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Home My WebLink About062-610-004t 62-61-4 " GEORGE MORIN�iJ-�-�j ty` 122 Seminole Drive, Ber'r Creek Jim Potestio Contr; Y 15� lL '0 / / ' 3 " �� ' Permit#2259-86P,E(util, MH)trAvel trail. ELEC ' GAS SUPPORT STRUCTURE REQ COMPACTION TEST -REQ. ��41 `-04 ,. Permst# 444-90B (new garage s,0.. :4 C.� � C. I I c PERMIT NO. 2259-86PE MH) J-7 travel trailer PERMIT EXPIRES OWNER GEORGE MORI CONTR. Jim Potestio ASSESSOR PARCEL 62-61-4 LOCATION 122 Seminole Drive, BC a , OFFICE COPY Address o 1 �By ELECTRIC 0 Datj,V,S7. Meter By Temp. P, T_ _—_— Called PG&E _ r i Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINALED (Date) l�/ 3 Signature -4 JOK 0 Not OK — = Not Applicable = Not Ready 7,_ MOBILEHOMES MISCELLANEOUS Date MP_q6kCEH0ME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Walt; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing lectricity; Location—Clearances—Grnd.—/JEM Amp—Concrete A-9 ws-MWorr Test—Wrap: //"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures— olumns—Connections—Splice—Decal—Enclosures6-9ws'tdWorrTest—Wrap:/ 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card-BIXX`__Datet7j1_?ft� 44 ICE Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI - Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date It, J = OK a. 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6, Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -Bl -Date Card -BI Date Card-BI Date Card -BI Date Date Card -BI Card -BI Date Card B-1 Card B -I Date Cartl-BI Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs _& C.J. 24. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes -No 28. Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir•. Ties-Purlin-Roof Brac.-Truss-Shihnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) r Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ _ Glazing Area -Glass Protection -Skylights -Plastic. . 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer _ 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. 74. Insulation -Foam -Looked in Attic E) Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor C Yes 75. Following instld.: Drive C Yes ❑ No: Walks C Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground _ 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. _ Gas -est-Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Com lents at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PLIRM T NO. -� 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 Y APPLICATION AND PERMIT 000 ASSES O PARCE UMB R ZONIN BUILDI G PERMIT OWN TELE- SO. FT. OCC. BUILDING VALUA N �y( OWN 'S MAILI AD ESS CO T TO NA E HO E 1 � r CO CON ACTO 'S MAIL G A E S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty. $ BUILDING Permit fee $ /s6(9 ADDRESS 2 r ;I Q J0 0 PLUMBING PERMIT Filing Fee 10.00 i \ C W Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO/ SUBDIVISION NAMEPAfi/,',R, 1L MAP+ "/(l7� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFO. Duplex[]Mobilehome[ Other Building sewer 5.00 SPECIFY Mobile Home S 10.00ea (� TYPE OF WORK New ❑ Addition ❑ Remodel ti itieslnstallati n❑ Othe Permit Fee $ Describe w rk:Contractor ELECTRICAL PERMIT Filing Fee 10.00, Main service 6001 OR LESS 100 AMP OR LESS 10.00 gq 0a Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW oa ( DWELLIN OCCUP.&) +/z2sgft I declare under penalty of perjury (check one): ADDNST G NEW CONSTR.MULTI-OUTLET / 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS NON.RESIC, BRANCH CIRC ITS ( POWER APPARATUS e) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 0 50F License No. Classification AL0 8ALe30 El 1, as the owner, or my employees with wages as their sole compen- FIXED APPLVS. R Ex. Occup. OUTLETS (RESID )EAJ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facili 'es 15.00 ` ® I, as the owner, am exclusively contracting with licensed contract- [` ' \ ors. (Sec. 7044) 15.00 LJ ❑ I am exempt under Sec. , Business and Professions Code IPF — I ki S. for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling f�sl I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ 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 $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against occu P. CONST.TYPe FLOG ARCE ISSU all liabilities, judgments, costs, and expenses which may in any way accrue I 4PD�ND against aid County in consequence of the granting of this permit. (i �_ / (o This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of App ' nt - Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep d demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. �o`� l'v00 By 2- Date Receipt No. L)� WNITE•D.P.W.. YELLOW -ASSES OR, PINK-INSP OR, .OLDEN OD -APPLICANT PE T EXPIRES Date %�A�L E6 —/ v�� TO: BuiRdin, From: --'TTIvironment:'!J Subject: Sanitation Cle;aray-cc, C4 el )'Y) If Lo/ a—vL Location Plan Approved fo.,,: 0:; Bold final. for: Z- AP,,j- O,Iter :-pply -u I I L'i 2I ( - - :Upl)ly. Final clearance. G.KI. .