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058-160-164
i NOTES vC� ' C 2 ,c 0 RESIDENTIAL '058-160-164 PERMIT NO. —102-2651 WIj�ON,CORINE & LARRY COMFORT LN., OROVILLE NEW MH PERM FND NEW SITE ITHE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). `SPECTOR TO VERIFY SERIAL & LABEL #'S. _3 SPECIAL CONDITIONS CHECKED � .. BY SRA !/LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 14^'e- aoeroudi +rof pr>.-kl��s ' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address f1 J GAS Meter By- ' I Date444? E LI Addressi Me er By-�" _J (e�TPf �tSV ELECTRIC j Meter By .Date, /* t JOB FINALED (Date) Signature xj 1� I. 1� RESIDENTIAL '058-160-164 PERMIT NO. —102-2651 WIj�ON,CORINE & LARRY COMFORT LN., OROVILLE NEW MH PERM FND NEW SITE ITHE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). `SPECTOR TO VERIFY SERIAL & LABEL #'S. _3 SPECIAL CONDITIONS CHECKED � .. BY SRA !/LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 14^'e- aoeroudi +rof pr>.-kl��s ' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address f1 J GAS Meter By- ' I Date444? E LI Addressi Me er By-�" _J (e�TPf �tSV ELECTRIC j Meter By .Date, /* t JOB FINALED (Date) Signature xj J=OK 0 = Not OK ' . = NotRbadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Te Wrap;-/ /" L 'ft. / P Nat. or "' L " ftft P LPG 12. 7. Well Clearance & Disconnec Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Utility Clearance 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 Conduit 9. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 12. 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PE)A*NENT END SYSTEM (ONLY) 11. Zoning Requirements -Setbacks -Easements ogtkls; Size -Spacing -Marriage Line ae-Tioc�jpg a Test -Demand -Valve lectricity; MH Test 6�4-Water; MH Test 7. Water and Sewe onnected 8. Gas an lectricity7brgg i icense Decals - 11. Verify #'s with Office Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 0211,0 z � G -� -e4_ , Dv0. wt 'L11z e(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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: iii:•N .E i'w�.:'�.t.•►CZ,�:;;i+�t.•ef.i7`�'Fi.,.::w3.-.. �,r,�i ",��";.F � '�. �.�.. ;' '�`_. .""�' •.,r�'�!,'� a;C�_ ` i7`. r�,:.+i y �,.� .�`i .- '{ - � ... ��.. ri-n; ;COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r,> ; 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�E M�T NO. (Rev.12/96) ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER y,f ZONING BUILDING PERMIT OWNER r t. cel, u n T TEL`EPHO E 3 , ' SO. FT. OCC, BUILDING VALUATION 1400 R 75 600.00 W � • OWNERS'1A UNG ADD SS T A!+ R- CONTRAC9 TOR'S E �� % - ` ` µ 1 TELEPHONE CONTRAC'(dA% W16NG ADDRESS CONSTRUCTION LENDER �Flreplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 5 -75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 4 — �µ BUILDINGADDRESS COME'ORT IN. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE1,9 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING- PERMIT' Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.()() Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 102 MA PERM EM WN SITE Gas piping stem 1 - 5 outlets 15.00 S Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Fling Feel 20.00 V OR LE Main Service . ' OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION 9 L I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isVin full force and effect.FSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law forthe following reason: �K1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project, ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoOA TO IOOOA 46.00 NEW CONST. ( DWEWNG OCCUP. 3.5QF°; ADDNS. .*.0CEr NOR EW CONST. MUL NON-RESID, C 97.50 R A S OUTLET CIR. OWELEPPARATUS 20 Ex. Occup. OUTLET OR FDRURES BAS @':50 UNS Ex. Occup.' GFuc�LE�DSAA OR IE1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 r PERMIT FEE $43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation,lnsuran ce, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My, workers' compensation insurance carrier and policy number are: �-Carrier, '' - Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall` not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers'- compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. % �� , _, JQXX�2_ Z. / "e y'"'r D¢¢to of Applicant - Owner ❑ Contractor "f] Agent An OSHA permit is required fog excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. j ` ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood ' 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 566.49 72. D. FEES v IMS° r FLOOD/ VF PvEL PV HD ,Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �^^ f�, ,/ ,11717 I /, By /i� ! ej � , Date 0 /kz PERMIT EXPIRES ON �(.V t/ Cies Dafe r Receipt No. �% %, V 1 .7'q WHITE -D.D.S.='B.D: CANARY -ASSESSOR- v PINK-INSP TOR- - OL EN'ROD-APPLICANT .'�.-+.:.e .r�„(,.� ..-.� rf!•�,:.., .-� � Y j. 1 �-. l-^ .... .Mr �'-+r. ..+.� �„y'rs!•-�'F w"r '-"cm` -w.:tr, r � ..- _ ..ysp., -_ .,;,'� COUNTY OF BUT,TEI- DEPARTMENT OF DEVELOPMENT SERVICES -'BUILDING DIVISION 7 County�Centee Drive - Oroville, California 95965 - Telephone (5300) 53&7541 PEA IT No. +tR; s6) . APPLICATIONAND PERMIT :''d ASS - SOR , CEL NUMB 1Lo • G4 20NIN BUILDINGPERMIT OWTELEPHONE J~ ,� c`� 1 0- r f �, r ""1/ 1-�r) SO. FT. OCC. BUILDING VALUATION 4 OWNERS MAILING ADDRESS i �}�hi '�, CO ; RACTOR'$ Nr ELEP ONE 101 ` COM MAIUWVDRESS + ,CONSTR TIS7N LENDER P A Fireplace LENDER'S MAILING ADDRESS. �. Total Valuation $2210. ARCHITECT OR ENGINEER LICENSE NO. Filln Fee $ 20.00 Permit Fee $ 554.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $35,10 BUILDINGADDRESS 3 Energy Plan Checking Fee $ $ PERMIT FEE $ 109.10 LOT NO. SUBDIVISION'S NAME PARCE�LMAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE x SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY "- = Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑• �}+ Describe Work: \1J A&f/ O ihfJ� 1 f cy4 `yi' ' i1rf S' Gas piping system 1 - 5 outlets 15.00 • Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS ) 600Ve Main Service zo.A OR LESS 2OR 3.00 ^i ' LICENSED CONTRACTOR'S DECLARATION (' I hereby affirm under penalty of perjury that I am licensed under provisionslof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi6ns Code, and my license is innfull force and effect. �') / li License Class " Lic. No. C y O [ry OWNER -BUILDER DECLARATION 2s� I hereby affirm under penalty of perjury that I am exempt from the Contractors'License Law for the following reason: >>'; ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. , ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. i4 , ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under, penalty of perjury one of the following declarations:, ( ❑ 1 have and will maintain a certificate of consent to self-insure"f *workers' compensation, as provided for by section 3700 of the Labor Code, ,for the performance of the work for which this permit is issued. `. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number ! (The above sections need not be completed if the permit is for work of, a valuation of one hundred dollars ($100) or less.) r ) I certify that in the performance of the work for which this permit is issued, I shall „ not employ any person in any manner so as to become subject;to workers' compensation laws of California, and agree that if I should become subject to the workers' compensationrovisions of section 3700 of the Labor Code, I shall forthwithcomply wl"tth th- p o�visions. 