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HomeMy WebLinkAbout058-220-0291 058-22.-•0-0.29 ` . ' ' 9'1-3513 1J. 1 :' 1" 1 058-22.-•0-0.29 ` . ' ' 9'1-3513 1J. ELL I S , ,AARON :' 1" CONTR: OWNER - ,'4033 CEDAR RANCH ,LN; OROV I'LL MH UTI ELECT _ -200 - -3 0 Ctirhf, I U O a�ru p GAS LPG4 3n I (COMPACTION TEST REQ yip SUPPORT STRUCT REQ: P1n 058-22-0-029 =3e9l ELL I S-, AARON ; CONTR: OWNER 4033 CEDAR RANCH LN, OROVIL lm NEW GARAGE'' 058-22-0-029 v Y 91-3� .EL•L I S , „ AARON CONTR: OWNER 4033 CEDAR, RD, d• OROV I LLE MHI _ 58-22-29� 92=535 `B . _--- . ELLIS, Aaron r.,.. - ' 4033' Cedar 1Zanch.'Ln:; Oroville ck/mh) (open de - � ag yj...� .. ._ _ 1.. - _ _ '` � P :x,, .; .. RESIDENTIAL _ 058-22-0-029 —� 91-3891 ELLIS, AARON CONTR: OWNER 4033 CEDAR RANCH LN, OROVILLE NEW GARAGE � i- 7 JOB FINALE Signature 55 1. a J=OK O = Not OK' =N°o ReadyApplicMOBILE MOBILE HOMES Date . MO E HOME UTILITIES (Plans) OK except #'s '1 Zor i+ Requirements -Setbacks -Easements oils pecial MH Support Sketch e er; Location -Test -Fall -C/O Concrete a er:-Location-Test-Easement Needed (S tch) Elec 'city; Location-Clearences-Grnt2� p -Concrete i as' Location -Test- rap: / /"L"ft. / 'Nat. or "L" ft./ /" LP 7. ell Clearance & Disc ect 8. Utility Clearance EI TP-LO&LI ox, Date _ Card B-1 Date Card B-1 DateZi,.,.°7%"°ZCard B-1 Date Card B-1 Date M0131LE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tyd 30 11 W-1-ff 1 MISCELLANEOUS Date DEQ,*S, COVERS, CARPORTS, GARAGES,(Plans)OK except #'s pr;arfing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders 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; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12-/) .q( 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK =Not aclble RESIDENTIAL (; ' = Not,ReReady Date UNDERFLOOR (Plans) OK except M's 1. Zoning-Setbacks-Easements-Flood-S'ope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-r /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 ft's 16. Water Htr.: Vend -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------------- ------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- -------------- ------------------ 19. Shower Pan: Test. First Floor -Tub Access ---------------- --------------------------------- 20.--Test-Tub & Shower, Second Floor -Tub Access --------------------------- -------------- - - 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------- - Date_ Card B-1 Date_ _ Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ---- -------- ------------------- ------------- --------------------- Receptacles ------------------- Receptacles Spacing -Lights & Switches at Doors ----------- -------------------------------------------------------- 24. Size Boxes & No. of Conductors-Starled -------------------------------------------------------------- 25 Romex Installed Close to Edge of Studs & C.J. ------------ ------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------ --------------------------------------------------------- 28. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI --------------------------------------------------------- 29. -------------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30.--Service-Riser-Conductors & Ground -Main Disconnect --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------ ------------------------------------------------- - 33. Smoke Detector ------------------------------- ---------- ------------------------------------- Date Card B-1 Date Card B-1 --------------------- ------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------ ------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------- - --- .- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- -------------- ---------------------- -------------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------ ------- ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------------.._ 41. Bearing Walls over Girders & Floor Nailing --------------- ------------ I --------- ------------------ ------------------------- 42. Draft Stop in Walls (rat proof) -------------------------------------------------------------- ----------------------- -------------- 43. --------- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Tingle & Duplex) Date . FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer __------- __ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection - ------------------ 64. Bedroom Exiting ---------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- ------------- ---------- ---___________ 67. Stairs -&-Rai-Is _ 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. -------------------------- 70. Kit.Fixt & Appliance: Grnd -Air Gap -Cooking Clearance ------------------------- 71. -------...--------------71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73.-.A.C.-Duct in Gara a -Damper -------------- ---------------------- --- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------ 7;. Insulation -Foam -Looked in Attic O Yes ------------ 78. - Guard Rails & Deck -Const ruct ion -Post Caps ------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------------- - 81. Stucco: Brown -Finish 82. A_C_Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - 184..- Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ------------------------------- ---- 86. Ventilation Throughout House -- ---­------------------------- 87. --•------------------------87. Glass Protection ----------------------------------------- --- --- 88. Corrections from Previous Inspections - --- -------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- 91. 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: 3 w^r'H'yr+'�`o..,...+:....yr,..s;�n•�s.•.,r�=.+:�+n«a:ar.::•v.i+•e ti•^4'�q-_,�.►,+a„L3.� iia`- ti� .. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-754. 1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE l A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of wort is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 2.2-7 J92-- Inspector �. REV 11/91 ��- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I 7 County Ceriter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER ZONI G A;2 J 058-22-029 BUILDING PERMIT OWNER ON ELGIDDRESS TELEPHONE TELEPHONE 533-6580 SQ. FT. OCC. BUILDING VALUATION OWNER'S 576 M 10,368 P.O. BOX 39F3/,92 CHICO 95927 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.50 NONE Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4033 CEDAR RANCH LANE OROVILLE Permit fee $ 172.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex[] Mobilehome� Other GARAGE Mobile Home S I G I W I @ 15.00 SPECIFY TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR 0V OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of P y perjury y (check one): NEW CONST. DWELLING OCCUP.81 OR ADONS. ACC. BLDGS. 