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HomeMy WebLinkAbout058-210-171\- 058-210-171 LAND DEVELOPMENT CLR 058-210-171 PERMIT#98-1003 JOKSCH, Arlie y0 6/ Paiute Dr., Oroville Mobilehome Utilities ELECTRIC -260 Q 01 y 30 Wd/ ' GAS/� " 341 COMPACTION TEST REQ w o SUPPORT STRUCTURE REQ 77o qg 058-210-171 PERMIT#98-1380 I� JOKSCH, Arlie & Judy 4061 Paiute.Ridg? Rd., Yankee Hill Cont: Skycrest MH on Perm Fnd(U=i1._BP#98-1003) 058-21-t-171' 98-1253 B JOKSCH, Arlie / 4061 Paiute Dr, Oroville (fire sprinkler)MH Wm Squyre 1 058-210-171 AG -107 JOKSCH, ARLIE & JUDY 40 LL AGRI UITURAI� 058-310-171 01-2294 JOKSCH, ARLIE & JUDY ,1 t74 4061 PAIUTE DR, YANKEE HILL RETAG ELEC DUE TO FIRE J.1 5 8 2 1 .� *A BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ^ C/e PERMIT NO. - ) I)a- 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. ASSESSSI RCEL NO. _5 0` ZONING / - OWNER rPHON /l F J�� Jv k.S O. . - - OWNER'S ADDF S den`JI LOCATION OF BUILDIN USE OF B,41 -DING ylim Aar c-cz m , m alew t✓n e al SIZE OF STRUCTURE ' ' XLL ,_ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL x CONCRETE x OTHER (Specify). Z D, f 7 TYPE F S DING ROOF COVE ING . FLOO TYPE // C cT ESTIMATED COST OF CONSTRUCTION $ /!7 0 o o0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follow i , _ FRONT 'SIDES )-0 An""'' 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 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 with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $60.00 . The above described AG wilding i exe pt from a building permit. , Receipt No. -)-,�,p2 FLOOD PARC 1 ROOF G I ISSU Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant �� // COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION „y IE 7 County Center Drive, Oroville CA 95965 `ARL & JUDY JOKSCH Phone: 916-538-7541 59 WALLEN LN. -�Y ' OAKLEY, CA 94561 RE: AG EXEMPT PERMIT APPLICATION #98-107 A.P. # 058-210-171 With reference to the above subject: Attached is: Application.for permit Building Plans Engineered -Calculations Owner -Builder Verification Fm DATE: 9/17/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for. Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of So% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: IN ORDER TO ISSUE YOUR PERMIT, WE NEED A SPECIFIC DESCRIPTION OF THE USE; I.E.THANK YOU. . e Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. Yo very t Miblpel C. Vieira, C.B.O. MCV:ahb Man ger, guilding Inspection RE!:i�RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 31 -Dec -1998 1998-0056374 Has not been compared vith 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. ARLIE & JUDY JOKSCH REAL PROPERTY OWNER/LESSOR 59 WALLEN LANE MAILING ADDRESS OAKLEY, CONTRA COSTA, CA 94561 CITY COUNTY STATE ZIP 4061 PAIUTE RIDGE DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write •SAME-) MAILING ADDRESS 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 23P 98-1380 (530)538-7541 BUILDING PERMIT TELEPHONE NUMBER 12/30/98 SIGNATURE OF LOCAL AG IAL DATE COUSIN GARY'S FACTORY BUILT HOMES DEALER NAME (dnot a dealer sale, write 91265 DEALER LICENSE NO. Car Comm summ rm UNIT DESCRIPTION SKYLINE 1998 2244 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER 06-70-0186-L 56'X 261, ULI472724/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #058-210-171 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #058-210-171 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 1, as shown on that certian Parcel map , recorded in the office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of maps, at page(s) 36 and 37. Reserving therefrom, a foot non-exclusive right of way and public utility easement over Paiute Drive, as shown on that certian parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of maps, at Page(s) 36 and 37. PARCEL 11 A right -of -way for road and public utility purposes over Pauite Drive, a 60 foot Roadway, as shown on that certian parcel. map, recorded in the Offic of the Recorder of the County of Butte, State of California, on December 22, 1906, in Book 105 of Maps, at Page(s) 41. Excepting therfrom all that.portion lying within the bounds of Parcel I, described herein. PARCEL III: AN easement 60 foot wide for road and public utilities purposes on, over and under a strip of land lying 30 feet on easch side of the following described centerline: COMMENCING at the southwest comer of the northeast one quarter of said Section 35; thence along the south line of said northeast one quarter, north 00 deg. 45' 17" east, 399.59 feet; thence leaving said south line, south 25 deg. 00'50" west, 210.90 feet to the true point of beginning for the herein described centerline, said point being in the center of a cul-de-sac having a radius of 60 feet; thence along said centerline south 42 deg. 27'56" west,215.90 feet; thence south 56 deg. 16'55" west, 250.79 feet; thence south 74 deg. 13'53" west, 239.46 feet; thence north 06 deg. 42'07" west, 267.41 feet; thence north 02 deg. 30'25" west 112.30 feet to the centerline of paiute drive, an existing 60 foot wide easement as shown on that certain parcel map, recorded in the Office of the Recorder of the County of Butte, State of California, in Book 105 of Maps, at Page(s) 41. PARCEL IV: A 60 foot non-exclusive right of way and public utility easement over Paiute Drive, as shown on that certian Parcel Map, recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1992, in Book 125 of Maps, at Pages) 36 and 37. BUILDING PERMIT NUMBER: 98-1380 Address or location of unit: 4061 PA= RIDGE DR., OROVILLLE, CA 95965 Legal Description of Real Property: A.P. #058-210-171 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: ARLIE & JUDY JOKSCH Owner's address: 59 WALLEN IN., OAKLEY, CA 94561 INSIGNIA OR HUD NUMBER: ULI 472724/5 SERIAL NUMBER OR V.LN.: 06-70-0186-L MANUFACTURER'S NAME:SKYLINE YEAR: 1998 OFFICIAL APPROVING INSTALLATION: DATE: 12/30/98 PHONE: (530) 538-7541 H.C.D. 513C i STATE OF CALIFORNIA E•�' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Nzz DIVISION OF CODES AND STANDARDS � REGISTRATION AND TITLING SECTION STATEMENT OF*FACTS 'This unit -is.'.ai ® Mobilehome [] Commercial Coach Floating Home D Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FA CTo R y FACTO 1/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from 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 on To Ly l S 98 at C All co C,4 Date (City) (State) Signature of each affiant Printed name of each affiant EME ,8EAJCHAMl' Address ( 3 4 (oY /r1 to V City Cfl Cy State HCO 476.6 (Rev 11/86) MAY, -06' 98(WED) 12:44 FIDELI, gTL. TITLE r TEL:916 34�, i10 169-09 as , Old* Na �y•�1 I=" FIN 147531AU-3 Loan No 95-0169091 MEN REConDED MNL TO: it., F•r 12.00 1 DOC 47. 30 ARUE C. JOKSCHRecorded 1 Chwck 39.30 JUDY M, JOKSCH 011iolal hworda 1 OD yyALLEN UWF County al 1 OAKLEY. CA 94',^1 Butte 1 Candoco J, Grubb& 1 • R�oordrP 1 810004 24-May•93 1 MVTC Ph 3 AUVL TAX STATEMEWS TO: OOCtJM WARY WHOM TAX OJtafl, LWE AS AOOVE ��PW a M q�1r+4, a alw p err jMK d1 .►r.•r 1 Oiw++w r +yrs M.q►'H M. - Nn Ir... aro-tic—al-4m GRANT DEED POR A VMiLmxE co WIDEAATK)K p0.0 d OHM r hwaby •dwwodedpb. WCHAEJ, PIERC'B AND DIANE MONSON. HUSBAND AND WIFR AND OBHB K FISHER, JR.. A QLNaIE MAN hwebv CAMIM b, ARUE G JOKSCH AND JUDY M. JOKSCH AS TRUSTE" OR TMS JOKBCH R[YOCABLE VML VIVOY TRUST DATL•D AUOU9T 26, IM Q10 r.d Fv"0"7 In On UNINCORPORATED AREA Coir�ty °� BUTTE •••••••••••••••esEE ATTACHED LE 1 wed 1 •••.•.....• OTATE W C PM" CoLkM OF BUTTEch —0a a I � ANGL V, MASi1;LOTTO 6� u1�1N�=Msu •�trsq a 0. MoVA"bW API ' MOM �'sk-0A av 104h wbea" b •r�y,ry ~ rl' •yw.d ti am me VA"bw am WA 71f PA�K If NET I N PACT sknowM�on to jry�� m"dMWnia) o Y,d %pl by hako Mdr "m or ,w-41) .Diad ...aaw w rr a ~ w�•r uxn beta# a XMA D. WZra M wm+Eoe � � WW `�"`� ow-wam .,aaw nr er.i ;za oro• w e+olri�. .•� � - � � `� w o.Bear, M, i �w P. 002 • (;:' Reooro d h. R.o„� d 10d vo., l lm. �1 tc►ow Corrwl►r 9 S - • 'MAY.` -06' 98 (WED) 12:45 FIDELIT. FL. TITLE TEL:916 343 10 P. 003 T '4� 1;� s '� Y•, r ' ..`�rt"w"�`^''• +►••�r�.�.,,�,,,�,,,,.,�.r�.—.mow w►.�........+.+..•e.a.A..�, •� '' •.• .95.16909 STATE OF CALIFORNIA, COUNTY Of Aran o On -�� bolote me, A Notary Public In end fW Mid County and 61#10, personally a�0°"0d• _Elal Personally known to me (Or proved to mato n & 'to the bails of eallslactory evidence) to be the Person(e) whose name(a) lslare eubealbod to the within Instrument and acknowledged to me Ihal h*l$h@nh0y eaecutod the same In hlamorAhelr buthorlt:ed capacity(lee), and that by blalh@rltholr alpnatute(a) On 1110 Ineltumunt the person(/), or the entity, upon behalf of whleh the porson(s) acted, executed the Insirumont. I WITNESSfand C sad, STATE OF CALIFORNIA, COUNTY OF } S•S. Fon NOtytr #CAL OI% e1A410 I J.fOg1AINE '" COM4.IIOO10h ��? , ItoaryllrUldC>tr�lotrae R .Lt OnANG( p1111i1T My I;orM,lsslon E�0 t01111it On • , before ms, epp@ered a Notary Public In and for aald County and 61410, peroon y Personally known to me (or proved to me on the basis of Oallsl#cloty evident@) to be FOn NOTMT 09AL 0A aTµrp the person(•) whose name(l) Ware tubealy@d 10 the within Inalrulflont and ackr110(yledged to me that 41110CLIOd Authorized a poclty(( s) hand Inst by h101011Aln01r slgnilUre(s) on the (nitrumanl Che persoflre), or the enUly Upon behalf of which the per, acted, executed the Instrument, WITNESS my hand and official goal. Signature . T< leo La" p•N) Thll form Is furnished by Chlaaae Title Company +' f�� •J'•• ` . Alts: `t `Y71".