4� \�/ A X Date Signature of Applicant - ❑ Owner 'a Contractor ❑ Agent R"* An OSHA permit is required for excavations over 5'0" deep and demolition or consV.,uctionof structures over 3 stories in height. '' I � � Main Service . 20QA TO 1000A 46.00 NEW CONST. DWELLING OCCUP. S°O OR ADONS. & ACC. BLDS. 3.5a'�: NEW CONST. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS 97.50 r POWER APPARATUS 8 SINOIP OUTLET CIR. OUTLET OR FDRURES 20 Q 1.00 Ex. Occup.BAI_� so FIXED APPLNS. OR Ex. Occup. ouTLETs RFSID. EA 5±00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation ' I PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 1 Occ CONST. TYPE TOTAL FEE $ C HAz. D. FEES IMP I FLOOD I CDF J PARCEL I PD HD I E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By iil�0 /x+tVf/J Date iJl 102 I /oh � � � PERMIT EXPIRES ON � I /0 ✓�l i � ✓ j/ `De .•-� � it Receipt No. %Yi// I t WHITE-D.D.S.- D� +CANARY -ASSESSOR -PINK-INSPECTOR N GOLDENROD -APPLICANT Z 058-160-164 02-3007 WILSON, CORINE & LARRY COMFORT LN., OROVILLE CONT: WILLIAM SQUYRES FIRE SPRINKLERS �� ��7 ��.�-� �% � � � � � �� � � J "� R REQUEST FOFPNS,PECTI Location:— Owner: ocation: Owner: No. ✓ !� `r Cort�;qctor:7 _ - -- F y Call Phone: _ BLDG. PLUMB/MECH ELECTRIC- - - A.1-111/M.H.U.— -PRE-- INSPECTION Form Rough Rough Fnd/Ftg ram / derfloor Top Out Temp. Service Job Status o Lath Gas Piping/Test Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Ready for Final Final Final Corrections 1 61 Final Inspec. on: Date: 1" v � Comment: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751, 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE .y . ti fah OZh-a OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / /� Inspectors 14 A REVS 0/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 r� PERM NO. (Rev. 12196) APPLICATION AND PERMIT ��jJ ASSESSOR PARCEL NUMBER ,= 058-160-164 ZONING rD BUILDING PERMIT OWNER BY H ' SO. FT. OCC. BUILDING VALUATION 1400 R 75.600.00 OWNER'S MAILING ADD ss CA 959-91-1 CONTRACTOR'S NAME— R13606 1 WAS a. 9 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $25,60 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 91 50.19 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING AD REEnergy COMFORT LN. OROVILLE Plan Checking Fee $ ' $ PERMIT FEE $ G LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRU TUR SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW ISI PERM END NEW SITE Gas piping system 1 - 5 outlets 15.00 Building sewer .15.00 Mobile Home S G W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMITFling Fee 20.00 e00v DR LESS Main Service zo.A OR LESS 23.00 3 , 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service C 46.00 . E NEW CONSTDWIN WNTGG OCCUP. CU OR ADDNS. ( a ACC. sLDs. SO 3.5¢FT; p�I.T MULTI.OUT rl. @7,50 b OUTLET COWERLE APPARATUS IR. Ex. Occup, oun.er OR FOcruREs 20 ° 1•00 SAL @ .50 Ex. Occup. G s(RREESIp°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S Z •0 4 - O WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo h comply w those rovisi ins. ///'''��� `. to of Applicant - Owner ❑Contractor ❑ Ag ntpermit is require for excavations over 60" deep and demolition or construction 114 of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 466 H p. FLOG P S This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have By PERMIT EXPIRES ON 1 d applicable provisions to do work been paid. Ite ( V (! 2 i a3 Date Receipt No. 5 Q u qq WHITE-D.D.S.-ET.-DT CANARY -A SE SOR PINK-INSIRV9TOR GOL E ROD•AP LICANT 1 "h 1, OWNER: �'M�+�!}��'+Y•��'f�!'�"\!'fL�e�"'A+��w'��:+hl+�%�•' ^'i.'�EV'7 "��i1►',.,?,►'4���(.��`e!"f•�'na+:�l.�'�.f.v�"�j S 04% rY OF BUTTE -DEPARTMENT F DEV OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLIC�TIM DATA SHEET �_• GU/ V,SDl ASSESSOR PARCEL NUMBER 6,6_46 "_160 —' & 4 ,i Proposed Building Use: Counter Technician: Date: -Items required in order to apply fotya permit. JMl boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 -or 4 sets, signed�y the preparer of the plans. , 2. Complete plans, 3 or 4 sets, signed by the preparer of the*plans. ;. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and igned calculations. r ❑ 4. Engineered truss details and layouts in duplicate. No faxes, `❑ 5. Energy compliance des and supporting documentatio duph - / , ?+ 6. Manufactured homes: (A'f Data sheets an 'installatio • struction OMarr' a line informatio , (,6) Floor Plan, (P�'T ie down or. foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. �) ,�; ;: (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. _ l `te`ms'required for initial plan review. f ckiecked items have not been received, plan review cannot proceed. Indexed and returned to the plan revie* line-up when required items are received. ' Date Received 8. Flood Elevation Certificate,, wet -stamped and signed, in duplicate ................................ 0-,::9. Plot plan and business license approval from the City of Biggs.......... - ........................ ` ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... The.permit will be a o •. ❑ 12. Hazardous Material Form............................................................................... `0 13. Other wining items needed to issue the permit.\(May require additional Ian review upon receipt of the following 'tems.),�, 14. Fees as shown on the attached Schedule of Fees Due Sheet ... ......... .... .... ....... �' D 15. Statement of Intent for Non -heated and A/C Buildings! .................................. ........ t Sanitation and'plot plan approval from the Environmental Health De rtme t in. ❑ 7. C of Chico Plumbing permit ......................... ........................ I Q•,� L. "\ California Department of Forestry plan approval' © paid. Sent by. . ................... U ❑ 19. Planning approval for (A) Use: 0 K (B)Parking: (C) Parce,, eck: 3O-- O 19 20. Contact Land Development about ❑ Improvements, -❑ Drainage .............................. 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0,22. Pre -Inspection for required ................ . ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ; ❑ 24. Worker's Compensation Carrier and Policy Number........:..�..:...................... k....... ❑ ,25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization...............:.....:-..,.......................................... l+ 27. Recorded copy of Agricultural Acknowledgment Statement ............. ❑ 28. Manufactured home utility clearance......................................'">k :................,......... _pp 29. E ' "ng violations a d/or expired permits........ ,.................. ,_...;>..... , ant wed H; T �1 When issued Tele hone p 2 ave been infpe"d of the al ove items and requirements for obt (AP lic t: �,G���(J �, ��� • •� 1. Index permit application for the a in u re 2. Additional items required Contractor, designer, ner was a ise c a at y phone, ❑ mail, ❑ counter, by Date: Contractor, designer, was advi d of the ab ata y ❑ phone, ❑ mail, ❑ cou ter, by _ Date: Plans reviewed by: 121:3, ,Date: //b 2 Plans approved by: & Date: Structural reviewed by: f 41- Date: / 6 Structural approved by: Date_ Note transfer by: Date: _-., Yellnw Ruildino nivicinn begal OW erf Check to H.C. $ and hold for pickup. ing a bui ding permit. Plan Check Letter /01 IV & /b %/b J& 2 N I r A TO: Building Department FROM: Environmental Health i E.H. USE ONLY Plot Men Anechod Root Man Attvftsd N. Sent to 8.0. — SUBJECT: Sanitation Clearance La.r ry U/L1 LL o- w� l Somas Lim -L d t, !n z Owner Location AP# Plan Approved for: Sewage Disposal Waterpply: Public P ivate Well N Clear nce for dw fling. Other 5� t •� � S k D S Q Hold final for: Final clearance O.K. for: NOTE: Environm 8/96 1 eI alt Specialist Date S�r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N0. Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMM BUILDING PERMIT . 0 - / o, ,,_ � TELV"ONE _ SQ. FT. OCC. BUILDING VALUATION '%10 �a owNERs MALNO ADORcse t'� ��oZo w �'%• %I :� T91 iYov 7S r Do coNrRAcmR-s wim CONTRACTOR'! MAWNG ADDRESS C10NSTr416T10N LENDER � UEI�OERS MM OO ADDRESS ARCWrECT OR ENOINEEA ARCHITECT OR ENONEERS MAILING ADDRESS f LOT N0. ,� SU19DNelON7 NME f)V 1 C! 1 .� ^ f PARCEL MAP USEOFSTRUCTURE `L5 AC-•• SF ❑ Duplex ❑ Mobilehome Other SPEC WY TYPE OF WORK New O Addition ❑ R model ❑ Utilities O Insulation O Other /Describe Work: _i SNOlI,,9 PERMIT FEE PAID $ SRA/ $ SHERIFF $ OTHER $ AMOUNT - RECEIVED ' $ RECEIPT ## /Nh Fireplace I I- - (p o O Total Valuation 1 $ Filing Fee .50 S 2 Permit Fee E i% 7 OAICA-ad- Plan Checking Fee s 172.7y .9 Energy Plan Checking Fee s PERMIT FEE s PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.0 Gas piping system 1 - 5 outlets 15.00 — Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE ! ELECTRICAL PERMIT lOOV US9 Main Service zooA ORoR LEss Main Service aow To I000A NEW CONST. DWELLP4 OCCUR OR ADDNS. t ACC. SILOS. Ex. Occup. OUTLET OR FWrURE9 FOZO APPLNS. OR Ex. Occup. OUTLETS ES[D. EA. a I Temporary Service �/� J �✓ Mobile Home Facilities U l V PERMIT FEE s J MECHANICAL PERMIT Heating '\ Cooling `Jl Hood ventilation ng Fee 20.00 23.00 • 3 • C) 48.00 3.50Fo. T. @7.50 5.00 23.00 20.00 23.00 Fee 1 20.00 ' 6.50 PERMIT FEI: S Mobile Home Installation Fee s Energy Inspection Fee s s oc0 CONST. TYPE TOT L FEE $ O.) P D COF P to + This permit is hereby Issued 4nder the applicable provisions of the Butte County Code and/or ResokdJons to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date ° COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. U / I-) PR ED BUILDING USE BUILDING PERMIT FEES --Balance Due ................................................ --Additional Fees Due ..... $ ` q y "7� ................................... $ A.P. # DATE ` R CEI T # DATE REC. 'D I10 x --Additional Fees Due ............................................ $ evised Plan Checking Fee .................................. $ HOOL DISTRICT FEES �j (paid at District Office) ((// 3. SHERIFF FEES (paid at Building Division) Residential ... :................................ x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK I� $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #-91—) / $200.00 (paid at Building Division) v 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. PLICANT a,9, TE ^ursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7nd 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) pb r'e.. ��•�y�.''�jj ��'1Mv/ � - •�`t-�-T•: rr,�,-r �_w:.�rY,..-.•i*...flr.,.;,!e,,.. � ..... .'-'"".�Fr'!t�-Y"1:.�.�1... :�.. �^�, ...�.r�....� � — .^i• . .. , . . � �'.i .•�... � t «a...-.:+.� Y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ISD C6 3 a (One1644 per Building) School District -+!!e' Building Department No. -^<• .A.P. Number —/6 Jurisdiction: City County ' Property Owner ., 4 Property Location/Address r i -W" ' Subdivision Lot No. Residential Development „ M Sq. Footage . T 4 �. . No of Living Me&flecme Additiord 'Supplemental to (Group R) Units Thstallation Conversion Permit # .................................................................................................................... '(No foundation inspection): ' Commercial/Industrial Sq. Footage New e , Addition (Including Exterior /\```R� �,1 � � _n :•�'' Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) r District Identificabon No. 57. Owl a School District certifies thatL"Pvrn Of (Applicant) (Street Address) AA (Phone Number), (City) s I, has complied with the requirements of Resolution No. representing O square feet. Sch6ol-Gistrict Representati Paid by Check # Remarks:,$. 03 �. y.,(State) (Zip Code) by payment of $ � r IOU IAB 2926 $ FULL MITIGATION $ 1 V -T/117 Date A/i O Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to"submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this, Butte County Schools Impact Fee Certification Form, the School District is :y notified by the applicable Local Planning Agency that this project is being: reviewed under the California Environmental Qua!ity Act (CEQA), this project may be subject to additional school fees to'fully mitigate its impact on the school district's `schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm 4 ,f SITE PLAN REVIEW APPLICATION Date: G�'- `Z�� D 2. AP# 058 — Q10— I L , Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: 2I; A L Owners Name: 1 LS6]J Ie,02l y LA�.t2� r Owners' Address: ) S b D j6 LUCAS LT. hn A (TA U A q S9 5 Telephone No.: 8 3 e o O Situs Address: - L D Yr -J' 0 Q—L %J Proposed Use: Residential ' ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ffl Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel . ❑ Industrial Remodel M Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved * Conditionally Approved Site Plan Stamped Approved ❑ Resolve Problems Prior to Approval By Date -3 0 - `�--► Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: -T-O 2,07bl'D ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X I • Flood Panel No.: Osis C, Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: r 2 -, Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code if Streets & Highways Fire Prevention Subdivision Map Front �LL Side 0 130 Side Street RearI p .70 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ -Roads ❑ Sheriff - ❑ Drainage ❑ ' NCSP/CSA 87. ❑ Chico Urban Area--: Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Yees Water Tender ❑ Road Improvement , ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: . Map Date of Recording: 15—e) / Lot: 2 1 Book: 2 I ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: IN Comply with the following Conditions of Approval: P, v---- . ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: /_.)Z/63 Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 •.. Lao j< s G I is Lee -r+-4-G W &ti_ J $ L6 e-A-rS TD T'N-� US��CiLL 3�vyACrg D1 5 F PL AIZASA T'O jjEt--1. T S U,5, 1>,,A , ' - r Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 O`'VNER-BUILDER VERIFICATION I Aaencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigoattere, Please complete and return this information at your earliest opportunity to avoid uemeoeseatpdelay in processing and issuing your building permit. No building permit will be isstsed nndl dds verification is received. personally plan to provide'the major labor and materials for construction of the'propoatd property improvement: YES NO I ��FlAVM NOTO signed an application for a building permit for theptoposed WO& :i. I ted with the following person (firm) to provide the proposed eonstruetiaa: NAME: DRESS: CITY: PHO 4. I plan to provide pbrti supervise, and provide the N?