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058-330-062
;C 8-330-062 PERMIT#97-0431 S NE, Donald t} ovelo Ct . , Concow S /� /o Mobile me Utilities CTRTr .9b C W, 11� GAS LINE /-/'G /Y COMPACTION TEST RE SUPPORT STRUCT R 058-330-062 #98-2641 SHANE,D ALD 46 CO OCT. CONCOW O R �aM FOR MHU 97-04311u5S 3130 U62 08-145U MISCELLANEOUS Demo -Fire DEMO DUE TO CONCOW FIRE 46 COVELO CT MADSEN, RICHARD 058-330-062 LAND DEVELOPMENT SHEET T Sor�Q44141r) RESIDENTIAL 058-330-062 PERMIT#97-043-1 - I SHANE, Donald Covelo Ct., Concow Mdbilehome Utilities 617 0 4j Ln C'_ t - 4 i OFFICE COPY f Address f GAS Meter By Date ELECTRIC Meter By Date �7 i 1 JOB FINALED (Date) Signature / V=OK O = Not OK Not `=NotRepady MOBILE HOMES Date MOWLE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements Soils; Special MH SupportSketch Sewer, Location-Test-Fall-C/O-Concrete'211 I Water, Location -Test -Easement Needed (Sketch) Si Electricity;Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; tion-Test-Wfrap; � `% /Nat. or/ /"L°ft./ , G i Well Clearance & Disconnect ' 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors _ Shthg.-Rfg: Bracing 5. Alum. Awn.; ColumnsConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rfhs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Dateand B-1 ) Date Card B-1 11. Ext.; Steps -Doors Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s k Zpntng Requirements- Setbacks Easements Date Card B-1 Date Card B-1 F9oti'ngs; Sine Spacing -Marriage Line + Date Card B-1 Date Card B-1 ,,as; MH Test -Demand Valve -Connector Date POOLS (Plans) OK except #'s -- - tricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability r; MH Test$eBetater-Connector 3. Pool Structure; Steel -Connections -Thickness ,Wster and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance -GR Ti owns -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 4olri. Cert of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date ' ,5 Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test ig 1 Date Card B-1 Date Card B-1 Ai Lam. Date Card B-1 Date Card B-1 /3 oo6Ya� _ OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not P Ap liC.H. Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steela/Vrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Fib., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Insulation -Foam -Looked in Attic 30. Ran je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties-Purlin-roff Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Fib., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i 958-330-062 PERMIT#97-0432 r)r iEVELOPMENTSERVICES - BUILDING DIVISION SHANE, Donald i. Covelo t . , Concow • allfornia, 95965 -Telephone (916) 538-75g�, •pE��� r Mob(Q ilehome Installation +� DNANDPERMIT L � NING - 'F=R 101E BUILDINGPERMIT TELEPHONE DONALD SHANE 892-0773 SO. FT. OCC. BUILDING VALUATION W_ OWNERS MAIUNG ADDRESS 529 IVY ST #1 CHICO, 95928 - CONTRACTOR'S NAME TELEPHONE CONrRACTOR'S MAILING ADDRESS 1 J CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace ARCHRECT OR ENGINEER LICENSE NO. Total Valuation $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Filin Fee $ 20.00 Permit Fee $ SUILDINGADDRESSPlan Checkin Fee $ 4� COVELO CT Energy Plan Checking Fee i CONCOW _ LOTNO. SUBDNISION'SNLME PARCEL MAP PERMIT FEE PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF El Duplex ❑ Mobilehome EJ Other Solar or heat um water heater 23.00 SPECIFY Water piping 1 5.00 TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CK Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work: 2 BEDROOM 1 BATH Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filin Fee '2 0. 0 Main Service a00V OR LESS 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service YOQA TO I000A 48.00 I herebyaffirm under penalty of perjury that I am licensed under provision of Chapter P tY P 1 Y p P 9 (commencing with Section 7000) of Division 3 NE`" CONST- ( D a°ACC. UDS. P' OR ADONS. of the Business and Professions Code, and my license is in full force and effect. "E' CONST. MULTI-OUTLET NON-RESOD.SSRANC @7.50 License Class Lic. No. sP3WELEOPi RATIET CIH, OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am Ex. Occup. OUTLET OR FIXTURES L.500 eAl 0 exempt from the Contractors License Law for the following reason: FIxED APPINS. OR Ex. Occup. OUTLETS RESID. Ep 5.00 10 I, as owner of the property, or my employees with wages as their sole compensation, Temporary Service 23.00 will do the work, and the structure is not intended or offered for sale. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring to construct the project.23.00 ❑ 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following MECHANICAL PERMIT Filing Fee 20.00 declarations: ❑ 1 have and will maintain a certificate of consent to self-insure for workers' He`eting compensation, as provided for by section 3700 of the Labor Code, for the Cooling performance of the work for which this permit is issued. Hood ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance for 8.50 Ventilation of work which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number PERMIT FEt $ (The above sections need not be completed if the permit is for work of a valuation Mobile Home Installation Fee I $ 100.0 of one hundred dollars ($100) or less.) Energy Inspection Fee $ is I certify that in the performance of the work for which this permit is is_ued, I shall not employ °C0 CONST. TYPE TOTAL FEE $ any person in any manner so as to become subject to workers' 143.00 compensation laws of California, and agree that f I should become subject to the workers' compensation HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE provisions of section 3700 of the Labor Code, I shall forth ply with those provisions. This permit is hereby issued under thea G 1 ro.