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Home My WebLink About061-430-019061-430-A0� 03-0767 DAVIS, ALVIN 11775 ORO QU Y H ERR,- CREEK Cont: OWNER NEW MH EX SIT PERM N (3 (t;;, � (o �D T 0 19 i r 061-430-A0� 03-0767 DAVIS, ALVIN 11775 ORO QU Y H ERR,- CREEK Cont: OWNER NEW MH EX SIT PERM N (3 (t;;, � (o �D T 0 19 0 1-43-0-005--01 a 93-3292 P, E DAVIS, ALVIN 1 11 �r15 ,QUINCY HWy;' BERRY' `p' 03 O� - r�3' Al r l ELEC— GAS�.l \ . COMP ION TEST REQ SUPP RT STRUCT REQ R 061-430 -erO5-,O\G� PERMIT#95-0661 DAVIS, Alvin ,.._ 1177G Oro Quincy Hwy, Berry Creek ' MH Util replaces BP#93=3292 t '061-430!-0&5,--o r * PERMIT#95-0662 DAVIS, Alvin 11775 Oho Quincy; Hwy, Berry Creek Mobilehome IInstalla ion ,'/. 061-430-A0� 03-0767 DAVIS, ALVIN 11775 ORO QU Y H ERR,- CREEK Cont: OWNER NEW MH EX SIT PERM N (3 (t;;, � (o �D T 0 19 1=1aAfflEr 03/11/03 .11:59 BIDWELL TITLE 4 530 6745848 NO.528 P003 Road VW Requeg of Ad'd Vallity► TV# A Ejavwcvinpffly 9 2 -44 8 2 4 Order No. E=0W No. 127321AM-3 tlsan No. WHEN RECORDED MAL TO: 92-0248241 'Fee. Ron a. 00 ALVIN DAVIS I DOC 66.00 Recorded I Check 74.00 GERALDINE DAVIS Official Recorde 1 1922 W. BIGGS GRiDLEY RD County of I GRIDLEY CA gsgQ Bottv I Candace J. Grubbs I Recorder I SiO0am 5 -Jun -92 I KYTC JJ 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX Lfie 00 SAME AS ABOVE Cbvuw on fit wnsmmwm or vaus ku sms o, anamerarm MnWnhg at Wm d sue. ilea w3dam amad Grantor rJeciarna slanalffe GRANT DEED AP NO.; 06I -430 -005 -Wo FOR A VALUABLE CONSIDERATION, FOC81PI of wtdcih W hereby acknowledged, DAVID LWESTON and MARY R. WESTON, husband and wife hereby GRMT(S) to ALVIN DAVIS and GERALDINE DAVIS, husband and Wife, a2 Joint Tenants the r" PMPO(ty In the UNINCORPORATED AREA County of BUTTE - SUft of C.Whrrila, 6emiRW as 'S E E ATTACHED LEGAL DESCRIPTION" Dated STATE OF CAUFORNIA COUNTY OF on bd.: Me. mronaltv porsoratly know. to Im (or pvvw to me ce, tho b..is of sw4laocry ^100rCRI to be VW pCoso (3) wriow namalsl tWafe subswWed to u,4 ."th" iWIna"orl &N 6dWmW%dqW to me M hwOnVmy vxmAcd Um S&M6 in tmi hw/thoir wAhwb-jd capunytiesi. WW LK9 by WwAhdr %mmajuse(tj Mm tm&"Arkompfl "m ver"Att) of " *Aft Una" beha" at wh,ch It* wSomill Avepd evvWv- the iwtu-omt. VATNESS my honC and offtLal &"I. - — — — — — — — — — emCH11slud SINTIC I 90m I PWAR, PAW - CUFUM I* Ny Butte County Department of Development Services www.butteco6nty.net/dds 7 County Center Drive . oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile February 9, 2006 Alvin Davis and Geraldine Davis 960 Virginia Street Gridley, CA 95948 RE: . Permit process for 433A (mobile home on a permanent foundation) Site address: 11775 Oro Quincy Highway, Berry Creek Ap# 061-430-005 Dear Alvin and Geraldine Davis; Your mobile home that was put on permanent foundation can not be classified as real property, due to the following. ❑ Failure to record the 433A document with the Recorders office. Further.information is required to prepare the 433A/513 forms, prior to recordation. •❑ Grant Deed;`IH title/statement of facts;❑ Letter from legal owner. o Check payable to HCD, is. dated over 60 days; HCD will not accept it. This process must be completed before the mobile home can be removed from California State license rolls and added to Butte. County rolls as real property. You will need to contact our office at (530). 