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060-110-002
B K-; vi 06— ;IP9416 2 - George Roney , e�, _ p4' NIS Humbcl, d.,app-81001E.Of Polk Sp'r4,1 y Rd., lot -2,Butt-e-Meado,,7s___,____ Permit #4219-77B,E(4ddition/S 60-11_'02' - nl-- ___ 'MILLER, MILLER, C app r l. & ' V i o:let7491 Humboldt Rd, But te Meado Ks(elec serv/sf) ��v. 0 0-1l0- 0 ' ,94-07 30P8WMILLER, CARL-, 7491 HUMBOLDTfRD- BUTTE ME• MOBILEH0MUTILITIES ELECTRIC?t &2 6- GAS, LINE C6 D�ACTION REQ QL�!o �, SUPPORT STRUCT RE) 066-110'002 ,MILLER,-CARLi- 94-092OMHI 7491 /1 HU�1BOLDt,RD-.,'BUTTE-MEADOWS CONT:-RICHA RD VAN, SfiVERN �--M-QBI-LEl'I9�'X.IN3.T-ALLA.T!bN- 060-110-002PERMIT#94-1782 MILLER, CARL 7491 HUM - BOLDT RD;, BUTTE MEADOW COVERED-PORCH/MH I Aim .0-11-402 '00-1578 MILLER, CAjd:"%-,,' UR�W PHUMBOLT, RD.., 'BUTTE NEA]OW D CONTR:'OWNER 4, NEW - I .. CH ROOF 06 0� XA 060-110-002 01-2571 MILLER, CARL rr7-*9+lil IMBOLT PD, BUTTE MEADOW RENEW PERMIT 00-1578 060-110-002 02-2097, MILLER, CARL!'. 7491 HUMBOLDT RD., BUTTE MEADOW 2ND RENEWAL-BP#00-1578 060-i 10-002 v .287 MILLER, CARL 7491,-fHUMBOLDT RD CONT: OWNER :-, A- X FINAL FOR 02-2097 060-110-002 04-2878 eO'REILLY', 7491 HUMBOLDTRD,-O CONT: OWNER EX MHTERM PNU k7 NOTES RESIDENTIAL. F,.PERMU-T-Nn 04-2878_ . _ L7491 10.002,- -~ r LLY, PHIL �� 1 HUMBOLDT RD; . xT: OWNER A--( IH PERM FND f. . 7 - THE- kHE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS - BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS r. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS —rSUB-STANDARD HOUSING LETTER F f CHECKED BY A `I LTTE 01&400wS -- , X ; JOB FINALED (Date) Signature ' Y r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds ` PERMIT NO. BP042878 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: 11/04/2004 APN: 060-110-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 7491 HUMBOLDT RD BMD Date: Contractor. Map Index: Description: EX MH EX SITE PERM FNDN OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires .a Owner: PHILLIP AND FRANCESCA O REILLY 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 3296 KEEPER RD 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 violation of Section 7031.5 by any applicant for a permit subjects the 530-570-3758 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: PHILLIP AND FRANCESCA O'REILLY PP 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 ❑ • 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: ❑ 1 am Exempt under Article 3�th usiinessand Professions Code OOwner: Date: 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to 'of Census Code: become subject to the workers' compensation laws 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 withthose 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 This pr;. -;nit is hereby issued under the applicable provisions of the Butte County Cade enrVor I hereby affirm that there is a construction lending agency for the Resolutio o do work in c ed ab for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) D Name: By' Date: �J Address: PERMIT EXPIRES ON: (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. O 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 official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo �. Print Name: Gdi Ll? U �ePi ! [ Signature: �e�L Date:' Owner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor w", J=OK OK 0 = NotNot . = NotReadyable Date �q MOBILE HOMES 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 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date ',Date Card B-1 Date Card B-1 MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Ext.; Steps -Doors -Landings 2. Footings; Size-Spacing-Marriage Line 't 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Card B-1 Date Card B-1 5. Drain; MH Test-Fall-Flex Connector Card B-1 Date Card B-1 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date 8. Card B-1 Date Card B-1 Date Date P Al C_4rd B-1 Date Card B-1 MAN NT END SYSTEM (ONLY) ,Zoning Requirements-Setbacks-Easements 10. �otings; Size-Spacing-Marriage Line 11. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test Date 6. Water; MH Test Date 7. Water and Sewer Connected 8. s and Electricity Tagged its License Decals 11. Verify #'s with Office Date Card B-1 F-y Date Card B-1 Date Card B-1 Date Card B-1 tZ. - C99 Gg,:N I ? e,<2� 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- Beams- 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 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- Panel boards- 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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 Undergmund 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 FINAL (Plans) OK except #'s 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 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 -Wal Is -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.I.)-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 ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 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 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042878 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: 11/04/2004 APN: 060-110-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 7491 HUMBOLDT RD BMD Date: Contractor. Map Index: Description: EX MH EX SITE PERM FNDN 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 Owner: PHILLIP AND FRANCESCA O REILLY 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 3296 KEEPER RD 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 violation of Section 7031.5 by any applicant for a permit subjects the 530-570"3758 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: PHILLIP AND FRANCESCA O'REILLY 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.). ❑ 1, 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: ❑ I am Exempt under Article 3�th usiness and Professions Code Date: l � _ y— O 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 / issued, I shall not employ any person in any manner so as to Census Code: 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. I/ / is q.90 Applicant: [Date: 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 This perm is hereby issued under the applicable provisions of the Butte County Cod anrUnr I hereby affirm that there is a construction lending agency for the Resolutio o do work iAce d ab for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) D Name: BY ('� Date: PERMIT EXPIRES �J Address: ON: (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 8 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 agree4o comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo Print Name: A41-1 4l r✓ ,/ ! C Signature: Date: ` y — Owner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor l BUTTE COUNTY o DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 0 OFFICE M (530) 538-7541 ' A FEE RILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X C%L!_ d F office use only: OWNER Last Name(91 �� //I [ N ulc" m71 Address 3 2 eke, r- 12 City ckieo State Sta?,, 1 Z 5 Phone S30 -a?% D / Fax S ?G ` 1910— E -mail Lic. # APPLICANT SIGNATURE X C%L!_ d F office use only: CONTRACTOR Name. N Address SRA City No State Zip Phone Book Fax E-mail ner Lic. # Class APPLICANT SIGNATURE X C%L!_ d F office use only: ARCHITECT/ENGINEER Name N Address SRA City No State Zip Phone Book Fax E-mail ner State License Number APPLICANT SIGNATURE X C%L!_ d F office use only: APPLI CANT NAME Name Flood Zone Address SRA City No State Fzip Phone Book Fax E-mail ner APPLICANT SIGNATURE X C%L!_ d F office use only: Zoning t°XIJ fin410kIlf 2-11 Flood Zone SRA Yes No Occ. Type Const. Subd'Nision Name Map Book Page Lot # ner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT 6 F. a0-9 BP BIN # LOCATION AP# 060-110— Property (O`'/(U—Property Address City % / f� Q �u�f� Nev, Cross Street WOR 'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpermit issuance. LENDING AGENCY Name Address as Description or Scope of Work: e,40114� 4 /o Ae/ t°XIJ fin410kIlf 2-11 Sq. Footage O Structure Built without Permits 11 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. II Received by: Amount ` Bldg I I II SRA II I q� Date: ) r C� Sheriff SMIP Other .9 Total 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 LEGIBLEAND 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation insf, (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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 1 2. Impact Fees. :1 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. :1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). :1 6. Contractor's license information. (Number, Name Style, Classification). 1 7. Worker's Compensation Carrier and Policy Number. 7 8. Owner -Builder Verification (if required). 7 9. Letter of Signature authorization (if required). 7 10. Recorded copy of Agricultural Acknowledgment Statement. 7 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). f you have questions or would like additional information regarding this process, contact a Permit kpplication 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 -n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS :eiunds can oniy be made upon written request by the person who paid the fee. The request must be made within two Bars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits :sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan Teck fees for work plan checked and, other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION TORMSSUILDING F0RMS\BIdgAPP1SubRomts.doc Pang 7 of'? 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 00ProOWNER: D, `�.�L I I /-ASSESSOR PARCEL NUMBER 0 (P 000- Proposed posed Building Use: 'nter Technician: Date: Items required in orde to apply fora permit. All box s MUST bi checked OR marked NA in orderio apply. 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) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan5(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 stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 0 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form........................................................................................... 27. Encroachment Permi for do ewa from the Public ork Dep ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Nurr per, Name Sty. , Classificati ")................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... Tal' 31. Owner -Builder Verification (�ven to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction................................................................9...................... ❑ 37. Grant Deed, ��v1.H. Title/Statement of Facts, etter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38-'5ther: •✓� ❑ 39. Other: When issued Telephone b • and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:�„ Date: /0-/- O y 1. Index permit application for the above items numb red: Plan Check Letter 2. Additional items re wred Contractor, designe as advised of the above data by trphone, ❑ mail, ❑ counter, by -TCL -Date: Contractor, designer, owner, was advised of the above data by `❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: 04 Plans approved by: Date: o O Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home T)—1 M— T ATT'1n0;n Manufacturer ID/Name 90086 CHAMPION HM BUILDERS Trade Name WOODLAKE Model SW643W DOM 06/24/1993 DFS 03/21/1994 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 09936434281A RAD699699 18,140 52' 11,101, 04 SFD LPT 09936434281B RAD699700 16,260 52' 11,101, Issued Total Fees Paid Aug 03, 2004 $117,00 Addressee PHILIP O'REILLY 3296 KEEFER RD CHICO, CA 95973 Registered Owner(s) PHILIP O'REILLY FRANCESCA O'REILLY Joint Tenants with Right of Su 3296 KEEFER RD `CHICO, CA 95973 i Situs Address 7491 HUMBOLDT RD BUTT-E-ME-ADO_WS. CA 95942 S LegalOwner(s) \ CARL E MILLER VIOLET MILLER Joint Tenants with Right of Survivoiship 9493 LOTT RD PARADISE, CA 95938 "Lien Perfected On: 07/27/04 10:58:36 IMPORTANT �OVS►NG O �� oil 3G� 0 DEV�� 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: 3517336 03032004- 324 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building pem3it 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 6 NO 0. I HAVE,V HAVE NOT O signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: 5. ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: HONE: ~. CONTRACTOR'S LICENSE NO. 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: � D� _ ,- - DATE:_ %o O y 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 �i • O.B.- OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as flee builder of property improvements specified. For your protection, you should be aware that as "owner4xn1dw" you are the responsible party ofreowd on such a permit Building parm are not required to 6a 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 subcontrac 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 cam) is $300 or more for the entire project, and such persons are not licensed as contactors 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. ♦ Vere may be financial risks for you if you do not carry out these obligations, and these risk are especially serious with respect to worker's compensation insurance. ♦ Far more specific infnnnation about your obligations under Federal Law, contract the Intemal Revemme Service (and, ifyou wish, the U.S. Small Business Adminfstration). For more specific information about your obligations undei 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 per their work personalty 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 workerso P nallY. Infozmation about licensed couftaators may be obtained by contracting the Contactors 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 flirt yon are aware of these matters. The building permit will not be issued ung the verification is returned. jMr C. Vi iia, C.B.O. Building Inspection NOTE: This Owner-BuilderWormaSon is required by Section 19830 ofdee Catffornk Health and Safely Code OVER PRE -INSPECTION REPORT OWNER: DATE: 1 y LOCATION: A.P. # CONTRACTOR: AZONING: REASON FOR PRE -INSPECTION DATE TO INSPECTOR: � � PERMIT HISTORY( )NONE( .SEE ATTACHED a no Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied Abandoned/Vacant: Electric: Electric Currently Condition of Electric BUILDING INSPECTOR'S REPORT i, Mobile home # of Units: ()Yes (C-�lo VC G`V7 Gas: Currently Von Condition Sanitation: Plumbing Worldng �es Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: Hold for permits or verify: _ ISSUE ( ) Off ( ) Off ( ) No �o ( ) Yes ( ) No Inspector• 0 !(2° • Date: 0 �E BUTTE COUNTY EP 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name trusspame I r%1 /C e-I/l�� I !7, / r%uw.w. 0 2- eJ—e,r /C City Cki.Cc7 Sta?A 71- 5 Phone S>O—a�7� b / Fax 5 -?6'- 9` 9 /Y -/'g E-ma0 CONTRACTOR Name - /V iy Address City State Zip Phone Fax E-mail Lia # I Class APPLICANT SIGNATURE X c/% d 67 For office use only. ARCHITECTIENGINEER Name Flood Zone Address SRA City % State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X c/% d 67 For office use only. APPLICANT NAME Name Flood Zone Address SRA City % State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X c/% d 67 For office use only. Zoning Flood Zone SRA I Yes % Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION 1-06 ,O //v.- 00-2- Property oZProperty Address City 7y / fle/,y Cross Street _ I WORKER'S COMPENSATION I 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 Description or Scope of Work: �0 ;? Ll I Sq. Footage j 0 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 Bldg II <; Sm II Receiptjt Date: ) � J Sheriff SMTP Other Total Carl & Violet Miller 9493 Lott Road Durham, CA 95938 530-343-6984 October 1, 2004 To Whom It May Concern: We Carl and Violet Miller the legal owners of: 7491 Humboldt Road, Butte Meadows, CA. Give Phil & Fran O'Reilly permission to upgrade to a permanent foundation. Sincerely, Carl /and Violet Miller l �CR Building Permit Number: ©#- Z87 8 Owner Name: Q2� Residential Construction Requirements Il1'IPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the. 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. . Page 2of 2 Building Permit Number: 2 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached 0 requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met:. All structures and equipment including oWE shall be clear of all easements. t A setback ofd eet from the side andfrom the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive, Oroville, CA PHONE: 538-754. MOBILEHOME INSTALLATION SHEET e n � 1. Owner's Name: �� ! r `AC.1k4, 2. Installer's Name:�� l/1 ev�.Lc, * F-1 3. Is the site currently under permit?, , Yes rq No (If yes, furnish permit number ) OR Is the site an existing site? Yes F—] 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 R No (If no, clarify 5. What is the mobilehome electrical rating? ------ - -------- r Amps 6. What is the mobilehome site service rating? -------------- l Amps 7. What is the mobilehome site circuit breaker rating? ----- O Amps 8. Is there any other electric load to be served by the. ----- � n mobilehome site service? -------=----------------=- - Yes No Lam''". (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3l� (in.) 10. What is the type of gas service? ------------------- Natural a LPG 11. What is the gas pipe length from meter or tank to the / mobilehome? --------------------------------------------- S (ft. * 12. What is the mobilehome gas demand? -------=-----=-------- (BTU) (Th is. information not required if pipe length less. than 6 ft. on natural g4s or less than 50 ft. on LPG.) r:Nf;%T;PAGE MUST BE'COMPLETED TO PROCESS'PERAIT APPLICATION. MOBILEHOME SUPPORT DATA Q If other than single wide, Mobilehome Mfr. �^' furnish Setup Model No. G `F3 C Year Width Alf (ft.) 'Box Length S Z (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 -tone) 1. Wood -pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one)F1. Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE tine ' _ ,a Line 1 ,inee_ —eam— —. _ _ — — Main Bs Line 2 Line 2 ne — — _ — — _ — — _ — _ _ 4 3 Line 2 Main Beams Line 2 Line 1 --- — — — — — -- — �-Line Tag or Triple .r Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing -Max. --------- ,_ Each Side of Openings From Ends -Max.------- ' " With Width Over --------- Line 2 Piers: Size -Min ------------- Spacing-Max - ------------Spacing-Max. --------- From Enda-Max.------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ .,x. n Spacing -Max. --------------- From Enda-Max.------------- Line 3 Roof Loads': Size -Min.----- ------- �.Lf"x�a �� ..x�Q � ..x .k ..x Location (From Front)' - Line 4 Piers: . Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line 5 Roof Loads: Size -Min'.'= ----------- "x "x Location (From Front) 'I "x .. 11x k e 5 Piers.:: (Under Bearing Walls Only Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- FromEnds -Max.------------- "x ILI 2"x 2"x 3/16"^ STEEL ANGLE m 1 W I (D CL r N r9 N m m m t2 Q1 LO N m m m m N N e -i Ln CD DETAIL "A" CHASS)S FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 3/8- CAD PLA -EO BOLT, NUT & WASHER COUNTER BORED FLUSH WITH 30TTOW AT e" D.C. (8) REQUIRED 1/4- STAND BASE , ,— ASESCO ABS PAD #503 ' 36- MAX TO BOTTOM OF PAD 01/2"3c 3" C_R- 1/2-73UNC-A307 x 4"—,"- LOCK PIN WITH BOLT WITH KUTS 01/8" BRIDGE (4) REQUIRED PIN set 1/2" SCH 40 PIPE' RISER WITH o 01/2" ADJUSTER HOLES AVO 3/8 THICK TOP PLATE a I �• ret` SCH 40 PIPE STAND WITH TWO J 01/2' ADJUSTER HOLES ABESCO ABS PAD #503 �� Sf£EL FRAME"\ iSEE DETAIL "A" L.3 fig .IIIu� 37" TUF--1 PERMANENT >FOUNDATION SYSTEM m 1s 1 2" AEIWO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACT "C" FRAME 2- CHANNEL 1/4" GRIPPER 1/4"xl-1/4" PLATE -TEK S'S (2) REQUIRED 1/4." GRIFPER--/ an I'm BASE 1/2- A307BOLT (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE qC-BEAM 1/2" A307 BOLT (2) REQUIRED ATTACHMENT 10.80 -moi 0 0 10.00 w 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 v� v IY pf C COACH "J" FRAME TEK STS (4) REQUIRED 1/4" GRIPPER BASE 1/2- A307 BOtT (4) REQUIRED J ---BEAU ATTACHM= NT s!" 1/2' DIA. HOLE (S) PLACES i -r, $ d $ L 30 - STEEL FRAME TOF VIEW A I .. _ . �ttRllt� �1i181'Y OoroR, s8G'QOIf !R�! . �.T:Q40WCi�OMi1101f! s: �0'1►�lt.n0ffi11d�RVtrilvll�ROIAt�Rfl�vslitf! Txt •.�i�yyi�i�O�a �DI��ByyY.��tA�If♦OQ�I i!1tOu zB i 1SA r -..._. WAYNE 7. POLVADO, PE -LISTING NO. F94249 SHEET I or 3 r GENERAL NOTES GUS GUARD TUF-1 DES2GN LOADS: LIVE LOAD - 30 L9. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 6C' SEISMIC ZONE '4" * SNOW LOAD A00 PSF (SEE NOTE 115) 2, THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS SEAN SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE `MOBILE HOME INSTALLATION INSTRUCTIONS". �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEE•S 1/4% OR, WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COIIPATBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED T9 FILL LOCAL VOIDS UNDER PADS, E. STRUCTURAL STEEL- FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO AVIS SPECIFICATIONS. ELECTRODE'S -370 PLATES -ASTM A36 P,DLTS-SALE GR S=ASTIR A449=ASTM A3725. 7. THE 'CUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND AiSOCIATES FOR THE FOLL01VJNG LOADS: AILOWABLE LOADS: HORIZONTAL VERTICAL GJS GUARD TUF-1 2200¥ 6000# GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 2200E 6000E 8. DURLNG PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. S. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWNG GUS GUARD TUF-1 LNITS AS SHOWN ON* THIS PAGE OF TYPICAL FOUNDATION 2LANS. 10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLA71DN IH FLOOD ^A" PLAIN AREAS WHERE DEPTH OF FLOODIPG DOES NOT EXCEED THE HEIGHT C. OF THREE FEET. 117 MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED PKE E NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS SAME AS SHOWN REQUIRED PER EACH UNIT. ?� 11NGU—WADE UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET j3) _- c13gq METAL COMPONENTS RIND ATTACHMENTS ITEMS SH91 BE PPOTECTIVE COATED. &YEN CONCRETE -SLAB 15 IN ERISTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16"x 16"xl2" POUP.EO IN PLACE AT GROUND LEVEL WAY BE USED AT IIISTAUFRS DISCRETION ALTEPWARVE TO PADS, SI`iGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / S' MAX. E= 2' MIN. 