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HomeMy WebLinkAbout061-480-049V 61-48-49 /5-90P,E iii- fl .511�� FIESTE, E. Mavis s N/S Bell Ranch Rd,'l mi W Oro winch H Oroville ,(efTE%VREQ lot d ) . ELEGAS COM SUPT`REQ t 116'-`W MHU z..; avis �l cc C� .� A, ',i FIESTE, T. Be -1.1, Ranc " R:d4; Oroville y MH' U3. I—ES .117-190 MHI .y r FIESTE, -1 Mav'` r*" q 511 "B nch Rd ; ;Or lTe INSTALLATION l s I FA GL ----- �. eoutd* 4-33utk OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: E. Mavis Fieste ADDRESS: P.O. Box 2382 CITY & STATE: Oroville, CA 95965 IMPORTANT: 1990 , February 5SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not do work. Building Permit #5-90, AP# 61-48-49, dated Total amount of permit----------------------- Amount previously refunded -------------------- $19.50 Remainder of refund due ------------- ---- --- $35.00 TOTAL REFUND DUE ---------------------------------$35 ------------- 00 TOTAL $35 00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, nd that this claim is true and correct as stated. ' D ate this ot,.i1-::1........ day of ...... Gi't�C"'\... 19�J, et....Ll.n-.!!�'`^'a-i .Calif. ........ Y7.....:.e.r .. !�-............. . Sign! Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or SpecificBoard Approval❑ (Check one) r e s� Dated this ........... ......Ja......... day of/....:......__. ..... .19..7.41 at ..Vho•S•Yl.sF.l...... Calif. _. ..........Ae.e. Dpartd or Authorized Deputy Dept. Exp. Code..........4&CL..Q.0.2.............. Code ........ 42-10500 .................... PAYABLE FROM ............... C.OI1Str.U.Cts.liA ... L.p er.Mj-tS ................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE : DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPEICUMN AND PERMIT PERMIT {V0. .n ASSESSOR PARCE} NUMBER ZONIN L„I� dp'fq BUILDING PERMIT OWNER TELEPHONE HA VIs F le srE5 33 3 a -d' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAULING ADDRESS��D^^ ,I A 0 r ISOA c_3 F a— OiUI CONTRACTOfCR'S NAME a— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 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 AD�DfR S /� j I Lam+ CN Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Qe W Solar or heat pump water heater 20.00 LOT NO. SUBOIV SION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other � �C I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: rOn Eli 1/!k t6T- I��V�rL6F'MEIdT uU� Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 DR LESS OR 100 OR LESS 10.00 � (� , &(2 Main Service EA, ADD'L 100 AMP 2.50 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aI), NEW CONSTR.� A h¢sgft ULTB OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea APPARATUS &) %SINGLE OUTLET CIR.1 Ex. Occup( OUTLETS OR FIXTURES 20 0 50t q IRSAL9ALa30so Ex. Occ ' EMs I 2.00 A, Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 15.00 — ecr' D 161 (970 Permit Fee $ '.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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep armless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con quence o he granting of this permit. X r -�� Date �^ oZ �0 Signature of Applicant Owner 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 $ , SO HAz CUA PARK SCHL FLo PAR PD HD Iizovi. This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees RECT R O PUBLIC BY PERMIT EXPIRES Date the applicable p resolutions to do have been paid. WORKS Date �' �0 •—.S .. eceipt No. �7�`f �3�� r NITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t -�- . ��.. Glw��� �`�-J� � � Z ,-� / � -7 t� 3 1-.., r � .� �'. S COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538_7541 t 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) Ld b 2. I (have/have not) �u,Uz /" 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 I 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 Address11 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: J Property Owner Social Security Number k Date r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code.' This verification must be completed and.returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 1 PERMIT APPLICATION_ DATA SHEET Permit No. OWNER A. P. No. �-�c�-� R Proposed Building Use(5alG Building Inspecto Date a -9n 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 installation data including manufacturer's installation instructions....................................................... 