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062-560-003
t I 77_ 16 21 6 6 I Cfll ', � '', L!D ' Cfll RESIDENTIAL 93_1221 1) 062- JAMES & CAYD� EEK CASx' LN BERR S �I�/ 4P��R �U OfF 57 OFFICE COPY Address I GAS I Meter By Date ELECTRI Meter By Date E ' n JOB FINALED (Date) Signature 1404M Moxi Y V= OK O=Not OK Not =NotReeaadyable MOBILE HOMES OK except #'s Hing Requirements -Setbacks -Easements ils; Special MH Support Sketch LA'Sewer; Location -Test -Fell -C/O Concrete ater; cation -Test -Easement Needed (Sketch) -� 5. tricity; Location-Clearences-Grnd-/ /Amp -Concrete Gas;.LocationTTest-Wrap: / /"L"ft. Clearance & V Clearance la ' Date/Initials MOBI OME INSTALLATION Plans OK except #'s Zoning _Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Fater; MH Test -Regulator -Connector 7. at nd Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged Fxfts; Insp.-Sketch , Cert. of Occupant MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'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.;Enciosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Slagle & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped , p• 8. Piers -Fireplace Ftg.-Steel.,,,' 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test. 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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 Edoe of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI .28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) t 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles. 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ' 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector , 63. Furnace; Vents -Clearance -Comb. Air -Connector-' In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Lending -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor L; 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; Pibg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -/22- PERMIT 2ZPERMIT NO. LUcaatinei mpection indicates that the following violations of Butte County Ordinances exist at tileaflam addiress and should be corrected. Please notify this office when correction of work iacampfhtadLCfyoui have any questions pertaining to this matter, or need additional explanation, playse: cgcLzm:t this office immediately. n1ilm s / �_ Inspector .,. IF. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 rt1 p PERMIT1tN0. " Address or location of mobilehome� � / r Owner's name (A—� 4 Owner's address Insignia or hud number A'a1 1_c f ?d,( / fi A 1' A FL 7 e-/ ` Manufacturer's name Q0,4o'l.0/ey' �8 � Serial nu ber of V.I.N.I L1 Ev �'— Year of manufacture Y loffici 4 --Approves Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. HIS FORM SHALL NOT BE USED WHEN THE. MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. White - Owner, Yellow. -'Installer, Pink ,D.P, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 91 .'538-754 APPLICATION AND, PERMIT fD ASSESSOR PARCEL NUMBER 062-560-003 ZONING U I BUILDING PERMIT OWNER James & Carole Cash TELEPHONE 589-3363 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 122, Berry Creek 95916 CONTRACTOR'S NAME Mobile Home Center TELEPHONE 741-3818 CONTRACTOR'S MAILING ADDRESS 1225 B. St., Marysville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 4 Pam "R" Lane Berry Creek 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 S I G I W 615.00 TYPE OF WORK New a Addition L_j Remodel CI Uti lities ❑ Installation Other ❑ Describe work: MHI (2 Bedroom) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS _ 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p er f y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification F-1 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 r 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.9 OR ACDNS. ACC. BLDGS. I 3.6Q sq.ft. NEW CONST R. ULTI.OUT LET NON-RESID BRANCH CIRC ITS /� ` 5.00 POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO 76a FIXED APLNS. OR I Ex. Occup. OUTLETS P(RESID ) EAJ I 3.00 Temporary service 15.00 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 Consent to Self -Insure. I shall not employ any person in any manner so as to become subjectHood 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 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 t ve, i demnify and keep h less the County of Butte against all liabilit judg nts, cost and e e which may in any way accrue against id Co in onse nc t gr ting of this permit. �T X Date %� $ignoture of AppFie>!rT-- owner Contractor ❑ Agent ❑ An OSHA TTTCCC ion of structures toverr3gstoriesoineheightions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $70,00 Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $,1-05 .00 HAz DFEES IMP FLOOD DF ARCEL PD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees By pl p BLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS �,) Date lo/ r 9-f' Receipt NO. 141057 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I wtr1"akiq+4,ib'lCWIFY, COUNTYOF BUTTE - DEPARTMENT ORDEV OPMENTSERVIC S - ILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... ' 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ..................