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058-720-035
BELINDA MINE 3s jig - 7ZO - - w /S .Big- Bend -Rd-, a pp- a.0 1E of Nobb - Rd,- Big Bend Area (� Permit _#2',426-83 , (a Pe single family) - A -k * `r3-5 50)Big Bend Rd, Big Bend Area Perm* 3853-84 ,E(util, MH) ELEC p� J CAS ' COMP CTION TESD Q____d, SUPPORT STRUCRME REQ h /� -35 1gs $� Contr:,**Bay Area MH Per 1t#3890-84MHI I ed MISCELLANEOUS Demolition DEMO EX MH 12X57' (BP3853-84) 5002 BIG BEND RD LAMAR, JERRY RESIDENTIAL SFD-Mobile Home PFS NEW MH EX SITE (REPLACEMENT) 1 5002 BIG BEND RD LAMAR, JERRY Fino. i L -�� r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION I Site Address: 5002 BIG BEND RD Owner: , Permit NO: B08-1269 APN:' 058-720-035 LAMAR, JERRY_ Issued Date: 07/22/2008. By TMP Permit type: RESIDENTIAL 4360 CABRILHO DR Subtype: SFD-Mobile Home PFS MARTINEZ, CA 94553 Expiration Date: 07/22/2009 Description: NEW MH EX SITE (REPLACEMEN (925) 228-0699 Occupancy: R-3 Zoning: FR -'10 Contractor Applicant: Square Footage: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD 1,395 OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio. Total (530) 532-3301 (530) 532-3301 1,395 FEE INFORMATION DBEH Building Review Fee $78.90 - DBF MH Plan Check $241.16, DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $1,130.85 Fees Paid: $1,130.85 DBSMIP Residential $9.07 Balance Due: $0.00 Receipt No: B8045 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License FREEDOM HOMES 839031 / B / 05/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF PERJURY th am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisio P of the B nass and Professions Code, and my license is in full f ce and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 07/22/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: 20s- Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR' are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑Section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: XL Specialty Insurenpolicy Number: RWD9435192 Exp. Date:07/01/2009 Contractor's License Law.). (This section need not be completed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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' X 07/22/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisio X 40,11 07/22/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Si re Date NTNG: FAILURE TO SECURE WORKERS' _PENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. Coun to enter the above me bone property for inspection purposes. I hereby certify that I am the a owner or am autho d ct on the property own r behalf. op 7 07/22/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for f er i SI Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner gent for Contractor FILE COPY Lender s Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. $. E Q n �Q_ BIN N "When riled, this application and all supporting material becomes subject to the California Public Records Act. All public infurnuition related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNtR INFORMATION Last Name AA First Name Mailing Address 00 a City® 4"z State M Zip Phoneq,,-,,,,ofiv Fax E-mail CONTRACTOR ' Name. F,$?JEKii o q Address ,�- J1,2 4x 09 v City m9,0v'�7u State Lv�t ,( Zip �b9b 'Phone o Fax o -mail r Lic. # egg3 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 60 1 Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name QF—Et6/A� h�gS Address P,4j City 60 1 State ru,l Zip PhoneQ. �`3v�33 L Fax E-mail APPLICANT SIGNATURE OW. "W /lO OR 27,= _.�1,N • PROJECT LOCATION AP# 0,15 ^ Property Address -- t City80 -6mv, 01a WORKER'S COMPENSATION Policy Number � ro Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY i Name Address DESCRIPTION OR SCOPE OF WORK: Cry I,577AJ ) ° Mm 9 Sq FT- Livingf yS Garage Open C ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office o , Zoning ood Zone . SRA Yes . Nc Occ. Type Const. � C) Oro Un fzr-) p3) Butte County Department of Development Services TIM SNELLINGS, DIRECTOR i PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-1269 Date: 7/3/2008 Location: 5002 BIG BEND RD By: GLB Parcel Number: 058-720-035 Sub Type: SFD-Mobile Home PI Owner Name: LAMAR, JERRY Phone: (925) 228-0699 Description: NEW MH EX SITE (REPLACEMENT) 1395' The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS 0 ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 E] ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feath Rivee�fr crreacction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradis rks& Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS �. Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ©� Orovil Untpn H*h, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise `ified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER E] ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Ej-' FOther:4;hQ.t.c fir,Q ❑ ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 7/3/2008 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP), Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-1269 Date: 7/3/2008 Location: 5002 BIG BEND RD By: GLB Parcel Number: 058-720-035 Sub Type: SFD-Mobile Home PI Owner Name: LAMAR, JERRY Phone: (925) 228-0699 Description: NEW MH EXSITE (REPLACEMENT) 1395' By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. FILE Date: 7/3/2008 BUTTE COUNTY FEE SUMMARY. Printed: 7/3/2008 7 County Center Drive 9:18 am Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-1269 Job Address: 5002 BIG BEND RD Contractor: FREEDOM HOMES 2243 FEATHER RIVER -BLVD- OROVILLE, CA 95965 Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010( $78.90 7/3/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010( $107.00 7/3/2008 $107.00 0100-450001-4617240-1010( $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210501-101.0( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-46,17240-1010( $107.00 7/3/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010( $361.74 DBF MH Plan Check 0010-440001-4210501-1010(. $241.16 7/3/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $9.07 Printed By: Gwyn Benedict 19130.85 . $534.06 Balance Due: $596.79 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fe ay change during Pe plan checking process. Signature: Date: 7/3/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of -the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1269 Date: 7/3/2008 Location: 5002 BIG BEND RD By: GLB Parcel Number: 058-720-035 Sub Type: SFD-Mobile Home PI Owner Name: LAMAR, JERRY Phone: (925) 228-0699 Description: NEW MH EX SITE (REPLACEMENT) 1395' To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 7/3/2008 J C Date S i ture All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/pr6tplan.html Rev'd 5/7/07 FILE MOBILEHOME BUILDING RECORD nwner's Namc�^��'- �'4� ��j°'��'� Mail Address PARCEL N0. 0&a SITUS - =n <D-o24.--r-m EXTERIOR TYPE QUALITY YEAR. ROOMS I , ( l�.I KITCHEN FEATURES FLOOR NO. OF �f$� - MODEL [] Single Wide Expando CLASS BUILT L.F. Masonite Panels Double Wide Tog Iv5 0 Dascrip- MAT'L PLT. DESCRIPTION Cabinets I98 NO Counters L.F. Alum. Shiplap Siding .MANUF.(�ey1e,fal ❑Triple Wide Other Dining tion FIXT'S �lJl Fiberglass Family Remarks EXTERIOR I ROOF STYLE SKIRTING Entry Alum. Pcnels Arched Alum. Panels yni C-% Masonite Panels Flat Alum. Shiplap Living Alum. Shiplap Siding Gable Masonite Dining Decorative Stone Cut Up Fiberglass Family Other Pitch: OL M H Brick or Stone Great Rm. Exp. Fasteners O'Hang Ft. Other Den WINDOWS ROOF COVER HEATING Minimum Goly. Iron Forced Air Bedroom Tract SizeEnameled Steel Downflow Dress Rm. rule Asphalt Shgl. Upflow vc Compo. Wall or Floor Both Slid Doors Grovel, Rock Other Both M Lin. Ft. Other Set-up for A/C Bath %1 WUCA'TI'ON —'-`FOUND': TION'`"""'COOLING A UNIT OST Floor R- Permanent Refrig. H.P. Kitchen Walls R- Piers Heat Pump Bonus Rm. Ceiling R- Tie Downs= Thru Wall Utility Evao. Cool SUB -TOTAL R.C.N. Deduct ($inglew id, s) C -TOTAL R.C.N. "'F -ASD AH 520-F FP,ONT 6 -h -i30 Garb. Diso. Dishwosher Hood -Fan Range -Oven Compactor TOTALS I I I I DESIGN YEAR TYPE CLASS EFF. YR. DEPR. TABLE SQ. FEET R.C.N. MAIN IMP. MAIN IMP. R.C.N. TOTAL GOOD R.C. L.N.D. ADDLDEPR. Type ;Good R.C.L.D Fireplace Cath. CeilingExtra Bath SPECIAL EXTERIOR FEATURES Window Awninas Shutters Sha Shake Roof 19 f �.