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061-490-003
61-49-03 Jos ROSENDA SCHONS ns Dr, lot 1, Berry Creek rmif#2658-- ut7il 'ELEC "AS UPPORT STRUCTURE REQ- MPACTION'TEST'ft' Per'.tnit -87(install MH) ISS 061-490-003, PERMIT#97-0491 SCHONS, Joseph & Rosenda 36 Schons Dr., Berry Creek Mobilehome Utilities ... ..... ELECTRIC GAS LINE COMPACTION TEST REQ ? SUPPORT.STRUCTURE REQ? 0 L am ,uw f PERMIT NO. — PERMIT EXPIRES OWNER J1LEpu gfLENL1A 4(H(1NS CONTR. 01,Tnar r ASSESSOR PARCEL 61-49-03 LOCATION Schon I)rj.ize 1 pi- 1 Barry Cr Z OFFICE COPY Temp. Powe I Address Called i GAS Meter By Date Y Temp. EIeC FI Fr`.Tarrl Called Temp. Gas i Called i JOB FINAL SlSnatt = OK G= Not OK Not ' = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements L2-tils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . S wer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.--`l�8 mp-Concrete Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. ol2/"L" ft./Li/'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility ClearandA 7. Elec. '— t ^per 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card-131CQ Date . / — rd -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date M0,1131LEHOME INSTALLATION (Plans) OK except #'s ning Requirements -Setbacks -Easements Card -131 Date Card -131 Date Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date Gas; MH Test -Demand -Valve -Connector r ectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 1^ rain; M est- all -Flex Connector 1. Setbacks -Easements Ater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining . 8. Gas angpectricity Tagged, 4. Elec.; Receptacles and Lighting, Distances-GFI ,k6 Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ! 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit Card -81 Date - Card -B1 Date . a B1 Card - Date 1- Card -61 Date I 9. Health Department Approval —{ 10 - _ Q' % 1 )/l ei O,/1 n 4 vw &.A �1 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -61 Date Card -131 Date Card -131 Date ' 4 co O AC a.o � a- 10� G U 19�v = OK _ = Not OK = Not AppliQable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -Test 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. In Garage; Above Floor-Mech. Protection Air-Connector-P.R.V.- 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Aix Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -81 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 _3 Address or location of mobilehome Owner's name S ' PERMIT N0.--�LS74' ftL Owner's address b 1 �C�il AMS i I Insignia or hud number16?46 Me'' ,, tt Manufacturer's name (/ll "P 1106 s, Serial nu �er of V J..N. `J Year of manufacture 't 00 44;>1 4i (Official Approvi Installation) I (Date) a, IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ,•,.,�ACCEiTTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r Ikw F7� 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name PERMIT NO.L.'i�`1�� R] Owner's address in , S( -1A Insignia or hud number_ w Manufacturer's name P S �. Serial number of V.I.jV. i U (n Ij ' , l Year of manufacturey icial Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCE-PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r i VNER Ri IT -Pi A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please corgtact this office Immediately. T Inspector I Date --� r J COUNTY OF BUTTE - DEPARTMENT 01 7 County Center Drive - Oroville, California 95965 - APPLICAMN ANN PERS PUBLIC WORKS PERMIT N Telephone: 916/538-75 s`1117 IIT ()_W _/__ AS ESS R P R EL N B R ZONING - BUILDING PERMIT " R I o !✓pS" SO. FT. OCC. BUILDING VALUATION %im Oe/4R,S M N ADDRESS ii SS ✓E/V� �+� CO ACTOR'S NAME`TELEPHONE 11 In Er C NTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER © n& LICENSE NO. Plan Checking Fee $ A5, 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD glt a �� / JJ(( FF vG Permit tee $ 15. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home V10.00ea nmo TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities lJ7 Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 100 Main service EA. ADD'L 100 AMP 2.50 aslo CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI 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 [� 1, as the owner, or my employees With wages as their sole compen- sation,, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUP.N , OR ADDNS. ( ACC. SLOGS. /20sgft NEW CONSTRMULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS (POWER APPARATUS °1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20060C °ALoao FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 Q Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject LAL 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 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 li 1H es, judgments, costs, nd expenses which may in any way accrue ag ' st said County in conseque e o e granting of this permit. X Date 8 O g Si ature of Xplicant — Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ . OCCUP. CONST.TYPEJ PLOD PARC . PD ND 1 9U This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which I ECTOR OF PUBLIC BY PERMIT PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit / V:r'etele has been issued for the above property. �s vwle signs ure date -TO Building Department 14FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location A P# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _ Clearance for bedroom obile home. Other NOTE :*** Sanitarian Dat "tj'!r.ty ;r r:d�i�' •�- t �Y COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING;DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 - PERMIT APOMUTON DATA SHEET -- Permit No. OWNER sc� oPis Proposed Building Use P No. _ Building Inspector 2& — /I - 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. . . . . . . . . . . 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . , . . . . 9. Letter of signature authorizat' 1 Sanitation approval from l../ �D V Health Dept, 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) –14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . , 16. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for _ _ _._ _ Required. Building Inspector � 1$ecorded copy of Agricultural Acknowledgment Statement. 3 Driveway Permit, 20. Plot plan approval from city of 21. 22. Wh n you issue the It, �rr((oce s as follows: Mailt owner; _ Telephone�/S and hold for pickup aoffice, Other Dote) Mai I to contractor. _Deliver w/inspector. 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: P Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor, designer, owner, was advised c: above required data by—phone —ma il—counter by Plans checked by Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet AP folder date date .te ' `_s R F Mai I to contractor. _Deliver w/inspector. 