►1ti1E: ' ADDRESS: PHONE: I will provide so the work indicat NA.NIE,--' CONYMkCTOR'S LICENSE NO. of this work, but.I have hired the mai.or work: CM: NTRACTOR'S work but I have contracted (hired) ADDRESS PHONE NO. persons to provide OF WORK SIGNED: PROPERTYOWNER: S0CI.A1- S CURITY NUMM ER---- DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 4WdW California Health and Safety Code. This verification must be eompl&W and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of revved on such a permit. Building permits are not required to be signed by property owners unless they are personally persoemingdieir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their.ricense number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you sbould be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ I f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ii you wish, the U.S. Small Business Administration). For more specific information about your obligations under ScaLaw, contact he Department of Benefit Payments and the Division of Industrial Accidents. n If the mcn:rs is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10=0 N Street, Sacramento, CA. 958 14. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, �Cu�^ htie el C. Vidim C.B.o. ht ger, Building Inspection NOTE: T/r:s 0w17er-Builder Information is required by Section 198J0 of the California Health and Safety Cade OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 l � I 0, IIII �II (I" II'I I'll�'I I' I'II'�II'I 2002—X049661 Recorded Official Records I REC FEE 7.00 I COPIES 1.00 County Of BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant Carol I Page I of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within anarea zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: OAA CEcZ. APn/D /6 / �A�e �e C �., �Gk awJ d -r► ��IR G E?,Pa�G�i:v O��e cP� /I'IAp, seeCoedPoC / iJe' /eecoec4Ee, OF The ccoo'Nf oFBuwe 1A�P c3� �,Qf. �en,�, /19s i,.. /500,L 9 ,g�v E�YJE777E19T . //�('r.PESS 04-,> 66,ee-S S fI »D l�u�/� C 1� f �asP� D dg4 /%te � 0 fa of ,e. ,f -e OF Wn � ThFcuC-je, --roc., aJ �%o E�rc�7- is o�'�FouiN ars 54 t e �. � P�,� a� �eeco � De oFF•'�- o F- AF 4e",epe2 of rhE evvN-k� o� ,Ba Mfr , si�Gi= o�' ✓ii g � ��� A'q oC InA"S, A7T Ac; -'0 6a Date �a - PROPERTY OWNERS:m�`� 1 �,xvPd State of California County of . 6tA4Z-. On Se(2 :a ), oZoA a- before me, , io&'A �k\ . �� PA personally appeared V(.Q_ E - l l\kSavl personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(,sq whose name(a) is/atx subscribed to the within instrument and acknowledged to me that hf/she/tlusy executed the same in his/her/ti'yeir authorized capacity(id), and that by trf's/her/t#kir signatureW on the instrument, the person(sror the entity upon behalf of which the personK acted, executed the instrument. WITNESS my hand and official seal. Signature COMMSeal: V WINDY HILL 3 Q # 1333071 NOTARY PUBLIC-CAUFORNLAID BUTTE COUNTY O COMM. IXP. DEC. 3, 2005 -� RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 26 -Feb -2003 2093-NI2822 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LARRY N. WILSON AND CORINE E. WILSON REAL PROPERTY OWNER/LESSOR 13606 LUCAS CT. MAILING ADDRESS MAGALIA BUTTE CA: 95954 COY COUNTY STATE ZIP 3472 COMFORT LN. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS ' CITY COUNTY STATE ZIP , UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS . OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 02-2651 530 538-7541 B G PERMIT N TELEPHONE NUMBER c 'ovA JJWI '*K 2-25-2003 TORE OF LDCAL !G&FCIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. REDMOND HOMES 2000 AMERICAN DREAMER MANUFACT'URER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 17-01-267-01097A]B 60'X 24' 194928/9 SERIAL NUMBER(S) . LENGTH X WIDTH INSIGNIMLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 058-160-164 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. FO NDATIONYSYSTElV� . CER*TIiFICATE OF'� . � i OCCUPANCY 1, r 44. �?hi BUILDING PERMIT NUMBER: 02-2651 Address or location of unit: 3472 COMFORT LANE, OROVILLE CA 95965 Legal Description of Real Property: AP # 058-160-164 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LARRY N. WILSON AND CORINE E. WILSON Owner's address: 13606 LUCAS CT., MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: 194928/9 SERIAL NUMBER OR V.I.N.: 17-01-267-0197 A/B MANUFACTURER'S NAME:REDMOND HOMES YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 2-25-03 PHONE: (530) 538-7541 H.C.D. 513C Preliminary Report Order No. BU -198110-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 2, AS SHOWN ON.THAT CERTAINPARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1993, IN BOOK 129 OF MAPS, AT PAGE(S) 62 AND 63. APN 058-160-164-000 PARCEL 11: AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THE 60 FOOT RIGHT OF WAY AND THE CUL-DE-SAC, AS SAID EASEMENT IS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1993, IN BOOK 129 OF MAPS, AT PAGE(S) 62 AND 63: EXCEPTING THEREFROM ALL THAT PORTION LYING WITIiIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. STATE OF CALIFORNIA - DEPARTMENT OF .HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAV4059 Manufacturer IDIName 90086 CHAMPION HM BUILDERS Trade Name WOODLAKE Model SW7412 DOM 05/04/1995 OFS 06115/1995 RY I Exp, Date Serial Number Label/insignia Number Weight Length Width SPC SCC Exempt Use Type 09957415869A TRA254684 20,740 66' 13' 04 SFD LPT 09957415869B TRA254685 20,400 66' 13' i Issued Total Fees Paid Oct 09, 2002 $125.00 Addressee DONALD BRAVO 4881 RICH BAR RD CHICO, CA 95928 Registered DONALD B MICHELLE Joint Tena -hi 4881 RICRi CHICO,IiCA THE OWNER IINFORMATION SHOWN AB( -•.^ .-.•:.S" -DEE £ilk t-TIMJ,Ii A `1 7,? HO SING3'd'AS9ii"1..0'ra�'✓ill Tliv C1JRRENT Ttf-1E S'r.f M T.NOT REFLECT j r' STATE OF CALIFORNIA �DEPARTMENT OF HODS ING ' ANO COfthITY DEVELOPMENT DIVISION OF CODES AND STANDARDS • REGISTRATION AND TITLING SECTION ; • _ . ' . S?ATEIENT OF FACTS - This unit is. a: Mobilehome Q Commercial Coach = ❑ Floating -Home Truck Ca, Decal (License) No.('s) Trade:Name. Serial No.(s) A -...S 1/We, the un7ers1gne1, ereby state that the unit described above: 041 6Y) Affiant further agrees to indemnify and save harmless the Director of Housing and Cowu Development, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or fr issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed onhU at 6240 L) t'/ Date (City) (State) Signature of each affiant Printed name of each affiant AddressrnD Ac�a�.^ %36v( GGIGg7 �V1-Y.?IC4A-0?z-,C0- -City HCO 476.6 (Rev 11/86) ,.'S t a t e RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: LARRY AND CORINE WILSON 11679 SNOW PEAK WAY X1541 TRUCKEE, CA 96161 ORO -C A.P.N.: 058-160-164 BUTTE COUNTY RECORDER SERIAL N0. 2002-38292 RECORDED ATTHE REQUEST OF MID VALLE TITLE COMPAW DATE RECORDED: JULY -2002 TIME: - Above This Line for Recorder's Use Only Order No.: 198110MAM GRANT.DEED Escrow No.: 198110MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $49.50 [ X ] computed on full value of property conveyed, or [[ l computed on fullvalue less value of liens or. encumbrances remaining at time of sale; X ] .unincorporated area; [ ] City of _, and FOR A VALUABLE. CONSIDERATION, Receipt of which is hereby acknowledged, DANNY V. HANSEN, SR. and PEGGY L. HANSEN, Husband and Wife hereby GRANT(S) to LARRY N. WILSON, JR. and CORINE E. WILSON, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION DANNY V. IqNSEr, SR. Document Date: June 27. 