}+ 19 UNIT A UNIT OST COST R'E.A UNIT OST COST AREA UNIT COST COST Mobile Home Q 140I Air Conditioning ' Evo.o. Cooler r Dishwasher ea. Skirtina Other TOTAL R.C.N. MAIN I Ccrport/Porch Roof _ Porch Storcae Shed SUB -TOTAL R.C.N. Deduct ($inglew id, s) C -TOTAL R.C.N. "'F -ASD AH 520-F FP,ONT 6 -h -i30 Garb. Diso. Dishwosher Hood -Fan Range -Oven Compactor Microwave SPECIAL INTERIOR FEATURES Bar -Wet, Dry Hutch Book Case Fireplace Cath. CeilingExtra Bath SPECIAL EXTERIOR FEATURES Window Awninas Shutters Sha Shake Roof MOBILE HOME RATING (E.G.A.F.P.) Quality I Condition Appearance Conform Location A A I A � t� PARK RATING (E.G.A.F:P.) Overall 1 General Recreation Overall Location Aooe.arance Fac�l�ries Oualiry APPRAISER I DATE I REVIEWED DATE I CK' UNIT 19 1 UN119 AREA COST COST 11 AREA COS7 T COST BU T u: COU.N'TY .J'UL 0 21 2008 Butte County Building Division DEVELOMENT MANUFACTURED HOME SUPPORT DATA sIMVICES Owner's name: Home _ Home Manufacturer: A.P.# Manufacture Year: 0 Model Number/ Name:_.275� Width:i0 r, ft. -3-7 - ( ) Length. FOOTINGS: Wood - pressure treated or foundation gradeyf Other:[ ] SUPPORTS: Concrete block[Other:[ XlX Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE Line 1 ------------------------------ Line 2 Section 1�� Line 1 �� __---- —_ w --- Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Section 2 Section 3 JW I X 0 /o�MJ x f op/~ ' D " MULTI -WIDE Line 1 Line 2 Line 3 Line 2 Line 4 (triple wide only) Line 2 Snow Load: 20 psf Snow Load requirements may be obtained at http://www.upstate-ca-com/butte/butte—County/ Insert AP #, view snow load in lower right corner. Line 1 Dipeninas Minimum size pier: [ /,9 ~] X [ gol e Required at each side of openings over ` 0 wide. Yarra,� From: f �(AID_ to °gym -0o 0 _ _ w= 3mDm� w o S _10Am olm m o�rn x r � 0 yrL vm o c. oar s o r, — o J Of NO pp ? 00 O pN ScL O -jy c i 7 cn -INIo za O� 04/04/2008 10:08 4007 P.002/002 1VA A 13'- V 13'-6' c 1-� 1 \ �¢ J S .-IN l'y � G Jt U4 Y9 V2 31 V1 3�W 94 V2 3i V4 a C 04/04/08 FRI 09:28 [TX/RX NO 57851, D' mo -0o oc o0 w= Om oy aN NBSo oo. Z mz y� s o r, Of NO pp ? v N O O l'y � G Jt U4 Y9 V2 31 V1 3�W 94 V2 3i V4 a C 04/04/08 FRI 09:28 [TX/RX NO 57851, D' r Xi2 Ground System Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, is PSF Wind Load Seismic 4 By Tie Down Engineering Og- 0-(1.q h - n . LDINC ®D®n1m Xi2 Concrete System BUTl �rmx JUL 0 2008 DEVELOPMENT MVICES Engineer Approval State Approval MANUFACTURED 110MUMOBILE i10ME POUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION IflS51 APPROVED' Y EUBIECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORTZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REUULATIONS State of Califomia Depattsaet of Hoodn; ata Community Dewwopnw,a a1 OF CO E3 AND STANDAX03 B7n�TE D PAM O? ("Pam) Pam) This PIw Appts,d Exp4m DO I:NGINf.'I RING L. 0 00 Co ro Berkshire Fireside 27523A al 00 .3068 .3066 t2 C) C14 iD silt I&- 52'-0"- .12'-11° 13'-3° ul�DINC APO R '�iED BR52003F 0 BUTTE COUNTY , DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 532-3301 (530) 532-3301' _ FEE INFORMATION DBMSC Demolition $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires FREEDOM HOMES 839031 / B / 5/31/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Busine and Professions Code, and my license is in full force aPA effect. % LeS•Ltff=-�iiI�]h"uY1S9i�� e - - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. EI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: XL Specialty Insuranpolicy Number: RV D9435192 Exp. 0ate:7/1/2008 (This section need not be completed if the permit is oris or on�llars ($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 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for/ the performance of the work for which this permit is issued. (3097 civ. code) 1 Lender's Address City State Zip $59.00 Balance Due: $0.00 Receipt No: OWNER /-BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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); Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 7/3/2008 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owner or am authoriz o acts the property owner's beh?If. 44A11�fir.���/ l /��ilr.�/L�� 7/3/2008 Owner. t Contractor OR;Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 5002 BIG BEND RD Owner: Permit NO: B08-1268 APN: 058-720-035 LAMAR, JERRY Permit type: MISCELLANEOUS '4360 CABRILHO DR Issued Date: 7/3/2008 By GLB Subtype: Demolition MARTINEZ, CA 94553_ Expiration Date: 7/3/2009 Description: DEMO EX MH 12X57' (BP3853-84) (925) 228-0699 Occupancy: Zoning: FREEDOM HOMES FREEDOM HOMES Building Garage Remdl/Addn 2243 FEATHER RIVER BLVD 2243 FEATHER RIVER BLVD OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 532-3301 (530) 532-3301' _ FEE INFORMATION DBMSC Demolition $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires FREEDOM HOMES 839031 / B / 5/31/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Busine and Professions Code, and my license is in full force aPA effect. % LeS•Ltff=-�iiI�]h"uY1S9i�� e - - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. EI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: XL Specialty Insuranpolicy Number: RV D9435192 Exp. 0ate:7/1/2008 (This section need not be completed if the permit is oris or on�llars ($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 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. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. . CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for/ the performance of the work for which this permit is issued. (3097 civ. code) 1 Lender's Address City State Zip $59.00 Balance Due: $0.00 Receipt No: OWNER /-BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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); Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 7/3/2008 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owner or am authoriz o acts the property owner's beh?If. 44A11�fir.���/ l /��ilr.�/L�� 7/3/2008 Owner. t Contractor OR;Agent for Owner Agent for Contractor FILE COPY �uT TF BUTTE COUNTY PERMIT 0 0 DEPARTMENT OF DEVELOPMENT SERVICES rt 0� 0 BUILDING PERMIT APPLICATION** NO 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2]40 o s o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION ' Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY i *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public infurni:+iion -elated to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNttR INFORMATION ast Name First Name Sailing Address 13 r 0� a :ity®,qo I� State Zip 'hone qA6_ OM Fax mail CONTRACTOR ARCHITECT/ENGINEER Jame�'��K>6)%4% omE �; Address address J112 1EJ7 4 3ity State 04 Zip �b�b 'hone t) Fax E-mail mail State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name city m . Address Zip 51 City Fax z �� State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address P, VZ) - city m . State ,j Zip 51 PhoneQ.,, Fax z �� E-mail APPLICANTSIGNATURE PROJECT LOCATION Property Address - — (�` t City WORKER'S COMPENSATION Policy Number �d©, / Carrier , /® If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY i Name i Address i DESCRIPTION OR SCOPE OF WORK: f5Y Scl FT- Living . Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): T I For office use onl : Zoning Flood Zone SRA I Yes INo Occ. Type Const. ,/ -4-- v I b 3 PERMIT NO. PERMIT EXPIRES OWNER GARY MINER CONTR.. owner ASSESSOR PARCEL 62-45-35 LOCATION 5002 Big Bend Rd OFFICE COPY f Address— GAS Meter By Date ELECT Meter By Date y OFFICE COPY Address S766Z GAS Meter Date ELECTRI Meter By Date `i i Temp. Power Pole L /I Called PG&E Temp. Elec. Service <z { Called PG&E KU U� B� Temp. Gas Service Cal led PG&E I/ JOB FINALED (Date) 4 Signature d = d'K' 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES is MISCELLANEOUS ' Date MOBILEHOME UTILITIES ( ns) OK except q's Le-loning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails &-Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing foMectricity; Location—Clearances—Grnd.—/,ZCW Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures ,06�Gas; L on—T p:/ /"L"ft./ /"Nat. or//r/"L"ft. "LPG 6. Carports; Windows—Doors i ity Clearance 7. Elec. Card-BDate%—� g Card -BI Date Card -BI Date Card -BI Date C -BI CAD Date I — Card -BI Date Card -BI Date Card -BI Date Date BI HOME 44STALLATION (Plans) OK except H's Date POOLS (Plans) OK except N's Zo ffig Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size— pacin Marriage Line 2. Soils; Compaction—Structure Stability 3. 92 s; MH. t—De nd Valve Con " or 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; M est—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GF1 lhdr ; MH Test—Fall—Flex Conn ec or 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test— ReguIat onnect 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Co cted—C/0 to de—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. xits; Insp.—Sketch 10. Cert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test and -I Date -- Card -BI Date Card -BI Date Card -BI Date and B-IDate• Card -BI Date Card -BI Date Card -BI Date A V = OK O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B loc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes ll No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74• Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [I No 75. Followinginstld.: Drive El Yes ❑ No; Walks E] Yes []No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 30. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. Water Well; Disconnect, Electrical, Plumbing Card B-1 Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. CIng.Joist-Rftr.Ties-Purlin- Roof _Brac.-Truss-Shth_ng.-Rfn_g_. r T _ Fireplace Ties oype A Flue -Fireplace Throat i 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Ar ti for the following location: Owner s 11: ! .� 14 Owner's Address — r- 1 Mobilehome Mfg. Model Year Insignia No. j` Serial No. ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTZ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE AI12V m lftjC �Q �w�o VNER - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Pfease notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / P viii / ?' � Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE a UG A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �P".- * Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -3 e 5-7 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPL•ICATIDN AND PERMIT PE M T NO. �— SSESSOR PARCEL NUMBER 69/1 =- S- !�-�fS-3SIJ ZONING BUILDING PERMIT O(V�P�I R Vrq TELEPHONE�y SQ. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS CONTRACT O R'S NAME e;4 TELEPHONE 1 SV -2 �D CONTRACTOR'S MAILING ADDRESS - 6,,yt%Y4 Fireplace CONSTRUCTION LENDER UNKN! C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 4:FOOe TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation4�T Other�/ Describe work: gL53 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �J Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions d my license is in full force and effect. % License No. p�1 Code. Classification e �fO ❑ 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 CONSTIR ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. !POWER APPARATUS &1 NON RES D. (POWER OUTLET CIR. Ex. Occu 20@50Q p�OUTLETS OR FIXTURES BAL030C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 shal I 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accruen against said County in conse u ce of the granting of this permit. X �. a Date Signet re of Applicant — Owner ❑ Contractor ❑ Agent 19 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 01, OCCu P. GROUP I TYPE OF CONST. PARCEL PD D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTC1.A OF PQ ` e%- By //'^Lt PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date �' ]in Receipt No. I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY.DEPARTMENT OF PUBLIC°WORKS 7"County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �✓9`' C�/ /Vii7e 2. Installer's name:, &I�j^ej� /�2%b�ji�`io/✓7� S 3. Is the�site currently under permit? Yes / / No 7577 (If yes, furnish permit number ) OR . Is the site an existing site? -Yes 2Z / No (If yes, furnish two (2) plot plans.) ' 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes / / No (If no, clarify ) ( ) 5. :What is the mobilehome electrical rating? ----------------------- =S Amps 6-. What is the mobilehome site service rating? ------ Amps 7.. What.is the mobilehome site circuit breaker rating? ------------- s Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No / / .. (If yes, identify the load and size: (Load) (Amps) 9. What Is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? A e 5S S (ft.). 12. What is the-mobilehome gas demand? ------------------------------ (BTU) (This information not required. if: pipe length less than 6.ft. on naturally gas or less than 50 ft. on UG.)''".30 BUTTE COUNTY .BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA / If other than single wide, Mobilehome Mfr. �'�/��/�i-3/ furnish Setup Model No. Year Width�(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. - Footings (check one) (ft )(in.) Center upport locati ns* (ft.)(in.) (ft. )`(yin. ) (ft.1)(in.) (ft.)l(in.) Single A (in. (in.) Cente support footing izes (in.) (in.) (9n.) 1'. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supports (check one) e' 1: Concrete block. ❑ •2: Other. (specify) Tagalong or Expando,' show support details. Ia x3O -- Typical Support in.) (in.) Footing Size (in.) (in.) S-,6 -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang (in.) in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT C5?E MIT 54O. ASSESSOR P�L NU `BJE^3 zO '�1� BUILDING PERMIT OWNER U ,Q / TELEPHONE 333-6,25 SO. FT. OCC. BUILDING VAL _ATION OWNER'S 5002— 9/4 E8&JD 0)1?4Q(11 J5 CONTRACTOR'SAM �� TELEPHONE CONTRACTOR'S MAILING ADIPRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRE S Permit Fee $ ARCHITECT OR ENGINEER 1174 LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINE R A G ADDRESS Q Permit fee $ BUIL"C� AD RESS / �T P O /E a� Jam+ (% fV--/1`r/ (J PLUMBING PERMIT Filing Fee 10.00 ©F Nd6S fj A1616 1�0 Each Trap 2.00 Solar Water Heater 20.00 1541 /JC/V h /'tRr,4— Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome �ther SPECIFY Building sewer5.00 Mobile Home 10-00ea, 0 V TYPE OF WORK New Addition❑ Remodel❑ Utilities Instal lation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°°V OR o AMP ORLESS10.00Q 0v Main service EA. ADD'L too AMP 2.50 2r 5 NEW CONST. DWELLING OCC UP.& OR ADDNS. ACC. BLDGS. 2,h2Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ]g 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 CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &) NON•R ESID, SINGLE OUTLET CIR. zo@ao: Ex. Occup(OUTLETSA OR FIXTURES 132L@ 300 PLNS R EX. OCCUp. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ��` X Date 0L— J� �!` �7 Signatur of Ap cant — 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 $ TOTAL PERMIT FEE $ ,,/y� OCCUP. GROUP I TYPE OF CONST.PARCE PD HD s PWf This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC �r By PER EXPIRES Date_._. the applicable provi- resolutions to do fees have been paid. WORKS Date 9 2--''p���( Receipt No.�/ WHITE-D.P.W., YELLOW-ASSE SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -,l This set of plans and sr kept on the job at all fimf make any changes or altar wrii��Ion permission from fl lic Works, County of 134 M NOTE:—All Materials & Workmanship Shall Be in $Q Accordance wifh Recognized Good Practices and r..a .fUS'�pp� � of a quality prescribed for the Specified use in the it * a "E ��� Uniforrn Building, Plumbing & Mechanical Codes and }he National Electrical Code. ons on same withoui Department of Pub _� �� 3 Loll Otility connections shall be with 4 ft. of the mobiiehome, either directly behind or within the reg half of the roadside (left) of the mobilehome. �C IJerrhit inOwl W1// be ��� 4 � eoat n Of the Mo6e I.floor the oy� 3�, A 1 /o FT A setback of -9 -4 -from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhanq. sof ss R/ BUTTE COUNTY BUILDING DEPARTN umm N4 2426-83B,P,E,M "PERMIT NO. PERMIT EXPIRES�fL/ OWNER BELINDA MINER 'CONTR. owner ASSESSOR PARCEL 62-45-35 LOCATION S/S Big Bend Rd, 400'E Nobb Rd, 0P,- Big Bend Area t t f �a ..f Y f Temp. Power Pole Called PG&E Temp. Elec. Service ,f Called PG&E _.. ! Temp. Gas Service ` Cal led PG& E JOB FINALED (Date) Signature S . . V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready 0 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails '4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s V 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability - 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card B1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable RESIDENTiAl. e(S'in'gle and Duplex) �fe Not Ready 1 Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ _14. Water Hl.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ _19. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- - 20. 21. 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - _ 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive C] Yes []No; Walks El Yes C1 No; Planters []Yes ❑No 76. Stucco; Brown -Finish -- 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---- --- - 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I i ------.- D_ate_ Card -BI Date _- 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. 85. 86, Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - _ _ 31. 32. 33. A.C_. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain Overflow; Size & Grade Card -BI Card -BI 34. 35. - _& Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic - Date-- _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s _36. _Sills; Proper Material & Anchors - _ _ 37. 38. 3_9. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header &_Beam -Size & Bearing_ _ Hangers -Post Caps -Anchors -Connectors - Cing. Joist-Rfir. Ties-Puriin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size &_ Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION 'ANO PERMIT PERMIT NO. ! ASSESSOR PARCEL NUMBER ER (a a_ �_��JJJJ Z� G BUILDING PERMI OWNER AA r TELEPHONE SQ. FT. OCC. BUILDING VAL ATIO r� OWNER' MAILING ADDRESS „r CONTRA T R•S NAME TELEPH F��y� pr` V �� V V 62 b CONTRACTOR'S MAILING ADDRESS Fireplace of a CONSTRUCTION LENDER UNKNOWN Total Valuation1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ C_ $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ BUILDIN ADD SS / PLUMBING PERMIT Filing Fee 10.00 IRA Each Trap 2.00 Solar Water Heater 20.00 SDOZ isle, r,&i A 40 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00, Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Other SFt�Duplex ❑ Mobi lehome ❑ SPECIFY Building sewer5.00 Mobile Home S G W 10.00 e TYPE OF WORK New 2' Addition E] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.0 t60 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.SOZ \ OR ADDNS. C AC I &/ 21/22sq ft i CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW C 0 N S T FL I POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR. Ex. Occu ZD®SOC P�o OR FIXTURES 9AL®3o FIXED A FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 1,0.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notic to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Al &yx Hood 3.00 Ventilation 31 -DA 010 permit Fee $ Contractor 1 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 again said County i consequence oftthe granting of this permit. XM p Dj��� `J. �(���3 /� — Date _ Signature of Applicant — Owner 9 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 $ inh S 01 TOTAL PAMIT FEE $ OCCUP. GROUP I TYPE OF CONST. ..) 1V T PARC PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC By l PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (5F WHITE-D.P.W., YELLOW -ASSESS INK -INSPECTOR, GOLDENROD -APPLICANT 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. " 0FFIC: AL REC() r.. 0;,= SU1TYE CQUNTY-' A4.I;-- . Id'r, /'-� JUL 22 2 cj E'LEMQR M. aC%3k,t!"L�'""� CL�fi!( -' R E C A c;nirtb A' Z The property described herein is adjacent to land or included g3�24 3 FEE within an area zoned for. agricultural purposes, and residents of this FEE - property may be subject to inconveniences 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 agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be- prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the. County of Butte, State of California, described as follows: SEE ATTACHED Date: - 2-.10 -" A PROPERTY OWNERS: State of ) On this the day of 19 6-1, before 7 ) SS. me, the undersigned Notary Publi , pe sonally appeared County of ) - Personally known to me. /V/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to z he within instrument and acknowledged that e o ; "• VERLAJ. FEMRSTEIN xecuted the same for the purposes therein contained. � (VOTARY PUBLIC -CALIFORNIA ® N WITNESS WHEREOF, I hereunto set my hand Bu t Ccunty and official seal. .� My Commission Expires Inn. 3, 1986 CIO CM G � ro ?A0 Notary Public Present A.P. No. 6_ ��SJ co 1' 1111 that certain real property situate in the County of Butte, State of.California, described as -`follows: • r A portion of the Southwest quarter of Section'6, Township 21 North, Range 5 East, M.D.B. & M., more particularly described as follows: COMDT LACING at the Southwest corner of said Section 6; thence along the West line of said.Southwest quarter, North 000 261 17" West, 1375.00 feet; thence East 495.00 feet; thence South 600 39" 59" East, 96.35 feet to the true point of beginning for the parcel of land herein described, thence from said true point of beginning, continuing South 600 391 5911 East, 337.93 feet; thence North 25u 36' 3211 East, 314.21 feet to a point on the Southerly boundary line gf the Big Bend Road; thence along said Southerly line, North 52 181. 00" West, 157.29 feet to the beginning of a tangent curve having a radius of 970.00 feet; thence along said curve, through a central angle of 100 161. 