� T DATA If other than single wide, (/ bilehome Mfr. furnish Setup Model No. Yea dth �� ( (ft.) Box Length Tagalong or Expando Size �r ft. x /�_ft. (SHOW SUPPORT DETAILS BELOW) i all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation nnual and structural setup sheets (if not on file with the County of Butte). .1 center supports measured from front of ibilehome unless otherwise specified. k ) Single A 7)( (ft.) in:) in.ersupport Cort cations* fes (7) - I/� X I ;ft.)(in.) (ft.)(in.) (in.) (in.) center piers are other than drawn above, nnaning. and dimensions. Footines %C WC one �. Wood either pressure treated o: foundation grade. 2. Other: ( specify) laX� Support. (check one) 1: Concrete block. h I .2: Other, (specify) 1-1 1E ---tagalong or Expando,' show support details. a�� X3—of -- Typical Support in. (in.) Footing Size 5( �L -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in..) ° „COUNTY OF Bl7TTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calilornie 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �% �g (O J—O ASSESSOR P CEL UMBER - N(o ZONING BUILDING PERMIT OWNER TELEPHO(�NE�r T / SQ. FT. OCC, BUILDING VALUAT N O ` RO'S I ING ADDFJESS 66 CONTRACTOR• AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 11A4LENDER'S UNKNOWN Total Valuation $ Filing Fee $ MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 W SOL Each Trap 2.00 Solar Water Heater 20.00 QQ nn Water piping 5.00 LOT NNsusDIVISION NAME P C y P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOp STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home bi V V 110-00e4 -30, TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities Installation F-1 Other ❑ Describe work: — Permit Fee $ d, Ob Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 .2 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L' nse 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 9for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract -5 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( ULT' -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW NON CONSTR. (POWER APPARATUS.&) -. SINGLE OUTLET CIR&) zo®soa Ex. OCCUp(OUTLETS OR FIXTURES SAL®300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 q-) Permit Fee $ 2, S'6 Contractor 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 Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject tlo 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue ainst said County in c equence f the granting of this permit. X \ Date Si ature of Applicant — OwnerUl� Contractor ❑ Agent ❑ A SHA permit is required for excavations over 5'0" deep and demolition or construct- io of structures over 3stories in height. Mobile Home Installation Fee $ _l. TOTAL PERMIT FEE $ !, OCCUP. GROUP TYPE OF CONST, PARC PD XIssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for .which DIRECTO OF PUBLIC By P T EXPIRES Date_. the applicable provi- resolutions to do fees have been paid. WORKS Date /—� V Receipt No. 31681 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Z