538-7541. Our hours of operation are Monday through Friday 8:00 a.m. to 4:00'pm.. K you ise Foots Office Assistant NOTES r y RESIDENTIAL 061-430-005^ -- - - PERMIT NO., DAVIS, ALVIN- 03-0767 .. F 11775 ORO QUINCYH WY, BERRY CREEK t Cont: OWNER NEW MR EX SITE PERM FNDN THE HCD FORM 433A FOR THIS MH CANNOT BE i 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 r NIH' S) INSPECTOR TO VERIFY SERIAL & LABEL #'S. 1 SPECIAL CONDITIONS i CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. r SPECIAL INSPECTION ITEMS VERIFY I USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ( OFFICE COPY t r } Address GAS DaJap Meter By ; ELECTR a Meter By Date JOB FINALED (Date) 1 Signature (Rev. 12/96) e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • . Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 03-0767 PERMIT NO. ASSESSORPARQEUbLN1-�.sU BERU-005 ZONING U ;r BUILDING PERMIT OWNER Davis f Alvin 846-2385 TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS -960 "Virginia Street Eridley CA 95948 610 R 32$940.00 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION .ENDER f LENDER'S MAILING ADDRESS Fireplace Total Valuation $ q�,(j. ()() ARCHITECT OR ENGINEER _ `v LICENSE NO. Filing Fee $ 20.00 Permit Fee W4.0012 $ 152.00 ARCHITECT OR ENGINEERS MAILING ADDRESS ` — Plan Checking Fee $ 14 BUILDING ADDRESS 11775 Oro Quincy -00 Energy Plan Checking Fee $ ` $ PERMIT FEE $195.00 LOT NO. SUBDNLS IONS 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 15.0015,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 00 New MH Perth Fnd Fri Site Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 i Mobile Home I S I G I W @20.00 PERMIT FEE $I;5 OO ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service OA 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, ' and711y license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLDS. 3.5Q FT_ 14014-a IONS. MULTI -OUTLET 97.50 CIRCUITS OWER APPARATUS - 8 SINGLE 0U'LET CIR. Ex. OCCU OUTLET OR FIXTURES 20 Q 1'00 SAL @ .50 Ex. Occup. OFlx�LEED�A RES DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ] I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wAh.those provisions. e -f'~ X.,. wsu .. t / .-.•� i Date -1:3-�'W 7�' Signature of Applicant AD Owner :❑ Contractor ''❑"Agent An OSHA permit is required for excavations over5TO deep and demolition or construction'' of structures over 3 stories in height. 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 $ 303.00 HAZ. D. FEES IMP FLOOD COF pgRC0. p0 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 i Date4/tom' PERMIT EXPIRES ON 41 -7/t . / ` Ople Receipt No. / ��ell) X WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J=OK , Card B-1 Date Card B-1 0 = NolpK Card B-1 Date Card B-1 NotReadyab1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch :. Sewer; Location -Test -Fall -C/O -Concrete �. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. B. / P Nat. or/ P' L "ft./ P LPG - ell Clearance & Disconnect S. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION .(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances b. Drain; MH Test -Fall -Flex Connector 3. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. T. Exits; Insp..-Sketch 11. Cert. of Occupancy Date - Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY). �ning Requirements -Setbacks -Easements . F otings; Size -Spacing -Marriage Line Blockin s_MH Test -Demand -Valve lectricity; MH Test er, MH Test a-Iffa-t-er.and Sewer Connected 8. G nd Electricity Tagged Jo -'Exits 10. License Decals 11. Verifv #'s with Office Date�� a y Card B-1 .&,W 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply,Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date -Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable r = 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing 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 Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.