2811 an arc distance of 173.94 feet to a point which bears North 270 25' 3211 East from the true point of beginning, thence South 270 25' 3211 West, 346.41 feet to the'true point of beginning. RESERVING THEREFROM a right of purposes over all that portion right of war described below. way for road and public utility thereof, lying within the road EXCEPTING THEREFROM all hydrocarbons and minerals now or at any time hereafter situate therein and thereunder and which may be produced therefrom, together with the free and unlimited right to mine, drill, bore, operate and remove from beneath the surface,, - of said land at any level or levels, 100 feet or more, below the surface of said land for the purpose of development or removal of all hydrocarbons and minerals, situated therein or thereunder or producible therefrom. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet .on each side of the line described as follows: BEGINNING a point on the West line of said Section 6, which said point is North 000 261. 17" West, along said West line, a distance of 643.61 feet from the Southwest corner of said Section 6; thence from said point of beginning, North 800 151. 4811 East,. 449.82 feet; thence North 340 35' 58t1 East, 202.12 feet; thence North 580 17' 5311 East, 179.15 feet- thence North 210 481. 4811 East, 168.26 feet; thence North 746 491. 1811 East 98.56 feet; thence South 740 071 1211 East, 159.91 feet; thence North 760 15' 38t1 East 362.40 feet; thence ' North 140 1.51. 2811 East 57.49. feet to a point on the Southerly boundary line.of the Big Bend Road and the end of said line. (continued) A`T E D W I T HC H.I C A G O T I T L E I N S U R A N C E CP 0 0 M� C4 w c� rn COMPANY CL7 PAGE TWO NORTHWESTERN TITLE COMPANY ORDER NO. 21779-u (Continuation of Items) 5• Rights of way conveyed in deed to -Pacific Telephone and Telegraph Company, a California corporation recorded August 20, 1954 in Book .732 of Official Records, at page 457. 6. Right of way for road and public utility purposes as was conveyed in deed to D. Beardsley recorded -August 3, 1971 in Book 1691 of Official Records, at page 88, and in various other deeds of record. 7. A Certificate of Canpliance -and conditions. contained therein recorded July -25, 1974 .in Book 1925 of Official Records,.at page 690. NOTE THERE HAVE BEEN NO CO1\VEYANCES OR RECORD OF THE HEREIN DESCRIBED PROPERTY WITHIN THE LAST SIX MONTHS. MH:kh AFFILIATED W.ITHCHICAGO. TITLE INSURANCE 21 END OF DOCUMENT - CD 0 9 l�y�� l�4!�0 li CZ rn CID COMPANY C� af �w O J3 � u am Q J CT O � 4 tar +n O d37_ C� A. GENERAL zoning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) +. Bldg. Permit # A.P. # Com, -lam f�--41 (sideyards and parking). or Architect (if required). B. PLO -T PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. .` Other buildings or structures. Grading, fills, drainage. W C. FLOOR PLAN Complete to scale plan with dimensions.-- 000 windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404),. Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). ,y G.F.C.I.'s in bath's and exterior.outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior.receptacles for maintenance of mechanical equipment. QLocations of water heater, heating & cooling equipment, other electrical or gas/1 Q equipment, and plumbing fixtures. ��e�/�-c_ 'l-9 Garage firewall, door size, and closer (Sec. 503(d)(4)). j1! 1 - 3'0" exterior exit door (Sec. 3303d). ,,1-2o'_, Fireplace location. Smoke detectors (Sec. 1413). , D. STRUCTURAL DETAILS l) Foundation plan complete enough to construct building. r� oor construction details complete enough to construct building. ootions and wall construction details complete enough to construct building. f construction details complete enough to construct building. WWeplace construction details and calcs if over one-story in height. ficient data and details to satisfy energy insulation requirements (State law). E!. MISGEMIANEOUS ITEMS TO LOOK OUT FOR plywood on exposed locations and overhangs. irway details (Sec. 3305). - rdrail details (Sec. 1716). ck or stone veneer (Chapter 30). _erior plaster - weep screeds (Sec. 4706 & 4708). -oper roof pitch for roof covering (Chapter 32). -ter ties or bearing ridge beam. ara -door or porch header sizes. quate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). V-�a 7y--3 , , 11 -1 I I I I I , j, , 7 � 7:, : � .... .. � , I ,,, � ,, , ,l� , I--!; ,, , ''�, l I i l I , , I " I /#11 , , �; "712ilit"tp , '! i ; I , 1. .11 . �ll � : i: : I 1 : :; t I � I � I ; ql,� I � I I , l . 1: I I I l'�! �l , - ! [; . I : , , , , l , , , , I - i'l I � " , " , :111 I I - � .1 . I - I . 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