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fWHI/S�RO 4-1ma67-10 MOCHIDA Trev Rd, 25'N of Truex Rd,Yank e Hill area Permit#2867-81PE(util, MH) ELEC _ GAS SUPPORT STRUCTURE RE COMPACTION TEST REQ 58,67-11, 2987-90 MOCHIDA, Hiroko (� 3393.Trevor Rd, Oroville (util, -MH) travel ,tr . er ELECT, GAS COMPA ON TEST -RE SUP RT STRUCT REQ 0 .� ,- 1 �I � +' � �' I RESIDENTIAL 58-67-11 2987-90P,E(MH) MOCHIDA, Hiroko ":?f6 7�d'/ 3393 Trevor Rd, Oroville (util, MH) travel trailer Pw Y 70 OFFICE COPY Address Zs—Y Date - ELECTRIC Meter By Dat*44-1 . J JOB FINA LED (Date) — Signature / �� v=OK ' 0=Not OK . -=Not.RReadeadyable MOBILE HOMES ' =Not y Date MOB HOME UTILITIES Plans OK except #'s Zoni 'Requirements -Setbacks -Easements oils pecial MH Support Sketch ewer; Location -Test -Fall -C/O Concrete LA -"Rater; Location -Test -Easement Needed (Sketch) ` S:" Electricity; Location-Clearences-Grnd -mp-Concrete 6: Gas; Location -Test -Wrap: / /"L"ft. - % /"Nat. or/ /"L"ft./ /"LPG iV 7. Utility Clearance Date % JCard B -i et=Date Card B-1 Date and B-1 & Date Card B-1 Date M BILE 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 Zpvl�Ser 3o,14 Iz s v �-� 7-%' 2� 14 - C.Clr 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-Beams-Rftrs.-Coonectors 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 Data 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 J=OK O = Not OK - = Not Applicable = RESIDENTIAL, (Single ' Not Ready & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra c-Truss-Shthng. -Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s - Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made PERMIT NO. 2867-81P,E (MH) } i PERMIT EXPIRES OWNER HIROKO MOCHIDA 1 CONTR. Owner d ASSESSOR PARCEL 41-03-105 1 LOCATION W/S Trevor Rd, 25'N O_fTRuex Rd, Yankee Hill Temp. Power Pole C Called PG&E 'i Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) , E Signature ✓I = OK. 0 ,= Not OK — = Not Applicable � - Not Ready ,MOBIL'EHOMES f; 'd. MISCELLANEOUS Date MOBILE E UTI LIT IES'�fPlans)rtOK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1 ring Requirements—Setbacks=Easements. 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support SketA '. 2. Footings; Size—Depth—Spacing—Connectors Y,-Kwer; Location—Test—Fart-C/0=Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er; Location—Test—Easement Needed (Sketch) 4. Wood Awn.-, Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5 ectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card-B. Date Card. BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Card-BI Date Date Card-BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries-Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card-BI Date Card-BI Date Card-BI Date Card B-1 Date Card-BI Date Card-BI Date Card-BI Date 09 Ivr4dI AAI AZI = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. 64. Stairs & Rails Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date ' Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic F] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Ti 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ' E3 Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except p's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size Bearing 42. 43. 44. 45. _& Hangers -Post Caps -Anchors -Connectors Cing. Joisl-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE _x )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 CORRECTION NOTICE � PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r t. v f Date G Xv Inspector �2^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT PERMIT N0. 5V�� �� ASSESSOR PARCEL NUMBER 58-67-11 ZONING ' FR10 BUILDING PERMIT OWNER Hiroko Mochida TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO Box 3355 Fairfield 94533 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee Filing $ 10.00 LEN MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ 15.00 Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3393 Trevor Rd Oro 95965 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 110.00e TYPE OF WORK New❑ Addition❑ Remodel[—] Utilities] Installation❑ Other ❑ Describe work: TrBVgl lx'aiier (temp) Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V R Main service 100 AMOR ORSLESS 10.00 10-00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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) ElMobileo I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, SLOGS. ) 2/2OSgft NEW CONSTR.ULTI.OUTLET NON•R ESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EOccup( x. ccu 0 p( OUTLETS OR FIXTURES 20®50t 3AL030 FIXED APLNS, EX. OCCup. OUTLETS IR ESID .)OR EA.) 2.00 Temporary service 10.00 Home Facilities H 15.00 Misc. g 15.00 Permit Fee $ 37 50 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. pl I shall not employ any person in any manner so as to become subject �P 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also a fee to save, indemnify and keep harmless the County of Butte against all liab li�ies, judgm costs, nd expenses which may in any way accrue agai t u I in seque a pf he granting of this rmit. I X Date D Signature of Applicant — Ownerl$ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 82.50 AL HAZ CUA PARK F PAR PD H I E Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DI E OR F PUBLIC By v PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7$ f X82 5(1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 W,���/%O APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER ZONING „ I BUILDING PERMIT O ER oC_is TELE//P�/1JHONE SO. FT. OCC. BUILDING VALUATION OW EV R/� MAIL;ADDRESS \� n /I r 11 gai (tel l\/y� CO, R CTOR'S NAME n v\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON , RUCTION LENDER E UNKNOWN Total Valuation S Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC/HMTECT OR ENGINEER Jv�VJ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS 339 J Permit fee $ .' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE: SF ❑ Duplex❑ MobilehomeN) Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W Y10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitieslo Tlnstallat'on❑ Other ❑ Describe work: Ti^a >/ ti � I r a �C,- y J�r_ kt; d -t� UJ" COYI/JAu� Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �� Main service EA. AOD'L 100 AMP 2.50 O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and. the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADONST DDWELLIN GSCCUP h) yz¢sgft NEW CONSTR ULTI.OUTLET NON.RESIO BRANCH CIRC ITS 2.SOea POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES ®30¢ e20 Ala 30¢ FIXED APPLNS. Ex. Occup. OUTLETS IRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 J Misc. Wiring 15.00 Permit Fee $ Contractor 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 Compensaticn 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.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 provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 Countyof Butte to enter upon the.above-mentioned property for inspection purposes. 1 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,inconsequence of the granting of this permit. --•_= •' -• - -- - - •=-, - - X Date: Signature of Applicant — "'Owner❑ Contractor ❑ � Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST PE TOTAL FEE $ �� s HAz CUA PARK SCHL ILD PAR PD [.D ISSUE Th's 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 y Date PERMIT EXPIRES Date Receipt No. �7d US = *�U/it WHITE-D.►.W.', TEL LOW-ASOESSOR,_ INR -INSPECTOR, GOLDENROD-APPL I.CANT . 3F. OWNER U.NTY OF •B 7 COLIN A TATE - DEP�ARTMENT.OF PUBLIC WORKS - BUILDING DIVISION Yr, CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. G/ A. P. No. 10 C� l Proposed Building U.se A U Z 7, Building Inspector Date / 'At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVEC4 APPROVED All items have been submitte .................................... 2. Plot plans in duplicate/ ' licat igned by preparer of plans ........ 3. Complete plans in dup ' ate/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 acid 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 .................................................... 13. School Distryct fees paid .............. . OR 14. Sanitation approval from O r©u ! It 1 "' Health Department kC 15. ,City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of i (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) �' t 20. Pre -Ins -inspection for re Ulred Pre-Inspec. iequest to P q " Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 143 . Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) 'J Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... ............ r 26.) / -z A3 rrn� vn j%� CJI (1 27. - a Ate/ When you issue the permit, process as follows: -Mail to owner. ;Mail to contractor.' Telephoneand hold for pickup/at office. Deliver w/inspector. Other • a� / CLe Aitj- /�f %//// n:.,, Applicant .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. `' Fire'Dept. Other Date By The following data must be submitted prior to kermii issuance: (Circle new item not checked above). 1. Index permit,for above items No. ` 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter y I date Plans checked by Date Plan -approved by Date Sets of plans on hold in File cabinet r AP folder ; Copy—DPW., i h TO. ..Building Department FROM: Environmental'Health 0.. L SUBJECT: Sanitation Clearance Owner Location --� Plan Approved for: Sewage Disposal ,_-4/-r— Water Supply GJe ll Hold final for:. Final clearance O.I. for: Clearance for C�P_ bedroom obile ome. Other NOTE *** Sanitarian Water Supply Water Supply Date TO: Building Department FROM: Encroachment Permit Section M 1 .RE: Diiveway Clearance �,'8 - 4 0 AP #O c owner location Driveway permit ��� `2e has been issued for the above property. n b • a, date sign re COUNTY OF BUTTE - rrppartment.of Public Works 7 County Center Drive, 6roville, CA 95965 Phone: 916-538-751,1. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for i.n your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) AW_ 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 V 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 curity Number Date o?Z��r'� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT NOT (-O P M GRED W1T7{ requires 6-. of acknowledgement beu'r corded nr"^'NA� prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned ACCEPTED FOR ROM for agricultural purposes, and residents -19M AT 8-'01 A.M. of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and ,from the pursuit of agricultural operations- including, but not limited to cultivation, plowing, spraying, pruning,- and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have. as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: P a ` Date: % 9D PROP Y OWNER : State of California) On this the lst day of June 1990. before me, SS. the undersigned Notary Public, personally appeared County of Solano ) Hiroko P'bchida------- —---- ---------- i ......�. Personally known to me. ® Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. r M GASTON to be the person(x) whose name(x) is NOTARY PUBLIC - CALIFORNIA . Ty subscribed to the within instrument and acknowledged that she MUM My eomm. &Vire N 27, 1992 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. �ICr,�C LPresent A.P. No. .S �? ` " � - � I Notary Public SCHEDULE "A" ',long .a portion of the SO-Mlllvest �iurlrter of Section 16, Township 21 North, Range 4 East, ,l;.11.i3. & XI., and more pau-ticularIv described as follows: CIO 11,NlENCINI G at the North•.vcst-corner of said Southwest quarter of Section 16; thence along the North line thereof, South 885)'421 30" East, 1930.36, feet; thence leaving said .line, South 0° 18' 10" West, 1.370.11 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, South 87 38' 54" East, 511.07 feet; thence South 0° 07'- 29" West, 100.00 feet; thence South 87° 38' 54" East. 135.00 feet to the East line of said Southwest quarter of Section 16; thence along said East -line, South 0 07' 29" West, 290.89 feet to the State of California acquisition line; thence along said line, South 48° 16' 10" West, 92.95 feet; thence North 89° 42' 40" West, 90.92 feet; thence South 77° 261-40" West, 97.89 feet; thencs North 430 17' 32" West, 328.31 feet; thence leaving said State property, North 33 07' 22" East, 31.86 feet to a, point on' the centerline of a 60.00 foot road easement; thence along said centerline, North 44 38' 54" West, 29.5.53 feet; thence leaving said centerline, North 45. 21' 05 East, 3.1 53 feet to the point of beginning. TOGETIIER WITH a lion -exclusive easernent for road purposes and public utility purposes over a strip of land 30.00 feet in width, lying contiguous to and Southwesterly from a line. begirulin;; at the ,�,c=rthwesterly corner of said parcel; thence from said point of beginning, South 440 3:3' 54" Last, 295.53 feet. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30.00 feet on each side of'a line beginning at the North%vesterly corner of the above described parcel; thence from said point of beginning, North 44 38' 54" West, 13.22 feet to .the beginning of a 300.00 foot radius curve to the right; thence along the arc of said curve, thaough a central angle of 18° 19' 31" an are distance of 95.95 feet; thence North 26 19' 23" West, 133.20 feet to the beginning of a 400.00 foot radius curve to the left; thence along the are of said curve, through a central angle of 23° 53' 30" an are distance of 166.80 feet; .thence North 50° 12' 53" West, 623.55 feet to the beginning of a300.00 foot radius curve to the right; thence aloncr the arc of said curve, through a central angle 'of -140 22. 39" an-alc distance of 75.28 feet; thence North 35° 50' 14" Nest, 101.01 feet to a point of intersection with the centerline of another 60.00 foot road easement; thence along said centerline, along the arc of a 110.00 foot radius curve to the left, :diose tangent rat this point bears North 54° 09' 46" East, through a central angle of 95° 37' 29" an arc distance of 183.58 feet; thence North 41° 27' 43" Nest, 84.61 feet to the beginning of a x00.00 foot radius curve to the right; thence along the are of said curve, through a central angle of 52° 12' 02" an arc distance of 91.11 feet; thence orth 10° 44' 19" East, 21.92 feet to the beginning of a 100.00 foot radius curve to the left; thence alon- Vic arc of said curve, through a central angle of 190 30' 57" nn are distnncc of 31.06 feet; thence North 80 47' 38" East, 29.76 feet to the beginning of a 100.00 foot radius curve to the right; thence along the are of said curve, through a central angle of. 1000 05' 03" an are distance of 174.G8 feet; thence South 880. 42' 30" East, 11.80 feet to the centerline of another 60.00 foot road easement; thence Nort}:erl. alcng said centerline, along the are of 8 200.00 foot radius curve to the right, :;hose t noent at this point bergs North l0 50' 31" West, through a central sa 1"r1c of 3° .51 l l' ;,� :=.rc dista,�ce of 30.55 feet to the North line of said Southwest ouster of Sc:.•tion ?r. SO TOGE-MER 1VIT11 limon -exclusive casement for rorid purposes and public utility purposes over a strip of lrind the uniform width of 60.00 feet lying 30.00 feet on each side of the follov. ing described .centerlinc: . 880 INNING at a point in the last -West centerline of said Section 16,' distant South 88k 42' 30" East, 1129.09 feet from the 'West quarter corner of said Section 16, said corner marked by� a fence corner post in a mound of rocks; thence form said pont of be, -inning, along tine following 05 05' 20" Weeight (8) courses: (1) from a tangent that bears North West, along tine arc of a curve, concave to othe Northeast, having a radius of 200.00 feet, subtended by a chord bearing North 00 42' 45" East, 40.42 feet, (2) North 060 30' 50" East, 118.93 feet, (3) along isle are of a tangent curve, concave to0the Southeast, having a radius of 100.00 feet, subtended by a* chord bearing North 47 07' 05" East, 130.17 feet, (4) North 870 43' 20" East, 226.31 feet, (5) along the arc of a tangent curve, concave to the Northwest, having a radius of 200.00 ofeet, subtended bya chord bearing North 720 30' 40" East, 104.95 feet, (6) North 57 18' East, 1.63.21 feet r T () a longi alae arc of a tangent curve, concave to the Northwest, having a radius of 250.00 feet, subtended by a chord bearing North 340 31' 20" East, 193.58 feet to a point of reverse curve, and (8) along the are of a tangent curve, concave �o tine Southeast, Navin; a radius of 400.00 feet, subtended by a chord bearing North 28 26' 18" East, 229.81 feet to a point in the Nest right-of-way line of State lloute 70, Said point distant 1'�esterly 140.97 feet Measured at right angles to the Base Line at L'nf-inccr's Station M 823 + 59.67 of the State of Ca]if0r,,;0 piihl;n IV. 7. i nrn _ ..4F c C__ WE I-' .O -o a G7 WKI 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 y APPLICATION AND PERMIT /Os NUMBER ASSESSOR, -//— c):5 ZONING Z_ BUILDING PERMIT OWNER i - * ELEPHONE .8 7 21.:7LIF, SO. FT. OCC. BUILDING VALUATION O .C) 46 IS AILING gDRESS OL CONTRACTOR'S NAME fat< ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ –to -00 - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ..$ - / d� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �- BUILDING ADDRESS �— u o t�- a 'w s �� • �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Ott -tom` i'LL Water piping j� ^ LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)q Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑ Describe work: Permit Fee $ 0 " Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS �.. 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST.DWELLING OCCUP.N\ OR ADDNS. ( ACC. BLDGS. / 2Q Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ' ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON CONSTR. BRANCH CIRCUITS 2.50 ea NEWCONSTR. (POWER APPARATUS DJ NON.RESID. SINGLE OUTLET CIR. 50 @ 250 Ex. Occup OUTLETS OR FIXTURES BAL®1 FIXED APPLNS, OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S^^ Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate. of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C., provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 s oun in equenc of the granting of thi ermi X n L Date Signature of Applicant — Owner ❑ Contractor ❑ Age/ An OSHA permit is required for excavations over 5'0" deep and rdemo7ition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3 �-- OCCUP. GROUP TYPE OF CONST, PARCE PD MD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC By w PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l�_ Receipt NO. O6 Z WHITE-D.P.W., YELLOW -ASSESSOR, NK -INSPECTOR• GOLDEN ROD -APP LIC `� ^""s+..+�+•.+.t'.e �a:w=c.^...s� j y�'a1,�,. �e�.�r;:swwrr....+v+-. v - �r..� -... i i �.w...�-�.. COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS - BUILDING°DIVISION a, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE:/916/534-4541 - PERMIT APP66T' ION DATA SHEET OWNER !6 % 020 �4 �nJ Proposed Building Use AQ, Permit Fee Based Upon: Complete Contract Price Permit No. A. P. No.)— DPW Valuation o Other (Explain) Building Inspector. Date -2130 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./t I . . . . .. . . . . -7 f 3 3. Complete plans in duplicate riplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Building &)Fees of $�� .P�$ .. •. ..� 9. Letter of signature authorizatio . . . . . . . . 10. Sanitation approval from n /tt1 0 Health Dept. /Sl 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance.. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. TelephMIL and hold for pickup at off _ _Other YC!ECOW t! Z 62 Nfc.So,rV 7/ , Mail to contractor. _Deliver w/inspector. �o4-iLciff� C/1-- 7-12- —r6 l0 Applicant . A/D l/ /'�/���C Date 7- Z 1—d l -� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of qpp!l,�eation, circle item.) 1. Index permit for above Items No. f 2. Additional items required: (Contractor, Designer Plans checked by. Plans approved by Other - ~ Copy—DPW advised of required data by yTeleph ne Mail —Other By,`a Date _t/oJv Date f - Date To: Buildlmg Department From: Environmental Health Subjeet: Sanitation Clearance,' MY...�/0.3 Plan approved .for: Sewage disposal ��� Wacer Supply Hold final for: � F wa :er supply Final cleaxvhoe O.A.-for: Clearance for „avbedroom mobile home ,Dote*** WI -iter SuppJ y , sant ar r n ��� .._..... Lake ._. I COUNTY OF BUTTE -,Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name'and bearing your signature. - Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan,to provide the major labor and materials for construction of the proposed property/ improvement (yes or no) . 2. I(have ave not) E signed an application for a building perm 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 7-24-5'1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. *10WARD VELLIQUETTE REALTOR° ASSOCIATE N. lwf. ER(a RESIDENTIAL COMMERCIAL ACREXE LOTS,•,t ,1�, - 13, 'SINIESSES 877-6244 - 7020 Skyway z 872-2143'(Res.)7_ Paradise, CA 95969, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:_ 916-538-7541 DATE -Somber- c 199E) Hiroko Mochida RE: Permit appin #2987-90 for P.O. Box 3355 travel trailer Fairfiled,CA 94533 A.P. # 58-67-11 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Eng;. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Your plot plan indicates a pole structure over the proposed Please contact this office to discuss this. Should you have any questions concerning the above, please contact --Dave Wasnoy---- of this office. Yours very truly, JFG/aj William Cheff ,Director of Public Works 1'JF'* . Glander Chief Building Inspector wrsc. 10? . � � b • Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT '90-36905 ;.� FOR RESIDENTIAL DEVELOPMENT 5& tion 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 i 90-036905 Rec Fee Check 9.00 9.00 to land 'or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, and fertilizers; and from the pursuit Recorder B:Olam 28 -Aug -90 , CD 3 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: fiiTFlcF1�➢ 1� Date: /9 9� I State of California) On this the lst day of June , 1990. , before me, SS. the undersigned Notary Public, personally appeared County of Solano ) Hiroko D4ochida------- —---- ---------- Personally known to me. ® Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. M GASTON NOTARY PUBLIC - CALIFORNIA to be the person(x) whose names) is SMM 00lMm subscribed to the within instrument and acknowledged that she My eomm..e fmi NOV 21, 1992 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. N5:;f Notary Public _'vn n COMAIEN vinong the No' [th-' 11' 0 -181, AO"/4lJn6,.Sojjt "' 11 ... -, , 1, 1 �e'r �Pdhc rein descr ifb�-Jf" :-?,:'i7f4aidl EA'st-,,UAei.`S6u- ,2 lJnex-thcn_c'!W1,A1 n-ncp' r6r,,,.Rotith,,88o�'42,113( est;` ,l .' " 'k, t i 37,0'Ii`fc'6j1tO"',I 90-36905 41 4 MITP,' 2 1 North';Range' 4st"qu* aiter.'of Section 930A6"fect; thence" leaving said- O.Int-or-heginning' for the parcel nni6i��touth',87..-�381.'54"'-,,I,i East; 4. lithenc".'e"Soiithl 8i?!1j38"1x54`"'-." 'East, x-F,4 6f A.s '6.ctl6nTIwAhence,along —„�j t r't•'-%.Statel,of;CaUfornia�'accu�gtion 95.fcot ;thence !North 89$42' I 7 8i46it-4theidg,46rt "t”, 6' hA3 6er'ty,§Nioirth' '- 33' ki07!* 22`1;3East, "), Dt;road"edsement;,thonc6"along I] iaw iig Nsa I d,, a e -n' ju Fuuuu umity purposes T� � 1- 71 �f , I., W ., n".I L,�f `� 1X,:' over, W.Str P'10 dth;-ilyliig��con 1guOu0to,'fihd,- �Iv S6uthyldisterlyf from pirc6t�,vtllcnce rom--said point, o f"'! :�y) Casemcnt'for'road purposes and public utility purposes over a ,strip .... lying 30.00, act on each side of land 'corncr- line . . . . . . . . . . - a eg rmLiflng, t",the..'Nortli'iv6stFsiy',the',above d6cribed,par6dl; thence from ...said point of beginhing',.11,1orth 44 5 C"*1342 IV �to'the -.38`547 - fect� beginning of a 300.00 foot radius cyrve to the' right;-tl1cncc-al6ng. the,'arc.of saldIcurve, thSough a central .angle 0 -nre"distan6cof,05.95- or 18 19' 31".nn feet; ;thence -North, 26 191 2311 West, 133-20 feet to the beginning Of,-a'400-00,foot:'rad curve to the left*' thence along, the arc of said curve, irough -a centriiI tingle 'of, 23 531,3011 an arc distance. of. 166.80 feet; thence N lorth 50 121 53" 6 23.55, f et;,,to'-the,,beginn nglof 'a 300.00 foot , . radius curve:to thl'riglit; " thence, along 'a rc of.r,Mfd.'c urvej through 'a'ccntral'ang!e 140 of drc,distancd 0. 221 -of, 75.28 f cat; "th ! 666".North,35.,•50" 1411 West, 101.01 feet to a'point'of intersection with"the ne ce"6te'ji] of- anothir;60.00 foot road easement; .thence"along said alon-.7-tlie.-i're'�'of;,aPI'lo-too;foot 'radlus'curve 'centdrlinn; to the left, lWhose tanccrcn't'�t',this:-point bcars North 54°_09' 09', �46!..',Easit;,* Brough 'a central angle of 95-,�_371 29T&n are distnnea"of 183.58� re6t., .. L, A116dei'Wrth 41 271 . 43" West, 84.61 feet to th6,,bee.ri'nning�'of.Lc,.iloo.do. f• oot,.radlua,,curveto.',the';right; 'thence along1he are of A-:ccntril anrl( curvS; through said-` h h feet; thence A o r', "O"st-'*";^,'21'92'.,-fect.t6�,'tti b leftr1lic"hee" r a' 6glnn)ng',,.of. a'�400.00 foot radius curve to .the; hra,;bf -shid, durv&',through jf'�6entral, angle' of In*. 30- 5711 nn arc.d!stn'ncc,ofi34AA "feet )Jeet; tli6ncti',North 8 A71, 38!1, E'asi,'*,29.76 to the beginning Jim, right; jAhcn6d alo6g tic, 'arc"of. said 'ctirv�,'through, 'bnj;lc'.','d`f,,jooO tP a -c6htral n rc A is't , .- .3 - . -t I - , aned. of,-IMG8,-,� ect;'thence South 880. 421 �,r na it,. '6f. kt hci, ccn t6r li ii6'.' '- a n O't h'c 0 f �60-00,.�f6bt'�r ad cascment;, thence Northnr!6, 6jr1n9�!I-1WJ0centerline,4�,alongkthd 'hrc,-o(, 1,2no.00foot rhdlus curve to the r S2ri ,A-ingent West," through a central cct0,Alic,, orth"Una snid Southwest quarter ;6fi S"'. .of cnction� lr� 4�-M 1": 13 :j 90-36905 EN® OF DOCUMENT This set of plans and specifications MUST"v I _ kept on the job at all times•and it is unlawfM to t4OT' dan W 6 f er cls & wd rk ship Shoj) �= OMW � �i. changes or alterations do itmg ®g gbalif �e�vri a for the � procfim N�� aGiiflf'�1 permission from the �p� � Vflf#®meq ���j��fl �►lura"bing EC iviechkq tic rb, County of Butte. Ms Na#lwtai Wyk frical Code. � C,4 rl rx i u VRl 1 Ic C3 r T S C L c- 4-1 4-1�� s �G �G � �y � fro PA setback of ftnd a setback .property lines a :50 -ft. from the road `ceritedihe shall be clear -of 'structures or equipment except %r a 2 ft: save oveoriang, j4A4 ��A� ilill i a