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 O Yes 83. Following InstldJDrive O Yes 0 NoMalks 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: (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California, 95965' • Telephone (530) 8-7541 APPLICATION AND PERMIT Z 03-0767 PERMIT N0. ASSESSOR PARCEL NUMBER 061-430-005 ZONING 1 U /BUILDING PERMIT OWNER Davis Alvin 846-2385 TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 960 Virginia Street Gridley CA 95948 610 R 32 940.00 CONTRACTORS NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 32 9 0.00 ARCHITECT OR ENGINEER LICENSE N0. -FilingFee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee 304.00/2 $ 152.00 Plan Checking Fee $ 2-3-00 BUILDING ADDRESS 11775 Oro Energy Plan Checking Fee $ $ PERMIT FEE $195.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 5 . 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other ❑ Describe work: New MH Perm Fnd EX Site Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W11 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE Main Service 20OA OR LESS 23.00 3 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 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P kY p l rY P 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 Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( s ACC. BLDS. so 3.5¢FT; p�IpT' MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE .ZET CIR. EX. OCCu OUTLET OR FDLTURES B20 @ I.00 Ex. Occup. FULED APPLNS. OR ounETs RESIO. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ose provisions. .� X Date J� A "-e-3 Signature of Applic nt - 4 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 303.00 HAZ. D. FEES IMP FLOOD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fee have By PERMIT EXPIRES ON 4v, CDF I PARCEL I PD HD ISSUE applicable provisions Resolutions to do work been paid. 7/6?1 ate �? (64.) Receipt No. WHITE-D.D.S.-B.D. CANA Y -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUI s IONG DIVISION 7 County Center Drive, Oroville, QA 95965 Phone (530)538-7541 Fax 0)538-2140 PERMIT APPLICATION DATA SHEET/ OWNER: D&lsA 66 ASSESSOR PARCEL NUMBER yr Proposed 3uilding Use: ((YI X S /� Counter Technician: - Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to a"l PP Y• . Plot plans, 3 or 4 sets, signedty 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. Energy compliance de ' d -supporting documentation in duplicate. � Q2_1> anufactured home(: ( sheets and installation instructions,`�l�larriage line information, ( 140or Plan, �ie�own or foundation plans, all i uplicate. Metal utldings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si gned by the en ineer. -- 1 Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line, when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 .................................... - ❑ 12. Hazarddrus Material Form........................................................................f....... ❑ 13. Other i Remaining ite s eeded to issue the permit. (May require additional plan review upon receipt of the following items.) ees as shown on the attached Schedule of Fees Due Sheet ............. f, ......... ....... 4 '03 VJ17. Statement of Intent for Non -heated and A/C Buildings ........................................... itation and plot plan approval from the Environmental Health Department in (Q t �( Z) City of Chico Plumbing permit............................................................`.`........ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: o )<, (B)Parking: (C) Parcel Check: 3 _rZI_G72S ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works,Dept. (construction approval prior to occupancy). 