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: P Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor, designer, owner, was advised c: above required data by—phone —ma il—counter by Plans checked by Sets of plans on hold in Copy–DPW Date Plans approved by File cabinet AP folder date date .te ' `_s COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�rs 2. I (have/have not) �{�j(��' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: .Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some.of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. Social Security /Nu er Datef0��^f NOTE: This Owner -Builder Verification is sent to you as required by Sect+ons 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. ..�,. tllaAlL.uLYu1tAL bTK1MXNr OF ACKNOWLEDGEir NT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 84- 3.159 OFFICIAL RECORD BUTTE COUNT -C vFcnrps i cc-, The property described herein is adjacent to land or included eil within an area zoned for agricultural purposes, and residents of this FEB 3 + 0g Pfi� property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, p+f'tl'i-4 ,�'U and fertilizers; and from the pursuit of agricultural operations including,� �RIU to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, I smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real,property situate in the County of Butte, State of California, described as follows: Lots One and Two of the Northwest quarter and the Northeast quarter of the Northwest quarter, all in Section 18, Township 20 North, Range 5 East, M.D.B. & M.. Date: . I' -? PRO ERTY OWNERS: State of California ) On this the 3rd day of February 19 84 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) Joseph H. Schons and Rosenda Schons Ll Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. ca IN WITNESS WHEREOF, I hereunto set my hand and official seal.4 nni6unu1nn1n1nm/luuennnlnnlnmm�/® OFFICIAL SEAL _ MELISSA M. NIXON m NOTARY PUBLIC . CALIFORNIA w COUNTY OF BUTTE Z M, Commission Expires April 12. 1985 3 1111/ItIn11Soto college 01110110111111110111/BIG 101/11111L END OF DOCUMENT -v Notary Public ,�;441. AP V OWNERD �C:yLtl S PERMIT �� _ vZ-G MH UTIL.CLEARANCE DATE _ - / �-{ -.r7 INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Len th YESI NO YES N0. GN 3�`j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754, / ^�� APPLICATION AND PERMIT cP ASS SS R PA C L NUMB�i _ `�l< ZONIN�p / (///` BUILDING PERMIT OW 4 11 D -D 56 J0 TELEPHONE S SQ. FT. OCC. BUILDING VALUATION OW ER'S M IN DORESS iy�l / © r 7 i CO RACT R'S NAME IV tile V- TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR H` TECT OR ENGINEER IT$ LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E ARCHITECT$. OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �G v� 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(N Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ R1��emo el Utiliti tail tion Other ❑ / -� d �iJ % Describe work: � _, — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees With wages as their sole 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 oR ADDNST (ACCLBLDGSCCUP.k\ '/20SCIit / NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 12.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@5 Ot eAL030 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 agains aid County in y6nsequence of the granting of this permit. X Date 0 Signature of Applicant - Ownero Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3��s11tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D occuP. CONST*TYPEJ I PD I ND I Is uE JFLOODJP.R..LJ This permit is hereby issued under sions of the Butte County. Code and/or work i 'cated a o`e for which R CTOR OF PUBLIC BY ��— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �S [XXryyl �� _ �U(J Receipt No.51� 'T WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -4.y��yrr'r1 fl:..�tiY s,.�`��%�'�i1�.� y.D i�r .^X�..:+a � k, r:� r,.,.v u». .*: ���t_`= ,ta. ��.-ar;.`�•� �...1 ; ,' �. ..r f i-N�(.�(�..Arwft `�;;: .?t� M1':r•I ���.� '`���'A 1� � r• �! P" f} � � � �. i-��f-, ' '� � �5 -y''� �'L.+�:� 1 t. •Y � �=�1} 4 .li.�.�� ~ ?,'if �rhv va r ��� � ��i5 r -L l { i r>� t i..:rx_T{•�1�,,,, ! � I� i.r. � ��r•�gy.�l�'"' �'r.+ a/.� r f i-, 7 1` , - - COUNTY OF ?:�U,I TE` .DEPARTMENT OF PUBLIC WORkS'= BUfLDING''D@VISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFCjRNI/a 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ` Permit No. �[q OWNER G Oki A. P No. !D l Proposed Building Use Building Inspector Date At time 9epermit application, I was advised the following data must be submitted prior to permit processing and/or ' s ance: 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _._ Improvements may be required. . . . . . . . . . . . 6. Mobilehome Installation Data. . . . . . . . . . Pre -Inspection for__ Pre•Inspec. request to (Date) 17. ..__ _- _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ _ _ 20. Plot plan approval from city of 21. 22, Applica' G Date 1P. -id --lr�7 v- Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone _--nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma iI_counter y� date Plans checked by Date Plans approved by Date (1- 3c) Sets of plans on hold in File cabinet AP folder Copy—DPW en you issue thee jt, Io s as follows: Mail_jo owner, Telephone V ' and hold for pickup Ay)00 office, Mail to contractor_ Deliver w/inspector. Other _ Applica' G Date 1P. -id --lr�7 v- Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone _--nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma iI_counter y� date Plans checked by Date Plans approved by Date (1- 3c) Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: `An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will"be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: .Name Address City Phone Contractors License No. 4,. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner. Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sect;ons 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. This set ofplans and specifications MUST be kept on the job at all times and it is unlawful to make any cliinges or alterations on same without written permission from the Department of Public Works, County of Butte. NOTE -,All, Materials & Workmanship Shall p® Accordance with,' Recognized Good Practices, ars? Of a quality prescribed for the Specified use in A( Uniform Building, Plumbing & Machanical C yc Wk the Nco onal EIeWcal Code, Utility connections shall be withir 4 ft. of the mobilehome, either n ; directly behind or within the rear i sFf'7' half f the 3 mobilehome. o' permit will be required for ft V - Wt0110fiOn %i 4L - A setback of 5 ft. from the Property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft, eave overhang. 