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 19. Driveway permit (construction approval required prior to occupancy) i . Pre -Inspection for � C' Zl ✓ required P'e•Inspec. request to K' Building Inspector (Date 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Q Applicant �_ - ��./rl��;l Date Copy of plans sent Health Dept., Fire Dept., / Other Date 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 —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW " COUN ', OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County C nter rive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT ASSESSOR PAP,CE NUMBER ZONINV ��� BUILDING PERMIT OWNER •M� S TELEPHONE OWNER'S MAILING ADDRESS �' �, a . 10, Ox Q 3 >; C,5 CONTR AC TOR'S N AM E SO. FT. OCC BUILDING VALUATION E R— ✓ TELEPHONE CONTRACTOR'S MAILING ADDRESS F i re ce CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Filing Fee $ 10.00 Permit Fee $ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty $ / CSL Permit fee $ LOT NO. SUBDIVISION NAME PARCEL MAP PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 Solar or heat pump water heater Water piping 20.00 500 Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other <E C, C, SPECIFY Building sewer 5.00 Mobile Home S I G I W 0.00 e TYPE OF WORK New [J Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: — V - 2CUe-l_.61'' /JT -I- iA }FL`/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS A 100 MP OR LESS 10.00 , (7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am ticensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force send effect. License No. Classification 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 Codej'rj, for this reason Main service EA. ADD'L 100 AMP NEWCONST. / DWELLING OCCUP.a OR ADONS. ACC. BLocs. ) 2.50 N 50 '/z¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (SINGLE OUTLET CIRPOWER APPARATUS e) . Ex. OCCUp(OUTLETS OR FIXTURES20(950 BAL0 301 Ex. Occ Err�cNs ) 2.00 r Temporary Service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , 5d 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 W 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 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 armless the County of Butte against all liabilities, judgments, costs, and a against said County in con a grant which may in any way accrue quence o he granting of this permit. X Date �� of -CIOThis Signature of Applicant Owner�Con tractor ❑ 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 S occ CONST TYPE TOTAL FEE $ r SQ HAZ CUA PARK $CHL FLD PAR PD HD ISSUE 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..�-/ gsn WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT T ON. R. 4 6 5 E. M. D. 8 63 M. 5 4 — — — — — 9 ZA 7/'17 p• 1 1 O �/ I/ ABps h N 410.60AC X00 61-631, ! 1� 11 7.14.40. � BfCC. II 752 CC 20 4.42AC _ 2,685.93 to Z cV ,2/ a 42 I IAC 17 - a 50 22 34C } l8 7 25 163.40AC' M ` 1 ZJ 80 AC 1340-21" N 1 32 49 1 I x (l9 1 108 AC �80.12.AC c) ; l: 206 34.62 S- 4L �, �CtiII�R CREEK - E 5 Q Ctn 40.02 AC r~ PI;Jlil E 2 A 46,oi4c j R578—?. co 1 P.569—'8. `o F33.39 770 1034.42 / 972.14 .I 1 ' 1 I .. , ,.,. .... .. - ,. ... - . a .. + y ��--;..ice -...: -Y. .1 . ty � 3 � � 1 �� J" 9"1 , ,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC NUMBER. ZONIN BUILDING PERMIT OWNER C. ,TELEPHONE 33 4111er SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS r 0, i30X 3 65 CONTRACTOR'S NAME 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 ADORE s k ap I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 14; 2n Each Trap 2.00 �✓ (`LAhC wV Solar or heat pump water heater 20.00 LOT NO. SUBDIV SION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other E f IZJ C--' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00.2 TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation Other Describe work: C--( c% L 50 n FV t1! 9 G67— _ L%E 045 L6 h ME NT -I (A Permit Fee $ 167.60 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 J �j • 6,0100 Main service EA. ADD•L 100 AMP 2.50 , g CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& oR ADDNS. ( ACC. BLDGS. , /20sgIt NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu Sot zAL930 .20@030 Ex. Occ I &`INs ,�JA�I.r 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VVirin 9 15.00 E T Permit Fee $ , 5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. 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 consbquence of4he granting of this permit. X Cf/ !�r•f.f/Qif� %- Date Signature of Applicant — Owner r �� Contractor E] Agent ❑ IJ' 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 E TOTAL F.EE $ �© HAz CUA PARK SCHL PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or workcaabove indicated abfor which fees RECTOR 011 PUBLIC By � / PERMIT EXPIRES Date the applicable p ovi- resolutions to do have been aid. p WORKS Date Receipt No. TY 9.570 WHITE-O.P.W.. YELLOW-A88LSSOR, PINK -INSPECTOR. 60LDENROD-APPLICANT s� 430 .73 coAc r� .:ZCt VHi�`a qL 19 • fi�\�\p"�..