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... j8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 0 Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval 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 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. ..... 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 y >ri issue the etmit, process as follows: Mail to owner. Mail to contractor. Telephone Wand hold for pickup at office. Deliver with inspector. Other r Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. LZ- Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new,item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by ,7 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 r 7j ZONIN BUILDING PERMIT OWNER � TELE 0 E fo SO. FT. OCC. BUILDING VALUATION OW R'S MAI ING A D D R,SS CO NTRACTOR'S NAME TELEPHONE 7V 5- COTACTOR'S MAILING ADORESS �/?Se5 L� OG)Or�)�(f/j� G1%, Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation is Filing Fee $ 15.00 1 LENDER'S MAILING ADDRESS 1 I Permit Fee $ .ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $'6 Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDREs� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 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 USOF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New Addition;_; Remodel;_ Utilities ❑ Installation Other ❑ Describe work: / \\ 1%��•!l� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO I000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p er I y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- FI ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCURM OR ACDNS. l ACC. BLDGS. / 3.66sq.ft. NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRCUIT @ 5.00 APPARATUS h (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APLNS. Ex. Occup. OUTLETS PIRESID )REA.) I 3.00 Temporary service 15.00 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. 1 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. 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. XDate c Signature of Applicant — Owner a Contractor C j Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Receipt No. /dS�2 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLICANT I MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S ,D Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ ho This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUN'T'Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A.P. NO . PROPOSED BUILDING USE ,�y DATE School District Fees 09-0 6)1 � S ( paid at Distric�Of Sheriff Fees' (paid at Buildifig Department) Residential ......... unit amt. Commercial(per sq.ft.)= sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential.(per unit)_ # units amt. Commerical(per sq.ft.) x =$ sq.ft. amt. 'V 4. Recreation District Fees (paid at District Office) la-� 5. Drainage District Fees ( (Contact Land Development) 6. Other 7. Other REC. # DATE REC 3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE trr�}7*'�`.+��ts.�znw*�v�,%v��'.r-.'�,isay,h-ill.��d�+r�di'�'s*t�`*���'i��;,,•r �4 �� e'��i��'�;:��a:+t��`^,•+°.�.,�,,;,�'*�:'y;,s;;�,� 0 0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM y, (One Form Per Building) School District 0 A-� UAI HS Building Department No. A.P. Number Jurisdiction 0 CityCounty Property Owner �2,41qoGF e 5�� Property Location/Address Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition A(roup ) Units Commercial/.Industrial ding 0 If ntative 0 0 Sq. Footage New ,,--•Addition (Including Exterior (Floor Plans reviewed by School District Personnel) Roofed Areas) Date District Identification No. 9 3® 6 9 9 QiLD-G-f.