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HomeMy WebLinkAbout058-670-013�e0 FRUTH70jRovill— I 58-67-13 vGY le 141bg for Well t l_o_pment) l� '58-67=13 92-1585 P,E SICKELSTEE Ken & Sharon 3201 Trevor d, Oroville mh utilities �ELEC GAS COMPACTION TEST REQ SUPPORT ST REQ 058-67-0-013 Y 93-3104 P,E SICKELSTEEL, KEN & SHARON 3201 TREVOR RD, OROVILLE MHU/REPLACES 92-1585 �] ELEC J - GAS 1 1,q /a vol �y9� SUPPORT STRUCT REQ d)j) i 058-67-0-013 3,,3Q23 t'IIII 4 SICKELSTEEL, KEN & SHARON 3201 TREVOR RD,-OROVILLE ATrII N g 76 0-013 00-1865 ` SI EEL, KEN & SHARON 354 LONE RD., OR06LE CONTR: OWNER , oZ NEW MH ON PERM FN • a d 058-610-013 00-274 SICKLESTEEL, SHARON 3201 TREVOR RD. YANKEE L _ CONTR: OWNER 26 X 34 ATTACHED GARAGE 058-670-013 01-2838�'�-, SICKLESTEEL, SHARON-� 320.1 TREVOR RD, OROVILLE ,IT RENEWAL BP 00-2748 058-670-013 - 05-1045 SICKLESTEEL, SHARON 3201 TREVOR RD, YANKEE HILL CONT: GLENN,MOCK CONST , NEW DECK r T-� M J i 0 y� •i { 1o; .� f 1 P9G`PES t � RES6DENTIAl. (g PERMIT NO. _/'O 8-670-013 _ OS -1045—` ` SICKLESTEEL, SHARON 3201 TREVOR RD, YANKEE HILL CONT: GLENN MOCK CONST h NEW DECK r� f ; SPECS COMMONS r: CHECKED BY M SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER N TiO JOB FINALED (Date) _ Signature - OQI `/ (®4-A 4=OK 0 = Not OK Not Appli o = NotReadyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1, Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify ft with Office Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs 1 Zoning Requirements -Setbacks -Easements / off; Soils -S - -Spa ' g -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Windows -Doors 7. �Jectric Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ 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, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following lnstkIJDrive D Yes 0 No/Walks D Yes 0 NoRlanters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP05104.5 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION - I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/10/2005 APN: 058-670-013-000 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. // Site Address: 3201 TREVOR RD CON License Class : _ License u per: 6, Map Index: Date: S/U- OsContractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for 'he purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: � Carrier:_ >Q� + _ h/ZoY® 7 /� Policy #: / ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: Description: OPEN DECK (924) Owner: SICKLESTEEL KEN L & SHARON K 3201 TREVOR ROAD YANKEE HILL, CA 95965-9763 Applicant: GLENN MOCK CONSTRUCTION 1931 GOLF RD PARADISE, CA 95969 530-872-4351 Contractor: GLENN MOCK CONSTRUCTION 1931 GOLF RD PARADISE, CA 95969 530-872-4351 License #: 368242 Architect: Engineer: Total Square Ft: Valuation: Census Code: 924 S. F. $9,240.00 WARNING: Failure to secure workers' compensation coverage is �f f unlawful, and shall subject an employer to criminal penalties and one � hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. C 00 �l eIs,-# Aw aM - -� - CONSTRUCTION LENDING AGENCYThis per -i: s -hereby Issuer) and the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the-� Resolutions do work ind.. icat d bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY:%%Z Date`••- Address PERMIT EXPIRES ON: .- `�) - / U f ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 0827,5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. - I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any fficial form or do ument of Butte County. I hereby Authorize represents fives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature Date: -P.—s ❑OwnerContractor 7 Agent for Owner 0Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5104.5 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 05/10/2005 APN: 058-670-013-000 the Business and Professions Code, and my license is in full force and effect. License Class : �— License Site Address: 3201 TREVOR RD CON u ber: UL Date: S-0_ OSContractor: Map Index: Description: OPEN DECK (924) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SICKLESTEEL KEN L & SHARON K 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 pursuant to the provisions of 3201 TREVOR ROAD the Contractor's State License Law (Chapter 9 commencing with Section YANKEE HILL, CA 7000) 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 95965-9763 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GLENN MOCK CONSTRUCTION owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1931 GOLF RD sale. If however, the building or improvements are scld within one PARADISE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95969 sale.). 530-872-4351 ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: GLENN MOCK CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1931 GOLF RD Date: Owner: PARADISE, CA 95969 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 530-872-4351 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 368242 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number area Engineer: Carrier:+ y/Ior® Policy #: f �— f� 7/3 'Leo ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 924 S.F. issued, I shall not employ any person in any manner so as to Valuation: $9,240.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Cede, I shall forthwith comply with those provisions. l ©— Date: •� O Applicant: ----.i WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject aemployer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ( l� ai / V ! •L% compensation, damages as provided for in Section 3706 of the Labor interest, code, and attorney's fees. �Ie a 4 � �� �, GU 4,3 in CONSTRUCTION LENDING AGENCY This permit is hereby issuepund he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions do work indiove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: �` /O BY / Date. / O PERMIT EXPIRES ON: 'S, Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 19827,5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficial form or do ument of Butte County. I hereby authorize representa Ives of Butte County to enter upon the above mentioned property for inspection purposes. ) Print Name: eh �11G C �/l/f7f2<lc91or� "7, Signature Date: S .❑ OwnerContractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051045 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/10/2005 APN: 058-670-013-000 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. -&�V Site Address: 3201 TREVOR RD CON License Class :_ _License umber: Date: '5-/r7' OsContractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 pursuant to'the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon: and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are/:: Carrier: J 3 —7i>(J� Policy #: / - 'iso✓O 7/3. ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Map Index: Description: OPEN DECK (924) Owner: SICKLESTEEL KEN L & SHARON K 3201 TREVOR ROAD YANKEE HILL, CA 95965-9763 Applicant: GLENN MOCK CONSTRUCTION 1931 GOLF RD PARADISE, CA 95969 530-872-4351 Contractor: GLENN MOCK CONSTRUCTION 1931 GOLF RD PARADISE, CA 95969 530-872-4351 License #: 368242 Architect: Engineer: Total Square Ft: 924 S. F. Valuation: $9,240.00 Census Code: 1',e (2* 4� Ira Phis permit is hereby issued lesolutions 16 do work Indic PERMIT EXPIRES Ty- A/mou/0 voC GU the applicable provisions of the Butte County Code and/or )ove for which fees have been paid. ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 12J827,5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficial form or do ument of Butte County. I hereby 2uthorize represents Ives of Butte County to enter upon the above mentioned property for Inspection purposes. 41 Print Name: ('( --,-7 17 C//%�L.(Gt-d/l/s912��GilpY% Rin nattira Date: ❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name C L / C l first Name � Address O 77Ze �yor� 2� City 4IIze e State f ,� C�> Zip Phone _ 7 8 Fax E-mail Date Approved: CONTRACTOR Name �/eh � �7'i/OCIC �D�sTTf1�IC7T7� Address l CityAII, State Gy Zip � Phone g7a //3S j Fax—IrA, �irLsT E-mail �z�I Lic. #� Clas It /✓C7 APPLICANT NAME ARCHITECT/ENGINEER Name 1 Address Phone g,%, City E-mail State Zip Phone Page . Fax E-mail Date Approved: State License Number APPLICANT NAME Name/ l.� lel Address L� City /Z,q,�/S 2 State Zip/1��� r� `1 Phone g,%, Fax E-mail APPLICANT SIGNATURE X� For office use only: Zoning Flood Zone City &_1 SRA s' I No Occ. Type Const. Subdivision Name Map Book Page . Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 65` 164,15� BP BIN # LOCATION AP# 7 13 Property Address r°J 77z e vvle_ City &_1 Cross Street / 7D �CL WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage a7 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: PG�OD--- Date: as bS Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 (/ qS COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET Ji c�.� 4 OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: d Permit Technician: 4��Date: Items required in order to a ply for a permit. All boxes MUST be checked OR marked NA in order t pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be be stamped and wet -signed by the engineerand wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 5 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other aming items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable,:�!--,o`C.0 O16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required...............................................:........................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: ............ 24. Planning approval for (A) Use:Q t (B)Parking: (C) Parcel Check: ...........I- 25. fl 0� Contact Land Development about _ Improvements, _ Drainage ........................ �. 26. NPDES Form............................................................'............................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO . ......................... ❑ 36. Other: ❑ 37. Other: �7 r When issued Telephone / a and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �� i Date: 1. Index permit application for th item u ed: Plan Check Let r oPractor., I items required ondesigner, owner, was advised f the ab ve a a by phone, ❑ mail, ❑counter, by72 Date: Condesigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by AJ Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 44 47 444 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Divisic TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Anschod �— Roos Plan Attached Santa B.D. ! /sur✓ �- �a.e . 06 (� '70 - O .,'Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: _ Final clearance O.K. for: NOTE: /tiTi4i.v Sr2 /-'�'/a.v �•P� m �l.42�� Environmental H , & Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website:. www.buttecounty.net/dds OWNER �� C' A.P. # C> Lp�0" J PROPROSED BUILDING USE DATE ( �� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$_ Units Commercial (sq. ftg.)..... X $0.03 = $_ �iq.rtg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at�Building Division) 76 at 8. SMIP , �' !0Q_ 64E_ 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during ffie plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) POLICYHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FU N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04-28-2005 GROUP: 000713 POLICY NUMBER: 13747-2004 CERTIFICATE ID: 1 CERTIFICATE EXPIRES: 04-01-2006 04-27-2005/04-01-2006 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P.O. BOX 26000 SACRAMENTO CA 95826. LICENSE -PERMIT #368242 INCEPTION DAT$:` 04'-27-2005 D.'O.. NJ` This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not.subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you'10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein: Notwithstanding any requirement; termor condition of any contractor other document with respect to which this::certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to`all-the terms, exclusions,.* and conditions, of such'policy. �6� AUTHORIZED REPRESENTATIVE .PRESIDENT ' v STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR:- BENEFITS AS,EMPLOYEES UNDER -THIS POLICY.. EMPLOYER.."S LIABILITY -.LIMIT INCLUDING`DEFENSE COSTS: $1,000,000 PER OCCURRENCE. EMPLOYER MOCK, GLENN EDWARD AND MOCK, CHERYL MARIE DBA:.GLENN MOCK CONSTRUCTION 1931 GOLF RD PARADISE CA 95969 [CMW,NJ] SCIF 10262E Acceptthis certificate om tf ou see a faint watermark that reads STATE FUND DOCUMENT- PRINTED: 042&2005 Y Y PAGE 1 OF 1 Butte County Deparanent of -Development SerwCes °O,Tr�° 7 County Center Drive - Oroville, CA 95965 0 (530) 538-7601 Telephone couIN (530) 538-7785 Facsimile )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended - plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �✓� Gid _—����� APN: g5�g_ Building site address:Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE r,,,,., t„ e.., u—t/FH/pat K:Fomes/BidePermit-AithoutCleannces 020705 Yp�=-,1 tviFjt/� Q� �077N" l ro 00 U tjA A�crc AWN Department C o u n t J. Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACREI Project Description: Project Location andlor Parcel Number: 3,2bl -rxe_ _ KD -, llklolz 411 By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 4�7J/L Date: less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 NOTES ' r I I; RESIDENTIAL j 058-670-013 00-2748 SICKLESTEEL•, SHARON 3201 TREVOR RD. YANKEE HILL CONTR:OWNER 26 X 34 ATTACHED GARAGE yy 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) -9// /o)z - Signature 4-� CHECKED BY = OK 0 = Not OK - = NotApplicable = Not Ready Hf .