0 fk 0 7- FZ A AJ �,- 6 /- �/ �- �51 x BUM Ccs OWDING DEPARWENT APPROVE 2110-g7 , MI4Ql Z�S r-�-? 8 µT- 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: U/j'3 C/,r- ft r"' 2. Installer's Name: �r4�%% F] 3. Is the site currently under permit? Yes Fx- No (If yes, furnish permit number K 2 ) OR Is the site an existing site? . Yes 1-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes © No 1-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- 0;?0 Amps 7. What is the mobilehome site circuit breaker rating? ----- �� D Amps 8. Is there any other electric load to be served by the mobilehome site service? Yes No (If yes identify the load and size: (Load) E (Amps) 7 9.. What is the mobilehome site gas pipe size? -------------- (in.) Natural LPG .10. What is the type of gas service? ------------------- 11. What is the gas pipe length from meter or tank to the ---------------------------------- (ft.) I.mob,ilehome? ------------ W.hat, �s,,the. mob.' me gas as � , demand? ---------------------- (BTU) t i y p � ,A1*,(Zh.6s.,-ip1or.mat ion not required if pipe length less than 6 ft. on k,"atPrA18aN or than 50 ft. on LPG. ) �r . .less MOBILEHOME SUPPORT DATA ,r �) If other than single wide, Mobil ehome Mfr. furnish Setup Model No. Year %O Width(ft.) Box Length -60 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 11 2. Other (specify) SUPPORTS (check one)1. Concrete block.0 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE l.ln l Line .� — Line Main Beams Line` .—_ -- _ — — — —_ _ — — + �.ine — — — � Main Beams — — — — — — — —. — — ..r -Line w Tag or Triple Line 1 Line i Piers: Sire -Min. ------------ "x ' Spacing -Mux.--------- Fran Ends -Max. ------- ' LL+e 2 Piers: Size -M Li.------------ SpacL+g-Max---------- From ---------From Ends -Max -------- wags:------- loads: � '" w,�0 � Size -Min.------- --- J "x "x "x "x "x "x "x "x Line 1 Openings: Size -Min. ------------------ "x. Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size-Min-------------------ff 'Sp4cing-Max---------------- From Ends -Max.-------------- All R7'17"ItIlAlf Uw ation (From Front) Line. 4 Piere: Line S Piers: (Under Bearing Walls Only) Sizc-Min------------- Size -Min.------------------ k "x Spacing -Max.--------- �� Spacing -Max.--------------- From Ends -Max.------- From Ends -Max. �E � Linc_ A of mads: 911111 -- mo11xi:... �w EiVT Size -Mill. 11x 11x,II 11x x F location (From Front) - _ _ f IVX NOTE: All. Materials & Workmanship Shen Be ft Accordarxce with Recognized Good practdoes and .of a Quality Prescribed for the f3peafflied use anical in the Uniform Buildtn& P1u3n7D'n9 & MechaMl-- Codes and the N&UOn&l B190 IW Oode- t'�enQ� dire Sqe cQR`p�gt 0,46d Jmd ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 0 Fr. FROM THE SIDE AND � 0 FT, FROM THE REAR PROPERTY LINES AND S-0 FT. FROM THE ROAD CENTERLINE SHALL SE CLEAR OF STFUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. 0jJNTy 1EPOPTAAEN1 ,5e,qo/L/ _S 13L)ILDING r p p V n �� o F q q-oq� FFEVIEWED BY B BiJTTE 'CO. FIRE DEPT. CALIF.LIF. SEPT. of FORESTRY 13r . 'I-oved as submitted FD-lCappi oveC approved with conditbrlls per altiacher', sheet Signature Data I v ,_ `CDF FIRE,SAFE REQUIREMENTS � f _(4�g-o 97,-00/ s -TO sEN- AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [n 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of.properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards �] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-_,rtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing..up. to..40, 000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. Y 1273.04 Driveway Radius [J] 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [Y.] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�(�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of. -3--, F AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than .800 feet in length, shall provide a turnout near the midpoint of the -driveway. Where a driveway exceeds 800 feet, .turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [)(j 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall.provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of . road construction �,r fi_ial inspection of a building permit. Page 2 of 3 1%. � 1, Lr9 —6 3 7 -oL(q / o AJS fo s ,� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 d Ficus becomPiB mnts T <o�ed and ¢ meal Be ��ia s & �lorksn odgractices and NOTE. All Ua tl �pcoymized a o ecified use Ac�rdance for toLe p ecb�ca, ` ty escribed Pl bi't of a quab puild�, code the Unifo a loaO� $le 'i Codes sAd -4? (114 4A P � GaE� �0^�� Se A/ 0 AJ S TL.OT P,4 A-/✓ 4S � P& 4Q D ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 D FT. FROM THE SIDE AND S a FT FROA THE REAR PROPERTY LINES AND FT. FROM THE. ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. RENEWED BY BUTTE CO. FIRE= DEPT. CALIF. DEFT . of FORESTRY ❑ approved as submitted approved with conditions q . or attac;�-d sheer►�S . S�gn-afure ` — Data CDF_FIRE SAFE REQUIREMENTS; 97"-001 _ 0,3 EN - AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal. or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 127,2.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards K] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartezant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [`] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning II radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each -end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of �••, (- (10 o AP # PERMIT # KE (j(] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800'feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,'turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all / building sites on driveways over 30.0 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [yJ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [� 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [.] 2. `For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�l 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page Z of 3 Ct,L(gi-63 �j'7-0L45 AP # PERMIT # NAME other Requirements [.] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials [l 7 o� Date Signature Pagje 3 of 3 FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To Amount: 1-7- Fees Retained: �9/ q7•µ91 ' 27 Processing Fee: $ �S.6 MW ✓- Bldg Filing Fee: $ 1 ao. 00 ✓ Plbg Filing Fee: $ ao.6� Elec Filing Fee: $ � Mech Filing Fee: $ Energy P/C Fee: $ ✓ Plan Check Fee: $ Inspection Fee: $ SRA Fee: �v $ LAS, 0 • Total Amount Retained $ ,�'�� TOTAL REFUND DUE $ Uv REFUND CLAIM APPLICATION CLAIMANT'S NAME OSC MAILING ADDRESS ASSESSOR PARCEL #: n& L '-/'1O a D 3 RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. i SIGNATURE DATE PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ROSENDA SCHONS ADDRESS: 36 SCHONS DRIVE CITY & STATE: BERRY CREEK, CA 95916 DATE OF CLAIM: 4/8/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING Gnnnc n ciralir- cc IMPORTANT - SEE INSTRUCTIONS DATE --- v. ,cvcnac DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) JIUC AMOUNT PERMIT PAST ONE YEAR TIME LIMIT. (A.P. #061-490-003, B.P. #97-0491 & 97-0492, RECEIPT #210263, DATED 3/13/97, OWNER: JOSEPH & ROSENDA TOTAL AMOUNT PAID.. ..... ..........$398.00 RETAIN _�ESSING • RETAIN BUILDING PERMIT FILINGFEE..:....... $20.00 RETAIN PLUMBING PERMIT FILING FEE .......... $20.00 RETAIN PLAN CHECKING FEE.,, ...............$23.00 On TOTAL AMOUNT TO BE RETAINED................$151.00 TOTAL AMOUNT TO BE REFUNDED.........................$247.00 TOTAL $247. 00 �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 r and correct as stated. ,,Dated this day of 19_, at Calif. 1 Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the same. Dated this day, of , 19 , at Calif. Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM 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. 1*1 ALL STRUCTURES AND EOUIPMENT INCLUDIMe7t OVERHANGS SHALL 13E CLEAR OF ALL LASEMENTIC". A SET C-'- FT. FROM-. TNE. ISIDE AND PRCI�ERTY UNES MID F-,. r -ROM THE ROAD CEWERLIME SHALL BE OF STRUCTURES AND EQUIPMENT EXCr-.-- fM A 2 Fr. SAVE s�HoA✓ s L3 E rw • A,ee / -Vf- 4�, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _, 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 �y RMNO. (Rev. 12/96) APPLICATION AND PERMIT j a 9 ASSESSOR PARCEL NUMBER 61-49-003 ZONING U BUILDING PERMIT ", _P JOSEPH & ROSENDA SCHONS TEL l�I�IE ay SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 SCHONS DR BERRY CREEK CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00--. BUILDING ADDRESS 36 SCHONS DR Ener Plan Checking Fee Energy 9 $ BERRY DREEK $ PERMIT FEE S 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities C� Installation ❑ Other ❑ Describe Work: 1 BEDROOM 1 BATH 12 X 50 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 6C) nn PERMIT FEE $ 80.0 ELECTRICAL PERMIT Filing Fee 20.00 Main Service wov oR LEss 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ii 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. / DWELLING OCCUR OR ADONS. \ 8 ACC. BIDS. SO 3.50FT. NEW CONST. MULTI -OUTLET NON•RESID, qNDCIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FORURES 20 @''50 BA.50 LNS Ex. Occup. pV7ElE7g P.6.OEA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 0.001 Misc. Wiring EL !!� PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 fo with comply with t ose provisions. �,/!., X Date �� /� Sig ture of Applicant - Owner ❑ Contractor ❑ Agen —T 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 F $ 166 0 HAZ. D. FEES EF!LpO6 C p pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 210263 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ACOUNTY OF BUTTE -DEPARTMENT OF DEYELQPMENT SERVICES - BUILDING DIVISION e 7 County Center Drive - Orovilliii, Calil&nia" 95965 - Telephone (916) 538-75 IT NO. (,R6v. i 2'/g*6")' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 61-49-003 ZONING U BUILDING PERMIT' -JOSEPH I& ROSENDA, -. SCnONS TELtrgr SO. FT. OCC. BUILDING VAC VALUATION OWNERS MAILING ADDRESS 36 SCHONS DR BERRY CREEK CONTRACTOR'S NAME OWNER' TELEPHONE CONTRACTORS MAILING ADDRESS`_ CONSTRUCTION LENDER LENDER'S MAJUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR.ENGINEER/LICENSE NO. Filing Fee $ Permit Fee ARCHITECTO 'ENGINEER i§ MAU Rr S t. zl� Plan Checkiri - g Fee $ 23.00' SUILDINCY'ADDRESS DR .1-16 S Energy -Plan Checking Fee 1 $ BERRA'. DREEK $ PERMIT FEE $ 23,00— k LOT NO. U 8 D N I-STO ik s. PARCEL MAP -PLUMBING PERMIT Filing Fee 20.00 USED ,STRUCTURE SF. 0 obilehome ON Other -7+44. .4 Ike SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition ❑ 0Renbodel 0 Utilities � In stallation 0 Other 0 1 - Describe Work: 1 vBEDRO%1 1 BATH 12 X 50 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home 13P 1 @20.00 60.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 OOOV OR LESS.00 Main Service .A 0. LESS 23.00 23 LICENSED CONTRACTOR'S DECLARATION l,hereby,iffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER- DECLARATION N I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law -for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, rd'the structure is not intended or offered for sale. 13 1, as owner of thd property, am exclusively contracting with licensed contractors to construct th't project. 13 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW MONS DWELLING OCCP. 0 JES & ACC.B.S.U so 3.50FT NEW CONS T.' NON-RESID. 4 .=OICUITr.. @D7.50 OWER APPARATUS SINGLE OUTLETC.. Ex. Occu OUTLET OR FD(TURES 20 (9 1.00 SAL @ .50 UFITX.E0 A . OR Ex. Occup. PP C.= EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 0 20.00 W Misc. Wiring 23.00 PERMIT FEE 0. 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3706 of the Labor Code, for the performance of the work for which this.permit is issued. 0 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 MECHANICAL PERMIT Rling Feel'20.06- Heating Cooling -7, 77 Hood 6.56 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 theFEES workers' compensation provisions of section 3700 of the Labor Code, I shall fSftwith comply with those provisions. Date _3,I13/97 9ture of Applicant ---T---- '�] tT 9ant - Owner 0 Contractor 0 Agen 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 F#i $ 66AO HAZPO' I FIL c AD It ISSUE This permit is hereby issued undqr of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the ip plicablQ p visions Resolutions to do work been paid. ,,1,* Date (Date) — zluzoj No. Receipt HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4�-COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ': P MI 7 County 'Center Drive - Orovilli5, California 95965 - Telephone (916) 538-7541 R7NO. (Rev.ii/64 'I'L APPLICATION AND PERMIT 7 - ASSESSOR PARCEL NUMBER 61-49-003 ZONING BUILDING PERMIT j0SM1 & ROSENDA"SCHOIIS TEVqE SQ. Fr. OCC. BUILDING VALUATION* OWNER'S MAILING ADDRESS Y. 36 SCHONS DR BERRY CREEK CONTRACTOR'S NAMEMOM TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ti Fireplace Total Valuation 1$ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee ARCHITECT OR *ENGINEER IS MAILING AD - DR7S Plan Checking Fee $ 23.00. BUIL91NGADDRESS 6 S010R8 DR Energy Plan Checking Fee $ BERR 'OF,EEK I I I —[�7A� $ PERMIT FEE S 23.M LOT NO., SUBDNISION'r.",E MAP PLUMBING PERMIT Filing Fee 20.60 SF 0 Duplex -,0,NyobiIehome aK Other Each ach Trap 7.00 Solar or heat' um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. -SPECIFYSF.