(,Q2 l 74 -rl I A'AA School District certifies that OAAA-�r2 i Q (Applicant) Af PQ.,►<w (Street Address) w (Phone Number) AA (City) (State) (Zip Code) has complied with the requirements of Resolution No. p q / (�,� �•�%d. ` by payment of $ representing square feet. School District Aepresentative Date Paid by Check Number Bank Number Paid by Cash 10A& 9 r: �d 1 X If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) A5 3 �G� M4�^^q ,fir, �,� ,� T MW���, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil,le, California 95965 - Telephone: 916,`538-7541 APPLI&ATIJk AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER 062-5607003 ZONING U BUILDING PERMIT OWNERTELEPHONE James & Cash 589-3363 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , P.O. Box 122, Berry Creek 95916 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is None Filing Fee $ NV A LENDER'S MAILING ADDRESS Permit Fee $ • ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 None Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 4 Part "R" Lane Berry Creek Each Trap 1 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome® Other Mobile Home S I G I W 3@ 15.00 45.00 SPECIFY TYPE OF WORKv�vII New ❑ Addition LJ Remodel ❑' Utilities U Installation❑ Other ❑ Permit Fee $ 60.00 Describe work: Extend Utilities _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 18.50 Main service 20rATO 1000Al 37.50 CONTRACTORS LICENSE LAW NEW CONST.( DWELLING OCCUP.&) 3.66 sq.ft. I declare under penalty of perjury (check one): OR ADONS. ACC. SLOGS. / NEW CONSTR. ULTI-OUTLET @ 5 00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS h (SINGLE ) and Professions Code and my license is in full force and effect. OUTLET CIR. cense No. Classification Ex. Occup( OR FIXTURES 20 761 ,� I. as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 1 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Facilities 1 15.00 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $48.50 — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling rl,�r—1 shall not employ any person in any manner so as to become subject I Hood 6.50 to the W. C. laws of California. J Ventilation Notice to Applicant: If after making this statement, should you becomesubject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE ndemnify and ly jeep har s the County of Butte against I also agree to sFde TOTAL FEE $128.50 all liabilitie funts, costs, ff ex sec hich may in any way accrue HAz OFEES IMP FLOOD cOF PARCEL PD HO I su against s Co c• seque of ng of this permit. =--� X t Date .3 This permit is hereby issued under the applicable provi- Signature of Applicant — Owner�ntractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height. D C O BLIC WORKS 140602 By Date �6Z 3 Receipt No. PERMIT EXPIRES Da WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A, I' I1 111'1 I1\ 1'lut I'lun Alluehul '} Illr,ur Phut Alwchrd �Sktu to If,II4L �;,�L�l..�� VN 7 I : _ DLI u lig eptutm�,nt * FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location < < �% Plan Approved for: Sewage Disposal Water SLI 1 1 : I'ublic . Clearance for �bcdroom niobili thcr �,� Hold fi Final clearance O.K. for: NOTE Environmental Health 5peclall iL\ 8/92 AP# Private Well —/-/- ,� e4,v 93 1�=.-...� "'`.✓-.•...7y;�,ur}'•11��'�:`����1✓'�--"'t;v4"-^�,r...""'-y'•--'`r.rn+=-r�`'._..�- t -ti. 1. COUNTYOF BUTTE - DEPARTMENTVEL.gPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-E, CALIFORNIA.(j5965..*TELEPHONE (916) 538-7541 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 o Datq� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -PERMITAPPL,I*CAPON DATA SHEET OWNER (1C `�- �q iC2f 0 A. P. No. Proposed Building Use _ .2v Z4 - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo by Cal'fprnia Engineer ................... Sanitation and plot plan approval fOtl / Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction -approval required prior to occupancy). .. .. ... . 20. Pre -inspection for Pre -Inspection req°st 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...............4....................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail too ner. Mail to contractor. Telephone and hold for pickup at r'o office. Dem r with inspector. Other Parcel Creation Acreage Q Applicant 9J Date Copy of Haz-Mat form sent Health Dept. "Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other-- Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 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 o Datq� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBi_iC WORKS, 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 e. APPLICATION AND PERMIT C/ (a C� - 11 (0 C/u J 1 7 pp OWNER O yyyTE ' SM A I L6 t., — / - V' iJ l- �S ( ) tY CONTRAA)CTOR'CS NAME I ITELEPHOF4 PERMIT NO. BUILDING PERMIT SQ. FT. I OCC. I BUILDING VALUATION CJZv ne-r' I CONTRACTOR'S MAILING ADDRESS Fireplace CONS,TII7UCTION LENDER One— UNKNOWN Total Valuation $ Filing Fee $' i LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER J 0 Me—— LICENSE NO. Plan Checking Fee ,q, Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD R 55 l` /1 e &C Permit fee $ PLUMBING PERMIT Filing Fee 15.00 i 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 _ Re del L__: tilitino I stallation[ Other ❑ Describe work: t n �} a t Permit Fee $ /, (gQ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS200AORLESS 18.50 Main service 20CATO 10ooA) 37.50 • CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 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 _j 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.