�i'L•+tsu �'� �`' y, i • r: IN r MAY.-06'S(WED) 12:45 FIDELI', ..ITL. TITLE TEL:916 34, t10 P.004 L 1, A8 511OWN ON THAT Ct.RTAIN PARCEL OFFICE Ot TIIK RZCORDRR OF Tile COUNTY op BUTTE NeiAT o G4I>rpgM=Ala ' ON FEBRUARY S, 1992, IH DOOR 120 Of MAPS, AT PACE(s) DJ1 AND 37. RM RESERVING TIIWNROM A PUBLIC UTILITY EA6IIN�NT pVERi' NON-)SXCWBxVs IlIG11=' Of NAY u►p PARCEL MAP, RaCORDIID IN T11a OPFICa OF Till RMAMI% ON ThUT GAIN 1 a BUTTE, STATE Of CAI,ICORNIA 0 Of Tile COUNTY 0! I r XkpS, AT PACE(g) ]6 ANp ]7.' N isimARX S, 1991, IN p00K 123 0! 1'�$CL'L III • A RIc1IT ON NAy FOl( ROAD AND PUBLIC UTILITY PVRPOsCa OVER 1'AIUTQ RECORDED DRIVE. A do FOOT ROADWAY, AS G110NN ON THAT CERTAIN PARC&:I- NAP, IN TIIE ONNTCE ON TIIN RECOIIUER OF TItE COUNTY ON GTATZ 01, IIU7T11; `) 4 1. CALIIoJiNIA, ON 08CEMI&A 27, 1906, IN nook 105 O!' MAPS. AT PAGE g EXCEPTING TIIBRHrROH ALL, THAT PORTION LYING WITHIN TIIE IIOUIIDS OF PARCEL I, DEBCRIBI:o HEREIN. AN E?1 "INT 60 PERT NIDE FOR ROAD AND PUflLIC 79 ICU ON aAq► BIUa Of OVER AND UNDER A STRIP OF LAND LYING TIL=TIED PURPOSE$ ON, FOLLOWING DESCRIBED CEHTZRLINEI ' COM SAID NCING AT 5: lIENCZNE6T CORNER OF Tile NORTHEAST ONE QUARTER OM SAID ER, 14 1 ]SJ TJIENCt ALONG TIIE. BOUTIt LIIIE.op SAID NORl•IIEABT ONE SAID TSOUTHOLINl; 0 SOUTH 2 ' DEG. A T' „99.39 WESTFEET! THENCE LrAVINO TRUE POINT OP DEGINNINO FOR TIIE HEREIN DE CR' 2 -00 F L TO THp POINT DitTHENCE NC IN THE CENTER ON A CUL -DE -BAC HAVING A RADIUG OF 60 1'85:1 THENCE ALONG BALD CENTERLINE 80UTII 42 DEQ. 271 66° NEST, 215,90 4 DE THENCE SOUTH S6 bEO. 16' 33• NE6T, 250,79 paET'1 TIICNC!! SOUTH 74 DEG. 1]' 3]" NEST, i]9.46 ?EETI TIIBNCE NORTi! 06 DBC. NC 07" WEST, 267.41 FEETI TIIENCE llOftTl1 02 pea. 10� »" NL*81`, U1.421 20 FEET TO THY CPNTERLINIs OF PAIUTE DRIVE, AN axI$TING 60 SOOT M130 , EASEMENT AQ BHONN ON THAT PERTAIN PARCEL OFFICE Op THE RECORDER OF THE COUNTY OF BUTT$ STATE OF OEDRNj I Tile (8 Ill BOOK 1105 OF MAPS, AT PAGE41. A 60 FOOT NON_EXCLUBIyE RIGHT OF N AV OVER PAIUT$ DRIVE, AS 611OWN ON THAT' CERTAIN PARCEL MAP TIfE OFFICE OF PUB UT1'LITY EABIIMIINT ' CALIFORNIA, ON FEDRUTHE RECORDER, 9= f INHE COUNTY Of eU17'a,IlE8TAT8 ON book lis OF MA . All PAOa(S) ]6 END OF DOCUMENT - RESIDENTIAL 058-210-171 PERMIT#98-1380 JOKSCH,.Arlie & Judy PERMIT NO. 4061 Paiute Ridge Rd., Yankee Hill` ' — Cont: Skycrest PERMIT EXPIRE; MH on Perm Fnd(Util BP#98-1003) OWNER �- CONTR. ` �`e,'4noaL. ASSESSOR PARCEL _LIJCATION HE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BE ED IN TO THE BLDG DIV: 4y (2) S ATEMENT OF FACTS(ONLY ON " NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S tA ciq- * ) CHECKED F 7413 SRA BY 7..r. FLOOD CERTIFICATE REQ. Z--� - FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VE R -I FY _ � Temp. Power Pi OFFICE COPY Address � Called PGS i�(�.,� ' GAS Temp. Elec. Sal Meter By a. a V � ELECTRIC � Called PGS Meter T Date Temp! Gas Service Called PG&E e,6 n/t��� W O JOB FINALED (Date) Lv U Signature 0 V = OK O = Not OK Not '=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /'L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sits-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance Date Card B-1 _ Date Card B-1 Date CardX1 / Date Card B-1 Date Easements 14 ' ,QMH Test -Demand -Valve -Connector ity; MH Test-Clossovers-Breakers-Clearances Gas and Sewer Connected -C/O to Grade -HD Approval 9. ie ns -Type -Installation Cert. (EWWits; Insp.-Sketch 11. Ce!yfof Occupancy ermanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sits-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerSh xo-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-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Card B-1 Date . Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable * = Not Ready Date UNDERFLOOR (Plants) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ p Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 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. Pienums & 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 PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sae & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size B es & No. of Conductors Stapled 75. 26. Romex I stalled Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purtin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r �,-�-9.....--r+.w.-..- -+•a^;;,,.��;.w./^.'�'sw«.i`•+�ii'�'7��v�t'3�x`,,�;�"'�"'{F�,P'."" �1? I . COUNTY OF BUTTE l x 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 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 Inspec�tof'' REV 10/92 �. x jdN 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 OWNEe 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. e- .5 V el I MW 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 MIT 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 `� > Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 r _ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. r 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. t;,,' • --.`cry -a. -'rt 7' s F tf" Date_ Inspector ' /9 f' REV 1 2 .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-754��^NRMIT rIjQ. (Rev. 12/96) APPLICATION AND PERMIT -�/,_ /2 0 ASSESSOR PARCEL NUMBER 058-210-171 ZONING FR5 BUILDING PERMIT OWNER ARLIE AND JUDY JOKSCH TELEPHONE SO. FT. OCC. BUILDING VALUATION 1456 R 78,624 . OWNER'S MAILING ADDRESS 59 WALLEN LN. OAKLEY CA 94561 CONTRACTOR'S NAME SKYCREST TELEPHON CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fire lace P LENDER'S MAILING MAILING ADDRESS Total Valuation is 2200..500 ARCHITECT OR ENGINEER NONE LICENSE No. Filing Fee $ XV)DW Permit Fee $ 272.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 4061 PAI TE RIDGt RD., YANKEE HILL Energy Plan Checking Fee $ $ PERMIT FEE $ 315.50 LOT NO./ ` SUBDNISIONSNAME PARCEL MAP n 3 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome T( Other SPECIFY Each Trap7.00 Solar or heat um 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}p Describe Work: PERM FEIN 10 1f (SEE MHU #98-1003) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 2o.A 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.P License Class A Lic. No. 12 5-4i Z' �'-�%/ i3 ! 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. ❑ 1, 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 6 or P 4EP6 A—=14 11-1 Lt__� WD Policy Number J] /,rJ C_ 3�i'7 ;Q (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 forth ith comply with those provisions. Q f�' X Z . Date %i q % U Signature of Applicant - ❑ Owner Contra r ❑ Agent An OSHA permit is required for excavations over '0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. OW EWNG OCCUP. SO OR ADONIS.( a ACC. S.3.5¢Fr. N"ONRESDT MULTI -OUTLET @7,50 OWER APPARATUS a SINGLE OUTLEr C1 R. .00 EX. Occup. OUTLET OR FDTTURES BAL O I.w Ex. Occup. ourLEEDrsA ESID)E al 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE HAZ. D. FEES IMP ROOD CD PARCEL p0 HD ISS D/ This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indica d for ich fees have been paid. /�/'� By Date PERMIT EXPIRES ON -7- ZO "`;71 Date ReceiptNo. 244345 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSORPARCEL"""5R 0 _ r' j OS OC. J ZO �'_-� BUILDINGPERMIT owNER ,/Ir e� - / 3 C C�(n TELErH°"e SO. FT. OCC. BUILDING VALUATION . OWNER 9 NO AopR B W / s �Q l COM r5AM NE >^ -. T- TELEPHONE CONrRACTOR9 MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MMUNG ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filina Fee a 20.00 Permit Fee E . S -Q ARCHRECT OR ENGWEER'S MAILING ADDRESS ' Plan Checking Fee X910 BUILDING ADDRESS e A"l�0�p 1' li� �' Energy Plan Checking Fee S S PERMIT FEE $ LOT NO. SUBOMSONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPEcsv Each Trap 7.00 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 s Describe Work: �EL �' ,i / ` e v / Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W (920.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 Main Service = oa Ms 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 License Class Lic. No. °2_9 S—q I �Z, C#7— J51 OWNER -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 poli number are: Carrier eE—_Q — Policy Number (The above sections need not be co plated if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any penmen in any manner so as to become subject to workers' 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 ith comply with those provisions. p� X +^e �i Date 6Pi"? 9 O Sid ' ature of Applicant -0 Owner Contro6r ❑ Agent An OSHA permit is required for excavation over VW deep and demolition or construction of structures over 3 stories In height Main Service 200AwEL TO +c 46.00 NEW CONST. pELLWG OCCUP. 80 OR ADONS. a ACC. �S. 3.5dFT; ppN Rpip, MULTFOUn.Er Q7,50 POWER APPARATUS asWcuEOLrtL>Tca Ex. OccupamETORwcnIREs xa .50 Ex. Occup. ourLETs'E..6.ONEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEES 15 S� ►LAz O. IMP Rmo coP PARCEL Po HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON (Dare provisions to do work paid. ReceiptNo. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / r O/ Sc A ASSESSOR PARCEL NUMBER: 05 - Proposed Building Use: 14 H IIJ10 t gA Aelh Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 5 0 3. Complete plans, 3/4 sets, signed by the preparer of plans.