___ TYPE OFWORK '-New 0 on Installation 0 Other 0 Additi 0 Remodel 0 Utilities 13 Describe Work: 1 ,BEDROM I BATH 12 X 50 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home, F @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20:00 vo Main Service '.0oA oR, Es 23.06 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter �9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: -W 1, as owner of the property, or my employees with wages as their sole compensation, 3 will do the work, and'the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the` project. C3 I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST., DWELLING OCCUR OR ADONS. & ACC. BUDS. SQ 3.50FT.' N MULTI -OUTLET Go S RANCH CIRCUITS NON-RESNIOT @7.50 0NGELR APPARATUS &SIE OUTLET CSI R. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.0 BAL @ .5.0 —Ex. Occup. OFIX.ED A PPL.NS16.) EM, ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 70•W Misc. Wiring 23.00 J PERMIT FEE V (,A -nn WORKERS' COMPENSATION DECLARATION -.1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers, compensation, as provided for by section 3700 of the Labor Code, for the —performance of the work for which this permit is is ' sued. 0 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 MECHANICAL PERMIT FilingFee- 20:00 1 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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' °11 compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 3 A) 7 N'Q1 9 tura of -Applicant Owner 0 Contractor 0 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 F $/16 .00 D. FEES IMP I-FLOOff- COW PARC' pp HD ISSUE This permit is hereby issued undert of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I e. qppI ir ns d� berk en paid:' �! Date Dale R;ceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -M '*'--•.,..•-...mss---7..-.-y..----•...,..• ...--•�r�r,,tir� ..�--�'y'.w:r- v+c.:�a:ti,� � .�,:✓:. ,...�.-c>•- -:_ ._.,-.:r^ .�. .. 1. f ' • y COUNTY OF BUTTE -DEPARTMENT OF DEYELOPMENT SERVICES -BUILDING DIVISION " . =.P 7 County Center Drive - Oroville, Cali ornia 95965 - Telephone (916) 538-754x1 P RMI- No. (Rev.12'/96) APPLICATION AND PERMIT 17 1 5 ASSESSOR PARCEL NUMBER61-49—W3 r F ; ZONING U BUILDING PERMIT OWNER , ,J*OSEM & RM�A SMONS (Df �R TEI� ZyE SO, FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS 3% S}OS BWY CRW CONTRACTOR'S NAME 0W=TELEPHONE R ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER `•�`+.,,. _, LENDER'S MAILING ADDRESSt Fireplace Total Valuation $ ARCHITECT OR ENGINEER •�.--�:.,�,a ne- 1 1 LICENSE NO. Film Fee $ 1,2000" Permit Fee $ - ARCHITECT OR ENGINEER t MAILING•AODR S Plan Checking Fee $ 23.00 BUILDING ADDRESS - 6 QN$ DR Energy Plan Checking Fee $ r HERR ,• CREII ' yLOT $ PERMIT FEE $ 23.00 NO. SUBDNISION'S., r" .�,..,.. - PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOF$TRUCTURE ., � rry"W.*4 SF ❑ Duplex ;❑., Mobilehome IX Other t, 2 - SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities 13 Installation ❑ Other ❑ t Describe Work: 1 ,BEDRMI 1 BATH 32 % 50 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE t 80-00 ELECTRICAL PERMIT I Filing Feel 20.00 Main Service 2o.AOR. LESS 23.00 a LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, w will do the work, and'the structure is not intended or offered for sale. I7 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 I hereby affirm under penalty of perjury one of the following declarations: ] I have and will maintain a certificate of consent to self -insure for workers' + compensation, as provided for by section 3700 of the Labor Code, for the 'performance of the work for which this permit is issued. ❑ 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 1000A 46.00 NEW CONST., DWELLING OCCUP, SO OR ADDNS. 1 ( a ACC. BLDS. 3.5QFT: NON -R SNEW LID•} IMa cT',Du cu, @7.50 OWER APPARATUS --, a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BqL@'.5o Ex. Occup. DRESIDO urElFrsEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 • UU Misc. Wiring 23.00 63 flt3 r .• r PERMIT FSES k MECHANICAL PERMIT Filing Fee ` 20.00` Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) .not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. P Y P 2• ,IX Ma__ k' 1 •, r�+ r`�r,, __ Date �4�// Sig re of Applicant - aQ Owner OContractor ❑ 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 $, occ CONST. TYPE 0$ 66.00 HAZ. D. FES IMP L' 'FL Cp pARCar PD H D �' ISSUE �* ' ^ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON ' the applicable prowslons Resolutions to do work been pal#' T. Date Defo eceiptNo. rRA HITE•O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD•APPLICANT A, COUNTY.OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 5C ['1 0 A S A. P. No. Proposed Building Use k Building Inspector /? Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Ott DATE RECEIVED BY 1. All items have been su-Omitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 91 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... . Impact fees as shown on attached schedule. /J 12. California Department of Forestry plan 5orni a ees. 13. Flood elevation letter (100 year flood) by Ca sneer. .. ............ . 14. Sanitation and plot plan approval 6!'!D Health Department . ............ 15.`City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval.from City of Biggs/Gridley. . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection reque� 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . .......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28, Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date�3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept: Other Date By The following data must be submitted Wirmit issuance: (Circle�etem not checked above). 