&) OR ADONS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRCUITS) @ 5 00 POWER APPARATUS (III OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR Ex. QCCUp. OUTLETS IRESID.) EA.) 3.00 Temporary service 15.00 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 5100.00 (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. ❑ 1 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per is X Date Signature of Applicant — Owner a ❑ 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 $ occ CONST TYPE ! ,TOTAL FEE $ 018-, HAz I DFEES IMP I FLOOD I CDF I PARCEL I PD I HY .I SUE 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 PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date 17�D� Receipt No. l WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION f 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%ovement (yes or no) 2. I (have/have not) signed an ap ication 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 Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AP # (� /l,"�� '--00 OWNER 00,-9 h� PERMIT'It �,3 1�'Ii t UT IL . CLEARANCE DATE `S INSPECTOR�- ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe Size Length YESI NO YES NO, ,v,�la LPA 6D HOT'I: An Matertala Y Workmanabip ShAU Be TM Acoordanoo with R000gnized Good Praoticed and, of a Quality Prescribed for the Specified UV6.1 I Godes and **N&UOW RlGGtrkW,C-o&, linvironmental Health MA Y 03 1993 Oroville, California IbU 80t adplans and MM be kept on tha)ob at all Limes and It Is unlawft to make wW changes or alterations on same without written Permission ftm the DepacUmt of Publtb Works, County of Buts. -SEP l,' 4z A T f q Nilf V 9V 0 Is c 0 <1* v 011 30 ' P1C13ILL Aj Oof •'-! rltvl dbufd gikfafiatdav4�YC�`r `i•' faWe°feS,". UWIRDIA Plli: 7xiou az. I .rf'i! � �!„+,�' �¢i.�i'!t"?`��L, G 'i� :.: `C?a"',fi0"':"�'' �vi��`� f1 �r}•' Ali- sAt &a T8(ful u t6,'g tkai! ods:tfla LH't67i" • �� X:��'�e6:;v.s� � :: �r:r. ^_::` Y.�i' Y� d�e��,° r.�:o ,tgs7[ R; ' :ttme�3�v a:xe�� :.+� erFcta$vs� ^o ��� sf.� rs,4�tm • - r:G> q�p'� m,�s ttt�;i�.i1�r� ��f �x� s4e3l�R17R°r�� �fsJ+t°tev • oW 40 � : ��`•,r � •LSF' t„Lo. • �' X3'4-� f �'�'p�� off, �• >' `'��� , - • BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,•CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: J 61 M(S 2. Installer's Name: C4Z OILCZI C (.6�7"/ kO-3 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR TV Is the site an existing site? Yes No F-1 (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 (If no, clarify* 4 5.. What is the mobilehome electrical rating? --------------- / Amps 6. What is the mobilehome site service rating? ------------- 6.�0 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the 0. mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: W�L L— (Load) / / (Amps) 9. What is the mobilehome site gas pipe size? -------------- � tr/(.�� .(in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12.. What is the mobilehome gas demand? -------- -------------- A//,4(BTU) *(This information not required if pipe length less than' -6 ft. on natural gas or less than 50 ft. on LPG.) VU �s V% No MAT XPPROV- MOBILEHOME SUPPORT DATA C f� LA If other than single wide, Mobilehome Mfr. /"r furnish S.exup Model No. Year Widths 3 f ZI (ft.) Box Length SZ (ft.) Tagalong or Expando Size I ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufac urer's instal ation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 1:1 2. Other (specify) a SUPPORTS (check one)1. Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations :..----;`-,��s/'/-�©�---�- SINGLE -WIDE X O N R 0 ��) G� ��/Y (J' MULTI -WIDE S(� I�I? �y• LLineine 1 2 140 `C j@�,/ 1 e f� ` -- Clain Beams — — — — — — •s- iq — — — � Main Beams — — — -----------�---- Line 1 Piers: Size -Min_ ------------ 'k ' Spacing -Max- --------- From Ends -Max - ------- Line 2. Piers: Size -Min. ------------ N I. Spacing -Max. --------- I- I. From Ends -Max .------- Line 3 Roof Loads: Size -Min.------------ Z_ "x Location (From Front) /7 7- e 4 Yrers: Size -Min .------------ 'k " Spacing -Max.--------- ., From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Tag or Triple Line 1 opeoiDAS: CCn(TE�Z �I�nyfvi��c ,qLs p ;FO Mir- DF�lCE. Size -Min- ------------------ Each ---------------- Each Side of openings with Width over-----7--- Line 3 Piers: (Under Bearing Wall only) Size -Min. - ----------------- Spacing -Max.