22 Pre -Inspection forJ�C.�i"f < y n r L;. required ................ 23. Contractor's license information. (Number, Namae Style', Classification) ...................... (] 24. Worker's Compensation Carrier ay Policy j r...;...................................... ',ls'1)25:. Owner -Builder Verification (❑ iven to owner, O'M�iled to owner) .................... �..� ❑ 26. Letter of Signature authorization..................�............-.......' �.. ❑ 27. Recorded copy of Agricultural Acknowledgment �State�t�'J ...............-........ ❑ 28. Manufactured home utility clearance............ � k + ..... ❑ 29.E 's �hg violations rtAd/or expired '.............................................. 4.. ❑ 30. Grant Deed, tatement of Facts, ❑ Letter from Legal Owner, check to H.C.D. $ ❑ 31. ®ther: When issued Telephone and hold for pickup. I have been informed of the above_itemsand requirements for obtaining a building permit. Applicalt: C/Date: 1. Index permit application for the ab a bered: Plan Check Letter 2. Additional items required'{' Contractor, designe"' was advis - -che Contractor, designer, nn ,r,��was advised of the Plans reviewed by: Imo, Date: Structural reviewed by: Date: Note transfer by: Date: data by R2 data by ❑ r- �3 phone, ❑ mail, ❑ counter, by Date.7:N:—: /0--03 phone, ❑ mail, ❑ counter, -by Date: Plans approved by: IZ Date: Y—h6— 6— 03 _Structural approved by: Date: Yellow: Building Division r -W TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance 3 _0747 E.H. USE ONLY Plot Pian Anachod Floor Man Aft ®d Sam YA B.D. Owner Location AP# Plan Approved for: Sewage Disposa'I----�--,, Water Supply: Public ivate Well Clearance for dwelling. Other � � �v4 Dom( PX41 �y Hold final for: Final clearance O.K. for: NOTE: vironmental Health Specialist 8/96 Date COUNTY OF BUTTE ' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER �� AIVI ki A.P. # �11�y3O '�SG�S T PROPOSED BUILDING USE %% Q?LM Fn2 ` DATE RECEIPT # DATE REC. BUILDING P EES '3 .y� Balance Due $ Additional Fees Due ......... JAddition Fees Due ................. $ evised P n Checking Fee .............$ C DISTRICT FEES d (paid at District Office) (Available after Plan Check) W W t3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At timr of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may b-, changed during the plan checking process. APPLICANT DATE /� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on'your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned itemsduring which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) O.B.-1 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 X NO ❑ 2. I HAVE 14 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: �� .a , . , c o - - � \ ADDRESS: % CTTY:ilcs� C_ r PHONE: CONTRACTOR'S LICENSE NO. �,h �SZ 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 PRONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O. .-1 ' An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put thea license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, M c el %Xigira, C.B.O. M ger,ding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COON TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive ° Oroville, California 95965 ► Telephone (530) 536-1541 I !a . x12195) APPL[CATION AND PERMIT � �1� �7 BUILDiNG PERMIT :Fenue Sp, T OCC. SUILD243 VALUATION • '/� c) G Dt�Si7ffiL4m9t � 6t1Ea4G ADDRSY oa ear► a== DA Bis aacM A==6 Drom mnoVGOm-sMUM USECFS TRUCTURE 59 A C - ;F D Duplex D ldbb0shome O Ober r s��rR ■ �plgo(�gcold MH. Due, -b -TTn Sovov� La� = 2� o -a rt• e 3t3aa � _ F 542 *PSWiT FEE PAlD $_ `� 1J5. ao SkA $ �a Ta ?cS92-S' TO amw !'t1i zwo COMM wI i lahraflon s � � 9 y0_. a �ee � 20.00 Fee Q — Z $ � d SecWho Fee Pian Chung Fee s ,LUhqamS Fffmg Fee _ 20.00 'ran 1 1 7.00 Wa1w pig am. ii Ye 15.00 /5..