1. Index permit for above items No. _� �j ,/ 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail C unter by _ Date Plans checked by Date Plans approved by _�- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works fps c� is �olp rx? Le O� - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96; APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERD o �/ •- �Ic- 3 ZONING Z/ BUILDINGPERMIT OWNER TELEPMONC SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 1, 5 c—lti o N s PJ •cs/ q (✓-e -e :CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS :,C0.189TR bT1Dt�; NDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ ear D PERMIT FEE _ IDT NO. SUBDI'VISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation ❑ Other ❑ Describe Work: b pt! / be. I x,S CJ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 920.00 PERMIT FEE S 6. o a ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service 0oAORLESs / 23.00 023 P� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.v0WCR 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. ❑ 16 exempt under Sec. Business and Professions Code for this reason Main Service 200A 1000A TOING 46.00 NEW CONST. DWELLING OCCUP. CU OR ADONS. ( 6 ACC. BLDS. SO 3.52FT. NEC9 NON•RESIO. ANCH CIRCUITS OUTLET @7,50 APPARATUS 8 SINGLE OUfIEr CIR. Ex. Occup. OUTLET OR 20Q'.50 BAL Q .so Ex. Occup. oinLEEDTSA RE=.OFRA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 OZ� , s Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CI *I 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 `work®rs` 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 valuationEnergy • of one hundred dollars ($100) or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject .to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" 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 S Mobile Home Installation Fee $ Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date _ Data Receipt No. d o� WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 061-490-003 PERMIT#97-"0491 SCHONS, Joseph & Rosenda, 36 Schons Dr., Berry Creek Mobilehome Utilities ' FROM BUILDING DIVISION -BUTTE COUNTY I DEPARTMENT OF DEVELOPMENT SERVICES #7 COUNTY CENTER DRIVE OROVILLE, CA 95965 TO.. -- �-- JOSEPH & ROSENDA SCHONS ... 36„ SCHONS DR. 1' BERRY _CREEK , CA"" 9'5916 - �- -- --"` COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE' Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A'I� 061=490=003 —PERMIT#97=0491—' OmSCHONS,._Joseph_&_Rosenda f l C 36 Schons Dr., Berry Creek k tdit' ?'t :" Mobilehome-Ut'ilities—`—'`'--'—"—`--i PE unit No, _ Expires PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Unaervoor Niumbing Underfloor Electrical Underfloor (Mechanical Underfloor Framing Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan insuwation I I rirepiace rooting Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addres es . ;............. .,., lniormation... 24=Hr.ins :: Oroville 7 County Center Dr. 538-7541 538-7636 Chico 891-2751 891-2834 J: ../ Revised 7/94 UNITED STATES POSTAL SERVICE TM .IMPORTANT Because we know your time and money are valuable, we suggest you call your local Post Office before you install a mnrlhnar_ . Ask to speak to. the Carrier Supervisor, who will tell you the proper location for . your box and explain current requirements for mail box installation. The location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin delivery. Thanking you for your cooperation m-„ M, � -� . • �ll ��.. �GOuC�T.t L =�= 1 �- -� -•- ,.: moo+' � ' •. BUILDING DIVIsmENT OF VEMOPMENT 38M J ` 1. •• 1 7 COUNTY CENTER CRM •,•OROV0.UE. CALlFORNtA 96x66 -33Y7 TELEPHONE (910 5.167341 : FAX: •(916) 53&2140. RE: Attached.Mobilehcme Permit Dear Permittee: ;. :Attached is ,your mobilehome permit along with the :approved set of plot' plans ; and a job ,card : Please post the . job • card on the job . site ' in a conspicuous; loca.ticz :for ,the inspector to sign during .the: various phases" r also .have ;the approved :wit of plans : on' `the .:.site at Nall times :Tnspections:.will not be made if the job card and approved plans are not on 'the job at. the time of .inspection: . Please review the approved set of plans before you start work and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not ::proceed with the work without making the correction. The job card must be •signed by .the inspector before proceeding with each item listed..'. Should -the inspector not sign the card, a white correction notice will list the.. -corrections to be made and a call back inspection must be made before going any -further. Please allow 24 hours for -inspection service. As a reminder to you, it is illegal to occupy the mobilehome for which this permit is issued without approval from this office. Pleasc do nct confuse aas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If the work has not commenced,'a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to the installation of the mobilehome or utilities, please do not hesitate to contact this office. Michael C. 2_4 C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 061-490-003 PERMIT#97-0491 SCHONS', Joseph & Rosenda 36 Schons Dr., Berry Creek Mobilehome Utilities JOB FINALED (Date) Signature V=OK ., O = Not OK Not '=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'L'ft. / /Nat. or/ PL"ft./ /LPG 7. Electric -7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Sine -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector ` 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 = OK RESIDENTIAL (Single & Duplex) - N to 1' bl o pp wa e * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ t' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24. Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes Q No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 32. Equip. Clearances Panels-Motors-Mech. Epuip. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Q No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -W indows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: '. �' r�36 Schons 0492 061-490-003 PERMIT#97- Jooseda SCONSse -Rosen da Berry Creek },Mobilehome Installation �! COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION '7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 D PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT -T ASSESSOR PARCEL NUMBER 61-49-003 ZONING U BUILDING PERMIT OWNER JOSEPH & ROSENDA SCHONS TELEPHONE 589-1451 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 36 SCHONS DR BERRY CREEK CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 36 SCHONS DR Energy Plan Checking Fee $ BERRY CREEK PERMIT FEE = 43.00 11 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation CK Other O Describe Work: 1 BEDROOM 1 BATH 1 12 X 50 Gas piping system i - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S 0 yV11 ELECTRICAL PERMIT Fling Fee '20-00 Main Service z..AOREss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowSIN 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 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC CIRCUITS @7.50 E OUTLET EGLR APPARATUS 8 CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1'00 BAL o .50 UNS Ex. Occup. ouTLEEDrs P.,6.