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i 45 58-17-64 r KEIT & DENISE SWIFT 4034 Deadw d Rd, Oroville w 1 Permit#2746-8 R E(util, MH) I 93 52 ELEC. �j!j q 058-17-0-064 GAS SWIFT, KEITH& DENISE?` SUPPORT STRUCTURE REQ. Gjl4034 DEADWOOD RD, OROVILLE j -. OMPACTION TEST REQ. Ag Exemption Permit 19TOMEm-T-I-LLER3MOWERD, . SEED 58-17-64U. Permit#32.41-9 Issued /18/90 I� I 7 y i 45 58-17-64 r KEIT & DENISE SWIFT 4034 Deadw d Rd, Oroville w 1 Permit#2746-8 R E(util, MH) I 93 52 ELEC. �j!j q 058-17-0-064 GAS SWIFT, KEITH& DENISE?` SUPPORT STRUCTURE REQ. Gjl4034 DEADWOOD RD, OROVILLE j -. OMPACTION TEST REQ. Ag Exemption Permit 19TOMEm-T-I-LLER3MOWERD, . SEED 58-17-64U. Permit#32.41-9 Issued /18/90 I� I 7 BUILDING D-WISION COUNTY OF BUTTE - DEPARTWIcNPOF'.DEVELOP MENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE. CALIFORNIA 95965 —TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEIVI•PTION PERMIT - ERMIT NO 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 —e Q OWNER ei De /ves� PHONE NO. OWNER'S AD RES�j e p LOCATION OF BUILDING - r Q3 e� wo v0A. zoC/,ite__ USE OF BUILDING �Ltar ]-p o �`JJ - --J SIZE OF STRUCTURE / Z ze > ,3.31v X � SO. FT. TYPE OF CONSTR%TION: WOOD FRAME -='T STEEL CONCRETE OTHER (Specify) TYPE OF SIDING , / r ROOF COVERING(, ^ , FLOOR TYPE �� o ESTJV TED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the build' is made, I will contact the Building Division and obtain any necessary permits, inspections, ano aoprovals to comply wi the r quirements in effect a at time and before occupancy. Date Permit Fee - $50.00 Receipt No. /4/0 / / Signature of Owne The above described AG Building is exempt from a buildingpermit. iFac oD I, PA V aoo� c I ass Manager Building Div1s1 I/ By Date zG `r3 'Nh,w -:!PW Ymiow - •:,scssrx, ::.�t - ) 1. Guicurrcx; - •:uoma:., COUNTYOF BUTTE - DEPARTMENT OF PMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �NGSC s�.cJ��F� A. P. No. / 7c) Proposed Building Use 04 (,- Building Inspector ,b Date 4,721 At time opermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: l/ DATE RECENED BY 1. All items have been submitted . .............' .......................... . 2. Plot plans, 3/4.sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20.' Pre -inspection for required. .. Ina-InspectionIlnspedor� Date c ) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. .......................................... . 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi up at office. Deliver with inspector. Other Ir Parcel Creation Acreage Applicant / Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Wo*s zO 32q� PERMIT NO. ' �2746-89P,E(MH) s PERMIT EXPIRES 2/� &,6 OWNER KEITH & DENISE SWIFT CONTR. owner. ASSESSOR PARCEL 58-17-64 LOCATION 4034 Deadwood Rd, Oroville 0 f t i OFFICE COPY i } I Address I! Meter y Date ELECTRIC A, —, i Meter By._ Temp. Gas Sei Called PG+ JOB FINALED Signature OK Igo 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s , gate DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Is; Special MH Support -S ch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fa -C/ ' oncrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ectricity; Location-Clearances-Grnd.-/ / Amp -Concrete ocation-Test-Wrap: / P'l- ft. /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ut'li yCle rance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBIL -HOME INSTALLATION (Plans) OK except #'s onin equirements-Setbacks-Easements Card -131 Date Card -131 Date otings; Si pacing -Marriage Line Card -61 Date Card -131 Date '3. Ga_4;,M est -Demand -Valve -Connector Igotricity; MH Test -Crossovers -Breakers -Clearances , Date POOLS (Plans) OK except #'s ra'n; MH Test -Fall -Flex Connector 1. Setbacks -Easements ater MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining d Electricity Tagged Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval �/!� 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B? Date Card -81 Date Card -131 Date = VK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation . Card -131 Date Card -B1 Date I Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing -71W Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed=Fd.'Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector , 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; -Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd.-Air-Gap-Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: 014NER ....... PERMIT % MH UT IL. CLEARANCE DATE %�/ JA7 O INSPECTOR o R ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Leri th YESI NO YES NO 2QO� nl//7Sv �.i.{w4�:•mr-�.-�-,i`4^. r•{..x.J-v'!.i•.�^...Liy�'t�_i..r`-+K-.,r�:f-_,. ..w..+`�w�:.. '--.