-. dif:... c. . •- �: a ;t� C} !• MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zo ' equirements-Setbacks-Easements 1. Zoning Requirements -Setbacks- Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch - Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ ;Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances " 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVE ARPORTS GARAGES (Plans) OK except #'s . Zo ' equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Battle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30, Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss -Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Inf iltration-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 -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.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 Q Yes 82. Following Insild./Drive J Yes J No/Walks J Yes D No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout 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 94. Address Posted 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: *. _ __4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P NO. (Rev. 12/96) APPLICATION AND PERMIT Qr�3�T ASSESSOR PARCEL NUMBER 058-670-013 ZONING FR 10' BUILDING PERMIT OWNER SHARON SICKLESTEFT, TELEPHONE 934-7598 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 3201 TREVOR RD, YANKFT HTT.T. 99965 814 11 15,912-00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 171.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3901 TREVOR ...' Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY_____ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition CX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 26X34 ATTACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V LES Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License athe following reason: w foy. C�11 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 zooA To 1000A 46.00 NEW CONST. DW %NO OOCUP. OR ADDNS.CONS( 3.52 so 30.95 MULTcoS. NON-RESID. CU.@7.50 OWER APPARATUS 8 SINGLE CUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q' 0O BAL @ .50 FIXI P Ex. Occup. OvnEisREEsID°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 50.95 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Pone hundred dollars ($100) or less.) L 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 t should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply wits those provisions. X ��e� _ -"z-L!� 9� v nature of Appli nt - O ner ❑ Contr'actor ❑ Agent An OSHA permit is required for excavations o er 5'0" deep and demolition or construction of structures over 3 stories in heigh Mobile Home Installation Fee $ En rgy InspectiFee $ o c co PE TOTAL FEE $ 353.10 IMP C pAgCEL Po H 6 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi h fees have been paid. By Datp. PERMIT EXPIRES ON % f eta Receipt No. WHITE-D.D.S.-B.D. CAN ARY-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 •Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT_ ASSES•ORPARMHU _10-0113 10— /13 / BUILDING PERMIT oMnra T�"O E SO OCC- 8UI NG�IIJATION OWM M'S MAAJND ADOMS/ 32- i ll IZ� I oONTRACTO A TlL�1gN! CONTRACTOR'$ WLLJNO ADORESS coNSTRNCTION UENvER LENDER'S MAILING ADDRUS Fireplace Total Valuation= ARCHITECT ORENGINEER LICENSE No. Flina Fee $ 20.00 ARCNTECT OR ENONET71s HALING ADDRESS Permit Fee S -- Plan Checking Fee $ 5 aULDNO ADDRESS �� Energy Plan Checking Fee E $ PERMIT FEE IDT No. SUBDI SM'sNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Eachas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities❑ installatinn ❑ Other ❑ Building sewer 15.00 (� C� Mobile Home I S G W Q20.00 Describe Work: ` J PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.'.DRLEss 23.00 Main Service xo" To 10o*A 46.00 CONST. DWELL•10 OCCUP. OR ADDNS. a ACC. BIDS. ,3.5¢SO. FT. ' MULTI -OUTLET NON•RE51D. CiO 7.50 POWER APPARATUS a SNOLE OUTLET 010. Ex. Occup. OUTLET OR FIXTURES 0 1.00 BAL 3 .50 Ex. Occup. o`MOTs�ESID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Usc. Wiring 23.00 PERMIT FEE _ _ I MECHANICAL PERMIT Fling Fee 1 20.00 *PERMIT FEE PAID $ Heating SRA - - $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER $ $ PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee is °C0 `ONsT' TTPE TOTAL FEE $ � I RECEIVED IMP I `L°°° °.`EAMOUNT I CD` PARCEL I `D "D SMIPE I This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. *RECEIPT NUMBER Z o`�q * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON r. .r'�R*."r•1! 'A"" gyp" . � F,�,�P'°�i'f�I�rk� ' _,^�►y°F�i��'"'� � r ..��i�,�,_"���r"�k,�ir�..V�7'►x r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: l✓ ASSESSOR PAR ER: ' Proposed Building Use: Building Inspector: Date: At t' a of permit application, was advise the following data must be bmitted 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. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -----------------------------------------------. ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- W. 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- 2 .. California Department of Forestry plan approval/fees- --------------------------------------------------------- 13. Flood elevation certificate. -------- -------------------------------------------------------------------------- Sanitation and plot plan approva , 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:NN _. �: ❑ 18' i ontact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 1320. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑ 26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance.--------------------------------------- E128. --------------------------------------❑28. Existing violations and/or expired permits. --------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. ❑ Telephone and hold for pickup at ❑ D/liver with inspector. (Date) c X1/9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep en , ❑Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil din ivi on counter, by Datie: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll.,.,, r,,..., ile.....-...,e.,« ,.rr�,._.,.i.._—__� �------- ^- �, �• _ ,� E.H. U ONLY Plot Plan Attached Roar Plan A had Sant to B.D.1 •^ ! ' r TO: Building Department ' FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage' Disposal Water Supp y: i Public Private Well Clearance for dwelling. Other AKq Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Y--Iq --0v Date Attention Property Owner: An "owner -builder" building permit has been applied for in your name and beatiiig: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. personally plan to provide the major labor and materials for construction of the proposed property -improvement : YES[�NO[ ]. 2. HAVE[ HAVE NOT[ ' ] signed an application fora building permit for.the oposed 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. 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 PROPERTY OWNER: /1/IF/,OF a 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 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 prow 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 (inch>ding materials -and other costs) is $300 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 conhim ions. 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 employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `"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 aware of these matters. The building permit will not be issued until the verification is returned. c,arel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information. is required by Section 19830 of the California Health and Safety Code. OVER d APPROVED Butte County Ion ntal Health ��-07) -�---- p to-- --- Signature � 7 s a j Qf 14 Ln -mow nP. Pin m U 'd w u 1 �p Ln N� y � y � ro zqj /`�a� m U 'd w u 1 �p Ln N 1. �; ® �P IL P Qel c\ A�: X011- s��� 42rQ 0.7 _ -` -- - COP N� y � y � N 1. �; ® �P IL P Qel c\ A�: X011- s��� 42rQ 0.7 _ -` -- - COP r O V% w �- Al D 1MM -0 M 0- g a .�f w �- Al D FN. am ­J ( 2) 2"X TOP PLATE 2"X SAID BLZ. MQ'D. Q 5EArl.W JOWTS C 0MW FAZE TO HAIHm N'A KATW 5UIHW 3/ all MN. — ATLEDTOONE FtC. WL Wfi}1 8d COMMON OK GAIN. BOX WL5 Q 6" O.G. A-aZ EDGES. AW 12" O.C. N FELD 1201= 5W5 Af CORKERS AND CO1 M?E K %W5 & WASE Z MN. 1/ 2" PrAB. *Xpa. BATS M. . T' MN. EMBEDMENT-- HOLDOIAN VM 1800# MW. CA haft ( 51MP50N W2q W 5A. OR EaK WtM 55iB /VJGa BAT SIZED A5 REMP FOR HOLDOWN) 211X. SILL PLATE' --___--- --_ ----------------------- ---- ------ L� ----------------- ----------------------- TATE BRA CED WALL PANEL NOTES: e'" 1. For use in gaMg , . w`hlre due to location of overhead doors, 2. #4 Rebar, continu s at top and bottom of stemwall. Additional rebar may be requiel red by mt be anufacture of holdown. 3. Stemwall and footing must extend under garage door opening. 4. In the first story of a two - story building, each braced wall panel shall be in accordance with the details shown. Except that the plywood sheathing shall be provided on both faces and tie - down device uplift capacity shall not be less than 3000 pounds. Nailing to -be staggered for sheathing, applied to both faces. S. Alternate Braced Wall Panel's cannot be used on the second floor of two -'story buildings (U.B.C. 2326.11.4). For Single Stow � (With noted modifications for two story buildings) 2'811 11�►1. I j II L-: -- L - -- ;- 11 II I1� MI 11 II 1. 11 i" 1� FN. am ­J ( 2) 2"X TOP PLATE 2"X SAID BLZ. MQ'D. Q 5EArl.W JOWTS C 0MW FAZE TO HAIHm N'A KATW 5UIHW 3/ all MN. — ATLEDTOONE FtC. WL Wfi}1 8d COMMON OK GAIN. BOX WL5 Q 6" O.G. A-aZ EDGES. AW 12" O.C. N FELD 1201= 5W5 Af CORKERS AND CO1 M?E K %W5 & WASE Z MN. 1/ 2" PrAB. *Xpa. BATS M. . T' MN. EMBEDMENT-- HOLDOIAN VM 1800# MW. CA haft ( 51MP50N W2q W 5A. OR EaK WtM 55iB /VJGa BAT SIZED A5 REMP FOR HOLDOWN) 211X. SILL PLATE' --___--- --_ ----------------------- ---- ------ L� ----------------- ----------------------- TATE BRA CED WALL PANEL NOTES: e'" 1. For use in gaMg , . w`hlre due to location of overhead doors, 2. #4 Rebar, continu s at top and bottom of stemwall. Additional rebar may be requiel red by mt be anufacture of holdown. 3. Stemwall and footing must extend under garage door opening. 4. In the first story of a two - story building, each braced wall panel shall be in accordance with the details shown. Except that the plywood sheathing shall be provided on both faces and tie - down device uplift capacity shall not be less than 3000 pounds. Nailing to -be staggered for sheathing, applied to both faces. S. Alternate Braced Wall Panel's cannot be used on the second floor of two -'story buildings (U.B.C. 2326.11.4). For Single Stow � (With noted modifications for two story buildings) NOTES. 1. FOOTINGS TO BE EXCA VA TED INTO UNDISTURBED SOIL TO DEPTH D :. ANCHOR BOL TS SHALL BE PER UBC SEC. 25407 (f) .1 STEM HQGHT OVER J2' REQUIRES RE/NFORaNG . (SEE STD 12.3) 4. SEE UBC SEC 2404 (f) . 2 FOR CONCRETF BLOCK STEM WALL - 6' MIN 4W it REDWOQO. OR P. T. SI FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A, FOOTNOTE J. J/ JOIST 18' MIN 2" MAX (NOTE 3) 12' MIN D . a RAISED FLOOR FOOTING RED WOOD OR P. T. SILL B SLAB - ON GRADE FOOTING 3 1/2" SLAB i"_'+ '14_-bK k__ TYPICAL RESIOEN77AL FOUNDATION DETAILS R� °A7F : SCAM -J/4 J14 -.r -o, DATE.• 4/ 92 BUTTE COUNTY BUILDING DEPARTMENT DWG: S7DFT01 I STD 12.1 May 1Galt. 9.12 FLOORS B D TW T ONE 12' 12' 6'... . 6'° TWO 15' 18' 8' 7- '. FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29—A, FOOTNOTE J. J/ JOIST 18' MIN 2" MAX (NOTE 3) 12' MIN D . a RAISED FLOOR FOOTING RED WOOD OR P. T. SILL B SLAB - ON GRADE FOOTING 3 1/2" SLAB i"_'+ '14_-bK k__ TYPICAL RESIOEN77AL FOUNDATION DETAILS R� °A7F : SCAM -J/4 J14 -.r -o, DATE.• 4/ 92 BUTTE COUNTY BUILDING DEPARTMENT DWG: S7DFT01 I STD 12.1 May 1Galt. 9.12 t 058-670-013 01-2838 SICKLESTEEL, SHARON 3201 TREVOR RD, OROVILLE 1 ST RENEWAL BP 00-2748 0o,Z7gg I 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 - PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �!' I` W31�' ASSESSOR PARCEL NUMBER Il 2-52 ZONING '.. BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEii'SMAILING ADDRESS. ``• `"� CONTRA R'S NAM _;, • a.'':a.a+ -.� al v i•.iiai-r TELEPHONE CONTRACTORS MAILING ADDRESS ` CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 7 .1 ,) $ r• £ vn ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checkin Fee $ i BUILDING ADDRESS f t .h _32911 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO- SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ; �� , , Describe Work: 7N,X n � f1lTL��:�:':_� � L-:. �•�. �• G.: 11-J. W -2711 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: fl, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason - + WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed d the permit is for work of a valuation /of one hundred dollars ($100) or less.) B I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xf /f� Date //-/1 S -`/ / Signature of'Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavatio s over 5'0" deep and demolition or construction of structures over 3 stories in heights Main Service 200A To I000A 46.00 NEW CONST. DWEILNG OCCUP. SO OR ADDNS. ( a ACC. BLns. 3.5QFT; NOP}RESIp.' MULTI.OUTLEi @7.50 OWERAPPARATUs a SINGLE OUTLET CIR. j 20 00 EX. Occup. OUTLET OR PoRUREs aAL @ ' 0 Ex. Occup. ours Res o.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $105. f 1 HAZ. D FEES IMP I FLOOD I CDF PARCEL PD HD ISSOE This permit is hereby Issued under the applicable provisions ofgh` Butte County Code and/or Resolutions to do work indica ab a for which fe0s have been paid. / By� / /� ,� Date / v } A PERMIT EXPIRES ON I / Data Receipt No. fI 7 o -773 1 inf`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR- --P4NK4NSP.EC1OR_- GOLDENROD•APPLICANT r y ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PER NO. (Rev. 12/96) APPLICATION AND x PERMIT ' 0�8 ASSESSOR PARCEL NUMBER 058-670-013 20NIN0 BUILDING PERMIT OWNER O NO . R' UYOR RBI Y -&WEE HILL 95965 TELEPHONE ' TELEPHONE SQ. Fr, OCC. BUILDING VALUATION C MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 $ Permit Fee 7 1 00 12 95.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S 405 5r, LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT i ing Fib 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 26 X 34 ATTACHED GARAGE FIRST RENEWAL OF PERMIT NO. 00-2748 Gas piping stem 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 20.00 600VOR UE 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.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: EI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with o e provisions. X2�6 Date J� mss'-�i� Signa re of App icant - ❑ Owner b Contractor ❑ Agent An OSHA permit is required for excavatio r-5:0_deep and demolition or construction of structures over 3 stories in heigh Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. NS No R61. ' MULTI.OUTLET @7.50 APPARATUS 6 BINDLE OUTLET CIE. Ex. Occup. OUTLET OR FIXTURES 20 0'•0° RAI- o •50 Ex. Occu . Gas Ao ,OR., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Haz. D. IMP FLOOD CDF PARCEL 1-7_1!! SS E Iva This permit is hereby Issued under the applicable o e Butte County Code and/or Resolutions indica eb a for w ich fe s have been By -4) /j�j Date PERMIT EXPIRES ON provisions to do work paid. ate Receipt No. �� �.� WHITE-D.D.S.-B.D. CANARY -ASSESSOR GOLDENROD -APPLICANT 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 thefmajor labor and materials for construction of the proposed property !mOrovement: YES ��NO ❑ 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: PHONE: CITY: 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. 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 �OWNER::::� 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 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+\Micel Vi ira, C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code - OVER COUNTY OF BUTTE1 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street -Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE y ss �,LL �e' �e CC, 'a, Y R) OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Dated 2'— inspector REV 10/92 IN COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 411 Main Street • Chico, CA • (530) 891=2751 7 County Center Drive • Oroville,•CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date L Inspector REV 10/9 SHARON SICKLESTEEL 3201 TREVOR ROAD YANKEE HILL, CA 95965 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Re: Building Permit # 00-2748 Expiration Date: 11/9/01 A.P.# 058-670-013 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter. YWrs very truly, C. Mika, C.B.O. Building Inspection MCV:lt Attachments Chico Office - 411 MainStreet, Chico / 891-2751 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 ❑ NO ❑ 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. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 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 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code - OVER R.ECOR.DING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Building Division .7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 19 -Jun -2001 2001-0026239 Has not been compared with original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME(MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT ERROR IN THE ADDRESS LISTED AND DATE FINALED ON NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR .COMMERCIAL COACH, INSTALLATION OF A FOUNDATION SYSTEM, RECORDED ON FEBRUARY 26, 2001, UNDER SERIAL NUMBER 2001-007428. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. I 1 T : FQUJNDA } I � ,M iyv FiM a BUILDING PERMIT NUMBER: 00-1865 Address or location of unit: 3201 TREVOR ROAD, YANKEE HILL, CA 95965 Legal Description of Real Property: A.P.#058-670-013 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KEN L. AND SHARON K. SICKLESTEEL Owner's address: 3201 TREVOR ROAD, YANKEE HILL, CA 95965 INSIGNIA OR HUD NUMBER: RAD1278319/20 SERIAL NUMBER OR V.I.N.: KCCA 01 K01318A/B MANUFACTURER'S NAME: KARSTE YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 12/20/00 PHONE: (530) 538-7541 H.C.D. 513C t ( i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KEN L. AND SHARON K. SICKLESTEEL REAL PROPERTY OWNERILESSOR 3201 TREVOR ROAD MAILING ADDRESS YANKEE HILL, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1865 If (530)538-7541 BUI G PERMIT TELEPHONE NUMBER ./71) / 17 Laoll 12/20/00 CS IGN TURE OF LOCAL AG 0 Ff ICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. CITY COUNTY UNIT DESCRIPTION KARSTEN STATE ZIP 2000 KARSTEN VILLA MANUFACTURER'S NAME KCCA O 1 KO l 318A/B DATE OF MANUFACTURE 66'X 27' MODEL NAME/NUMBER RAD 1278319/20 SERIAL NUMBER(S) _ REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED LENGTH X WIDTH ASSESSOR'S PARCEL NUMBER A.P. #058-670-013 INSIGNWLABEL NUMBER(S) •HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. UU-UbJL4 DESCRIPTION ALL TIIAT CERTAIN REA1, PROPERTY SITUATE IIS 1111E STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 36, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SOUTHWEST QUARTER OF SECTION 16; THENCE ALONG THE WEST LINE THEREOF, SOUTH 0 DEG. 51' 30" EAST, 983.22 FEET TO THE NORTHERLY LINE OF THE STATE OF CALIFORNIA ACQUISITION LINE; THENCE ALONG SAID NORT'(IERLY LINE, SOUTH 53 DEG. 05' 33" EAST, 1431.54 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID LINE, SOUTH 53 DEG. 05' 33" EAST, 180.00 FEET; THENCE'NORTH 71 DEG. 16' 27" EAST 860.00 FEET; THENCE LEAVING SAID LINE NORTH 33 DEG. 07' 22" EAST, 31.86 FEET TO THE CENTERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG SAID CENTERLINE NORTH 44 DEG. 38' 54" WEST, 308.75 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 18 DEG. 19' 31", AN ARC DISTANCE OF 95.95 FEET; THENCE NORTH 26 DEG. 19' 23" WEST, 133.20 FEET TO THE BEGINNING OF A 400.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 23 DEG. 53' 3011, AN ARC DISTANCE OF 166.80 FEET; THENCE LEAVING SAID CEN`T'ERLINE, SOUTH 36 DEG. 09' 06" WEST, 918.34 FEET TO THE POINT OF BEGINNING. PARCEL II: BEING A PORTION OF THE SOUTHWEST. QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES OVER A STRIP OF LAND 30.00 FEET IN WIDTH, LYING CONTIGUOUS TO, AND NORTHEASTERLY FROM, THE -NORTHEASTERLY BOUNDARY OF PARCEL I ABOVE DESCRIBED. PARCEL II -I: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: 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 EITHER SIDE OF A LINE BEGINNING AT THE SOUTHEASTERLY CONTINUED 4u U 414 PARCEL III: CONTINUED CORNER �OF THAT CERTAIN PARCEL, OF LAND DESCRIBED IN DEED TO FISCI BROS. INC., RECORDED NOVEMSIER 5, 1969, IN BOOK 1591, PAGE 68, OFFICIAL RECORDS; THENCE FROM SAID POINT OF BEGINNING, SOUTHEASTERLY ALONG TILE ARC OF A 300.00 FOOT RADIUS CURVE TO THE LEFT, WHOSE TANGENT AT THIS POINT BEARS SOUTH 44 DEG. 38' 54" EAST, THROUGH A CENTRAL ANGLE OF 19 DEG. 43' 3611, AN ARC DISTANCE OF 103.29 FEET; THENCE SOUTH 54 DEG. 22' 30" EAST, 258.85 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE,' THROUGH A CENTRAL ANGLE OF 56 DEG. 08' 40", AN ARC DISTANCE OF 146.99 FEET; THENCE NORTH 59 DEG. 28' 50" EAST, 6.36 FEET TO THE EAST LINE OF SAID LINE OF SAID NORTHWEST QUARTER OF SECTION 16, AND THE CENTERLINE OF TRUEX ROAD, A COUNTY ROAD. END OF DOCUMENT GRAY DAMS C nvemor CTATE OF CAI IFORNIA -B ICINESS TRANSPORTATION AND HQUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING SECTION 1800 Third Street, Suite 260 P. 0. Box 31 Sacramento, CA 95812-0031 (916) 445-3338 FAX (916) 327-4712 From TDD Phones: 1-800-735-2929 June 5, 2001 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DR OROVILLE, CA 95965 County: BUTTE Owner: SICKLESTEEL •�Ov51NG A1Oi 00®= ...Z 3G� 0 DEVF� We have reviewed your application form 433A for manufactured homes, mobile homes or commercial coaches, installed on a foundation system. We are unable to.update the permanent legal record because the following information is needed to record the application. The checks submitted with forms 433A or 513C were staledated when received in our office. Fees in the amount of $22.00 are required. ($11.00 Per transportable section) In order that the record can be properly documented and recorded, please resubmit the forms and checks within twenty (20) days. If you have any questions feel free to contact our office at (916) 445-3338. ly, CRO`SS7-Pr0-Eram'IV'chnician I Housing Program ERROR TAG R...'TE TO: ❑ CO-OWNER TERM U T.P. CODING �J! ^0 RATE GRID DOESN'T BALANCE FEES & CE ❑ EVIRATION DATE ❑ APP• DON'T BALANCE ❑ CHECK DAA PENALTIES DUE ' ❑ TIME/DATB S APPROVAL, ON REFUND TAMP TTEN & NUMERIC ON C SITUS ADDRESS � C�HECK POSTMARK ❑POS HECK UNACCEPTABLEouer DATE EDNO RATE GRID 5'X rAa'�s o[� REQUIRE ❑ SUSPENSE STAMP REQ ❑ IS S-rICKER/DEC D ON FILE LETTER AL VA�.ID? _. VERIFY ❑.OTHER SUSPENSE RECEIrT HCD 491.6 (REV 12/91) INITIALS pj� June 6, 2001 • ��r I U K A L wtAL I AND BEAU TY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Ken L. & Sharon K. Sicklesteel 3201 Trevor Rd. Oroville, CA 95965 RE: APN 058-670-013 354 Lone Tree Road Dear Mr. & Mrs. Ken Sicklesteel: y The check in the amount of $22.00 that was sent to: H.C.D., was returned to our office stale dated. In order -for H.C.D. to process -your request we must have you send us another check in the amount of $22.00 to resubmit to them. I have attached the stale dated check for you to destroy. For your convenience I have enclosed a copy of the letter we received from Department of Housing and Community Development. Should you have any questions concerning this matter, please contact Paula Atterberry at (530) 538- 7541 . [/Sin erely,' Paula Atterben-y Plan Application Assistant I YJ -NOTES 1 RESIDENTIAL 058-67-0-013 00-1865 PERMIT NO.( SICKLESTEEIL,-KEN & SHARON '- ., ROVILLE CONTR: OWNER NEW MH ON PERM FND VW 22- SPECIAL CONDITIONS SRA CHECKED BY ' FLOOD CERTIFICATE REQ. ; FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS II SUB -STANDARD HOUSING LETTER 40 PL -2 e,311 kcc-A o w D13/6 /q )s i t' JOB FINALED (Date) Signature "' O I' J = OK 0 = Not OK a - = Not Applicable-.- 'MOBILE HOMES * = Not Ready Date ' MOBILE.HOMEi1TILITIES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 2. 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) 4. 5. Electricity; location-Clearances-Grnd-/ /Amp -Concrete 5. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG 7. Well Clearance & Disconnect 7. 8. Utility Clearance 8. Frmg.; Sills-Anchors- Studs- Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Roof; Shthg-Roofing Card B-1 Date Card B-1 Date - Card B-1 _ Date Card B-1 Date MOBILE HO INSTALLATION (Plans) OK except #'s Ij rJo g Requirements -Setbacks -Easements Fo9tj gs; Size -Spacing -Marriage Line rjv ,/� asjhp Test -Demand -Valve -Connector e icity; MH Test -Crossovers -Breakers -Clearances ain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7 Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged T'e Downs -Type -Installation Cert. 1 Exits; Insp.-Sketch of Occupancy Permanent Foundation Only; License Decal Date Card B-1 z Date Card B-1 Date Card B-1 Date Card B-1 shy V5 OIL.. (�CCC� 0�`Kb13r�� �s t ` 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures f6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors- Studs- Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ( 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Afng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ;J Yes ] No/Walks :1 Yes J No/Planters 0 Yes 'J 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 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 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 jingle & Duplex) Date FRAMING (Contirived) ; 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Afng. 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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.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 ❑ Yes 82. Following Instld./Drive ;J Yes ] No/Walks :1 Yes J No/Planters 0 Yes 'J 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 Throughout 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, 6CalifAia 95965 • Telephone (530) 538-75 T No. (Rev. 12/96) 0 . f - APPLICATION AND PERMIT` �� ASSESM#,D,�,jJj.,Bi13 ZONING BUILDING PERMIT OWNEQ'EN OR SHARON SICKLESTEEL TE 534E 7598 SO. FT. OCC. BUILDING VALUATION oWN96,228.00 E92!MNG fMR RD, YANKEE HILL CONTP6(M {DAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 96, 228.00 ARCH CT NGIN ER `OI�UL VIERRA LICENSE NO. 263482 Filing Fee $ 20.00 Permit Fee 626.00/2 $ 313.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 354 LONE TREE RD, OROVILLE 95965 Plan Checking Fee $ 23.00 BUILDING ADDRESS SAME Energy Plen Checking Fee $ $ PERMIT FEE $ 356.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NRW M/H PERM FOUND FIT-, SITE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT I Filing Feel 20.00 800VOR LESS 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. •License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 ith c mpl wit th e p visions. X Date Ig lure f App icant - KOwner ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 2300 Main Service 200A TO 1000A 46.00 ' NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5aFT; NpNp°,pT MULTI.OUTLET @7,50 i POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 � '�0° Ex. Occup.BAL @ .50 Ex. Occup. OurLEEDTs Ao .)EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 43..00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 46 .00 HAZ. D. FE IMP 7 FLOOR .�� CDF PARCEL PD HD SUE PI This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON, I Ie the applicable provisions Resolutions to do work beenp aid. ((f� ate OC ReceiptNo. 302379/$464.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6 ,-..•.".-,.,�V""'"-+'.'wvw�fK4f+i'"Y'K'''s�711t.,���..,r^..ir�^..�n..,���t,..,.tar+^i3:v'wit!"7«Y"'^'r>R{,1`Ja`r•M=""ie e-'iN"�Na°Ti3tY�,,;�wYa+;.r�fjitd�'°�.�'xiTr�.A"�'��Tf��'Yd^`F fY OF BUTTE - DEPARTMENT OFV DERLOPMENT SERVICES - BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 %f PERMIT APPLICATION DATA SHEET , 0►2 OWNER: 6 /, ASSESSOR PARCEL, NUMBER: ..6 Proposed Building Use: B Building Inspector: Date: At -time of permit application, I was adMd the following data must be submitted prior to pd4ftprocessing and/or issuance: Date Received By ❑ . All items have been submitted-------------------------------------------------------------------------------------- `Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3 Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- k ngineered plans, 3/4- sets, wi wet signatur on plans. All engineering must be shown on plans- -------- ❑1E 5.n ' eered truss details and layout in duplicate (required pripr,to plan review No faxes!-- dt f t-------- ` E16. Energy Design Compliance'and'suy� ppoq; g documenton. ----r- ��❑7 . 7 Statement 'of Intent for NonAeated-and A/C Buildings.=----------------------------------------------__________ ❑ 8. Hazardous Material Form. -----------1----------------- --- --------------------------i -------- I ---------- -------- Manufactured ITome-data-•and installation instiuctiSpecificac.61.-------- _--------- ❑�- Impact fees as shown_ on the al 12. California Departme&of Fore 13 lood elevation certificate. ---- ;Sanitation and plot plan appro D. 15. rCity of Chico plumbing perni l t ❑ 16. Plot plan and business liceje ❑ 17. Planning approval for (A) Use to approval from the City of Biggs. (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -------- -------------------- 1120. Pre -inspection for required. Request to Building„Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification)- ------------------------ -----r ------ ❑22. Workers' Compensation carrier and policy number. --------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 4,,,. 024. Letter of signature authorization. 1125. Recorded copy of Agricultural`Acknowledgment Statement. ❑26. Letter of intent on building use. ---y------------------- - -------- (Date) ❑27. Manufactured Home utility clearance.---------------------------------- ----�----------------------------------r Existing v' .la and/ exp' ed p7 6}- 0433 ” t D ti . Titl eck to H.C.D $--------------- -� Other: ------ �' When you ispe the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. mow° 1Telephori530�3�% " �� and hold for pickup at 1 office. E] Deliver with inspector. ' Applicant: / ZXZV Date: S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy. of plans sent ❑ Health Department, OFire Department, ❑ Other:Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above re 13 by ❑phone, ❑mail, ❑Building Division counter;, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division co' iiiter :u_y. Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division tinter, by _ Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Did 'o ounter,.by Da . Plans reviewed by: Date: Plans approved by: Date: fzvm Sets of plans on hold in b Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: E.H. USE ONLY Plot Plan Ansch•d Floor Plan Aft h d Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal iK Water Supply: Public Private Well Clearance forOMdwelling. Other Hold final for: Final clearance O.K. for: NOTE: -/,-- -- A //__ - 6 /00 Environmental Health Sp cialist Date 8/96 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 PROPOSED BUILDING USE M Aow 61 6 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. - 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : = $ Commercial (sq.ft.) . . #_Units Amt. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO. DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. &d2 APPLICANT DATE (/ Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) �N"yrl"�,+a �.�'��[�,?j�� ���, 47ri�-,yjn•YL.,.,,����y+Tlr•f`Ahfyy,!',Y,Y,:+�.�..1/.�J,,' n',: -JZ, COUNTY -OF BUTTE, �t `DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a > 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE A.P. # e)6V -6 %0 DATE R-, 8"-0 Q RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ..... $ -- Additional Fees Due ........... $ as -- Additional Fees Due ........... $ • - Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES G% (paid at District Office) SHERIFF FEES (paid at Building Division)#"�C Residential ........ x $360.00 = $ Units x $0.03 = $ 1 Commercial (sq.ft.)... Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq:ft:r.. x _$ Sq.Ft. Amt. •�na. 5. RECREATION DISTRICT FEES (paid at District Office) . 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) &W7.SRA FIRE INSPECTION AND PLAN CHECK 89.W(paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200..00 (paid'at Buildng�Div'ision). f;. Cer{i E. l t 1 ` r z� 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)11_ 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT , DATE C) Pursuant to Government Code Section 66020,"you arehereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section. 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) r '41 �A­ 4. "law. 7 - BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Yner form per Building) A, School District F5<1 A.P. Number Mobile Home Property -Owner Installation e�New Property Location/Address Subdivision (Stie'et Address) CD MV i Residential Development 0,44 (Phone Number) Co *Ioty) I ofiff 'F-17 F5<1 No of Living Mobile Home Units Installation e�New 40dF!ition 3uilding Department Representative Building Department No. County Lot No. A .................................................................................................................. Sq. Footage Addition/ *Supplemental, to. ). 'i (brouo R p " Conversion Permit # *(No foundation inspection . : L2 ................................................................................................ Sq. Footage (Floor'Plans revieweYby.$chool District Personnel) :t Identification No. 010005'" Vi y- i I I le- k ly, 1:�4 q�hool District certifies that 4 - (Including Exterior Roofed Areas) Date r -2 U (Applicant) -9 , 0 1 —_ 7 � (Stie'et Address) CD MV i I L;, 0,44 (Phone Number) Co *Ioty) (State) '(Zip Code) has complied with the requirements of Resolution No. by.payment of $ representing 2- square feet. AB 2926 IFULL MITIG $ &UO 011 P711 &0 School District Representative Date Paid by Check # Remarks: "oince with Notice: You may protest the imposition of the fees identified above by submitting a written pr test to the nistrict(JA cornkri Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit 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 (CEGA), ,this project may be subject to additional school fees to fully mitigate its imps trn the school district's schools. White (applicant), Yellow (building department), Pink (school 'district) feeform.xis (10/98)dmm v (Rev. 12/98) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive •.Oroville, California 95965 • Telephone (530) 538-7545 'E`M 0. APPLICATION AND PERMIT ASSESSOR MBE;4;7- /� i ZONING BUILDINGPEFfi%�I'I4••-•---•-�- OWNER �n (� TELFPHO E S0. FT. OCC. BUILDING VALUATION OWNG ADDRESS LUN e o c{ UwN e a CONTRAC OR•S NAME TELEPHONE CONTRACTORS MAILING ADDRESS �— CONSTRUCTION ER ` Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OINEEA / . !� LICENSE NO..F121Filin Fee 2 . Permit Fee _$ ITECT EN EEFfS MAILING AD )RHESS /� 04✓c-- �'L- IOP—® Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT r FiGrbc. F e:T 20.00 Each Trap FT 1 00T USEOFSTRUCTURE ' SF ❑ Duplex ❑ Mobilehome Other \ 4' � SPECIFY Solar or heat pump water heater�2= 0°T __ Water piping ' f I1,00 _ Each gas water heater or vent I I t ° 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatbn ❑ Other ❑ — �� ? Describe Work: vv0 Ml `sir( t °.00 Gas piping stem 1 - 5 outlets ��--__— Buildin sewer 1--.00 Mobile Home S G W I < 12 t1. 00 PERMIT FEE 1 . ELECTRICAL PERMIT ;— r_ilin_I F:'ea 20.00 OOOv OR LESS Main Service zo.A oR LESS i, ;-:3.4T� — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm:;-cing with Section 7000) of Division 3 of the Business and Professions Code, and my Iia 'se is in full force and effect. License Class LIC. No. ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the�-xoperty, 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 acid will maintain workers' compensation Insurance, as required by Section 0 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO DWELLING CCU OR ADCONS. ( D 8ACC. SUP. 3.:jI FI.I — NE, Co MULTI.OUTLET NON_RESID. --- cu7.50 POWER APPARATUS 4 SINGLE OUTLET CTR. T Ex. Occup. OUTLET ORFOCTURES , f3 iso :2.., ey_o_o FIXED APP PtRESNS. OR Ex. Occup. ourrETs ID. EA l_-__. __ Temporary Service I --_.•,-___?.�» 23.00 Mobile Home Facilities I 2.4.00 - — Misc. Wirirt I —•---- .23.00 PERMIT FEE I $ ✓ ' W_._ MECHANICAL PERMIT Filing Fee 20.00 Heating — Cooling Hood --- — ventilation L -------- ---- PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc pi w.Vserovisions. X ' ° Date Signature of Applicant - ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee3:-- Energy Inspection Fee _ occ CONST. TYPE TOTL FEE $ Y ? -HAq D. FEES V FLOOD v COF i Po IC I—I -•_•-• ••.- r D HD LL _ SSUE This permit is hereby issued under the e,pplic3ble provisions of the Butte County Code and/or Res_lutiorls to do work indicated above for which fees have berm paid. By Date PERMIT EXPIRES ON Receipt No. 0 `Z © 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINX-I SPECTOR GOLDENROD -APPLICANT 11 75i,44,4,( VM/\J I CK DCVr'1VVFYI IJ -V w19 -J J LIVING ROOM 13' -6"x19' -C' 5-30—> ��/_ 7R� 9 EAMF Y ROOM 13'-6-x11'-6' - 2w 192 114 I BEDROOM 2 13' -6'x:3' -C rel BEDROOM 3 13'.6,A13'-0" 6 STUDY/RETREAT - 13'-6'x13'•0" CARPET TOTAL 13'-6"x105'-0" vn'_c• 17'_x■ ?'_G,° 13'-1L3' LOCATIONS PER rtx fOa W SZE 11BXM M K,) PWR po {000116 WE iIE1D1111FA {SQ. 91) PEit 11)00 Pw 15M PSF 2900 951 PSF 1500 PSF 2000 PSF i n 2w 192 114 I 3 2 rel 760 m 180 4 THE KARSTEN COMPANY "98 QL 1C?ERVILLE RG. jtVAWW(910) YZ-201 Fh" (91q ,563-4537 Fmi S Fo rtlUnlc sm NE7J114E9 (a IN) po {000116 WE iIE1D1111FA {SQ. 91) PEit O1000 PSF 1500 PSF 2000 PSF �PSR `L) 1000 PSF U150D PSF 2000 PST Mt' 4000 576 3w 286 5 im 864 1 576 432 7 50M 720 iB0 760 6 8000 1152 718 575 8 CARPET & PIER SUPPORT LOCATIONS Stam PLM AS of FUMN DAr °�•," �': VIDOII IONE ONLY ® (30# ONLY) SOUTH #A MWU IOHES (74/30# OR ANK) Apo FOM SK W"U F4 (IBS } 1000 m 1500 m 2000 fv 1{10W 1440 950 720 17000 177E 1 1152 *4 T:y A�a�d�--��{{u['[ 140!1 10.: N'V\SXN SEWS K76WV1T rt 1,782 0.� 9/5/96 I _A 5-1-98 m D m co ---I m Z 0 0 R D Z { D m m N Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as ;the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work, is being performed by someone other than yourseli', 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, witlk 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-(mcluding materials and other costs) is $300 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 riskifor you if you do not carry out these obligations, "and these risks are.especipyy 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 employees, without a licensed contractor or subcontractor, only under limited conditions. , A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requiied 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 forth so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.. . Sincerely, ;viichael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O:vner-Builder Information is required by Section 19830 of the California Health and Safety Code. Mn- 100; 2.27 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 win' . 