-i. PP R:.. gio,,_ _ X ( Date Pi 10 .. ," -.n&.,- of the Butte County Code and/or Resolutkmg 0 do work ____ —are rqa + Signature o pplicant - Owner ❑ Contractor ❑ Agent —T(– indicated above for which fees have b@en'p$i�. An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. By Date Receipt No. 210217 - WHITE-D.D.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANT PERMIT EXPIRES ON efe MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: 1 Name: Owners: nJ Address: Mobilehome .-7 �� Year of J �. Manufacturer �i r �' tet. �a y G� Manufacture: Serial number /f J or V.I.N. �f r�L-) Ig 41 Insignia or HUD number: Official approving installation: J Date: If the mobilehome is movedor 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 -Bldg., Gold -Assessor _..�. :.. .. +-. A,..1 . e.. 7 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916458-7541 APN: PERMIT NO.: Owners: ' i �s. Name: 't �J� Owners: Address: Mobilehome t Year of ; Manufacturer / / Manufacture: -� i Serial number Insignia or or V.I.N. j HUD number: Official approving installation: Date: 1 I 1 t;,4,0 / /. fir' 4.,.-.. — 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 -Bldg., Gold -Assessor COUNTY:OF BUTTE _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 pk CORRECTION NOTICE .c o OWNER PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately Date 4_ - — Inspector REV 10/92 CERTtEI_CArTE QF ANCHOR INSTALLATION Tide 25 CCR MoNshom Parks Act Section 1326 (b)(3) I canify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or -during the installation, and word installed in accordance with the manufacturer's installation -instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer. (' ga6t� Model: %� S�� I o''7 Installed. by: L�'� Date: Contrfl.gr ��U license No.::. 7 SF- 78 i COUNTY OF BUTTE- DEPARTMENT OF ®EVEL6PMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P R T� O. 1 (Rev. 12/96) APPLICATION AND PERMIT 7 ar ASSESSOR PARCEL NUMBER 58-33-062 ZONING FR],0 BUILDING PERMIT ::.2" q OWNER DONALD SHANE 9100773 SO. FT. OCC. BUILDING -VALUATION - OWNER'S MAILING ADDRESS 529 IVY ST #1 CHICO , 95928 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS AJCOVELO CT Energy Plan Checking Fee $ ,,1 CONCOW $ PERMIT FEE $ 23. 1 00 LOT NO. SUBDNIS DNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑Y Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home XV @20.00 PERMIT FEE S 80. ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: til I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 em exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ' h qomply with those provisions. X1/�dl` r Date YVI��C N f 0— Signa Owner ❑ Contractor ❑ Agent I / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( OT3.50FT. ACC. S. NFW CONST. NON -RES D. AN, @7,50 PowER APPARATus 8 SINGLE OUTLET CIR. 2O 0 @''00 Ex. Occup. OUTLET OR FIXTURES 8A 0 .0 0 A NIS Ex. Occup. OUTELETS RESID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 Misc. Wirina 23.00 PERMIT FEE = 3.0 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ X16P.00 HAZ. I D. FEES I F 0 D I CDFJ PV I PD J.HD LAU5, This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have �--- �Q By 'yD t/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work.' been paid 4 D e 2�j� / 25 _71 % 6 Dafe Receipt No. 210217 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - C0V1gV7.fOF BUTTE DEPARTMENT OFDP�MbPMENT SERVICES -BUILDING DIVISION E 7yC,2TY)CENTER DRIVE - OROVILLE, CAIJIFOR 95965 - TELEPHONE (916) 538-7541 ' PE"IT APPLICA TION DA TA SHEET OWNER: D' _e_ASSESSOR PARCEL NUMBER: '5 � � 3 -3 Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plarrreview) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- 9 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ . pact fees as shown on the attached scheduleLl/feesj4) -- ------------------------ -------------------------------- California Department of Forestry plan approv ---- ----------------------=------- �j ,� 13 . Fl od elevation certificate. ---------------------------------------------------------------------------------------- // 4. Sanitation and plot plan approval �rO Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23 er-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- �ierrof'Signature authorization. ------------------------------- ; copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 3-11-9,11 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: ------ When you issue the permit, process as follo s Mail to er, ❑Mail to contractor. ❑Telephone and ickup at ❑ Deliver with inspector. , Applicant: - Date: S— 1 U— -4- y Y Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:' Copy of plans sent. ❑ Health Department, ❑ Fire Departments ❑Other: , Date: By: Index permit application for the above items numbered: 2. Additional items required: I ` I/ ` - ` ❑ Plan Check List Contractor, designer, owner, was advised of the above required datky ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, Was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: ' Contractor, designer own w ad ' ed of the above ruired data b ❑ phone, ❑ mail, ❑ Building D'v' co ter, by Date: Plans reviewed by. Date: 1 Plans approved by: Date: ~- - Sets of plans on hom ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. M E.H. USE ONLY Plot Plan Attache Floor Plan Attached Sent to B.D. 7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance D 14a" cd U,/ -- Owner cation AP# v/ Plan Approved for: ewage Disposal Water Supply: Clearance for), , elling. Other _ Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 Public Private Well 7 z Date COUNTY OF BUTTE - DEPARTMENT OF.DEVE40PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-758,1, IPPR T 0. (Rev. 12/96) APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 58-33-062 ZONING FR 10NE BUILDING PERMIT 'OWNER DONALD SHANE TELEPHONE 892-0773 SO. FT. OCC. BUILDING -VALUATION OWNERS MAILING ADDRESS 529 IVY ST #1 CHICO, 95928 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit ee. $ ARCHITECT OR ENGINEERS MAILING ADDRESS Ian Checkin Fee $ BUILDING ADDRESS COVELO CT n rgy Plan Checking Fee i $ CONCOWv PERMIT FEE t LOT NO. S'S NAME UBONISION PARCEL MAP \ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome b Other SPECIFY EaKk Trap 7.00 S la or heat pump water heater 23.00 r piping 15.00 ch s water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: 2 BEDROOM 1 BATH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.66 Main Service zoonORLEss 23.00 LICENSED CONTRACTOR'S DEC ,L�R TON I hereby affirm under penalty of perjury that I e s un er prove ns of Chapter 1 . q P 9 (commencing with Section 7000) of Division 3 of slness and o essions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION /FIXED I hereby affirm under penalty of perjury that I am exempt from the'Contractors License Law for the following reason: 14 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not infended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury/one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided fpi by section 3700 of the Labor Code, for the performance of the work for/ahich this permit is issued. ❑ 1 have and will maintain wor ars' compensation insurance, as required by Section 3700 of the Labor Code, for he performance of work for which this permit is issued. My workers' compensat insurance carrier and policy number are: Carrier Policy Number (The above sections eed not be completed if the permit is for work of a valuation of one hundred d I ars ($100) or less.) 10 1 certify that in the performance of the work for which this permit is issued, I shall not employ any/person in any manner so as to become subject to workers' compensation ws of California, and agree that if I should become subject to the workers' Com ensation provisions of section 3700 of the Labor Code, I shall forth rr� Ithose provisions. Date X ____ Date I'VlGtte b II () IGJGJ_� Signature o pplicant Owner ❑ Contractor ❑ Agent —T–TT An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3•5¢FT. NEW CONS MULTI.OUTLET ' NON-RESID. C 97.50 APPARATUS a SINGLE OUTLET CIR. OUTLET OR FORURES 200 1.00 Ex. Occup.BAL @ .50 APPLNS. OR Ex. Occup. ourLErs RESID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 I.A D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code end/or indicated above for which fees have By PERMIT EXPIRES ON the epplicakle provisions - Resolutions to do ; ' been'pald. Date Date 11'Receipt No. 210217 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT h s COUNTY OF BUTTE DEPARTMENT OF B.E;Xl ,OPMENT SERVICES -BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMITAPPLICAVONDATA SHEET OWNER: 5 tot-— ASSESSOR PARCEL NUMBER: S S' 3 3 Proposed Building Use: _JW /�{. �! • : Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit prow 111. All items have been submitted ---------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) o faxes! ❑6. Energy Design Compliance and supporting documentation. ----------------------- ------ ---- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------t- -- - ------ ❑ 8. HH dous Material Form. ----------------------------------------------- Manufactured Home data and installation instructions including Tie ❑ 10/Fegs of $ ------------------------------------------ act fees as shown on the attached schedule. --------------------- 2. California Department of Forestry plan approval/fees.-------- ❑ 13. Flood elevation certificate. --------------------------------------- 9; . ❑ 14. Sanitation and plot plan approval Health l 1115. City of Chico plumbing permit. -------------------------- ❑ 16. Plot plan and business license approval from the City, ❑ 17. Planning approval for (A) Use: (B) I ❑ 18. Contact Land Development about ❑ l ❑ 19. Encroachment Permit for driveway (ca 020. Pre -inspection for 112 1. Contractor's license information. (Nw 022. Workers' Compensation carrier and p 1123. Owner -Builder Verification (Given to ❑24. Letter of signature authorization. ❑25. Recorded copy of Agricultural A ❑ 2 tter of intent on building use. - Manufactured Home utility clear Sty ❑ Legal Parcel. ----------------------- :o occupancy). ----------- ---------------- Request to Building Inspector on ration). ------------------------------------ •-------------------------------------------- ❑, Mailed to owner ❑). Statement. ❑28. Existing violations and/or exprr permits. --------------------- 029. 