3.6Q sq.ft. 20.20 F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTFL ULTI-OUTLET —NO BRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS &) (SINGLE OUTLET CIR. (cense No. Classification EX. Occu o Occup(OUTLETS OR FIXTURES 20 7 I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS (RESID )REAJ I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 35.20 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify th I h e read thii I 'cation and state that the above information Mobile Home Installation Fee S is correct. gr to comp t a County Ordinances and State Laws relating to buildi ruct' , nd er by authorize representatives of the Countyot Energy Inspection Fee $ Butte to t r Pon e o ntioned property for inspection purposes. c PE I also r o sa i and keep harmless the County of Butte against TOTAL FEE $ 207.70 all i i j g t sts, and expenses which may in any way ac rue agai nt in gquence of the granting of this pe mit HAz DFEES IMP FLOG CDF --� t/ -� PARCFk Po y I t/ X Date This permit is hereby issued under the applicable provi- Signat of icanr — Owner Contractor 1:1 Agent Elsions of the Butte County Code and/or resolutions to do An OSHA over 5'0" deep and demolition or construct- o wUindic#ata.,ve for which fees have been paid. f ion of strucurestoverr 3gstoraesoineheyhtions Uch WORKS Receipt e �L 2lsi� No. 1 nl 491 ?n7 - 7n Py MIT EXP ate WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f; v COUNTY_ OF -BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILD-HVG-DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF0RNfA;95P,¢5 - TELEPHONE: 916/538-7541 �p PERMIT APPEItATION DATA SHEET f� // / / Permit No. OWNER .X/4 � ,[LF/0 // _5 A. P. No.— Proposed Bdr ain'g/Qse�(� X Building In1spewor - 4 t Date 11 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: F DATE RECEIVED APPROVED 1* All items have been submitted. .................................... 2 Plot plans in duplicate/tri51icate, signed by preparer of plans ........ Ak-3. Complete plans in uplic/riplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................:................................ . 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) '137. Planning approval for (A) Use: (B) Parking: ...... 181 Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... �, 25. Letter of sissnature authorization 27. When you issue the permit, process as follows: Mail to owner, f Mail to colntractor. Telephone Other and hold for pickup at office. Deliver w/inspector. Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept., -i Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted pri 1. Index permit for above items No.� 2. Additional items required: permit issuance: (CirblI new item not checked above). Contractor, designer, owner , was advised of above required data by phone—nail counter by ? date Contractor, designer, owner, was advised of above required data by_phone_mall_counter date Plans chec by Date&_ /1?__/ Plans approved by ate _ of plans on hold in `" File cabinet AP folder Copy—DPW I Z TO Buildinq Department FROM:, Environmental Health SUBJECT: Sanitation Clearance ® Location APS Om t _ er . Plan Approved for: Sewage Disposal. Water Supply Hold final for: Water Supply ^incl clearance O.R. for: le nce dr ' NOTE.*** Other a 60. Water Supply Date Sanitarian h` 1 w»� »h t J 1 i i APPROVED ! �s ? Butte County --� Environmental Health AJ `,. Dat l tot Signature Se r4«- ryYa APPROVED Butte County Environmental Health t ae Signatur COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965.- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNUMBER 2p` d ` O� v '/ ZONING �e BUILDING PERMIT OWNER ��� RQW3,3 T E HoI - SO. FT. OCC. BUILDING VALUATION �o O W ' S Iyt . zzx R� � CONTRACTOR'S NAM�� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee $ 15,QQ $ $ ?f_ --,V $ v LENDER'S MAILING ADDRESS ARCHITECT,OR EP4GI EER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING,�..7s� i./i`C7�� ® Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heat 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas wate ater or vent 7.00 USE OF STRUCTURE %� SF ❑ Duplex*[] MobilehomeX_ Other l r!2i SPECT a Gas pipin ystem 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S i G I W @ 15.00 TYPE OF WORK NeWX Addition El Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work:19 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20GATOI000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. ,License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) • ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. 1 ACC. 8LDG5. G 3.64sq.ft. NEW CONSTR. ` ULTI.OUT LET NON.RESID. BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 76d RA FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. `rVirin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood • 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in h ight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ r HAz 1 0FEES I IMP I FLOoo cOF PARCEL PD Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. , 0 WNIT[•e_r. W.. TLL LOw-♦aa•-anP Pur_iu YPer•TnP rnnru onn_. PPS r�ut l RESIDENTIAL 58-22-2.9 - 92-535 B i ELLIS, Aaron 4033 Cedar Ranch Ln, Oroville (open deck/mh) l - 75��/ �. t 4 l � i s j JOB FINALE � 1 1 Signature of J = .OK O = Not OK Not Applicable ' = Not Ready MOBILE HOMES, Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance. Date • Card B-1 Date Card B-1 Date Card B-1 Date Card Date -B-1 MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N I El MISCELLANEOUS Date DECK COVERS, CARPORTS, GARAGES, (Plans)OK except #'s ing Requirements -Setbacks -Easements F ngs; Soils -Size -Depth -Spacing -Connectors -Steel Ae�rnpnkq- Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date .14,p and B-1 ,41)o& Date Card B-1 Date 13.07$. 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, Distances-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel -i /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- ---- -------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --- 18. D.W.V.; Test -Fittings & Anchor -Nail Drotection _ 19. Shower Pan; Test, First Floor -Tub Access _ -------- - 20 Test -Tub &--- Shower, Second Floor -Tub Access - ---------------------------- - -- 21. Gas Pipe: & Anchors Date - - -Card B_1 --- Date - - Card B_1 - - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----- ----------------------------------------- --------- -- --- ------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------------------------------------------------------- - 24. Size Boxes & No. of Conductors_Stapled - ---------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------ ------- 26. Equip. Ground made-up-w!Mech.