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN_ / 22' MAX. .17918 � �jgrF Flea\iQ��,`� -� FI QUIRED. ANCHOR STAND TO CONCRETE SLAB WITH OF -1 PERMANENT > R (a) 1/2'x 3 1j2` EXPANSION ANCHORS. FOUNDATION SYSTEM 1.5. MGUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES 4OWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH -"NUFACTURER OR REPLACE THEM ON A ONE TO SAC FT:oENTO, CA 958 ROAD ONE BASIS. SACRAMENTO, CA 95823 PFI: (800) 382-8831 STATE APPROVAL MAN1.'PACTURED ROMFAMOMA HOMg FOUNDATION SYSTEM HBAI-7TIAND SATRTY CX)m ac=TORT 211S3J APPROVED BUWBCr TO COARBCTICIM )Op AT'PROVAGDOESNOTAVI'HOTU'ZBOILAT'aP WgAAA! OMISSIONS OR DEVIAIION FRAM RIEQUOtENCUM OF APPLICABLE STATS LAWS AND itb+[ "Ayx" b`tate of cxj&rwm of Aomcisy Lod Coamuft Vowdopmad CODES AND $7. SPA NO. TJ is Plan An. -,.i WAYNE T. POLVADO, PE—LISTING NO. 1`94249 SHEET 2 of 3 VARIES 10'-70' (SEE TA3LE ON SHEET #3) —' E S p' + S • it S — E RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) ❑ >—I ❑ a ❑ ❑-F ❑ ❑ ❑ a 8' NOM. A014. ❑ ❑ PADS IN ANY PAIR MAY BE i STANDARD M.H. FOUNDATION �- ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPP RT AVOID CLEARANCE PROBJ`MS. ENGINEER. TYPICAL THROUGHOUT PAD TYP) .17918 � �jgrF Flea\iQ��,`� -� FI QUIRED. ANCHOR STAND TO CONCRETE SLAB WITH OF -1 PERMANENT > R (a) 1/2'x 3 1j2` EXPANSION ANCHORS. FOUNDATION SYSTEM 1.5. MGUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES 4OWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH -"NUFACTURER OR REPLACE THEM ON A ONE TO SAC FT:oENTO, CA 958 ROAD ONE BASIS. SACRAMENTO, CA 95823 PFI: (800) 382-8831 STATE APPROVAL MAN1.'PACTURED ROMFAMOMA HOMg FOUNDATION SYSTEM HBAI-7TIAND SATRTY CX)m ac=TORT 211S3J APPROVED BUWBCr TO COARBCTICIM )Op AT'PROVAGDOESNOTAVI'HOTU'ZBOILAT'aP WgAAA! OMISSIONS OR DEVIAIION FRAM RIEQUOtENCUM OF APPLICABLE STATS LAWS AND itb+[ "Ayx" b`tate of cxj&rwm of Aomcisy Lod Coamuft Vowdopmad CODES AND $7. SPA NO. TJ is Plan An. -,.i WAYNE T. POLVADO, PE—LISTING NO. 1`94249 SHEET 2 of 3 a � m CS) W a IL U Z H 0 U U7 w Irl a m N m co m LO mum 11 Will Lo CV m CD m CV N CD i 3/4" DIA z LG. 1/2"x 3 1/2"1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3 8" CAO PLATED,AA BOLT, NUT g WASHER ,4) REQUIRED (4) RECUIRED / COUNTER BORED FLUSH WITH 601 -OM AT 8" O.C. ` (8) REQUIRED CONCRETE PAD INSTALL4TION POURED IN PLACE 16x16x12 :,ONCRETE FOUNDATION INSTALLATION , 1 1 - CHASSIS FRAME 1/4" GRIPPER. PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4'-'- BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WIT -4 0112" ADJJSTER HOLES AND 3/P - THICK TOP PLATE 02" SCH 40 PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAC #503 STEEL FRAME , W 0 0 01/2"x 3" CR.j LOCK PIN WITH 01/8- BRIDGE PIN E - Z TIE PAD I LIGH- HEAVY -WEIGHT PLASTIC PAD INSTALLATION MUI.71--wmx TINTT3 OFWIDTH IH01EE 24 I OF H 2C 1 28 44 UP TO 44 B 8 8 12 u-1 to 6b �� 12 tz 1a "'—I- to aOl 20 1 20 120 24 HINGM AIDE irNm. LENGTH Of HOME 10 WIDTH OF HOME 12 1 14 16 UP TO 44 1 6 6 16 8 u —t to fis'l s I a 1 a a to a0l 10 1 10 I f 0 1 10 NUMOLK Ur IUr-z REQUIRED NUMBER OF TUF-i REQUIII£D MM- SINGLE WIDE UHITS REQtm (4) E -Z Tt= PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL mTEFrms ALONG EACH FRAME ROUL. `1r9 �0 TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPAA'Y 5851 FLORIN - PERKINS ROAD SACRAMENTi3, CA 95823 PH: (800) 382-8831 FAX: (915) 383-5207 Esslo STATE APPROVAL MANUPACTURSD IM IMMEOBTLE ROME FGUNDATION SYSTEM LTH ANE SAFETY CODE, SBCrM ASST APPRDVED 17'91 SUBJEC7 TO CORRBMOM NOTED APPROVAL DOES NOT AUMORM Olt APPROVE ANY \�' OMRE APPL CABLB TATE LAWS ANDAT RBQUI ONS F �UF -SamOfcAlifomlr v and FR AIS ST A112 y/ BY SPAWO. 7h[sPlsnAppmvnt Explra � WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 NOTES i RESIDENTIAL 9 PERMIT . �1 I :0 L' �I H tum, om uW-To'RM oa-ate SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) -712 Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042879 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: 10/01/2004 APN: 060-110-002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 7491 HUMBOLDT RD BMD Map Index: Date:. Contractor: Description: U Y� / � � Via., ` 63L . (� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the t Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MILLER CARL E & VIOLET JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 9493 LOTT RD signed statement that he or she is licensed pursuant to.the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 95938 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 Applicant: MILLER CARL E & VIOLET JT 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code %0 -,Q Owner: Date: License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 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: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: 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: N 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 This permis h reby i ued under the applicable provisions of the Butte County Code anrdor I hereby affirm that there is a construction lending agency for the for this is issued 3097 Civ.) Resolution- t do tkindic ted above for which fees have been paid. �) r performance of the work which permit (Sec B Date: y' Name: Address:Date PERMIT EXPIRES ON_ ❑ 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 duty authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: �N ! t K el` I` �! Signature: Date: ❑ Owner 0 Contractor Agent for Owner 0 Agent for Contractor J=OK 0 = Not OK . = NotReadyable DWRS, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; 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- Beams- 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;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 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 POOLS (Plans) OK except #'s 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 11. Light Niche . 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 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 #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DWRS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -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 6. Carports; Windows -Doors 7.,,Fzlectric 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 -,7)2/7,'0-_ Date Card B-1 Date Card B-1 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 -Panel boards -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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -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 FRAMING (Continued) 86. Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Glass Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle 92. 18. Water Pipe; Test & Anchor -Nail Protection Water & Sewer Connected -C/O to Grade -HD Approval 19. D.W.V.; Test Fittings & Anchor -Nail Protection 95. 20. Shower Pan; Test, First Floor -Tub Access Fire Sprinkler 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Card B-1 Date Card B-1 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 66. 32. Service -Riser Conductors & Ground Main Disconnect 67. 33. Equip. Clearances Panels-Motors-Mech. Equip. 68. 34. Clothes Closet Light -Shower Light -Spa Light 69. 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card 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) 86. 47. Hangers -Post Caps -Anchors -Connectors Water Well, Disconnect, Electrical, Plumbing 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 89. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Glass Protection 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 92. 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Water & Sewer Connected -C/O to Grade -HD Approval 52. Garage Fire Protection Framing -RC Channel 95. 53. Property Line Firewall & Openings Fire Sprinkler 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 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.I.)-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 ❑ Yes 83. Following Instld./Drive O Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ 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 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042879 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: 10/01/2004 APN- 060-110-002-000 - the Business and Professions Code, and my license is in full force and effect. Li License Class: License Number: Site Address: 7491 HUMBOLDT RD BMD Date: Contractor: Map Index: < :; 0 DescriptionY Q- 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the �- -.�- - - - - -- - A-- •- - Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MILLER CARL E &VIOLET JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 9493 LOTT RD signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA 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 95938 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).): 1, 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 Applicant: MILLER CARL E & VIOLET JT 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 Contractor: 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 �0 -/ 01 l� `� Date: Owner: . License #: 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 Architect: is issued. Engineer: ❑ 1 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: Carver: Total Square Ft: 0 S. F.. Valuation: $0.00 Census Code: Policy #: �( 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:—/ 0 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 This permits heby i ued under the applicable provisions of the Butte County Cody 2nrtlor I hereby affirm that there is a construction lending agency for the Resolution ac ioNtedbovefor which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Jtd�d Name: By: ( Date: 1 ON: Address: PERMIT EXPIRES 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos / 1 Print Name: IPA 1 � D AeeI 11Lf Signature: 0''/~❑ Date: /0,/- QOwner ❑ Contractor Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541®� _X94 M4T�l0. (Rev.42/96) ,. APPLICATION AND PERMIT ((jjv�J ASSESSOR PVCEL NUMBER 060-110-002 ZONING T7 BUILDING PERMIT OWNER MI TkLEPHONE - SO. FT. OCC. BUILDING VALUATION .OWNERS MALING RESS 949-1 T= RD_ 111RIJAM, CA 999T8 CONTRACTORS NAME QW TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other RAMATIA & P(1RCH SPECIFY 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 IX Describe Work: 2ND RFNFWAT —BM0--15.78 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 Main Service A800V OR LEOR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J X �- I' Datesy Signature of Applicant - w er ❑ Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'0" deep and demoiition or construction of structures over 3 stories in height. Main Service TO ,o 46.00 NEW CONST. DWELLING OCCUP. W: U OR ADDNS. ( 8 ACC. BLOS. SO 3.50 so ND.R.1UT. MULTI.OUTLET 97,50 POWERLE APPARATUS b SINGOUTLET CIR. Ex. Occu OUTLET OR FIXTURES e20 p 1.0 FIXP Ex. Occup. DuT,tTsRESID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146. HAZ. o. PEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work fwhih fes have been paid. I dic ed abA4&9t By D e PERMIT EXPIRES ON tdf �r Receipt No. '� WHITE-D.D.S.-B.D. CANARY -ASS SOR NK -INSPECTOR GOLDENROD -APPLICANT 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 9 ASSESSOR PARCEL NUMBER 0 20NN0 / BUILDING PERMIT OWNER TE "EOCC. BUILDING VALUATION owNERs CONTRACT • TELEPHONE CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S LWUNG ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEERLICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ �- Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee S $ PERMIT FEE S LAT NO. SUBDIVISION'S NAW PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ePEc�v Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ❑ Installation ❑ Other ❑ Describe Wo 1916 / Each as water heater or vent 15.001 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S y ELECTRICAL PERMIT ( Fling Fee 20.00 Main Service s"oo�A oa Iss ' 23.00 . s1 ay. ; 0 OEM meow / - +� wwA ��� ��� � • NkY1A �� ,�•�Q cay.