0433 A, ❑Grant Deed, l .H. Title, ❑ Check to $ 030. Other: When you issue the permit, process as follows tl Mail to owner, []Mail to contractor. ising and/or issuance: Date Received By (Date) ------------- 5 / g 9 A15 ❑Telephone and hold for pickup at o ice Deliver with inspector. Applicant: Date: Copy of Haz-Mat form ent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:_ By: Copy of plans sent ❑ ealth Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit app ' ation for the above items numbered: C% ❑ Plan Check List 2. Additional items equired: Contractor, design , owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, er, w of the above uired data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold ❑ Plan Cabinet, ❑ A . folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. t: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER�/' f // S C A, -.e A.P. # Sll 3 3 OG -2— PROPOSED PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................. $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ _tZ2.'SCHOOL DISTRICT FEES v V /( j` paid at District Office) HERIFF FEES (paid at Building Division) 1 Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES _ Z$ :00 (paid at Building Division). 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) PA _411017 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) , 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) DATE 3 —10 -- 9 REC # DATE REC a oz/7 �9 7 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the ✓`" building permit. hese fees may be changed during the -plan checking process. APPLICANT DATE ^' U too? - Original -Owner Copy -Building Div. r (Rev. 12/96) :.r 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) NO[ ]. ' r-2.: I HAVE] HAVE NOT[ ] signed an application for a building permit for the proposed work . 3. I have contracted with the following person : (firm) to provide the proposed . construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. _ S. 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: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should bs aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally rforming their own work than If your work is being performed .by someone other an yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed. as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish; the U.S. Small Business Administration). For more specific information about your obligations under. State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employe -.s, without a licensed. contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are a%,, -are of these matters. The building permit will not be issued until the verification is returned. S i n0erel Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER pp,7 - A. PIP P77 , Wv LTA�R E,45 i �t ,/ •\ '�` � ��� - � ALL STRUCTURES AND EQUIPMENT INCLUDING ; OVERHANGS SHALL BE CL OF ALL EASEMENTS. i A Si SACK OF Ziy F/ '. ROM THE SIDE AND FT. FROM THE REA PROPERTY LINES A� .0 _ FT. FROM THE ROA 3ENTu�SF�.l�'�13y� SHAt M EAB_y� Y..—nn OF ...T_..�t.. i i:iFt�e:j ^.. °i��9�15�,vi��4�' UE EPT —FOR A 2 FT. EAVE OVERHANG. �' t3 REVIEWED BY BUTTE CO. FIRE DEP P) / \ / CALIF. DEPT. of FORESYFYi _t ! ❑ approved as submitted Eyj approved with condition pPr a;thed �sheet.,/SCftL 1 P i ' atv;c Date r �P � FILA D 0 \ altFlre a hed The 5'aie� 4a. V, k `�� WELL = (. —--- require - --- -- _� n _ _ ana approvea pr;o✓osEP Njofl_,cL 14-oo—F, by C.D.F.05 C—O -- i _ �1 /-�40 ia?NF, A, %LSC 1dI=c L'iC LOPLIn.CALlf- i { � APPROVED Butte L T 330 2 SIU E� HUN G ._ Sf Jt."E Butte County 60UELU court t �L Environmental Health Bu 1 C• S fU/�L !: t t)/hT0/�oiE/i l'rSI�tJ /�� /� _ C' t ? 1 C —✓--------- 0 -- — l� Eff P DateAPPROygpl � i i i CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance' must be provide for by the land owner. Driveway Standards 9(] 1273.02 Surface. A11`driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. I 1273.04 Driveway Radius [�(] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ['] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot 11 traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of -1-. IL II �l sem'- 3 3 -� 2- 92 -o k(3 / S y✓� , D o.v AP # PERMIT #. NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near"the midpoint -of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more. than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [1C] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�C] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall"ba completed prior to completion of road construction .)r fi:lal inspection of a building permit. Page 2 of 3 AP # 9 7 -ate 3 ( JS ,4 �0Vr _L,6 PERMIT V NAME [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with .insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not.to exceed 0% of wall area toward -property. line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [] r Page 3 of 3 Z w y L o�;hti JvVv � q°fie e0v CW pW�. Na" a vh��0 O•It 1 N l Q 9< OV• O C v 041h1 (1�n�• et' Q N WM�V �2 Jw o Gni 0 ZJm ro toy oy� �a I Vd j W $ o 1 / LO/£SE,56 '[dQ' Cbl LN I I � li Oh C w \\\ •O vIM`°I1� I �� n V ° W ofh, � uo W °/ o� O rt t• •.b�i�. iWW •� Q �W Zu IQ 41 ku Ac 14 14 �• h � 1 �'`� r' a�'• — Wo � ti �� : r. 