`or: w:Aer supply Clearance for !,cd'-roc-i,.i mob-ile (A l 1 pl— —4- Ca K� qanitar4L. COUNTY OF BUTTE - DEPARTMENT X -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-- OROVIL' `E`,' ACIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER UEOr/�C— d t/ 1 d► A. P. No. Proposed Building Use. Permit Fee Based Upon Complete Contract Price DPW Valuation r 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. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 6. Mobilehome Installation Dala. •Pre-Inspec. requesQ4 - ✓ 17. Pre -Inspection for C-' :C� t Required. Building Inspector i'aote) 18. Record-,' �r ural Acknowledgment Statement . _ ( onstruction approval required prior to occupancy , 09 Ste_ 19. Other _ — /N^4r en you Issue fte permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by ate 1 ---- Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. A. P. No. 62_6/—Ll Permit Fee Based Upon: Complete Contract Price DPW Valuation. Building Inspector Other (Explain) At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted... . . . . . . . . . ., Plot plans in duplicate/ riper I�i a e.J . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . f . Sanitation approval from Om�t� Health Dept. . . ilia 114 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance: 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) IL_ 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Insp7. Pre -Inspection for Required.•Buildingec. requestk--O�T— gkH&Ac (Date) p Building Insp ct r OtherReco � AY �tructionm approval required p o 0 Occup y . Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other , �p Appl ica L- •Date F- Gr Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW TO: Building From: :T virmnontL, "!] !Ioz�l',-.1 Subject: Sanitation 6i(?O p n 'Location Plan i1pproved. fo.,,: Hold final. for: Final clearance A. I c, r: water supply LAP Clearance for lap( I, - bec-.iroom itobile 00me. Oth::r LO PNQ� '-anitari ;-M D " it c 1. 'P:4turn to DPW AGRICULTURAL STATEMENT 4 -ACKNOWLEDGEMENT RECORD`D IN OFFICIAL RECORDS OF BUTTE COIJXTY,CkLIFO..RMIA FOR RESIDENTIAL DEVELOPMENT AT7SJfRE,U�S''OF Section 26-8.1 of the Butte County Code requires this acknowledgement Jd-f a- L_ be recorded prior to issuance of a building permit. 86-25402 1386 AUG -6 Pik 4: O The property described herein is adjacent to land or included ELEANOR M.BECKER within an area zoned for agricultural purposes, and residents of q�qn4ECORDER FEE. property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides. and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: II pp Date: PROPERTY OWNERS: State of I•� -17' oA, On this the ��day of 198?,61, before SS. me, the undersigned Notary Publicl personally appeared County of �L (' {��ve�e�a�a4oaa®®�mo®®omo�tsaoO® e " ; DEBORAH A. DAVIS ;.� NOTARY PU13LIC-CALIFORNIA ®e Butte County p My Commisslon Expires April 30,1990 if RI -CM Dowon Dunce vaatraowns 1w Present A. P. No. �' ) ( L� Personally known to me, X,, Proved to me on the basis of satisfactory evidence. to be the person( whose name W / C ubscribed to the within instrument and ackn6wledged thr at executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and o cial seal. Notary Public 86-03839 i j DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I -A: Parcel 3, as shown on that certain Parcel Map entitled, "The E. 1/2 of E. 1/2 of Section 22, T.21N., R.5E., M.O.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State *of California, on September 1, 1982, in Book 89 of Parcel Maps, at Page 40. RESERVING THEREFROM a non-exclusive right of way for road and public utility purposes as shown on said Parcel Map. ALSO RESERVING THEREFROM a 30 foot wide non-exclusive right of way for ingress and egress, traversing the Southeasterly portion of said Parcel 3, as shown on said Parcel Map. PARCEL I -B: A non-exclusive right of way for road and public utility purposes, 60 feet in width over Parcels 1, 2 and 4, as shown on that certain Parcel Map entitled, "The E. 1/2 of E. 1/2' of Section 22, T.21N., R.5E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 1, 1982, in Book 89 of Parcel Maps, at Page 40. ENO OF DCCUtiSCNT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5341541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R 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. Inspector Date !' This set of plans and spec;f+r!-Vtions MUST be 6pt on the job at all times and it is unlawful to make any changes or alterations on sam 'th V written permission from the De artment of Public NOTE: All Materials & Workmanship Shall Be in Works, County of. Butte, p Accordance with Recognized Good of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes Ur{ the National Electrical Code, r^' y77, oa Utility connections tall be within PWAC f- , 3 4 ft. of the mobileh me, either ? /yl, $r/—y0 directly behind or vf ithin the rear half of the roadside (left) of the mobilehome. - A setbac4f 5 ft. from the property firles and a setback of 50ftfrom�he road centerline shalla clear of structures or equi ment except for a 2 ft. eave ove hang. Cu a�6 9�-o4 BUTTE COUNTY BUILDING DEPARTMENT APPROVED tc for am bw, 0 arr.,f Hr. to -,a!L';�-(+°t'.V Irl Y`2 I'd ine"ti-millp 10 vipp*"A. YPO f Mhoqsa So boot) LAI y 'T*!f.".'--!,jV"i,9, J fl C- qclq wit �a �� Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 90-43296 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 90-043296 Ree Fee 7.00 for agricultural purposes, and residents Check 7.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of , but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs 7 of agricultural operations including, but not limited to cultivation_, plowing, Recorder S:01am 9 -Oct -90 JJ 2 spraying, pruning, and harvesting w ich 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. �p g ate of California, described as DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I -A: Parcel 3, as shown on that certain Parcel Map entitled, "The E. 1/2 of E. 1/2 of Section 22, T.21N., R.5E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, or September 1, 1982, in Book 89 of Parcel Maps, at Page 40. RESERVING THEREFROM a non-exclusive right of way for road and public utility purposes as shown on said Parcel Map. ALSO RESERVING THEREFROM a 30 foot wide non-exclusive right of way fo: ingress.and egress, traversing the Southeasterly portion of said Parcel 3. as shown on said Parcel Map. PARCEL I -B: A non-exclusive right of way for road and public utility purposes, 60 feet in width over Parcels 1, 2 and. 4, as shown on that certain Parcel Map entitled, "The E. 1/2 of E. 1/2 of Section 22, T.21N., R.5E., M.D.M.", saic Parcel Map was filed in the Office of the Recorder of the County of Butte. State of California, on September 1, 1982, in Book 89 of Parcel Maps, at Page 40. 90-4329-6- OWNERS: a-43296 OWNERS: ee 4 IN _ - v State of OA' V6ngi& On this the day o 08-D6eK 19 a0 , before me, the SS. undersigned Notary Public, personally appeared County of Rp��+� � �D1'•i y') OnVIOAL SEAL zQ Mb b r 1 'n MICHELLE A.GACHIS NOTARY PUBLIC -CALIFORNIA F] personally known to me. Proved to me on the basis ' PRINCIPAL OFFICE IN of satisfactory evidence. ALAMEDA COUNTY to be the person(s) whose name(s) 'C-- My Commission Expires November 24, 1980 subscribed to the within instrument and acknowledged that S executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. A'A Notary PL lic END OF DOCUMENT Ulm 70 o my � U � Y '• RASIDENTIAL 62-61 3444-90B MORIN, James & Roberta 122 Seminole Dr, Berry Creek (new garage) JOB FII Signa J=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK%-COYERS,CARPOR LS, GARAGES Plans OK except #'s Z,qpiKg Requirements-Setbac s ments Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders:And/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-E)racing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EI ctric Frmcj; An rs-Stud -R - ra sees &e § ng; Nail' - ene 'Stucco-Mieeh- R,h g-Ro ing Ext.; Steps -Doors -Landings Date / Card B-1 Date Card B-1 Date &OX&Card B-1 Date Card B-1 Date POOLS (Plans) 61K 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-PaneIboards- 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 J=OK O = Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-i /" 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-PAaterial-Support-Ins. 58. Shear Walls; Nailing -Bolts _ 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at•Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks O Yes 0 No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical. Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform 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 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drivb - Orovifle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3444-90 Y /I ASSESSOR PARCEL NUMBER 62-61-04 ZONING U BUILDING PERMIT OWNER James & Roberta Morin (916)589-5231 TELEPHONE SO. FT. OCC. BUILDING VALUATION 576 M 8, 064 OWNER'S MAILING ADDRESS RKNX518 Silverleaf Dr, Or v'lle or (415)635-5917 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 74.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q$ $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 122 Seminole Dr, BerryCee Permit fee $ 121.75 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❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 e TYPE OF WORK New XX Addition Remodel❑ Utilities[] Installation ❑ Other ❑ Describe work: 24x24 garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusineS$ and Professions Code and my license Is In full force and effect. )cense 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2/z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS b (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2050¢ SAL®30 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 $ 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 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. 