--------------- From Ends-Max:------------- �_ w e 7 Piers: tunaer DC -1.6 Size -Min. ------------------ 'k n Spacing -Max. ---- ----------- From Ends.Max-------------- RESIDENTIAL 62-56-03 1499-91P,E CASH,James 2- 4 Pam "R" Ln; Berry Creek (utilities/mh) OFFICE COPY Address Met Date ELECTRIC Meter By Date JOB FINALED (Date) Signature — V=OK j O = Not OKNot • = Not Readyable, MOBILE HOMES ' Date M091LE HOME UTILITIES Plans OK except #'s . pning Requirements -Setbacks -Easements Soils; Special MH Support Sketch SSWer; Location -Test -Fall -C/O Concrete ter; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grn Amp -Concrete ion -Test /,swat -erre n.i i LPG A) . Clea _e Utility Clearance Date1 Z7 �5 Card B-1_Y_Date Card B-1 Date Card B-1 v Date Card B-1 Date MOB LE HOME INSTALLATION Plans OK except #'s .Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line s; H Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances rai ; MH Test -Fall -Flex Connector ate ; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 1 . Gas and Electricity Tagged Exits; Insp.-Sketch L,11Cert. of Occupancy Date % /a. Gf/ Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 vt1v 2-16q7 9/l_ !<lg.s� 91 496v� L f, MISCELLANEOUS ` Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-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 -Mash 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-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 ✓=OK O = Not OK + -=Not ApplIReadyable ' = NotiReady RESIDENTIAL (Single 'y Duplex) ' - Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire 'Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel-Wrapped 52. Ext. Doors-One T-Check Garage-3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic 0 Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks ❑ Yes ❑ No; Planters ❑ Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; PIbg.-Appliance- Fireplace. -CI earance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Ef 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 41 CQ,<� 2-2S-ql T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office # when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. l Y tiYl /� ® T �y S d f9 /f� �� r CSC S O `L e -p " _? An r t� Date Inspector V WT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 ,� PERMIT N0. 2 z 6??S- 94 Address or location of mobilehome � d- 04 t e� 1, C e-( Owner's name Owner's address ��etyvt Insignia or hud number Manufacturer's name �� ✓� -•� ��� • - f Serial number of V.I.N. � f 49 7 Year of manufacture I Appr6v4'nq Installat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBJLEHOME IS INSTALLED ON A FOUNDATION SYSTEM. A D:P.W COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, 061fornla 66868 - Telephono: 6113/538-7641 :Z n/ {- APPLICATION AND PERMIT 1ARCBL NUMBER ZONING 62-56-003 V ®UILDINQ PERMIT OWNER TtC9PPONM CASH 60. FT. OCC. BUILDING VALUATION w nr G n P.O. BOX 122 3—E.RFRY CREEK 95914 CONYRACTONTYT7=ff OWNER TH HONH CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 19.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 PAM "R" LANE. BERRY CREEK CA Permit fee $ 25.00 PLUMBING PERMIT Flling 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❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities El IristallatipoRk Other ❑ Describe work: — * Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADO'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 NEW CONST. ( DWELLING OCCUP.&) . ORACDNS. ACC. BLDGS. '/zQsgft NEW CONSTR. U TI.OUTLET NO N.RESID BRANCH CRC" 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®001< eALOao FIXED APPLNS. OR \ Ex. Occup. 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 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. I 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 FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ments, costs, a d expe s which may in any way accrue against sai ou y in onseque oft gr i of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excovat ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOT L FEE $ 70.90 rAz. CUA- PARK sc FLD coF PA PD ) HD Issu . This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS BY Date PERVT EXPIRES Date Receipt No. 94491 70.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4 tt7Mii� f. COUNTY OF BlITTE - DEPARTME:N4 F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI_E, CA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET v Permit No. - 'OWNER _ �n hAe,,f ILS A. P. No. 6 Z Proposed Building Use A r/ -- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in -duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................. ........................