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I �:,": `' � Permit Issued to BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 Telephone (916) 891-2727 Telephone (916) 538-7281 lt0-4 L -f ' " E, 611::�' Date Issued - — ;P -J ` � / EXPIRES ONE YEAR FROV DATE OF ISSUANCE sl 6'�V 9 s�� To construct a sewage disposal system f r: ,�- �C ��'� H o Located at: (' A.P. # �S " SEWAGE DISPOSAL SYSTEM REQUIREMENTS SEPTIC TANK LEACHING FIELD Liquid capacity: e 0 ) all ns Total length: �� feet G n c �-� -� 'y - Material Trench width: inches Minimum No. of lines: I' Rock under pipe 6� inches Special conditions: Additional leaching field will be required if experience shows it to be necessary. No part of the system may be located within 50 feet of the center line of any County Road. NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. Permit Fee $ 2-' �j ; Penalty Fee $ Additional Fee $ Receipt No. - _ 2= 1 / 45� d S31 - 278R (Rev. 6/94) 2— 'J TOT FEE $ . Issued By: ENVIRO ENTAL HEALTH SPECIALIST And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 �AR 111997 97-008877 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides. and fertilizers. and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessan' farm operations. All that real property situate in the County of Butte. State of California. described as follows: Date: Y�G� 12 0�1 I l 161(71 I PROPER O RS: S X1'9 VI L State of California ) County of ) On 3 7 before me, IVG7-PQ;u PL-A/1'C- 0 personally appeared -S AZA - person. * known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is/.,s subscribed to the within instrument and acknowledged to me that he/sbeAhtTexecute the same in his/ba*kfte t authorized capacity(ies7, and that by his/herMwir-signature(,s�on the instrument, the person or the entity upon be the rerson f acted, executed the instrument. �� ` WITNESS my hand and official seal. Signat A. P. # 0 ` Z3�0b" 6* Z MAWC GRAGG • COMM. # 102M2 +� Seal:Notary Poe — Castornlo BUTTE COUNTY QP'M'V Comm. Eq*sa MAY 22. M ORDER NO. BU -155471-2 VG DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 94. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER COVELO COURT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1982, IN BOOK 89 OF MAPS, AT PAGE(S) 94. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS* OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 10. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EITHER SIDE OF THE EAST LINE OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 10. I; PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT A POINT IN THE EAST LINE OF SAID SOUTHWEST QUARTER OF SECTION 3, TOWNSHIP 22 NORTH, RANGE 4 ;i EAST, M.D.B. & M., WHICH POINT BEARS NORTH 00 DEG. 12' EAST, 30.00 h FEET FROM THE SOUTHEAST CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, PARALLEL WITH THE SOUTH LINE OF SAID SECTION 3, NORTH 89 ' DEG. 54' WEST, 512.00 FEET; THENCE NORTH 76 DEG.' 45' 30" WEST, 137.00 FEET; THENCE NORTH 36 DEG. 31' 30" WEST, 292.68 FEET; THENCE NORTH 65 DEG. 53' 45" WEST, 63.25 FEET; THENCE NORTH 89 DEG. 44' 45" WEST,.164.53 FEET; THENCE SOUTH 58 DEG. 53' 15" WEST,, 170.15 CONTINUED PAGE 4 ORDER NO. BU -155471-2 VG PARCEL V: CONTINUED FEET; THENCE NORTH 73 DEG. 24' 30" WEST, 107.94 FEET; THENCE NORTH 30 DEG. 00' WEST, 300.00 FEET; THENCE NORTH 20 DEG. 00' WEST, 300.00 FEET; THENCE NORTH 25 DEG. 00' WEST, 269.40 FEET; THENCE NORTH 35 DEG. 00' WEST, 100.00 FEET; THENCE NORTH 10 DEG. 00' WEST, 200.00 FEET; THENCE NORTH 25 DEG. 00' WEST, 392.00 FEET; THENCE NORTH 80 DEG. 00' WEST, 61.74 FEET TO THE EAST LINE OF SAID PARCEL. PARCEL VI: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EITHER SIDE OF A LINE BEGINNING AT A POINT IN THE EAST LINE OF SAID PARCEL, WHICH POINT BEARS NORTH O1 DEG. 56' 47" WEST, 764.14 FEET FROM THE SOUTHEAST CORNER OF SAID PARCEL; THENCE FROM SAID POINT OF BEGINNING, NORTH 64 DEG. 02' 40" EAST, 204.84 FEET, NORTH 16 DEG. 36' 25" WEST, 222.93 FEET, NORTH 29 DEG. 59' 15" EAST, 122.77 FEET, NORTH 72 DEG. 22' 05" EAST, 195.94 FEET, NORTH 04 DEG. 24' 40" EAST, 161.87 FEET, NORTH 24 DEG. 47' 40" EAST, 417.70 FEET, NORTH 34 DEG. 36' 40" EAST, 100.19 FEET, NORTH '01 DEG. 49' 23" EAST, 148.41 FEET AND NORTH 00 DEG. 12' EAST, 312.75 FEET TO THE CENTERLINE OF THE ABOVE DESCRIBED EASEMENT. PARCEL VII: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, THE SOUTH LINE OF SAID EASEMENT BEING DESCRIBED AS FOLLOWS: BEGINNING AT THE QUARTER CORNER' COMMON_ TO SECTIONS 3 AND 10, TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE RUNNING EASTERLY ALONG THE SOUTH LINE OF THAT CERTAIN PROPERTY CONVEYED TO L.A. SCHAGER, ET UX, BY DEED DATED JULY 8, 1955 -AND -RECORDED JULY 12,.1955, A DISTANCE OF 720.00 FEET; THENCE NORTH 11 DEG. 32' EAST, ALONG THE SOUTH LINE OF SAID L.A. SCHAGER PROPERTY, A DISTANCE OF 147.00 FEET; THENCE CONTINUING ALONG SAID SOUTH LINE, NORTH 56 DEG. 18' EAST, 774.00 FEET, SOUTH 68 DEG. 28' EAST, 445.54 FEET TO THE NORTHWEST CORNER OF THAT CERTAIN PROPERTY CONVEYED TO F.S. MARSHALL DATED OCTOBER 30, 1942 AND RECORDED DECEMBER 3, 1942, IN BOOK 305, PAGE 473, OFFICIAL RECORDS; THENCE ALONG THE NORTHERLY LINE OF SAID F.S. MARSHALL PROPERTY, EASTERLY TO THE EAST , LINE OF SECTION 31 SAID POINT BEING 381.50 FEET NORTHERLY OF THE SOUTHEAST CORNER THEREOF. PAGE 5 LAND DEVELOPMENT =o� BUILDING % ENVIRONMENTAL'RHEALTH'- PERMIT CLEARANCE Building Permit No. NAMERS ,:�n�t n t✓�'�t'b NUMBER: R .