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Home My WebLink About056-370-00656-37-06 ROBERT ABELINGS.pod SE/end Royal Drift Way, Forest Ranch (correspondence 56-37-06._.. Permit#2298-85P,E(plbg & ele for well &� future .lot development) 56-37-06 5700 RoyA1 Drift Wmys-, Forest Ranch er-mit#1768786P-,..E.(ut-i1, .MH). _ ELEC CA 1 6 COMPACTION TEST REQ SUPPORT STRUCTURE REQ w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER C'<n — ZONING BUILDING PERMIT OWNER"' ".,I�. Lrt{ I TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ! i+ / < --:17 Al `1 Ax l+ f !/ 3t.# A 7 CONTRACTOR'S NAME �' J,t1'Jo 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 A I - N ok_eEnergy LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECTIOR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ UJ PLUMBING PERMIT Filing Fee 10.00 ! IA, ^'" Each Trap 2.00 Sol ar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME LL 1 i�' -�' T >��'f a r� PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 / USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR Other �`'�� { Tru.l' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home • $ G W 10.00ea , •'�,.,,� TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation[] Other ❑ Describe work: I e 1 . r .+/ ��'n �t �N�. Permit Fee $ �Jg; Contractor ELECTRICAL PERMIT Filing Fee 10.00 C rMain �.�r M�� /t ry( O service 6001 OR LESS 100 AMP OR LESS 10.00 Aa,C ' Main service EA. ADD'L 100 AMP 2.50 0J -3 -Li CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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.& , New CONSTR.(A 2�x¢sgft MULTI -OUTLET OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS D) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t DAL@30 EX. Occup. FIXED OUTTS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 32, snj 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 .r 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 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 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 U�* ------ Date 7 Signature of Applicant — Owner Q ControA or I] Agent ❑ An OSHA permit is required for excavations ovel W(I" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ %7S 1� OCCu P.CONST.TYPE FLOOD PARCEL r'/ PD [ ND `' ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r BY •r_, f /'`'—Date PERMIT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. -Sb �// WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOENROD-APPLICANT ' f PERMIT NO. f 1768-86P,E(MH) PERMIT EXPIRES 2/—)- `r — " 2 OWNER ROBERT ABELING CONTR.' owner 4 ASSESSOR PARCEL 56-37-06 LOCATION 5700 Royal Drift way, FR • �''"-" — 4, E CAPY � f Address GAS Meter By Date ELECTRIC Meter By 5... _., D.ate.._ c i .W E 1 Temp. Power Pole Called PG&E f Temp. Elec. Service Called PG&E � Y Temp. Gas Service Called PG&E JOB FINALED (Date) r ' Signature r ^' �VNT;mna9 / � �am9x�TmoSs9 � __-- nTmoo � � . m0/TAomJ , ' � > � � . � N n *|v9��o� qmyT ausqbeyso oo/mym ua/� .owor smo�u°v*J ' smaqoonuo J = OK O = Not OK - = Not Applicable = Not Ready 5 1 -m RESIDENTIAL (Single and Duplex) if Date UNDERFLOOR Plans OK exce t#'sl Date FRAMING (Continued) - 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & gpenings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. Ext. Doors -One 3'=Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / '' Ftg. Depth 50. Stairs; Width -Headroom -Mise -Run -Landing -Fire Protection - 4. Fig., 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-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access . - 7. 8. Piers -Fireplace Ftg.--Steel-•- D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts - Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - 11. 12. Electric: Underground Plenums & Ducts; Clearance -Material -Support -Ins. --- - --13.-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -B1 Date Card -BI Date Card -BI Date _ _ -B CardI Card -BI Date - DateCard-BI Date Date Card -BI Date PLUMBING (Permit) OK except p's Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Gard -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors r Date _Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper Card B•I Gard 8-I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & S_witches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / i ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. _// ga. Cu or Al, Insulated Neutral ,Yes __;No _ Service -Riser Conductors & Ground-MainDisconnect - -- - _ Equip. Clearances: Panels-Motors-Mech_ Equip. - _ Clothes Closet Light -Shower -Light - -------- -- - --- --- Date Card -BI Date - _- Date Card -BI - Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes El No; Planters E3 Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V -Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Dale MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation tion &Support _-- - - _- Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size _& Grade _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic -r ) Date Card -BI _ Date _ Dale Card -BI Date - 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates -- - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com lents at Final: 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop rn Walls (rat proof) Fire Stops_Furred Ceilin s -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfli. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Auic Access: Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiting Doors Sill Hgt. & Dimensions Garage Fire Protection Framing _ "- - -- - - -- - - --- --' - - - - (NOTE Anentrymust be made each time youvisit jobsite) J = OK r 0 = Not OK O" - = Not Applicable 3 "1 1 I'�;, i ' i r , � = Not Ready MOBILEHOMES MISCELLANEOUS -Date—MO LEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'sV,Z" -- oning Requirements–Setbacks–Easements 1. Zoning Requirements–Setbacks–Easements Soils; Special, MH Support–Sketch —T-_ 2. Footings; Size–Depth–Spacing–Connectors 3., ewer; Location–Test–Fall-C/0–Concrete _ 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails ater; Location–Test–Easement Needed (Sketch) 4. Wood Awn.; Posts– Beams– Rftrs.–Connec.=Shthg.–Rfg.–Bracing Electricity;'Location=Clearances–Grnd.–/IlS/ Amp–Concrete 5. Alum; Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Carports; Windows–Doors 7. Utility Clearance 7. Elec. Card -BI A Date i Card -BI Date Card -BI Date Card -BI pate Card -BI Date . Card -BI + Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s _ _t. Zoning.Requirements-Setbacks=Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability - 3. -Gas;MH Test -Demand -Valve -Connector r — 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining-- 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4^ Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector - 5. Elec.; Pool Lighting; 15 volts-GFI - -- -- - 6. Water; MH, Test- Regulator-Con nector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged' t 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater, 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit ' 9. Exits; Insp.=Sketch 10. Cert. of Occupancy 9. Health Department Approval - 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BJ t,., ;s1 y Dater Card -BI Date Card -,Bl Date Card B -I Date Card -BI •• Gr. Date Card -BI -- Date Card -Bl Date - - --' - ., .t•• r � � r , t ,4 I . t. ,,, . „ ,I J–.' t•in 1 -. ,•r tor.,,- � J , '•:It n'1) .11iflt.•-- :1 )[. Iq.. )!7 I - .. :p irrnyl ; iA d,,,A; 7 •' t - 614" " •. 1 , I /6 v W,4 —rl-q,e- A C- c--- U5� o�N L.o% _ 1� ��S`'•4� �Qi� �Sl�1ec - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT PEERMItT^/NO. !/ d —d ASSESSOR PARCEL NUMBER wBUILDING ZONING ' PERMIT OWNtLH TELEPHONE SQ. FT. OCC.1 BUILDING VA TI N OWNER'S MAILING ADDRESS .4 `, /JAI e �TO 1-1/ V G�' � V VOL Q CONTRACTOR'S NAME ZTELEPHONE 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 $ V iD Energy Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 -�- 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❑ Mobilehome_K Other Tri" "�" 1 rut��' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G 10.00ea TYPE OF WORK New❑ Addition❑ Remodel[–] Utilities Installa ion❑ Other ❑ Describe work: (�-�-1 I t k`p^s �� ✓��1� O 5 Permit Fee $$` C7b , Contractor ELECTRICAL PERMIT Filing Fee 10.00 •QJf'Mgl�q V _ T-6- V Main service e00v OR LESS 100 AMP OR LESS 10.00 10,4)0 � Main service EA. ADD'L 100 AMP 2.50 a��Q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect: License No. Classification yyy 111111 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- ontract- ors.(Sec. 7044) ors. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.y , OR ACDNS. C ACC. BLDGS. /zQsgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 2 eAL0Le30 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 6-- C131b Misc. IVirin 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 Filing Fee 10.00 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 against id County i consequence of the granting of this permit. �– 7 � Signature of Applicant — Owner _ Cant rot r ❑ Agent ❑ An OSHA permit is required for excavations ova 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE S� OCCUP, CONST.TYPE I F PAR L K7_WF37_1.SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do tees have been paid. WORKS Date " t Receipt No.J b 41/-2, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C,% -LIF NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No./ / OWNER ��b2��' �e1 I nia A. P. No. �(o ` 3-2 l0 Proposed Building Use Permit Fee Based Upon: Complete Contract Pricey DPW Valuation ,Other (Explain) Building InspectorQ:\`� 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 1. All items.have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . tlLetter of signature authorization. . . . . . . . . . . Sanitation approval from 4fkico Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . .. • Pre-Inspec. request to �K7 Pre -Inspection for Required. Building Inspector (Dote) Recorded copy of Agricultural Acknowledgment Statement . . .Other Driveway permit (const. approx 9l required prior to occupancy) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other r �. Applicant F,Co, a;cl___� Date 2i Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above aknme of wplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by. Plans approved by Other Copy—DPW Da Da COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 'i. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes o -2. I (have/ eh� for the proposed work. signed an application for a building permit 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 -Security Number Date 4 ;I 7 R'_g 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. 1 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL -DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement� be�rA- be recorded prior to issuance of a building permit. 86-22349 iTli JUL 15 The property.described herein is adjacent to land or included Ai, 10 50 within an area zoned for agricultural purposes, and residents of thisEEEj�;;�:;'.t property may be subject to inconveniences or discomfort arising from Cl_E?li-i?ECCiti)C % CE 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 State Lot 12, as shown on that certain map entitled, "Royal Drift Estates Subdivision" which map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 17, 1981, in Book 85 of Maps, at pages 18, 19, and 20. Subject to Covenants, Conditions and Restrictions recorded November 17, 1981, in�Book 2674, of Official Records at page 544. LIL 4- / b e v - <. PROPERTY OWNERS: of On this the day of 19'� before 1) SS. me, the undersigned Notary Public, personally appeared County of 0::::0F;:1GVLSEAL / Personally known to me. ¢Proved to me on the basisR TERRY ;�Mp of satisfactory evidence. N AUNTY o be the person(s) whose name (s ) �%� s bscr ibed to � a within instrument and acknowledged that ecuted the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and.official seal. r Notary Public Present A.P. No. TO: Building Department FR04: Environmental Health, Chico SUBJECT:, Sanitation Clearance Owner-- -�- o- —cn�t i4n 3*7— 6Z 3 Y —� APN Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: V water supply Clearance for 3 bedroom r—homc. Other Note—I i p 44 Sanitarian Date Ad i .. his set of plans and specifications MUST be o'-( AL � p,I � ke on the job at all times and it' is unlawfuhto ma a any changes o ns-on_sam_e wtho written J per ission from the Department of P e 2 66 ' Works, County of Butte. A setback ofAlft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except For a 2 ft. eave overhang. NOTE:- Xll Materials & Workmanship Sh II tip to Accordance with Recoqnized Good Prac ces and of a quality prescribed for the Specified) u e in the Uniform Building, Plumbing & Machani�*C des and $e National Electrical Code. I 6 1a J Utility connections shall be wit in 4 ft. of the mobilehome, eithe directly behind or within the r ar t halt COLA v mobilehome: WIL.DIN DEPARTMENT A C)F KWVED Lo o R -QST K nic a CA I- �� C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT Np. / .mow ASSESSOR PARCEL NUMBERZO _ BUILDING PERMIT OWN 'S r TELEPHONE SQ. FT. OCC. BUILDING VALUAT14ININI OW E MAIL ADDR SS — C N7 ACT R'S NAME rx TELE E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESSV/ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN A DRESS ` 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 'Q 1AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex F1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FG TIN 0.00 ea TYPE OF WORK New❑ Addition[] Remodel Utilities❑ stallation❑ r0 her Describe work: nm 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 pens ty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S 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) ❑ 1, 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.