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fee,paid ' K 13. U U K School District fees paid .............. %� 14. Sanitation approval from Health Department -15.a City of Chico plumbing permit ................................. r16 Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B,) Parking: .... ' 18. Improvements may be required. Contact'LandDevelopment Section DPW 19. Driveway permit (construction approval,recuired prior to occupancy) 20. Pre -Inspection for -`I t required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No;,, Name Style, Classifications .. . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Maihto owner 0) ..... 24. Recorded copy of,Agricultural Acknowledgment Statement ......... � Lett of signature authorization 26. ,��f��2 �G�f/Ilr/Gf .............................. ,07,9-/ 27. When you issue the permit;process as follows: Mail to owner. Mail to contractor. �L Telephone S&q-- 3-Mrid hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 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_mai-,..eounter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date /—, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - provlller California 95985 - Telephone: 918/538.7541 APPLICATION' AND PERMIT PERMIT NO. / 6— 00ZONING A51111951110M PAAC9L NUMNRR ::Z-6 — 6.2 BUILDING PERMIT wN Ra Ayes cis HONK as 7-33;Io S0, FT. OCC, BUILDING VALUATION OWNaR'S MAILING ADORK33 0 3 ox I2Z IC3e Creek `t 55 CONTRACTOR'! NAM AV � r 0 LJ I -e. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NVD`L UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEERE�p ✓ v 6P(V� LICENSE NO. Plan Checking Fee $ , D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �� 41 RAl Ji L-14 13er rC& C'/+ Permit fee $ 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❑ Mobilehom 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 WOR New ❑ Addition ❑ Remodel ❑ Utilities Installation Other ❑ Describe work: Ad —_� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V 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. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI OR AODNS. ( ACC. BLOCS. , /20sgIt NEW CONSTR ULTI.OUTLET NO N.RESIO BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES SAL090Q IXEO APLNS Ex. Occup. OUTLETS PIRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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. 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 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. m� Energy Inspection Fee $ occ CONST TYPE �% d _ TOTAL FEE $ /� ""z I CUA 1 PARK I scHL I Fro I coF PAR i Po i i]71SSUE I This permit is hereby issued unser sions sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. %Oy WHITE-O.P.W.• TELLOW-A36r33OK. PINK -INSPECTOR, COLD ENROO-APPLICA. r .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 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. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM p 6.3 / ( One Form per Building) -r-R Q / p /- O a Z A. P. Number 6,2 `'S(""Qd3 Building Department No. .School District Q/� ���r"/ City County 0 Jurisdiction Property Owner Project Location/Address ( Pt9M "F, ��fN Subdivision Lot Number Residential Development: O Sq. Footage #,of Living MHI Addition - (Group R) Units , Commercial/Industrial: New. 0... Sq. Footage Addition (Including.Exterior Roofed Areas) 7 -- er-- Building Department Representative Date r (Floor Plans reviewed by School District Personnel) d District Id No., 920265'-k i A ,. C lA/IA-A In, I School (Applicant Name) I,7 S District certifies that (Phone Number; (S+-reet Address)" razz" - �A'u I . . 9� 9 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by t e. payment of $ 1a33 representing 71/square feet. S 1 District Represer,4ative Date PAID BY CHECK NO.. BANK NO_#-667(� PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district ` SCHOOL.FEE (8/88) C. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive_, Oroville, CA PHONE: 538-7541 MOBILEHOAE INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name:'='s/� 3. Is the site currently under permit? Yes a No D (If yes, furnish permit number 57f/ ) OR FYI Is the site an existing site? Yes �No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yesit No 1-1 (If no, clarify r 5. What is the mobilehome electrical rating? --------------- G' Amps 6. What is the mobilehome site service rating? ------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 17 (If yes, identify the load and size: �� (Load) , <-)(� 1%* (Amps) .-�- 9. What is the mobilehome site gas pipe size? -------------- (in.) I\ 10. What is the type of gas service? ------------------- Natural � LPG -` �J 11. What is the gas pipe length from meter or tank to the mobilehome?-----��11--1�__riLi�b_/�------------------ (ft.) * 12. What is the mobilehome gas demand?-aG-T-64-E�--T --- (BTU) *(This information not required if pipe length le�ssZt��; 6 on natural gas or less than 50 ft. on LPG.) g,,1.n-E COUNTY BUILDING DEPARTMENT A P P R O V E D 7—/a - 9i I i 115bitehome Mfr. ���'?