� - y PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION:__ E:ya IO FLOOD ZONE: i� FLOOD MAP: I ls-o t APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP 1/ S o/ it c DEED INFORMATION: DATE OF CREATION: 2- 2' DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING 1 2Z-7 / e z LOT 3 BOOK 89 PAGE 9 + COMPLIANCE WITH OLD SUBDIV CON LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES ��// NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. Q 5. Maintain a JPO ft. leachfield setback from -1ni PrU�� - 5 E� 8 / /VI 94) _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. —9. Connect to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ — 12. Meet the requirements.of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Paythe amount � �M . as stated in the Oroville Area Traffic Mitigation Fee Agreement. Psymeni to be nmmAg _ iiao 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic ent foundation system which complies with the Seismic Zone 3 safety. Mobile homes shall be constructed on a perman requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. � 21. s 4 17—' yt- W Lo Ni O -1- Usk-- N -fa c.1 Sr--w&t,c l>15Po;Acc- ,- - 22. 23. 24. 25 26. N 3�8 0 WOO`d1 a3n133311 LO 7/96 CAWPS I TORMS.K\BLOGPERM.CLR OWNER.: PERMIT MH' UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Lenn YES NO YES NO LP Rth %COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541gX-1w-- (Rev. �gER►y�1T1No- (Rev.12/96) APPLICATION AND PERMIT "l O Cpooll( ASSESSOR PARCEL NUMBER 058--330--.062. ZONING BUILDING PERMIT OWNER DONALD S.'.JANE TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 5086, CKCO, CA 95927 CONTRACTOR'S NAME OVA IER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 46 COVELO CT.. COTIM" Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W., Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each oas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: FOR TJTILITIFS PE`v'1-11 497-0431 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PGWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 2 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service Zoog To ,000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. 8 ACC. S.3.5¢FT, NOµq�IS.T. MULTI -OUTLET @7,50 APU 8 SINGLE OUrLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. oFurLEEDTSA Aa DEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 19 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' mply with those provisions. F X Date EI 2 tJ Signature o - Owner ❑ Contractor ❑ Agent V` An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TPTAL FEE $ A43. HAZ. D. MP IFLooD CD PAR PO HD �- ISSU This permit is hereby issued under the applicable provisions of the Butte COU Code and/or Resolutions to do work indiftafAd above f which fees have been paid. By Date PERMIT EXPIRES ON // ate Receipt No. I 1717 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATJOI .�PATA SHEET OWNER: �� O.� ASSESSOR PARCEL NUMBER: Proposed Building Use: I-}. 1 Building Inspector: Date: 1-G At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- Home data agd installation instructions including Tie Down Specifications. �Q Impact fees as shown on the attached schedule. --- - ���1X�1. California Department of Forestry plan approval/fees.-----�p���-�---�j----,--��----�E-� ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. �a❑26. Letter of intent on building use. ------------ (A�L /. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ (Date) 030. Other: ------- When you issue the permit, process as follows Mail to owner, []Mail to contractor. '16Telephone and hold for pickup atI r . ❑��Dnneliver with inspector. wVv Applicant: Date: Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air P,c�ilution ate: By: Copy of plans sent ❑Health Department, ❑Fire Department,❑ . Date: By: 1. Index permit application for the above items numbered: ot— S ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Di ' ' n co ter, by Date: Plans reviewed by: Date: Plans approved by: Date2 ' Sets of plans on hold in o Plan Cabinet, o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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 0 NO C3 2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:'-:`, .'..; NAE s _ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. =' 4. I plan to provide portions of this work, but I have hired the following person to eoord!wft, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to prpvide the work indicated: ; NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:* SOCIAL SECURITY DATE: /,7?6,p I -it NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the, California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. • Cr c- SC- rB.�9CK 4REA. 57 s-mUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. 