�t Lip�� f Main Service 200A TO 1000A 46.00 NEW CONST:( DWELL -q OCCUP. so. OR ADONS. a ALOC. BLAS. 3.5crT. O MULTi-OUTLET NOKR6ID. @7.501 POWER APPARATtS a SWCYE OURET CIR. EX. Occup. OUTLET OR FIXTURES arL ® 1.yo EX. OCCU FIXEO APPLNS. OR OUTLETS CRESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 —Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Fee $ gy In oec CONST. PE TOTA FEE s Es PARCEL Po 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. By Date PERMIT EXPIRES ON Ta (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. APPLICATION AND PERMIT ©/`a5�- r ASSESSOR PARCEL NUMBER 060-110-002 ZONING U BUILDING PERMIT OWNER CJLRL MILLER TELEPHONE OWNROA BuKlAdi ERS _ 9 CONTRALYw R'S NAME - -` _rte TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTRAC NG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - T T '7411 ,la ) Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMITI Rg Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other �' 0 sPEclFv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: _ RENEWAL OF PERMIT NO. 00-157$ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (020.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service zoOA 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 I here affirm under penalty of perjury that I am exempt from the Contractors License La r 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. ❑ 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 if the permit is for work of a valuation one hundred dollars ($100) or less.) k' 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. X Date Signat(6�AADliCIA - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition oronstruction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( a ACC. BLDS. 3.5¢F7. T. NON-RESID MULTI.OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FDMRES BAL SO FIXED APPLNS.. OR Ex. Occup.. ouTl. RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ3 OTAL FEE $ 146.00 ZI MP NI FLOOD COF PARCEL PO HO 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. By Date PERMIT EXPIRES ON g-o�'b,;i_ ate ReceiptNo. ? (0(7Z,1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR 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 the ma�� bor and materials for construction of the proposed property improve YES Q-` NO ❑ 2. I HAVE VE NOT 0 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: A ROPERTYOWNER: SOCIAL SECURITY NUMBER: X1 - " ;PATE: NOTE: This Owner -Builder Verification is required by Section 198.31 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 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 parry 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. i 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 Californla Health and Safety Code. OVER CCAUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541� 1,579 (Rev. 12/96) APPLICATION AND PERMIT i,� I 9 AS�E�S�RPCF�LNU�+I�E ZONINGU BUILDING PERMIT OWNER CARL MILLER TELEPHONE 743-6984 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 9493 LOTT RD, DURHAM CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 24,336.00 ARCHITECT OR ENGINEER LICENSE N0. Filin Fee $ 20.00 Permit Fee $ 252.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 163.00 BUILDINGADDRESS HUMBOLT RD BUTTE MEADOWS Energy Plan Checking Fee $ $ 101 PERMIT FEE s 435.00 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 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Additiony Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1��a .ImJ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 'LEFiling 600VMain Service zo.A 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 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 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 Po'cy Number /e above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1certify 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 provi io s of section 3700 of the Labor Code, I shall forthwith cc ply with those o ions. Xof X �m/ Date__ Signa ure of Applican b caner ❑ Contractor ❑ A -in' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46. 00 WEE200A CCUOOOA NEW CONST. DWELLING OCCUR SQSO. so BBLDS. Fr. 2R DNS. ( MULACC. NON RESID.TH' 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ I'00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 PPLNS Ex. Occup. OinELE°TSA RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 435.00 HAZ. FEES IMP FLOOD C P PD ISS This permit is hereby issued under the applicable the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON De provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSESSO K -INSPECTOR GOLDENROD -APPLICANT 0 C.PUNTY 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 en -fS7g ASSESSOR PARCEL NUMBER q / �+ _ p� ZONING • BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION U L-2 OWNER'S 9T_C/TELEPHONE CONTRACTOR'S W1M�'�',"`"•'/{�./ L/f��//J S: — CONTRACTORS MAILING AD RED SS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ GG/ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ -a QO ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ G J BUILDING ADDRESS l� �/LI Energy Plan Checking Fee $ $ PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: e,kq 0 a t C, h �2 " F- 6111 � QZL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AOR 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 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 property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service TO L000A 46. 00 Wo NEW CONST. DEl11N0 OCCUP. OR so 3 550. Fr. NEWCONS.T MUL oU�TLS. NON RESIo. @7.50 POWER APPARATUS d SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES SAL @ 150 Ex. Occu . Des R ) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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.) ❑ 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 comply with those prov sions. -p t-)/ -/ 0 X Ccs-�,G(�� Date Signet of Applicant'- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3 G cv IIAZ. D. FEES IMP FLOOD COF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Defo ReceiptNo. i _ �� WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r4 V E.H. USEONLY Plot Plan Attached Floor Plan Attached 1 Sant to 8.0 jj Building Department 7M: Environmental Health QECT: Sanitation Clearance J Owner Location AP# n Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ ,earance for dwelling. Other Hold final for: G:—I Pl k fnr- Environmental Health Specialist �`` Date ' 8/96 ' Y4`q'.'y S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC'E'S - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET ,. # OWNER: ,ASSESSOR PARCEL ER: ZQ 2 t �Q Proposed Building Use: U NL dl/ Building Inspector: Date `��/(}C ao At time of permit application, I was advised a following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted ------------------- 2. Plot plans, 3/4 sets, signed by the preparer of plans. ;."------------------------------------------------------------ ❑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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. ' anufactured Home data and installation instructions including Tie Down Specifications.------------------ CI Fees of$ $ , co---------------------------—__1=--------------------------------------------------- Impact fees as shown on the attached schedule.--------------------=--------------------------------------- --- . California Department of Forestry plan approval/feeA$gi�-----94�----%=1a _----- #___ x{743 ❑ 13 Flood elevation certificate.----------------------------------------------------------------------------------- --- Ci > , . Samtation and plot plan approval / / 60 Health Department. --------------------------------------� ----- ❑ 15. City of Chico plumbing permit. ---------- = t. ❑ 16. Plot plan and business license approval from the'City of Biggs. ----------------------------------------------- q ❑ 17. Planning approval for (A) Use:(B) Parking: } t, ------------------ ❑ 18. Contact Land Development about ❑ Improvements; ❑ Drainage, ❑ Legal Parcel. ---=------=------`f;---- YYe Y 1119. Encroachment Permit for driveway construction approval prior to occupancy) -------- =--=-= , j.r, ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. -- '------------------------------------------------------ E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use.---------------------------------------------------------------------------------- `. ❑27. Manufactured Home utility clearance.--------------------------------------------------------- =--------------- , ❑ 28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 1143 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wb�p,fou issue the ermit process as follows ❑ Mail to owner, ❑/Mailto contractor. elephone `� 3 ` and hold for pickup at C #1 0 office. ❑ Deliver with inspector. Applicant: 04 Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: q / ✓ �K� t7J El Plan Check List 2. Additional items required: W10 Contractor, designer, owner, was advised of the above required data b hone, ❑ 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 Divisi counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building 'vis' n counter, by D e: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: RESIDENTIAL �n •,�; •-: x060-1 001 02 MILLER, CARL 94-0730P,E(MH) ' 7491 HUMBOLDT RD. BUTTE MEADOWS MOBILEHOME UTILITIES I • JOB FINALI:D (Dat �� ! V Signature, ' V=OK O = Not OK = Not Ready able MOBILE HOMES OK #'a &✓Gas; Location-Tobf-Wrefr4d" L" tt. """ IOU fro rrt'q / yNat. or/ P'L"ft./ 7. Well arance & Disconnect tility Clearance Date/Initials MOBILE NOME INSTALLATION (Plans) OK except #'a 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 #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera 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-Enclosu res -Panel boa rds- Ins. 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 #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd. / P' Ftg. Depth 3.Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. 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 -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/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 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 Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 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 Wells; Nailing -Bolts 59. Insu lation-Wells-Cel II nos 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 -Mach. 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 Constructlon-Post Caps 79. Fdn. Vents & Crawl Hole Door-Drsina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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: t V COUNTY OF BUTTE - 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 060-110-002 ZONING 11 BUILDING PERMIT OWNER CARL MILLER TELEPHONE 34 —6984 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 94LQTT ROAD, DURHAM CA 95938 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ iE 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 7491 HUMBOLDT ROAD BUTTE MEADOWS 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 6Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 60.00 TYPE OF WORK New ❑ Addition C3Remodel C3Utilities CK Installation ElOther 1:1Contractor Describe Work: MHU 2 BDRM PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 8. ACC. BLDS. ) 3.50 FBT.O- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification Com, 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) ❑ 1, 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 -REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS B SINGLE OUTLET CIH. ) Ex. Occup. I OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 9 .50 Ex. Occup.FIXEDAPPLNS.OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 0.00 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. (011shall 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X a4&4 ( 1 Date ��/ ��L� Signature of Applicant - Owner ❑Contractor ❑Agent �— 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ Z. I D. FEES IMP I F O ell "�-- "'� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. BY Date PERMIT EXPIRES ON L w 5^�'s (Dote) Receipt No. _ l WHITE-D.D.S.-B.D. D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t ' a+� �ri'�.�_r�.rrS`i '.N•�.+1:;e,,,X.:ar l�rii�J'w"711`.s'..,Sb.ta7i�kv+�%�rw''�v►'o'<Vyi 4:t�.yit�:�'�.+�dW""+...,a'i�ryti•"S:..sw.:k7r:rrkr��: i�N^�L...-:r(ut fr?Y ri'fi+ti.v-.+' .',,,,+t ^ti;,.,,y-.ryt,.�tf+'►hkgr,.�7'IY�' �r� * - r' COUNTY OF BUTTE -*DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVLL-E ALIFORNIA95965 JELEPHONE(916)538-7541 PERMIT APPL CATION DATA SHEET OWNER L111tL. /V(11 /I C Proposed Building Use Building Inspector A. P. No, 6GO -1 10 -002 Ro Date 3 Pk f I-( At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED BY 1. All items have been submitted. ... -f .... t:. 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 . .................. 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. ........... y 10. Fees of $......................................... ~ 11. Impact fees as shown on attached schedule. . . 12. California Department of Forestry plan approval/ ees: .�d� .......... LA 13. Flood elevation letter (100 year flood) by California ngine................. . 14. Sanitation and plot plan approval ZUW-o Health Department . ........... . 15. City of Chico plumbing permit. .:.< ....................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. I' 17. t Planning approval for (A) Use: (B) Parking: 18., Contact Land Development about (A) Improvements (B) Drainage. ...-- 19. Driveway permit (construction approval required prior to occupancy)ACI. ft. e�2 11 quest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No,, Name Style, Classification) . .............. 22. Certificate of Workmans Compensations Insurance. i 23. Owner -Builder Verification (Given to owner Mail to owner _). . ` I 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 3 25.' Letter of signature authorization. ...:..................................... 26. Copy of recorded deed of Rarcel 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. Whey you issue the permit, process as follows: '`- Mail to owner. Mail to cont* or. V Telephone J113-69cf % and hold for pickup at office. Deliver with inspector. Other Parcel Creation , >�C�%� z/� G2� Acreage Applicant r/ Date 3/9/ 44y 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 Counterby _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail oun r by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder �,� Copy - Department of Public Works Ell. USE ONLY Plot Plan Attached i Floor Plan Attached e Seat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,&v 799/ Ab aurin ld r to — //- -Z- Owner Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for '2__ bedroom mobile home. Other NOTE: Environmental Health Specialist Water Supply Date COUNTY OF BUTTE - Deoartmen of Public Works_ 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an.application for a building permit. for the proposed wor . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide -portions of this work,.but-I have hired'the following person to coordinate, supervise, and provide the major work: , Name Address City Phone Cootractors License No:' 5. .I will provide some of the work -but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number = ✓�� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. /Oo tion 18� , tt • � lays era S� sited it 1s U�� �i�* . , filg set c at 811 t� . ratiot� 0� fitre�04 lte k°ptat►Yed�`a E�ss'w MAL , MECHANicAL, AND PLt crake P1e�` at OON STRUCTION ( NOT PLAN CHECKED j b ks. ti SH COMPLY WITH CURRENT EDITX* N 'Alp NEC, VMC AND uPC.. , ,Aoh eat Goo so Oct Reedi thMtlez� U td�"c° cescP �� 9 a Cr radu Pt I S 1 opE o{ c qu°�gty,•�1a�t►9 tach T o r3 is 2 P11.. r REViEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY o fVlosT l� Lcv<< +o A6cL*t approved as submitted . approved with conditions per attached sheetS- s -j Signatdrs Date M J N y: M b N \` it, _2Nxs2- L,.%:.. L,.%:,. Nu rr6 —� A SET BA' 3 a FT SO FT �3 CL OF FOR F 3 El .%,II The attachO&fire swe requirements mus be comps lwl c ps specified and by C.D.F. ,TURES AND EQUIPMENT INCLUDING S SHALL BE CLEAR OF ALL EASEMENTS. K OFUdj%hFT, FROM THE SIDE AND FROM THE. REAR PROPERTY FROM THE ROAD CENTERLINE, SHALL BE STRUCTURES AND EQUIPMENT EXCEPT EAVE OVERHANG. 04-,C7:�O. 1p 4151W, -....C.A Y2 L m i L -L G VZ_ --- _ _7 �! °t ff✓naves r Rd. 8.)Ile- E 19 s _qpt Xao- it -(j2- SCA viSCA 1� 6 'iz = -7 S J AP # CDF FIRE SAFE REQUIREMENTS 0?3O r-1ILL�� 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 (f 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. \ 1273.04 Driveway Rad'us. ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of'vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. ] 1273.06 Turnouts. Sha'1 k-, a minimum of 10 feet wide and 30 feet long with a mir;.:nu,n 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. �ts. Page 1 of 3 BUTTE GOUN lT V UILIDING nspay MONT 0 AP V 6 D '- (�- D gC('--0 %3D 1-ki i c_ L.,F/1 , al7c AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 40.0 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. l] 2. The gates must be located at least 30 feet from the roadway -and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. �] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 �0 -/t -oz- AP oZAP # �-(X0.7 3 c7 At PERMIT # NAME Ki Other Requirements If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed --'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 'S -Z3 -( Date zz% Signature Page 3 of 3 0 W V s M J N o. w x, rpn�6 2y><S Z ` IPl 3o1 ., APPROVED r Butte County Enw'ronmontal Hacifth � 3 _ "1 L.L C,� 7991 W-✓ngo,-v jcJ l O/7 RSQA t 6 1 1/Z � � _ % S ' Nv m . /00" G�ad�R1 StopE To OcR2 P11` - —. _.C.A f2 L t -L G %e- e—_.741gI -3.41 q I k R/. . /?,, file- rt E /i - w s _ A p tk- &o - 11 -02- viSG StA i. 6 I '/Z = -% S MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC W ORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 PERMIT NO. Address or location of mobilehome P(A 11b -C��, I; Owner's name - :Owner's addre's_s Insignia or hud number 'k 67D (.-,q q 4o 9 q RA D q cl- -70 0 .,--Manufacturer's name Serial number of V.I.N. 0q93 -(p'1/3 -9-981 Year ofmanufacture'�W_ (Official Approving 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. 513 B White - Owner, Yellow - Installer, Pink - D.P.W. wn m . �,VMAWX� �?4.xxt 06o.1 lo -'-'002 k iO4-,O921OMffV7"` lz IMILLER .CARL.",. lk,'-'�491 HUNBOLDT!fRD.-, BUTTE MEADOW: CONT: RICHARD ,.VAN ''STAVERN 'k fMOBILEHOME... INSTALLATION A . -. rj -T'r-�,r„�-•w�,.•.p,-.-}�c•,•,�.•p�l`-t•�•�„�•,•T7Q;�t• ,���'�"�"r„..'w'r., ......-nl�:•+-.ra^'3ar:. . ' �'p'.`', COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION > 7 County Center Drive - Oroville, Cralifornia 959+65 - Telephone (916) 538-75PERMIT NO. APPLICATION' AND PERMIT .. � 41 0- Q5 27) ! ASSESSOR_PARCEL. NUMBER 2 ' 11(Vl--"VMl! ZONING BUILDING PERMIT OWNER CARL MILLER TELEPHONE 343-6984 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9453 Or ROAD, DURHAM CA 959 8 CONTRACTOR'S NAME RICHARD VAN STAVERN TELEPHONE 872-0364 CONTRACTOR'S MAILING ADDRESS 1430 CARROLL NAIVE PARADISE 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7491 HUMBOLDT ROAD BUTTE MEADOWS 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 LOT NO. SUBDIVISION'S NAME PARCEL MAP' Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ER 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationh Other ❑ Describe Work: MHI //\MHU#94-730) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I23.00 200A OR LESS Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. ( ACC. BLDS. I 3.5C FTO.. OR ADDNS. d S 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. 11 14 '7 e Classification C - y 1Temporary ❑ 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I & SINGLE OUTLET CIR. @ 100 Ex. Occup. ( OUTLET OR FIXTURES I B20AL. . Ex. Occu FIXED APPWS. OR Occup. ( OUTLETS IRESID.I EA. I 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. 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 in consequence of the granting of this permit. X .�Jc ... /{L�+�Ciw. Date 14— S-54 Signature of Applicant - O Owner ', Contractor 10.Agent 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 $ IOU . Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. _D_FEE$ IMP FLOOD I CDF PARCEL HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fe s have been paid. By Date PERMIT EXPIRES ON gke) Receipt No. s 67 7 -/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-=Oroville, California.95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION' AND PERMIT �' a ASSESSOR PARCEL NUMBER 060-110-002 ZONING LL BUILDING PERMIT OWNER CARL MILLER TELEPHONE 343-6984 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9453 LOTT ROAD DURHAM CA 95938 CONTRACTOR'S NAME RICHARD VAN STAVERN TELEPHONE 872-0364 CONTRACTOR'S MAILING ADDRESS 1430 CARROLL LANE PARADISE 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7491 HUMBOLDT ROAD, -BUTTE MEADOWS 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 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome R Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IDInstallationjp Other ❑ Describe Work: MHI (MHU#94-730) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.50 �g0,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 14,1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full for and eject. LicenseNo. ow r, r y e 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forths reason NEW CONST. MULTI -OUTLET NON REslo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I 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. TI 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Ak,Date N — S - �t Signature of Applicant - ❑ Owner Contractor 5—Agent— 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 I TOTAL FEE $ ` HAZ. S IMP FLOOD CDF PARCEL D This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated a ove for which fe have been BY I PERMIT EXPIRES ON l arel provisions to do work paid. Date Receipt No. IS- f 7 Y11- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ., :_ter 7 COUNTY CENTER DRIVE - OROVILLE, 6ALtFORNK95965 -TELEPHONE (916) 538-7541 PERMIT APPLI'ATI'.N DATASHEET OWNER tZ111 ( / Proposed Building Use 14* A. P. No. Building Inspector L - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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. ... : .............. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. Fees of $ . .................. .-r 11. Impact fees as shown on attached schedule.. -'s/7 .�F................ 12. California Department of Forestry plan approval/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 . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . ' 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. w eu i� s �speao�- (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 . ......................................... 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ZZ- �/9C and hold for pickup at C 1-1 c Q office. Deliver with inspector. Other Parcel Creation Acreage Applicant L6 n Date y-5-94 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 Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DMSION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER C. �- A� �/ P_/t_, A. P. # O6O J / D . _ 00Z PROPOSED BUILDING USE �`H DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... `-� • SHERIFF FEES (paid at Building Department) Residential ...... x -C. a =$ unit amt.. Commercial (sqft) x =$ Isq.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) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department] 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. PPLICANT P kfDATE - S - �i{�y.ir.,;�``w'�L.i'w!r'f'tYF:�ii11-Y r,.y f�^v++wr`a+T-�....m,,.�-'..-�nr....,r'�'•-....r...•,si`7""'„' . �.+'T'i--- ]��.rv.�y'3'wn.�x.`rt i:� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Fofm'Per Building) School District 1% �. Building Departm nt No. A.P. Number -��O-I�Z- Jurisdiction 0 City County Property10wner Ile / / Property Location/Address !t (/ �� r ! PJM d D �1�' �� 1""Jx /�yl P4'✓ Subdivison Residential Development No. of Living MHI . Units Commercial/Industrial A Building Departm6fit Representative n 0 New 1 Lot No. 0 Sq. Footage Addition (Group R) Sq. FootAge - Addition !`- (Including Exterior ` Roofed,Areas) Date 3 tL Z l `( �( (Floor Plans reviewed by School District Personnel) y '� District Identification No. ' %c. School District certifies that f `~ ^ - �' (Applicant) (Street Address) _ (Phone Number) •- � — el 3�S .(City) y;N✓ (State) . has complied with the requirements of Resolution No. representing square feet. ta` School District Representative" �. Date Paid by Check Remarks & . d '3idwttL _644 Bank Number- Paid by Cash r_60 CQ0A_aJZ/ W 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-(CEQA), this,project may be subject to neirlitinnal cchnnl faac to fiflly mitinata itc imnaet nn tha cchnnl Aictrie-t'c echnnlc (Zip Code ; c,za sy .q0 by payment of $� 2 ' cA U� . ,4 '• �J�3 . U S 4 •4 White (applicant), Yellow (building department),' Pink (school district) feeform.wki (4/92) 3 G P �� a "'� Q �. J V �� \_ .. rn � .:. . q F ��r:� O-p '`� ., � 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-754. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) ev zo_ , Yes �. No I ) OR Yes No [E— 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 R-_ No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- l o Amps 6. What is the mobilehome site service rating? - =----------- ( Amps 7. What is the mobilehome site circuit breaker rating? ----- O Amps .8. Is there any other electric load to be served by the •, n mobilehome site service? -------------------------------- Yes No L� (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?..- -777.7 -.---.-.--' Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(Th's)iinformation not required if pipe length less than 6 ft. on `4,nat ura1F gas; or less than 50 ft. on LPG.) 1,NEXT RAGE,MUST BE COMPLETED TO PROCFSS PERMIT APPLICATION. MO£iILEHOME SUPPORT DATA If other than sipgle wide, Mobilehome Mfr. furnish letup' Model No. G `F3 C Year �q _ Width Alf (ft.) Box Length S 2 (ft.) Tagalong or Expando Size_ 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)F-4.?Wood-pressure treated or foundation grade.n 2. Other (specify) SUPPORTS (check one) F1. Concrete block.a 2. Other (specify) SINGLE -WIDE Pier Footing Sizes and Locations Main Beams Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ „x „ Size -Min- ------------------ _ Spacing -Max. ,_ Each Side of Openings From Ends -Max.------- '- With Width Over --------- " Line 2 Piers- Size-Min.------------ Spacing-Max - -----------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Loads% Size -Min. ---- .------- Location (From Front) Line 4 Piers: . Size -Min .------------ k , u Spacing -Max.--------- , From Ends -Max. ------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- "x Spacing -Max ---------------- From ---------------From Ends -Max-------------- 2v „x.30 , ,x ,k „x111 ,x „ „x e 5 Piers:. (Under Bearing Nails Unly) Size -Min .------------------ "x Spacing -Max.--------------- „ From Ends -Max .------------- Line 5 Roof Loads: ' Size -Min ----------- ..x „x ,x „x IX „x „x „ Location (From Front) _ _ _ _ _ r ,room_ IL VFT GD jILDIN . �pp� MASONRY WALLS N E S W 1st'Lift 2nd Lift 3rd Lift. 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy. Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilings ff i O RCIAL M (4:11 JOB FINALED (Date) Signature CERTIFICATE OF OCCUPANCY ISSUED (Date) t Signature; i TO Buildinq Department FROM: , Environmental Health SUBJECT: Sanitation Clearance NOTE * * * A A 2 Z- 0 San- iarian Date owner Location AP# Plan Approved for: Sewaqe Disposal water supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for -2— bedroom mobile home. other NOTE * * * A A 2 Z- 0 San- iarian Date V=OK O = Not OK - = Not Applicable COMMERCIAL. =Not Ready - Date UNDERFLOOR (Plans) OK except #'s Date, FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope-Soil Report 46. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 47. Roof Shthing-Nailing-Diap.Chord Splice 3. Hold Downs-Bolts-Straps-Embedment-Hair Pins 48. Firewall-Doors-Area-Occp.-Prop. 4. Concrete-PSI-Cert-SP. insp.-Loc. 49. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 50. Glu-Lam cert.-Placement-Support 6. Reinf. Steel-Grade-Placement 51. Steel Buildings-Purlin-Girders 7. Slab; Steel-Wrapped-Wire Mesh 52. Property Line Firewall & Openings 8. Piers-Steel 53. Ext. Doors-Handicap Access 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size-Anchors 55. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Siding-Nailing Veneer 12. Electric; Underground, Underslab 57. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Support-Ins. 58. Glazing Area-Glass Protection-Skylights-Plastic-Fire Port. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Shear Walls -Plywood-Nailing-Conn to Roof 15. Masonry-Rebar-Lifts 60. Insulation-Walls-Ceilings 61. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 62. Corridors-Openings-Fire Protection-Framing Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date Card B-1 Date Card B-1 17. Water Pipe; Test & Anchor-Nail Protection Date Card B-1 Date Card B-1 18. D.W.V.; Test -Fittings & Anchor-Nail Protection Date FINAL (Plans) OK except #'s 19. Sinks-Floor-Grease Trap 63. Ext. Steps-Door & Sidelight Protection-Landings 20. Hand icap-W/C-Backing 64. Exits-Size-Number-Placement 21. Gas Pipe; Size & Anchors - Firewall Penetrations 65. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection Date Card B-1 Date Card B-1 66. Sprinklers-Placement-Test Date Card B-1 Date Card B-1 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. Date ELECTRICAL (Permit) OK except #'s 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 22. Fixture & Transformer Clearance-Ins. Protection 69. Stairs & Rails 23. Single Phase-Three Phase-Equip. Bond 70. Handicap-Door Levers-Fin. Floor 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets at Wood Panel; Int. &Ext. 25. Romex Installed Close to Edge of Studs & C.J. 72. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fastners-Bond Gas &Water 73. Plb., Elec. & Mech. Equip. Listed for Location 27. Wiring-90°-Protected-Color Coded 74. Insulation-Foam-Looked in Attic 0 Yes 28 Cu Subfeed Size / / ga. Cu or AI-A.C. Wire Size / / ga orAl. 75. Guard Rails & Deck Construction-Post Caps 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 76. Fdn. Vents & Crawl Hole Door-Draina e & Wood-Earth Clearance Looked under Floor Yes 30. Service-Riser Conductors & Ground-Main Disconnect 77. Stucco; Brown-Finish 31. Equip. Clearances Panels-Motors-Mech. Equip. 78. A.C. Unit; Disconnect, Electrical, Plumbing 32. Fire Wall Penetrations 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 81. Exterior Elec. Trim; G.F.I. Receptacle-Underground Date Card B-1 -Date Card B-1 82. Off Site-Parking-Handicap Date MECHANICAL (Permit) OK except #'s 83. Glass Protection 33. A.C. Ducts Insulation & Support 84. Corrections from Previous Inspections 34. Vent Fan; Exhaust above insulation 85. Gas Test-Meters Tagged; Gas-Electric 35. Condensate Drain & Overflow; Size & Grade 86. Water & Sewer Connected-C/O to Grade-HD Approval 36. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Energy Compliance Certificate-Other Certificates 37. Attic Access & Platform if Furnance in Attic 88. Roofing Certificate-Fire Rating 38. H. V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers 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 Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors-Hold Downs 41. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings-Stairs-Chases 45. Headers & Beam-Size & Bearing-Support Fix. Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) Z1 Kf �•, yah 9.17'7 . PERMIT NO.� `' 4219-77B,E ( PERMIT EXPIRESp r� George Roney OWNER ' CONTR. owner LOCATION (A.P. M-11-2 ) NIS Humboldt Rd.,app.800'E.of Polk Spring Rd., lot 2, Butte Meadows r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp.Ga�erv. C Yled PG&E 00, J O B_►- FINALED Ot (Date) (Sigratu ) t :e a ^` Z1 Kf �•, yah 9.17'7 . PERMIT NO.� `' 4219-77B,E ( PERMIT EXPIRESp r� George Roney OWNER ' CONTR. owner LOCATION (A.P. M-11-2 ) NIS Humboldt Rd.,app.800'E.of Polk Spring Rd., lot 2, Butte Meadows r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp.Ga�erv. C Yled PG&E 00, J O B_►- FINALED Ot (Date) (Sigratu ) t :e , ,. •,1i • �� r r f ' ` 4-`..t�.% � • - ,. j /� -- \ � � ' .. � � �. ��`i ti � _ \ %� • � ♦ � i . _ ., ' , . �. ,' � ' ,. ` . ;, � :, . ', - .� l,I w%r. l r � y �'' r � r. a. , r J .,,, \ � ,` � t - ,� �• ` � ♦ ` � � � . t I i ` `'��r � � .. `s ... .. ...a a �-. .. j � t ` _ .tt • _ � ` a..�` } � .`a ..y) s �„,.,'�..5>1 '`�t \ Tr'. � � til �Y —'} r, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipin Forms '? — Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 14 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for physically Appliances Carport handica ed Gas in &Test Conformance of ex. Footings structure �— Temp. Gas . Slab Final Sanitation 4'M+o 6C/VIRE PL E Final Footings — Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIR SP IN L RS Motors '�— Framing i Test Water Htr. Stucco N Final Subnanels Mesh IdECIIANICALO Grd. Fault Prot. Scratch Heating Service" ---------d . Brown V Cooling Temp. Pole �---� Finish Ducts Underground 'Interior Lath Ventilation Permanent - tor Closer Final Flnal MOBILEHOME UTILITIES - - - - - - - - - • - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping • • •INS � � r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Droville, Cialifornia 95965 Telephone: 5341541 APPLICATION AND PERMIT 7 7 aurnunce represenratives ur the t,ounty or tsutte to enter upon ine ;;;tgnature tioned proper for inspection purposes. x Date _/"^ 77 o Permitee r gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DI=_.