2002 X... P4_ -C%,4 � - PEGGY L. SEN STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On JULY 1, 2002- before me, MARY A. THOMPSON NOTARY PULBIC personallyappeared DANNY V. HANSEN, SR. AND PEGGY .L: HANSEN personally known to me (or proved to me on the basis of satisfactory evidence) to be'the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the'entity upon be f of which the person(s) acted, executed the instrument. WITNESS my d and offidial eal Signature. . This area for official notarial seal. MARY A. THOMPSON Commission #1351470 ' v co o- Notary Public -Califomia tin v Butte County , My Comm. "IV -1;7. Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Preliminary Report Order No. BU -198110-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1993, IN BOOK 129 OF MAPS, AT PAGE(S) 62 AND 63. APN 058-160-164-000 PARCEL H: AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER THE 60 FOOT RIGHT OF WAY AND THE CUL-DE-SAC, AS SAID EASEMENT IS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1993, Ai BOOK 129 OF MAPS, AT PAGE(S) 62 AND 63. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, 'DESCRIBED HEREIN. RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: LARRY AND CORINE WILSON 11679 SNOW PEAK WAY #541 TRUCKEE, CA 96161 ORO -C A.P.N.: 058-160-164' BUTTE COUNTY RECORDER SERIAL N0. 2002-38292 RECORDED ATTHE REQUEST OF MID VALLE TITLE COMPANY DATE RECORDED: JULY 2, 2002 TIME: . Above This Line for Recorder's Use Only Order No.: 198110MAM GRANT .DEED Escrow No.: 198110MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $49.50 [ X ] computed on full value of property conveyed, or [ X] computed on full value less value of liens or. encumbrances remaining at time of sale; unincorporated area; [ ] City of _, and FOR A VALUABLE. CONSIDERATION, Receipt of which is hereby acknowledged, DANNY V. HANSEN, SR. and PEGGY L. HANSEN, Husband and Wife hereby GRANT(S) to LARRY N. WILSON, JR. and. CORINE E. WILSON, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION DANNY V. VNSEr, SR. PEGGY L. SEN Document Date: June 27. 2002 STATE OF CALIFORNIA )SS COUNTY OF BUTTE j On JULY 1, 2002. before me, MARY A. THOMPSON , NOTARY PULBIC personallyappeared DANNY V. HANSEN, SR. AND PEGGY .L: HANSEN personally known to me (or proved to me on the basis of satisfactory evidence) 0 be'the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon be f of which the person(s) acted, executed the instrument. WITNESS my ha d and offi 'ial eat Signature . .010 This area for official notarial seal. MARY A. THOMPSON co Commission #1351470 0 a Notary Public -Califomia co v Butte County My Comm. Exp. APR. 15, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below NAW: AP#.: DATE: .0, f J 5solooma main Msessor lnilIuiry Feb 18, 2003 01:43 pm Asmt # Fee # 1011-280.132-000 Name BRAVO DONALD ETAL Status ACTIVE Status Date 05!15!2001 Addrl 14881 RICH BAR RD-_ _�--- —- . � T _ . _- _ ._ _ __ Tax 000 NORMAL OWNERSHIP TRA 062016 Addr2 I CHICO CA 95928 Situs 14881 RICH BAR RD CHICO Addr3 Base Dt08101!2002 Addr4 u Land 112,200 Timber Preserve Structure 29,560 F AgPres Comments IWAS PTN. 011-280-129 SPLIT BY PM - ~��} j Etal Fixtures 0 Growing 0 Creating D oc#1 2001RP151-84 Date05/15/2001 �; Notes -- - - - - _ Current Doc# 200180020394 Date 05116!2001 Total L&I 1.41,760 r-' Bonds Fix. RP 0 — - KillingDoc# v Daterr- r, Multi Situs - Flag! MH PP 0 Asmt Desc F8TTEIHFAR RD ; ;q SuplCnt�3 r_.k Flag2 PP 01 Zoning FR 5 Dwell 1 ; 910 MH Exempt 7,000 ' — - - Acres/Sq Ft 21.3 "!NIC 011 'I Net 134,760 f7yAsmt PP Pen - - = I_MTax PP Pen RIC#F_ r7 Appeal Pending T/R DtF r Split Pending I RIC Stat XP PHY OWN ETAX HON ATT SIT APR PCL f' :j ► '►t Find 12002 IAUpton, 1111912002 4;08;44 PM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO (Rev. 12/96) APPLICATION AND PERMIT ASS S $ 1 4,ZONING BUILDINGPERMIT j'1 W TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CO RACTOR' NMIE� ,, - ELEPHOt{E�O�� 99 SS CONT�OQS MAUI DRESS (��.1/ uh CONSTRrN1 NDER . Fireplace LENDER'S MAILING ADDRESS Total Valuation $2240.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ -35-10 BUILDING ADDRESS Z Energy Plan Checking Fee $ $ PERMIT FEE $109.10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: \rJ OLte l Vti �d( Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oA v ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'asfUll ora and effect. �—) S Z (3 6 License Class '" Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations;_ ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A 1000A 46.00 TGNG NEW CONST. DWELLING OCCUP. CU SO OR ADONS. ( 8 ACC. BIDS. 3.5¢FT. T. NON•REOSID. RANCHO CIRCUITS Qa 7.50 POWER APPARATUS 8 SINGLE OUTLET JS 20 @ ,•pp Ex. Occup. OUTLET OR FIXTURES BAL p .so Ex. Occup. oFunFrs PL.16)EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 'S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) A1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation s of section 3700 of the Labor Code, I shall ons. forth it comply it thA�vi1 X Date 1 " I © 2— Signature of Applicant - ❑ Owner _X Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionj� of structures over 3 stories in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONTYPE TOTAL FEE $ST. HAZ. D. FEES IMP 1 FLOOD CDF PARCEL Po HD I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By I we V % 02 PERMIT EXPIRES I Def Receipt No. '- WHITE-D.D.S.-13'.D.- C NARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541IT No. (Rev. 12/96) APPLICATION AND PERMIT �Z- P07 ASSESSOR PARCELNUMBER ,01: %- ' / /� ,v /47 ` ZONING BUILDINGPERMIT CONT CONSTRUCTION LENDER r101 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS jX LAT NO. I SUBDNISION'SNAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ (eneel ❑ Utilities In t Describe Work: ��� TION " PERJIUT FEE PA10 SRA SHERIFF OTM g / / V AUKOVN'T RECEMb S 5VIM C�fl� " TO " Pir ZNITO COMA Fireplace ./ Total Valuation $ Main Service wov oR LEss 200A OR LESS LICENSE NO. Felin Fee $ 20.00 Permit Fee $ DWELLING OCCUP. ( 8 ACC. BLDS. ) Plan CheckingFee $ i MULTI.OUTI.ET 5ML&HITS Energy Plan Checking Fee $ — POWER APPARATUS 8 SINGLE. OUTLET CIA. - $ PERMIT FEE S EX. OCCU PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00j Solar or heat um water heater 23.00 Water piping 15.00 SPECIFY Each as water heater or vent 00-0 ❑ Oth Gas piping system 1- 5 outle Buildingsewsr 15.901 15.00 —7 Mobile Home S I GWV 920.001 " PERJIUT FEE PA10 SRA SHERIFF OTM g / / V AUKOVN'T RECEMb S 5VIM C�fl� " TO " Pir ZNITO COMA Filing Fee; 20.00 I 23.00; 46.00E 3.SCset------: FT.i — @7.50 — 20 too - PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Cooling Hood Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ . HAZ. D. FEES I IMP FLOOD CDF PARCEL PO I HD 1 ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date _ PERMIT FEE $ ELECTRICAL PERMIT Main Service wov oR LEss 200A OR LESS 'Main Service 200A TO 1000A NtY•/ CONST. OR ADDNS. DWELLING OCCUP. ( 8 ACC. BLDS. ) NEW CCNST. NON-RESID. MULTI.OUTI.ET 5ML&HITS POWER APPARATUS 8 SINGLE. OUTLET CIA. EX. OCCU OUTLET OR FIXTURES BAL 0 EX. OCCU FIXED APPLNS. OR ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home F ciliti 20.00 Misc. Wirinq 23.00 Filing Fee; 20.00 I 23.00; 46.00E 3.SCset------: FT.i — @7.50 — 20 too - PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Cooling Hood Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ . HAZ. D. FEES I IMP FLOOD CDF PARCEL PO I HD 1 ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMB ✓ �t Proposed Building Use` Counter Technician&V Date: /(� / O� Items required in order to apply for a permit. All boxes MUST be check"R marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. •-❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone R'7 3- '70 f and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional. items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: . Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: _ ❑ phone, ❑ mail, ❑ counter b Date: _ Plans approved by: �pDate: B _Structural approved by: Date: etl- VN, . SMICOUNTY BUILDING DEPARTMENT APPROVED 0,W- JOO 7 �A m 0 WILLIAM F. SOUYRES, JR. Fire Protection Lic. No. 275206 kftQ'-vnft'c VJ-J Fcz Ih�lers -P ION Co W. F. UY� U, ire Prot is 13 Cn� cryo Cu . No. 27 106 m C-16 C1V1vA VC CAk►rcIr HarnC O.Q Yh a" �o Ir GPM �41143V1 -1-aNA 3, W Ata o C%'t P.O. Box 3176 - Chico, California 95927 -(916) 345-1012 WILLIAM F. SOUYRES, JR. Fire Protection Lic. No. 275206 I Cr 32.5 ps i 7, J�v�.labl� aJ Cobh« �•• C-4zCa ioh ►lec�� J cC Coht ' �. S�S Ic►1 P.O. Box 3176 • Chico, California 95927 • (91.6) 345-1012 S 2.1 - SUBMITTAL. S p I -Z I HYDRONICS: REPSIDI-INITA.r., FIRI--: ityl Page CONTRACTOR: WILLIAM F. SQUYRI--:S, JR. PR0'.1'.13C'P'.1-ON (530). 345-1012 ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-08-2002 file:- 6 01-- - "l' - JOB : 60 FOOT MOBILli-, HOME, 1. lll--,Al') 1 --'LOWING STAT -IC' 60.0 Ps; i- TZE'SIDU7 \I'.- 4:5 - o Psi F'*I'-,OW 35 Gpm SPRINKLER MANUF Cl,'N'l'RA'l'j MOD1 1, MIN SPR FLOW 18.0 Gpm MIN SPR PRI --'S : 36.0 Psi_ NODEELEVATION K I' lz E S S U lz 1-111 DISCHARGE NO -FEET FACTOR -------------------------------------------- Psi Gpm --------------------------- -------- 1 10.0 3.00 36.6 18.2 .2 1.0.0 37.9 3 10.0 37.9 4 10.0 39-6 5 10.0 41. . 2 6 1.0 SOU RCI? 46 .2 SPRINKLERS.FLOWING AREA PER SPRINKLER 324 Sq.Ft. TOTAL DESIGN AREA 324 - Sq.] --It. REQUIRED DENSITY .06 Gpm/Sq COMPUTED DENSITY OG Gpm/S(4-1— TOTAL SPRINKLER FLOW 1-8.2 GpIll TOTAL DOMESTIC FLOW 0.0 Gpm TOTAL WATER REQUIRED 18.2 Gpm TOTAL SPRINKLER PRESS 46.2 PSJ- WATER METER LOSS 0.0 Psi- @ SOIJRCE VALVE FIXED LOSS 0.0 Psi- @ SOURCE Copyright (1991) SUPPLY PRESS AVAILABLE 55.5 46.2 Psi Psi by llydronics Engineering DEMAND PRESS REQUIRED 9.3 P s 1- 3411-9 Fremont Bl, Suite 609 PR13SSURE CUSHION FremonL, Ca., 94555 (415) 487-93-60 MAXIMUM VELOCITY 6.0 tils 41YDRONICS: R13S7:Dl N'.I:':f.n:L� ] :L.CtI':, Sl?R:I:NICI Ii;R T Y1)1R,A Jf -1-C'S 2.1 - SUT..MTT'1'AL. Page 2 CON`T'RACTOR: WILLIAM P'. ' SQUY.RI-:S, JR. FIRE, PRO'1 EC'1':CON (530). 345-1012 ADDRESS: Po BOX 3176, C111CO, CA 95927-3176 Date: 10-08-2002 1p:i-1e: 60F'.1.'--'1- JOB : 60 FOOT MOBILE I•IOME, 1 1.1.CAD FLOWING PIPE BEG FLOW K-1?ACTOR f-E.NG'1'.II C-FAC'.I.'OR PRESSURE NO. Gpm FT'"TING '1'YPf; J F':CG FR- LOSS Psi END DTAMR11.L'1?Tt '1'O'1AL (Psi/Ft) 18.2 18.2 -- -- - - K= .3.00 - :L,= -------------------------------- - ------ 1/:.5 Pt 36.6 Pt 36.6 q= 18.2 F-1jR F= 8.0 C= 150 Pe 0.0 Pv -0.2 1 Vel= 6.0 D= ]..10 '17L= 22.5 0.0549 Pf 1.2 Pn 36.4 Pt 37.9 3 ----------------------------------------- 2 c = 0.0 IC- 0.00 ---------------------------------- L= 1.0 Pt 37.9 Pt 37.9 2 Q= 0.0 F=:LB F= :I.0.0 C= 150 Pe - 0.0 Pv 0.0 Vel= 0.0 D= 0.884 '.I:'.T- _ ].1.0 0.0000 Pf_ 0.0 Pn 37.9 Pt 37.9 3 -------3----_----q=- --------- 0.0 --------------------- IC= 0.00 L-- 27.5 Pt 37.9 Pt 37.9 3 Q= 18.2 F=3R � 1'-- 3.0 C= 150 Pe 0.0 Pv -0.2 Vel= 6.0 D= 1.1-09 TL= 30.5 0.0549 Pf 1.7 Pn 37.6 Pt 39.6 4 4 q= 0.0 K= 0.00 ----------------------------------- L-- 1-2.5 Pt 39.6 Pt 39.6 Q= 18 . 2 F--21-13 R P'- :1.'1 . U C'= 150 Pe 0.0 Pv -0.2 4 Vel= 6.0 I)- 1..:1.09 '111- 29.5 0.0549 Pf 1.6 Pn 39.3 Pt 41.2 5 5 q= -- 0.0 IC- 0.00 L- ---- 9.0 Pt 41.2 Pt 41.2 18.2 17=4RS F= 1.1.0 C-- 150 Pe 3.9 Pv 0.2 5 ,Q= Vel= 6.0 D= 1..1.09 TL= 20.0 0.0549 Pf 1.1 Pn 41.0 Pt 46.2 6 -------------Meter ---------------- = 0.0 Valve = 0.0 6 Q=-18.2 ----<<<----SOURCE >>> Pt 46.2 ----------------------------------------- E=>45-Llb L=>90-> :Lb B=>'.I.'ceBch R=>'T'eeRuj) C=>COUPlg S=>SwgCl"lc G=>GatVly -HYDRONICS FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + ' I 90 + 80 + 70 + .60 X Static X X X . 50 + X X X Resid I* Spr Sys 40 + 30 + 20 + 10 + * Elev Loss +---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB 60 FOOT MOBILE HOME, 1 HEAD FLOWING X -. Water Supply Curve * - Water Demand Curve HYDRONICS: RESIDENTIAL FIRE SPRINKLER HYDRAULICS 2.1 - SUBMITTAL. Page CONTRACTOR: WILLIAM F. SQUYRI;:S, JR. FIRE PRO'T'ECTION (530); 345x1 012 i ADDRESS: PO BOX 3176, CHICO, CA 95927-3176 Date: 10-08-2002 Pile: 60FT-2 JOB 60 FOOT MOBILE HOME, 2 HEADS FLOWING STATIC 60.0 Psi RESIDUAL 45.0 Psi. 1.I:OW 35 Gpm SPRINKLER MANUF C13N'.11ZAL M0DE1_ Ll-- MIN 1-MIN SPR FLOW 13.0 Gpm MIN SPR PRES 18.8 Psi 1 NODE ELEVATION K- I PRESSURE DISCHARGE NO. FEET FACTOR Psi Gpm ---------------------------- 1 10.0,' ------- 3.00 19.3 13.2 2 10.0 3.00 3.8.9 13.1 3 10.0 3.9.9 4 1.0.0 23.3 5. 3.0.0 26.5 6- 3_.0 SOURCE, 32.5 SPRINKLERS FLOWING AREA PER SPRINKLER TOTAL DESIGN AREA REQUIRED DENSITY COMPUTED DENSITY. TOTAL SPRINKLER FLOW TOTAL DCMESTIC FLOW TOTAL WATER REQUIRED TOTAL SPRINKLER PRESS WATER METER LOSS VALVE FIXED LOSS SUPPLY PRESS AVAILABLE DEMAND PRESS REQUIRED PRESSURE CUSHION MAXIMUM VELOCITY 2 324 Sq. Ft. 648 Sq. Ft. .04 Gpm/Sq.Ft. .04 Gpm/Sq . r't . 26.2. Gpm 0.0 Gpm 26.2 Gpm 32.5 Psi 0.0 Psi @ SOURCE 0.0 Psi @ SOURCE Copyright(1991) 51.2 Psi by 32.5 Psi Hydronics Engineering 18.7 Psi 34119 Fremont Bl, Suite 609 Fremont, Ca., 94555 (415) 487-9160 8.7 F/S ' �I}�� S�DI0DI��D BY|}RDUI,ICS 2.1. - !-DB�4I1]AJ - Page B�DB00ICS� ��SID���I�� � 2 - CON��D8CTOl: ~ WIl,�I&� P 3OUy|<�S _ , ")[Z -PlDK P|<01`KC1'IVN - (530). 345-1012 . ADDRESS: 2O BOX 3176, CUICO, C& 95937-3176 Data': I0-08-2002 il,ile: 60 FF- 2 JOB 60 FOOT MOBILE HOME, % 8OADS FLOWING - BEG pLOW K-pDCI0D .��N(�7�l C -FAC��0R PRESSURE PIPE � �Dm ~�- �IIII�� IYPC -InvEIOD ��� PR- LOSS p i � NO. '|x]1AT, <�oi/rt) END-----°-~'-'~---------- -------------------------- l g= 13.2 K= 3.00 I'~ '`----'-_---------------------- l4.S Pt- 1-9 3 Pt 1.9 .3 (J= � l3 l �~I,D �= 8.0 = C lS0 pe . O 0 �v -0'l . I ' VeI~ 4.4 ' D= l.l09 1]�~ . 2� 5 � 0 0303 �� O 7 ' Po 19.1 Pt 19.9 3 _ ______-------------- ---------------------- .2 13.l 7{= 3.00 I'= 1.0 Pt 18.9 Pt 18.9 () = � J. 0 �~J�D r= lo.v C= I50 �e 00 . �v -03 2 Vel= 6 8 ' U� 0�V84 '�I,= �l 0 / � . 0 O898 P� l 0 ' �u l8.6 Pt I9'9 3 ----------------------- __________________ 0.0 }�= 0'00 I^= ________________-'--'---------- 27.5 P� I9 9 �� l9 9 3 g= 0= 26'J �=3R �= 3�u C l50 1? 0- U'0 �v -0.5 ] - \/eI= 8 7 ' l09 I� D= l. = - � 30 � 0=I08l v.�""� ^� D� 3'3 - - ' �u -�� � l9 � ' 9t 23.3 4 --------------------`---- 0.0 __________^___________________------------------ l�= 0.00 I�= l2.5 �� 23 3 �� %3 3 4 g= O= � �6 2 �=�I'3lI P= l7'U = C lS0 p� O O '% �n -0'5 4 ^ \/eI= 8.7 ' D= l.1/>9 I�= � %9 5 . O l08l P� 3 '~ � u ^ . 22 7 -- Pt 26.5 5 ------------------------- 0.0 ______________________________------------------ ]I= 0.00 I^= 9'0 Pt 26.5 pt 26.5 S g~ (J= 26.2 F=4DS F~ Il.0 C l50 Pe ]'9 Pv -0.5 S \/el= � 8.7 D= l�l09 II,= 2O.0 O~IO8l � D� . 