HomeMy WebLinkAbout058-190-0800
—80
4. v,: LAWRENCE J. FERLAND
E6S Granite Ridge Rd, app 1.5 mi S of
�,rdan Hill Rd,' Conwow
` P6rmit#356-83B,E(ramada, cabana/MH) f
� 58-19-80
Permit#357-83P,.E(util, MH)trav, traile L
0
R
—80
4. v,: LAWRENCE J. FERLAND
E6S Granite Ridge Rd, app 1.5 mi S of
�,rdan Hill Rd,' Conwow
` P6rmit#356-83B,E(ramada, cabana/MH) f
� 58-19-80
Permit#357-83P,.E(util, MH)trav, traile L
0
MME COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner: i A.P. # Com'
Address: (o(n. iu�l��a /-4�� r-- Date of Inspection
Tenant: Inspector
Building Location: rcr.
Type of Inspection requested:
." 2. Financi771:Housing � ng TL 3. Change of Occupancy to
f� 4. Other ( spec ify)1 � 1 �C' � a1'1 � �- �� W
Present use. of building:
A. Sanitation (Housiti?)
.1. Water closet:.
2. Lavatory:
3. Bathtub.or shower:
4.: Kitchen sink:'
5. Hot and cold water to fixtures:
6' Heating'facilities:`
7. Natural light and ventilation:
8.'. Room and space requirements:
9.. Bedroom window or door for second exit:
10.. Infestation of insects, vermin, or rodents:
".11. 'Connectior.:to sewage disposal:
12. Connection to water -,supply:
.13. Rubbish and garbage facilities:
14. .Comments:
B. Structural
1. Piers and footings:
2. : `Floor construction:-
- 3: ` Wall construction:,
4. Ceiling and' :'roof construction:
5. .Fireplaces:
6. . Comments:" '
C. Electrical:. ,
1.. Service anA grounds
2. Receptac: es: '
3.. Fusing:
4. Comments•
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Cas heating vents:
4... Comments:
E. Other =j
1. Maintenance and repair:
" v 2. Fire hazards:.,
s. Safety hazards:
Weather protection:
5. Underfloor and attic ventilation:
6.— Com. ents •'
F. Ccmmmercial Buildings
1. Roof covering:
2�"'Disrarce to property lines:
3. Physically handicapped:
4. Rest:-oori floors and walls:
5. Exits:
"b. � Improvements
7. Zoning:_
8. Comment
G Field Problems or_Viclaticm.s
1. Problem or %violation (give cComplPta descriptio;. :
What action taken (give complete :.Jescript:oii) :
.3. What ac—Tftion recommended: - --
.. .. %'% A. znfotm..:tioa only
7r7 -B-. Hold for tea (10) days, then write letter.
Cob
`
c. Write letter.
%% D. Other: ,
A, 40,
v
JK
4-:
BUILDING OR PROPERTY ADDRESS
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.
-'rV
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541.
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Inspector
Date 1 --?—d
104
PERMIT NO.
356-83B,E
PERMIT EXPIRES
OWNER LAWRENCE J. FERLAND
CONTR. owner
ASSESSOR PARCEL 58-19-80
A2dS�
LOCATION E/S GrI to Ridge Rd, app 1.5 mi S
of Jordan Hill Road, Concow
{
i
I
1
t
t
r
Temp. Power Pole_
s1, '
Called PG&E
4:� 1
1 Temp. Elec. Service
Called PG&E_
j Temp. Gas Service
Cal led F
JOB FINAL
Signatu
J = 0K'
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location-Test-Fall-C/0-Concrele
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI I t Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed -
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
l
1
V = OK
0 = Not OK
- = Not Applicable ...,• RESIDENTIAL LSingle and Duplex) '
= Not Ready
Date
UND RFLOOR P ns) OK except N's
Date FRA NG Continued
Zoning requirements -Setbacks -Easements
.
Pr perty Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth40-'Ext.
Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. PWr-s-Fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
_
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5
hear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electr' ;,Underground
12. P Hums &Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-
Date4-Card-BI Date
C -BI
Date 6 -g Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date - -Card-BI Date
Date FINAL (Pig -<OK except N's
C d -BI Date Card -BI Date
Date
P UMBING (Permit) OK except p's10,01moke
x Steps -Door & Sidelight Protection -Landings
Detector
14. Water Ht.; Vent -Access -Co ton Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor -Ducts -Meeh. Protection
15. Water Pipe; Test & Anc)es-Nail Protection
16. D.W.V.: Test-Ftt & Anchors -Nail Protection
59.
Bedroom Exiting
17. Shower Pari; st, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub Shower, 2nd Floor -Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas P' e; Size & Anchors
airs & Rails
62,Eweplace
or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
ILKit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Dale
ELE TRICALPWJt OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
�IeIn
c. Receptacles Spacing -Lights &Switches at Doors
7
Plb., Elec. & Mech. Equip. Listed for Location
Siz oxes & No. of Conductors -Stapled
71
Vlec. Receptacles in Garage; (G.F.I.)-Romex Protec.
ex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
nsu lat i on- Foam- Looked in Attic es
73.
1 Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size +
- -
25KStjbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
7t,,,rdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
- Looked under Floor ❑ Yes
__Insulated
27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Neutral ❑Yes ❑No
75,1o
Ilowing instld.: Drive ,- es ❑ No; Walks Yes ❑ No;
Plnters Ci (es 0 -No
----
28. Service -Riser Conductors & Ground -Main Disconnect
29. Equip. Clearances; Panels-Motors-Mech. Equip.
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
^--
30. Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
----------- -- --
79.
Water Well; Disconnect, Electrical, Plumbing
Card -1
I
_Date_ r�-Card-BI Date
Date and -BI Date8Ue-Glass
8
terior Elec. Trim; G.F.I. Receptacle -Underground
.
Ventilation throughout House
Protection
Date
MECHANICAL (Permit) OK except p's
Corrections from Previous Inspections
84.1as
Test -Meters Tagged; Gas -Electric
_-
31. A.C. Ducts: Insulation & Support
85.1
Water & Sewer Connected -C/O to Grade -HD Approval
�w
32. Vent Fan; Exhaust above Insulation
,
Energy Compliance Certificate -Other Certificates
33. Condensate Drain _& Overilow; Size & Grade
-
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
---------- -
_ DateCard-BI Date
C BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FR ING(PlaRS) OK except q's
Comments at Final:
_ Sills; Proper Material & Anchors
-
3QlWaIIs; StudS-Nailing, Spacing_ & Bracing -Plates -Sound
/g,earing Walls_over Girders &Floor Nailin_g_-
3R"' Stop in Walls (rat proof)
_4re;Stops; Furred Ceilings -Stairs -Chases - Tub
4� ader & Beam -Size & Bearing
Hangers -Post Caps -Anchor onnec
4 Ing. Joist-Rftr. Tie sPur in -Roof Brac.-Truss-Shthng.-Rfnp.
44. Fireplace Ties or Typ-Flue-Fireplace Throat
45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
--
_
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Mefiorial'fty, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
plo 0
•
Inspector Date 4- - 7 — V"3
4
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFOR&NCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
' (location) '
BUILDING PERMIT NO. 33l/— J�3 A.'P. NO. .:.5 _Ile 1?0
THE FOLLOWING HAVE BEEN INSTALLED AS PER -APP ROVED..PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge `--�
Fdn. Walls —
Floors
Walls
Ceiling/Roof �—
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR._�
GLAZING:
Single Glazed
Special (Insulated) ...�_
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
State Contractors
License No.
General Contract Owne; e -4w R E NcF 3,
(pleas print)
Signature of / � /
General Contrac a oc�zz- �,'• ter/ Date cP - l Y-�/
State Contractors
License No.
di
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE- DrRARTNb ENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSE �2 PFj 1NUMBER
/ r
S
F Gr a^tr
/v)
BUILDING PERMIT
OWNER
t% Fc'�wb
TELEPHONE
533 -Z, 94J,
SQ. FT. OCC
, BUILDING VALUATION NeE
TX
.o®
OWNER'S MAILING ADDRESS
�/
2 4CV/P1q (/ee 40ACtIs"'C i 4—
lIggPo
CONTRACTOR'S NAME�� CA
TELEPHONE
vv {VJVV
CONTRACTOR'S MAILING ADDRES9F
Fireplace
B 00.
CONSTRUCTION LEND
UNKNOWN
Total Valuation $ ,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1411)
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
$01
Penalty
$ 3,Ot d,0
ARCHITECT OR ENGINR'S MAILING ADDRESS
Permit fee
$
BU NG ADDRESS l
PLUMBING PERMIT
Filing Fee 10.00
V IL/LL "
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each Qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USEOCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition + Remodel❑ UtilitieessEl Installation❑ Other ❑
Describe work: /TT�i f l AIT -Al
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC
OR ADDNS. ACC. BLDGS.
ZhQSQft
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 m license is in full force and effect.
y
License No. Classification
[� I, as the owner, or my employees with wages as their sole compen-
I` sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OU TL
NON.RESID. BRANCH CIRC ITS 2,50 ea
NEW NON -CONRES D. (STFL /SINGLE OUTLET CIRPOWER APPARATUS .&)
.
Exa0@50a
p�OUTLETS OR FIXTURES eAL@30Q
. OccuFIXED
APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
7a
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the gr nting of this permit.
�„ �Q�
Date
I Lure of Applicat OwnerContractor�ff 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 $
TOTAL PERMIT FEE $
OcCUP. GROUP
IC_ 3
I TYPE OF Co ST.
JT-
PARCH
✓
PD
HD
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abo a for which
DIRE TO OF PUBLIC
By
PERY14 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date—,d'—
7— —
Receipt No. 7/,,,.- 9
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.. COUNTY OF BUTTE-DEPkr'i'fMENT OF PUBLIC WORKS PERMIT 0.
• r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 V17
APPLICATION AND PERMIT
ASSESS;rRSE NXeFR
ZONING-
ONIG-
Fill
BUILDING PERRUT/77
-Z;E 7�
T EPHONE -
SO. FT. OCC.1 BUILDING VALUATION
OWN F,fi 1V 1� INiV vVli+i/ /�'
CONTRACTOR'S NAME
p✓
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADIGRESS
Permit Fee
$
ARCHITECT OR ENGINEP7
LICENSE No.
Plan Checking Fee 2y#q
,$ /5,00
Penalty
$
ARCHITECT OR ENG E R'S MAILING ADDRESS
Permit fee
$
B-SNPLADDRESS� 9D- ,�9, 11r—_7—P4a E op 8P 46-
PLUMBING PERMIT
Filing Fee 10.00
,,J,
aF AORDI JV iiWiy— )ER.
Each Trap
2.00
Solar Water Heater
20.00
&91"AlWater
piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome Other
SPECIFY
Building sewerI'll5.00
5-07
Mobile Home G
10.00e 'C'D
TYPE OF WORK,�-
New Addition Remodel Uti lities --� nstallation❑ Other ❑
1-1F1❑ [L
Describe work: —
Permit Fee
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. SLOGS.
2h¢sq ft
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 nslicee is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTRPOWER APPARATUS &\
NON -R ESID. (SINGLE OUTLET CIR, /
20@50a
Ex. Occup(o TS OR FIXTURES BAL®30
FIXED
EX. Occup. OUTLETS P(RESID.)REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring ,,,QJEej}jisX- 15.00 /9: 00
l/1/E� �WP S/# /�j4 I.oO
Permit Fee $ 1-7, pp
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the ranting of this permit.
Date o—
afore of Appli t — Owner ❑ Contractor ❑ Agent ❑
n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
F
PARC LPD
I,q
JJ/
55
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
QDIRE O OF PUBLIC
BY
PER EXPIRES Date_/�Q
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ryg
Date
7
Receipt No. (o
Receipt
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1
t OUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and ; terials for construction
of the proposed property improvement (yes or no),
2. I (have/have not) k4y--e` signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City.
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
"Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned :
Property Owner
Social Securi mber
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
permitted to.issue the permit.
This of plans -an(kspecifi afio��fl.MUST ba -- �. _
s* °c Workmar�""I►ip Shall Bain
rgilaw#ul �tz� ; ' ! '- p:- All PAateri�s.& ractices `�
! kept on the job �t ail- tires a } �s ; , { i , ( _ _
j 4oa z�cl Good I
i i , i cco' ante wit -L ti Oetiil-_ n
( .n s�me wit ,_i. _ _ .. _ ... f '
rrjake am changes or fs t- meet i .. i , : i`. f a lity'p'restr i
► -! out written permission j? ! j I , . - r:ifb ;Building„-
�N Publ" Works, County, .!Bute � . ld � i ,F � t , �
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NODE:—All Mateols & Workmgpship Shall I in
ations MAT be 24
This set oqlans and s� _Ac 'rdance with,9?e 3 ged G
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kept on -the Lob'at alltimes, u is unlawfu,'l to c, es -
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ake any changesbr', altera n th ldi
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Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83- 2446
FOR RESIDENTIAL DEVELOPMENT OFFICIAL RE -CORM'S
BUTTE CC9t1NI Y-OAL.IF
Section 26-8.1 of the Butte County.Code requires this acknowledger4 t� I
be recorded prior to issuance of a building permit.
SAN
The property described herein is adjacent to land or included ELEANOR M.BEMR
within an area zoned for agricultural purposes, and residents of CLERK -RECORDER
this property may be subject to inconveniences or discomfort arising EE
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 occa-
sionally generate dust, smoke, noise, and odor. Butte County has established. agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the; County cif Butte; State of,.California,.r.-----
described as follows:
P?Iff.'Ei, 0:72:
CO',M''iICING at the Southcast corner of the Northwest quarter of Section
29, Township 22 North, Range 4 East,M.D.3. & M..; thence Northerly along
the Easterly line of the I:orth:rest quarter of Section 29,a distance of
416.7 feet to the point of beginning for the parcel of land herein des-
cribed;thence from said point of beginning,continuing Northerly along the
Easterly line of the Northwest quarter of Section 29,a distance of 416.7
feet;thence Westerly and parallel with the Southerly line of said North-
west quarter,a distance of 730 feet to a point;thence Southerly and para-
llel to the Easterly line of the Northwest quarter of said Section 29,a
distance of 416.7 feet more or less to a point which bears Westerly and
parallel with the Southerly line of said Northwest quarter from the point
of beginning; thence Easterly and parallel with the Southerly line of the
Northwest quarter of said Section 29 a distance of 730 feet to the point
of beginning.
TOGETHER DIIT11 a right of way for road purposes over a 30 foot strip of
land lying Southerly of and adjacent to the Southerly line of the above
described parcel.
ALSO TOGETHER WITII a right of way for road purposes over a 30 foot strip
of land lying Northerly of and adjacent_to�thc-_Northerly li,ne_of-the abov
described parcel`
PARCEL TVIO:
tJ
A right of-wa} for road purposes over the East 60 feet of the NortKwest `3I
quarter of Section 29, Township 22 North, Range 4 East,M.D.H. & M.
EXCEPTING THEREFROM that portion thereof lying within the boundaries of �
the above mentioned Parcel One. '%
PARCEL THREE:
A right of way for road purposes over the East-
ew p 22 North, Range 4 East,tq.D 11, L lying Saut'siorly
of the SoiF�i 'v l ne of Jordon Hill Road in Bunte Cuuntv, California.
Date: PROPERTY OWNERS:
P
State of ) On this the day of , 19 ,
SS. before me,•the undersigned Notary Public, personally
County of ) , appeared .� _ .__ �_ = _
state of -Cal i forni`a -'
On this-the-_22ndday of Jdnitdry— - -.1-9_, before me, ,-
SS.
county of Butte
OFFICIAL SEAL
CAROL. M FOURSHA
la $ NOTARY PUBLIC - CALIFORNIA
BUTTE CoUl'ITY
My comm. expires JUN 13, 1986
I
I
GENERAL ACKNOWLEDGMENT FORM 7110052
Carol M. Foursha
the undersigned Notary Public personally appeared
Lawrence J. Ferland
Gwendolyn P. Ferland
❑ personally known to me
OX proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) are subscribed to the
within instrument, and acknowledged that they executed it.
WITNESS my hand and official seal.
Notary's Signature
NATIONAL NOTARY
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Woodland Hills, CA 91364
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