(;tilt Width / c) (f t. ) MOBILEROME.,SUPPORT.. DATA If other than single wide, furnish Setup Model No. Year -'-7 Box Length" S (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.0 2. Other (specify) SUPPORTS (check one Ql- Concrete block. 11 2. Other (specify) Pier Footing Sizes and Locations SINCLE-WIDE MULTI -WIDE 1.1ne I Line I Line 2 _ -- — — — Main Beams Line 3 Main Beams Tag or Triple Line 1 Piers: Line 1 OoeoinRs: Size -Min- ------------ � � Size -Min. ------------------ Spacing -Max. --------- , „ Each Side of Openings From Ends -Maxx-------- With Width Over--------- RAWLine 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ ` „x G �„ Size-Min.------------------ Spacing-May ---------- ----------------- Spacing-Mar.--------- r- CJ „ Spacing -Max. --------------- From Ends -Max.------- From Ends -Max -------------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Spacing -Max.--------- _ D From Ends -Max -------- Line 5 Roof Loads: Size -Nin.--- --- ------ Location (From Front) Line 5 Piers: (Under Bearing Walls Unly) Size -Min .--------------t-; Spa%—E--Zennvlu BOLOW. G. DERA A P P R 0 V E i AP OWNER PERMIT Z MH UTIL.CLEARANCE DATE 7191 INSPECTOR __� c GAS Support Struc. Compaction Test Re . ELECTRIC Service Size Other Load Type Pipe Size Length YES NO YES NO 0 VIII S° 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 062-560-003 ZONING U BUILDING PERMIT OWNER '' James M. Cash 1_E- TELEPHONE 589-3363 S0. FT. OCC.1 BUILDING VAL AT ON OWNER'S MAILING ADDRESS P.O. Box 122 Berry Creek 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VN7WN $ Total ValuationNone Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR i:.N ;I;JEEP, None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PamollLane Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 L I O. SUBDIVISION NAME PARCEL MA//P �b Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[-] Mobilehomep Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Q 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.SINGLE 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.fid\ OR ACDNS. ACC. BLDGS. yx2sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20050S 9AL03o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15 Misc. Wiring g 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. ❑ 1 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. ® Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expense hich may in any way accrue against s County in consequence of he gra ti g of this permit. X �j-- Date Sign a of Applicant — Owner Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.50 HAz. cuA PARK SCHL FL EDF I PARI PD HD ssu This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab a for which fees have been paid. IR.E O By Date F BLIC WORKS �/q PERMIT EXPIRES ate_ ([ T'� L� 93630 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 0. ---.��o�-,nr ;��.,,,..5�'+��L!Y. `. +�'.•'�rr•a:-^�..�..•-�w:�u�ll. �tsY" r��Y7J::s �a�.i�n. Tt.� ;. ,. COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR&ILLE, CAb:LIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .� /n�!! aa�� I^ Permit No. OWNER KX2 d 1`_ 6 D 00 u aojeS Oas r( A. P. No. Proposed Building Use (/L Building Inspector Date S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............. :...................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) _. 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico. Urban Area fees paid ....................................... 12. Park fees paid ............. :...................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. �lmprovements may be required. Contact Land Development Section DPW PW. Driveway permit (construction approval required prior to occupancy) 1 20. Pre -Inspection for required Pre-Inspec.request 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 Acknowledgment Statement ......... 25; Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at Dro office. Deliver w/inspector. nthAr 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: ( I 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_-jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by , Date 02 Copy—DPW Sets of plans on hold in File cabinet AP folder TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance U l� Cc,A, V o� — V V - Owner Location AP# Plan Approved for: Sewage Disposal -�G Water Supply L-1911 Hold final for: Final clearance O.K. for: Clearance for --�— bedroom mobile ome Other Water Supply Water Supply NOTE *** Sanitarian �- ate TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# v t/ Plan Approved for: Sewage Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for ' bedroom mobil home. Other NOTE Sanitarian Date