� �� t�,�ryg i�' 6'S talil�Vf�1� �'C ri'�'i^ GiC9 C+1`Y19�5.Ti( r n� n ri tfen pesmissi •e`k o� b Bra a VAOn cos \esC o� CAP 1 oceOP reC\� s ©C ,Die T IN � C0 � I j ; J �w r qi r- J � • �5 ,7 7o ri. �/ 1. M 3. BUTTE COUNTY DEPARTMENT OF PUBLIC WORDS 7 County Center Drive, Oroville, CA PHONE: .538-7541. MOBILEHOME INSTALLATION SHEET Owner's Name: Z bby/S. Installer's Name: ��S,yR %"%PO �/�"� %/G�i`e ,�tv,�t� S,-Awc e-- Is the site currently under permit? Yes No F] (If yes, furnish permit number Il (p , �Q ) OR FV Is the site an"` existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes U No F -1I ! (If no, clarify 5. What is the mobilehome electrical rating? --------------- S-6 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 1 15-0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------=----------------------- Yes No (If yes, identify the load and size: Mell (Load) 9. What is the mobilehome site gas pipe size? -------------- -3 (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-----------,---------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NiOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /L CZAA., furnish Setup Model No. Year ., Width/0 (ft.) Box Length4 (ft.) Tagalong or Expando Size ft. x ice' ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) PConcrete block. 11 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams ine 2 — —Line — — — — — — — — — — — -- Line 3 Main Beams Tag or Triple ----------- ..�7inP4 r Line 1 Line 1 Piers: Size -Min. ---------- ` Spacing -Max. -'------- S From Ends -Max. ------- Size Min )------------ Spacing=Mx---------- d , From Ends -Max .------- _ Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 1 Openings: Size -Min. ------------------ "x Each Side of Openings With Width Over-------`-E=- ------------ - u Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------ Spacing-Max ---------------- From -----------------Spacing-Max---------------- From Ends -Max -------------- _ Size -Min .------------ "x ' Spacing -Max.--------- , From Ends -Max.------- „ Line 5 Roof Loads: Size -Min. ------------ Location (From Front)I Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- „K Spacing -Max.--------------- , From Ends -Max .------------- "x "x "r 1. IX "x "x "x "x " Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 90-099.4 l FOR RESIDENTIAL DEVELOPMENT Sect,?,;on. 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 9.00 to land or included within an area zoned 90=009947 1 Re"c Fee for agricultural purposes, and residents Cash 9.00 " . of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder I BG 3 but not limited to cultivation, plowing, I1:P 13 -Mar -90 spraying, pruning, and harvesting which - - - occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: 14 Date: z a L�(a PROPERTY OWNERS: 4 State of CALIF®RPlIA) On this the aAJ day of M" 64 19 90 , before; me, SS. the undersigned Notary Public, personally appeared County of LOS ANGE,.-- ® Personally known to me. Proved to me on the basis of satisfactory -evidence. to be the person(s) whose name(s) /5 subscribed to the within instrument and acknowledged that SNE ,dP�oo>ti OFFICIAL SEAL xecuted the same for the purposes therein contained. IN WITNESS ROBERT A. LOCKSHIRE HEREOF, I hereunto set my hand and official seal. Notary Public - Californio FRINCIPAL OFFICE IN o LOSANGELES COUNTY MY COMMISSION EXPIRES SEPTEMBER 23, 1992 Present A.P. No>r - 6 �'= Notary Public ... -, S•gQ�Q�9�� 8a-43I3Z ORDER NO. BU -107904-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS -FOLLOWS: PARCEL I PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 60 THRU 64. RESERVING THEREFROM THOSE CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENTS FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON SAID PARCEL MAP. ALSO RESERVING THEREFROM THOSE CERTAIN 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES SHOWN AS BELL RANCH ROAD AS SHOWN ON SAYD MAP. PARCEL II A.60.00 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES OVER BELL RANCH ROAD AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED JULY 15, 1988, IN .BOOK 111, PAGE(S) 60 THRU 64. PARCEL III: A 60.00 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED JULY 15, 19.38, IN BOOK 111, PAGE(S) 60 THRU 64. PARCEL IV: A NON-EXCLUSIVE EASEMENT 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, INCLUDING BUT NOT LIMITED TO EASEMENTS TO PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE AND TELEGRAPH FOR SERVICES TO THE GENERAL PUBLIC, THE RIGHT FROM TIME TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND ELECTRIC FACILITIES BOTH ABOVE GROUND AND UNDER GROUND, AS IT MAY DEEM NECESSARY OVER, UNDER, ABOVE AND WITHIN THE STRIP, AS SHOWN ON PARCEL 3 OF THAT CERTAIN PARCEL MAP, BEING A PORTION OF THE SOUTHWEST QUARTER OF SECTION 8,. TOWNSHIP 20 NORTH, RANGE 3 EAST, M.D.B. & M., RECORDED IN THE OFFICE OF THE RECORDER; COUNTY OF BUTTE, STATE OF CALIFORNIA ON NOVEMBER 6, 1978, IN BOOK 68 OF MAPS, PAGE 66. CONTINUED blfClt7�P cii+c,r vro�..