4SET BAC`. K'OF -90 FT. FRP�4 THE SIDE AND 30 FA R0,11 THE REAR PrAwb=p"ry i nw=Cmun S�� ��\ / . ` / EAVE OVERHA�1�7 FORA 2 H. rp( - 5tw56L AxEA UT t% SC A L I PGS3/3 Th„ att-nchcd Fire Se rie attar;J Fire Safe requirement must be requirements must be compleftd a clssspacffs led and approved sPOciffad and by C 4E f —1D by C.D.F. C.D.F. 11ME CQUNT� A FSOILDING DEPART ;(iseL Sc E P -pi) r ED i /0 X 4 6 & 4 -16 vi t PLOT LEC }IKiQ g -t- I'jETEP\ A pIr 0 '.q APPROVED 90 - 330 - o62 Butte County 1!� 0 iron mental Ith 1.0 fodo+m )-lea e; 2- 19P� i PROP1115EI-) 1-j-D.-T.Sion aT-u*AffTw'hr -7 ------- R . N 1MEAvia DcAe 0 ROVED 'if -Z(o 41 Mobilehome Manufacturer: . 204,Li 6 IZf, - Manufacture Year: If other than single wide, furnish} Seitip Model Number: Width: i (ft.) Length: .5 6 (ft.) Tagalong or Expando Size ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[ V] Other: Provide Tie Down Specifications for all Mobilehomes:na�Yd� Line I Line 2 Line Line Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE 1 Line 2 ..............................................................................................., Main Beams ............................................................................................ 2 Line 3 Line 2 ..................................................................... ................. Main Beams ............... Line 2 . Line I ' or Triple Line 1 Piers: Size minimum: r lxr,, Spacing maximum: ` From ends -maximum] ` Line 2 Piers: Size minimum: [ Zqx[lq I. Spacing maximum: I G ` O ` From ends -maximum. 2 ` O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): e4 ine I Line 1 Openings Size minimum: [ 1,2 ] x Each side of openings with width over: ` O ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` V OVER 0 l 1. Owner's Name: 2. Assessor's Parcel Number: 0 S5 — O ? 3 b 3. Installer's Name: �k,CA4. UGC ti,i► ) � U —MSL,, , 4. Is the site currently under permit? Yes[] No[ ] Permit No. 5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6._ What is the electrical rating of the. mobilehome? 00 Amperes. 7. What is the mobilehome site circuit breaker rating? 16 C> Amperes. 8. What is the electrical rating of the mobilehome site? 2 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[X] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[)d No[ ] If yes, please identify the load and size: a) The mobile home site: L,%-r-1- Load- Amperes- (� 6 b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[x] None[ ] 12. Size of gas pipe at the mobilehome site from the meter ' or tank: 24 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?—Z&(ft.). 14. What is the mobilehome gas demand? / B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 G 1,3EPARTMEW 8.5 �""'.rvy"?e '�,iia!'i.,,a.f�•.�•.w�.,r�N�,,.�,{..�..-.-.�R�..�-^-.rti•,'^�,.-v.}tS�.Iw:.pv'�1..1 rJ t. 'A -�,.� �....... �-,vF.., S,*�.r, , ��..: Ta..rw��:. � .. ..,. . -. ` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM i ) (One form per Building) NO .t School District O 9�s, k— Building Department No. A.P. Number?!7_00,2 Jurisdiction: pityCounty Property Owner Property Location/Address 414 0,�/P Subdivision Lot No. .................................................................................................................... Residential Development © . Sq. Footage % 8 �% No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); i................................................................................................................... Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) Dat jrloor dans revlewea Dy acnooj uistnct rersonneu s�. District Identification No. 990054 611.1 !hull, [)JJ l�"�(A ktw.,, School District certifies that -, (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing 134nsquare feet. n Representative (State) (Zip bode) tit 1015-cp by payment of $ AB 292fi $ FULL MITIGATION, f Date --Wl Paid by Check # Remarks: VYlbV111G1 10; %ioier, 4m, RG 1k,-,-- - - - �.P�v Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit -e you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm V LAND DEVELOPMENT BUILDING /• ENVIFiONMENTAL*IiEALTH =PERMIT CLEARANCE BUi/ding Permit No. 17- 643tP OWNERS NAME: 0 r-) A C 10 PRINT LAST NAME FIRST A.P. NUMBER: 53 COUNTY ZONING 1' DESIGNATION:JC IZ �� FLOOD ZONE: FLOOD MAP: / 5o6 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLE S PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITION MAP INFORMATION: DATE OF RECORDING 2 8Z LOT J BOOK O C) PAGE S-% COMPLIANCE WITH OLD SUBDIVj.SfON LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES V NO . IF YES, MARK APPROPRIATE ITEMS) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK -SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THEBU/LD/NG DIVISION UNLESS OTHERW/SENOTED. XMaintain a 50 ft. building setback from centerline of road.' tSOA Z!'M1q-/1 C•4NE _L<,'2. Maintain a 00 ft.building setback from right-of-way/ceaW4ine of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5.' Maintain a �� ft. leachfield setback from 11A-/ N �i G F �W�9 L_E,S 6.: Pay water tender fees in the amount of $ to- Battalion Number of the Butte County Fire Department. X7.t Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community Wateir system, -with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12..Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the.: Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355 7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the P%wming Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on 'a --permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the,provisions of Chapter 3, Article II of the Butte County Code. yr _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. ,Y21. �A 7 ,�o�l SL o �L. UH S'' l rItW L C-- 22 22 23.