2'� �o � %G 0 PL 32.5 6' --------- -----------------------__ _____________________----------------- Valve 0.0 MeLer~ 0.0 _ _________ ------------ G --------- ------^----------- (3~ ------------------- Z6.2 _______________________________ <<< SOURCE >>> �� ___.__________ 3� 5 �=�QO-�lb B=�IeeBoh R=�TeeRoo r=rCouPlg S=>SwgCbk Q=>Qat\/ln' " HYDRONICS : FIRE SPRINKLER HYDRAULIC GRAPH PSI 100 + 90 + 70 + 60,X Static X X X 50 + X X X Resid .I 40 + I* Spr Sys 30 + 20 + 10 + * Elev Loss 0++--+---+----+------+-------+--------+---------+----------+------------+ 0 200 300 400 500 600 700 800 900 1000 1.85 FLOW -(GPM) JOB : ' 60 FOOT MOBILE `HOME, 2 HEADS, FLOWING X - Water Supply Curve * - Water Demand Curve QIMENb,tONS AND WEIGHTS HP/Model Length Width Height — WI. (Ins.) — '/� — HSC01 1 — HSC10 16 1 1%:—HSC15 17 B •1 _.......... �'. _ .. .. 2 — HSC20 19 9 9 75 (All dimensions are in orches and weight 111 Ibs. 00 not use 10r c0nslru ;11011 pwp0sf's PERFORMANCE CURVE METERS FEET 240 70 NPSHR 6' 220', ..............:........... HSC20 , 60 200 I 7- 180. w 50 160 }.:........:'. _ HSC15 I U 140 "— HSC10 a' 40 Z 120: o HSC07 30 100' If ao i .._ 1 20 60 i.. i 40 10 20; ..... 40 2 4 6 a CAPACITY oulds Multi -Stage Centrifugal dump C011 HSC fOODEL HSC S17.E3,4, 2 H P RPN4 3500 INp TO CONVERT FEET OF WATER TO PSI — DIVIDE FEET BY 2.31 50 60 70 GPM 10 1 ? t 4 16 m3/hr WATER TECHNOLOGIES GROUP SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. S[n;ECA FAI15. N:W YCRK 13148 b APPLICATIONS Specifically designed for the following uses: • Water circulation • Booster service • Liquid transfer • Spraying systems • Jockey pump service • General purpose pumping SPECIFICATIONS Pump: • Capacities: to 50 GPM. • Pressures: to 94 PSI (217 feet. • Pipe connections: 1'/4" suction 1" discharge. • Temperatures: to 180" F (82-'C) max. • Maximum working pressure: 125 PSI • Rotation: right hand, ie; clockwise when viewed from motor end. M, )tor: • HEMA standard 2 HP, 115!230 V, 60 Hz. • ; jingle phase. • :.:500 RPM. • Ittjilt-in overload with automatic i eset. • Capacitor type. • : -Vamaift manufacture on all waterweight tanks. Should a defect appear urithin the wa;-.zmy pmijxi NORWESCOIAU" SITr It . r-A,I e<,Pivz3m't tLnk in replacemmt 11-w-ro-E NORWESZ-O'S babiliti Ls limited to the value of &- Wk itself and spezifically excludes the cost of 4-ulallation. fteight, reTnoval or consequmbal darnzrPs. Tank dbnensiun's and caprities may vary slightv and arc sui N[ In orange without notice. FIORWESCO' Noryiesco, Inc. 4365 Steiner Street * P.O. Box 439 St. Bonifacius, MN 55375-0439 Tet: 612-446-1945 - Fax: 800-874-2371 www.norwesco.com . . . 0 1 %rs K0C.VXQ wIC P�lyedlylene WaterTans the:, . ........ .. MOD, wdid'odgee n"'dS C - it BFack'X ti 'Nta a 5tcr 3-64" aii L Irmu.. . to. StU 7 &—qV guldelbies Jb:��M' Dpr Piece pcjyeth Vkme=istnjL-fom' akesTito tanks y num�>amchoiocfo: Octable water storam- &ar tanks zre oiamd' d' FDA: 8 ifacius,' hffirnp-solla Z) on Tiebl*ia&-: Pt ty'e ad',!r FX w, M ILI Rioalp- -Utaft -,q). Owe v. NE*Nork thC tird tlbi IN hUL4r7 , 'k S -h �ouo.-I,W-a ingtq your CrStnjVtCr'j"6(.*eft* Speqnt %rM;l Forooz W tn -Mabft*G&a-Canaea: G.afi.fornia These tanks a; per "a'�TR-)R GF MTY jllc��fhat` ai hey 'f'ot- WAT -Vamaift manufacture on all waterweight tanks. Should a defect appear urithin the wa;-.zmy pmijxi NORWESCOIAU" SITr It . r-A,I e<,Pivz3m't tLnk in replacemmt 11-w-ro-E NORWESZ-O'S babiliti Ls limited to the value of &- Wk itself and spezifically excludes the cost of 4-ulallation. fteight, reTnoval or consequmbal darnzrPs. Tank dbnensiun's and caprities may vary slightv and arc sui N[ In orange without notice. FIORWESCO' Noryiesco, Inc. 4365 Steiner Street * P.O. Box 439 St. Bonifacius, MN 55375-0439 Tet: 612-446-1945 - Fax: 800-874-2371 www.norwesco.com . . . 0 1 %rs K0C.VXQ wIC P�lyedlylene WaterTans ..' .•=�"ri"�.`�fk;`�L.��QT��, t�'$a���ti��;�i�l;r'ntl�`�'�4tfir?,'"'a'�'r�.lk'C'0:;;��.�.J• 'r:�'�,- ' • ,tib' I I � •,ai,'t'•7J, ...� � �� :• t' • cc : I:. :Jl 'JI W j t cc j -') I yJ� rv...• jv�-'<< 5!nYr�r�af .'. CD JI CJ I rJ' .� j �• I --• I _ i .. i .-. � � frvi'��,1[1�, � `::�•- le: `,,,. y r,JUI :I 1 I i ,L_ I ,I I m rlG1 4Y 7. , �j..•• .� ,I.;vYAgIL I I I n`: r 1��"�1•�{��• ,moi I (:'iy I'. i�f...l.'6•j.}'���' . CD Mm I� Y �CD Ti I irvi w I ' c a r• I k I r'. t: l_ !A �D O'. "iT :�' I rl I �`' �• i �-1 ' � ;£ �'�;�t'h a':.,. C7 tJl I r� I-. 1 I .P:. �.., , I •j I 117- Prn �:. •:.. I . pi �-r•� ico..r rti..mom :•t: I I I I j�riYr I � � ►ti'�lj' ''11��n�:., x�'� `���:::>.a.t .ui'., " 1 �.:7 .,;�1,,'.lt?;���i�'� a i"'kii 5•fT'<"`•.' �'si�"�•,.,r:�•�'+,-, 21}7`,�7?,49r•..r ��rJII�iP,>'Y•c�;t.i.:l.ti�,..�+'�•w�.•.,!�,"���'�` rn ''i ,i� ;'� j �•,• ,,,.... Mechanically -activated switch designed - to directly control pumps and activate pimp faft I panels, alarms, splenoids, and relays. US. PNrrd Va !•1 zvw t`a "&A NWA S/N 3057591 Applications Q SP� w 1x1 l.Rilir! The SJE PunipMaster' SPD'I' pump/control sw:ich can be wired to work in either pump duvet (normally o?en) or pump up (nornially closed) applications. It provides automatic control of pumps in water and sewage applications. ,chis switch is not sensitive to rotation or turbulence, so it can br! used in ether calm or turbulent applications. 1t can also be used as a pilot duty control switch to reliably monitor liquid levels in sewage and water applications. Casale: flexible 16 gauge, 3 conductor SJOH'-A (UL), SJOW (CSA), watct-resistant, neoprene (CPE) Float: 7.75 cot diameter x 9.07 cm long (.3',05 inch x 3.56 inch), .impact reslstaw, non -corrosive, PVC plastic for use in liqui(fls uF to 0);'C (14(>'F). Pump Switch Electrical: Voltow 50161)HL ! Maxiclutn Pump loasirau." V.-PTRtxommcntk0l uO Roonkm Current Uarting Currentl Pump HT 120 VAC 13 amps _ FSamps 1Q HP err less l' o 230 VAC 13 nrtna h5 amps l I HI' Cr less __._�—.... ,....t. _ NOW This switch roust o.• used with pusnixc th:,t romi.h; i::tegral lhermul overload proto tion. Control Switch Electrical: Maximum Current: t3 Any.,; Lowe• Limit: 12 VAC 130 millianl1 .s Features • Can be wired to work in either pump down (normally open) or pump up (normally closed) applications (Single Pole, Double Throw) • Heavy-duty contacts o UL Listed for use in water and sewage • CSA Certified • Two-year limited warranty Pump Switchs o Controls pumps up to 1/2 HP at 120 V and 1 HP at 230 V o Adjustable pumping range of 18 to 91 cm (7 to 36 inches) Conlrol Swlfch: • Provides pilot duty action with on-off differential ,is flow as 9 em (3.5 inches) above or below horizontal Options This switch is available: • in standard cable buigt.hs of 1, 2, 3, 5, 6, and 10 meters • with two mounting options (mounting strap or cable weight) Pump Down / Normally Open / OFF position contacts open ��� contacts closed ;w The SJE PunipMaster' SPD'I' pump/control sw:ich can be wired to work in either pump duvet (normally o?en) or pump up (nornially closed) applications. It provides automatic control of pumps in water and sewage applications. ,chis switch is not sensitive to rotation or turbulence, so it can br! used in ether calm or turbulent applications. 1t can also be used as a pilot duty control switch to reliably monitor liquid levels in sewage and water applications. Casale: flexible 16 gauge, 3 conductor SJOH'-A (UL), SJOW (CSA), watct-resistant, neoprene (CPE) Float: 7.75 cot diameter x 9.07 cm long (.3',05 inch x 3.56 inch), .impact reslstaw, non -corrosive, PVC plastic for use in liqui(fls uF to 0);'C (14(>'F). Pump Switch Electrical: Voltow 50161)HL ! Maxiclutn Pump loasirau." V.