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 agai t said Coupty in onse uence of the granting of this permit. .rThis %� Date Sig o ure of Applicant — O ener Contractor ❑ Agent ❑ An OSHA permit is requir lo!xcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ 1 1 21.75 HAZ CUA CUA PARK FLD PAR PD ssu permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS DatJe / Receipt No. 73877BY WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT j 1 TO Huildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance �,,,�, O �„�, VEL ewe �[ � i • CS/ o� -- ��.. �j �' Owner Location AP## Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.F. for: Water Supply Clearance for bedroom mobile home. Other Sanitarian (� COUNTY OF BUTTE - DEPARTMENT OFJPUBLIC WORKS - BUILDING DIVISION NAS 06'r7 COUNTY CENTER DRIVE-.OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 Jy,��1 PERMITAPPLICATION DATA SHEET I Permit No. OWNER Proposed Building Use Building Inspector A. P., blo Date 41— If) At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED A1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed ed by Dreparer of plans........ . 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 t� instructions ....................................................... 10. Fees of $ =;11. Chico Urban Area fees paid ....................................... '12. -Park fees paid .................................................... 13. School District fees paid .............. 4. Sanitation approval from 020 UI L.U�- Health Department 15. City of Chico plumbing permit ......... . ......................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 4.$(OyLfw 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... ` 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican Date /O Z Copy of Haz-Mat form sent - Health Dept. Fie Dept. air Pollution Date Copy of plans sent _Health Dept. _Fire Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. c,"Ce F4000 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by -.date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet SAP folder Date ZQ /. 1?10 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.- Orovil.e, California.95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -'ASSESSOR PARCEL NUMBER � � ZONING BUILDING PERMIT OWNER alp TELEPHONE IaJ SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS tet.$ i11.��i-•t�Q ��.CV 11,� P CONT AC R;�N ME ✓,/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ du% Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37,25 Energy PIan.Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ` Penalty $ BUILDING ADDRESS �e�;�ole � R- . Permit fee $ 121;,76; 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW IO.00e TYPE OF WORK New❑ Addition[] Remodel Utilities❑ Installation[] Other [J(] Describe work: Q-A A,&C %G x -at) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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 BusinessPO 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. f� OR ADONS. l ACC. BLDGS. '/zTsgft NEW CONSTR NlULTI.OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea UR APPARATUS h ISIN E OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20@e0t MALI 30 FIXED Ex. Occup. OUTLETS PI RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL I FLD I PAR PO HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. : �7=`.. 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 01MER.-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and re�urn 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 es or no) de --5 -- 2. I /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 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, s pervise, and provide the major work: Name 64 Address _T 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 Workr Signed: m oRi/1/ Property Owner ' Social Securi y umber 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. PLS-' PlA,j e 90 1 7/7•S' spec;{;cations MOST � ..s set Of bat all . and it is uniaw t keto jt ion the to same without P es or alterations on ant of Pubes make any changes from the Departm written permission{ gutta, Vdorks. �out+tY ,�,o ans"Ip 30� -I M�e�is. � Good Practices zsn@ 'crf -An WitL Recognized S ,ecified use in the kccordanle rescr�bed far the arm 31 a quality P. bing & Nlacanic+al Codi° lni{o ingC�e°� Cel - A setback of 5 ft. from the property, lines and a setback of 50ft. fr s� tem the ar of centerline shall be structures or equipment except for a 2 ft. eave overhang. VI COON N �N BUT,G pEPARTM evtt_otN F � o� . qoo N � O U 'l v Q a Z � x V O -AN o I m '3 � W i O fir 0 3 O w p. m� 5 7:j- [D `� 1 �U . Ol O 1 s !J i -zl � r -- I m '3 � W i O fir 0 3 O w p. m� 5 7:j- [D `� 1 �U \_J N 'J -1 O � V 1 s c 9 -zl � r -- \_J N 'J -1 O