-✓`�;jk"/'Rw�A"�R.t 'Y7y'�='i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise --Phone: 872-6307 CORRECTION NOTICE OWNER IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r L^Cq(�/GtiGI L4111 /.I (l C)./ /iAC I Date1-2— APa . Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N.--" cial Approving Installation PERMIT N0, Year of manufacture (Dat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I 513B White - Owner, Yellow - Installer, Pink - D.P.W. [EI7 COUNTY OF BUTTE - e' =PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovl e. California 95965 - Telephone: 916/538-7541 AI~QL,-TION AND PERMIT ASSESSOR PARCEL NUMBER 58-17-64 ZONING 'FR -10' BUILDING PERM OWNER H & DENESE SWIFT TELEPHONE 534-3908 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS AO. Bo 17 roville 95965 NTRACTOR•S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ W04'NbeAa'Twoosd Rd, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 9 SUBDIVISION NAME Foster PARCEL MAP 104-89 Water piping 5,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobiiehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T—SI G W 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [aX Installation❑ Other ❑ Describe work: MHI/2746-89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM oR ADONS. ACC. BLDGS. 2,h¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS R). SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20@50C e AL@ ao FIXED APPLNS. OR EX. Occup. OUTLETS (RESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, shoulc you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also to save, indemnify and keep harmless the County of Butte against all I'abiliti s, judgments, cost and expenses which may in any way accrue agai st sat County i n enge of the granting of this permit. X � / Date — r IXI Signature of Applicant OwneContractor ElAgent F1 An OSHA permit is required for excavations over 5'0" deep and cemolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz CUA PARK SCHL FLD PAR PD Ho Issue This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees JD ;E�R OF PUBLIC J:? BY /y�+�y PER IT EXPIRES ate LV the applicable provi- resolutions to do have been paid. WORKS Date - (oyver Receipt No. / 3 7O % WHITC-D.P.W., YELLOW -ASS CS SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi1'e, California 95965 - Telephone: 916/538-7541 AP.PLITATION AND PERMIT ASSESSOR PARCEL NUMBER 58 - I'7- (a ZONING 'FP l6 BUILDING PERMIT OWNER TELEPHONE - S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i° 0. 600 qr? Z. 96 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation .p LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Oj) ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty g BUILDING ADDRESS 4634 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME aS,l m F PARCEL MAP 104-- �� Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome&-'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W I hO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation LD -Other ❑ Describe work: !S 82P_ i24610M Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. .3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2,50 NEW CONST. /DWELLING occuP.e OR ADDNS. C ACC• BLDGS. , /2¢sgft NEW CONSTR. ULT( -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. OCCU OUTLETS OR FIXTURES P 20@50t eAL@3o FIXED APPLNS. OR \ Ex. Occup. OUTLETS IRESIO.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ) Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑• Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ -f S-46 Energy Inspection Fee $ Occ CONST TYPE orb TOTAL FEE $ 70 HAZ CUA I PARK I SCHL FLo PAR Po Ho IssuE permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. %Z707�-fit/( Zo. -" WHITE-a.r.W.. YELLOW-ASSr33OR, PINK -INSPECTOR. COLOENROO-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICXTI.ON 4ND PERMIT ASSESSOR PARCEL NUMBER — — c ZONING r b e BUILDING PERMIT OWNER r sw t TELEPHONE -720` SQ. FT. OCC. BUILDING VALUATION OWN M (LING /tDDR a CONTRACTOR'S NAME O GJ PLer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -! Vp Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O � Permit fee $ S DU PLUMBING PERMIT Filing Fee 110.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME S�'`'�' PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home O.00ea 0 --- TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities.1V Other ❑ Describe work: _� :I i3 s' . \ I Permit Fee $ - VV Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR LESS 100 10.00 /v. Uv Main service EA. ADD'L 100 AMP 2.50 .2.Sd CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- s tion, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d , OR AODNS. ACC. SLOGS. 