-----------------------------------------------------L Engineered plans, -/4 sets, with wet signature on plans. All engineering must be shown on plans.i��� . Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ------------------------------------------------------------------- . Impact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------=------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑38. E ing violations and/or a ired permits. ------------------------------------------ 29. 433 A, Grant Deed, � .H. Ti1e,Ch k to H.C.D $ 4-00 3 0. Other: J �When you issue the permit, process Afollows ❑ Mail to Arner, []Mail to contractor -7-20-q& (Date) ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: an -Z Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmen ❑ O er: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division cot rater, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building vision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division., '�'•:�: t'.`�i�j��'"'^'R. cY�u -��,��� 3;' �'`�'��tlfV�'iSt S�� "' T`�-tL'f`i. �'�n �. � ip r� ..� •' � w.. - I � ., l �"'i. �r� •� �eY� ��..,r" i" �`r`:.��-,'°y'�'��i�. F' u �nyv�y�.' � • �7j .t�'��- ; ! n��f `s • ,ty J • .� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT .SERVICES. - BUILDING DIVISION 7 COUNTY CENTER DRIVE; OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER %Y% Ne O oN sc kl PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ...... . .......... $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) . SHERIFF FEES (paid at Building Division) Residential ......... /_ x $360.00 = $ jeQ. Q0 Units Commercial (sq.ft.)... x $0.03 = $_ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per. unit) . I _X_ = $_ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) ` $200.00 (Paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 05(5-d/0- (%l DATE GA9 91 g F RECEIPT # DATE REC. 7-ZD4K 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. APPLICANT DATE x`2`1 9g Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 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. 2/97) wo OWNER •M�.,r.o .xiz•�• 'Mrr�,�' 3r" T' � t,y,�'rcd�4;Wit+i° r/f� `- r� •w.- -. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT- SERVICES - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE', OROVILLLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES PROPOSED BUILDING USE SCil INf �drm On 1. BUILDING PERMIT FEES rl -- Balance Due ................ $ -- Additional Fees Due ........... -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... e t SCHOOL' DISTRICT FEES ,`(paid at District Office) . SHERIFF FEES (paid at Building Division) Residential ........ / x $360.00 = $ Units Commercial (sq. ft.). x $0.03 = $ ' Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) DATE /�� /9 v RECEIPT # r DATE''REC S-L,,"L'i r 2A46b- t- -7— ZO•cl 2� 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) P<8. WATER TENDER FEES (Battalion / ,(�� Q� $200.00 (paid at Building Division) ) '!J4 (� /O Il 9. CSA 87' TRAFFIC FEE $2500.00 (paid'at, Butl6ing Division) ' Y 10. OTHER At time of permit application, I was advised the above fees are requited to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. j,[ r APPLICANT ' DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 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). .3 JJ/.,i ; •' ., � $ 7 i Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner " **� 4 (ReJ'? 2/97) W irf'irk":%v°'q('`'�''Y'Yr`'1.�,�^e:-ri�C!°�'•M"'+t;N•^'.-.y"+yri+!✓''^'.•.:..*tf.M`�+►Y,�yy',w"hf+.c+y,c,b,?,sa_;,,�vavkr+v+R.Y�Y+Y'%`�yvt..1,jp'�y`M�"•7rwrxirSR',ii`Y�{K'ut'.aY';�;i//lrb't.,�My,:—^M.�..!'r9.f.7.7.t..+i',.... BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. j�� �/� 111,.O tl HS Building Department No. A.P. Number �jr "� %Q' 1 Jurisdiction: City r'TV-71 County Property Owner ,(tel Property Location/Address D l0 % Subdivision Lot No. Residential Development 51 No of Living Mobile Home Addition Units Installation Commercial/Industrial New Addition Building Department Representative District Identification No. (Street Address) 0 (6 v� Ile - (City) (Floor Plans reviewed Q 0 7 V . School District Personnel) School District certifies that has complied with the requirements of Resolution No. representing /y/ l'0 square feet. 1i't 1A'A District Representative Paid by Check # Remarks: Sq. Footage (Group R) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) (Phone Number) C4 951-69 (State) (Zip Code) by payment of $ C2 B 2926 $ IFULL MITIGATION $ v �CJ Date 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 youfrom 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 notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality 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.xls (2/97)dmm I M.H.I.-2 1. `Owner's Name: AA `/ �0Z I0KSzH V 2. Assessor's Parcel Number: � Z / 0 17 0 3. Installer's Name: ,Sg,ICPES T9!? V 1 L- D Cz, S y S T f7/14 S 4. Is the site currently under permit? Yes6 No[m Permit No. 5., Is the site an existing site? Yes ] NoJY� (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 100 Amperes. 7. What is the mobilehome site circuit breaker rating? /r0 0 Amperes. 8. What is the electrical rating of the mobilehome site? . / 0 D Amperes. 9. Is the.main service remote from the mobilehome site? Yes[VA No[ ] If it is, what is the rating? Z-0 c7 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[X] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- I C7 Amperes- / b b) The main service: Load- -Fo L w Amperes- /0 O 11. Type of gas service at mobilehome site: Natural[ ] Propane[ )] None[ ] p 12. Size of gas pipe at the mobilehome' site from the meter or tank: 3/ �4 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?2_(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS'FORM�MUST-BE: COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION. ... May 1995 8.5 Mobilehome Manufacturer: e yL! Aft= Manufacture Year: If other than single wide, furnish Setup Model Number: zZ c4 Width: (ft.) Length:l02 �, I (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. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete blockrI Other: Provide Tie Down Specifications for all Mobilehomes: �n:21PrASa .Cfi+ SM � MF Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 e 1 Line 2 Line 2 Main Beams Line2....................................................................................:........... e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ lane 2 Line I .......................................rine e 5 Tag or Triple e 4 1 Line 1 Piers: t:ooxfoA?,,oLine 1 Openings Fo 0A1,9,0 T io A-' Size minimum: Size minimum: r r Spacing maximum: Each side of openings From ends -maximum: with width over: ` Line 2 Piers: 5eEF Fo c/90A Y-10/fLine 4 Piers: Size minimum: x D w Size minimum: x Spacing maximum: 4Spacing maximum: I` From ends -maximum] From ends -maximum: 4` Line 3 Roof Loads: Size minimum Location (fromrprAt): V, 6A 6 Line 5 Roof Loads: Size minimum: Location (from front): 0ron 43'f., "a OVER a CL 6 Cro -r 7- a, -4.,f h=11 - 8. Jo a/<$ c 00 m cn co CENTERLINE SUPPORT REQUIREMENTS cr dil I THIS SHEET TO BE INSERTED WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 20# ROOF. SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS, 201 ROOF I DESCIRdPTI ON I UVE LOAD I 5626-2CK-28-CAIR util POR cAi V-- -,f-t - - 42001 X 2#00l' 'q FILET ysz VES SEC. 4 ILL 51 PG. 6-540 �o — om DRAWN BY : RYKER DATE. 05-19-1997 2244 /CT LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH = PERMIT CLEARANCE Building Permit No. OWNERS A.P. NAME �. 1/r i� f _t A �� NUMBER; PRINT LAST NAME FIRST COUNTY ZONING F� s DESIGNATION: FLOOD ZONE: FLOOD MAP: Z90 0 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COMMENTS/CONDITIONS: MAP INFORMATION: LEGAL ACCESS REQUIRED: YES NO YES NO 0A �2 I< c.>r,.. ;-oma r14. r3, & 4C DATE OF RECORDING 4 2 -IS -192- LOT BOOK Z S PAGE .36 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES _:�!<_ NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERW/SE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. P,41U t'c— I,) i2 . -�—a Maintain a 2-0 ft.building setback from right-of-way/reRterline of 0,A -Y2 -JC C'r�,H V IQ 2-0 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a 10() ft. leachfield setback from C-12-�2I� 6PPay water tender fees in the amount of $ to Battalion Number -j— of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. 10. utomatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pbnnblg Division- _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. % 21. Sii Z S ISM 3 -7 r=O f2 1)S 101 C po I' %`� ��.� 22. �O �iCy�l-old o✓L V>1 St„ ►'t -►3A _C opNA-Nyz�L V�C�ET'A�tot�l 11vot4 o tz LAt4ntl of N0N-N/-T1vy 4- cA-nar t 23. VVI -r14,1 '7-00 ( C> PC -LL 3 VV)ofEs C5> V1- S u VL F-ACEE W PCII= 2 24 25 26. 'A101NYM013A30 0NV1 311!18 A0 AIN= 9661 0 £ 1 n r MUM LD 7,96 C:\WPS I \FORMS.K\BLDGPERM.CLR 13468 HWY 99 Chico, CA 95973 HC # 91265 • Contractor's License (916) 343-8494 L) PC—P-mac, 17- 6 319 4 6 # 2954 too 3 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MANUFACTURED HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT PURCHASER: _ARLIE AND sJru DATE: 06/09/98 ADDRESS:i� n vI� rri� vrr PHONE: LAY 925 422-5607 - i u u ���c .