i COUNTY OF BUTTE - DEPAJRTMENT OF PUBLIC WORKS PERMIT NO. 7.County Center Drive - Oroville, CalJfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSORPARCEL UMB R (ttf6 _� -�'- D �d ZONING BUILDING PERMIT OWN a TELEPHONE S0. FT. OCC. BUILDING VALUATION OWR'S MA1 ING ADD 5_��� CONTRACTOR'3 NAM Ow vt e v- - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO N""ST�RUCTION LENDER _ UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permi: Flee $ ARCHITECT OR LN..iNEEP. � LICENSE NO. Plan Chesking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q f4/t Permit fee $ 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[] Mobilehomeo Other SPECIFY Gas piping system 1 • 5 outlets 5.00 Building sewer 5.00 Mobile Home V M 10-00 ea 36. 0 TYPE OF WORK New Addition❑ Remodel[] IUtilities stallation❑ Other ❑ Describe work: /"J J Permit Fee $ Q QQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 5100 OR LESS OR 100 OR LESS 10.00 1Q_Q Main service EA. ADD -L 100 AMP 2.50 S` CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, ( DWELLING OCCUP.&) OR ADONS. ACC. SLOGS. / ,�2Q$q� NEW CONSTR. U TI -OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20050t 5ALa3O FIXED ALNS. Ex. OCCup. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lvirin 9 15.00 Permit Fee $ 3 S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIirig Fee 10.00 Heating Olin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, and expenses hich may in any way accrue against i County in consequence of gra i g of this permi -� X Date —� Signa r of Applicant — Ownerjnj Contractor ❑ Agent An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE _- TOTAL FEE $ HAL I CUA I PARK SCHL FLD CDF I PAR PD 1 HD. ISSUE This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 0 WNITE-D.P.W.. YELLOW-A3eE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 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 worc. 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: c Property OwnerQ,244�--M x,1/1 Social Securiy N. tuber Date 5' / 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. but not limited to cultivation, plowing, spraying, pruning, and harvesting which XX 5.00 5.00 1 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 1 91-219 'OF 7.8 Return to DPW AGRICULTURAL STAZEIMENT ACKNOWLEDGEMENT ►A N_P OF A 'hni'I_0N OF T NE FOR RESIDENTIAL DEVELOPMENT -VAC �Ns)7 QANIMk of Section 26-8.1 of the Butte County Code 33) 1 OWNSWIP. 2:1 NoA i N) RAS CE 5- C AST requires this acknowledgement be recorded F IL b 1 N T N o f I C E OF T r; �CCAI�DE.� prior to issuance of a building permit. T KE CO%Ap4T�f OF 34't"TI STATE aF" CA1.1 FORM A� OCT08CA 2? t g So 91-081978 1 Rec Fee The property described herein is adjacent I Cash to land or included within an area zoned Recorded 1 for agricultural purposes, and residents Official Records 1 of this property may be subject to incon- County of 1 veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs 1 but not limited to herbicides, pesticides, Recorder 1 and fertilizers; and from the pursuit 2 53pm 4 -Jun -91 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which XX 5.00 5.00 1 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 that real :property: situate in .the County of Butte, State of California, described as follows: ABEL 3 hS SNOX,�'tN IDV4 T kPQQC L, ►A N_P OF A 'hni'I_0N OF T NE tqol�T� N. -f OV -VAC �Ns)7 QANIMk of '5C(-1.00 33) 1 OWNSWIP. 2:1 NoA i N) RAS CE 5- C AST w N I c g i A?"C.E: L M ATP _WAS F IL b 1 N T N o f I C E OF T r; �CCAI�DE.� VF T KE CO%Ap4T�f OF 34't"TI STATE aF" CA1.1 FORM A� OCT08CA 2? t g So i Al Sook 77 OF PARCEC, MAPS, AT PAS 51, � Date: [ E 4 qqI PROPERTY ERS: dE r State of ) County of $ uL ) oFF2CIJIL SEAL Catharina M. Van Oa Pavan NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY My Comm. Expires Feb. 3. 1995 Present A.P. No. On this the " day of ZL4o,/cr , 19_qL, before me, the SS. undersigned Notary Public, personally appeared �jQ Ly r _c M o 2 c A nJ Cfl 5 _meq rJ� C as re le- A n n C yrs 1� Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) A R £ subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNE S WHEREOF, I hereunto set my hand and official seal. Notary Public END OF DOCUMENT LTJ ca °oo a toi 1QOTE: All MaterlaJs;& Work3UEV. riP . aria 94�� it is a Accordance with Recognized Good Practices and. a , of 41 ,times s On S� of of a Quaaity Proscribe. for the Spacii ed use t' 0% as at or altcratiO a in the Uniform Buildiing, Plumbil g9 � 0hapioel ' sept °n g8 from 'g Dem` j I I Coae� and the'Nt� &wl Electrical C0oQe� az sEP'i C_, MIN-TCR 4" Po U N D �"�v Vim! Le . I NSTALc.ATi brit , OO i oo To OT. of rig oS e� . �: c0 age LLQ Ale lie ;. :� 100 �• i _.�_' � I I , `-`- / Op f t ..�• j + ! ws`! +