--Fastners-Bond--Gas- &- Water ------ - - ----------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ------------------------------ ------ 29. Range Circ. ! g ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ____ 30. Service -Riser Conductors _&_G ro-u-nd -Mai n Disconnect 31. Equip Clearances Panels -Motors -Meth. Equip. ------------------------------------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ------ -------------------------------------------------------------- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------- --- - ------------------------------------- --------------- -- I ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------ --------------------------------- 35. Vent Fan: Exhaust above insulation --------- - --------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------- -- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent ---11-5 outlet-- ------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------- - --- --- --- --------------------------- ------------ - Date Card B-1 Date Card B-1 -- ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------ 40. Walls Studs -Nailing, Spacing & Bracirg-Plates-Sound ----------------------------------------------- ----------------------------------- 41 Bearing Walls over Girders & Floor Nailing ------------- -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------------- 43. Fire Stops: Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date. FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. _- - 47_ Fireplace Ties or Type A Flue -Fireplace Throat clearance ______48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _______49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --- - 50. Garage Fire Protection Framing - --- -- 51. Property -Line Firewall & Openings -- 52, -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----- - 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ______ - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer- - - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- 57. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts ------ 59_ Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 ---------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's - 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------- ----------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------- --------------- 64. Bedroom Exiting --------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------_ -------------- 67. Stairs & Rails ------------ 6 8. ---------- 68. Fireplace or Stove: Clearances -Hearth ------------------------------------- 69. Elec. Outlets at Wood Panel; Int_& Ext. 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------------- - ----- -_ --- 72. Garage Fire Door: Swing -Landing -Closer - - 73. A.C. Duct in-Garage_Damper - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------ ------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------ ----------------------- 76. Elec_ Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic D Yes ---------------------------------------------- --- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks 0 Yes O No; Planters ❑ Yes -❑ No -- _ _ 81. Stucco: Brown -Finish - --- - 82. A.C_Unit: Disconnect. Electrical, Plumbing - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -------- -------------84 Water Well; -Disconnect, Electrical, Plumbing -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - - 86. Ventilation Throughout House ------------------------------------- -- 87. Glass Protection ---------------------------- 88. Corrections from Previous Inspections ----------------- ----------P - _89. Gas Test -Meters Tagged; Gas -Electric --------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------- ------ ------------------------------- Da te ------------------------------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 PUBLIC WORKS PERMIT, NO. I 7 County Center Drlve - Oroville, Ca;ifornla 95965 - Telephone: 916,'538-7541 `5 a _APPLICATION AND -PERMIT / ASSESSOR PARCEL NUMBER 058-220-029 ZONING FR 5 BUILDING PERMIT OWNER AARON ELLIS TELEPHONE 533-6580 S0. FT. OCC.1 BUILDING VALU TION OWNER'S MAILING ADDRESS 7 P.O. BOX 3199 CHICO 95927 100 0 700 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 700.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 18.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4033 CEDAR RANCH LANE OROVILLE Permit fee $ 53.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP �,7-1 � Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New ❑ Addition [y] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: OPEN DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR AODNS. 1 ACC. BLDGS. 3.5d sq.f[. NEWCONSTH MULTI -OUTLET NO N.R ESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. ) Ex.00Cupo UTLETS OR FIXTURES 20 75, FIXED APPLNS. Ex. OCCup. OUTLETS ((RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. I� shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation I Permit Fee _d $ Contractor I certify that I have read this application and state that the above information y to all County Ordinances and State Laws relating is correct. I 4ngstructi to building d hereby authorize representativesof the Countyot Butte to v entioned property for inspection purposes. I also rn' y and keep armless the County of Butte against al I Ila IC sts, an enses WhICh may In any way accrue agai uence f e granting of this permit. Date _ OSHA permit is required for excavations over 5'0" deep and demolition or construct - of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 53.00 HAZ D FEES IMP FLOOD 1 -- CSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated ab a for which fees IR OR OF PUBLIC By 14Z,49:2� PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS to t No. _ 11 01 5 YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I r -•- rN :.�., ...-r� ..�p..,.r.r .1�Tr., . ....1 �;� . ...^,r ... � �� ,r � , .� _ .p.T. r- L—y.h{"4'r-�.i,-l.r� O� „("�7S' r.,+ s" COUNTY OF � BUTTE:- DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE- Of* bWi ALIFORNN 95965- TELEPHONE: 916/538-7541 PERMIT APPL'A"ION�DATA SHEET Permit No. OWNER P. No. p Proposed Building Us:e,w� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: < DATE RECEIVED APPROVED 1. All items have been submitted . ........ ...... ...........:.......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . �- 5. Hazardous Material Form . 6.. -Energy Design Compliance and supporting documentation ......... T' Statement of Intent for Non -Heated and AC Buildings .............. 8. , Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ° r 13•– School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ' (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW = 19. Driveway permit (construction approval required prior to occupancy) 20. 21< Pre -Inspection for required Pre-Inspec. request to Building Inspector yDate) Contractor's license information (G., Name Style, Classifications ... Certificate of Workmans Compensation Insurance ........ Owner -Builder Verification (Given to owner ❑, Mail to owner ..... 