- S.OD -%A webr he-bt or vent 15.OD Nbbile Haase Facmes Cis 1 - 5 MAW= 7 5.00 943d sewer PERARJT Fr'E 15.00 uz.dwo 1iBECHAPDCAL PERMIT Mbbfla H=a S G WI CC20.00 Hood 6.50 pnWT F= s ELECTRICAL. Pawrr Frmp Fee 20.00 A Main setvm 1 tM =Dv'3 . ao ' Main sarvme wa TD loom► raw c2wL tM ®Ela --4ee5.00 �. •O o qWr Drr FCMMW am. ii Ye Er- O=mmF .CED APPLIZr OA .OtRLETB IR3�.1 Q' S.OD Temporary Servbe 29.00 Nbbile Haase Facmes 20.00 Misr MOD PERARJT Fr'E sq 3. . 1iBECHAPDCAL PERMIT FEng Fas 20.00 Healing Hood 6.50 P=-;t09IT FEE S Moble Home IndWImlon Fee $ energy hsspeo5on Fee S D -71115 k "' OAL FEE $' licn'dimW his penM is hereby issued under She appiisble provl#brss f 1b® Butte countyCode and/or Flesoiutions b do war* above for w1frA fees ban been paid. By . Date ReeeipiNo. PERW M71IRP-S ON er►es�..e_e_s .o_e e�.■�ar.dsssoa Pr►ac-puP2CiOR God-=NaaD-I�PPLtCAHT �,� REQUEST FOR INSPECTION Permit No. € /� i� 3 n Location / 1-7-7 5 t9f 0— Q µ1 �-G. U du Call Ll �k Owner: a J f Contractor: Phone: J � � �% i'�►t-1 f1 i� � _ BLDG. PLU.AMMECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION) Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status - Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Ready for Final Final Final Corrections Final Inspec. on: Date: Comment: PRE -INSPECTION REPORT. 1 OWNER- AIv�.✓ a Q i C) DATE: LOCATIONA T7 LA I - e — IV -fro s CONTRACTOR: ZONING: PRE-INSPETION FOR: j__) /0 Jel;w ZpjA� DATE TO INSPECTOR: PERMIT HISTORY:( )NONE (0'kS kl I.Ows: Bummc. jNs#zcr0R'S R19PORT Building Description: Commercial/Usage: ResidcntiaY# of Units: Currently Occupied AbandonedNamt Electric: Yes No 'I _41 Electric currz...'aly On off/0� , s' "u, v;C Condition of Electric, Gas: Natural— Propane 04 None_- Currently On ..off <_ Obvious Problems:— ea—sc. 00 -4 14.) r 4r,- in 4= 4434 Sanitation: Plumbing Working Well Working Potable Water 0"4' j Comments: i=!;?L:_ — ACTION RECOMMENDED: ISSUE: HOLD FOR UA tx_ ort��4 Inspector. Date - f t ! 14 etch buildings on reverse and indicate location on P' opert) r 1w COUNTY OF BU i PE - DEPARTMENT OF Di=YELOPMENT SERvjcES - BUILDING DMISION 7 County Center Drive • Orovills, Caiifomia 95985 ► Telephone (530) 538-1541 APPLICATION AND PERMIT oos anm+n L4 BUILDINGFERWr J A,Ii c' ri, era 9•c m FT. I OCC. BUILDING VALUATION 31,Bm rxrl� M� WLM, cm wmmn MUM mwm U arms s�oavGons xamF USEOFS-MUCTURE 59 A V 0 Dopier D Ibbbalehome O Otba sv�Fr TYPE OFwoPA - Wo 0AAddrbn O Rmc dal G LM=- D 0 Other 13 . D= bs wort bm* ) Y21± Q rm ;rid c y st t,P0_ ,014o(aq old VY H. Due, -�o -Ti r r, 00 SRA $ AMftW Fsi►Ci t Gb G d "'TO 12. !UT INTO COMM eahtallon s 9 yo . a ba s 20 Fee 30 Z s -d Seadho Fes s 2 .15.° Pian Chug Fee is s Pm- mrT FE s k'a PL m3wG FERmlT FFmg Fee 20.D0 Esq Trap 7.00 =0 Wa or heat omp wgier beater 23.OD JAM Wr • Wratr P . 9 15.00 e- Eacb gas wet r hem or vent 15. D 0 Czs 1 - 5 aatllet 15.00 &MDR =war 15.00 huff Huts S G !N @20.Do PUT F= S ov ELECTRIM PWMFT I Fling Fee 20.00 Mein Smrvi= = M zm I Mem a mvi= ( mm so ammo 1 aso0 i~. O Duna Das Fa:n m eaL o -; Ea: • gRlm^ZQ &DO Tem Serves =0 m:blq Hmne 20.00 JAM Wr • 23RD PERAUT FEE S Fee 1 20. D0 6.50 Mobile Home Indhls5an FEe Is Energy h=oamba Fee Is — LT�!. �E S WZ d FM I VV I FU= I W: I Mk= AW I MV I = ILE 1.I I I .. I • This perml is heresy is vd under the appibable prmvisione oI 1Eae Sufle oounty Code andlor Fle=bftns. to do vmrk mc%ed above for which fees have been paid DY . Dste RPu'm. PERMIT EXPIRES ON at►RtE.es_x .a_e rsuttR.�9�SSOA P11u.11�5PeGioR ipLGFJ1Rpp•,ipPI.ICANT _ . .