& ,h2sgft New �corNisTR� A ) ULTBI OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu 1.20@50t Occup(OUTLETS OR FIXTURES eAL030 Ex. QCCUp. OUTLETS P(RESID.IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Fre_ v Permit Fee $ IL Y(- WORKMEN'S COMPENSATION INSURANCE I declare undarfFenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 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,ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of,�lutte againsti; all liabilities, judgments, costs, and expenses which may in,,,arn sway accrue'+III against said ty in consequence of the granting of this permit ��'pp4': L%%� %� Date 9,�-'Z j"' V��1 Signature of Applicant — Owner ❑ ontractor ❑ Agent ❑` An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE -oceuP. CON eT.TrPc FLOOD PARCEL PD No 59U This rmit is hereby issued under sion o the Butte County Code and/or wor i icated ove for which IR CTQR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Y"A 4 im //3��storiiee�s //height. Receipt NO. 1e'//�l17 WHITE-D.P.W.. YELLOW-ASSE3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT S� 861 �I eYo dyo �N,?o0t. OWNER .-I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEjP,A-L1I1FO8NIA 95965 - TELEPHONE: 916/534-4541 Proposed Building Use Permit Fee Based Upon PERMIT APPLICATION DATA SHEET Complete Contract Price Other (Explain) Permit No. ! V A. P. No. DPW Valuation Building Inspector l ,/hlc ),14 of IM Date ?r/ZR IA �-- At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . .. . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. . . 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Pianning approval .for (A) Use: (B) Parking: .' 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . ... ��1 . Mobilehome Installation Data. •Pre-Inspec. request to Pre -Inspection for �� . ✓ Ca Required. Building Inspector °te> 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other )C When you issue the permit, process as follows: C•Mail to owner. Mail to contractor. Telephone and hold for pi�kup at office. Deliver wJinspector. Other . Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. _ 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other ,r By `r Date f Plans checked by Date Plans approved by Date Other: Copy—DPW 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 i ' 6r5 PERMIT NO. A routine inspection indicates that the following violations of CountyOrdinance 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 mat er, or need additional explanation, please contact this office immediately. Inspector, `IV 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 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 mat er, or need additional explanation, please contact this office immediately. 2 Z-125 � r��- �rwh� �t � ,c•�, ,�, v� Lst-- 4a YvvLjz �R Inspector / - — Date 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 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 matt r, or need additional explanation, please contact this offices immediately. N,1 &10X�Xlr" /"�'4 ""/ Inspector Date z ,s. 'OUNTY OF BUTTE - DE`PA'RTMENT OF PUBLIC WORKS PERMIT NO. 7 unty Center Drive - C?ove, Calif�Wni l"95965 - Telephone 916/534-4541 APPLICATION AND• PtRMIr ASSESSOR PARCEL NUMBER 'T 1 TELEPHONE BUILDING PERMIT OWN r ! SQ. FT. OCC. , BUILDING VALUATION OWtJEr 'S MAIL ADDR—trss �' � , I i1 - •_ CONTRACTOR'S MAILING AO CONSTRUCTION LENDER — � UNKNOWN F ! Fireplace Total Valuation_ S I I-NDLR'5 MAILING ADDRESS Filing Fee Permit Fee T1tCHITECT OR ENGINEER �^ ^ LICENSE No. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS r--�-i_ --- — Energy Plan Checking Fee Penalty- bUILDIN A DRESS-- --�— Permit fee PLUMBING PERMIT Each Trap I Solar or heat pump water heater I—'.) NO. SUBDIVISION NAME P4RCE�P lWater piping Each qas water heater or vent USE OF STRUCTURE Gas piping system 1 - 5 outlets Duplex[] Mobilehome❑ Other-—------ Building sewer - SPECIFY Mnbile Hulas --1S G W TYPE OF WORK --- New,-, -Addition❑ Remodel — `--_ Utilitiesv�l stallationE 0f tier lJ Permit Fee Gescnbe work: 1_�C_ pX'111 c� O �n %-- Irl., / Contractor r X CONTRACTORS LICENSE LAW I declare under pens ty of perjury (check one): I am licensed under provisions of )�h t. Div. the- Bu i s and Professions Code aArny. is in full f K1rid 1License No. f tion I, as the owner, or my eth es as their sole compen- sation, will do the work,c re not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licansed contract- ors. (Sec. 7044) I am exempt under Sec.—__, Business and Protesslons Cooe tot this reason _ ELECTRICAL PERMIT Main serVlce O°ry OR LESS 100 AMP -OR LESS Main serJlce EA. ADO'L 100 Aide ; NEW CONST. �OWFLLING OCCUP.6\ OH AOOrJS. ACC. BLDGS. / ��ST'R-L ILTi_pUTLET !- + IL', BH Arl CH CIRC .ITS APPARAr,js e ___ SI'1G1_1_ r) 1T1.L1 CIR. / EX OCCl1p(Ot)l LEIS O{. FIA TURES FIXCD Ai1j?L!:5. OR Ex. Uccup• OUT;_ET5 IRESID.I EA.