2- 24. Recorded copy of Agricultural Acknowledgment Statement ......... l —� 25. Letter of signature authorization .0N..A10,*Z ?f�y .......... . . . . " 26. 27. When you issue the permit, process as follows: Mai to e . Mail to contractor. I Telephone 5'33-6SRO and hold for pickup at ffice. Deliver w/inspector. Other Applicant .Date -2 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be, submitted p ' r permit i u ce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, orWer, was advised of above required data by vphol ail! counteF;; ,i Contractor, designer, owner, was advised of above required data by_phon mall, -,,-coup ter by date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved bye File cabinet AP folder i✓ Date 9� TO Buildinq Department FROM: Environmental Health e1JBJECT: Sanitation Clearance la,),�I z, . 6-Y-22-2-9 Owner Location AP# Plan Approved for: Hold final for: Sewage Disposal l� Water Supply Water Supply Final clearance O.K. for: Water Supply Clearance for be oo i1 1�o.�Otrer' NOTE *** Sanitarian Date 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 6 --ZZD rR S BUILDING PERMIT OWNER . //t( A6� TELEPHONE SO. FT. OCC. BUILDING VALUATION 3-3 5 OWNER'S MAILING ADDRESS 100 p O P-a.A6,Z 398 C'�I lav 9592 7 N DDR ESS CONSTRUCTION LEN UNKNOWN ER'S MAILING ADDRESS ITECT OR ENGINEER ILICENSE NO. RCHITECT OR ENGINEER. -5 MAILING ADDRE55 UILOING ADDRESS 410 ^ 3 e ep 411 ,&, `C AI,� OT NO. I SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[!5t Other SPECIFY TYPE OF WORK New+❑ Additiof�j Remodel❑ Utilities[] Installation❑ Other[] Describe work: 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- -on of structures over 3 stories ,n height. Receipt No. j 0015 Fireplace $ Contractor Total Valuation $ ELECTRICAL PERMIT ( Filing Fee $ Main service 200A TO IOOOA, Permit Fee $ 3.64 sq.ft. Plan Checking Fee $ d Energy Plan Checking Fee $ Penalty $ Heati nD Permit fee $ PLUMBING PERMIT Filing Fee Each Trap 5.00 Solar or heat pump water heater 20.00 Water piping 7.00 Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 615.00 Permit Fee $ Contractor RAO @ 76a ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA, 37.501 ` NEW CONST.( DWELLING OCCUP.&) OR AODNS. ACC. BLDGS. I/ 3.64 sq.ft. NEW CONSTR. -MULTI-OUTLET Nf1N.R�S1A RR ANr. r1or'111TGI ^ j I ` 5.001 ` (POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES RAO @ 76a FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I Permit Fee $'' Contractor MECHANICAL PERMIT Filing Fee 15.00 Heati nD I I Cooling i Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 553 . This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date L__ J • 1 t t This set of plans and specifications MUST bF ,kept on the job at all times and it is unlawful to - make any changes or alterations on same with. .out written permission from the Department of L14.1j >_Pub,ic,Works, County of Butte. -` NOTE:—AO Maferials & Workmanship Shall Be in `-a-c•cordartee -with Recognized Good Practices and 1of n quality preseri6ed for the Specified use in the v �Iniform Building, Plumbing &. Mechanical Codes and ve .4!he dfional Elecfrical Code. M60 4orne Location of structures & N equipment shall be as shown r & clear of all easements: iAPPROV4-0 tutte Couni Envlionmental 8-0116 �'�•. Asetback of ift-from the rproperty lines and a setback uf; r" 50 ft. from the road ` centerline shall be cl9ar of I structures or equipment except f for a 2 ft. eave overhang.M/b -... r Cm4 z- OF Au 6A- S&lr J-1 �t7lr; 4q I •ooovtbw� 1;$j�CiB�e i -z� IM b 1 8UT-TE=CO UNTr SUILOING pEpaRTMENi' APPR 3_WED rL � 1 1 • I l C\ I I This set of plans and specifications MUST bF ,kept on the job at all times and it is unlawful to - make any changes or alterations on same with. .out written permission from the Department of L14.1j >_Pub,ic,Works, County of Butte. -` NOTE:—AO Maferials & Workmanship Shall Be in `-a-c•cordartee -with Recognized Good Practices and 1of n quality preseri6ed for the Specified use in the v �Iniform Building, Plumbing &. Mechanical Codes and ve .4!he dfional Elecfrical Code. M60 4orne Location of structures & N equipment shall be as shown r & clear of all easements: iAPPROV4-0 tutte Couni Envlionmental 8-0116 �'�•. Asetback of ift-from the rproperty lines and a setback uf; r" 50 ft. from the road ` centerline shall be cl9ar of I structures or equipment except f for a 2 ft. eave overhang.M/b -... r Cm4 z- OF Au 6A- S&lr J-1 �t7lr; 4q I •ooovtbw� 1;$j�CiB�e i -z� IM b 1 8UT-TE=CO UNTr SUILOING pEpaRTMENi' APPR 3_WED rL � 4J 1. , V/AG(L, GD lu m 7Q r w c n _ x MO 1 m MO (li N TYP N m f7 D \ I� X � V i I � n r 3 N X- Tom! N l o mi i I � n r 3 X rrn 1, I L 4r 8 MAX, � n r 3 w II - C;) N O rj � L _ N I o 217 C> L C> _fo`�MIN._STA(R - 7q1/t! I DTt r- '{ c �c A c� COUNTY OF BUTTE Department of Public Works 6 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 cr °n N � OWNER -BUILDER VERIFICATION �-- Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) { S 2. I (have/have not) k ,,PVIS signed an application for a building permit for the proposed work. 3.- I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work., but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date .11-5 /1 Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. I I OFFICE COPY Address GAS Meter By Date i ELECTRIC Meter By Date3� i JOB FINALE Signature 4 RESIDENTIAL ( 058-22-0-029 - - 91-351-3 - ELLIS, AARON CONTR: OWNER 4033 CEDAR RANCH LN, OROVILLE MH UTIL llli�1Q� gz�s3� I I OFFICE COPY Address GAS Meter By Date i ELECTRIC Meter By Date3� i JOB FINALE Signature 4 O=Not OK =N tead.ARe'�y. .• MOBILE HOMES Date MOBIJE HOME UTILITIES (Plans) OK except #'s Zo ing Requirements -Setbacks -Easements . Soils Special MH Support Sketch It wer; Location -Test -Fall -C/O Concrete Les�ater; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grn mp-Concrete t as; Location -Test -Wrap: / /"L"ft. / /"Nat. or`/:�!"L"ft.-A" LPG 7. wen Clearance --& Discbnnect tility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL ME INSTALLATION (Plans) OK except #'s i 4, -Setbacks Easements otings; Size-Spacing-Maffia -Gyne —Ld"Tlsas; MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances L,S-Orain; MH Test -Fall -Flex Connector �arVd3itvlfl Test -Regulator -Connector (,pater and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged nsp.-Sketch ert. of Occupancy Datk7?./Z . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2__*, g* ✓n � ll 9 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -landings 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, Distances-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 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 -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas pipiig: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------------- ----------------- 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access -------------- -------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------- -- ----- ------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection - -------------- ----- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ -------------------- ----------- ------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------------------ ---- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------- ------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - ------------------------ 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------ -------------------------------------------------- 30. Service -R ser Conductors & Ground -Main Disconnect ------------- - ---------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Licht --------------------------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------- Date ---------------------------------------------------Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation •------------------------------------------------------- - -- -- --- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet ---------- -------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ------------------------------------------ - ------------- ----- -- --- -- - - ----- - - - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------ ---------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------------- ----- - - - 41. Bearing Walls over Girders & Floor Nailing -- -- - --- ------------------------------------------------------ ----------- 42. Draft Stop in Walls (rat proof) ----------- -------------------- ------ ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---------------------------------------- ----------- ---- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55 Siding -Nailing Veneer -------------- _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows •------------------------------- - Date _ _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- ------------ --- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------- ---------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ----------------------------- 66. Elec. Trim & Subp anel: Breaker Sizes & Labels ----------------- ------------ ------------ ------------ 67. Stairs &Rails 68 Fireplace or Stove: Clearances -Hearth - - - - ------------- ------------ ----- ------- 69. Elec. -Outlets-at Wood Panel: Int. & Ext. --------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------------------- 72. -------- ----------72. Garage Fire Door: Swing -Landing -Closer --------------------------------- --- --- -------------- 73. A.C. Duct in Garage -Damper_ _ 74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection - ---- ----- - ----------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes •------------------------------------------- - 78. Guard Rails & Deck Construction -Post Caps 79 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 80. Following instld._Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----------------------- -------- 81. Stucco: Brown -Finish _ 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ----------- - ------------------- 85. --Exteri-or -Elec.--Trim: G.F.I. Receptacle -Underground --------- ----------------------- ---- 86. Ventilation Throughout House ----------------------- 87. - - ------------------------------------- 87. Glass Protection - ---- ­----------------------------- ------ 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ------------ ------------------------------- ------ ---- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- 91. 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 • PERMIT N0. Address or location of mobilehome 4 3 3 �• -' L r r Owner's name �. r✓ r �� Owner's address - Insignia or hud number Manufacturer's name Serial number of V.I.N. /5O -7L/ K Year of manufacture `6 y 41 17� t 3 � � -7 2-- (Officio A ofgaInstallation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. tort'rn•-+K:.3:c'1.1�nv"i;.,.��;-•rKi�"".. ...rwe .... �r�' -+'>.. •...r ., .. •. ..-.^%'--''ir��-'�'iscvC`--n.-wisJrlrr^J�y7�' f COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE IF 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 notify this'office when correction of work a, is completed. If you have any questions pertaining to this matter, or need additional explanation, pl/easee c act this office immediately. I— i <— I.. fi ,1-'A c i"V, be C4 �'- G �>v, �'i orf -�r i.: r ' 6 y' c" 2� a. - Date 3 -// 7/ Inspector REV 11/91 f • COUNTY Oft BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872=6307 1 i 1 CORRECTION NOTICE VNER PERMIT NO. t: A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office "? when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this off' a immediately. aw 7F-- Inspector Date v' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918.'538.7541 APPLICATION AND PERMIT PERMIT NO. 3514-91 / ASSESSOR PARCEL NUMBER ZONING 58-22-29 f(_ S BUILDING PERMIT OWNER AARON ELLIS TELEPHONE 533-6580 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 P.O. BOX X8CHICO 95927 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING A 5S Permit fee $ 20,00 4 3 CEDAR RANCH LANE OROVILLE PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome® Other Mobile Home I S I G I W @ 15.00 SPECIFY TYPE OF WORK New Ir Addition ❑ Remodel ❑ Uti lilies ❑ Installation Qj Other ❑ Permit Fee $ Describe work: ME -7, I --ONE BEIRM _ Contractor (ME H�3513 ql� ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.&\ 3.6dsq.ft. I declare under penalty of perjury (Check One): OR AODNS. ACC. BLDGS. II ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CON -9 ULT"OUT LET NO N.R ESI BRANCH CIRC ITS @ 5•00 and Professions Code and my license is In full force and effect. PA (POER APRATUS tri SINGWLE OUTLET CIR. / License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES 20 76 LSI I`fl\(�I 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.I EA.� I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolin g rwI shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ JI provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating 70.00 to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above boned property for inspection purposes. OCC CONST TYPE I also ee to save, ind f and keep harmless the County of Butte against TOTAL FEE $ 105.00 all Iia i ities, judg en o s, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE agai aid Count s quence of the granting of this permit. v X Date l�~ This permit is hereby issued under the applicable provi- Signature of Applicant — Owner2f Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA over 5'0" deep and demolition or construct- v work�indicAatea ve for which fees have been paid. f ion of strucurestover 39stor�esoin heyFattions F Uch WORKS BY Date 2� Receipt No. 1912 PERMIT EXPI • E Date f3—Gj — WNITC-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER -^�'�•r ,� ..nr, .. k�,1.