20sgft NEWNON.RESID BRA CONSTR U TCH I.OUCIT RC TS 2.50 ea LET POWER APPARATUS e\ SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20050t FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 •j-C1p Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ .I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 513 , MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ (� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ter upon the above-mentioned property for inspection purposes. I also gre to save, indemnify and keep harmless the County of Butte against all I' bilit es, judgments, cos s, and expenses which may in any way accrue agai st s d County i copse a he a ting of this permit. X/7_ Date Signature of Applicant — Owner C tactor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TrPC SCHOOL F PA L ni IS This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIAEPITO�p F UBL By PERMIT EXPIR , ate the applicable provi- resolutions to do fees have been paid. WORKS Date �1� ria' Receipt No.y�'%3�/ WHITE-D.P.W.. YELLOW-A33E330R, PINK -INSPECTOR. GOLDENROD -APPLICANT i i11A.fC"'. rte'`•, �^rv...t•v •y�, Y'`}�,�.'la�h .. j :51.+.s1ry .-,: ,c. ;fir. y:... ,1r.r. ri�j, h^ jrSy'r�+wr-�:--v-•+,yn y...�. s'� +e1"l�.c'''•°+a7 »w. •.z:.� •. r.. COUNTY OF BUTTE - DEPARTMENTIOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-.OROVfLLE, CAL"IFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT AP.PLICAT[ON DATA SHEET �? v Permit No. OWNER��t' l� 5' SZ— 4i�! .Q'_ �uJ 11 i..,rL A. P. No. Proposed Building Use All Building Inspector A Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: A DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... School District fees paid ............ ... . Ph 4� 3. Sanitation approval from &0_-0 JI! e—Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) .. . Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... ' 25. 26. /': When you issue the permit, process as follows:y Mail to owner. Mail to contractor. Telephon - and hold for pickup at/-\ office. Deliver w/inspector. Other 4 All 2 47 �Appl icant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pU permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of'above 'required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by �•�' k Date �� Plans approved 'by Date Sets of plans on hold in File cabinet AP folder Copy—DPW �11 TO Buildinu Department FROM: Environmental Health SUBJECT: Sanitation Clearance ��,.� c spa►--C��. � � � �� ��� .� �.cQc�dUcQ � -/ 7 — (� f� Owner Location AP# Plan Approved for: Sewage Disposal � Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply '13 Clearance for bedroom mobiltGm Other NOTE * * * Sanitarian ate ►Se KeA < t-o5-fer, 5ubz�)VI5Ion P0. Sox . j . i r7a orov;lie . '��3 � ;��► wow �d . 3 appoX f O0r o nJb vI/ ;R R pians and 'specl ications MUST be --i kept on the job at all times and it is unlawful to I I rnake-"any changes or alterations on same witfi- I aut written permission from the Department of -- Public Works, County of Butte. NOTE:, --AN Mat rials & Workmanship Shoff Be in `N Accordance with ecognized Good Practic and _71 of a qualify prescri d for the Specified u in the Uniform Building, Plu ing &Mechanicald� apd Jbo National Elec,#ical de. — /0 / AewWwwwoflhe pr®perty lines and a SdN 5o it, from the road Centerfine shall be clear Of structures or eciuipment e, far e 2 ift. eave oveTh• } i0_4 N / BUMC ®EPA 41 106 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 1) 25-C, � 4� �j 2. Installer's. Name: clam e- 3. Is the site currently under permit? Yes �No D (If yes, furnish permit number �2 71/ / ) OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach - fields and clear of all setbacks and easements? Yes � No (If no, clarify 5. What is the mobilehome electrical rating? --------------- ( Amps 6. What is the mobilehome site service rating?Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the Y)O+ mobilehome site service? --------------------------------- yes No X1 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe -.size? -------------- _3 4 (in,) 10. What is the type of gas service? ----------- -------- Natural n LPG JZ 11. What is the gas pipe length from meter or tank to the - �J ' mobilehome?-------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? *(This information not required if pipe length less than 6 £t natural gas or less than 50 ft. on LPG.) V ®c ID MOBILEHOME SUPPORT DATA If other than single wide, /-r Mobilehome Mfr. furnish 84tlk'p Model No. Year (p Width.10(ft.) Box Length t�(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish Manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)© 1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) n 1. Concrete block. 2.' Other .(specify) Pier Footing Sizes and.Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min. ------------ 'k Spacing -Max. „ From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ Spacing -Max. --------- ,_ n From Ends -Max .------- ,- D Line 3 Roof Loads: Size -Min.------- ----� "x „ Location (From Front) _ 1. Line 4 Piers: Size -Min -----------.-- ,k Spacing -Max---------- From Ends -Max .------- Line 5 Kopf Loads: Size -Min. ------------ Location (From Front) 5 Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ „x „ Spacing -Max.--------------- From Enda-Max .------------- ..x ,x 11 ,L_ a „x . „I „x „f nx ,l_ „ e 5 Piers: (Under Bearing waus uniy) Size-Min------------------- „� n Spacing -Max.--------------- From Ends -Max .------------- '- COUNTY OF BUTTE -,`Department of Public Works_ 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. ' . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1.. I personally plan to' provide the major labor and materials for construction of the proposed property improvement (yes or no) 6-4 2. I (have'/have not) �av _ signed an application for a building permit for the proposed work. 3. I have contracted witJi the following person (firm) to provide the proposed construction: Name IV14 Address . I City Phone Contractors.License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Y Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ' Property Owner / Social Security Number - Date x- / %- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT StIct ion 26-8.1 of. the Butte County Code ! 89-036567 requires this acknowledgement be recorded L prior to issuance of a building permit. A��Qt4 00 The property described herein is adjacent f,61' to land or included within an area zoned $Ep 2+ 2+ for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, .smoke, noise, and odor. Butte County has esLabl .i she d ogr• i cti I Lural zones which have as a priority use for productive agricultural purposes, and res i d(.111 .; within said zones and on adjacent property should be prepared to accept such i nc ()aven i c•iuC(1 or disconform from normal, necessary farm operations. All that real property *situate in the County of Butte, State of California, described ;is follows: LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FOSTER SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 18, 1987, IN BOOK 104 OF MAPS, AT PAGES 88, 89 AND 90. Date: 9/22/89 PROPERTY OWNERS - State of CALIFORNIA) On this the 23rd day of SEPTIIMBER , 1989 before me, ) SS. the undersigned Notary -Public, personally appeared County of BUTTE ) DENISE L. SWIFT Personally known to me. Q Proved to me on the basis of satisfactory evidence. .to be the person(s) whose name(s) IS M,,ggmxsmgmgmssnomannWubscribed to the within instrument and acknowledged Lhat. SHE SANDY A. STACK Rexecuted the same for the purposes therein contained. IN WI•I' RKSti LHEREOF, I hereunto set my hand and official seal.. �NOTARY PUBLIC -CALIFORNIA Butte County tilt CoamOsston Expires Nov. 3. 1989 ; Present A.P. No. AP# 58-17-64 Notary Public of 33tdte OROVILLE, CALIFORNIA . i GENERAL CLAIM ! CLAIMANT: ke fi ADDRESS: r �' 4� 7Z �2Q11111 CITY & STATE: nf7�\lll % 959 (10 IMPORTANT: /' / SEE INSTRUCTIONS 1J DATE OF CLAIM: �A l-9, ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #2753-89B, AP#58-17-64, Receipt #44891, dated 8/17/89. j Total eormil Fees al ------------------------------- Retain Plan Checking Fee---------------- $15.00 Retain P"I.L1111Hng ermit i ing ee------- 25,00 Total Permit Fees Retained--------- ------------------- ITOTAL I $45100 I, the undersigned, declare under penalty of perjury that the services or articles claimed h e bee performed or delivere that this claim is true and correct s stated. Dated this day of ........) 19�at.f..r�L.(.<.l.f...... Calif. _'l atm :..�f .. ...... ...... ...... .. ... ......./..................... - signature of C1 t I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for t Se tember 19 90 at Oroville calif• _.... ... Dated this 2S t ................. day of ........ ................... apartment Head or Authorized D u Dept.p• 4210500 PAYABLE FROM COnSt. Permits FUND Ez Cede...........4.4Q.-QQ2............. Code ................................ . DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. &SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. Y✓lviac�hame �i�r peiv ui� �eliou�-�/ � pe�umlJ` 2�✓mP /kzr/ � �il' cLm o�,=v �i✓�i^� Yiia m�dn¢� �e� 'r' '• 'f f OF BUTTE - DEP.ARTMFNff OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ER DDH) "� 1.ALt)SOL1 — A: P. No. 3L ,8-39 / \ A J Proposed Building Use n�u 5i Building Inspector lSci1 Date 5i2319b At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. • • • • • • • • • • . • • • • :0) Plot plans in ckjlic /triplicate, signed by preparer of plans ........ (may 3. Complete plans i dup Ic /triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....... .................... i� .................... 10. Fees of —T � � ... ....!...:...................... 11. Chico U a�i a tees paid ... . .... 12. Park fees paid .................................................... e 13. 12176VILLE iz EM School District fees paid .............. _X 14. Sanitation approval from QIZOVILLe Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 18. Improvements may be required. Contact Land Development Section DPW _l/ 19. Driveway permit (construction approval required prior to occupancy) required . Pre-Inspec. request to /Date) 20. Pre -Inspection for q Building Inspector 21. Contractor's license information (No., Name Style, Classification) ... L-" 22. Certificate of Workmans Compensation Insurance (e*)P,, ad)......... 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... :U26 t lz- tSf piAKJS 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �;R9-1949, and .hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent —Health Dept. —Fire Dept. —fir Pollution Date Copy of plans sent ---Health Dept. —Fire Dept. Other Date By The following data must be subm' rior to permit issuance: Circle new item not chec ve). - - 1.- Index permit for above items 2. Additional items required: O Cont�eslgner, owner, was advised of above required data by—phone ---ma counter by .date % c Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date y Plans checked by " Date Plans approved by Date Sets of plans on hold in File cabinet AP folder I,-- Copy—DPW a 58--17-64 • ;-Permit#275349MHr Issued { COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER - l ZONING F _ p BUILDING PERMIT OWNER %S TELEPHONE 5 SQ. FT. OCC. BUILDING VALUATION ♦ OW7 S MAILING A DRES CONTRACTOR'S M /� V W K f? [TETE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee V Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Sloes • o Permit fee $ r1 1�_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 91 SUBDIVISION NAME PARCEL /M 1d `l Water piping 5.00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiogj�IOther ❑ Describe work: -7 Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occ UP.a , OR ADDNS. ACC. BLDGS. vtsg ft NEW CONSTR. U I.OUTLET NON.RESID BRANCHCIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU ES AL3 20 t POUTLETS OR FIXTUR eAL90 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 E I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also gre to save, indemnify and keep harmless the County of Butte against all li bilit es, judgments, posts, and expenses which may in any way accrue agai st sa'd County i co nee o t e granting of this permit. X Date Signature of Applicant — Ownek2f Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 41 r�-- Energy Inspection Fee $ TOTAL PERMIT FEE $ D — occup. coH9T.TTPc 1;1N�PLoo PARCEL Po ND 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r �! B�/� WHITE-D.P.W.. TELLOW-ASDEe SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE;- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. OWNER �� �� St.;) 0 A. P. No. -2— �U Proposed Building Use %Ll 7 Building Inspector Date At -time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.permit...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred , , , Pre-Inspec. request to p q • . Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..............-..................... . 25. 26. When you issue the permit, process as follows: Telephone; � 2 and hold for pickup Other e Mail to owner. Mail to contractor. 'tom office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted rior t per it ;ss ante: ircle I t 1. Index permit for above items No. "' 2. Additi nal it ms req Ired: s q - '4�� n) �n m c2 _l S S Contractor, designer, owner, was advised of above required data by_phone_-jnaiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date�� Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment'Permit Section RE: Driveway Clearance owner p� r location AP # Driveway permit c6 3 J / G _ has been issued for the above property. n b 4, 2 sign re date COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541' An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) have, , 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: < l Name l Address City Phone Contractors License No. 4. .1 plan to provide .portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: ,�/ Name / `�/ Address City Phone Contractors License No. 5. I will provide some of the work but I have c ntracted (hired) the following persons to provide the work indicated: Name Address 9114 Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue.the permit.