- 24. 25 26. 'AI0 iNNN013A30 Ml 3.08 A0 AiNf100 1661 � Z ddd GA13,003a LD 7/96 CAWP51 \FORMS.K\BLDGPERM.CLR BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds - PROJECT INFORMATION Site Address: 46 COVELO CT Owner: Permit No: B08-1450 APN: 058-330-062 MADSEN, RICHARD Issued Date: 07/28/2008 By KEJ Permit type: MISCELLANEOUS 3856 JEFFREY PINE LN Subtype: Demo -Fire OROVILLE, CA 95965 Expiration Date: 07/28/2009 Description: DEMO DUE TO CONCOW FIRE (530) 532-9118 Occupancy: Zoning: FR10 I Contractor Applicant: Square Footage: OWNER MADSEN, RICHARD Building Garage RemdUAddn 3856 JEFFREY PINE LN OROVILLE, CA 95965 Other Porch/Patio Total (530)532-9118 FEE INFORMATION DBE Single Phase Service-Resid $0.00 Total Charged: $0.00 Fees Paid: $0.00 Balance Due: $0.00 Receipt No: LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/28/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date �j I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE Id,J COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required byCONTRACTORS E]I TO CONSTRUCTTHE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a competed if the permit is or one a hundreddollars ($100) or Tess. ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS I�J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 07/28/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date prol,,,,, X07/28/2008 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out o,o in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is is a the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the r arty owner or am augiorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 07/28/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name bt Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) AOwner 1:1Contractor OR: DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip Bt, fte. -County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLATO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) 2. I (HAV VE NOT)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 THE 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 Description: DEMO DUE TO CONCOW FIRE Reference Number: B08-1450 Applicant Name: MADSEN, RICHARD Owner's Name: MADSEN, RICHA AP # : 058-330-062 Signature of Property Owner: Date: 7. �z 9 — 09 BUTTE COUNTY r4 -o' o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION"** OFFICE #:(5330.), 53877541 FAX #:.(530) 53872140 o`—a�r- q A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY "When filed; this. application and all supporting material becomes subject to the California Public Records Act.`A ll public information related to this application is subject to public inspection and will be posted on the County's website .for.elecEronic access: OWNER INFORMATION Last Name Firs Neme Mailing Address CityD , State , Zip Phonfax Jf vZ – E-mail E -mai CONTRACTOR Name G Address City State Zip Phone Fax... E-mail Lic. # Class ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail 'State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECTLOCATION API QG,�- 75-' 0 . Property Address-, City. . `WORKER'S COMPENSATION - Policy -Number, Carrier If. hiring anyone.otherthan licensed contractors, a�certificate of worker's compensation must 6e shown of the time of permit issuance. DESCRIPTION OR SCOPE OF WORK: 1 a� Sq FT- Living Garage Open Cov 0 Structure Built without Permits El Proposed'Change of Occupancy (Note previous use): . For office use only: Zoning I Flood Zone I I.SRA I Yes . No Occ. Type Const. . . s eLICUClD tj� Department Qf f� vefopme t Services TIMRECTOR PETE CALARCO, ASSISTANT DIRECTOR 0 7 County Centerbrive 01 Oroville, CA 55965 0 (530) 538-7541 Telephone. a (530) 538-2140 Facsimile xy%m,.buttecounty.net/dds i BUMDING PERMITPPLICATION REQUIREMENTS FOR T DEMOLITION -.OF S'I'RUCTITRES DESTROYED IN THE BUTTE COUNTY FIRE STORM 2008 Note: A building permit must be obtained for the demolition of any building or a portion thereof, including but not limited to debris and ash. This requirement includes mobile/manufactured/modular homes, single-family dwellings, .garages; storage units and commercial buildings. This permit will be used' to assist the _ Assessor's Office in re-evaluating the value of the property. 1). - Completed Butte County Department of Development Services building permit application.* Application fees have been waivedfot this permit. 2) If the application is being made by someone other than the owner. or licensed contractor (with written authorization to apply for the permit), California State Law requires that. an Owner -Builder Declaration be mailed to the property owner and returned to our office prior to permit issuance. �) Review and approval of debris and ash removalby Butte County Public Health and Public Works is necessary prior to issuance. of Mold ji-,9 4) An inspection may be required by Butte County Development Services - Building Division, Public Health and Public Works if needed. 'when filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will beposted on the County's website for electronic access. �� (� 7/24/08