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Home My WebLink About062-330-010N1 I + 0621-330=010 ..} 92-2262. P, E. KELLY-;` 'James �.96�Sand Cr6ek,Dr',,Oroville ymh, utilities;_ ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT 0 E d RESIDENTIAL, 062-330-010 92-2262 P, E-�� KELLY, James f, 96 Sand Creek Dr, Oroville mh utilities I 'i f OFFICE COPY Address GA& n�rP M�-By ELECTRIC Meter ByLA Dat 40.1 JOB FINALED (Date) - 1111V— Signature s r J=OK O = Not OK Not ApphReady MOBILE HOMES =Not Ready Date MO LE HOME UTILITIES Plans OK except #'s Hing Requirements -Setbacks -Easements ils; Special MH Support Sketch ewer; Locatiqn-Test-Fall-C/0 Concrete LK6Eater; Location -Test -Easement Needed (Sketch) lectricity; Location-Clearences-Grn / Amp -Concrete 6. Gas; Location -Test -Wrap: / /% "ft. / /"Nat. or/ /" L"ft./ /"LPG 7_AUau_Glea mce & Disconnect 8. Utility Clearance Date /-0 .9 and B -t Date Card B-1 DatSge&l Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; NIH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy i Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 a MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK,except #'s 1. Zoning Requirements -Setbacks -Easements ^ 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -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 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UNARFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 ft's 16. Water Htr.: Vent -Access -Combustion Air-Baffie 17. Water Pipe; Test & Anchor -Nail Protection ------- ------ -------------------------------- -- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------- - ------------------ -- ----19. Shower Pan; Test, First Floor -Tub Access --- - - 20. Test Tub & Shower, Second Floor -Tub Access -------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------------- ------------------ ---------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ----------------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ----------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. -------- - ------------------------------------------------ 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------- - -------------------- -- ----- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI _ _..--------------------------------=------------------------- 22. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At - -------------------------------------------------- 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------- --------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. - --------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- -- --------- -- ----------------------------------- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34.- A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ---------------------------------------- 36. --36. Condensate Drain & Overflow: Size & Grade ------------------- ------- -------------- - - 3T Furnance-Vent: Access -Comb Air -Return -Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ------------------------------------ -- --------------------------------..------ --------------------------- --------- Date Card B-1 Date Card B-1 - --------------------------------------------------------------- --------------- Date -------------Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors ------- ----------------------------------------------------------------- 4-0.. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - ---- - --- ------------------------------------------------ 42. Draft Stop in Walls (rat proof) -------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- - ---------------------------------------- ------------ 44. Headers & Beam -Size & Bearing iiingle & Duplex) +Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50.- Garage Fire Protection Framing 51. Property Line Firewall & Openings 52 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Head room -Rise-Run-Landin Fire Protection ------ ------ ------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------------------- 55. Siding -Nailing Veneer -------------------------------- __ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _ __Card_B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- - 62. Smoke Detector ------- --------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------- - - ------ 64. Bedroom Exiting - ----------- - -------- ------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67, ------------- 67. Stairs & Rails -------------------- -------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. - - ------------------ --- 70. Kit.Fixl. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------- 7l..-Elec.-Outlets & - Rece tacles at Kit. Counter - -- ---------------- 72. -Garage -Fire -Door: Door: Swing -Landing -Closer --------------------- - Duct in -Garage -Damper -- ----- - - - - 74. WIr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------ ---------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes --------------------------- ------------- - - - - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C.Unit Disconnect. Electrical, Plumbing --------------------------------------- ----- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to -----,Openings 84. Water Well: Disconnect, Electrical, Plumbing --------- ---------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle- Under9 round 86. Ventilation Throughout House .. - -- - - --- - - -- -- - ------------------------------------ 87. Glass Protection ...... ---------------- -------- 88. Corrections from Previous Inspections-------------- - - - - - - -- --- -------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---------- ------------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval _ 91. Energy Compliance Certificate -Other Certificates -- - - ---------------------------- --- Date Card -B-1 Date Card B-1 Date Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE . 2 OWNER / PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please/contact this office ' mediaately. /n /n_ -1 ow &114 a Date / CJ L Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 _ APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - -062-330-010 ` ZQNING U BUILDING PERMI. OWNER JAMES KELLY 0 TELEPHONE E EPH NE NONOWNER'S SO. FT. OCC. BUILDING VALUATION ' MAILING ADDRESS P.O. BOX 5546 OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 96SAND CREEK DRIVE OROVILLE Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME * PARCEL MAP 0 ,/ CL o sa 'VAC 3 -� Z Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel,[] Utilities [E Installation❑ Other ❑ Describe work: MH Ii p--' �Qrse i ��i /od _ Permit Fee $ 60.60 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner,'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with -licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ACDNS. 