+-• �U'1'1'i� _� PARCEL V: 90_099i l d9-LD ORDER NO. BU -107904-3 A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH OVER BELL RANCH ROAD, LOCATED WITHIN THE EAST HALF OF SECTION 7, TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M., AS SAID.ROAD IS SHOWN ON THAT CERTAIN RECORD OF SURVEY MAP, RECORDED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 22, 1979, IN BOOK 69 OF MAPS, PAGE 80. MD OF DOCUMENT. END OF DOCUMENT !r.°. 'eta t' �•`'Mu m r S `:i:1 •a' y3 - "cy.,."' .r„ K::: r c c . Y'7 } � tra;f.<i.d.: �..., e� /..:.•.t 3 .slv• �; Sl,. ... l :I February 5, 1990 E. Mavis Fieste P.O. Box 2382 Oroville, CA 95965 RE: Permit and Refund A.P. #61-48-49 Dear Mr. Fieste: With reference to the above subject, I talked with out inspector about the permit application for lot development and well.. lie 'indicated there may have been some misunderstanding about permit requirements, so I am sending you a claim to sign and return for the 'balance*of the fees paid. Also attached is the check for $19.50, which you left in our office. I'We are ready to issue the permit for mobilehome utilities as soon as we receive the recorded copy of the Agricultural Acknowledgement Statement. Should you have any questions concerning this matter, please contact this office. Yours very truly, T•dilliam Cheff JFG:ds i Attachments r i ;I Director of Public Works J.F. Glander Chief Building Inspector wy � 4 i � w File No. BUTTE COUNTY (Foy A Public Works Dept. ction 1y�2, 3) (For Information �/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop 8 Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. S.I. Sub.B Pcl.Maps Permits Addr. Public Works Dept. ction 1y�2, 3) (For Information �/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop 8 Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. S.I. Sub.B Pcl.Maps Permits Addr. eoutd* q J(3Utt4e OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: --- E. Mavis Fieste ADDRESS: P.O. Box 2382 CITY & STATE: Oroville. CA 95965 IMPORTANT: �, 1990 SEE INSTRUCTIONS DATE OF CLAIM: January ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Building Permit #5-90, A.P. #61-48-49, dated 1/2/90, Receipt #54950. Plumbing Permit Fees Paid -------------------- $15.00 lRet-in Filing Fee ---------------------------- Refund Due ---------------------------------------------- $ 5.00 1 ctrical Permit Fees Paid------------------ $39.50 Retain Filing Fee ---------------------------- $10.00 Retain Pre -Inspection Fee-------------------- $15.00 Refund Due --------------------- ------------------------- $14.50 TOTAL REFUND DUE---------------------------------------- 19.50 TOTAL , $19.50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ` Dated this \ ...../�/�. / day of ............................. 19......, et/,;/.� ......• Calif. .............`!.�:`'`.......... .... dd�� Signature of Claimant I I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for e s me. Dated this...... 2.2.nd................... day of ... Januazy...... 199.Q, at ....Oz yillp..,.... Calif. .............. ................................................ ............. D rtment Head or Authorized Deputy /' Code 4. LO.-QQ2........................ Cod -....421000 ........................PAYABLE FROM ,COnstructkon P.e.m.i.t.s ................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY i DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I I'VE--- WO +nts�s�e�p i ,Bo b A;ccorcioro�.e civ Raeognize Vi c! Prcactices��ar o$ a quca . ? p escr ��:. $®r the S;�ec $ae� e�s°`6� tie Uni$e�raa: emi oii g, -Plumbing & Meaiiagticai AKOE'1 4 vp or (I ji0m �. ss4. pe cv ck5 so oad o� �0 the 1- G�gac J J P . pew k,o� `\be d`t �+�" ( 50s�t• \�e $1,15�QOwo n s i IRA . / P/ ^Li • RESIDENTIAL 61-48-49• 116-90�MHU -- -�FIESTE, E. Mavis ,.11,Bell Ranch Rd, Oroville (MH UTILITIES);' —42 s i i� i M OFFICE COPY ' Address ! /L/ AI1/G1 I GAS Date Meter By�"'' ELECTRIC Meter By Date t JOB FINALED 1109al i Signature Im .J = OK O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date M081 H ME UTILITIES Plans OK except #'s Z ng Requirements -Setbacks -Easements Soi�Special MH Support Sketch ew r; Location -Test -Fall -C/O Concrete aterJ-e ion -Test -Easement Needed (Sketch) ectricity; Location-Clearences-Grn mp-Concrete 6. Gas:Lo ion -Test -Wrap: / PUX 00( / at. or/ /" PUX/ /"LPG TrUtility Clearance mA 116 LI �Piy�a%• 'CS2i900 104() MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, 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-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date