�`iv c ;yew '-.'i ��' ..��,..rr.- w.fs;,tir,;r};,etiros,f'Yr :`�F;wl�i•+arail! '�TYY�..R,.�'fti COUNTY OF BUTTE % DEPART ENT,OF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE�OROVI SLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 8'PERMIT'APPLICATIN'tATA SHEET SA/ Permit No. ( �' A. P. No,- Proposed Building `lyse fyl' �' Building Inspector Date 4912_�l At time of;permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � DATE RECEIVED AP�ROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. gineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions ................ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... — 12. Park fees paid .................................................... f 1 ' School District fees paid ..,.. o? 9�_ 14.•,Sanitation approval from ' Health Department 15.'City of Chico plumbing permit ..................................... ^+ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for,,(A) Use: (B) Parking: ' ...... 18. Improvements -may be'required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for --''" required Pre-inspec. request to �„•• Building Inspector o (Date) 21. Contractor's -license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter f signature ayZhorization/�7�. J ......................... 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office Deliver w/inspector. Other t Applicant Date �� Z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent �j Health Dept. Fire Dept. Other Date By The following data must be submittedr t permit issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. o. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoneJnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by / Date Plans approved by 61i Date cyl Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 'PERMIT NO. 1` ASSESSOR PARCEL NUMBER -" ZONING BUILDING PERMIT OWNER /� ELEPHO E J2 SO. FT. OCq. I BUILDING VALUATION OWNERS A LING DOR ESS /f ,y` �///• _ CONTR AC OR•5NAME� TELE ONE CONTRACTOR'S MAILING AODRESS Fireplace 1 CONSTRUCTION LENDER UNKNOWN Total Valuation . S LENDER'S MAILING ADDRESS Filing Fee 15. Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ OrO ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ But LDIN ADDRESS Permit fee $ �O�O PLUMBING PERMIT Filing Fee ' 15.00 Each Trap - S.00j Solar or heat pumo water heater HT0.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7,001 Each qas water heater or vent I 7.00 USE F STRUCTURE SF ❑ Ouplexi 1 Mobilehomej Other SPECIFY Gas piping system 1 - outlets j 5.001 Building sewer 15.001 Mobile Home 1 S ! G @ 15.001 TYPE OF WORK r�( New:_ Addition Remo ei;_ sties 1 � Installations \ ther ` Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): _ ! I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) _ I, as the owner, am exclusively contracting with licensed contract- (Sec. 7044) ors.Misc. L I am exempt under Sec. Business and Professions Code for this reason Main service ZOCA?D 1000A. I I 37.501 •1E'IV CONsi. CWELL:NG CCCJP.y` i OR ACDm S. vCC. BUGS. 'IE'N _ON37P• '•lr '— LTLE� -JON-acs:^. 3F.NCH C:4C"ITS 13.5asq.ttj I@ 5.001 I Or ER Po 4RA-(.:1 3*,,TLET _:R, / Ex. OCC; c(o1:-LFTs OR. =;.ATJRES j ' -o a 75e RAI 7 G ' Ex. Occuo.0:�;E=-==-HSIDJ)REA.� I 3.00 Temporary service I 15.00 Mobile Home Facilities j 15.00 Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for S100.00 (valuation) or less. U I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. J I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such[_Permit Provisions or this permit shall be deemed revoked. Contractor — MECHANICAL PERMIT FiIingFee 15.00 Heating I Cooling Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes, I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner i Contractor Lr_ Agent ❑ An OSHA permit is required for ezcavat.ons over 5'0" deep and demolition or construct- ,on of structures over 3 stories In height. Mobile Home installation Fee $ Energy Inspection Fee $ occ 1 CONt;T ryPE ; I: .TOTAL FEE $ D nAz: 0FEES IMI' I FLOOD iC1 I PARCEL IPO i I Ho i ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By __ PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.//Z `='•rC•O. P.'n., Tf;L tUW•-9�C730P, o:VF-•r9P[C TAR, ;OI.CEN POa•AP-I_If,ANr I 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _. 2. I av have not signed an application for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have'hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security u ber Date 10-1 ` V - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. % 'S� • This set of plans and specifications MUST be kept on the job at all times and it is unlawful tc - make any changes or alterations on same with. out written permission from the Department of Public Works, County of Butte. �- L J LI NOTE.—AU Materials & Workmanship Shall Be in Atzordante with Recognized Good Practices and of a quality pre seribed for the Specified use in the .uniform Building, Plumbing &. Mechanical Codes and the National Electrical 'Code. r . A setback of l�ft. from the property lines and a setba-.k ul' 50 ft. from the road centerline shall "e clo-ar of i r structures or equipment except for a 2 ft. eave overhang. AVA ; X permit will 6e require4 for the installation of the mobilehome, IM CC G. tL-w'' +•-roc. MH 1 * 3S- qjr BUTTE COUNTY BUILDING DEPAR . ' 1 APPROUVED BUTTE COUNTY, DEPARTMENT OF -PLZBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 5387-7541 MOBILEHOME INSTALLATI 1. Yowner's Name: c 2. Installer's Name: F� 3. Is the site currently under permit? Yes No (If yes, furnish permit number. 3a "` / ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of -all setbacks and easements? Yes No (If no, clarify P 5. What is the mobilehome electrical rating? --------------- - Amps 6. What is the mobilehome site service rating? ------------- 00 Amps 7. What is the mobilehome site circuit breaker rating? ----- ✓ �� Amps 8. Is there any other electric load to be 11 rved by the t mobilehome site service? -<`-- --L-�`�- Yes © No (If yes, identify the load and size: (Load) ,•00 (Amps) 9. What is the mobilehome site gas pipe size?--------------'� �w (in.) type g ? ---------------- 10. What is the t e of as service --- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) *'12. What is the mobilehome gas demand?'---------------------- (BTU) *(This information not required if pipe length less than 6 ft. o natural gas or less than 50 -ft. on LPG.) BUTTE C06NTY ` BUILDING DEPARTMENT APP`0�E® MOBILEHOME SUPPORT DATA If other than single wide, ��� Mobilehome Mfr. furnish Setup Model No. Year i_ Width ` (ft.) Box Length_66�_(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's -installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Fl� Wood -pressure treated or foundation grade.7 2. Other (specify) SUPPORTS (check one) Zi. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openinits: Size -Min. ---------- Size -Min. ------------------ Spacing-Max - --------------- Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size-Min------------- Spacing-Max - ------------Spacing-Max----------From Ends -Max .------- Line 3 Roof loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line S Roof loads: Size -Min ------------- x „x „x „ „x d ,k „ „x „ „x ,I Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- nx n Spacing -Max._______________ From Ends -Max .------------- e S Piers: (Under Bearing Walls Only) Size -Min .------------------ „x „ Spacing -Max.--------------- From Ends -Max .------------- y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CentAr Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER 58-22-29 ZONING FR 5 BUILDING PERMIT OWNER AARON ELLIS TELEPHONE 533-6580 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 3198 CHICO 95927 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ ,4&;ge Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20, ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4033 CEDAR RANCH LANE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ;-7- i Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home@ 15.00 45.00 TYPE OF WORK New 1 jj Addition ❑ Remodel ❑ Utilities o Installation[] Other ❑ Describe work: OAiE BDRM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (rf7 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA1 37.50 NEW CONST.(DWELLING OCCUP.&) ACC, BLDGS. / 3.6Qsq.ft. NEW CONSTR. ULTI.OUTLET NO N.R E SI Q. BRANCH CIRC ITS @ 5 00 POWER APPARATUS IN (SINGLE OUTLET _,R. ) Ex. Occup( OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15,00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (�t1 I shall not employ any person in any manner so as to become subject LP' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also aI to save, ind fy and keep harmless the County of Butte against all liabi ies, judg osts, and expenses which may in any way accrue agains id Count sequence of the granting of this permit. e� %� Date `�'Z ' / Signature 160- of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoineheghtions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 128.50 HAz 0FEES IMP FL CDF PARC P H ISS This permit is hereby issued under the sions of the Butte C unty Code and/or work indicate ab e f ich fees I 2 OR F P LIC By I PE IT EXPIRES,/Date applicable provi- resolutions to do � have been paid. WORKS "l Da e T Receipt No. IQ] aS3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .7G': . � -.:.r_ „ ,„� � d�Ty. �`r�ti,6i;i� ��*t"�i��.. v.,..•rr+v..+.•�aj :1.:/4,7�`�.ray� - � .y,,,.y;.^-:,irv�,..rp:.r.� COUNTY OF BUfi,TE - DEPARTMENT OF PUBLIC WORKS - BUILDING, DIVISION 7 COUNTY CENTER DR -WE - OROVILLERCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOI( DATA SHEET Permit No. OWNER /1-0 N t�C� A. P. PJ o. J `G Proposed. BuiIding Use Building Inspector Date , f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance.., 1. All items have been submitted . .................................... DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... . 10. Fees of $ 11. Chico Urban Area fees paid .................................... 12. Park fees paid .......................................... ........... ` Schon District fees paid ............. . Sanitation approval from 09-0 : Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. 2_��Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �o- Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization ................................... 26. , 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other / Applicant .Date ! Copy of Hdz-Mat form sent Health Dept. Fire_ Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. ' Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional. items required: M Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet ✓ AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CentOr Drive - Orovilie, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR' PARCEL NUMBER 2-_ Z OWNER ZONI BUILDING PERMIT rEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER' V ILIgIG ADD RESS COhVACTOR'S N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 CONSTRUCTION LENDER UNKNOWN Total Valuation ^S LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Q t ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee S Penalty $ BUILD I GAD ss e -Al /VT Permit fee $ PLUMBING PERMIT FiiingFee ` 15.00 Each Trap 5.001 Solar or heat purr,p '.eater heater 2C.00 LOT NO. SUBDIVISION NAME P4RCEL MAP Water piping Each qas water heater or vent 7,001 I 7.00 USE OF STRUCTURE SF ❑ Duplex JMobilehom Other SPECIFY Gas piping system 1 - outlets 1 5.00; Building sewer 15.00I Mobile Home I i G b @ 15.001 , TYPE OF WORK New_ Addition'— Remodel I Utilities Installation[ Other a Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): _ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License'jo. Classification I, as the owner, or my employees with wages as their solecompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) C I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) U I am exempt under Sec. Business and Professions Code for this reason Main service 20CATO 1000A, I 37.501 NEW •:ONsc. cWELL;NG CCC JP. y\ oR sC✓^I S. ACC. SLn;S. -I EW :ON S'R- '•1G_7:.O:. T L=, •4ON-RoS: C. ?R --,CH r::4C"1T5 i j3.sasa.r.j I@ S.00I ,:-O0,ER APCIARATUt;- ' �� l-;rJGLOTLET ::R. I I I Ex. OCC;;:�(ouTLETS OP. =IATJRES a:0@75Al a Ex. Occua. :;ATE =-_?=ESID;REA.) I 3.001 Temporary service j 15.00 Mobile Home Facilities j 15.00 ,Q Misc. Wiring 15.00 j Permit Fee S — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for S100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance ora Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi!ingFee 15.00 Heating I Cooling H000 ; 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Date Signature of Applicant — Owner i Contractor C Agent ❑ An OSHA permit ;s required For excavations over 5'0" deep and demolition or construct. ;on of structures over 3 stores In height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC I COrI�;T rV'PE , TOTAL FEE nAC.0FEES I IMP FLOOO COF I PARCEL PO HO Issue I This permit is hereby issued under sions of the Butte County Code and/or work indicates above for which fees DIRECTOR OF PUBLIC By _ EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS DatePERMIT I Receipt No. TELLOW-ASSESSOR• PINx­5P£CT0R• 4OLDEMROD•APPLicAMr I COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 -An "owner -builder" building permit.has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majo labor and erials for construction of the proposed property improvement &I or no) 2. Iv "have not signed an application for a building permit fob- ! proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.