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE i 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 it h comply with t ose provisions. X Date �� /y � Siglicant - Ppl Owner ❑ Contractor ❑ Agent jireaokfaA2p'1p 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 $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143,00 HAZ. O. FEES P FLOOD CDF pp HD ISSUE - This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicabie `provisions Resolutions "to do work been paid. Date _ Date Receipt No. 210263 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION No4don"ty Center Drive,- Oroville, California 95965 - Telephone (916) 538-7541� IT 0. (Rev._12/96) APPLICATION AND PERMIT - 'S_EiSOR PARCEL NUMBER 61-49-003 ZONING U BUILDING PERMIT :OWN4R 4%W��,ROS�NRA SCHONS T 1451 SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36'90ioks' DIN 4ERRY CREEK d CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS,, Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINECR'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 36 SCHONS DR Energy Plan Checking Fee $ BERRY CREEK PERMIT FEE 43.00` LOT NO. SUBDIVISIONS NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 07- Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 11 Other 0 Describe Work: 1 BEDROOM .1 BATH 12 X 50 Gas piping system I - 5 outlets I t 5.09 Building sewer 15.00 Mobile Home S I GI �V I @20.00 - PERMIT FEE $ oyw ELECTRICAL PERMIT Filing Fee 20-60 aV OR LE: ' Main Service 20000A 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thit I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class' LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f ' or the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP OR.ADDNs- & ACC. BUDS so 3.50FT, NEW CONST. OUTLET NON-RESID. M.ULCT.I CIRCUITS C@7.50 POWER APPARATUS & SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES ) BA20 @ 1.00 L @ .5. ISIS OR —Ex. Occup. FITX�%APPRES,6.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.QO Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: CJ I.have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 MECHANICAL PERMIT Filing Fee 20,60 Heating Cooling Hood 6.50 Ventilation - PERMIT FEE, $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 forith comply with t ose provisions. X ?1e7110L .. 0'_t Date 9,7indicated re'of Applicant 19 Owner 0 Contractor 0 Agent An OSHA permit is requiredlfor excavations over 60" deep and demolition or construction ,of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.PO HAZ. D. FEES IMP yF FLOOD COF p c PID HD ISSUE L This permit is hereby issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Data 'Receipt No. 21uAd WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT , .. `� R -i i .�, .. .� - r, 'rH i..'t l S.. ''�. ii '•.-•• M titi•'! �w1jf�., _ �--�•-•- •-�-. � �; ,- _ -. ,� �.._ _ Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '4.7 "County Center Drive,- Oroville, California 95965 - Telephone (916) 538-75419 � PER IT No. (Rev.12/96)*. APPLICATION AND PERMIT ✓` ASSESSOR PARCEL NUMBER 61-:49--003 `f lJVU` ZONING U BUILDING PERMIT `•` -` owNER J $CfIONS T��451 4 SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 3 CJ 0 M ERRY CREEKO�j( •' . CONTRACTOR'S NAME ER TELEPHONE ' CONTRACTORS MAILING ADDRESS �r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS i ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ 23.00 7i�+ {� BUILDING ADDRESS 36 SCHONS DR dU Ener Plan Checking Fee Energy g $ BERRY CREEK $ PERMIT FEE s 43,00 LOTNO. . UBDNISION' SS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑K Other SPECIFY Each Trap 7.00 Solar or heath um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 BF.,OROOM 1 BATH 12 K 50 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TTJ GF W @20.00 PERMIT FEE $ tl 'Al- � ELECTRICAL PERMIT Filing Fee 20.00 - aooV OR LESS Main Service 20 AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter - 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. sD 3.5QFT; NEW CONST. - MULTI -OUTLET NON•RESID. 8 ANC I CUTS @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 ( i 00 BAL. @ .so Ex. Occup. ouT�Ts AEESID.DFR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: =.CQ I hd will maintain a certificate of consent to self -insure for workers' .Y ;;. ave anmare ,y 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.) C 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 complywith those provisions. P ir��'t Date cF /2 07 I,Slgn¢t re of Applicant - ® Owner ❑ Contractor ❑Agent% An OSHA permit is required for excavations over 60" 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 S Mobile Home Installation Fee $ 100. Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 HAZ. D. FEES IMP . FLOOD COF.. P OF'pp' fjs,. - ' HD IS§U *` This ermit is hereb Issued under P y of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I thea licatile rowslons� PP. P; ,. Resolutions to do work been paid ' Date _ (Da te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 061-490-003 PERMIT#97-0492 SCHONS, Joseph & Rosenda 36 Schons Dr.,, Berry Creek Mobilehome Installation rT-oKRI COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION k 7 Couhty 'Center Drive - eM4 Ciroville,. California 95965 - Telephone (916) 538-75411*) P RMIT O. (Rev. 12/96) APPLICATION AND PERMIT - - 7� , ASSESSOR PARCEL NUMBER 61-49-003 ZONING U BUILDING PERMIT t°"R - JWERI A RMENDA SQA NS 3XI451 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 36 SMONS DR BURY CREM CONTRACTOR'S NAME MNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAJUNG ADDRESS FireplaceI Total Valuation $ ARCHITECT OR ENGINEER I LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee I _23.00 BUILDING ADDRESS 36 SOWS DR Energy Plan Checking Fee $ BMMY CREM $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE X SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 1 7.00 . Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 installation O3K Other 0 Describe Work: I DEDR" I BATH 12 X 50 —Gas iping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home, I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OVOR R LES: Main Service Z0=1 Zoon O LES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �/ith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW !�ff OCCUP. OR ADDNS. C. .S. . so 3.50FT.' ''LT,' OuTLu' NON-RESID. NEW CONST. .cc ITS 97.50 POWERAPPARATUS E ( PSINE ,R. ) Ex. Occup. ( CUTLET OR F[XTUAES ) aAL @ 200 1.00 .50 . —Ex. Occup. UFITXLEDETSAPP C.