—Dated;' BLIC WORKS ByZJ — 77 uilding permit expires Date BUILDING Owner C I SQ. FT. OCC. BUILDING VALUATION Z T eo Mailing Address � re - 00 Rhone N Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penalty To No. Permit Fee $ 'Q Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 l f o� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 7)f_ Each gas water heater or vent 1.50 A. P. o. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 V es Saroa n Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improve nts p Lawn sprinkler system 2.00 Idg. Plans Recd 000, Parcel pproval Plans pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ('(7 Main service 1000 AMP ORLESS5.00 Main service EA. ADD-[- 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING & OR ADDNS. ACC. BLDG 2osgft Q NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Ex. Occup(OUTLETS OR FIXTURES)50 @250 101 Ex. Occu FIXED APPLNS. O OUTLETS (RESIO.) EA) 2.00 p•(R Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 / I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 , TOTAL PERMIT FEE - $ aurnunce represenratives ur the t,ounty or tsutte to enter upon ine ;;;tgnature tioned proper for inspection purposes. x Date _/"^ 77 o Permitee r gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DI=_.—Dated;' BLIC WORKS ByZJ — 77 uilding permit expires Date ELECTRIC GAS Support Struc. Compaction Test Re . service Other pipe YES NO YES NO Size Load Type Size Len th apU iv o rna� h wee � -va ov N� R1 94-01281;794-0-12812 194-012812 94-0128121 Rec Fee 6.00' - I Cash 6.00 Recqrded� I Official Records 1 County of I Butte I Candace- J. Grubbs I Recorder 9:01.am 22 -Mar -94 I PUBL xx 1 - ;� Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT !+ Builder Division FOR RESIDENTLAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this aclmowledgement be recorded prior to issuance of a building permit - The property described herein is adjacent to land or included "If"N 21 1994 r within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or _ discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and _ + 94-0 12812 fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, ping, 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: n) o 1 7-/),? /- c eU1ca/ti /N�p ens t. Tied t?ej,s-moi 4*1 rs7 sy6o�iAliSi6N esr7"he OQ:uts7ru.cT 3e -,a-,5 /--3zr7 �457- r Sec-*io't) , p -76 No 1-th GZaA)pe hl p p to zzc, rcccocieol .nv The a.ce e� Recovc,er oThe cou N`i'`/ utfeJ S :90r•v!2 {c1 3, /9.Z_2 iti,�c� 9 c Gtr Date: 2 State of California ) County of Butte ) OnMar h 1 I994before me, D. PROPERTY OWNERS: personally appeared Carl E Miller and Violet Miller er------- (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Xare subscribed to the within instrument and acknowledged to me that -1 /they executed the same in /their authorized capacity(ies), and that by h/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. P of , VYTTNESS my han .and -official seal. � ¢��� . �JP4 • y. � D. KOENIG Comm. # 967802 '0 • NOTARY PUBLIC CALIFORNIA • * Butte County (L c4( Fog N My Comm. Expires Jun. 21, 1996 Signature Seal: A.P.,f 6e) -11"v'.. 11 Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94 a 1 2 v 12 Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building -- — —. " r` 94-0128121 Rec Fee 6.00 The property described herein is adjacent to land or included I Cash 6.00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I . fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation, plowing, spraying, Recorder I pruning, and harvesting which occasionally generate 9: 01 a m 22 -Mar -94 I P U B L XX 1 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: or ;2 / 1�3 to /d o iv TjiQ J- c e Ir Ja.//V 12l e o tt Flee/ 7ev -s ed 0%tea / 0 -4' -the- -r,1r-5-7' SY/>aIiYIS/6N o��he ��vrs"Jr�r-T b'�iaS �xr7 0� The IVor7 ,Is y- Q rimer o-9 5e�7l 29 7o�a-� ohs p�G Nacth �/ZaN�e `�'Z�s7` /?/I,p 4,U� � C_, h / / � r e60('C1 eo1 -'Al The cn�q-:.ce -V Reeat-gler a� Thi eou rVtj 0,q 64t�,e� Safe,�`da� F o� 41cz� s, a i- �a y e. � �. Date: State of California ) County of Butte ) PROPERTY OWNERS: OnMarrh 21 1994before me, D. Koeni personally appeared Carl E. Miller and Violet Mille (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) js/are subscribed to the within instrument and acknowledged to me that.1/they executed the same in./their authorized capacity(les), and that by h/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 1 "o D. KOENIG � WITNESS my hanhand-and-official seal. ¢� t°"E" ' y, Comm. # 967802 a 3 vn� o NOTARY PUBLIC - CALIFORNIA Butte County Signature Seal: CSOFOik My Comm. Expires Jun. 21, 1996 END OF DOCUMENT :Z ib^ T'+ri 7�"""^'� r����a 'si?;:5' �n,',:a ' 4 . •„m• s. . - i x 6-4:,�r.+: ' �.•, � � �.•� �- .�� - - � lie►:' r• -11-02 3308-90E ' MILLER, Carl & Violet ;`•".�r 7491 Humboldt Rd, Butte Meadows (elec sery/sf) Af 9v j v. . ' .• - .• '•�.� rte: , w. -r; As.r A£t' 'pt�t.: i; • ti �kr� k �� ': 4 y a: / ~ COUNTY OF BUTTE - DC..PARTIMENT OF PUBLIC WORKS PERMIT NO. ✓ 7 County Center Drive - Oroville "Californra-95965 - Telephone: 916/53$-7541 APPLICATION AND PERMIT ASSES"ZPARCEL NUMBER 11-02 ZONING U BUILDING PERMIT OWNER Carl & Violet MIller TELEPHONE 343-6984 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9493 Lott Rd., Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ��, 'Id t Rd.. Butte Meadows Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 2 NAME i PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Dupiex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00.2 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Electric Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS j 10. 0 00 10.0 0 Main service EA. ADD'L 100 AMP 1 2.50 2.50 -- . 0CONTRACTORS CONTRACTORSLICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license Is In full force and effect.SINGLE 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) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.& OR ADDNS. ACC. BLDGS. , lz2sgft NEW CONSTR.ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu Zoesom .20@030 FIXED Ex. Occup. OUTLETS ( R RESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 1 15.00 15.00 1 15.00115.00 Permit Fee $ 52.50 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. O' 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 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 said County in consequence of the granting of this permit. ' 1 / Signature of Applicant — Owner I� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $2.50 HAZ I CUA I PARK I SCHL I FLD I PAR I PD HD ISSUE ' Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR F PUBLIC By PER1111T EXPIRES Date the appiicabie provi- resolutions to do have been paid. WORKS >- 1 Date�/ �_zHITE-D.P.W., L.iceceiptNo. 73449 YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M.i�r./�)r+y+-.-_.+-.r . � .wi �"�r �5.+ �.. � ...^ .w. r .n".r-_.._,.rte- ..a r..—�---.�w...., -Y ti.• je COUNTY OF BUTTE i' • • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ,t "- 33016 _q0 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correctio ork is completed. If you have any question pertaining to this matter, o }-,eed� �additional explanation, please contact this office immediately. / 17_% iu • at / OyC/ D /V / e Inspector PRE -INSPECTION QVNER • C'•� .(� �O L, 7" W I LL,F,, v DATE LOCATION: h Il 114 R7- QQ A.P. ;��j-/l-Q( Z CONTRACTOR;. O Gt 41Fl%li ZONING PRE -INSPECTION FOR : L� i DATE TO INSPECTOR 9 PERMIT HISTORY: NONE AS FOLLOWS: QQ 77,2 Z/ WE OF OCCUPANCY FIELD - L FORMATION ' BUILDING USAGE: TE`n1AlvT: I Onc_ ClAll A-., OCCUPIED HAS ELECTRIC 'HAS GAS HAS 'SANITATION 'FACILITIES Q HEATED -COOLED PERSON CONTAC.l.ED OTHER COMMENTS: NM ..stat... ACTION RECOMMENDED: ISSUE Q HOLD FOR OTHER: BY— DATE ���U I Ulm bo t S(17A) AJf Wt (K .uio-(l I -u Lt k b %u (Da(PVI,,O-1 COO EV- pq - p/ace of tUAJK douse -r-4aT- tJQ-W OA) dr Y\ bo f z. P T. SEC. 29 / O /00 i 4 / 2 3 4 v I 00 /S from /4co�n.. 270 60 1322 R: 4950 9 5/ �k 69 O? v 1 L 2\93C _ IA MEADOW CREEK OR_ 100 I00 56 N r% 1 BUTTE nnv,s rRA r MOR eK 9 PG-"' EES HUMBOLDT T26 N R. 4 E. R�PEn � w 08 F� r M. D. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal-?fornia 95965 - Telephone: 916/538-7541 �n , APPLICATION AND PERMIT ASSES R PARCEL NUMBER 60-11-02 ZONING U BUILDING PERMIT OWNER Carl & Violet MIller TELEPHONE 343-6984 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9493 Lott Rd., Durham 95938 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 7/ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Electric Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OOVAMP OROR LE LESS1 10.00 10,00 Main Service EA. ADD -L 100 AMP 1 2.50 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 Business and Professions Code and my license is in full force and effect.SINGLE 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. 2/zQsgft NEW CONST R. RANCH TLET NON -R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 3AL@A�030 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 1 15.00 15.00 Permit Fee $ 52.50 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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. 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- , c��G� Date I ���L ,�'�� r / Signature of Applicant — Owner Contractor ❑ Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee' $ occ CONST TYPE AL E TOTAL FEE $2.50 HA2 CUA PARK PAR PD HD ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B A PE EXPIRES Date the applicable provi resolutions to do have been paid. WORKS Date _ 9 Receipt No. 73449 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENTT,,F;PUBLIC WORKS - BUILDING DIVISION `'.,. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95.965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER L //2- M' P. No.� Proposed Building Use Ste%- Building Inspector Date 42- At At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installati$n data including manufacturer's installation instructions............E............................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW A 19. (Driveway permit (construction approval required prior to occupancy) 20. jPre-Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. ;Contractor's license information (No., Name Style, Classifications ... 22i!Certificate of Workmans Compensation Insurance .......... ....... 23.1 Owner -Builder Verification (Given to owner 11, Mail to owner o) ..... 24.1 Recorded copy of Agricultural Acknowledgment Statement .......... + 25. !,Letter of signature authorization ................................... , k' 26. I 27. When you ' sue the permit, prod ss as folIOINS: Mail 'ttolo7ner. Mail to contractor. elephone nd hold for pickup at (.7—'—office. Deliver w. /inspector. Other ' /cam 30/ Applicant 1Ls� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above), r 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,yCalifornja 95965 -Telephone: 916: 538-7541 APPLICATION AP PERMIT PERMIT NO. ASSESSOR PARC fUMBE ZONING�/ BUILDING PERMIT O WN_ER ��/`'n� O�%y�/c. ��v,�n% / "G/'rI C�� T LEPH ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LI ADDR 55 _ _y ^ ��/ yt �q�j /J CONTR AC OR'$ tYAM 42 (//t/// IG/�. TELEPH/OON.E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �D ,• ,^— U Permit fee $ PLUMBING PERMIT FiIingFee 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 ❑ Duple x❑ Mobil-ehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ ,I/nstallation❑ Other ❑ Describe work: 45ZC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LE100AMP ORLSS ESS 1 10.00 Ile, 60-° Main service EA. AOD'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 Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification El 1, 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 ACDNS. l ACC. BLDGS. yZ¢sgft NEW CONSTR r ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIS. Ex. Occup OUTLETS OR FIXTURES 20 C 50C eAL®30 FIXED Ex. OCCUp. OUTLETS IPRESID IREJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,62 ,o Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] 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 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE Sat HAZ I CUA PARK I SCHL FLD PAR PD HD ISSUE Th's permit is hereby 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 Receipt No./ WNIT.