-PTRtxommcntk0l uO Roonkm Current Uarting Currentl Pump HT 120 VAC 13 amps _ FSamps 1Q HP err less l' o 230 VAC 13 nrtna h5 amps l I HI' Cr less __._�—.... ,....t. _ NOW This switch roust o.• used with pusnixc th:,t romi.h; i::tegral lhermul overload proto tion. Control Switch Electrical: Maximum Current: t3 Any.,; Lowe• Limit: 12 VAC 130 millianl1 .s Features • Can be wired to work in either pump down (normally open) or pump up (normally closed) applications (Single Pole, Double Throw) • Heavy-duty contacts o UL Listed for use in water and sewage • CSA Certified • Two-year limited warranty Pump Switchs o Controls pumps up to 1/2 HP at 120 V and 1 HP at 230 V o Adjustable pumping range of 18 to 91 cm (7 to 36 inches) Conlrol Swlfch: • Provides pilot duty action with on-off differential ,is flow as 9 em (3.5 inches) above or below horizontal Options This switch is available: • in standard cable buigt.hs of 1, 2, 3, 5, 6, and 10 meters • with two mounting options (mounting strap or cable weight) Pump Down / Normally Open / OFF position contacts open ��� contacts closed '•. ``QU/alf t;'Am�,,',•' i •, t �jyif., '.„,.: `atsej ball'... ;ti;.•xv:n tN'�cl�.;.�•:,. , Pump Down / Normally Open / ON position contacts clm ed contacts open ` ``QU/alf t;'Am�,,',•' .'< ;r ssy h�� �i'bd(li�e '. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT S 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHON (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PER !74 PERMIT NO. 0� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER P � arr � Corth �,� ,a PHONE NO. 530 -587 - OWNER'S ADDR SS II VJ Sno>N w T�-j,�AOIQ CA 96141 LOCATION OF BUILDING USE OF BUILDING 5+0o -o Q �oav -tPm S r o�-.tooko SIZE OF STRUCTURE u _'X-2-2—'= �7- SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ,✓� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING Co v► Cr-Jgur4' Alcob ROOF COVERING. S n FLOOR TYP Ca ti ESTIMATED COST OF CONSTRUCTION $ .: 5nn AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �"� .20 4''"' FRONT SIDES !12 REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. {� I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply witLAxAh the requirements in effect at that time and before occupancy. - (�.J e 0 2 -nature of Owner Permit Fee - 60.00 The above described AG Building is exempt from (ding per it. Fr(AEPLY I ROOF G I S Receipt No.r1( I- V) Manager Building Div' B V 2q oz Y Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Corine Wilson ADDRESS: P.O. Box 4133 IMPORTANT: CITY & STATE: Yankee Hill, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 3/13/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the Refund: Unable to Construct Esiag Permit App No.: 03-0299 AP No: 058-160-164 Receipt No.: 369975 Receipt Date: Bldg Permit Fees: Owner's Name: COrine Wilson TOTAL FEES PAID: $35.00 TOTAL FEES RETAINED (Breakdown Below): $0.00 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $35.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB. PROD. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. . , Alt) ZEPJAID 66noaz FOR BUILDING DIVISION USE ONLY: Al D . Receipt Information: 03 Number: ?j S Date: Issued To: Amount: Fees Retained: 11-5 Processing Fee: , $ - Bldg Filing Fee: $ Plbg Filing Fee: $ ' Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: r .$ TOTAL REFUND DUE: $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim CLAIMANT'S NAME: /''�,P1- MAILING ADDRESS: ASSESSOR'S PARCEL #: BUILDING PERMIT #: RECEIPT NUMBER(S): �l 3 5 - A A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans:. ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date LlZ63 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT 03-0299 ASSESSOR PARCEL NUMBER ' 058-160-164 ZONING 1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDKESS YankeePO BOX 4111 CONTRACTOR'S NAME Mmpr TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRE S /i"1/1 if 47Z Comfort Lan (/ l� (� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ .Describe Work: LPG Piping for Generator Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G w 920.00 PERMIT FEE $35.00 ELECTRICAL PERMIT Filing Fee 20.00 600VMain Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sLDs. 3.50' NEW RESID. T.MULTI.OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu ourLFT OR FIXTURES�0 @ 1 0 OWNER Ex. Occup. o xux" AE�sIDOERn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) NI -9/111 certify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thse provisions. X _4 f'% Da Signature of Applicant ><Owner ❑Contractor ❑ A ent An OSHA permit is recl4red for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35. 00 Hq2. D. FEES PD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ��^^�� By Date Z' 3 • V 3 PERMIT EXPIRES ON efe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 03-42T �i 0 AssEssDRPARce-" MER 0115? - 0 - / MOO m1ma BUILDING PERMIT owxEw .� d,- f '°�NOHE 6 Z SO. Fr. 000. BUILDING VALUATION 2900 db S 0 ✓� 4600 ADI , - 9SC 7 ' O @7S0 Powet APPARaays 8 SWGLE OUIL�7 CI0. Ca RS E7.' • 00cu . CUM OR FWRMM TELEP" "E zo ®toil m® m Ex. Oeea o=LN cm 5.00 Temporary Service CONmtA=RS MALM ADDR= 29.00 Mobile Home Facilities COF57RtJCDONLF7�8i Um Wiring 2900 tOCers MCC ADDRESS Fireplace S .MECHANICAL PERMIT Total Valuation $ ARCH= OR ENGRM1 • LICENSE N4 Firma Fee S 20.00 ARM= OR E"GNEMM MUM ADDRM Permit Fee 6.50 ventilation Plan ChecWno Fee S M=-ADnREss 3 EneW Plan Checidng Fee $ PERMIT FEI: 0 i Mobile Home Installation Fee S Energy Irmection Fee . s PERMIT FEE S {OTtJO. SUBDNISIDNB lIAME PARCEL MAP PLUMBING 'PERMIT Firing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other TYPE OF WORK +kw 0 Addifion 0 Remodel 0 Lillian 0 Insta don 0 Describe Work P LPy , ,_t,,T_r *PERMIT FEE PAlb SRA SMIFF Solar or heat pump water heater 23.00 Water piping 15.00 Each gas wai3r heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 ler O Building sewer 15.00 Mobile Home I S (31 W I @20.00 *aZCMT Num 176 q 7� " TO " Km INTO CO#A RecelptNo. WHITB•D&S.-BA CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPUCANT PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Mein Service =OROR UMS 2900 Main Service 2004 To 1900A 4600 09 AOntM a lttxc 9SC 7 ' O @7S0 Powet APPARaays 8 SWGLE OUIL�7 CI0. E7.' • 00cu . CUM OR FWRMM zo ®toil m® m Ex. Oeea o=LN cm 5.00 Temporary Service 29.00 Mobile Home Facilities 20.00 Um Wiring 2900 PERMIT FEE S .MECHANICAL PERMIT Filing Fee 20.00 Heating Ccorm, Hood 6.50 ventilation PERMIT FEI: S Mobile Home Installation Fee S Energy Irmection Fee $ pII nYt f TOTAL FEE $ 3s— H I I RAZ- I L FM31 W I HADD CDFPARC& I PD I - I SSU-' This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resohrtions to do work Incrmated above for which fees have been paid. By . Date PERMIT EXPIRES ON . • 1 m O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: - An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YE NO ❑ E2. I HAVHAVE NO ❑ 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, • supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: _ PROPERTYOWNER: SOCIAL SECURITY NUMBER: ) DATE:_ NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, N is el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. Thu Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER ': 0 77_ —