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[ ]. - Z. I HAVE[' HAVE NOT[ sign _ an application fora 'bu�ildin' permit for the i. proposed work.... .... 3. I have contracted with the following person (firm) to provide the proposed construction: 10;1 14, 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following4wi sons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCL-kL SECURITY NU-MBER: - 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. hNi-15-511 THE P55 PM FAX FACTORY DIRECT HOUSING Date: PO BOX 276628 FETO 9998 Old Placerville Road Pages: Sacramento, CA 95827 (916) 363-6380 and (800) 444-7179 FAX .(916) 363-6440 - .��` S To: From: Fax: P. al Tom Bozzuto REMARKS: Urgent For Your Review Reply ASAP Comments l� ee.- `,� ALL PRICES GOOD FOR 30 DAYS E ONLY NOTICE OF MANUFACTURED HOME (MOB ROME) OR. COMMERCIAL BC,OAlei, IN — STALLATION ON A FOUNDATION SYSTEM RwAgf'rp of this documei+t' at the request of the focal 'ogerrcy indicated is in accordance .with Qa fon is Hoolih 6in)d Sdvty G Section'18551. This document is evidence tf►at sudT local agency has issued a certifkate of occupancy for in:ctollation of the i described hereon, upon the real.property described with certairttjr below, as of the date -of recordlrq. When rromwc6i, this docum shaft be indexed by the countyrecorder to recoto dw.named owner of the red properti and shall be desn+ed to ohm rotxi '%X:live notice dl Its contents to an. persons *Hefter de fine with the real property. a U60 c IWALLATION A ARp/a ADDRESS. IF OUMV4T CITY COUNTY STATE ZIP UNIT OWNER (11 abo po" , aww. wrve "SAME) MAILING ADDRESS CRY COUFM STATE ZIP DES LOCAL AGENCY dSUWO PERMIT and CERTVIC A'M OIt OCC UP ANCN AAAtIWG ADORQi • • • ••. .•.�_• CRY COLIK" STATl��� WADING PERMIT NO TEIEPHOhq: PLtdh 611I� SIGNATURE OF LOCAL AGENCY OFFICIAL DEALER NAME p1 nw a deal" We. oAa "WOWLl .._. ---- DEALER LICENSE NO. NAME DATE OF MANUFACTUR! MODEL NAME/NLIMM SERIAL i+UM4uo) W*TM X WIDTHVA&GWAAAML HLIMRERM REAL RTy LEGAL DESCRLPTON ASSES'SOR'S PARCEL NUM P Lr " /- s / 6� 1,-4.�, it NCD FORM 433(A) Rev. E/91 WHITE—County Recwdw CANARY—MCD PtNR—ApOicant GOLOENAOD—Rui4fing 0apL 149 STATE -OF CALIFORNIA . DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is. a: ® Mobilehome 0 Commercial Coach Floating Home 0 Truck'Campe Decal (License) No. (s) T�raade: Name . Serial No. (s) I/We, the undersigned, hereby state that the unit described above:. Affiant further agrees to 'indemnify and save harmless the Director of Housing and Comnuni`- Development, State of California, and subsequent purchasers of said unit, for any loss the may suffer resulting from registration of the above-described unit in California, or from, issuance of a California certificate of title ,covering the same. I/We certify under penalty of perjury that the foregoing is true and correct.. Executed on/ at C` Date (City) (State) Signature of each affiant Address City HCO 416.6 (Rev 11/86) Printed name of each affiant ,51 l!,,,// L A N D U r N A I U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 February 21, 2001 Ken or Sharon Sicklesteel 3201 Trevor Road Yankee Hill, CA 95965 RE: Request for HCD 433 A Mobile home on foundation system AP#058-670-013 Dear Ken and Sharon, The 433 A ( Mobile home installation on foundation system) for Ken or Sharon Sicklesteel was recorded by our office. The 433A cannot be sent to the State Department because the Grant Deed given to us is incorrect. Please submit a correct Grant Deed. Thank you, IV Linda Thornsberry Plan Application Assistant Butte County Building Division 530-,538-7541 9 STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVEI `OPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LBC1101 Manufacturer ID/Name 90153 THE ANDREW KARSTEN CO INC Trade Name KARSTEN VILLA Model KS66004F DOM 09/14/2000 DFS - 09/22/2000 — RY -- Exp, Date Serial Number. LabeUlnsignia Number Weight Length Width SPC SCC�7Exempt Use Type KCCA01KO1318A ` .,'' " + - RAD1278319 35,640 66' 13-6" 04 -: _ -;SFD,, ;; LPT ; KCCA01KO1318B RAD1278320 35,640 ' 66' 13'6" Issued Total Fees Paid Nov 29, 2000 $98.00 Addressee! KEN L SICKLESTEEL 3201- TREVOR'RD YANKEE HILL, CA 95965 OF e-FRegistered Owners) �. .4 KEN L SICKLESTEEL .. + r .<4 SHARON;k SICKLESTEEL-` KRISTIN( RIE MAHONE *y ,.r - w$ ,- x Tenantwin Common Or � � r 3201 TREVOR RD-�--r , ', ,,:'�, -• ~ .' YANKEEjHILL CA 95965 �` ' ' ""�,.�s,.,,'..•^ �; `:,�' '^�.M � may_ ,�. �• V �.-�� '� �. q� t Situs Address _� _ -` -► '' igyj' 3201 TREVOR RD ate,. �: _ ,�; ►,f` ,� j� ��. YANKEE HILL, CA 95965 a•'t�"�;, 'rte- F+ r �, �, `.'„S",�< -: i` +t.., SL 4. ;. :,a G'♦ *7f :4. � ... ..;.a .....�,..:._ i3 �va.��f•� ( ��a S}�� 4 w:. l..s,��•r.4y'�. Y :� �.�•• ♦ gar l � •' .t -T'�� f Y -`� � � �i}��M�f.t .i � w-.+.�� :+t .�i ..*.�• v wi.t -� �Y `. �s,� iLYS �sin.[��}r 7 {� ti-�� -i (. �.w 1Vf tk i�<a..+a.e.s � Y "'?i.a 3. ��Yc 1 •� �~� • , *,'� �.�•' � KAY . �-� '�,�, .��+ajr•' �a �y �'r IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 1696452 11292000 526 RECORDING, REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 26 -Feb -2001 2001-0007428 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. KEN L. AND SHARON K. SICKLESTEEL REAL PROPERTY OWNER/LESSOR 3201 TREVOR ROAD, MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 354 LONE TREE ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVELLE BUTTE CA 95965 CfPY COUNTY STATE ZIP' UNIT OWNER Of also property owner, write'SAME') SAME MAILING ADDRESS SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT um CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 00-1865 530-538-7541 BUILDING PERMIT NUMBrAR TELEPHONE NUMBER YME LOCAL AGENC 4*OM / DATE DEALER NAME (If not a dealer sale, write "NONE") DEALER LICENSE NUMBER CITY COUNTY STATE ZIP UNIT DESCRIPTION KARSTEN 9/22/00 MANUFACTURER'S NAME DATE OF MANUFACTURE KCCA 01KO1318 A & B 66 X 27 SERIAL NUMBER (S) LENGTH X WIDTH KARSTEN VILLA MODELNAMEMUMBER RAD 1278319 / RAD 1278320 INSIGNIAULABEL NUMBER (S) REAL PROPETY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 058-670-013 SEE ATTACHED HCD FORM 433(A) REV.8/91 SU`UbJL4 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY •SITUATE, 11J THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SOUTHWEST QUAR'T'ER OF SECTION 16; THENCE ALONG THE WEST LINE THEREOF, SOUTH 0 DEG. 51' 30" EAST, 983.22 FEET TO THE NORTHERLY LINE OF THE STATE OF CALIFORNIA ACQUISITION LINE; THENCE ALONG SAID NORTHERLY LINE, SOUTH 53 DEG. 05' 33" EAST, 1431.54 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING ALONG SAID LINE, SOUTH 53 DEG. 05' 33" EAST, 180.00 FEET; THENCE 'NORTH 71 DEG. 16' 27" EAST 860.00 FEET; THENCE LEAVING SAID LINE NORTH 33 DEG. 07' 22" EAST, 31.86 FEET TO THE CEN'T'ERLINE OF A 60.00 FOOT ROAD EASEMENT; THENCE ALONG SAID CENTERLINE NORTH 44 DEG. 38' 54" WEST, 308.75 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 18 DEG. 19' 31", AN ARC DISTANCE OF 95.95 FEET; THENCE NORTH 26 DEG. 19' 23" WEST, 133.20 FEET TO THE BEGINNING OF A 400.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 23 DEG. 53' 30", AN ARC DISTANCE OF 166.80 FEET; THENCE LEAVING SAID CENTERLINE, SOUTH 36 DEG. 09' 06" WEST, 918.34 FEET TO THE POINT OF BEGINNING. PARCEL II: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES OVER A STRIP OF LAND 30.00 FEET IN WIDTH, LYING CONTIGUOUS TO, AND NORTHEASTERLY FROM, THE -NORTHEASTERLY BOUNDARY OF PARCEL I ABOVE DESCRIBED. PARCEL III: BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 16, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.U.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: 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 EITHER SIDE OF A LINE BEGINNING AT THE SOUTHEASTERLY CONTINUED 4u 'UuJLot 7) PARCEL III: CONTINUED CORNER OF THAT. CERTAIN PARCEL OF LAND DESCRIBED IN DEED TO FISCI BROS. INC., RECORDED NOVEMg13R 5, 1969, IN BOOK 1591, PAGE 68, OFFICIAL RECORDS; 'THENCE FROM SAID POINT OF BEGINNING, SOUTHEASTERLY ALONG TETE ARC OF A 300.00 FOOT RADIUS CURVE TO THE LEFT, WHOSE, TANGENT AT THIS POINT BEARS SOUTH 44 DEG. 38' 54" EAST, THROUGH A CENTRAL ANGLE OF 19 DEG. 43' 36", AN ARC DISTANCE OF 103.29 FEET; THENCE SOUTH 54 DEG. 22' 30" EAST, 258.85 FEET TO THE BEGINNING OF A 150.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE,' THROUGH A CENTRAL ANGLE OF 56 DEG. 08' 401', AN ARC ,DISTANCE OF 146.99' FEET; THENCE NORTH 59 DEG. 28' 50" EAST, 6.36 FEET TO THE EAST LINE OF SAID LINE OF SAID NORTHWEST QUARTER OF SECTION 16, AND THE CENTERLINE OF TRUEX ROAD, A COUNTY ROAD. END OF DOCUMENT . .. 0 BUILDING PERMIT NUMBER: Address or location of unit: 354 LONE TREE ROAD Legal Description of Real Property: 058 -670 -013 - SEE ATTACHED: 00-1865 ( X) Mobilehome/Manufactured Home ( ) Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KEN L. AND, SHARON K. SICKLESTEEL Owner's address: 3201 TREVOR ROAD, OROVILLE INSIGNIA OR HUD NUMBER: RAD 1278319 / RAD 1278320 SERIAL NUMBER OR V.I.N.: KCCA 01KO1318 A& B MANUFACTURER'S NAME: KARSTEN r YEAR: 9/22/00 OFFICIAL APPROVING INSTALLATION: DATE: �� 0 PHONE: (530) 538-7541 H.C.D. 513C '� x Recoraing requestea oy: C 7 Mid Valley Title &Escrow Co. 9 0 - 0 6 S 1.4 ✓ Order No. Escrow -NO. 110483-21K ' Loan NQ. ., 90-006524 Rec Fee 9.00 DOC 66.00 Recorded Total 75.00 WHEN RECORDED MAIL TO: Official Records County of Mr. & Mrs. Ken Sicklesteel- Butte 5254 Alan Ave. Candace J. Grubbs San Jose, CA 95124 Recorder 8:00am 20 -Feb -90 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX. STATEMENTS T0: 66 00 DOCUMENTARY TRANSFER TAX $ ..... .....:.................................... Same as above 1. Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or valueless liens or encumbrances remainin t time of sale. AP #058-67-0-013-0 gnatur f Declarant or AQe t detennin ng tax —Firm Name Mid Valley Title & Escrow Co. GRANT DEED TRANS TAX PAII) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, RUTH S. COOK, TRUSTEE OF THE RUTH S. COOK LIVING TRUST DATED NOVEMBER 29, 1988 hereby GRANT(S) to KEN L. SICKLESTEEL AND SHARON K. SICKLESTEEL, husband and wife as Joint Tenants the real property in the== unincorporated County of Butte State of California, described as SEE ATTACHED LEGAL DESCRIPTION. Dated January 12, 1990 STATE OF CALIFORNIA Iss. COUNTY OF Butte ) On January 12, 1990 before me, the undersigned, a Notary Public in and for said State, per- sonally appeared Ruth S. Cook personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same. WITNESS myhand an official seal. Signature L• da Klem, th S. Cook, Trustee ■■■■■■■■■taws■■■■■■■■■■■■ i LINDA KL$MM • • NOTARY PUBLIC -CALIFORNIA i ■ '�' Butte County ■ My Commission Expires • ■ March 15,1.993 • ■ (This area for official notarial seal) MAIL TAX STATEMENTS AS DIRECTED ABOVE 1002 (6/82) RESIDENTIAL 058-67-0-013 93-3923 SICKELSTEEL, KEN & SHANNON 3201 TREVOR RD., OROVILLE MH INSTALLATION OFFICE COPY I Address i GAS Meter By—z4— Date C JOB FINALEP (Data) �-3 $Ipnature V=OK O = Not OK - = Not ReadyApplicable MOBILE HOMES ' =Not Ready ' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1,41-ZorjJng Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line kAH Test-Demand-Valve—Connector Elec city; MH Test -Crossovers -Breakers -Clearances r&; MH Test -Fell -Flex Connector 'dater and Sewer Connected -C/O to Grade -HD Approval C Gas and Electricity Taaaed of Occ f . '1/ 73 S -/' 00 70S MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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-Ina. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BU' TE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ' Address or location of mobi lehome Owner's name�F- Owner's address '��-�� )-� ` -Z �' 1 Insignia or hud number r Manufacturer's name 0�':A. •A �� L't %T� > • . {� Serial number of V.I.N. 010 , i Year of manufacture - ' d (Official Approviri-g Installation) �(Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. -THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 058 -4 7-0 -- o13 513B White - Owner, Yellow - Installer, Pink - D.P.W. JCOUNTY OF BUTTE - D PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center'Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUM BER—— — j+ 20N{e�,-10 BUILDING PERMIT OWNER KEN & SHARON SICKELSTEEL ILEOI-6341 SQ. FT. OCC. BUILDING VALUATIO OWNEFrfMtNC�DxE 456, P99ar--adise, CA 95967 CONTRACiTOIR'lS NjA�M�E 2'?(�-7�AFs. I IT1C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINSl�J,1,��ll 7Trevor Road, Oroville LL PERMIT FEE $ .O PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New CIAddition 1:1Remodel ❑ Utilities ❑ InstallationXK Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceOOOvOR"I ( 2ODA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 0, 3.5C FST, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full forc2nd effect. GG��T License No. 55`"69/7 Classification 7 ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occup.UT ED (RESID OR ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Develjment Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' co qu ce f e g ntin of this permit. X Date Si nature of pplicant Owner Contractor C1 Agent 41 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 TOTAL FEES 143.00 HA2- D. FEES IMP F100D CDf PARCEL PD HD I U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab for which fees he a been paid. IR which OF U IC WORKS By , Date /_7 —//, PERMIT EXPIRES ON `1 (Date) Receipt 194010 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �f"��"L'�''���".�C•'f`'I.�F�.'�,.�'"v�;.�Y,l`�`�.!`'iiy-m�.l''"�"'"�y('��1" V �d"'F''`-L'yf``''l�-y�'4,�f-..:•L'�n�-�'+`CM�;�:;d,�'',,�-::r.'4� -,'�� V.e- '�-=� \...-�...�-ti- . COUNTYOF BUTTE--DEPARTMENTOF DEVELOPMENT SERVI1, ES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI1��Ill-W0A '5365 - TELEPHONE(916)538-7541 PERMIT APPLICATION DATASHEET OWNER A. P. No. 9. r07 O - /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 1. All items have been submit ........................ 2. Plot plans, 3/4 sets, s ed by preparer f plans . ......................... . 3. Complete plans, 3/ sets, signed by,gc parer of plans. ..... . .4. Engineered plan and calcs, 3/4 sets; with wet signature on plans . ............. 5. Hazardous Ma rial Form. .....•. r'`~ ................ ........... . 6. Energy Desig Cpl'' ce and supporting documentation. ...'...11 7. Statement of I tent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss etails and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturers installation instructions, 2 sets. ........... Y 1-3 10. Fees of $ . ................. ................. 11. Impact fees as shown on attached schedule. S_"A.n1.t- 6 ee4f- .. '°. 12. California Department!8f,F:ores'try` plan apprdval/fees. �! 13. Flood elevation letter 100 year flood),by California Engineer 14. Sanitation and plot plan approval Health Department. ......... '. 15. City,of Chico plumbing permit. .............. 0 ..................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ........... 17. Planning approval for (A) Use: t (B) Parking: 1 -- _ , ... . 18. Contact Land Development about (A) Improvements (B) Drainage. ....�..... . 19. Driveway permit (construction approval required prior to occupancy). ...Pm'4n0,,*clJ-'on' r'eque- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification): ............. . 22. Certificate of Workmans Compensation Insurance. ........' . 23. Owner -Builder Verification (Givento owner , Mail to owner r_ 1........... . 24. Recorded copy of Agricultded'I cknowledgement Statement. + ................. . 25. Letter of signature authorization . ................................ 0 ....... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............... 0 .................. QK 28. Mobilehome utility clearance . .......................................... ) 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . .................................................... 33. i 34. Whe ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoned and hold for pickup at (9ec> office. Deliver with inspector. Other Parcel Creation Acreage 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 submitte rio to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, ow was advised of above required data by _phone _mail Counter bye, Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by. Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Date -f-2 - zv- 9 3 Date Date 12- I? rr" F+��' "'.�„yys'�`�.�'z%,�I'.F'^Kh'r�xw'*1�tr��,.'�''�►+74FuaT'1dr'w"�b��.y..�",��°K�}�St�svp�g,�'IT..g-•. ter,--.-.►y..,�.�...,n..-n�,..o. � v ..r� BUTTE COUNTY SCHOOLS IMPACT FEE'CERTIFICATION FORM//� (One Form Per Building) School District 04D t -k t V" (! Building Department No. A.P. Number UJra 070 - 0 t,.� Jurisdiction 0 City 0 County PropertyOwner Property Location/Address 3.20 � �/��Uo� go 0&4?Lx11e: Subdivison Lot No. Residential Development No. of Living MHI Addition Units . Commercial/Industrial Building Department Representative New Sq. Footage 6 Cz (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. 9 4 O O k—/ 0 LLea `(, School�Distrl certifies that !� 1( n(LA�J �f a fit) r � _ (Street Addres (City) t (State) has complied with the requirements of Resolution No. representing 7square feet. School District Representative Paid by Check Number ! / Remarks: (Including Exterior Roofed Areas) . tz S3 Date (Ap • licant) (Phone Number) (Zip Code) pp by payment of $ Q' /C _/_��g Date Bank Number Paid by Cash 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 Agencythat this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to'' ,--.-,,-.additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) APPROVEI)i Butte County Envlronmt'nial Health �..' ,! oDae S � i , � �grSatura J `, 5 .. fit.( ". � •� ., 13 _ r� 1 � Xs 7 ::�k Location of stn�tur'es,f 1 Aft file YLI),W ; a o - ^ O0 l*Ip#wt shQll be as e(E-v IIS O 6-6' FWM �_ of ROAD C, /N s \ S uy�rk,t hu ra e I P� 14�1d/ •�N �� RN %v4eA- Ayes fktikfe. he �d �. A peftit will Ve ftquired for installation of the ni i t' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: KeN ./.,/ 4- 5AZ, QN - K. 3-1 CT6f leel 2. Installer's Name: Se /-I� F-1 3. Is the site currently under permit? Yes FYI No (If yes, furnish permit number 6] 3- 3/0OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes � No F (If no, clarify w 5. What is the mobilehome electrical rating? --------------- *100 - Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- "fO 6 ., M Amps 8. Is there any other electric load to be served by the mobilehome site service? -----=-------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (/ SD ( (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.). BUTTE COUNTY BUILDING DEPARTMENT APPROVE© MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.�furnish Setup Model No. Year. 19.7.3• Width19— (ft.) Box Length (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ 'S �, - Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max- --------- , „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- " Line 2 Piers• Size-Min------------- Spacing-Max - ------------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ "x „ Spacing -Max .--------------- From Ends -Max .------------- e 4 Piers Size-Min-------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- _ Line S Roof Loads: Size -Min.------------ Location (From Front) Size-Min------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 .r 3 CORRECTION NOTICEA UWNtK PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / ON h�rN�A fs 1� L 0.— �/'�O✓�S 4► t ✓-24uw✓W Date Inspector REV 1 /92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovilTt; Cali#tirnia 95965 - Telephone: 916/538-7541�{ L —'7 /17 APPLICATION AND PERMIT l/V J ASSESSOR PARCEL N MBER .- / ZONING BUILDING PERMIT OWNER TELEPHONE ,33 SO. FT. OCC. BUILDING VALUATION OWNE 'S M LING D KESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ it Filing Fee A I V$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan C cking ee $ Energy Ian Che kin ee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalt y $ BU I ING AD E S '� l'or Ad Perml fe@ U ING PERMIT Fi Be 10.00 Each Trp 2 Solar or heat pump water ate 0.00 LOT NO. SUBDIVISION NAME PAVE MAP Water piping I VP -00 I�,- Each qas water heater Ir v4pt .00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other sPE 1 Fr Gas piping system 1 - 5 out tts 5.00 Building sew 5.00 Mobile Homd IS 1G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Aln.1lati, n❑ Other ❑ Describe work:Co Permit 11Je4 $ / ractor ELEC RICAL PERMIT iIiIng Fee 10.00 Mal S@NIC 100V R 00 AMP ORSLESS 10.00 r Main rvlCe EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theAS Professions Code and my license is in full force act License No. Classification JR I, as the owner, or my employees with wages as their sol en sation, will do the work,and the structure is not intended f ere for sale. (Sec. 7044) IN I, as the owner, am exclusively contracting with licensed c n act- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions dev?,610 for this reason NEW CO ST. DWELLING Oc UP.51 , OR ADD S. ACC. BLDGS. h2sgft NEW ST R U TI-OUTLE 2,50 ea ON- SID BRANCH CIRC S POWER APP A strand (SINGLE OUTL T IR. E OCCUp�OUTLET3 R F� RES 20050t eAL030 Ex. OCCup. OU LETS LES O1R 2.00 Temporary servi'e 10.00 Mobile Home Fa ilities 15.00 bil Misc. Wiring 15.00 Permlt e $ 3 5V Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 sa'd County in con,�eguence of4hranting of this permit. �2 �_ p"7 X Date e / Signature of Pplicant — Owner❑ 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 $ TOTAL PERMIT FEE $ occu P. CONST,TYPEJ JSC1IOOLJ FLOOD PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. ll WHITE-O.P.W., TELLOW-A3e633o R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMIP. i-rF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ROS IkAL E6 CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER wy Proposed Building Use Permit No. A. P. No. Building Inspector iO Date a/ A At time of permit application, I was advised the following data must be submitted prior/to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans, r 3. Complete plans in duplicate/triplicate, signed by preparer of plans, l f v 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. t� `N t i 6. School District "Fees Paid" Stamp on Floor P`an. 7 Statement of Intent for Non -Heated and AC Buildings. 'r 8. Fees of $ . . . . . . r y 9. Letter of signature authorization. �, .! !, . . . . . . 10. Sanitation approval from �l� Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. 1.. Contractor's License Information (no.,lname style, classif.) –14. Owner -Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required. f r 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to12 —� 1--87 ::% 'Date) 17. Pre -Inspection for--.-,--,. _ ..._ _. _ Required. Building Inspector �t 18. Recorded copy of Agricultural Acknowledgment Statement. NJ I &t 19. Driveway Permit. rrt —1 20. Plot plan approval from city of 21. ice. _ A _ 22. When you issue the permit, process asfo s: Mail to owner, Mail to contractor_ l Telephone d hold for pickup at office, Deliver w/ins'pector. Ot.he OYOcJ/!(�1 �� /��qw1 Applicant ate Copy of plans sent Health Dept.; Fire Dept., Other F Date the following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. –A4 2. Additional items required: I V Contractor, designer, owner, was advised of above required data by—phone---mail —'counter by date Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date Plans checked by I , Sets of plans on hold in _ I Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Ojroville, balifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL_!NtIMBER _ / 7 ZONING BUILDING PERMIT OWNER ; TELEPHONE ,SQA FT. OCC. BUILDING VALUATION OWNE 'S M,yA�ILING D RESS �C� 1 w ' 111/14,m 1 CONTRACTOR'S NAME - TELEPHONE _E:n ouxa CONTRACTOR'S MAILING ADDRESS j Fireplace CONSTRUCTION LENDER UNKNOWN Total Va atio Filing$ �� 10 LENDER'S MAILING ADDRESS Permit Fee "' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Feb $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI ING AD ESS_ r 7 ti Penult 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 n'A SF ❑ Duplex❑ Mobilehome❑ Other­tl�� PECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RemodeJll ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 6 f,(,a /A: i& G!(lo/j� Permit Fee $ 4 Contractor ELECTRICAL PERMIT Filing Fee 10.00 !-T Main service 11000 V OR AMP LESSOR 10.00 r Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license IS In full force and effect. License No. Classification IEA.)2.00 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec: , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR AODNS. ACC. BLDGS. �2QSgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRA C CIRC S POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES BAL&30 eALe Ex. OCCUp. OUTLETS FIXED P(RESID IR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit a gyp( $ 140 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 Countyot 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 sa'd County in conse uence of ,the ranting of this permit. X �'�'O I � ! Date L2_ �7 Signature of Applicant - Owner ❑ 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 $ TOTAL PERMIT FEE OCCUP. CONST.TTPE SCHOOL FLOOD PARCEL PD NO 1 ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the resolutions toprovi- resolutions to do fees have been paid. WORKS Date Receipt No. clpjff!�__ WHITE-D.P.W., TELLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department C04NTY OF BUTTE BUILDING DEPT FROM: Environmental Health MAY 13 1992 SUBJECT: Sanitation Clearance Q- n s «Kl e5 f ee I _3Qn t 1 e%� Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for _ bedroom mobile home. NOTE *** Other Water Supply Water Supply Water Supply \ T�r N APPROVEi)t Butte County Environmental Health 3 kv'-- - Dae - 4 d P �.' igrSature e' -pr y %; 1.3 1 Y't�KtNG' ., /�, FRO �'. rI00, Pulte County.�L°O ^ U0 Environmental Health ate - Qj N 1/ c 5u�;�i�^ Nµ'ra t^ e. �r Jna�f �ed crX.I1d� •'lNI1' Q� �RN k i e 4 e k /4WS Flt - �� . he k� � 6 b' t? r �� 141,6p - P,,o�. ,c,;,, . . ' 4, roti p 4110S teN S�//�Rav Sic,'/�57ee� mw r- / LL V, `�! 3 0/ rRC tla �C / p nvironmental Health 6 d Eo Ur lle�� MAY 12 1992 r r � / I Oroville, Calitomia ' P001VC' X77 ,� Ad ce Y-160 A 00 A/ �/ �RNFaTIA P_ Ae-IJ .div/ledelt. K i e 4 e A- 1hVes Fe( ta_�e. Plea P_ e 4n2o�•6je 41 he ly S7/o WON Sic ple,5�el 3�. of 7'/��vo�, � j . co vi I/e, 0 APPROVED 6 3q I Butte County 'e T�7 Environmental Health r sAtv" 13Y ------ rfI Dato �'y ,.--------- --------- in n;; fi i rga R) CN 15 o P _ Pent ate �Ie Mow 00 /e,4 Cji L iiv s c v lor o�"rFcc ra �� die RN Iv4cA, INVes Fitts -!e. •ale f?p-eJ�- ti ,4 � p 4 roti • 0. <e8 4-- S7/oWON Sick'/mss/ee� I 3 -PLO/ 'rfCPO k � 11 dco vi I /e �� 60 ►.. APPROVED • Butte Count ''. P C)i� C'e 8 / `! 3 y 6 ` , • Environmental Health R� GV 13Y.,A5s� r�C • •�(/ , 1 /zi, .7 1 ..;• l at ------ �� --------------------- ginnatl ina TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ---_ !c �1e5 �e�/ e� 4- h � T)eEVIV e �D 58=6 77k Owrr6r Location AP# Plan Approved for: Hold final for: Sewage Disposal _ x Water Supply Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedroom mobile om Other NOTE *** Sanitarian Date ' } _ �. s � -- r • - � `} -. `� . .. r tip ' ...E L' � . - � '' � �• � '� � - L -- . � . :s,�. • � '�.:—�+`,s4�;�.: �•.:�.,:. �T• �_� t ,.,_"� ' ,s�;';� . r - � . � :�,;� J �� ,_ i _ � - - __ � '}. ' y��` Ate• � 4 r __ • _ � • i - r _ P ,. }. 13, '1993 . ��Qs:�i11�� Cl - aa, •� ,_ �- � • i' � ' r � �, +. .. J l � - . � � '� Nr' fie 3 ' � 4 - � �'• � ' �� i. J - J- � -. � ' - �� f . � Y - -,� � � ' rte. . � � _ �ti t ` � � � � t' y �� t i t ♦ � � + _ s .. �• • } _ • � � t _ s .. �• APg��7—J� c 1 WNER PERMIT MH UTIL.CLEARANCE DATE I� 6 INSPECTOR i ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YES NO YES NO Size Load Type Size Length 1� 2-oe,t43 L 106 -3 ICY i i i k i t t Z { Y i t' 058-67-0-013 \ \'MENT SERVICES - BUILDING DIVISION — 3965 - Telephone (916) 538-7541 _ PERMIT NO. 93-3923 14HI �. p PERMIT n tt � n n�T SICKELS'1hhL, &L11 Of DnANVIT 3201 TREVOR RD, OROVILLE ASI _ 41 .1 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRACTOR S NAME - ��, I -Er I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation s Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOIN�1617Trevor Road, Oroville PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L07 N0. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent -15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other sPECIFv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities O InstallationXK Other ❑ MHI/9 .XI�4 ,r [ j Describe Work: / I PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1IOOVOR ) 200A 23.00 2DOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. ) SO 3.50 FT. NEW CONST. MULTI -OUTLET •_NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force-Qndeffect. GGT License No. _S-56?,? Classification 7 ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. OCCUI P• ( OUTLET OR FIXTURES ) 20 @ 1.00� BAL. 0 .Bo Ex. Occup. ( FIXED=.)01R ) OUTLETA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County • co qu ce f e g ntin of this permit. X Date13/ Si nature of pplicant Owner Contractor ❑Agent n OSHA permit is required for excavations over 5"0" deep and demolition or IN construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP F100D COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date I PERMITEXPIRESON (Dere! Receipt No. 1 5 nl n — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - � v APPROVEI)i 34 B C, utte EnvironmtritalounHty ealth '71,9 cL3 17 Date i;4 ufre Q P le, Y011V it 460 00 Location of sti ' uctures eq(jipment shall be as A clear of all easements. 6-01 FRM q_OF20AO iFA C -.7 Co' 1171. rt 4, r(A P_ e e,4 j,/, e RNk i *14 e A- lhve-,5 fA fA Pe A e /? P_ e4tL - A permit will be . ' I _W"i;- I ma, Thi's set of plans and pecificafions Mq T be.. instoRation of the, o 119h ?'T '1ept. on the lob -at all , sand itisun to 14.4h.ake any changes or eraf ions c It o U f written permission from the Department of Public Works, COUMY of Butte. 1<68 4--,5-WI�w0w, s7lca,,5.w e?41d r?OA_j Pke ,n. j " - /VPOS BeOeOo, 14C -ACTH 0/ _rNC110k IV- NeTf—Aft MI'Mri--vila & WOr" Shall' I Ao=danca WVA41. PLT09niz�-d GOC)'d Pr im C- 0 U1 /e (,d :!f a quality proscribed for the Spe45 U O 1�67Y-617—t 3(14farM. B,,jjjdjIjg, PlUmbing & Me&.4RIcal 17- ,-I 'e 87763 rA cu 'W 13 y: ME C�1�1_1 E N A] -Y RESIDENTIAL 05i-67-0-013 93-3104 P,E + SICKELSTEEL, KEN & SHARON 3201 TREVOR RD, OROVILLE NffIU/REPLACES 92-1585 qId 9/9 r 3z1,0 S o OFFICE COPY Address { Met Date .. y ELECTRIC 9 Date/4�,0 I Meter By JOB FINALRO (Pats) vV Signature .— V=OK , I O = Not OK Not = Not Ready Applicable MOBILE HOMES Date/Initials MO E. HOME UTILITIES (Plans) OK except Wa Is; Special MH Support Sketch Sewer; Location -Teat -Fall -C/O Concrete L.4 -'Water; Location -Test -Easement Needed (Sketch) 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Teat -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 MISCELLANEOUS Date/Initial 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.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6e. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Teat -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts-Joista-Vents-Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu of AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No, Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF B!JTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,-California 95965 - Telephone (916) 538-7541 PERMIT NO., APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-670-013 ZONING ER—in BUILDING PERMIT OWNER KEN O QIIA7]O7�T-SICK--STEEL 1LLd� O[ Jil1t1A lY _ TELEPHONE SO- FT, OCC. BUILDING V UA ON 11 OWNER'S MAILING ADDRESS PO BOX 2456 t913 PARADISE 95967 3 CONTRACTOR'S NAME UNKNOWN 4 TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3201 TREVOR RD GROVILLE PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome POther SPECIFY- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 160.00 TYPE OF WORK New EIAddition ❑ Remodel ❑ Utilities)p Installation EIOther ❑ Describework: MH—U TO REPLACE PREVIOUS BP #92-1585 PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV ORLESS ) 200A OR LESS 23.00 23,00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) , 3.50 STI. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) �t I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Kl shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 00 Contractor MECHANICAL PERMIT Filing Fee 20.00. Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju9ments, costs, and expenses which may in any way accrue against said County in ns ce th ng f thi rmit. Date ign ure of Applicant ❑ Owner Co tractor O Agent An OSHA permit is required for excavations over 5"0" deep Ind demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ• D. FEES IMP FLOOD PARCEL PD � H ISSu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been WORKS By A;Mim,Date ® PERMIT EXPIRES ON 7 provisions to do work paid. p 2 I �J �1 p f+ Receipt NO. 148703 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _��,,.,',ct"' ^Y�-e.-wry..`^7""YY.t.('��r/iF*.L!•tw^.i'te�•`"o}'"Tt T'•��1..:�"L�`' !"' F t'� �'+�{�v rY'iet�1�"��w1��P'r'�/3�� TMr':.i/`fi�'�,..J6+1'R*.r%�r ,-.,.:7j��1+'��'�,�,�...'K�,_,•,,� 7 IJy t� lraw W ► � . y.�, p i OUNTYOF BUTTE - DEPARTME TSF QEVELOPMENT SERVICES -BUILDING DIVISION TCOUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER �)' e/►; Proposed Building Use PERMIT APPLICATION''.DATA SHEET A. P. No. L,2S Building Inspector 120 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 1. All items have been submitted......................................... 2. Plot plans, 3/�4 sets, signed by preparer of plans . ......................... . 3.. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered, plans and calcs, 3/4 sets, with wet signature on plans. !- - 5. Hazardous Material Form. .............................................. ( ' 6. Energy Design Compliance,and supporting documentation . .................. r*• 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $................................ . 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval /fees!! ...�93... . 13. Flood elevation letter (100 year flood) by California Engineer. .. 14. Sanitation and plot plan approval 6410-1- Y4� Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: I (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 119. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Pre -Inspection regJ�-- required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. IWhen ou issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone 77- 63W / and hold for pickup at /7 Ali /lei office. Deliver with inspector. Other i Parcel Creation Acreage 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 pripermit 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 _ mail Counter by _ Date Contractor, designe,ro "ner, was advised of above required data by _ phone _ maw Counter by _ Date Plans checked by /.Dat��r Plans approved by Date iZ La F C !/n�y Sets of plans in o Copy - Vepartment of Public -Works 00, TO: BUilding�P.cpartment ,b� FROM: Envir ..ni»ental Health 6 �� SUBJECT: Sanitation Clearance`s Owner Location Plan Approved for: Sewa-e Disposal dilater Supply: I'ublic Clearance for _Z bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 E.II IISN UNI, 19ut Phut AuodheJ _--- IN 111 s,��tt � ,5-P -- -C 7 -)-7 AP# Private Well Date !e,«�v.�-r•�..r---•--+--r ^mac -r -r.....;. -r �--�-�,-.r ... �••�s�+`- z .�"c _� ... _.. , µ ... .r'z+:.: `COUNTY OF BUTTE 3 BUILDING DIVISION µ _ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 „ 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER ! PERMIT NO.. '• A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when.correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ..; please contact this office immediately. / + 1 sC�� i c� l/ • n�Ayl r c seof a do4a t"! I Date Inspector .;.. REV 10/9 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,'OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER S�r��O� ��'C�/E'S���i� A.P. # U 5-F' 6ZO - CCK-? PROPOSED BUILDING USE v DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) .......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. D 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER I14, -W1; iyt /U--) At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE w ' 92-2OS25 Return to DPW AGRICULTURAL'STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT , Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - --- _ `ry_ 92-0208251' The property described herein is adjacent 2-020825 I Rec Fee 8.00 to land or included within an area zoned I Cash 8.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I 12• of agricultural operations including, .39pm 12 -May -92 I PUBL XX 2 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 discomfort from normal, necessary farm operations. All that real :prop/.e�rty:- situate in the County of Butte, State of California, described as follows: See /T7,-I� a I ea/ Date: 5-11-92 PROPERTY OWNERS: S LE 'TEEL State of CALIF. ) On this the 11TH day o MAY 19 92 before me, the SS. undersigned Notary Public, personally appeared County of BUTTE ) KENNETH L. SICKLESTEEL AND SHARON K. SICKLESTEEL----- �■■e■r■r■�■r�i■rrrrrre ■ OAVID HALKOLA r ■ NOTARY PUBLIGCALMR0 A ■ _® Butte county _ r ■ My Commission res r ■ March 22.1995 ■ ■ Personally known tome. ' Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ARE subscribed to the within instrument and acknowledged that TREy— executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand � ciao seal. . Present A. P. No. ;� 6_7 �3 rIULA 2.-20,82'5. U -tabs DESCRIPTION ALL THAT CERTAIN Rf.•,;A1, PROPERTY SITUATE 1.11 T11I S'I'A'I'E OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• BEING A POR'T'ION OF THE SOUTHWEST QUAR'.I'ER OF SECJJON 16, 'YOWIISIIIP 21 NOR'T'H, RANGE 4 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SOU'THWES'T' QUARTER OAF SECTION 16;- THENCE ALONG 11111E WEST LINE THEREOF, SOUTH 0 DEG. 51' 30" FAST, 983.22 FJ -.E:'1.' TO THE .; NOR'TH1 imy LTNE OE 7'Hr STA '1'F OF CALIFORNIA ACQUISITION 1,.1.14E; THENCE ALONG SAID NORI'IIE;RLY. LINE, SOUTH 53 DEG. 05' 33" EAST, 1431.54 FEET TO THE 'TRUE 110IN'T OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CON'T'INUING AL014G SAID LINE, SOUTH 53 DEG. 05' 33" EAST, 1.80.00 FEET; 111F.NCE `NOR'T11 71 DEC. 16' 27" EAST 860.00 FEET; THENCE LEAVING SAID LINE NORTH 33 DEG. 07' 22" EAST, 31.86 FEET TO THE CE14TERLINE OF A 60.00 FOOT ROAD EASEMENT; .'THENCE ALONG SAID CENTERLINE NOR'T'H 44 DEG. 38' 54" WEST, 308.75 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; 'THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE Or -.18 DEG. 19' 3111, AN ARC DISTANCE OF 95.95 FEET; 'THENCE NORTH 7.6 DEG. 19' 23" WEST, 1.33.20 FEET '1.'O 7.'IfE BEGINNING OF A 400.00 FOOT RADIUS CURVE TO THE LEFT; 'THENCE ALONG THE ARC OF SAID CURVE, 'THROUGH A C'EN'TRAL ANGLE OF 23 DEG. 53' 30", AN ARC DISTANCE OF 166.80 FEET; THENCE LEAVING SAID CENTERLINE, SOUTH 36 DEG. 09' 06" WEST, 916.34 FEET TO THE POINT OF BEGINNING. . END OF DOCUMENT Acc 'of a the &,WurkrnpsKip"Shaq.Be in Xoi nizedjood Practices and . the Specified use in he o codes and .?�6uto4plan§ and specifications I at 11111-66 and N is v make any changes or alterations on s .written permission from the Departme Works, County of Butte`0� ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF _,f6 - FT. FROM THE SIDE AND _ ..�• OIC M THE REAR PROPERTY LINES AND S'0 FT. i CENTERTIRE SHALL BE CLEAR OF 'STRUCTURE >�ID EQUIPMENT EXCEPT �A P FT. EAVE OVERHANG. .. . UO 66 <6ly 4-- S7/oWON 3-�- of 7"NCvOk V CEO vrllelC� 678' 9' -I '73 P#Ol�ct g77-63y� RA GV 1-3 • FK ra e leo EIS Ae ie4eA. INVi's Futit i -►e. A Id The attached Fire Safe # P- p j�- requirements must be completed as specified and approved 16 by C.D.F. n� 1^16le � n2°r. 4/;v 4� e BU BUILDII aq 1 foo Im without fR f , I �i 20 J ioy u>�i :C NTY AR7ME4NT v r� APPROVED Butte County Environmental Health > 1 Signature (ii eA—K., ui brs a. 3-rX.1pJ GOA ?Vi i "Tci %FR-NAO SVP3.11 r, A V1103 APPROVED Butte County Environmental Health �----- ----- D to Signature 13UT-TE.COUNTY M BUILDING DEPART F1 0 V ----f-fEVIEWED BY pJ. BUTTE CO. FIRE DEPT. g0\� CALIF. DEPT. of FORESTRY If,IGI6.�...• DPc ❑ approved as submitted approved with conditions l P per attache sheetlie M s. C"y1 I o� n abrQ Mo lie y0wV d 00 4 / I e,4 C�sc v C' 9e is '-18 ZS 5'�o c.. // +` 5��;t►k^ Fara g e ' /e,4,r'�, Ae•I e .f v Q� 4N ie4eL Mves 66 ` Fi(twe. he Id � 4 4-)hL')jEA4, EQUIpMENT INCLUDI.� 'A L 'TN=iI��;I7�t�,� ALL EASEME S. ' SEE fU' p QVIEIt$I ir+d • SSI, It r. � q THE SIDE" kND r A SETT BACKI►aE iP'SE�TY LlidE . alaD 3o F -T. I cl, Y J�eN 5� S�//�ROw �- � EI�LI Esl';,XC �E 1�-�ac T Ial~ ^caA� c� . `�E�i �� EQItIF'�t�F 1 �eEAr OF STFtUCTUELS . ; ® �� 3 Ol 'rRCPOk, �,C FoRA2FT.EP►VEoVERHAN� / BU E MENi" co vt I/e I .. [JEP BUILD APPrIl VED n • Q 6 3 41 Butte County V 7 s , •) .� Environmental Health '� p`e - . sAWN I ��--------- --- �! Dat '• t' -----------------------w. . . SignatureI 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 provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway. be;or= shoulders) -shall provide unob- structed access:: t-.�:.c-onventional drive vehicles, includ- ing sedans and fire..":apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. Page .1 of 3 BUTTE COUNTY BUILDINGDEPARTMENT 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 yr .--t.J_-cal curves...in roadways exclusive of gutters, ditc':ves 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 center of the road. [ 1273.06 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 traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page .1 of 3 BUTTE COUNTY BUILDINGDEPARTMENT AP # PERMIT # NAME [�1 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.. [X] 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 0 1. Gate entrances shall be at least two feet wider than the roadway it serves. [� 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way_road-with a single traffic lane provides entrance,; -a. 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. ] 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. [x, 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 ...{?.!e1.!F- caused by site development and construction, ro�A ar_d driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 BUTTE COUNTY BUILDING DEPARTMENT APPR®VE:D 5 7 -r 3 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves SiG'KEL Si�EG Kr=nJ NAME ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature DUTTE COUNTY BUILDING DEPARTMENT APPR0"VE a �r. i i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERVJT N0. `-•I` 7 County Center Drive - Orovllle, California 95965 - Telephone: 916-538-7541 APPLICAT.I,ON.A90 PERMIT ASSESSOR PARCEL NU B R 058-670-013 ZONING FR -10 BUILDING PERMIT OWNER Ken L. & Sharon K. Sicklesteel TELEPHONE 877-6341 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2456 Paradise 95967 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1201 Trevor Rd-, Orovillp Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 3 @ 15.00 45.00 TYPE OF WORK r�i New 7, Addition ElRemodel ❑ u Utilities Installation❑ Other ❑ Describe work: NII U Permit Fee $ 60,00 Contractor, ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 1. 18.50118.50 Main service 200A TO 1000AI 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 ;Jo. Classification F1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&1 OR AD DNS. ACC. BLDGS. II _37.50 3.64 sq.ft. NON.R ESID ONST R BRANCH CIRCUITS @ 5•00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 @ 751FIXED APPLNS.j Ex. Occup. OUT ETS ((RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ 48.50 — 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. tKI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid n in o e e granting of this permit. X!�This Date, Signature of Applicant — Owner 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $128.50 HAz DFEES IMP — FLOOD CDF PARC PD D Issues f/ permit is hereby issued under the sions of the Butte County Code and/or ih fees d work indica ed ove for�PQ 0 CT OLIC By - PE I E RE Date applicable provi- resolutions to do have been paid. WORKS n Date Z/-� Receipt No. 116022 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .;LR'rejy;'�D+ic W'!wM'�'-@rKf�'6��fs:,,.R'krh7lf+Y'i�'Y.Y'�rfr�yftiM.n'►Yi0'.� y� f �� i Z.r �i-�.. Y'"""'.i l�' � Y` .�+. �. _ ?��. . JL at�-warn: ' COUNTY OF BUTTE tiPARTM�IVT OF PUBLIC WO,� °= BUILDING DIVISION h 7 COUNTY CENTER DRIVE - OROVILLE, AVFORNIA 95965 - TELEPHONE (916) 538-754r) PERMIT APPLICATION DATA SHEET OWNER /�e�I S/G /es �� �J, .J/ ; r'� {A. P No�uCJ �- r/ Proposed Building Use Building Inspector Dates /3 At time of permit application, I was advised the following data must+be subvni%te`d.pr'ior to permit processing and/or issuance: DATE RECEIVED BY t 1. All item &-have been submitted . ............ Plot plans, 3/4 sets, si oned b preparer of lans;:�..................... - > Z P 9 YP P P �••• 3. Complete. plans, 3/4 sets, signed by prepare5of plans . ..................... . 4. 5. Engineered plans and calcs, 3/4 sets, with wet.signature on plans . ............ . Hazardous Material Form.{ : . -.•.......................... -, 6. Energy Design Compliance and supporting. documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. 13. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. .... . 4. Sar tation and,plot plan approval C9�`C> Health Department.., ... . 15. City+of Chico plumbing permit . ........... . . . .4'f . . . . . . . . . . . . . . . . . . . . . . . . . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. - - 17. Planning approval for (A) Use: (B) Parking: ...... ' 18. Contact Land Developn46t ga /1(0 V,2 ovements (B)Drainage ........... _ riveway permit (construction approval required prior to occupancy). .. 2 P`ea"gpe«o"revue/sem 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ' 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . Recorded copy of Agricultural Acknowledgement Statement . ................� 25. Letter of,.signature authorization. ...... ............ . 26. ''---111-1-1 Copy of recorded deed of parcel creatioand 60 right of way to a public road. .... . 27. Letter of intent on building use ........................................... - 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. 1111.. ` .1111 ........................... . 30. Documentation of 50%subdivision developed or (A) Road improvements completed " and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... . 33. 34. When you issue the er t, pro ess as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup at C office. Deliver with inspector. Other Parcel Creation /f%,f- 64 -� �� Acreage Applicant Date `5�!`3 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 permit 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by raw Date 51 Z 19s Plans approved by U I Date 5,&-7197- Sets ,&-7192 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Sectio USTY ov: e BUILOItdG VEP RE: Driveway Clearance A�� �-3 1992 key�l� owner location AP # ' 4��r'. Driveway permit 01-01"et 440ge(e/has been issued for the above property. date si ature Return to DPW AGRICULTURAL STATEMM OF ACKNOWLEDGEIENT .4 FOR RESIDENTI'IAL DEVELOPIMNT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded. prior to issuance of a building permit. F1 NOT COMPAREDWITH bRIQINAL DOC MEN 92, 02082 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 incon- MAY -2 1992 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 discomfort from normal, necessary farm operations. All that Deal property.,.'situate in follows: COBUN-ty OF EPT M M&y 13 02 Date: 5-11-92 the County of Butte, State of California, described as 1p/q)o E 2 014NERS : Allvell��, Sly ����s T� P S EKJE$TEEL. State of CALIF. ) On this the 11TH day of MAY 19 92 , before me, the SS. undersigned ?Votary Public, personally appeared County of BUTTE ) KENNETH L. SICKLESTEEL AND SHARON K. SICKLESTEEL----- ■ DAVID HALKOLA o ■ NOTARY PUBL"AJIFORNU 0 ■ _e BetteCou ■ ■ My commissi r? ires 0 ■ March 22, 1995 ■ ■ ®■■■■■■■■■■■■■■■■i■■■■ Personally known to me. f-'flJ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ARE subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand fipwrd� * ciao seal. Present A.P. No. �� 6 7- 13 r J()-1)652it DESCRIP'T'1UN ALL THAT CERTAIN REAL, PROPERTY SITUATE I" THE STATE OF CALIFORNIA, COUN'T'Y OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I. BEING A PORTYON OF Till". SOUTHWEST QUARTER OF SUCT1011 1 r,, t't7WIJSlt7:h 21 NORM, RANGE 4 EAST, M. D. 11. & ht. , AND MORC; 1'AI2'I.'1 CULARL,Y DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SOU'THWES'T' QUARTER OF SECTION 16; 'THENCE ALONG 11111E WEST LINE THEREOF, SOU'T'H 0 DEG. 51.' 30" FAST, 983.22 Frl:'1.' TO '.1'111: NOR'THEIII.,Y LINE OF '.1.111: ST'A'TE OF. CALIFORNIA ACQUISITION LINE; THENCE ALONG SAID NORT111i:RT,Y. SOUTH 53 DEG. 05' 33" EAST, 1431.54 FEET TO 7.'l1E 'TRUE I'O:LNT Or BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CON'T'INUING ALONG SAID LINE, SOU'T'H 53 DEG. 05' 33" EAST, 1.80.00 FEET; THENCE `NOR'TH 7.1. DEG. 1.6' 27" EAST 860.0(1 FEET; THENCE LEAVING SAID LINE NOR'T'H 33 DEG. 07' 7.1" EAST, 31.86 FEET TO THE CEN'1.'ERLINE OF A 60.00 FOOT ROAD EASEMENT; 'T'HENCE ALONG SAID CEN'T'ERLINE NORTH 44 DEG. 38' 54" WEST, 308.75 FEET TC THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, 'T'HROUGH A CENTRAL ANGLE OF'-. 18 DEG. 19' 31", AN ARC DIS'T'ANCE OF 95.95 FEET; THENCE NORTH 26 DEG. 19' • 23" WEST, 1.33.20 FE;E'T.' 'T.'O 11111E BEGINNING OF A 400.00 FOOT RADIUS CURVE TO THE LEFT; TIIENCE; ALONG THE ARC OF SAID CURVE, THROUGH P CEN'T'RAL ANGLE OF 7.3 DEG. 53' 30", AN ARC DIS'T'ANCE OF 166.80 FEET.'; •THENCE LEAVING SAID CENTERLINE, SOU'T'H 36 DEG. 09' 06" WEST, 918.34 FEET TO THE POINT OF BEGINNING. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 V 6 APPLICATION AMID PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6 r ZONING BUILDING PERMIT W ER �� �+ � e 6L>—J TELEPHONE 1 SO. FT. OCC. BUILDING VALUATION OW ER'S MAILING ADDRESS D C NT OR' NAME e"U TEL PHONE CONTRAC R'S MAIL ADDRESS Fireplace CONSTRUC TIO EN� UNKNOWN Total Valuation Is Filing Fee ,$ 10.00 LENDER'S MAIING ADDRESS Permit Fee $ ARCHITECT OR NEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECTO E GINEER'SAILING ADDRESS a••�' Penalty $ BUILDING ADDRE D 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❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00e TYPE OF WORK New❑ Addition❑ Remodel U ilities Installation❑ Other ❑ Describe work: & Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS10.00 100 AMP OR LESS r 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 BuslneSS 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 CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. Vz¢sgft NEWCONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCu p OUTLETS OR FIXTURES zD®sot 5AL030 FIXED EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee oa.. 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 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 aid Co y i o e ence of th ranting of this permit. C � � X 3��, (�;• /,�i Date Signature of Applicant — Owner X Contractor ❑ Agent0V An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ I CUA PARK SCHL FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date ' the applicable provi- resolutions to do have been paid. WORKS Date height. rReceipiNo. 1 � 60 22 ! •S NIT!•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT FOR: Ken.and Sharon Sicklesteel .. SCALE. 1 /4!'= 1 APPROVED BY. DRAWN BY. GLENN DATE. 4/20/2005 REVISED. LOCATION. ;3201. Trevor Rd Yankee Hill Calif. 95 9 6 5. `-Glenn Mock C O t 1 S f r U C t I O n ASSESORS PARCEL NUM. 1931 Golf Rd. Paradise- Ca. 95969 58-67-13 PAGE NUMBER PH# 530-872-4351 — LIC# 366242 - Cell # 530 519-6625 - FFR . Ken, and Sharon Sicklesteel 4" = 1 APPROVED BY. DRAWN BY. GLENN DATE. 4/20/200d. REVISED. LOCATION. -3201 Trevor R Yanke e- Hill'Calif. 95965 BY. Glenn Mock Consfrucfioh ASSESORS PARCEL NUM. 1931 Golf Rd. Paradise Ca. 95969 58-67-13 RAGE NUMBER PH# 530-872-4351 Cell # 530 519-6625 -= LICA 368242 { FOR: Kea and Sharon Sicklesteel SCALE. 1 /q" _ 1 + APPROVED BY. DRAWN BY. GLENN DATE. 4/20/2005 REVISED. LOCATION. 3201 T Rd. Yankee Hill Calif. 95965 "-GlennOck COnstruC+•onASSESORS Mock 1931 Golf Rd. Paradise Ca. 95969 PH# 530-872-4351 Cell # 530 519-6625 LIC# 368242 PARCEL NUM. 58-67-13 PACE NUMBER FOR: Kern. and Sharon Sicklesteel SCALE. 114:' - 1 APPROVED BY. DRAWN BY. GLENN DATE. 4/20/2005 REVISED. LOCATION. 3 2 0 1 Trevor Rd. , Yankee Hill ' Califs 9.5965 "Glenn Mock C O n S f 1 U C f I O n ASSESORS PARCEL NUM. 1931 Golf Rd. Paradise- Ca. 95969 58-61-13 PAGE NUMBER PH# 530-872-4351 Cell # 530 519-6625 - LIC# 368242 _