= .OR) FA_ 5.00 — Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.60 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 MECHANICAL PERMIT Filing,Fee 20.Op Heating Cooling Hood 6.50 Ventilation _T PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Date A;I t� Jr sS' tial of Applicant 715 Owner ❑0 Contractor ❑0 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 $ 1uu4iiju Energy Inspection Fee $ occ CONST TYPE CONST. TYPE TOTAL FEE t 143.00 2.A FEES IMP L FLOOD CDF' 'p Pp, HD Ue This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ti PERMIT EXPIRES ON the applicable provisions Res'nliitloins to do work been paid. Date (Date) receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .a COUNTYaF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Sc I , n, S 11 A. P. No. /o L 2 7 - 6D 3 Proposed Building Use 1:21A/ -Z- __ __ Building Inspector Date _ 3- /3 -9 �2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ................. ................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signedby preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ...................... :....................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . �9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... inFees of $ .......................................... impact fees as shown on attached schedule. .. --� 1California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. P.... .re -Inspection requ� 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan c eck list...................................................... 33. -T/e S 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 19 Parcel Creation Acreage Applicant�Date G /3 Copy of Haz-Mat form; sent . Health Dept. Fire Dept. Air Pollution Date Copy of plans sent `. Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:JCi, ale new 1. Index permit for above items No. 2. Additional items required: checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # S4_1A DA, 4; qq-.o a PROPOSED BUILDING USE 0�Z_' DATE.. REC # DATE REC 1. BUILDING PERMIT FEES Balance Due ................ $ . Additional Fees Due............ Additional Fees Due ..........1. $ Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $_ Units Commercial (sq.ft,) ... x $0.03 = $_ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) x = $ #Units Amt. Commercial (sq.ft.) . x Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES 1 $425.00 (paid at Building Division), SRA FIRE INSPECTION -AND PLAN CHECK $89.00 (paid at Buildilng 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 WOO - 3-13-'1-7 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. ti APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) 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 pr perry improvement : YES] NO[ ]. ' ..2..-1 HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work . 3. I have contracted with the following person (firm) to provide the proposed construction NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: - CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS _ PHONE TYPE OF WORK SIGNED:, PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 3/11&9:z 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. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. Foryour protection, you should be aware that as "owner-builder" you are the responsible party of record be signed by property owners unless they on such a permit Building permits are not required to are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) isS3 or more as be the entire project, and such persons are not licensed. as contractors or subcontractors, youmaye 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are deral income taxwithholding, federal social security taxes, subject to several obligations including state and fe workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your ent of Benefit Payments and the Division of Industrial obligations under State Law, contact the Departm 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 employe-.s, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" t the property owner is providing his or her own labor and material building permit, erroneously implying tha red to be signed by property unless they are performing their own personally. Building permits are not requi work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10201 Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aN�,we of these matters. The building permit will not be issued until the verification is returned. Siin6eerel , /t Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ,7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING . / BUILDING PERMIT p,, NER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD SS n �G �i o.✓ j car (re e `COklMCTOR'B NAME ,�y (l LcJ e TELEPHONE CONTRACTORS MAIUNG ADDRESS '.:CC.NBT CTIptJ.�NDEA .. .. Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAWNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5C Energy Plan Checking Fee $ � PERMIT FEE $ :3 LOT NO: SUBD NIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTAUCTURE SF ❑ Duplex ❑ Mobilehome then SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0- Other ❑ Describe Work: t�a� �C�� X © Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.".A ORIESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: O I, es 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. ❑ 1, 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 4 I have and will maintain workers' compensation insurance, as required by Section . • ._. 3700 of the Labor Code, for the performance of work for which this permit is issued. 'My'workers` compensation insurance carrier and policy number are: Carrier Policy Number (The ,above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2 TO 46.00so E0 CCUOOOA NEW CONST. DWEWNO OCCUP. Sp OR ADDNS. ( 6 ACC. BIDS. 3.5¢FT. rNO RESIDT .LCI CIRCUITS OUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FDRUREs A0 O'•50 Ex. Occup. SAL 0 .so ED Ex. Occup.ouTrAP 'ISo°F5.00 '-Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ L &--,L- HAZ. D. FEES IMP FLooD COF PARCEL I PO HD I ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) rReceipt No. HITE•D.D.S.-B. . CANARY•A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FROM BUILDING DIVISION -BUTTE COUNTY TO DEPARTMENT OF DEVELOPMENT SERVICES #7 COUNTY CENTER DRIVE OROVILLE, CA JOSEPH "& ROSENDA SCHONS 36 SCHONS.DR. '"BERRY'"CREEK, CA 95916 COUNTY OFSUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. u.. A,N061=490=003 ---PERMIT#97-0492._I..f OviSCHONS,�Joseph & Rosenda 36 Schons Dr., Berry Creek I , Mobilehome Installation PErr",tt i`do. Exaj s PERMITTEE MUST CALL FOR INSPECTIONS moungs Piers - Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing VY: 111 ua YYI VIYYall '/1YY�YV1 II ai.Y '. i. Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan ` ;;: Do;Nat.Insulate'UntilAbove':S�gned . Insulation Fireplace Footing Fireplace Throat _.... Do NotContinueFireplaceUntif:A6ove Signed. Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses . Information 24` =Hr Ins >< Oroville 7 Count Center Dr. 538-7541 538-7636 Chico 891-2751 891-2834 Revised 7/94