>, CITY: STATE: ZIP: "SALESPERSON: 25PHONEs EVENING92c; 625 -27 - ,Ad Subject to the terms and con itions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to ppmhase the following MFD./MBS "Orna$ MAKE MODEL B. ROOMS APPROX. (NOT INCL. W SITUS :.. •: .. ES. TOWBAR/EAV) �►GDIiBS$ .. -i- •la?. R:•�,.,r,. AA IR L ' W. ❑USED A ER 4KVI Til; STK - APP HUD O CD NO.. DT. OF MFG. DEL. DATEYANKEE CI�$ P`/Y.,• ' 1 NEE County$ �• I�r fPl -f,. "''. ' •• <='' ' THE G F THE MFD./MBL. HOME EXCLUDES THE STED PRICES FOR THESE rTEMS. Sq. FT. LIVINGAREW-- TOW BAR, E WHEELS,-1NHEEL HUBS.$ TIRES,$ A'XLEs MED. HOME PRICE a 67 ' 175,. 0 r DATE MFD. ORD. ESCROW OPEN STK#/OTHER USED HOME SALES TAX, IF ANY, 1ST SOLD PRIOR TO 7/1 $ i'!' ' "' ' -; ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE ADDENDUMS) __TOTAL _A�.�EQES 0 SEE ,Agk CI DDENDUM' ATTACHED HERETO] A " _ ` _:. - �, CLED. A�--•_--, .__ .• PRICE SUBJECT TO $ITE�APPROVALIRELSHERIF-F_.EEE$____._._.��__.._ - _._-----EXCESSIVE '00�• _PERMITS _...__.._TRANS .LIFT .DELIVERY .__ ----�._..� ----'- ._1. 550 'f •----- ---�� -_._.._... ---, _ ___ -- .. TATA) S R 1 8eZ82 0 w DESCRIPTION TOTAL ACCESSORIES (OUTSIDE HOME). $; : • `" ;•; $ `;',{'g' 782; q MAKE MODEL 0 X TOTAL MFG. HOME 8 ACCESSORIES $ . " 75's-957.0 �� SERIAL NO. 0 1 R MUU rV0 SALES TAX ITEMS NOT INTEGRAL TO HOME) ( .. ' O YEAR *M - FOUNDATION SYSTEM / TIE DOWNS' - - •;' ^-•'.$= ' ;e0 DELIVERY : �.;$ • .:, �µ -I ' `.�r..'. q AMOUNT OWING ACCOUNT NO. SET UP TO WHOM: ADDRESS/PHONE HCD FEES $ 35.0 INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) ; $ .0 VENTILATION IMPROVEMENT -NEW ONLY ESCROW FEES $''`' 250.0 1 HAVE RECEIVED VENTILATION IMPROVEMENT INFORMATION FOR THIS MFD./MBL. HOME. SCHOOL FEES $ 2,810.0 BUYER'S SIGNATURE OTHER / PRE PAID TAXES $.., -0_ DOC. FEE (NOT A GOVERNMENTAL CHARGE) $ 20.0 1. TOTAL CASH PRICE $ 79,072.01 THE MANUFACTURER STATES THAT INSULATION HAS BEEN INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE THICKNESS 'R' FACTOR LESS BAL. DUE ABOVE $ NET ALLOWANCE $ Q PAID HEREWITH $2,500.00 CASH BEFORE DEL. $ 76$57 8 DESIGNATED DEPOSIT $ $50= U ". ROOF MINERAL 001. 22 EXTERIOR WALLS 10 GL SS 11 FLOOR 19 WARNING—Unless a charge is included in this Agreement for Public Liability or Property Damage Insurance, Payment for such Coverage (INC. IN DN. PMT) is not provided by this agreement. 2. LESS BUYERS DOWN PAYMENT $ N/A "If the dealer is also licensed as a real estate broker, - the 3. UNPAID BAL. ON CASH SALES PRICE $ N/A 4. FINANCE CHARGE$N/A/A sale hof a manufactured home or mobilehome being installed on a foundation system pursuant to Section 18551 may be 5. ANNUAL PERCENTAGE RATE included'Firi the purchase document for the underlying real 6. TOTAL PAYMENT AMOUNT (3+4) $ , N/A property, proyided • that the requirements of HSC SEC. 7• UNPAID BALANCE DUE PRIOR TO DEL. $ N/A 8035.3 are met." 8. TOTAL DEFERRED PAYMENT PRICE (2+6) $ N/A PAYABLE AS FOLLOWS: THE DEALER CERTIFIES THAT THE BALANCE DUE IN FULL_ BEFORE INSTALLATION CONTRACTOR IS: -Systems DELIVERY NAME'_Chico Building LIC. # 295412 BUSINESS' ADDRESS 13468_ HWY 99 In the event the manufactured home cannot be delivered 'and/or' inspection completed within the agreed delivery time due to nonperformance by the buyer, buyrarraMu to G J VV tJ one of the following at the option of seller, either (1) to pay $ CITY lCq CA ZIP,- ° 'Contractor A is required by law to 'be licensed and regulated by the charges per day until a manufactured home installation acceptance or certificate of Contractors State License Board, P.O. Box 26000 Sacramento, CA 95827. occupancy is obtained in addition to all other consideration owing or (2) pay the sum 2,500.00 of $ in lieu of total consideration. • • • (A) DO NOT SIGN THE PURCHASE AGREEMENT BEFORE YOU READ IT OR IF IT CONTAINS ANY -BLANK SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT AGREEMENT AND. IF PURCHASING A ANUFACTURFn/MnRII F Nn1U lz f_n111=RFn QV A %A/A00AAITV 'A A. P. # % l OWNERA/ l )"k-SCA- "k Sv'lPERMIT PERMIT# [ MH UTIL. CLEARANCE DATE 7& INSPECTOR B .- ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO S NO SIZE LOAD TYPE SIZE LENGTH PLAN REVISION Please complete the following information in order to process -your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: QCs c (-4 Received By: - Date: A. P. Permit #: ���- / �� Time: Z Contact Phone Number: 3 wz_ Purpose of submittal: ❑ Permit Application Data Item - ❑ Engineering Tan Revision -5 ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings: Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: Call ❑ Deliver with next inspection. and hold for pickup at the ❑ Chico Office ❑ Oroville Office Revised Plan Check Fee: ❑ $46.00 Receipt #: -Z-J'_? & C ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: � J 167 3119 €mow, " I wqt Sr i� 8 Fi0e2 SPA►J A-c_2.osS SHM w101-5 a(Z led;,50r. Sor. V 2q`�d� _ /y7d # A4 =lel?oAA t l = 7 _ 0; 067 lca�Q�asxl�2� 4�1%XIO�x�7� co LZ '50P�o�� L tx--)nA IUP J a N i e Hary w Z I ( �:`V (,j,^. �o he N li�.yf: a?�,;�hj •�. W)yx(PW--/ lv= ���AS02, YMETRI l Z PACIFIC CONSULtINd ENCiNEER 2150 BELL AVE., SUITE Ids SACRAMENTO, CA 95830. /Z - - �No. 5505 Engineer's Computation Pad A CC) m� SDC ou AA S. p��� t aim E��•'� !. �� - 0 W � , zi ca 9 9fcw,"' I Wo- _ stjcvA Fob SPA►J A -doss 2�•III wloe OPet')I&el F6(7- IQ,A•SOM �l = -294 4_ /y7d # M1=%L/?o`-t� AAu_= 3= e;067 n 0 bof� PcniD A-= 95C1,� - lamG,1SX1,2� 4 &T)A 22- +1 a N902, -z_ Z Exp. 40 (�9SYMETR! MO �� I r w0'vL. �nNL7 /Z PACIFIC CONSUL#ING ENGINEER 2150 BELL AVE., SUITE 146 SACRAMENTO, CA 95830.g; No. 5505 Engineer's Computation Pad I� 3 I ' 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW / GALLONS. 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BESET TO ACTIVATE THE PUMP AT 30 ;SI. b. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. r._ ��E .�j� U 1 EN V T BUILDING DEPAK P Yt 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BE SET TO MAINTAIN GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW / GALLONS. 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BESET TO ACTIVATE THE PUMP AT 30 ;SI. b. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. 6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. r._ ��E .�j� U 1 EN V T BUILDING DEPAK P WILLIAM F. SOUYRES, JR. Fire Protection Lic. No. 275206 c n��c✓r 1�S c,�lo� "j IION CO 9 '� �U`t�;ES r' C u .a 14 Jr3 ontracting W SH�� Lie. No. 2751060-16 675206 ,t P 11*7 0 +'l ®F CAL1 t'C:Jt , C �10,4 <MZ M z P.O. Box 3176 • Chico, California 95927 • (916) 345-1012 ll �v cl �o s 4 Iut,l 89 '98 03:12PH I AND E .... .. .. .;✓•�.•.•�.•;h:'%;^."�k`'3/iri�Y'��CfyGs:i.H4Xh''!Yil:�•1lfilLil..��:-atn'b".t���i�t7fXtWW;. fes: ''•'J s68' 7syV1t/ NO 76.iRi $J2`0954 F �^ T.l66Eo <.S. S/OB� 14) Q:26`Od 3D 1R) Ad 9o0 (R 1 L . yd 9. 9.5 Q:.9$`ub00 /fl� CD z S'1ZSS,ZG h1) Vol &Iu1 9 n � J ►�� ,oq/uTE 11 1 M 394.54• P o. ti :w See 30.00' Ns w � � � /e 7-s' 30.00' �o ti Z8.4C5 y a. Crr coR. fn. rs nE-49AK � �- iV9b`VSI/7E °p M 394.54• P o. ti :w See 30.00' Ns w � � � /e 7-s' 30.00' �o ti a. Crr coR. fn. rs nE-49AK � �- iV9b`VSI/7E °p 394.54• oO�aQ See 30.00' Ns w � � � /e 7-s' 30.00' f i � ti Z8.4C5 ' �� �i� X50• � r- d� 1 a�o3 AlE. 1 i✓/8'25 � /9�E• � 3 CX4 .0-0 71 rq rr ;xl Col. nl- CX4 .0-0 CX4 1110 340 1U1 314 17.3 146 306 347 383 131 3311 COMPONENTS 118111 Descrlpllon No. L §uclion (Ills.) 100 Casino — —. 101 Impallor 123 Dellocior 131 Pump loot _ __ 146 Diaphragm (except 3 IIP) 304 I111pollor nut – throe phaso XSH2O 2 only not Showa) 314 Motor adaplor 330 Motor 347 Guido vino 340 Guido vano seal ring 383 Shalt seal 386 Guide vane Ilange DIMENSIONS AND WEIGHTS Goulds Close -Coupled Self -Priming �) iWilll� ASH PERFORMANCE RATINGS (In pallors vol ndnule) Pipe Size Wt. Model HP L §uclion (Ills.) Discharge XSI-107 '/. 16% 1 ii 53 XSH10 1 17'/a 1'/a Iw 56 < XSH15 VA 19 2 1'/e 65 XSH2O 2 19'/, 2 77 XSH30 3 21% 2 88 NOTE. All pipe connections are throadod-NPT. Goulds Close -Coupled Self -Priming �) iWilll� ASH PERFORMANCE RATINGS (In pallors vol ndnule) Model XSII07 XS1110 XSil15 XSH2O XS1130 • No. 1% 2 3 IIP —%-------1----- _ Discharge 30 40 20 30 40 20 30 40 20 30 40 20 30 40 Pressure 20 . PSI 10 39 30 11 4739_ 27 57 54 34 73 71 57 89 75 50 J Zw — f 1J 34 27 0 45 37 23 _52-49 27 66 65 50 05 71 50 U.S 20 20 23 0 41 34 10 48 45 20 _ 56 --- 55 — 43 -- 82 68 0 h 25 22 19 U -__- 33 —31 _ 0 41 40 0 44 44 33 72 64 '/l NI'T PLUG SUCTION SEE CHART c a DISCHARGE SEE CHART I_ – APPROX. (All dimensions aro in Inches and I 1 weights In lbs. Do not use for 3°fie construction purposes.) N IM NIT pin, tier nd Rn1N PLUG i � A W/1'I'ER TECHNOLOGIES GROUP SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. SENECA FALLS NEW YORK 13148 99 FOOT USED ON a If MOOGL ONLY PRINTED IN U.S.A. i APPLICATIONS Specifically designed for the following uses: • Lawn sprinkling • Irrigation • Air conditioning systems • Heat pumps • Water transfer SPECIFICATIONS Pump: • Capacities: to 114 GPM • Heads: to 127 feet • Reprime capabilities: to 25' suction lift • Pipe connections: Model Suction Discharge XS1h107 XSI110 XS1115 1'�s _XS1120 2' XSH30 • Temperature: 160°F, (71'C) maximum. • Rotation: right hand ie; clockwise when vlowed from motor end. Motor: • NEMA Standard, open drip proof • 601-Iz, 3500 RPM • Stainless Steel Shaft Single phase:'/4-2 HP, 115/230 V; 3 HP, 230 V only. Built-in overload will) automatic resot. • Capacitor type • Three phase: 2 and 3 HP, 230/460 V. Overload protection must be provided in starter unit. Starter and heaters (3) must be ordered separately. (lul.II(Is Close -Coupled Self-nrilmiHg C�7 XSH FEATURES Self -Priming Design: Water Is retained In the casing while lite pump dispels air. Once printed, this ptnnp stays primed. Impeller: 20% glass filled thermoplastic (Noryl'") on %-2 I -IP models. Bronze Impellor on 3 IV models. Enclosed design for high efficiencies. Threaded directly on motor shaft. Casings: Cast Iron consln.Iclion. 4 boll, Lack pull out design`. Tapped openings provided for vacuum gauge and casing drain. Mechanical Seal: Carbon/ ceramic faces, BUNl1 elastomers, 300 series stainless steel molal parts. Exclusive casing design prevents the seal from running (try, Motor: Designed for continuous operation. All 'ratings are within the working limits of the motor. Corrosion -resistant Coating: Electro -coat paint' process applied inside and out, and baked on. SELF -PRIMING Water roclrculatos, bill durIno re-prhning .operation only. Air Is exhausted Irom suction Ilne Through dischar0o pipe. Effective June, 1994 BXSH 21 0 1994 Goulds Pumps, Inc. t 1 Arrows show flow of water after all air has been oxhausled troll) stwilon Ihw. •tli Effective June, 1994 BXSH 21 0 1994 Goulds Pumps, Inc. A )E N N1r:3CCj MERICA 200 1b. wwp bronze check Horizontal swing - Regrinding lypc? - Fiqrlr.Wilhlo 200 PSI Non -Shock Gold Water. KU -403-W NPT toNFI1 I(T-403-W thrt�-aded Gollforill...; to ';pecificalioll: I 1A N I If I Ir F3 MATMIAL LIST mv. PART SPLEN II:A I I()N 1. FAIIIIIIA limit. -i! W.; I M rj,j'4! P. PAIdy Nim 3. llitip Pin 1111%. v 1441 AIII-V III Q-;"IIIIIq (111.11110.1 1/4 It Ij-I AII'.F (";I:qgol 4 Hall(1w lillmzv ."';IM 1162. 5. HiltIVIr 11111 '%Slid (1.91 Alltiy fi. (fiv Hitle.pi 'L'.; I M 8 W. 7. Scal 0mr. 1:111dim ( I I j U. Scat Out: N111 Neonn! ASTM 8.16. Of H,Ai 1,1101' 11; Ifilillp. Vill 1,11,11 hip1cf, M11.1 13.140 Ajloy 1"3:1101 I th (ILA 10. .cal llisc A!Ahi fi IV' All,)V 'shft 'A'. 1'. 1% AA IILV voll. I(T-403-W thrt�-aded NIUCO EAJO 1/0"I F, INDIANA I 1A N I If I Ir F3 Gln1111m mv. 14 Jul L r Nomi,ol Alyiu, i3o. "floo Nim 4 8 No IVI. Q-;"IIIIIq (111.11110.1 1/4 I th 1)16 2 2 V, 11 ,3 91.. 6 I'M U :t.) L.Ilg-cx I'lay Lwc inshllll!.l in 1.01 Il'Im. i,Ijjj •.".I NIUCO EAJO 1/0"I F, INDIANA 2 ?Art-, Jrl IN 4P Its, yi, l� N Wl 0.5 4kr t! 43, "JAI WElk 5, N Z4, Ml Gr t m PRe"Tinmien RMI QL.1',klit')' w"Iter stor.1ge 'I"IfIkS .11V III-AdC M 1A.St. T;Illk-S 1)(It into s CI-ViCe ill Ole 70's irc stiff , )erfk) '-III i I Ig, in (d 111c and dw freezing 11 -lou 111,1 ills of the sicrr.ls. RMI 114d), T.Illks ;11.(. wil , I'll clilm.1"ll W Ilw (11c I I.S. 1)(.1),111111cill (d IIIc Interior, USIM -.:Illd tile' OCIM NH Ic", I of 'I'r:ulslx�r1:11ion. ILMI PO ly 'I'a-111k -tweigilt. You C'. -In 11111111.1-AII)l 1-011 111CIII into place. No need to , or (-ICIILillg tile t.,111k. T',Illk SIUMICI be 1-)[,ICCCI on a co.al or Soil. available ill RM1 PPoly, &i . Iq� . Ztc:LII-C.Cl I'l-011-1 IT)A ippr(wcd 1)(d),011Y101C .Ind a D.-ark Brown or.(.;wQ(�!1 to I)Iell(.1 Wit.11 the (:IlVil Being 01).AILIC, alg',Ic growdl is retarded. No nC'CC1 LO 1111cl IMill( I-Ll-.S(CkI -SIC'MICS AS wills 9;IIV"Ii1i/,(-.Cl "'lleSC tunics will never I-LISC or COITOCle. 01.11- COMI)CMIld ec. for alld I I.V. illllil)i(ol-s retard tile t-J.V' -4c.uuck fcoqi 'i, ,." " , , ill (11C, price of your' pI fit �'(All -1get. 111CILICIC L", ; 11.1-k arc - 11.-- W . 611, .. I". "N fluings, dc'sipic-d .111d to I-11CO recent A.S.T.M, -lJo YM14.� , , ) I wal-l-.11,11y :111d r"ptlullion. Abtldol) I-11calls service is down the street — llol 1(,I*()Ss (11c cmilm-Y. CAY -! -many Sizes a.nd Styles jo "' oostp rrom Manufacturers of Pumps and Supplies sltf�a`I�n4i .a3'�9�J! lu6a''6f�tV!>s E:sI S Sheet No. 1303.01 Effective 2-15-93 Supersedes NEW CONTAMINENT - FREE FLOAT SWITCHES FEATURES: NONMERCURY FLOAT SWITCHES ENVIRONMENTALLY SAFE UL RECOGNIZED & LISTED CSA APPROVED TURBULENT RESISTANT PUMP UP SWITCH PUMP DOWN SWITCH BIDIRECTIONAL SWITCH A„ ,o'• 1 1-0n 1 EVrl An.111STMENT APPLICATIONS STORAGE TANKS SEWAGE LIFT STATIONS SUMP PUMPS PONDS ALARM SYSTEMS SENSOR FLOAT APPLICATIONS ORDERNO. CORD LENGTH DUTY MAXIMUM HP RATING MAX. AMPS 10 HS -*WP id CORD HEAVY I HPQ 12fAi, 2HP@ 230V 15 AMPS 20 HS _WP W CORD HEAVY i HPQ 120V, 2HPQ 2WV IS AMPS 20 HSBWOP 20' CORD HEAVY 111PQ 120V, 21-IPQ 290V 1S AMPS BIDIRECTIONAL WITHOUT PLUG A-1 PLUMSERS SUPPLY 994 E. 20th St. Chico, CA 95928 U - PUMP UP Order by Order Number - add Directional D - PUMP DOWN Letter in place of the asterisk AVAILABLE IN 10 FOOT" OR 20 FOOT CORD LENGTHS WITH PLUG ALL PRICES AND SPECIFICATIONS ARE SUBJECT TOCHANGE WIIHOUI` NOTICE, F.O.B. SHIPPING POINT HAYS PUMP$ INC. 16666 -------- ---- -- RESIDENTIAL 058-21-0-171 98-1253 B JOKSCH, Arlie 4061 Paiute Dr, Oroville PERMIT Ii v (fi"re" !§prinkl-er)MH Wm Squyres PERMIT.EwrenEa — OWNER 1� ' N\\+ PCnNA-.� , �3 CONTR. Ci9 ASSESSOR PARCEL. uLOCATION CHECKED SRA BY FLOOD CERTIFICATE REQ. :s FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature _Ae4.4e ` v 0 0 = Not OK Not Ready . MOBILE -HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"pacingConnectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-TesWall-Q"oncrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /Vit. / /Nat. or/ /"L°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing VeneerShkco-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacingConnectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerShkco-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. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'Circutating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning-Setbacks-Easments-FloodSlope Date 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth MECHANICAL (Permit) OK except #'s 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth 35. 4. Ftg. Porches & Decks; SoilsSteel-/ / Ftg. Depth 36. 5. Stemwalls, Main;'Steel-Blackouts-Wrapped 37. Condensate Drain & Overflow, Size & Grade 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 38. 6a. Hold Downs and Special Anchors 39. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C)O-Sewer Test Date 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground FRAMING (Plans) OK except #s 13. Pienums & Ducts; Clearance -Material -Support -ins. Sits Proper Materials & Anchors 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Walls Studs -Nailing Spacing & Braces -Plates -Sound 15. Access & Ventilation Bearing Walls over Girders & Floor Nailing 16. Insulation Draft Stop in Walls (rat proof) Date 44. Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sae & Anchors 69. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Bo es & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex 11astalled Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.FI.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Date Card B-1 Date Card B-1 Date 46. Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat clearance 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade Garage Fire Protection Framing 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet Property Line Firewall & Openings 39. Attic Access & Platform if Furnace in Attic 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 56. Card B-1 Date Card B-1 Date 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s Shear Walls: Nailing -Bolts 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) Date 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PE No. (Rev. 12/96) APPLICATION ANDPERMIT � L � ASSESSORPARCEL NUMBER058-210-171' \ ZONING FR 5 BUILDING PERMIT OWNER JOKSCH, ARLIE TELEPHONE SO. FT. OCC. BUILDING VALUATION r� [�Oji 1 " 1085.00 . OWNERS MAILING ADDRESt9 WALLEN LANE, OAKLEY, CA 94561 CONTRACTOR'S NAME WILLIAM SOUYRES TELEPHONE 45 1012 CONTRACTORS MAILING A"BOX 3176, CHICO, CA 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1085.00 ARCHITECT OR ENGINEER UCENSE NO. Filin Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS -� Energy Plan Checking Fee $ Q$ �tooll i a i v /'J t1/1 /11e, PERMIT FEE $ 70.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Ci Other FIRE SPRINKLER SUPPLY SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New CK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILE HOME FIRE SPRINKLER SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V LE Main Service zo AOR 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 ' LII f r @and effect. License Class -^ 1, 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 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 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 forthwith comply with those provisions. Q X Jy\ Date b "� 6 "' p Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( ACS. 3.5Qso NOR EW CONST. M -COu�TLET NON.RESID. C @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ' @ BAL @ .so NS Ex. Occup. GFIXunEEDTSA PRESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO AL FEE $ 7Q. QO HA2. I D. FEES IM I FLOOD COF pggC PD I HD ISSU This permit is hereby issued under of the utte Coun Code and/or indi to a forawhich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 1-7,0,9e Date Date Receipt No. 31355 WHITE-D.D.S.-B.D. CANARY -ASSESSOR • PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �. ... ZONING BUILDING PERMIT - OWNERTELEPHONE `5c SO, FT. OCC. BUILDING VALUATION OWNER'S MAwNo ADDRESS e -� 7 CONTRACTOR'S NAME ` 5 TELEPHONE `45 t z-- CONTRACTORS 'NO ADDRESS O iG CONSTRUCTION LENDER _ LENDER'S MAILING ADDRESS Fireplace Total: Valuation S (J ARCHITECT OR ENGIN LICENSE NO. FIIID Fee $ 20.00 Permit Fee $ a7 6--0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ CD o BULDINGADDRESS Energy Plan Checking Fee S PERMIT FEE $ LOT No. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEO TRUCTURE SF ❑ Duplex ❑ Mobilehome Other % e- i '.v t -C/ SPECIFr Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New m' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ yy� D ,6, �/ Describe Work: /// � �. �i/�i,^v i / -� c4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SG Mobile Home W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service �w oa LEN 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. License Class Lic. No. OWNER -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: O 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 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.) ❑ 1 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 46.00 NEW CONST. DWElLYXi OCCUP. SO OR 3.5dFT: co"S. Muai�nov�Tlser NEW cO D. @7.50 POWER APPARATUS a SINGLE ounzr CIR.Ex. Occup. OUTLET OR 20®'•0° SAL a .e0 Ex. Occup. o,,sAPPEsIo.°ERIL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ �� c -D HAz o. PEES IMP I FLOOD I COF PARCEL I PD fro I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. . . eeipt No. rWICITE-D.D.S.-B.D.CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO-APPLICANT .Y sCOUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICATION DATA SHEET OWNER: S !r-- ASS SSOR PARCEL NUMBER: a 7 Proposed Building Use: aInspector: la %1, Date: At time of permit application, I was dvised the for ' data must be submitted prior to permit processing and/or issuance: -------------- Date Received By Am ll items have been submitted .----------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets,,signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El 10. Fees of $ ------------------------------------------ ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- 1120. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------- 029 ❑30 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: (Date) PTonyou issue the permit, process as follows Kail to owner, ❑Mail to contractor. el hone / and hold for icku at G / office. ❑ Deliver.with inspector. Applicant: Date: " Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Cl Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by : Date: Plans reviewed by: Date: Plans approved by: Date: !� Sets of plans on hold in ❑ Plan Cabinet, 11A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. RESIDENTIAL X058-210-171 PERMIT#98-1003 j JOKSCH, Arlie 'PERMIT NO! 061, Paiute -Dr. , Oroville. Mobilehome Utilities PERMIT EXP + OWNER CONTR. ,,ASSESSOR PARCEL LOCATION 1` i �7,2�1�� CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Jemp. Power Pole Called PG F Temp. Elec. Si i Called PG Temp. Gas Sei Called PG&E JOB FINALED (Date) ,9 S5d Signature f 1 V=OK , O = Not OK f _NottReadyyble MOBILE HOMES Date MO HOME UTILITIES (Plans) OK except #'s 141. ZgpfFig Requirements - Setbacks - Easements MISCELLANEOUS Date . Special MH Support Sketch ewer, Location-Test-Fall-C)O-Concrete LX Water, Locati t Easement Needed (Sketch) I city do rances-Gm / Amp -Concrete Gas; Locatioonn I�F ; / I'LlL / /Nat. gt Pt'ft. LPG ell Clearance 8 Cfisdonnect ' Utility Clearance i 7. Electric I DateOJD Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line I Date 3. Gas; MH Test )emandVahe-Connector 1 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances ) Date 5. Drain; MH Test -Fall -Flex Connector J 6. Water; MH Test -Regulator -Connector ' 7. Water and Sewer Connected -C/O to Grade -HD Approval j 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 11. Light Niche MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fr mg.; Sils-AnchorsStuds-Rttrs-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 S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ p Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Fireplace Ties or Type A Flue -Fireplace Throat clearance 7. Slab, Steel4Nrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel Bdrrn. Windows or Exiting Doors -Sill Hgt. & Dimensions 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Garage Fire Protection Framing 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Property Line Firewall & Openings 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 12. Electric Underground 54. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 55. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 56. 15. Access & Ventilation 57. 16. Insulation 58. Glazing Area -Glass Protection -Skylights -Plastic Date Shear Walls: Nailing -Bolts Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 62. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Card B-1 Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access FINAL (Plans) OK except #'s 21. Test Tub & Shower, Second Floor -Tub Access Ext Steps -Door & Sidelight Protection -Landings 22. Gas Pipe; Sixe & Anchors Smoke Detector 65. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 68. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors Fireplace or Stove, Clearance -Hearth 25. Size Bo s & No. of Conductors Stapled Elec. Outlets at Wood Panel, Int. & Ext. 26. Romex Installed Close to Edge of Studs & C.J. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Outlets & Recepticales at Kit. Counter 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Garage Fire Door; Swing -Landing -Closure 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI A.C. Duct in Garage -Damper 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 31. Service -Riser Conductors & Ground -Main Disconect Plb., Elec. & Mech. Equip. Listed for Location 32. Equip. Clearances Panels-Motors-Mech. Epuip. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 33. Clothes Closet Light -Shower Light -Spa Light Insulation -Foam -Looked in Attic 34. Smoke Detector Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 89. 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrrn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: dbUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �l PERMIT O. (Rev.12/96), APPLICATION AND PERMIT / y ASSESSOR PARCEL NUMBER S ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 59 WAIIEN LANE, OAKLEY CA 941561 CONTRACTOR'S NAME OWNFIR TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS (' PAIUTE DRIVE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex Wprmobilehome �] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New fdddion ❑ Remodel ❑ UGlitiesX] Installation ❑ Other ❑ Describe Work: Gas piping system t - 5 outlets 15.00 Building sewe 15.00 Mobile Hom S G W @20.0 0.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 - 600V OR LESS Main Service 20.AORLESS 23.063. 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a following reason: Ur 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 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 8 ACC. BLD.. s0 3.50FT. NEW NON-RESIDT MULTI- OUTLET ANc CIRCUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET ORFDRURES 20@''0° BAL Q .50 Ex. Occup. DFIxunEETS REwSDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE $ 63.00 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 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 forthwith comply with those provisions. X _�� Signatur pplicant wn c r gen An OSHA permit is requi for excavatio ' er e" d an lition`6 ct of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee 1 $ Energy Inspection Fee $ GCC CONST. TYPE TAL FEE $ 166.00 HAL.. F IMP FLOOD X CD PAR PO H I E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. /t ( . ate (Q(t _ 0119 IOat Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,a COUAT-T OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 o<Se O�1 PERMIT APPLICATION DATA SHEET Y •{ WNER: ASSESSOR PARCEL NUMBER: JA — Proposed Building Use: Building Inspector: Date: At time of permit application, f was a' -wised the following data must be su miffed prior to permit processing an or issuance: - Date Received By ❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------- Aplot plans, Osets, signed by the preparer of plans.------------------------------------------------------------ ,$ L a 113. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data apd installation instruct�Wg�ns including Tie Down Specifications.---------- $cL►ool tv�o� rtc)cve�rl�''/&'-H8'/1i3 EjJ0. Fees of $ --------------------------------------------------------------------,-,\----- lit Impact fees as shown on the attached schedule. - -- - ��- F- --- -- !L -_T California Department of Forestry plan appro al/fees. - -��� �-- ___1 3. Flood elevation certificate. -------------------- -- - - ------------------------------ ----------------------------- W4. Sanitation and plot plan approval Health Department. ------------------------------------------- cS ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ------------ 7--------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 1 Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑2 . Workers' Compensation carrier and policy number. --------------------- Owner-Builder Verification (Given to owner ❑, Mailed to owner*. Letter of signature authorization. ------------------------------------------ ecorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. 0433 A, Wranteed,Y.H. Title Check10 H.C.D -------------- �\ Other: / YYo /' 1 -;re J r; /! A P r Natef Sv,------- v When you issue the permit, process as follows ❑ Mail to owner, 11 ail to c tractor. a 0, M XTelephone and hold for pickup at rn � 1 office. ❑ Deliver with inspector. (Date) 1 Applicant: Date: i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pol tion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required:' f"—CoContractor, designer, n was advised of the above required data by Pophone, ❑ mail, ❑ Building Division counter, by Date: 6f"— Contractor, ntractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Avision counter, by Date: r Plans reviewed by: Date: Plans approved by: Date: - Sets of plans on hold in 13Plan Cabinet P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance a � Owner Location Plan Approved for: Sewage Disposal Water Supply: Clearance fov-6)�?dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 0 E.H. USE ONLY Plot Plan Attached .cj Floor Plan Attached Sent to B.D.s=,L -F-31-- ( --/7, / . AP# Public Private Well Date 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 M' NO D 2. I HAVE' HAVE NOT 13 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 • V1 ra i fl a WA 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 rovide the major work: NAME: j1111144 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 198.31 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 C/® OWNER BUILDER-INFORNIATION 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 5300 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 cant' 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 contracps 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. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Bu ilder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER ©1rD %1 C UNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION s� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Re, APPLICATION AND PERMIT ORPARCEL MSER ASSESS10 r ZowNo_ / BUILDING PERMIT OWNER TELEPHONE SO FT OCC. BUILDING VALUATION OWN S MA0JN0 RES - ii `- COMM '9 NAME TELEPHONE ' CONE OR NO ADDRESS CONSTRU, O LENOER LENDER'S UNG ADDRESS Fireplace Total Valuatlon $ ARCHITECT 01 E NEER LICENSE NO. Filing Fee $. DD ARCHITECT OR ENGINEERS WJUNO ADDRESS Permit Fee $ Plan CheckingFee b euaowOADOREss Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF \ Duplex ❑ Mobilehome ❑ Other svEelFv Each Trap 7.00 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 ❑ Utilitiesy Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 020.00 PERMIT FEE $ ELECTRICAL PERMIT , Filing Feel 20.00 600V LFS Main Service zo.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. 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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 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.) 13 1 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 forthwith comply with those provisions. X _ Date Signature of Applicant • ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 48.00 NEW CONST. DWE LWG OCCUP. SO OR ADONrSS. ( Mu�CMMS. 3.50 Fr.. =RESID. 07.50 PO= APP uS LTLET as a swGLE D20 Ex. Occup. OUTLET OR FMAES 3'� Ex. Occup. DV ETSA�6 , 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 -[`1 Misc. Wiring 23.00 PERMIT FEE = X11 Q MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES j(p HAZ• I D FEES IMPFLOOD COf I PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ra Receipt No. WHITE-D.D.S.-B.D. CANARY.ASS SSOR PINK -INSPECTOR GOLOENROO-APPLICANT COPY of Document Recorded S , l 26 -May -1998 1998-0021460 {, Has not been compared with ANDNIMEN RECORDED.NWLTO: original BUTTE COUNTY BUILDING DIVISION Butte COUNTY RECORDER 7 COUNTY CENTER DRIVE OROVILLE CA 95%5 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area 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 follo"vs: Date: a 6 CP PROPERTY OWNERS: N State of California ) County of Atz& ) On (D before me, personally appeared person -ally tome (or proved to me on the bas' of satisfactory a idence) to be the rson(s) whose name(s) 40/are subscribed to the within instrument and acknowledged to me that he/slWthey executed the same in 44tA er/their authorized capacity(ies), and that by-histluWtheir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. F&J"o TH M. WILLIAMS nlsion 41174555 Mtr CPS] ry Public Signature. _ e. egg My County, CaiitomlaomrnWon Exp. MAR. 23, 2002 ",. PARCEL X: .S 16 9 0 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 5, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 36 AND 37. (RESERVING THEREFROM, A 6n FOOT NON-EXCLUSIVE RIGHT OF WAY AND PUBLIC UTILITY EASEMENT OVER PAIUTE DRIVE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 5, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 36 AND 37. PARCEL II• A RIGHT. OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PAIUTE DRIVE, A 60 FOOT ROADWAY, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 22, 1986, IN BOOK 105 OF MAPS, AT PAGE(S) 41. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL IIIt AN EASEMENT 60 FEET WIDE FOR ROAD AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF LAND LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE SOUTHWEST CORNER OF THE NORTHEAST ONE QUARTER OF SAID SECTION 35; THENCE ALONG THE SOUTH LINE OF SAID NORTHEAST ONE QUARTER, NORTH 88 DEG. 45' 17" EAST, 399.59 FEET; THENCE LEAVING SAID SOUTH LINE, SOUTH 25 DEG. 08' 58" WEST, 210.90 FE -7 TO THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED CENTER(. -NE! SAID POINT BEING IN THE CENTER OF A CUL-DE-SAC HAVING A RADIUS OF 60 FEET; THENCE ALONG SAID CENTERLINE SOUTH 42 DEG. 27' 56" WEST, 215.90 FEET; THENCE SOUTH 56 DEG. 16' 55" WEST, 250.79 FEET; THENCE SOUTH 74 DEG. 13' 53" WEST, 239.46 FEET; THENCE NORTH 06 DEG. 42' 07" WEST, 267.41 FEET; THENCE NORTH 02 DEG. 38' 25" WEST, 82.30 FEET TO THE CENTERLINE OF PAIUTE DRIVE, AN EXISTING 60 FOOT WIDE EASEMENT AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 105 OF MAPS, AT PAGE(S) 41. PARCEL IVt A 60 FOOT NON-EXCLUSIVE RIGHT OF WAY AND PUBLIC UTILITY EASEMENT OVER PAIUTE DRIVE, AS SHOWN ON THAT CERTAIN PARCEL23AP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 5, 1992, IN BOOK 125 OF MAPS, AT PAGE(S) 36 AND 37. END OF DOCUMENT � RE -0i0 � SUBJECT , JUk7 NV. bmttl I FILE BY 1 DATE of - %�o=�"•-���-�-�e L -z - '99 0/. vz�i ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOMI°LY WITH -CURRENT EDITION OF NEC, UMC AND UPC. NO'T'E: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use in the Uniform Building, Plumbing & Mechanioa Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make 9y Cb4anges or a.iterations on same with.^..ut� writLcz permission from tllo Departwant ot4ltolto Fork,- County of Butte. g 2 Jizov -•-----$utterCoiN�fiy� ' � /�' �' � aSc� - i:nv iron ) #hili i B_ U_ILDI AP P REVIEtNtL) t5y BUTTE CO. FIRE DEPT. . CALIF. DEPT. of FORESTRY ❑ approved as submitted YJ approved with conditions Der attar,i d ;)beet_ _./ Signature E COUNTY_ _ .._ ... . O"DEPARTMENT ALL STRUCTURES AND (EQUIPMENT --INCLUDING OVERHANGS SHALL BE CI EAR OF ALL EASEMENTS... ' A SET BACK OF _,� J J:T. FROM THE SIDE AND 3a FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL Bc CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. 58-100-3 m ttu 9 FILE COPY 57- u -471 AP# CDF FIRE SAFE REQUIREMENTS ,7f -/,0o3 , AtL / ca, PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [y]- 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-arteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [xl 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius ['(] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1$ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 ``(('' feet long with a minimum 25 foot taper on each end. C-4 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. 3BUTTE COUNTY Page 1 of BUILDING DEPARTIMENT APPR �E [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ki 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [V] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 BUTTE COUNTY BU1LD4INIG DEPARTMENT APPROVED qT ,X003 �v,rsc 2c E r AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [x] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open'to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ki 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [V] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 BUTTE COUNTY BU1LD4INIG DEPARTMENT APPROVED goo AP # PERMIT # NAME Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: *Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature ' �U Page 3 of BUTTE COUNT � IN DEPARe1h VEN7 APPnvV. Y OFFICE COPY Address aB 9 ELECTRIC ` 0 Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT. : (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 458-210-171 ZONING — - BUILDING PERMIT OWNER ARIJE & MY JMSCI3 TELEPHONE 518-5864 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 4144g YAMM MLs CA 95%5 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ PERMIT FEE $ 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 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REM ELECTRIC DW TO FATE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR LE Main Service 200" OR LESS 23.00 23 QC 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. 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: 9. 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. OR ADDNS. ( SO F, 1Npµq°SID. MULTI -OUTLET 97,50 R A ELEPPARATUS 8PSINOWGOUTLET CIR. Ex. Occup. OUnFT OR FIXTURES BAS ®'.50 FIXED Ex. Occup. Duns Ra I Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) P 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'HAT. 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 those provisions f f X ` ; �_." Date _ Signature of Applicant - ® Owner ❑ CoNrat to ❑ Agent An OSHA permit is required for excavati oyer 5'0" deep and demolition or construction of structures over 3 stories in he Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 43.00 D. FEES IMP FLOOD CDF PARCEL PD HD I ISS This permit is hereby issued under the of the Butte,,County Code and/or Resolutions indic d a oke f r wh+ch fees have 1 r By PERMIT EXPIRES ON- applicable provisions to do work been paid Det 1' pgQ " ReceiptNo-&�l I TT7 WHITE-D.D.S.-B.D. CANARY -AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT N COUNTY OF BUTTE -DEPARTMENT OF DEVIELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PER (Rev. 12/96) APPLICATION AND PERMIT � �7 ASSESSOR PARCEL NUMBER 058-210-171 ZONING FR -2 - BUILDING PERMIT OWNER ARLIE & JUDY JOKSCH TELEPHONE 518-586 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS P.O. BOX 4144 YANKEE IHLL, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4061 PAIUTE DR. YANIEE HILL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVMIONSNAME PARCEL MAP PLUMBING PERMIT Filing Feel 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RETAG ELECTRIC DUE TO FIRE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 "OVORUES Main Service za.A OR LESS 23-0023.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. 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: 19, 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 20OA TO IOOOA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT; =IRESID MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOCTURES BAIL @' o Ex. Occup.DP"',nF,sPRR °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 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 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number (The above sections need not be completed lt 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 forthwith comply with those -provision _ X Date / Signature o Applicant - Owner ❑ Co o -Agent An OSHA permit is requl d for excavati 5'0" deep and demolition or construction of structures over 3 stories in he' Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D PEES IMP FLOOD CDF pggDEL pp HD ISS This permit is hereby issued under the of the Butte unty Code and/or indic d a o e f r wh ch fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work beenpai /� (v,1( t J De e ReceiptNo.. WHITE-D.D.S.-B.D. CANARY -AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, CaliforniA 959,65 • Telephone (530) 538-7541 N '8V12'�5� - " APPLICATION AND PERMITANSUBOAPARMNUisia PE`fRMIT )0 owNei� BUILDING PERMIT SD. FT. OCC. BUILDING ;VALUATIONowmmv 11O ooNrAAeToas iw 00WRAOT0II1 AVAM A000no DONSTmJcTWm tzmjm LANOMI WAM ADDRESS MCHITECT ort ENOMER MW -t ECT ON 00MVER'S WAJNO ADDRESS ouap+oAoomEss A/ 1 OT No. I SUODNepNLNM! USEOFSTIRUCTURE iF O Duplex O Mobllehome O Other TYPE OF WORK Vew O Addition O a O Llifffts O installation O w O )ascribe Work: *PERAUT FEE PAIS S SRA -- Permit Fee SHERIFF Filing Fee OTHER = ------------ = AMOUNT RECEZVEt) s *RECEIPT NViMSER PERMIT FEE * TO 9E PVT INTO COMPV M Total Valuation is Filina Fee S S Permit Fee = Filing Fee Plnn Checkin Fee = Energy Plan Checking Fee = s 48.00 PERMIT FEE t 3.5e fT PLUMBING PERMIT NONAESiD. YULT$-OVTL T Fling Fee Trap Eachor APPARATtA 7.00 -"eat Solar um water heater APOYMOi 23.00 Water piping Ex. Occup. ovrm OR "MMES 15.00 Each gas water heater or vent Ex. Occup, 15.00 Gas i In stem 1 - 5 outlets ovru:Ts Esso. EA 15.00 aIdi. sewer Temporary Service 15.00 Mobile Home S G W Mobile Home Facilities 020.00 — PERMIT FEE S ELECTRICAL PERMIT Filing Fee s Main Service 000 OR �u2-423.00 noon oR Main Service 200A TO IOOOA 48.00 NEW CONST. OWN, OCCVP, OR AODNt. A Ace. OLDS. 3.5e fT NONAESiD. YULT$-OVTL T 07.50 APPARATtA APOYMOi Ex. Occup. ovrm OR "MMES io ? �•ao Ex. Occup, SOL a!0 1 ovru:Ts Esso. EA 5.00 1 i Temporary Service 23.00 Mobile Home Facilities 2000 20.00 20.00 20.00 PERMIT FEE _ !} MECHANICAL PERMIT Fling Fee 1 20.00 8.50 IMobile Home Installation Fee is Energy Inspection Fee i OCC �N:T. rPE TOTAL FEE $ INA2 1 O. /EES I I CUP I Pi=O I COP I ►ARGIL I ro I HD I ss 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 PERMIT EXPIRES ON 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. 6)I personally plan to provide the major labor and materials for construction of the proposed property improvement :.YES IS NO ❑ _ 2. HAVE 0 HAVE NOT ❑ signed an application for a building permit for the proposed work. 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: PHONE: CITY: 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- NOTE. This Owner -Builder Ver (cation 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.-1 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 parry 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 5300 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. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: t/2-19-2UU2 IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT POE FIRE EXEMPTION DUE TO BOARD OF SUPERVISORS TOTAL AMOUNT PAID .43. RETAIN REFUND PROCESSING FEE 25. DO TOTAL AMOUNT TO BE RETAINED_ 25. DO TOTAL AMOUNT TO BE REFUNDED AP # 058-210-171 BP # 01-2294 RECEIPT _.332163 DATED 9-14-01 OWNER: JUDY JOKSCH.) TOTAL 18.100 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 an as stated. Dated this _ day of 20�at Calif. Si nature f CI imam I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s ecified above have been performed or delivered and that t Budget Appropriation [ ( or Specific Board Approval ( ( (Check one) for the same. i Dated this 13 day of MARCH 2002, at OROVILLE C if. e artment Head or Authorized De u Dept. Code 440-002 Exp. Code 4210500 for 18.00$ PAYABLE FROM CONSTRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM De t Code Ex . Code PAYABLE FROM 00 NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 1 •.I FOR BUILDING DIVISION USE: Receipt Information. " Number:, Date: q pi - 0 Issued To: U G Amount: � • dU Fees Retained: n,` c Processing Fee: $ �S lN' l .{ Bldg Filing Fee: $ t` Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ �l SRA Fee. $ Total Amount Retained $ oZs TOTAL REFUND DUE REFUND CLAIM APPLICATION CLAIMANTS NAME MAILlff0 ADDRESS—� ASSESSOR PARCEL`#:6 -,,quo ----- _ -RECEfPT'NUMBER(S) __3 1�z 3 Request -a refund of fees -paid on the above receipt number(s) for the following reasons: 1" 4 ; wwhich--you ease-refund-anyapplicable fees in the following categories: (Check those: categories wish to: have. refunded.) 1 f ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Dis osition of_Plans:-7;j ( ) lans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. ' PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. DAVCO BUSINESS FORMS • (916) 7436511 1 COUN O BUTTEr OF OFE R V NT ISSUING RECEIPT _ Z CRT Received fro VE -� s The um d -% Fo Received: : a �l"' _ % Received By. CASH ❑ Tide CHECK By DAVCO BUSINESS FORMS • (916) 7436511 1 J$ CD LEACH 'FIELD EXIST WELL sR9. 541 1 PRoPosG� 'RESP DENCE (2 a >z} o <,', lc;,- --cl �,, 11,41- �(lo 2LIE i JUDY SoKS CH PA(UrE RID46 R.'D 4NKEE HILL CA, 959(PS /PA` 56-ZIC-171 CALE I " = 50' y z OF z. PLOT PLRAt Ala- S.�UGn}RES .AND EWIPMENT BE CLEAR OF ALL OVERHANGS �Au- � � FT. FROM � A SET BACK OF � = R pROPEP �p �.FRONIEE OAD.CENTE -�— FT. FR®nn CL ----EAR OF STRUCTURES AND EQU I FOR .A 2 F-, F-A%j OVERHANG. MOTE: All Materials & Worxx ,mcordance with R.s'09 si7�ed o� qaa its prate= for th the Plu its► . Codes and tbo NOWMA MW Thus set of plans and epeoMoatf kept on the. job at all times and it make any changes or alterations written permission from the Dept Wrwks, OounW of Butte. S9DE .Ary .. ACS. ,lp m3 all Be Th practims and ARL 115 � xuvY 5o KS C H 1 \ PAIUT'E R1V4E'.RD YANK8E HILL CA 959&5 AIP* 58-zro—r�l SCALE l f` r 7-00je f aw o PA 4E / CF z- - PLOT PLAIN 3 1. el 399.69 A p� I A, ?H .S-UrCc A P. ftj 6c), � �-P�07klA'P---Fox D�_..DETAIL�S COUNTY NG DEPARTMEN �P��►�.r� aye �RD � lt,J : 0 . RISER 6iF.F- De-rA(L-) 41. /w:.+ -'n r-Qk,VAC-4-" FM ; T—e m— Coupling ��� --"—To Sys -,c:= Wzt=llow switch! .4�112"TcstAnd GauSc To Doncstc-\ -.Suppl�. Comtrolvxf controls Do=cstic' DomcsticUnd Wats Supply and� rF43 .(� F -Li-- SpFmkicrW2't'cr supply. - A MRK 13 85. r P/ P1 u5i -1-0 Rp5 -401 2,' -rc,-rA 1, r-?,—RA4J 6r----,7 u, 1-: c > P. S. 1. pus i D c 0 1111 i: ---- rl cil fiii .IO VIA m-Int"mum. a3.0 45^Vm Y, ko M%V�T S = a3 . P -c�iCkmay\,5 4k CONTRACT NAME GRINNIU Pjj(rjvjjWM eYAIIJ K� - tA(W- SIMCONTRACT Wrnt Em DESCRIPTION: /3 CONIPAR -- M 4 7 . DATE DAAWWQ N& 2,3 37o(nftYcAt91( lif). n10 LINIM, !A 956IJ r onAWN BY. CONTRACT NO: -6