` I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner _ Social Securi Date /0 — Y, ty NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set of plans and specifications MUST be kept on the job at all times and it is unlawful tc make any changes or alterations on same with- I out written permission from the Department of LPublic Works, County of Butte. \ NOTE:—AO Materials &, Workmanship Shall Be in Atcordarfee.-viA Recognized Good Practices and of a quality prescribed for, the Specified use in the ,Uniform Buiiding, Plumbing &.Mechanical Codes and iAe Notional Electrical 'Code' Aloyne A setback of g ft. from the \ property lines and a setback of . 50 ft. from the road f� centerline shall be clear of f { I structures or equipment except for a'2 ft. eave overhang.AdA CcF.orz- of Au EA_ 56116CTS, fi �I X permit will 6e requireil for flee q% f installation of the mo6i1ehome, r' BU7"j'E COUNTY INNi �� BUILD ING DEPaRTMEN APPR VE� «.a.a....i.....,.�r..Fx....®a�.u.:w.we.,s—' -" -�...,.-uv�......e_ _.....i��.t r . a. ... +. ......,.....:..Jce_q�ie .s.\ ...., .. _a., .....�s:tg.ztk. ns. .n:Y-xsw�s�>MaYY�xi�?ar:U.wi �ffi4,sx. - : •'t>sni8vwf....... TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance s Location AP# Owner L° C"oC6Lc) Plan Approved for: Hold final.for: Sewaqe Disposal Water Supply ^anal clearance O.R. for: Clearance.for �bedroo mobile Other NOTE Saal-tarian Water Supply Water Supply APPROVED Butte County 6MVIronmental Health DatY a --------- Signature e le O 0 40 APPROVED Butte County 6MVIronmental Health DatY a --------- Signature e le O 0 Return to DPW. AGRICULTURAL STATEMENT OF ACKNOTWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte, County Code requires this acknowledgement. be recorded prior to issuance of a building permit. — - - The property described herein is adjacent 91-046253 to land or included within an area zoned ; Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- Count of veniences or discomfort arising from the Y use of agricultural chemicals, including,- Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 2:42pm 4 -Nov -91 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 9 1 "46255 �?c. I Rec Fee 7.00 1 STF 1.00 I Cash 8.00 I I 1 1 I XX 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that .real .property. situate in the.County of Butte, State of California, described as follows: Date: /0 -C' / State of ) On this the4 day SS. undersigned Notary Pub County oj�&&_'_) - Qe , r.. u........uuuu.........■.....0 •• w ' OFFICIAL SEAL • LUCY A. PERSHALL m ; a NOTARY PUBLIC - CALIFORNIA r BUTTE COUNTY mar'' My Comm. Exp. Jan. 10, 1992 ........................................ PROkRT 1/L of (0, 19 before me, the l c, personally appeared Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged executed the same for the purposes therein contained. WHEREOF, I hereunto set my hand and official seal. that IN WITNESS Present A.P. No. - Z2 - Z� -� Notary Public r der No. P-31102 -KD ?age 4 S CHEDU.LE C The land referred to herein is described as follow•• J . All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: Parcel I: Parcel I, as shown on that certain Parcel Map filed in the office of the Recorder, County of Butte, State of California on June 18, 1978 in Book 57 of Maps at pages 75 and 76. Parcel II: A right of way for road and utility of land 60 feet in width, the centerline of whichses is descriibedover arip as follows: Commencing at the quarter section -corner common to Sections 2 and 3, Township 22 North Range 4 East, M.D. 50' West along the East and West centerline of;saidnce Sectionh , a g distance of 95.60 feet to the point of be 3. a sa centerline; thence along the centerline of1said 60ofootlright of way, South 41° 30' East 7.39 feet to a cruve concave to Southwest, having a central angle of 90 501, a radius of 500 feet, a tangent o1 43.01 feet; thence Southerly along the arc of said curve 85.81 feet to its Southerly terminus; thence South 310 40' East, 67.59 feet to a curve to the right concave to Southwest having a central angle of 90 43', a radius of 500 feet, a tangent of 42.50 feet; thence Southerly along the arc of said curve 84.80 feet to its Southerly terminus; thence South 210 57' East, 5.44 feet to a curve to the right concave to the Southwest having a central angle of 13* 491, a radius of 400 feet, a tangent of 48.46. feet; thence Southerly along the arc of said curve 96.46 feet to its Southerly terminus; thence South 80 08' East 152.69 feet to a curve to the left concave to the Northeast having a central angle of 380 01', a radius of 300 feet, a tangent of 103.35 feet; thence Southerly along the arc of said curve 199.06 feet to its Southeasterly terminus; thence South 460 09' East, 3.35 feet to a curve to the left concave to the Northeast having a central angle of 120 radius of 700 feet, a tangent of 74.70feet; 11' a thence Southerly along the arc of said curve 148.85 feet to its Southeasterly terminus; .thence South 250 17' East, 283.24 feet, more or less to the intersection of said centerline with the centerline of the existing County road and the end of said centerline. Excepting therefrom that portion lying within the bounds of Parcel I above. PARCEL III: An easement for road and public utility purposes over Parcels 2, 3 and 4, as shown on that certain Parcel Map filed in the office of the 'recorder, County of Butte, State of California on June 18 Book 57 of Maps at Pages 75 and 76 above. 1978. in ._,..•vt's4l���esu�,s..__.......w.r��,.+�:i7c#��`�'�.J.!�I+aG?�,f� �iF�t��:'i:�y'�f�'e'�4�i 'AP # Z 2- 014NER `� 9 PERMIT it 35l Z.— NH UTI.L.CLEARANCE DATE L,�- �6 1 INSPECTOR ELECTRIC , GAS Support Struc. Compaction Test eq. Service Other Pipe YES NO YES NO Size- Load Tvve Size Length wet/ �Y lo -O d •rte - is .. f.r .� i• }a.•. ..,x a'r.y..,.Y.•-•v,.-;-•,,�•: .-wH'��"� --�.�+.•. Y,Mw+'�a�h:l+F:�e'�„"r%.�r'hwy, +o .:a-' e._ .r r L f y. t 'if+j-v.a:'7:yr7t.inb�I` .n-Imri'• BUTTE COUNTY SCHOQLS DEVE'LO?MENT FEE CERTIFICATION FORM .0 O> a p. doZ '(One Form per Building). A.P. Number --p�� Building Department No. School District t) 4 J City,,Q County Jurisdiction Property Owner Project Location/Address C.:��j,4,� / /�� 6,e - Subdivision Lot Number Residential Development: �� Sq. Footage x ' # of Living MHI Addition (Group R) Units - id3lp e+ovns Commercc a?%�In�cus'trial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative at (Floor Plans reviewed by School District Personnel) District Id No. 1 920405 , School District certifies`' that r- n n N V-0JJ-(OJ (Applicant Name) PhoneiNumber has complied with the requirements •of. Resolution No.�� S; — by t payment of $ 76 representing square feet. P akd?q4Z $c1946l District Representa e Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)