1 ACG. BLDGS. I/ 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES 20 760 FIXED APLNS. Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all - iabilities, judgments, costs, and expenses which may in any way accrue a ai st said County in co eq en a of the ranting Of this permit. G ig ature of Applicant — Owner Cant ator ❑ Agent OSHA permit is required for exca ations over 5'0" deep and demolition or construct - n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz 0FEES IMP FLOOD CDF -� PARCEL PD ✓ ISSUE This permit is hereby issued under the sionse/�_sions of the Butte ounty Code and/or work i Aicadove fr which fees T OF UBLIC By MI ate applicable provi- resolutions to do have been paid. WORK$Receipt Date No. 117311 128.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD ENROD-APPLICANT I ^ r,r j`L: 1(3vf � •.��'W ri_" " "1f"i1✓.v��'i..'�' •Yis�.ii; i�,Y'M''. ^, COUNTY OF BUTTE 7 COUNTY CENTER DRIVE IDA& Proposed Building Use `,�lt'�'Y1�' �'si'��K.:y'V,-'--tiq...4„�-•`\r.;Tu:.- ....� •• IENT OF PUBLIC WO,;'- BUILDING DIVISION OLE, CALIFORNIA 95965 TELEPHONE (916) 538-75 PERMIT APPLICATION DATA SHEET A. P. No. 69 "7� 3 -1 Building Inspector Date 6-29-52 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. .. .. .(5�25-42 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4: Engineered -plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ......:... . 10. Fees of $ . .................. I ...................... 11. Impact fees as shown on attached schedule . ............................. . .12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ....... . c� 14. Sanitation and plot plan approvaljj;C6 Health Department. ...4. 15. Citf of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ . Co*taGULan '�vvcjprentpRyt/�) Improvements (B) Drainage. ........ . 19. Driveway permit cons ruction approval required prior to occupancy). .. ... srequest20. Pre -inspection foF required. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 4. 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 . .............. I........................ 32. Plan check list . .................................................... 33. ' Y 34 \ When yp6 i Tel Ott Parcel Cres Acreage _ e permit, process as follows: Mail to owner. Mail to contractor. Zn 1386 and hold for pickup at lw- office. Deliver with inspector. Applicant Copy of Haz-Mat form sent Health Dept. Fire DeptAir Pollution Date Copy of plans sent Health Dept. Fire Dept. (0 her Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date ` Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by LSr Date - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit 4 en z i2 � has been issued for the above property. date Si ature TO Buildina Department �Q FROM: Environmental Health SUBJECT: Sanitation Clearance � Z `2 JA—A X AP# Owner. Location Plan Approved for: Hold final for: Sewage Disposal x 7inal clearance O.R. for: Clearance for -3/ bedroom mobile home. Other NOTE * * * 61 Water Supply {�r�✓1' Water Supply Water Supply 2 -- Date Sanitarian 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. h {have/have not signed an app 'cation 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: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -BUILDING ZONING PERMIT OWNER Mle N L2 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE MAI G DD S CONTRACTOR'S NAME ca) v, e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ��\% / BUILDING ADORES!? \J V penult fee $ PLUMBING PERMIT Filing Fee 15.00 Dry U 1, cc;,, Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel I Utilities' Installation[]Other ❑ Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification E] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLOGS. / 3.64sq.ft. NEW CONSTR. ULT' -OUTLET NON.RESI BRANCH CIRCUITS) ^ 5 00 POWER APPARATUS e OUTLET CIR. EX. OCCUp( OUTLETS OR FIXTURES AO 76d P 464 Ex. Occup. ou LETS PRESID IREA.� I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ S� Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Pernit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 86D HAz 1 0FEES I IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT ��S-fl Receipt No. �� 31 IZ�- WHITE-O.P.W.. YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 1a r3a and NOTE; a C�oo3 Pra,cttae �ncoidenae for tie ;3i�e P� �aalit,Y P B dingy, giumb —,r1 :L the Unif e 1�3atio nnt3P.8 and as s�v� & clew APPROVED Butte County Environmental Health ate ----------- ------ Signature permif 'fl b r COUNTY OF BUTT BUILDING DEPT J U N 2 9 1992 W+ a required for IM .05 f� !afiorf of fhe mobgehoma Avg cud", TO Buildinq Department 4 CO NTV OF BUTTp FROM: Environmental Health BUILDING DEPT � J U N Z 9 1992 SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Fold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other % "� 1 C04r 4 4 NOTE Date Sanitarian R ar'n, to DPW AGRICULTURAL STATEMENT OF A0KNOWLEDGE4 T 92 -28 60.1 FOR RESIDENTIAL DEVELOPIMMT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ' 1 The property described herein is adjacent 9 E-0286 0 1 1 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 1O:57am 29 -Jun -92 I PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which ` occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent .property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All fhrat real -property situate. in -the County of Butte, State of California, described as follows: LOT 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES, SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE' RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. Date: State of County of zF L On,this the undersigned OWNERS: , day o'I J ce,_ e.,� V, 19,?2-, Notary Public, personally appeared W JCAUFORMA personally known to me. Proved to me on the basis O F F I C I A L of satisfactory evidence. JAMIE STbe the person(s) whose name(s)�,� NOTRRYPUBLIC-bscrlbed to the within instrument and acknowled ed that"COUN YOFecuted the same for the purposes therein contained. IN WITH SS "'° +Comm. Exp. SeEREOF, I hereunto set my hand and official seal. Present A. P. No. [�7a Notary Public END OF DOCUMENT X� COUNTY OF BUTTE BUILDING DEPT. J U N 2 9 1992 130 tjoesffiaB� ccd C+ood ed uge Nom. a�ee vim' P c, fok ttj.n Spec �ecbas�ca� gcco -� BregGT1 .P-i�b'r4 e. (A Ux �1 Build�9B tical Cod 1 t ea6 tte l kation of structures & nt shall be as sho`J n i' eq & clea f all easements- { APPROVED Butte County Environmental Health -z- ---------------- �ate I ---- - ----- - ------ 1 - Signature t i7. A permit will be required for ice► a,—fff Hat on of the rfiobil