-D.P.W., YELLOW -ASSESS . PINK -INSPECTOR. GOLDENROD -APPLICANT i IMSSMPATCH Dkable(l Student News kCalifornla State University, Chico Mmablecfl Stndent Services Chico, California 95929 (916) 895-5959 TTY (916) 895-5943 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has`been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will b • issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) /'/2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.'•I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work / Signed: %%% Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831.and 19832 of the California Health and .Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. RESIDENTIAL. _ •'�,�,• 060-110-002 PERMIT#94-1782 MILLER, CARL 7491 HUMBOLDT RD., BUTTE MEADOWS COVERED PORCH/MH V=OK O=Not OK -=Not'Readyable 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 -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Locatlon-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 ISCELLANEOUS Date/Initi DEC -dVER CARPORTS .GA 8 Plana OK except #'s 1. Z R rementa- - asements / 2. Fo s; Soils- -De -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. Electri 8. g; Sils-Anchors-Studs-Rftrs-Trusses Sidln ling -Veneer -Stucco -Mesh If oof; Shthg-Roofing 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-Ins. to Main 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 (Plana) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; 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.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/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 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 (Plana) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing a Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-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-Mech. 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 ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drelnagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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 BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PEFIA41T N0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060 -lin -nn? zON& 11 BUILDING PERMIT OWNER 343N6984 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9493 LOTT RD DURHAM 95938 264 C 3,432 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.95 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7491 Iff-MBOLDT.RD, BUTTE MEADOWS PERMIT FEE $ 123.95 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome ❑X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 23.00 200A OR LESS Main Service( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADONS. ( & ACC. OLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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 1, 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 ) 20 @ 1.00 , SAL. .50 Ex. Occu FIXED APPLNS. OR ( O ) p' OUTLETS IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I 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. 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 in consequence of the granting of this permit. X _ 6s�E�e� Date Signature of Applicant - caner 0 Contractor ❑ Agent 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 Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. D. FEES IMP PARCEL 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. ByALa Date —/3'� PERMIT EXPIRESON l l3'4%CS� (Date) ReceipD.D. 166902 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :.A1.+r.-:=r•.11'v"�u--V^{.:,�•rt �Y.i.::.r-.si-r+.ry:awn.PMvd�.i'�1}""3+"�r����-r-�1.:wt..;,;;....:r�54�A�A'stiry•��i r:'ti.r..;.l'�..r«+�';,;7'w .:s'te,''''�:>....�... ,�a*s: rti:,,,... .i COUNTYOF BUTTE - DEPARTMENT OF DEbMENTSERVICES - BUILDIN IVISION 7 COUNTY CENTER DRIVE - OROVILLExAtfll` O 1A95965 `TELEPHONE (91 38-7541 P"ERMITAPPLICAON DATA SHEET OWNER ACA&. P. No. 660 - (10 -or Proposed Building UseCDc� BuildjW,lnspector �� Date (0 - 22 _ y 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 . .................. 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. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ...........::: : 14. Sanitation and plot plan approval KC O 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: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ........ . . Preanspedion reque� 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 _). .......... . 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. ..... r 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. When u ssue the permit, process as follows: Mail to/pwner. Mail to contractor. Tele hon 8y and hold for pickup at CA,(`,) office. Deliver with inspector. Other Parcel Creation ' / ' / Acreage Applicant �/Lt`/i�. Date (f 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 C unter by _ Date Plans checked by Date Plans approved by% Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �f op IV " .I 4 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance h.11. IISI'. f NLY Plot flan Attached flour I'Iwt Atuichcd��^ sem to It. U. Go Owner Location AP# Plan Approved for: Sewage Disposal Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Ail Environmental Health Specialist 8/92 Water Supply: I'ublic Private Well_ 7- 7-- f 4," COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oioville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 or 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: Property Owner Social Security Number Date 74 /9 d NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. /VO ,r - APPROVE® Bum eokh County Envo�octmers7ol 'M Grad�Rl S1opE - � ale re - e. • lil `t� �P q�+i Zyxs Z , �pI 30 N�y6 3, 3 0 s n All 1 - ✓�c HEii 4�w S _Ap i fico - ►1 -vi Ar 4ie gp e Cl To IF) e. Af q ,r2 most 1� Le v W-3 OR ivq �,Ak Ca DEPARMEW Q BUILDING AV no V E well 7 tl 01 0 0 (00 go f, Rd, 7 S _ ... ,. n t c. 'ketxCI 32- 1 I6 KPe 40)" f�C� C6 rc.a C 95 q 7-3 30 v Fl Z DOI ✓10' ELECTRICAL, MECHANICAL, AND F CONSTRUCTION( ( NOT PLAN Cf SHALL COMPLY WITH . CURRENT OF NEC, UMC AND UPC. rs NOT E: 0e the attached Ctz 1 10 Cam- (fie, h =xz . y # } f fly- 2F7 8 c. BSE COUNI �p 0 ._. PLC; -t- . p4c"- r -o --b /C-� Q APPROVED BY: V SCALE: �_ DRAWN BYCC—r1 DATE: j / REVISED `l 7/ # v/n bc7 it d 8L 4 �g �cdo wS DRAWING NUMBER { 9 t t 4 1 f rs NOT E: 0e the attached Ctz 1 10 Cam- (fie, h =xz . y # } f fly- 2F7 8 c. BSE COUNI �p 0 ._. PLC; -t- . p4c"- r -o --b /C-� Q APPROVED BY: V SCALE: �_ DRAWN BYCC—r1 DATE: j / REVISED `l 7/ # v/n bc7 it d 8L 4 �g �cdo wS DRAWING NUMBER i ALL STRUCTURES . AND. EQUIPMENT . INCLUDIN OVERHANGS SHALL BE CLEAR OF ALL EASEMENT` 13. A SET SACK 0F ,-.r FT. FROM THE FT. F;.')''A THE REAR PR©PERW L �- ^ . A . FT. FROM 'i HE ROAD CENTERLINE SHA!, ..,E CLEAR OF STRUCTURES AND EQUIPMENT EXCEPTi'. FOR A 2 FT. SAVE OVERHANG, r r d' DU i FE COUNTllf BUILDING DEPARTM PLC;- - p4c,.- ru 4 , SCALE: /�� :?-5 APPROVED BY: DRAWN BYCGL-rI DATE: 1' REVISED 7/ 1 ./7VMDo�t :fYp Ove/� I'ieadows DRAWING NUMBER Fo 0 1 r4 bUTTE COUIV7N. -BUILDING DE- PARTME-I�n; APPF30VE: c E E i w alli 0.1. uj LU a -Z Ix \ w W m i z c i� O 0: O ry 3 Uk ■ V • A CD 0 W C JIL IL T � T i a W I-. a 0 3 Uk ■ V 00F E SCALE: APPROVED BY: DATE: "UTTE COUNTN BUILDIN(3 pEpAS.,rMr AppRown DRAWN BY REVISED DRAWING NUMBER 7 j bUTTE COUNT -4 - BU, ILDING DEPASTMEt, A p v is- SCALE: APPROVED B . Y DATE: 06 Lm - DRAWN BY REVISED DRAWING NUMBER Scr C--- 1 \ tj S/ -5� e L HN c� e r f SCALE: Ap � - / 1 APPROVED BY: ILI DATE: DRAWN BY REVISED DRAWING NUMBER , p INS, suet of plans and specifications MUST bo kept 0 all times and it is unlawtO n the job at itb- or alterations on sameful w make any changes but written permission from the Department of Public Works, County of Butte - RIOT Aff MdUrials & Work"fanshilP Shah 'So c Accordance with Recoanized Good Practices and I of a quality prescribed for the Specified use in the - Unifc ;rm Building. -Plumbing & Mechanical Codes and , tiae Haficrad Electrical c6da: BUTTE COUNW�, Sul DING DEPARTMENT 91E'n- 4 r IF R 0 t :5 11 x 17 PRINTED ON NO. mvw etzAsmn". U.t1EIauVU-7 YCA ■ -• L4 -- LA I .- 51c Vx, z z 6. up- X1, 11 A )C AJ 17 p"Im"D ON No. 100011 cumpolpff • BUTTE COUNTY BUILDING DEPARTMENT APPROVED JA ,5►,ei K 17 MINTED ON NO. 1000N CLEARPRINT • n , BUTTE COUNTY BUILDING DEPARTMENT ED. 9 15h 11 x 17 ►011NTE0 on No. 100011 CMAPRINT • a.X. Rise � rRa R Run me un measured toe "to toe. 3Ma" max. toleranoe between 1lr$eat & smallest r se/r= F Top rail to be 36 in. high with intermediate rails to be not over in. apart. COOMY WILDING DEPARTMENr P0 "O 11 x 17 ►011NTE0 on No. 100011 CMAPRINT • a.X. Rise � rRa R Run me un measured toe "to toe. 3Ma" max. toleranoe between 1lr$eat & smallest r se/r= F Top rail to be 36 in. high with intermediate rails to be not over in. apart. 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I I i , i � , I , q , , 11 , I I I , � , 1 � , , � , i it , � I , Ie , . I , � " , i I 1. , , , I , , , 1 , i I � I ; , , i I : : � , " ., , � ,, , � , ; , f 1 , ,, , , , , I, 1 � I , , I � I i I , , � , 1, , � , I. , 11 1 , � V. � , , , ;" : . 11 . � , I ; � ; , � , i , �I, , , , � I i , I , i I I I I , I I I I . I � I , , : I ,� I I , I ,� . ,, - , , , , � � , I . . I 1. I I 1 1 I I , i I 1 , � , , I I � I � I , , I I . , � , , , � ;. 'i I � I I � , t " , � , � i I , � , , � , i ;, , I � � , , , . , � ; � � I , l , 1 : , " [ . � i I , I , I I , , 1 "l , � , I � , , , I , , , " ,. , - � , i , , , I , , � � � � i I , , , I I I" , : , � i � I , i � I I � " � � � � , , I �, � 14 I 11 i , " � , , i ! f , ,� , , . , I i , I , � � I I � , I . : ;� I , I ,I, � I I I i , , , I , �, , I ,'I I I , � I, , ,I , ! 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I , I I I i I � , . , : , 'I , I, , , I , f � , ,�, , I I I I � � , , I ; I I I I I 1 1 I , , l , ; t , I I I ,, � I � � , I , � , !" , . � , "I I , � , � , , , , � � i � , t I , , , , : I " I I �f ,I � l i I i, � I � , I' I , I I I �1 � � , , t ; I , , � . I i I i i I I : ; � . I� I I I I , , , , , I , . I I " I : ill '.:!� � : � f � �, i I . I I , " . , , ,i � i - I If , , i � I � , I ! , , . I I I I I , , I ! , 1 I , , I : � � i , I � , ( ; i , � I ,I I , � I i " I, I I I I " , I � f , , ", , ;, I I I , , � I I � I � I : I I I �� I � , : I , , . I I i I i 1 ; I, I I 1 1 , I l� " , , f � I I �l i I . il I . I I I . i ,,I , , � i , � . i I I 1, . I , I I , , I I ,i I I � : , I , � I " I , , i, . I i I I , " . , , I , i I , , , 1 , , I 1 � , � " . I � t: k I I � � , I I I . 1 I , I , , � , I I , , , , I ,, , I I I I I 11 " i 1 � i . I I I . it I , I � I i �, , I I , I . , � , , , ll , � , : ,i i . 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