a Card B-1 Date Card B-1 Date Card B-1 .L 1,j Dat Date Card B- Date Card B-1 Date Card 0-1 Card B-1 Date MOBI OME INSTALLATION Plans OK except #'s Zo ng Requirements -Setbacks Easements 0 o tings; Size -Spacing -Marriage Line Ga H Test-Demand-Valve—Connector le ricity; MH Test-Crossovers-Breakers-Clearan s r 'n; MH Test -Fall -Flex Connector t ter; MH Test -Regulator -Connector ` and d -C/O tojade-HD—Approval 4Awa Electrici T_ 9. Exits; 1 e c 10. Cert. of upancy Date /Q Card 8-1- Date Card B-1 Date >/ and B-1 ew Date Card B-1 - mA 116 LI �Piy�a%• 'CS2i900 104() MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, 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-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date a Card B-1 Date Card B-1 Date Card B-1 .L 1,j J=OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single = Not Ready & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd St6ry, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.-V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes C3 No; Walks 0 Yes 0 No; Planters O Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform it Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made I..... COUNTY OF BUTTE ..' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 •.a 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 correction of work is completed. If you have any question pertaining to this m�ffn• n. nnn.1 �.�.i:1:....�1 0....1 �....�:.... ..1........ ...._---- -�:.. c ..,w Date f �l� ` Inspector�7 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. _ gAddress or location of mobilehome S ��" ,�21-vLIy Owner's name Owner's address S,� Insignia or hud number (1 Manufacturer's name Serial ber of V.I.N. ;� '1� Year of manufacture�— ILI,/ 70zip I (Official pprovin nstallotion) (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. D.P.W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californip.95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS SS R PA C MBE —. — ZONI G BUILDING PERMIT TEL H E Q. FT. OCC. BUILDING VALUATION OW ER'S MAIL G ADDRESS r V - 9 CO NTRAC TOR'SN E TELEPHONE— ELEPHONECONTRACTO CONTRA Cig'S MAILING ADDRESS Fireplace 6 1412— CONS UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D Energy Plan Checking Fee $ A CHITECT R ENGINEER'S MAILING ADDRESS Penalty $ BUILD I G ADD Ess / ficl P Permit fee $ PLUMBING PERMIT ling Fee 10.00 Each Trap 2.00 e lfane; Solar or heat pump water heater 20.00 15.00 LOT ISION NAM PARCEL a Water piping Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑�Uti lix K Installation❑ Other EJPermit Describe work: /✓[J _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR 100 VAMP ORSLESS 10.00 /0.19 Main service EA. AOD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Er`l, 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 OCCUPM OR AODNS. ( ACC. BLDGS. , 2/2Osgft NEW CONSTR. MULTI -OUTLET R NON-RESID ITS BRANCH CIC 2.50 ea POWER APPARATUS e SINGLE OUTLET CIS. Ex. Occup(OUTLETS OR FIXTURES °AL® 2AL@30 FIXED APPLNS. Ex. Occup. OUT LE Ex. (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �S r� Misc. Wiring 15.00 01 Permit Fe $ 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. �( shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 ermit. X (�F -o -�! Date Signature of Applicant — Owner ❑ Contractor ❑ Ageet ❑ 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 TOTAL FEE $ HAz CUA PARK F D PAR D/ ./ Ho E This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3'l� r? ,1 3_ Receipt NO.L ��/-6JrZ; WHITE-D.P.W., YELLOW— W-A58� OR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Buildina Department t; FROM: Environmental Health SUBJECT: Sanitation Clearance Hold final for: Final clearance O.R. for: Clearance for- bedroo mobi home. Other NOTE ,. Sanitarian Water Supply Water Supply 0,4 4-M.. Omer Location AP# Plan Approved for: Sewage Disposal Water Supply el Hold final for: Final clearance O.R. for: Clearance for- bedroo mobi home. Other NOTE ,. Sanitarian Water Supply Water Supply A'z• _,t,,rf r �..-r-..r-.u,-.+1+s^1s,�.�'!�'+'r"�'t-r''M t' -^r +r'*f�''r �f+t' .-K.r t, -i�Mr—•,-,.,,.....rr._u���. .._w`'�...w.ly-.,,;. .r�,�,..�..t ,.,� COUNTY OF BUTTE - DEPARTMENT.OFfPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - 6ROVILLE, Cit #d'W, 95965 - TELEPHONE: 916/538-7541 PERM I>T,APPL ICATION DATA SHEET Permit No.— OWNER o. OWNER �_ . G V �l �,� I C'� A. P. NO. l Proposed Building Use �� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... Plot plans in duplicat p ecate signed by preparer of plans. . . 3. Complete plans in duplMaTeM51plicate, 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 installation data including manufacturer's installation instructions........................................................ 