� Ternporary service fAtlblie Hume FaLllllies ---- Misc. Wiling Permit Fee S S S S - — Filing Fee 2.00 20.00. 5.00 ---5.00 _ 5.00 5.00 10.00 ea S FilingFee 1E29 2'•'2csq ft 2.5U ea 2.00 10.00 15.00 11.1.UU 1 11 10.00 1 ,Db L WORKMEN'S COMPENSATION INSURANCE Contractor - declare under -penalty of perjury (check one): IJ The permit is for $100.00 (valuation) or less. r-1 I nave placed on file with the County of Butte Building Depar(nent a Certificate of Workmen's Compensation Insurance or a,Cerhhcate 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 suchPermit orovlsions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 10.00 Heating - - ---- Cooling -- — `_— - Hood 3 00 - ----- - — — — Ventilation - Fee $ Contractor certify that I have read this application and state that the above information +s correct. I agree to comply to all County Ordinances and State Laws relating -o building construction, and hereby authorize representatives of 'the :County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of. Butte against all liabilities, judgments, costs, and expenses which may in.an�,way accrue' t against said QWity in consequerwe of the granting of this permit cam" " X \) Date ��"6v� 9nature of Applicant — Owner ❑ ontroctor [] Agent Mobile Home Installation Fee '• $ Enuigy Inspection Fee $ TOTAL PERMIT FEE $ _ Occup, Ca,J91.TVPCJ ICL Do PARCEL Pa Nat 59UC 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. In OSHA permit is required for excavations over 5'0" deep and demolition or construct- - ur, of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS BY _ Date +'eceipt No.�t/t *E D.P.N.. TEL ow- SEI...AIWA-ir--':CTOR GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . PERMIT NO. • , 7 Co.ynty Center Drive - Oroville, California 95965 - Telephone 916/534-x541. APPLICATIONAND PERMIT ASSESSOR PrARCEL NUMBER / ZON,InyNG BUILDING PERMIT OWNE'R6 I f t '' TELEPHONE SQ. FT. OCC. BUILDING VALUATION �.+.. :Mi t O A'LING ADDRESSt) �JJ a / A 4'! CONTRACTOR'S NAME fie r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN L,,-'� Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING' ADDRESS r '�\ Permit tee $ PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2,00 F -A C p(. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME-— .G°1t_1."a, �� t [_ u5 ta)_ C'_S PARCEL MAP Water piping 5,00 L Each qas 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 Is G W 10.00 ea TYPE OF WORK New❑ Addition❑l Remodel'❑ Utilities ❑ Installation❑ Other `' Describe work: ( + Q� c� E/ I (� w A + 1 Permit Fee $ f �1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 V e t Main service 100 AMP OR001 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 r X CONTRACTORS LICENSE LAW I declare under pens ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification Q 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 CodeI for this reason NEW CONST. DWELLING OCCUP.� OR ACDNS. ACC. BLDGS. /zQsgft NEW CONSTRESID. BRANCH2.50ea , NO N.R ESID BRANCH CIRC ITS ,� (J APPARATUS 61 (SINGLE OUTLET CIR. / Ex. OCcup�OUTLETS OR FIXTURES 20050! DALO 30t. Ex. OCCUp. OUTLETS ((RESID IFIXED APPLNS. REA.� 2.00 .I)i`a Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 /, bb Permit•Fee $ I� WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate'of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this. statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 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 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 againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrueJ �against said County in consequence of the granting of this permit. X ,_tT(,� , ( C,Ly,��.. g _ J _ S. - • Date Signature of Applicant — Owner ❑ CContractor ❑ 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 $ TOTAL PERMIT FEE CON 9T.TTPE FLOOD IIIY PARCEL PD ND �3/9UE This 'permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC f�/ fjr"/f�� Lf----�'" BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /u eau k Date - y r �C' Receipt No.' r t �%'i 1 WHITE-D:r. W., YELLOW-A$8[390R, PINK -INSPECTOR. GOLDENROD -APPLICANT 1,13 ! ;, { �6,E74 Iava 4 � / Y ` 76 - ill OFFICE COPY Address GAS Meter By. ELECTRIC' e f� Meter By ✓ Date t F�l a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT ASSESSOR PARCEL NUMBER 1 r7 — 20 BUILDING PERMIT OWN r TELEPHONE S0. FT. OCC. BUILDING VALUATION OW E 'S MAIr ADOR SS - 99-7 C NT ACT R'S NAME TELE E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT. OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ DIN A DRESS BUILc. `_.i. Permit fee $ • PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 — Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME t?.S PARCEL AP Water piping 5.00 Each qas 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 S I G I W 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ stallation ❑ O her Describe work: I��_ Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 100 AMPOR OR 10.00 j� CONTRACTORS LICENSE LAW I declare under pens ty of perjury (check one): ❑ I am licensed under provisions Of Ch I. DIV. the BU I and Professions Code and my n IS In full f and f License No. CI f' tion I, as the owner, or my employ es t es as their sc•le compen- sation, will do the work,and t e st c re not n dec or offered for sale. (Sec. 7044) • ❑ I, as the owner, am exclusively co a I�i li e��ontract- ors. (Sec. 7044) ( ❑ I am exempt under Sec. B ines and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.p OR ADONS. ( ACC. BLDGS. 1 Z/xQ$q ft NE STR r ULTI.OUTLET ID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e� l SINGLE OUTLET CIR• Ex. OCcup�OUTLETS OR FI%TURES 20®30 1 UAL@30 Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 — NIS 4 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of �ufte against. all liabilities, judgments, costs, and expenses which may in.&n; viay accrue'. against s iid_QWity in consequerl a of the granting of this permit). �:? X c^��" Q .. I. '6' Date �� k Signature of Applicant — Owner ❑ ontractor ❑ 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 $ TOTAL PERMIT FEE $ t Of =oEEUP. EON 9T.TYPc FLvoD PARCEL PD I NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date IReceipt No.n / '/f5(� "MITE-O.P.W•. YELLOW-ASSE3T90R• PINK -INSPECTOR. GOLDENROD -APPLICANT ,A �lc-SS2 �q�ov- I Ca.Iey COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE July 19, 1985 Robert Abeling RE: Building Penn it. Appl;icat.ion 1625.Indian Valley Rd. Novato, CA 94947 A.P. # 56-37-06 With reference to the above subject: ` Ly L Attached 'is : _ Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet x_ Owner -Builder Verification Form List of Codes Enforced OTHER _1L� We need the following information: —_ Permit application signed and completed where indicated with all copies returned. _x Fees of $ 57.00 payable to Butte County Treasurer. — Certificate of Workmen's Compensation Insurance or check exemption statement. — X Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and-calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise. Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for _X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Lld OTHER Please comnletp the attached forms where indicated and return to this office Alnng with a nhpek fnr $57-00, Thank you Should you have any questions concerning the above, please contact this office. ' Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSC.1 PARCEL NUMBER ZO BUILDING PERMIT OWN r TELEPHONE SO. FT. OCC. BUILDING VALUATION OW E 'S MAI LI ADDR SS — C NT ACT R'S NAME TEL E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESSV/ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDIN A DRESS t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Fb Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME RASUal IDT -SI PARCEL K4AP Water piping 55,00 Each qas 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 S I G JW 1 0.00 ea. TYPE OF WORK New❑ Addition[] Remodel Utilities❑ stallation❑ 0 her Describe work: , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00, Main service 100 AMP ORV OR LESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under peva ty 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 ❑ 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.( 0WOCCUP,aq OR ADONS. ( ACC, BLOGS. / /2¢sgft NEW CONSTR ULTI.OUTLET2.SOea NON•R ESID BRANCH CIRC ITS (POWER APPARATUS e1 (SINGLE OUTLET CIR, 1 Ex. Occup(OUTLETS OR FIXTURES 20050t 300. FIXED APPLNS. Ex. DCCUp. OUTLETS (RESID )KEA.) 2.00 nzb Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 —MtnSP Permit Fee $ WORKMEN'S COMPENSATION INSURANCE %I declare and enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. x Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired 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 $ TOTAL PERMIT FEE $ t occup. CONST.TYPE FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date IReceipt No. WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I --s------------------------------------'--------{ *1768-86P,E (E/end Royal Drift Way,.Forest Ranch + we ) 1 (*util for TT) • ROYAL DRIFT ESTATES PORTION OF SECTION- 27 T. 24 N, R. 3,E As 56-37. j 4� +29s. ori"4 N 1 1441L.60 c`O AC 21.367 AC ._. � 129 a /� 2 1 AC h /04 2 2/.48/ AC P/M 41-25 + PIM 41-50 /5.NI 09 3, n 3 !O l05 f BOAC 21 595A ,4 n //O /4 3�C, 4 20 AC C ., C +225.44 20.818 +�09.45 Y OA � � 6 s / :` 11 AC M N VI 480 AC / Assess'c� ' s Map No. 56_24 County of Butte, Ca JANUARY /957 2.