10. Fees of $ , ........................ 11. Chico Urban Area fees paid ..... ! ............................... 12. Park fees paid ....................... .` ........................... 3. School Distrlt fees paid .......... �.. . 14. Sanitation approval from ho l z ,/I�' Health Department �_Vill 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 s 19. Driveway permit (construction approval required prior to occupancy) 20. -Pre-Inspection for required Pre-Inspec. request to Building Inspector Date) y 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. r Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... . Recorded.copy of Agricultural Acknowledgment Statement ......... V 113 RA:0 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. u Telephone and hold for pickup at office. Deliver w/inspector. Other AppIicant ��t.U¢.i � � D a t eA 'Copy of plans sent Health Dept., Fire Dept., Other Date r The following data must be submitted prior to permit issuance: (Circle new a not checked above). 1. Index permit for above items No. 2. Additional items required: I Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—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, Orovil-le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "cwner-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 oaajor labor and materials for construction of .he 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: ff, Property Owner Social Secur'ty Number Date %.2 O 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. AP # x . OWNER PERMIT CC MHI.UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YESI NO YESI NO V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS p , ERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Z 40 APPLICATION AND PERMIT A555pR PA C L N U41 R ( ZONING BUILDING PERMIT Ow ` r ` TELEPHON SQ. FT. OCC. BUILDING VALUATION O ER•S MAIL NG ADDRESS +) v CO ALTO SENA E V TELEPHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONS CTION LENDER VA UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN I�DRES S' Permit fee $ — PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6p L _ © V MI Solar or heat pump water heater 20.00 LOT NO. __]SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)6 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.006 TYPE OF WORK New❑ Addition❑ Remodel[:] Utilities❑ InstallationXl Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.. Classification 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.g DONS.I (A NEW 2/2¢sgft CONSTR. ULTC.B OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20060C 1.20 AL@30 Ex. Occup. oL TED R LETS ((RESIO.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l 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 in conseguence of the granting of this permit. r X(- Date Signature of Applicant — Owner ❑ Contractor ❑ Agen 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 $ HAZ CUA PARK s� F D PAR Po HD ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab forindicafees have been paid. I E OR O, yL✓ LIC WORKS !�/i By Date &/i,429 PERMIT EXPIRES ate Receipt No. WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE Depa`rtInent of Public Works i 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 ata' abor and materials for construction of the o sed property improvement (yes or no) 2. (have ave not) signed an application for a building permit for t 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 �m Social Securi 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. r / r COUNTY OF BUTTE DEPARTMENT'01 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER;DRIVE - 0ROVILLE,-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 sm )PERMIT APPLICATION DATA SHEET Permit No. .- .. ` ? OWNER Gi' Il j , 'l �� / A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. Pw 17. 18. 19. 20. 21. 22. 23. "'24. ' 26. 27. When All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans .. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees,of $ 1 ........................ Chico Urban Area fees paid ....................................... Park fees paid .............................................. School District fees paid .............. Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from.City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... f you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone and hold for pickup at office. Deliver w/inspector. _ Other X . It, w Applicant %'yrawcd Date . % Copy of plans sent Health Dept., Fire Dept., —Other—Date The following data must be submitted prior to permit isnce: (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 ► er by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW