HomeMy WebLinkAbout062-640-00562-64-05
WILLIAM C. & KAREN YOUNG -
I—- c-- —
5'Bdl'd-Rock`-k'Rd3"r6t`f4�,'-B6rry 'reek
.Permit#1859-89P,E(util, MH) trav 1 trail
ELEC.
GAS
SUPPORT STRUCTURE REQY_V_Y`
COMPACTION TEST REQ.
-62
_P_eT_nit#2317-8;B,E(new k
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62-64---05--1
1727-90BY
YOUNG, William
55 Bald Rock Rd,."*
Berry Cr&ek
(new garage)
'05
62-64-b5
Permit#3685-90P
(ut�lit�ies/for* travel..trailer)
62-64-05
Permit#1600-91B
(1st renew 1727-90)
A
C�6-i--640--005—'-"-�-P—ERMIT#95-2765
GARRICK, Byron & Mindy
55 Bald Rock Rd., Berry Creek
Mobilehome Utilities 4_q
ELECTRIC a00 1'Am-
GAS LINE /0002
COMPACTION
000e-
COMPACTION TEST REQ A)O
SUPPORT STRUCT REQ ko
062-640-005 PERMIT#95-2766
GARRICK, Byron & Mindy
55 Bald Rock Rd;., Berry Creek
Cont; Al Carl - �gl /9�P
Mobilehome Installation
062-640-005 PERMIT#95-30�2
GARRICK, Byron
55 Bald Rock Rd.., Berry Creek //�
Open Deck/MH C190I a? P 4,;, 11e_ --I
u
n
PERMIT NO. 314-8 B F
PERMIT EXPIRES
OWNER WILLIAM YOUNG
CONTR. UNKNOWN
ASSESSOR PARCEL 62-64-05
LOCATION 55 Bald Rock Rd, BC
4t 1
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
COUNTY CF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.r/
ASSESSOR.PARCEL NUMBER
ZONING 4,42
BUILDING PERMIT
OWNER-
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS" =
��.�.
CONTRACTOR'S NAM
TELEPHONE'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $ ,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$j
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ ,r
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS n `
<_ 4 /' r {
Permit fee
$ 73
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
.��
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other /rAA
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
NewAddition [_1 Remodel❑ Utilities❑ Installation❑ Other E]
Describ work: +!!!t� )K
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
—
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/POWER
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees wit) 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 occ ,
OR ADDNS. ACC. BLDGS. _ N I zOsq ft /
NEW -ULTI-OUTLET
NON.RESID. BRANCH CIRCU ITS 2.50 ea
APPARATUS b
(SINGLE OUTLET CIR. I
Ex. OCcup�OUTLETS OR FIXTURES 20B50t
eAL930
FIXED APLNS.El
Ex. OCCUp. OUTLETS P(RESID )REA.I 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ lo Sty.
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.
!J 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 rrust forthwith comply with such
provisions or this permit shall be deemed revoke -i.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
Js correct. I agree to comply to all County Ordinances and State Laws relating
oto building construction, and hereby authorize reoresentatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
ala1so I liabree to save, ilities, es judgments, costs, nandeexpen eless the s which mayin any wayof Butte aacc accrue ainst
against said County in consequence of the granti ig of this permit.
%� �' - �; ��% Date y
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 $
TOTAL PERMIT FEE $ %,.5(,)
occuP.
cOrsf'TTPc
/C //
JSCHOOL
F`D
PAq=EL
PD
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v/
1 SUE
This permit is hereby issued under
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
ate./y7'�
/ —�
Receipt No.�
WHITE-D.P.W.. YELLOW-AOeESSOR. PINK -INSPECTOR, GOLDE.IROD-APPLICANT
= AK
0 = Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date.
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1
Date Card -81 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
= VK
0 = Not OK RESIDENTIAL (Single and Duplex)
- =Not Applicable _
= Not Ready
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-Steel-Elec. Grnd.-/ P' Fig. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" 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
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131
Date Card -131 Date
Card -81
Date Card -131 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -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 -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs &Rails
Card -131
Date Card -81 Date
68. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
31. Equip. Clearances Panels-Motors-Mech. Equip.
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
92. Roofing Certificate
Card -61
Date Card -B1 Date
Card -81
Date Card -131 Date
Card -131
Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be fnade each time you visit job site)
*9FSIDENTIAL --
062-640-005 PERMIT#95-3062
GARRICK, Byron & Mindy
55 Bald Rock Rd., Berry Creek
Open Deck/MH
JOB FINALED (Date —
Signature
FV = OK
0 = Not OK
= Not Applicable
" = Not Ready
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)
D
5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete
Dat
6. Gas; Location -Test -Wrap; / /°L'ft
/ /Nat. or/ /'LYt./ /LPG
Date
7. Well Clearance & Disconnect
S. Utility Clearance
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Cana 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/0 to Grade -HD Approval
Date
8. Gas and Electricity Tagged
Date
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
CELLANEOUS
Date DEC , OVERS, CARPORTS, GARAGES(Plans) OK except #'s
. Zonin irements-Setbacks-Easements
ti s; SoilsSize-DepthSpacing-Connectors-Steel
13 ecks; Girders and/or Joists-0ecking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectonsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fmtg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailinga/eneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps -Doors -Landings
D
Card B-1 Date Card B-1
Dat
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtgq.
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
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDERFLOOR (Plans) OK except #'s i
1. Zoning -Setbacks -Easements -Flood -Slope I
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
---------------------------------- --------------
17. Water Pipe: Test & Anchor -Nail Protection
--------------------------------------
18. D.W.V Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
----------------------------------------------------------- ------
21. Gas Pipe: Size & Anchors
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------- --- ---------------- - --------- --- ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
---------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- ------ - ------ ------ --- - - -
24. Size Boxes & No. of Conductors -Stapled
--------- -------------------------------------
25. Romex Installed Close to Edge of Studs & C J.
- - - --- --------------------------------------- ------- ..
26. Equip Ground made up wrMech. Fasiners-Bond Gas & Water
------------------------------ ------------------------- ------- --- - -- -- - . --.. .. . . .
27. 2 Appliance Circuits in Kitchen & Conductor Size,GFI
-- --------------------- _______.__ ------------- .. . . . . .-
28. Subfeed Wire Sizer r ga. Cu or AI -A.0 Wire Size ga
Cu or Al
------------------------ ----------- --- -------- - - ---------
29. Range Circ. r , ga. Cu or AI -Oven Circ. r r ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
------------------------------------- _ .. ..
30. Service -R ser Conductors & Ground -Main Disconnect
------------------ ---------- ---- ------- -----
31. Equip. Clearances Panel s- Motors- Mech Equip
--------------- . - - .._ ................... ......
32. Clothes Closet Light -Shower Light -Spa Light
--------- - - -- ------ --- --- --------- --
33. Smoke Detector
--------------- ------- - .... - . - ...... .
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B -t
Date MECHANICAL (Permit) OK except #'s
34. A C. Ducts Insulation & Support
------ -------..._.... --- ---
35. Vent Fan: Exhaust above nsulat on
------- ---- --- -
36 Condensate Dram & Overflow. Sze & Grade
37 Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
---
38 Attic Access & Platform if Furnance in Attic
-- - --- -- ---- --- -- -- - - -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39 S Is. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41 Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub
------ .. -
44 Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
- -- 45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties- Pudin -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 T -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.
-
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
-------------- --------------
60. Infiltration -Walls -Windows
-- --------------------------------------
Date
-------------------------------------Date Card B-1 Date Card B-1
------------------ -----------------------
Date Card B-1 Date Card B-1
Date 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 -Meth. Protection
----------------------------------
64.
----------------64. Bedroom Exiting
65 G.F.I. & Bath Fixtures & Tub Access -Spa
------ --. . - --- -----------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-- ------------------------------
67. Stags & Rails
68 Fireplace or Stove: Clearances -Hearth
---..-----------------------------
----- -
69 Elec Outlets at Wood -Panel. Int & Ext.
... ... ... .................. ----------------
70. Ki1.Fixl. & Appliance: Grnd.-Air Gap -Cooking Clearance
..------------------------------------- --
71 Elec. Outlets & Receptacles at Kit. Counter
72 Garage Fire Door: Swing -Landing -Closer
-- - - - - -------------------------
73
----------------------- 73 A C Duct in Garage -Damper
- - - - . .. - - - -- - - -------------- - -------
-------
74. Wtr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage. Above Floor-Mech. Protection
--------------------------------- ------
75. Plb.. Elec. & Mech. Equip. Listed for Location
. ------------------------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7, Insulation -Foam -Looked in Attic ❑ Yes
---------------------------------- -----
78. Guard Rails & Deck Construction -Post Caps
- -
-----------------------------------
79
--_..----------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
._. . ...- ------------------------------
80 Following instic�: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
... .... ....
- -- -------------------------------
81 Stucco. Brown -Finish
. ---
.. --- -- ---- --------
----
---------
-------
82 A C Unit. Disconnect. Electrical. Plumbing
83. Vents Above Roof. Plbg -Appliance-Fireplace.-Clearance to
Openings
- - --------------------------
84 Water Well. Disconnect. Electrical, Plumbing
65 Exterior Elec Trim. G F I Receptacle -Underground
86 Ventilation Throughout House
87 Glass Protection
------------------- - ------
da Corrections from Previous Inspections
69 Gas Test -Meters Tagged. Gas -Electric
90 Water & Sewer Connected-C'O to Grade -HD Approval
91 Energy Compliance Certificate -Other Certificates
. . --- ----------------------------------
Date Card B-1 Date Card B-1
... _. .--- ------------- ----------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 y �ERRMIT NO.
APPLICATION AND PERMIT `Z
ASSESSOR PARCEL NUMBER 62-64-05
ZONI"G U
BUILDING PERMIT
OWNER BYRON & MINDY GARRICK
TEf�iiQNE2319
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS PO BOX 115 BERRY CREEK, 95916�j�j
342 OPEN 2,394.00
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIVJOWN
Total Valuation Is 2,394.00
LENDER'S MAIUNG ADDRESS
Filing Fee $ 20,00
Permit Fee $ 54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 35.10
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
55 BALD ROCK RD
PERMITFEE $ 109.10
BERRY CREEK
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Ei Other Odd nEq
SPECIFv
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑Y Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: OPEN DECKS
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service000V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
�ill do the work, and the structure is not intended or offered for sale.
as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO.
OR ADDNS. ( 8 ACC. BIDS. ) 3.5a FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS SINGLE OUTLET CIS
a . )
Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00
BAL .30
EX. Occup. OUTLETS ((RRESIo.j EA
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �� Date _=�� �_
Signature of Ap licant --F3 Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 109.10
HA2.
�-
I D. FEES
1 IM
FLOOD
CDF
PARC PD H
_
ISS
This permit is hereby issued under the applicable provisions
of the tte County Code and/or Resolutions to do work
Indic e b for Alhich fees have been paid.
J�" '' i Zb
BY ate
PERMITEXPIRESON
(p )
ReceiptNo.__ I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.'..d.. ,. _ . K' , ..''� ,...-r.- •y....r'^:.. �'�x r+i'FI¢ °'l �ti't^-�r'M.. '"lt�nl�tr�K'.:r... ,-� ri. , '
COUNTYOh BU>.TE-DEPARTMENT ®F DEWELQPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-754,1
PERMIT APPLICATION DATA SHEET '
OWNER roQ, V' r 1 C_ P I X P No. V 6 Lo-005
Proposed Building Use oft A NuildingAnspector Date
At time of permi 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. ....................... .
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). ..... .
Preanspedion reque�s
20. Pre -inspection for required. . to Building inspedor (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 . ......................:.: r ...............
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 ou issue the permit, process as follows: Mail to owner. Mail to contractor.
7y Telephone and hold for pickup at 03"-12.-
tno v . ,L2.P office. -Deliver with inspector.
Other
Parcel Creation
Acreage 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 _ Dates
Contractor, designer, owner, was advised of above required data by _ phone _ mail, un er by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder t
Copy - Department of Public Works
r
L
rt
E.H. USE OWN
Pkt PIED Alhched
Floor PIRn Anwhed
Scat to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
y20t-( ���RIc_ 1" 0
K S S '`�� oerc D� 2
Owner Location 1960-4y C/I-a9t AP#
Plan Approved for: Sewage Disposal Water Supply: Public va Well
Clearance forther
Environmental Health Specialist
Q101)
Date
:G
t
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[ ] 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
NAME: A Q L -C t
/'ADDRESS: IA 4 CITY: -
PHONE: ^ a CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
a NAME:
ADDRESS:. CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:<�`
DATE: % I -f le/"- � ---
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally.
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the ;truc«:re is intended for sale, property owners who are not licensed cont*actors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee'
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sinci=rel ,
�6
Michadl C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
` Alis set of plam, and Speci4C•s;•ions MUS1
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ap on the job o3 all 3Wn s and !i• is 6J^� Y1�t'��.li•
a on�� chan-,jes or a!f-s -14ons on some wi,P'ho.r
fwriffen permissi� -i -From he Do`,'�'.m nt of l�Ptla,di.
'WoAs, C.aLln� ! e3,f--gu4a.
CTE:, All Materials & Workmanship Shail go !!,
Q ccordlamce wi-'slt Pecocniaed Goof.;! Pra,,J2 rtes P c,- J
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RESIDENTIAL
r 62-64-05 . 1727-90B,E
YOUNG, William
55 Bald Rock Rd-, Berry Creek
(new garage)
JAB FINI
Signatt
WILLIAM C & KAREN YOUNG
981 PARKSIDE DR
RICHMOND CA 94803
�utt� L'ounty
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
MAY 10, 1991 RONALD D. McELROY
Deputy Director
RE: Building Permit No. 1727-90
Expiration Date 6-4-91
(A.P. No. 62-64-05 )
With reference to the above subject, our records indicate that your Building
Permit FXPTRRC on the above date. Building permits are valid for
one year and should construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for 2 the original Building
Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the OROVILLF, office.
For your convenience, we are enclosing a renewal application form and owner -
builder form to be completed and signed by you where indicated and returned"
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
JFG:aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Yours very truly,
William Cheff
Director of Public Works
Glander
ief Building Inspector
Chico - 196 Memorial Wav/891-2751 Paradise - 745 Elliot Rd./872-6307
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
.7 County Center Drive, Orovi Ile — Phone: 538-7541'
' 747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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.
Date—(/,/— ���0 Inspector
COUNTY OF BUTTE i -l*
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
D CORRECTION NOTICE
/ -7 Z-7- TO
ER
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 adl explanation, please contact this office immediately.
7
Date ✓� Inspector
J=OK
O = Not OK
-=Not Applicable
Not Ready 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: / /" L" ft.
/ P'Nat. or/ /"L."ft./ /"LPG
7. Utility 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 DECKS, -COVERS, CARPOR ARAGES,'(P ns)OK except #'s
C-i'zSom Requirements-Setbao s- ants
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. Carp rts; Windows -Doors
tric
Fr g; Sils-Anchors-Studs-Rftrs-Trusses
i Nailing -Veneer -Stucco -Mash
1 ; Shthg-Roofing
Ext.; Steps -Doors -Landings
Date y Card B-1 Card B-1
Date //J S Card B-1 Dat 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-Panelboa rds-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
V OK
O = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Sin'gle
4i Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-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 -Meth. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -foam -Looked in Attic 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 ❑ 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 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. AG. 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
�I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �®
APPLICATION AND PERMIT /^A
ASSESSOR PARCEL NUMBER
62-64-05
Z9NINQr
lJ
BUILDING PERMIT
OWNER WILLIAM C & KAREN YOUNG 415
Tf: J PMV
So. FT. OCC. BUILDING VALUATION
IST RENEWAL
OWNER'S MAILING ADDRESS
981 PARKSIDE DR RICHMOND, CA 94803
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee 0, i FRE
$ 43.25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 55 BALD ROCK RD BERRY CREEK
Permit tee
$ 53.25
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 I W
0.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthetXM
Describe work: 1ST RENEWAL OF BP#1727-90
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 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.8d
OR AODNS. \ ACC. BLDGS.
, /20sgft
NEW CONSTRU TI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
2AL030
eALo 90
Ex. Occup. OUTLETS (RESID IFIXED APPLNS. KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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.
Not ce to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
abilities, judgments, costs, and expenses which may in any way accrue said County in consequence of the granting of this permit.
Kagainst
Date —ql
Signature of Applicant Owner Contractor 1:1 Agent F1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -WORKS
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE -
TOTAL FEE $ 53.25
E
HALcuA•
PARK SCHL
FLD
PAR
PD
I HD.
ISSU
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
B A4i A
PrR.4.TEXPIRES Date 6-4-92
the applicable provI-
resolutions to do
fees have been paid.
p
Date s [
/
`
Receipt No.
WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
7
COUNTY OF BUTTF: - Department of Public Works
7 County Center &Live, Oroviile, 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 oT-iter yEs
2. I (have/hit) 4,4 VE
for the proposed work.
signed an application for a building permit
3. I have contracted with the following person (firm) to provide the proposed
construction: 1\11A
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: N /A
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: I/ J
Property Owner WI 1 IaIM C• �'� � ZO(J4z
Social Security Number
Date —5--16-x/
NOTE: This Owner -.Builder Verification is sent to you as required by Sections 19831 and
19832 of"the'California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMEiNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ASVD PERMIT
PERMIT NO.
1727-904
ASSESSOR PARCEL NUMBER
62-64-05
ZONING
BUILDING PERMIT
OWNER
William C. & Kare Young 415
TELEPHONE
223-1007
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
981 Parksi Richmond. CA 94803
720 M 10,080
CONTRACTOR'SNAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10,00
Permit Fee
$ 86.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 43.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
55 Bald Rock Rd.
Permit fee
$ 139.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Berry Creek
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 G W
10.00e
TYPE OF WORK
New KX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR LE 0 AMP ORLESS10.00
10.00
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
ElI, 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
Main Service EA, ADD'L 100 AMP
2.50 2.50
NEW CONST. DWELLING OCCUP.tr
OR ADDNS. ACC, BLDGS.
/20sgft 18.00
NEW CONSTR. ULTI.OUTLET
NO N•R ESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS tri
SINGLE OUTLET CIR,
EX. OCCU OUTLETS OR FIXTURES
P
2AL SOC
,0@000
FIXED
EX. OCCup. OUTLETS PIRESID )APLNS.REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Permit Fee
$ 40.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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
against said County in consequence of the granting of this permit.
X �t—_�Gf _cI�
Date /
Signature of Applican OW er0 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 Inspec ' n Fee $
0
�✓�
c PE
TOTAL FEE $ 1 . 2
HAZ
c�
PARK
SCHL
I-,-
F
I PA PDIs
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above f which fees
I CTO F PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date D
Receipt No. 66357
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• .q i�.. _ •f?,�•��,7t+.,+'r•.`+'.T"'p-•TiZ,i1i,.ry/y%'�.+"+y'?'�n'.,*^�1+T�13`.hl'+T'ytSZr.,+~.7-'t�„r`vr:�1.1.y.�.,,jrf�.,�t'"
COUNTY OF BUTTE • DEPARTMENT!OF' P BLIC WORKS - BUILDING DIVISION
+ 7 COUNTY CENTER DRIVE - OPOVIC CALIaORNIA 85965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET -....
Permit No.
OWNER l (1 V►�, l Q .:�; . A. P. No. C� —06
//�� _
Proposed Building Use (� G rek G F Building_,lnspector Date SIA9 Lgo,,,.
At time 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 duplica-e/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 No -i -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation dE.ta 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 pe-mit.....................................
16. Plot plan and business IicEnse*approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be requir--d. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector Gate)
21. Contractor's license informr.ation (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification, (Given to owner o, Mail to owner ❑) ..... —
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26. 4
27. !
When you issue the permit, procass as follows: X Mail to owner. Mail to contractor. .
Telephone and hold for ickup at office. Deliver w/inspector.
Other `
Applicant
Date 6--12-1-670
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 subnitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
K
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—mall _ to by date+?
Plans checked by Date Plans approved by Date P
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#.
Plan Approved for: Sewage Disposal_ Water Supply:
Hold final for:
Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE ***
Sanitarian
ate
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovill%, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
LSSESSOR PARCEL NUMBER
ZONIN
BUILDING PERMIT
OWNE
0. >� h o u vl C��s
TELEPHONE
a- io
SO. FT. OCC. BUILDING VALUATION
TYPE OF WORK
New Q Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑
Describe work:
DWNER'S M LINJ DDR SS 1 62n r mb
C TRAC OR'rrSN\\AME y�9� p
TELEPHONE
Contractor
CONTRACTOR'S r4rAILING ADDRESS
Fireplace
CO TRUCTION LENDER
rnC—
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
AR ITC QR ENGINE
LICENSE NO.
Plan Checking Fee $ LjL3
Energy Plan Checking Fee y
AR H TECT OR ENGINEER'S MAILING DDRESS
Penalty $
BUILDING ADDRESS �j
Ex. OCCup(OUTLETS OR FIXTURES
Permit fee I$ 132
Fili Fee 10.00
PLUMBING PERMITng
2.00
Each Trap 2.00
C->^ r a 1<
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
1 5 I t
USE OF STRUCTUREr.
SF ❑ Duplex❑ Mobilehome❑ Other
SPECTMobile
Gas piping system out e s
5.00
Building sewer
5.00
Home S G W
10.00e
TYPE OF WORK
New Q Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00VAMP OR ORSLESS
10.00 0
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
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.✓)
OR ADONS. ACC. SLOGS. I
I/z¢sgft
NEW CONSTRULTI-OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20030¢
SALM301
Ex. Occup. OUTLETS ED PIRESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
_
$ 170, IS
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult Fee
$
Contractor
1 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
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 I
CONSTTYPE
TOTAL FEE $ 1Q, a
HAz
I CUA
PARK
scHL
FLO
PAR
Po
I HO ISSUE
This permit is nereby issued under
sions of the Butte Ccunty Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
PERMIT EXPIRES Date
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Caljforrila 65965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
tea.'-'6i�""I✓~
ZONING
,1
BUILDING PERMIT
OWNER T-•ELEPHONE
�+TY ♦ + n n - w nn
OWNER'S'M°A915YN AD-RESS' '-'-'✓ �•
IPA
SQ. FT. OCC, BUILDING VALUATION
IST REMAL
CONTRAC,TM 'S AME u ♦ RIGA� - L
♦r•�
•'T°E PHONE
CONTRACT'ORt S!M&ILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
C
Plan Checking F ee, ' ,`7 $ 43.25
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
^• w wMZ�A�BURY GREEK
Permit fee $
PLUMBING PERMIT Filing 10.00
:A=T
715 `n
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❑ OtherBuilding
+ . SPECIFY
Gas piping system 1 - 5 outlets 5.00
sewer 5.00
Mobile Home S G W 0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe{,❑
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP 1 OR LESS
RSLESS 10.00
Main service EA. ADO'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1I 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.EI ,/z¢sgft
OR ACDNS. ACC. BLDGS.
NEW CONSTR U TI.OUTLET
NO N.RESID BRANCH CIRC ITS 2.50ea �
r/POWER APPARATUS a t
--- (SINGLE OUTLET CIS.
Ex. Occup(OUTLETS OR FIXTURES 200501
e AL030
FIXED
Ex. Occup. OUTLETS (RESID )SEA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
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
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
ITOTAL
CONST TYPE
FEE $ _
HALCUA
PARK SCHL
LD
CDF
I HD.
ISSUE
This permit is hereby Issued unser the applicable provi-
sions or 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
Receipt No.
WHITE-D.P.W.. YELLOW-ASeCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
RESIDENTIAL
062-640-005 PERMIT#95-2765�� !
GARRICK, Byron & Mindy
55 Bald Rock Rd., Berry Creek
Mobilehome Utilities
JOB FINALED (Date)—
Signature
V=OK
0 = Not OK
Not ' = Not Ready MOBILE HOMES r MISCELLANEOUS
Le_pKg Requirements -Setbacks -Easements
4X'SW&,, Location -Test -Fall -C/O -Concrete
,5iElectricity; Location-Clearances-Gmd-/ /Amp -Concrete
Tf st-Wrap; / /'L'ft.
/Nat. or/ /"L"ft./ /LPG
. �earance & Disconnect
tility Clearance
Dat Card B- Date Card B-1
Date Card Date Card B-1
Date MOBUR13OME INSTALLATION(Plans) OK except #'s
Zoni requirements- Setbacks Easements
tings; Size -Spacing -Marriage Line
atve-Connector
/ trici_tLWTest-Crossovers-Breakers•Clearances
ain; MH Te t -Fall -Flex Connector
er est -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD Approval
8. ec icily Tagged _k 9 f
ie Do ns -hype -Installation Cert.
is .-Sketch
ert of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 .
y�/fi �36Z9�
S -32_04� I
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/9 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
'J OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Singi'e & Duplex)
' =
Date UNDERFLOOR (Plans) OK exceptg's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except tr's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------- ------------------------ ------------------------------
18. O.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
--------- ------------------- ----------- --------------------------------_-
21. Gas Pipe: Size & Anchors
------ --------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------- ----------- ---- - - ---------- ---------------- -- ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
----------------------------------------- - ---------
23.
-- - - ---
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- ------ - ------ ------------------------------
24.
------ ---- --- ---
24. Size Boxes & No. of Conductors -Stapled
------------------------------------------------------------- .._ --- ..
________25. Romex Installed Close to Edge of Studs & C.J.
26. Equip Ground made up wrMech. 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. r , ga. Cu or AI -Oven Circ. 1 / ga. Cu or Al.
Insulated Neutral . ❑ Yes ❑ No
-------- -- - --------------------------- --------. ..
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------------------ ---.....---- . ---.. ....... .......
31. Equip Clearances Panels-Motors-Mech. Equip.
------------- - . . - ---. .... ---- . _ _.._. ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
----------- ---------------------------- ----------........... ...
33. Smoke Detector
--------------- - ------- ...... ....... .... . - -- -.. .. ....... .
Date Card B-1 Date Card B-1
-------------._------ -_------------- -------------- ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
--
--------------- ---- - --. ---
--------- ------- -
35. Vent Fan: Exhaust above insulation
------ ------ --- --- ------ ------- -----
36. Condensate Dram. & Overflow: Sze & Grade
- - --........ ..... .. .... .......... ... - .. .
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 o islet
.......... ....... ... _.. ...
38 Attic Access & Platform it Furnance in Attic
------ ------ --- -------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 0
39 S Is. Proper Material & Anchors
... _.. ... .
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
.. ... ..---........ ...
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
.. .._ -- ...... ...
43 Fire Stops. Furred Cedings-Staus-Chases-Tub
---... ---_ .. ..... . .. . -
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
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 T -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 Card B-1 Date Card B-1
- --------------------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except b's
61. Ext. -Steps -Door & Sidelight Protection -Landings
------------------- - -- --
62. Smoke Detector
---------- ------------------------------ - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
-----------------------------------
64.
---------- 64. Bedroom Exiting
- -------------------------
65 G.F.I.& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
- - --------- --------------------
67. Stags & 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 -Landing -Closer
... --- . ..... -------------------------- ------
73. A.C. Duct in Garage -Damper
.... ....._.-- - - - -- ---------------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage. Above Floor-Mech. Protection
---------------------------- -----
75. Plb.. Elec. & Mech. Equip. Listed for Location
...... _.----------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
.. ... ...----------------- ------------------------------
7, Insulation -Foam -Looked in Attic ❑ Yes
-------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
. ... - -...----------------- -------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
--------------------------------------
80. Following instld.. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
--- ....-----....-_..-----------------------------------------
81. Stucco: Brown -Finish
. . ... . . ... ... ... - --- ------------------
d2 A C Unit: Disconnect. Electrical. Plumbing
... ... -. --- --------------------------- -- -----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
--- -- ------------------------
D----
84 Water Well: Disconnect. Electrical, Plumbing
- -
-
-- ---------------------------------------
65 Exterior Elec. Trim. G.F.I. Receptacle -Underground
86 Ventilation Throughout House
87 Glass Protection
--------------- ----------
dd Corrections from Previous Inspections
89 Gas Test -Meters Tagged. Gas -Electric
... .-- . _.. - --------------------------------
90 Water & Sewer Connected-C'O to Grade -HD Approval
91 Energy Compliance Certificate -Other Certificates
----------------------------------------
----------------- -------
Date Card B-1 Date Card B-1
_.. .-- ---------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO..
el APPLICATION AND PERMIT TD _2 S?�-
ASSESSOR PARCEL NUMBER 62-64-05
ZONING U
BUILDING PERMIT
OWNER BR BYRON & MINDY GARRICK
NE2319
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS EO BOX 115 BERRY CREEK, 95916
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHrrECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23-00
ARCHrrECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
55 BALD ROCK RD
PERMITFEE $
BERRY CREEK, 95916
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
S UBDN510N'S NAME
PARCEL MAP
Solar Or heat pump water heater 23,00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome E� Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ff Installation ❑ Other ❑
Describe Work: 24 X 60 MOBILE MHU
Mobile Home @20.00
PERMITFEE $
60-00
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service EOaV OR LESS
( %.A OR LE 23.00
) 23.00
Main Service ( 200A To 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR s0,
OR ADDNS. ( 8 ACC. BUDS. ) 3.5¢ FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(a SINGLE OUTLET CIS. )
EX. Occup. (OUTLET OR FIXTURES ) @ 1.00
BAL .50
Ex. Occup. oUTLETs (FIE ID.) OR) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 20. 0C
Misc . Wiring 23.00
PERMITFEE $ 63,00
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
,not
laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort ith comply with tho provisions.
G C
X Date ��=�_ - ( v
Signalure ofrApplicant - I(Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
oer
CONST. TYPE
TOTAL FEE $ 146.00
HA2.
1
IMP FLooD
CDF ARCEL
PD HD s
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY A!����Date. 47h_55
PERMITEXPIRESON %
(Date)
Receipt No. 186269
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
^. 'Y .ti '•'1` r .r.,, .`.��rK+v.`r-r�'.•�t y.�'=""'r".W f"h•.r�.�r}.. .•... .,,1 F :�-'�.y��n,-�. _ _ ... ...,-. i .GP-.,
�' 'fit
COUNTY;OFBUTTE - DEPARTMENT OF D�If. L -B AENTSERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
/
PERMIT APPLICATION DATASHEET 'V
OWNER 1it14Q!'ri c CC W A. P. No. �0
Proposed Buil ng Use 1�7 // L/ Building Inspector /Z,!3 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(T) sets, signed by preparer of plans ........................... �U-.225a
3. Complete 'tans, 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 Desigri 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 sche
California Department of Forestry plan rho a �`
6. X620
13. Flood elevation letter (100 year flood) by Califq n gineer. .............
j Sanitation and plot plan approval cro vii f-- lealth Department . ............
`1'S. 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). .. . .
Preynspeg lns reque�
20. Pre -inspection for
required. . to Building Inspector (Date
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28/ Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plancheck list .......... •.... � ..... .... ........
............
33. '
34.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 2SgR-.131 and hold for pickup at 0r -0 y i CF -f- office. Deliver with inspector.
Other
Parcel Creation} ' 2 _9
Acreage Applicant Date 1
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
1. Index permit for above items No.
2. Additional items required:,
issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by�Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
B.H. USE ONLY
Plot Pho AmcW
Floor Plan AuscW
Scat to B.Df^ /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
. Owner / Location APIA
Plan Approved for: Sewage Dispo ✓ Water Supply: Public Private Well
Clearance for bedroom mob' h=17!!�W
for:
clearance O. K. for:
Environmental
2/01)
Date
0
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 : YESVJ . NO[ ].
2. I HAVEV] HAVE NOT[ ] signed an application for a building permit for the
proposed wo k.
3. I have contracted with the following person (firm) to provide the pronosed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but , I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide 'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: p
PROPERTY OWNER: �lr�w1 o i(Yl r<��� c r Lr i2 VZA C ,f(-
SOCIAL SECURITY NUMBER: -% (
DATE:,1-S'S-
NOTE: This own er-B uilder'Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection: - -r
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin&erel
Micha4l C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
IMM
i
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
06 ;Z, -- 61/0
PERMIT NO.:
9-)
Owners: j
Name:/
�
Owners: ,_ . A
f✓)
/ /
/ C
Address: �
t3
Mobilehome
zQ
Year of
73
Manufacturer d%��
i'
Manufacture:
Serial number 7
-J 2 U
/
Insignia or
f/u / 3
or V.I.N. _V
(�
HUD number:
Official approving installation:
/
Date:
If the mobilehome is mIved or rel9lated, the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed. on a foundation system:
513B White -owner, Yellow -Installer, Pink -Bldg:, Gold -Assessor
INSTALLER/CON-TRACTOR CERTIFICATION
I CERTIFY THAT I HAVE INS'T'ALLED THE TIE DOWN ENGINEERING ANCHORING
SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO
MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING
STRUCTURE.
COMPI AN ' NAME: L A vL
DATE:
COATRACTORS LICENSE n
SIGNATURE aK
PAGE 9
MIIC' S2
59125
,59250-
59250
MRA'%
59110
MIC2
59096
59292
59292
MGRB
59145
MIDH
59100
MIS2
59105
PATIO ANCHOR W/EXPANSION BOLT
3/.4" X 36" DOUBLE HEAD ANCHOR W/6" & 4"'AUGER
CROSS DRIVE ROCK. ANCHOR 3/4" X 30" ROD
5/8" X 30" CORAL ANCHOR
LATERAL STABILIZER PLATE
GALVANIZED ROOF BRACKET
DOUBLE HEAD ONLY
SWIVEL ADAPTER HEAD
M.F.mm-ns. T" 38 1 33 90 1-3,3-5-1 1 99 FAx 90 1-386-66 1 4
PAGE 10
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- Sl ERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 62-64-05
ZONING U
BUILDING PERMIT
OWNER BYRON & MINDY GARRICK
TELEPHONE 589-2319
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 115 BERRY CREEK, 95916
CONTRACTOR'S NAME
AL CARL
TELEPHONE
CONTRACTORS MAILING ADDRESS /
STAR ROUTE BOX 61E BERRY CRK, 95916
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
55 BALD ROCK RD
PERMITFEE S
.3.
BERRY CREEK 95916
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑XMobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: NIHI 24X60 MOBILE
C
T `
Mobile Home S G W
@20.00
PERMITFEE g
Contractor
ELECTRICALPERMIT20
Filin Fee :00
Main Service OOOV OR LESS
( 000A OR LESS )
23.00
Main Service ( z..A To I.00A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
10 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. BEDS. )
SO.
FT.
CNS.
NEW CONST. / MULTI -OUTLET
NONTESID. \ BRANCH CIRCUITS )
@7.50
@.7.
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q I.00
BAL a .SO
Ex. Occup. OUTiETs PES D.°ERA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 r
Misc. Wiring
23.00
PERMITFEE s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with t, se provisions.
_ G
X _ Date ��_—(
Signlat'd'r6fof Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $ 100,00
Energy Inspection Fee Is
OCC
CONST. TYPE
I
TOTAL FEE $ 143.00
HAZ.
.r
gfF�S
IMP FLOOD
CDF PARCEL PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Da
PERMITEXPIRESON `7
(Data)
Receipt No. 186269
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
`'u .i v.�; uky.r�•:r.•E�„-:,.. ,i,,�. ��s!7iT-n"'r,a,.. , dr•�"L.rtr�iy�.^.�f$.T'"z. t��: T; Rth+F'i"'I .,.�s''`r f�rjl Hew ",`.."'_`t", .... '"�.nV -, - , _
a•
COON TYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Ib7 rVA) = A. P. No.
Proposed Buil ing Use,%..- Building Inspector ,�Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ................ ..- .....................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ...:................. .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
. Engineered truss details and layout in duplicate (required prior to plan check). ... .
�. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.. F esof$ `......... .. .........
mpact fees as shown on attached schedule. 5(,liA e ...........1A�
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). .. . .
20. Pre -inspection for to Buil Building
Ins re for
p 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. .... .
,gLetter of intent on building use. .
) 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. Dan check list. .................................................... .
.,.. G I'Y►o�,�� 'T L t7nwn�g
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone Q- and hold for pickup at i�)(-Ovi V\—,4f-office. Deliver with inspector.
Other
Parcel Creation Q ® ` 1_-2-T C.
Acreage Applicant ./��'�'�C 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
1. Index permit for above items No.
2. Additional items required:
ircle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Plans checked by Date Plans approved by Dated%
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
,�5
0
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER o nJ & C— C A.P. #,1,;2-
PROPOSED BUILDING USE �%% � ';Iwo! � DATE 11 ^ Z S
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
REC. # DATE REC
SCHOOL DISTRICT FEESnrQ Q,
(paid at District Office)
7
FEES Building Division)
SHERIFF (paid at
Residential..... x 3� o=$ 3 b o
�i 3 �9 2- ��' �j 5 -
unit
unit amt.
Commercial (sq.ft.). x =$
3.
URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x _$
#units amt.
Commercial (sq. ft.) .. x = $
sq. ft. amt.
4.
RECREATION DISTRICT FEES
(paid at District Office)
5.
THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
_O 6.
SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
Z— 2 S
7.
WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8.
CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9.
OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
W
Y
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District rod Building Department No.
A.P. Number 62--6v-05 Jurisdiction: City County
Property Owner u r -o n�i e�- VA i �v u (2� Ci. r r i C -
Property Location/Address t�p ::k. oo-l41 V--Oc_ tZf oe
Subdivison - Lot No.
F
r Residential Development 0
!No. of Living MHI Addition
Units
rk
I
Sq. Footage I '7 L 0
(Group R)
Commercial/Industrial 0 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Re r sentative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
960066
School District certifies that J- r
(Applican
55 CJ A� -- s�y� 19
(Street Address) (Phone Number)
bp". q j- %(o
(City) a (State) (Zip Code)
has complied with the requirements of Resolution No. � 0.7 — 70 by payment of $
representing ' "I v square feet. FAB2L926 $
9ITIGATION $
" 'e -A, 0 �"
School s i epr sentative Date
Paid by Check # _ Remarks:
Bank Number
Paid by Cash
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
White (applicant), Yellow (building department), Pink (school district)
I feeformmkl (11/94)dmm
k
t1 ' ARMYT'
. = MH UTIL. CLEARANCE DATE
INSPECTOR
ELECTRIC GAS
Support
Struc.
Compaction
Test -Req.
!rvice
Lze
Other
Load Type
Pipe
Size
Len th
YES NO
YES NO
o2a0.
2117 44,
This Bet of plans and sp b9 I -
kept on thajob at a?i tim and it is unlawful to
ma.ka any changes or ait rations on same without
written permission iro the Department of Publlo
Works, County of Butte.
REVIEWED BY
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
❑ approved as submitted
approved with conditions
per attached sheet.
c,�sQ� 1Sig:aa;ure ��fe
a
t J NOTE: All Materials & Workman8hip gl� �
Bo 1
I' Areordance with Recognized Good Practice8 and
of a Ly tTescrILWU IUA U" -...r.. •-----
in the ' orin Building, Plumbing & Msch+�w�
CAd,es d the rlatloDal Elect iNd Coft Z
111
all
/�.
v I
U �
2f
�ed Sale�,ygtAd
The alta must be Go
reA iremea,d apP d
�� pecified
1 r. C •� •F �
ALL STRUCTURES AND EQUIPMENT INCLUDING ---1/
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF 3 c7 FT. FROM THE SIDE AND
3 a :FT. FROM THE REAR PROPERTY LINES AND _,..---- --
S -O FT. FROM THE ROAD CENTERLINE n= �-BE:`
CLEAR OF STRUCTURES AND qQU1--PMNT EXCEPT'
FOR A 2 F1'. EAV+E OVER
�--'-` Iris
�G�yZ'7Ir
35�, �z -
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[� 1272.00 Maintenance' of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
V1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appirte-tant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
} 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[� 2. The length of verti^tel curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
\I feet.
C�] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
] .1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of : 2--,
L
6
AP # PERMIT # NAME
( 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�C] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[�l 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from the
roadway and shall open,to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for.buildings and accessory
buildings. from 411 property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying,,burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction :,r fi_ral inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If'Buildincr Setback is Less Than 15 Feet
Choose any 3 of the following:
Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10t of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
M.H.I.— 2 a
Mobilehome Manufacturer: Actg Cep Manufacture Year: 7
If other than single wide, furnish Setup Model Number: /.3(„a 9 `;�
Width: (ft.) Length: ( 6 (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.
FOOTINGS: Wood pressure treated or foundation gradef/A Other:
SUPPORTS: Concrete block[A Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
................................................................................................
Main Beams
Line2................................................................................................ ine 2
Line 1 Line 3
Line 2
................................................................................................
Main Beams
................................................................................................ Line 2
Line 1
............... .................................. ine 5
Tag or Triple ine 4
ine 1
Line 1 Piers:
Size minimum: r i x
Spacing maximum: 1 9`
From ends -maximum] 4`
Line 2 Piers:
Size minimum:
[/oZ] x [Ja ].
Spacing maximum:
:( `
From ends -maximum:
`
Line 3 Roof Loads:
Z/X
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: I I`
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: `
From ends -maximum: `
OVER
B, U-19TE CIO tm rv,
0 of ki .1,i_ r. .
pp
I
1. Owner's Name: 1�k- rr /C -)c
2. Assessor's Parcel Number: 1p ,R _ W d
3. Installer's Name: �
�C6&
4. Is the site currently under permit? Yes[✓]�No[ ] Permit No.
5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? a0 U Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site? Q'0 Amperes.
9. Is the main service remote from the mobilehome site? YesjA No[ J If it is, what is
the rating? 070 Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- -o;�UD Amperes- ;Z(R)
b) The main service:
Load- Y6—M� i Amperes- o'Z6a
11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] Nonek/1
12. Size of gas pipe at the mobilehome site from the meter or
tank: -- inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? ft.).
14. What is the mobilehome gas demand? c/ B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
A
STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY --- PETE %'1lLS0N.'Goa•crnc-r
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENTh Ill
DIVISION OF CODES AND STANDARDS-
1800 THIRD STREET, Suite 260 P.O. Box 1407 �p:•y�`<�
SACRAMENTO, CA 95812-1407
(916) 445-9471 FAX (916) 327-4712
Tnn Rnn_7;1=,_9094
September 29, 1994
William E. Jackson, Manager
Tri-State Testing Services, Inc.
6756 Buckles Cove
Memphis, TN 38133
T�F_ F J F
Mi
Ift
OCT 0 5 1991E )III A
L_LJ
Dear Mr. Jackson:
This is to confirm that the California Department of Housing and Conmunity-Developlinen.t
has approved vouT `errs application to become an approved testing and listing agency for
Ii ad bearing suppofts and Strllctuml -components usca with manufa�t-ui'cd home..,
_;:obilehornes and commercial coaches. "ih;s approval is for the Iatinti and lab�Ilir:s of
str.ict,.ird coml:oner!ts used in the :manufacturer; housing industry in accorda`nc,e. with the,
standard established by your firm.
Please note the Department may require diesign calculations and test daia b,_.- submitted tc
,, bstantiate a design when the listed system or component does not appear is conform tc
^ur pproved standard. We may also request this information for the purpose of -routine
or complaint investigation.. Revisions to your approved sta;idard as Fell as
1:1stccl designs may be necessary in the --future as a result of arriendments to current statutes
a, d/c,r re-gulations.
T►iarik you for chousin= to become an approved listing and testing agency. If in the future
:;,you h2ve- any questions or need to discuss a particular issue, you may contact Dither myself
at (916) 445-9471 or 1` i-ke Rosenberg at (916)-255-2501.
Sincerely,
Ch; is L. Anderson•.
Nlobiiehnme Parks Program ;Manager
cc: Mike Rosenberg
'71Vfl3c
.r
P' E 12
h'. c; -ATE �;"•$Ti\G • Mr..'�1Pii'.S, TE?�i�ESScI:
�. 4LIFiiRtdlA APPROVED LISTING AGENCY T'1.L h -)OWN .ENGINEERING
CALIFORNIA APPR VED ANCHORING PRODUCTS
MANUFACTURED HOUSING AND COM1�'1ERCIAL.COgCHF
(itiTCLUDES SCHEDULES, DIAGRAMS FOR
SII 3LE/DOUb�.E/T• PLE!QUADRUI ' .E `VIDE JI`?I^i ;
1. PRODUCTS DESIGNED FOR
A. SOIL ---1,000-4,000 AND UP PSF SOILS
(CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE
(CLASSES. 1-5, UBC -CALIFORNIA) SOIL CLASSIFIGT;O.N �� ► �il
-GENERAL DESCRIPTION OF SOILS
I I
ALLOWABLE PRESSURE
(Pounds Per Square Foot)
SGiL TY?= No elbwancp made for overburden
tasee On the u.tiiiad � pr:ssure, embadnent depot, water
c!essifi -aeon sys:en 1135;0 ho ;ht or settlement problems
!rock or ha:d can I -:.CCO an.'. UD
! Saadv Gravel Dr G:avai _ 2.000
r an-. SiVr Sand. Clayey Sand. 1,500 —
�'s;hv G.zve!, or Gavay Gravel
I .: '.-sandy Ca, Silty Va1•. or t t oco 1
clayey silt I I
�lncor•..m%ted F;9 . Special analysis is required.
?eat cr C:oae'ti Oa -,sI soecial analysis is reeui: ed.
TV— of S.;I
I
(-
BI.- Co...
T. Probe I
IASTN DISSM
Torcue Val- 2. -
I F:ud r«..
NA
KA
2Is1='eylmul'e.
"-
Cavd ud+cobb:<+`
_
e :hen -
•
1!1 C-1,
=rui _
S3C lb,.
se,C+. ,mty g•.rd+. �-
- 350 w :- .
.. ::iff do 413;,
.
t:oo,e to rrd:vnt cent.
'hy+
to • -
3:4 Vis.::: _
5 C—A:.
Tm+bno.9 d<•.ien for u+r i+ ru: be :n;r_ ;t•.n. n.
... _ . .. . - - anne4-•rq rd .M+herdon+ n+ o PS: en! es. c-., nr ec.va., reriorcra•�-:, iiia. e:�
diuu+ el a_,neeu. N:• .nC de;� of be:+>wic. ;^• •nd k'•,d of +:l'L is r-,u+:�:r:
- 4 _ r�rarc-:t G+:.x. •t .Ask.`. ten..ri.-a4 d. ie r..+>• br :s•:a7ed Som w`g!. ar e••d nr :;a_.
' - .. .• _ ,Y rvr Y. tte. +i J7 `.r >7ef:Y. �..-'e:v�.. +:iy Jld +t:n ea:h tC!kv.�vS dn•�t
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1-8-5-ivfPli E1`PQSEl f.i > . mos..+ n d�x. r� % L- - h-1..;
----------'_'. <n:as�ry of I. a:: ; _�.�.� .,..r<�. u o�•<r�. t>~ rr,t ,...� ti, .
F.e'L on t. TI..n.era: Iw: n of !.. h. vi +cur. b 10.7S tndte,: Ca r. s:e+ Ear.+re
'. �- T1
dw m — eu,. : S C.: i er 1—: !. pacrt I ! �rrl.:. Tn. 0.s1+ mu:
be or f -.dr 1-11 It, w,Vr &I = -
�. .. .i. ? f . l
Y t lJ �• .- Ari.. sP�ony.x.i .:drow^.a,: o:.-. J..r. G+.�7wo:
pl
G D th. test ,r ,Ota.. .
..�_-.-__`t •'`f?•';-.n-CCrne.�T Id echo :`e. -I.a.. vekaorat c^ti <e >.tii..G s. rr•...i:e? or r=.:_..t r..:: -sr _
conlcve -nny cm;ss;on o:
{ _. ci._ :•tic.. ": c.:. reel .. ... .. .. rDr: piico6:e Sl;,te lo•+s on_c
Delon Winci-load Zores--
.! ._ ..:.�c.•'•:,:r cf Hous; r.D ;, n;l �pmmonity Devrlepn'ent .Standard Wind Zone 1 is psf Horizontal os'. up!;f:•
D: V'S 0;•' .7" A;Ib 57ANDARDS Hurricane Zone ii .33 PS' Horizonte! 27 oSf piift
Hurricane Zone Ili-47'Psi Hcfizcn;ai- 32 ps' ::piit
r�'� �h�s�G��v� Daie.�t�� _ _. ... - • netupiitt
Note -
�' A�_ psf: pounds per square foot
i -LL ' .
/ �p�
1r_•�rpvc:! Expires. J/ ,��.7,—!1L '
. .• �.+�i.i � Ilya::;.. ;';�. .
Refe,a ;ce — Manufactured Home Consmiction and
C. SEISMIC—ZOa IE 4 Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest euition
2. CA2ACITY OF ANCHORS - EACH GROUND ANICI-IOR, WFIEN DgSTALLED, SHALL BE CAPABLE
OF RESISTENG AiN ALLOWABLE WORKLNG LOAD AT LEASE EQL:A'�. z O 3,150 POUNDS PLUS
- A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WiTHOUT
' 3. C.=s.PP,CITY OF, STROPPING - TTS DOlYi: Ei:GiIrIEER.LNG GAAV �IIZEG S,:FEELSTR_,,Wrl�-E,EiS
Q EXCEEDS THE NCSBCS/FvNSI 225.1-1994 A_ND •-Db 53 -SP ' IC,�1TTOiSt F, `"
1 Ii4'X,035 (MLN.) TYPE 1, FINiSH B, GRADE HOT DIPPED GALVANIZE1sfrR�?
CONFORMiS TO SB -750 REOUIREMENTS SECTION 1336.3 OF THE CALIFORNIA COD FO I
{ REGULATICIN TITLE 25, 18613.4 Or THEE_: HEALTH AND SAFETY CODE. PAGE 1
1
i -
PAGE 2
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1-1/4" X 42' GALVANIZED STRAP:
C+
59165
1-1/4" X 60',GALVANIZED STRAP
/ 1
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Tie Down Engineering
Page 2
September 28, 1994
BCS
59175
CRIMPING SEAL FOR 1-1/4" STRAP
MBU
59140
GALVANIZED STRAP BUCKLE
MBUS
59139
SPECIAL GALVANIZED STRAP BUCKLE
BISB
59135
SLOTTED BOLT AND NUT _
MS33
59149
1-1/4".X 33' GALVANIZED STRAP'
MS35
59150
1-1/4" X 35' GALVANIZED STRAP -
MS37
59.155
1-1/4" X 3.7' GALVANIZED STRAP
MS42 -
59160
1-1/4" X 42' GALVANIZED STRAP:
MS60
59165
1-1/4" X 60',GALVANIZED STRAP
..MS600
59170
1-1/4" X 60.0 GALVANIZED STRAP
MHT6
59185
1-1/4" X 6"FRAME TIE W/HOOK
MHT7
59190
1-1/4" X 7' FRAME TIE W/HOOK
MHT8
59195
1-1/4" X 8' FRAME TIE W/HOOK
MHT10
59210
1-1/4" X 10' FRAME TIE W/HOOK
MHT12
59211
1-1/4" X 12' FRAME TIE W/HOOK
MHT15
59050
1-1/4" X 15' FRAME TIE W/HOOK '
MBU6
59137
1-1/4" X 6' FRAME TIE W/BUCKLE
MBU7
59141
1-1/4" X 7' FRAME TIE W/BUCKLE
MBU8
..59142
1-1/4" X 8' -FRAME TIE W/BUCKLE
MBU10
59138
1-1/4" X 10' FRAME TIE W/BUCKLE
MBU12
59144
1-1/4" X 12' FRAME TIE W/BUCKLE
MBU15
59 143
1-1/4" X 15' FRAME TIE W/BUCKLE
If you have any questions or if we may be of further help, please call us.
Sincerely,
TRI-STATE TESTING SERVICES, INC.
William E. Jac son
Manager
TRI STA 1-2 TESTING SERVICES, If
PAGE 11
,. RESIDENTIAL.
E
62=''64-05 3685-90P,E
YOUNG, -William & Karen
55 Bald Rock Rd, Berry Creek
(utilities for travel trailer)
i
/7Z7-90
ti.
C OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC / t
Meter By Date '7"
i
�j
JOB FINALI
Signature
I
d=0k
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBIL OME UTILITIES (Plans) OK except #'s
5n i ng_Beq 0ire ments-Setbacks-Easements
I s; S I MH Support Sketch
ewe - cation -Test -Fall -C/O Concrete
at% cation -Test -Easement Needed (Sketch)
ectricity; Location-Clearences-Grnd-/ /Amp -Concrete
- rap: / PV'ft.
/ /"t or/ P L" ft./ /"LPG
teld ility Clearance
Date i : and 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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Linins
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Pane Iboa rds-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 It's
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties -Pu rlin -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-/ /Fig. 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- Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd 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. Plenums & 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 If's
Date Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date FINAL (Plans) OK except If'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 ff'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 0 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 ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 11 Yes 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except ti'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 If's
Date Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
_
Date Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANO PERMIT /
ASSESSOR PARCEL NUMBER ZONING
62'.64-05 J
BUILDING PERMIT
OWNER TELEPHONE
William & Karen Young 415 23-1007
SO. FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
981 Parkside Dr., Richmond 94803
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ At�
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
55 Bald Rock Road BerryCreek
Permit fee
$ 15.00
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 x❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00 ea 20.00
TYPE OF WORK
New Addition Remodel[] Utilities❑ Installation❑ Other ❑
Describe work: T.T. (MHU)
Permit Fee
$ 30.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8000 AMP ORV OR LESS10.00
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.&`
OR AODNS. � ACC. SLOGS. /
2/s¢sgIt
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCu p OUTLETS OR FIXTURES
20e50e
eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. bVirin g
15.00
Permit Fee
$ 25,00
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
1� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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.
Signature of Applicant Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -JR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE .0
HAZ
cuA
PARK
SCHL
PAR
P
Is
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
TOR OF PUBLIC
BY f
PERMIT EXPIR Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 74188
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
�^': ' "`1'^'Yr�� air'wv�i+.o-�.+-� vY"'[A^"tT'f�r"J�:! ' t� ``� � { �`i+`eh�T''� �p 'y"',"9'4'' �'y'-✓1+'.1 7 � Y. C"i''�...�� Y?'Cv:t�r'��(e„r}.,�.,..-•....., 4 _ .-r
T
COUNTY OF BUTTE - DEPARTMENT•OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL,6E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
"= a Y A,
PERMIfiPkICATIOWDATA SHEET t�/1
f Permit No. �r I
ti
OWNER V A. P..No.
Proposed Building Use BuildingI'spector. 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 . ........................ ..........
d
QV 2.
Plot plans in du licate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans ..
1
4.
Complete engineered plans and calcs, with wet signature on plans . .
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ...............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions...................................................... .
10.
Fees of $ ........................
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid ....................................................
3.
14.
School District fees paid ..............
Sanitation approval from 020ar 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 Lind, Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
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 ..................
-23.
24.
Owner -Builder Verification (Given to owner ❑, 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
Applicant- U--'
/
Date r0`�����
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:
s
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_maI counter by date -
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO' Buildinv Department
FROM: Environmental Health - "`VI
SUBJECT: Sanitation Clearance
C,c..�•- AP#
Owner Location
Plan. Approved for: Sewage Disposal Water Supply
Hold final for:
Final clearance O.R. for: . Jv-
clearance
�r� �rfor -j- bedroom mobile home. Other
Water Supply
Water Supply
NOTE ***
zz
- �- ate
Sanitarian
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_ _ �� ,
ZOrN�ISJ.G
(///�•. -►
BUILDING PERMIT
OWNER -AIM
` 4'
TELEPHONE
_/00.7
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADORF�SS
`�gl s 03
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
S
Permit fee
$ ItS Oil;
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[g"*' Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home PSI G FT
0.00 e 6.0-D
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: 622dU1
Permit Fee
$ 0 co
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6501 OR LESS
100 AMP OR LESS
Main service EA. AOD'L 100 AMP
10.00
2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):.
I am licensed under P
provisions Of Cha t. 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e
OR AD DNS. ACC. BLDGS. )
/20sgft
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS
SINGLE OUTLET CIR.e )
Ex. 00011POUTLETS OR FIXTURES
20050t
eALoso
FIXED APPLNS. O R
Ex. Occup. OUTLETSIRESI D.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$S
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 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
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures Oveerr stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST NPE
db
TOTAL FEE $ 76
HAz
CUA
PARK
SCHL
FLO
PAR
Po
Ho
IssuE
Th's permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
/3
Receipt No. �`-77 [J�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
¢` Iq.CRI?Y CFEA1 A91TCS/ ti �i i -r' dPi' OX .StY.e .v
i 7 /a
L r
� / / � • % , a � `'' ;,,
3 �/ UST be
•g.5 L' 1 and specificationsn awful tc
This set of p with
es and it is u
. 5 kept on the job �tlSlor�a alteration on same nt of
®�4 C
m kj.any than Depart
� �' per sion�F�?�jt�i.P,
en
out written orks. C tv
C5 34/0 LAS
7 r 64 U)q 'Pelf
P=
' o
1v8o41Y!1Q/1w- /".M
Nd,914r'?4f-w - n. 6a
577/'35'57'11/ - AO.Z7'
5708'17'?Q'Iv-/3d.19
57.79
N65.04'37 -PV- 87.63'
N6J'33'Q/•w -149,6?'
MEC133'4a *V -//O. /O'
57/13s'59"1V -//6. /3'
533'74d %/'w - 114.1-*'
5710.01 '.574 "'w - C9.76 '
5'C6'5'7'd7 w - 7Z. Z/
5770S,.8 '/7-w - Ad17. , '
�A. ,� �It in S OG A1C/7E�
NO�f E All Mrs ecoc�nized r Goo s nd
Ac once h 7eci for the Spec fact ae the
quality , rZ
nb
�® tiorm.8�' inAlurnbing & Mechan Cal
�Pnd
"I P-�.64 IM 40
FI�,Nat s f�(ectrical Code. \
A setback of 5 ft. from Ahe �'� ," i &0440
property lines and a etback 6f / /
50 ft. from the road C
centerline shall be cle of �.
/
structures or equipmi)t ex /
for a 2 ft. eave over
4/OTE.:
,V67•Za'3/ E
d•60•t:'��--R•/so'-C•/69.cv' v r � `� �,� "1�,�,Py- r�
<�i
cc
4=/4'9•?d %O'- Q•SO'-f�9S S!' S/./l' pravb b C!
SG✓•11c'10"rv- St.?d' hl 1 Q ^ ^'�oa,icr d _Y
4+G7-77'/5--,iso'-t•sd.14
w.�f�t OI .
`
`A4r4e
ov
��OF4
16
�� , �b -��ies�rs-oo � `'ms's �? `' 3
1PO S:•/ 1{/07"54' O
co
SURVEYOR'S CeRT/FIC.47E
//S MCP W d 5 PREA4/JE/9 BY Ne 0/7 Y 0117EC71ON JA//)
4 SEI) l/PON C /EL D SU.PVEY /,V CCWA'CWA-44NCE w/ry rile Rfp(///le-
75 OF 741E MeP dC7 ,4,r rwE gtoC/KT cir
''u vim_ 19 7> / .vE of q y s r4 re r",r 7v e Ad -Prez .NaI' pRocf ow7e S
E /OC'd C 46ENCY Ltd VE BEEN CO.Npl /e0,W7 7X/ 4410 7AU17 74/1'5 P/.PCf [ ,Nd P
'/Ix15 T7 rll,-4P12lZOVED 7fm rd r1 /E M4P4*,0.VF MV017'WV5 OF ,1Po -
1 G 74/E,9E0F wX11Cl1 K/EQE PFpll/.?E/) /ZJi9iE FlJ( F/(t fOP?/O P 70 rvE
/G OF 7<1C 0417CEL 4,410.
.P/Cl/D?/> rid .:,:: C/D/I T - • C . S. 4101
l,N "!_ �, A
ss� .erE ,soar
5-OCITiV L /NE Cr rV.
ow THE 5-W //a OF
COUNTY SURVEYOR'S .(
7.411 S 410P CONr0?MS W11 -,A1 741E aeOL
DIV/S/ON "-JP 4C7 .INO IOC4L "O/A.
/)drE0.
1-00'80
T.y� a o • ,v.w- 6Xc[ ds/vd' E.ISF/rff�v v
CC V Y Cv
Cou.v 7 Y
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
f
emudtrdf icktte
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Karen Young
ADDRESS: 981 Parkside Drive
CITY & STATE: Richmond, CA 94803 IMPORTANT:
.Tune 5, 1990 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I
AMOUNT
Owner has decided not to do work. Permit #2317-89B,E,
AP#62-64-5 Receipt 44316 date
Total Permit Fees Paid ---------------------------------- $180.25
Retain Plan Checking Fee---------------------- $43.25
Retain Building Permit Filing Fee------------- 10.00
Retain Electrical Permit Filing Fee----------- 10.00
lotai ees Retained------------------------------------- 63.25
TOTAL REFUND DUE $117.00
TOTAL
$117100
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated. y�f�.
�C Dated this ................1............ day of ..(..�./.W.4r�.......... 19 q� et i (l 1 l ei Calif.` ! �..�;
................................ • ............................. . �...{..
• Signature of C aim ant p -
1, the undersigned, hereby certify that, to the best of my knowledge• the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation C] or Specific Board Approval (Check one) for ame, '
Dated this .........5.th.................. day of ...... Jiiae........... 19 90, at Calif. .......... ... .. ............ .................. ..........................
e e ment Head or Authorize ty
Dept.
...... .4..40..-002 .................. code .......4210500.....................PAYABLE FROM ................WT1Vt•L....Permit.g................................... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB. GROSS AMT.
ntj,- tz� �r p6-6441 7
C -y) 5) A.P 3 to a d
T
TOP -CHORD 2X6 FI.EL.LARCH =?R2�
BOT CHORD 2X.4 FIR -LARCH #11
'REBS 2X4 FIR -LARCH STANDARD
RT. BLOCK. 2X8 FIR -LARCH 41 BLOCK LENGTH = 3.582'
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE '+PITH
REOUIREMENTS OF I.C.S.0. RESEARCH REPORT #2949.
ALL PLATES ARE. TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND
TOP TO BOTTOM. EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION.
? SEE DRAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS."
5 TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
PURLINS SPACED AT A MAXIMUM OF 24" O.C.
CONNECTOR PLATES -DESIGNED FOR GREEN LUMBER PER NDS
TABLE 3.1ES.
5X6
c.5X4 3X6
IEPARED FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED B� YTRUS;
=.-- • Ti; X -LOC L -R: 0.29 6.03 11 .01 15.00 21.12 25.23 32.00
BC X -LOC L -R: 0.29 5.27 9.50 14.10 18.72 25.03 32.00
SINGLE CUT Wn #-TC:9 BC: 1
(U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD.
SHIM ALL SUPPORTS TO SOLID BEARING.
CONTRACTORS WARNING:
THIS TRUSS IS DESIGNED TO BEAR ANO/OP SUPPORT
ADDITIONAL LOADS AT SPECIFIC LOCATIONS..
PART1;;ULAA CARE IS ADVISED DURING INSTALLATION
TO ENS,iRE THAT THIS TRUSS IS ERECTED PROPERLY,
NOTE: 2X4 #.3 HEM -FIR OR BETTER CONTINUOUS LATERAL SO-IrTObl
CHORD SR'C'NG E 72` MAX O.0 FIEOUIRED ATTACH W".4
2-fl5d NAILS. BRACINu IS NOT RcOi!IREO I= A �IGIu CEILING
IS .ATTACHED DIRECTLY TO EO-TTOM CHORD. BRACING MATERIAL,
TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE
SUPPORT By ERECTION CONTRACTOR.
I
5.Oi��•
2 X 6
/��--- 2.500
�
12 �--. -2.50 5X6 12 3 X A _
fj
Nf 1.5X1j
5XE
-0-0
T. TYP.-ALP
o n o 0 o a
ATRUSS .
Pc o o a o 0
2.5X;
12 i.Sxa
`5.00 1X4
3X 4 1
2.5X4
a
- 11-1-12
16-0-0 116-0-b
L 9-6-0"1 g-2-8 -1-13-3-8
32-0-0 OVER 3 SUPPORTS
R-7950 W- 3.50' R-1142+1 W- 3.50'
SEGN-- 87022 FURNISH A COPY CF THIS DESIGN TO EERECTI N
ALPINE ENGINEE.PED PwmxtI� Ila. TAl16SES CEWICE EATTENQ CAM
4(-XIMPORTANT-44 E>ALL m" 0E REMONS"199E FDP ANYWARNING IN MANDLIMS. ERECTION Ale
OEVIATION .7701 TKSK SPECIFICAITDW Oa ANY DEVIATION :RCN SPACING.= -Siff -7S% OIPACINS WjW TPy66ES;
THIS DESIGN CA ANY FAILURE TO GUILD 14E TP1.69 IM &79V*40ti CONKNTANY 110 /ECOMpOATION6-PTPI1. SEE
WITH TME 'OOALIIY 151010AAD DST2a' 87 IPI. ALPINE C0 ECTCPS IMS DEMON FOR ADDITIONAL SPECIAL VfAw-
ANF K&RUCAGTURED FROM ?O SAM GALVANIZED SIM UNLESS NEW SPACING TEOUIREi@rtS. {!LESS OTMEPVIES
OTKPNISE SHOW MEETING ;IEOVIM11CHIS OF ASTM A44F SPADE 4. SKM TCP CHORD SMALL BE LATERALLY OILTCEP
APPLYCO"C701S TO DOT- -5 A7 EAI71 JOTNT AP(1 LOCATE AS WITN Ar+pv[1LY ATTAOIED PLYWOOD SIEATNING,
S4OM4. 6EIAIN; WIOTM6 ARE A• )fmMAL iAiESS'Tl4M VITN 1:610 CEILING On iPiCIRS
DESIGN SIANOAROG CONOPV VJIM AOM104LE 90OVI6ECIFD
ON CESIGII. W WT USE THIS
0105 ATm RPI 1PCT1 . DE91EI1 W17H FIRE :ET CANT TPEATED LOUIKa.
.--TPI . Tmjgs :i AIP ImmiluTE. NOG . NAIIOMAL SEASON MWEIVICATION FM VT= C@AT011C772Y
3X6
3X5
2-0--0
2-0-0
A-610$ W- 3.50"
TRACTOR
CA
i
Dip
v
* Exa 6.30-93
]1 'Cav'
REV
15.3.4
SCALE = 0.1875
DESIGN CAIT:- UDC
REF 8427--77744
f"C _L
16.0
PSF
GATE 04/i2/j0 I
TC OL
15.0
PSF
DRWG CAUSP427 ,0!02004
L3C DL (U)
5. 0
PSF
CA -ENG r5A-
TOT . LD.
36.0
PSF0
A LEr, -32--
DUR . F.AC .
1.25
SPACING
2d.O"
IPF=
COUNTY OF BUTTE - BEPAP#TMENT OF PUBLIC WORKS IIT NO.
7 County Center Drive - Oroville,-.California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSO PA CEL NUM ER 5
ZON1N t >
BUILDING PERMIT
OWNER
GLJ-�G- �/ Ji✓
ON PHONE
�t t -;
SQ. FT. OCC. BUILDING VALUA ON
Od —
OWNER'S MAG ADDRESS
CONTRA CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS A542 Ae6r4L
Permit fee
$ 7�
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 �G��-�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSTG W
0.00 ea
TYPE OF WORK
New Addition[] Remodel El Utilities[] Installation❑ Other ❑
Describ work: �'� iC
I
j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 1 OR LEAMP ORSLESS
10.00 -"—
Main service EA. ADD'L 100 AMP
2,50
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
El 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-
ontract-
ors.
ors.(Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCC p a ,
OR ADDNS. ( ACC. BLDGS. _�C7) /20sgft
NEW CONSTRI.OUTL T
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS 11
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 20@50t
p eALe So
D APLINIS
Ex. Occup. our LE
Ex. P(RESID )REA.) 1 2.00
Temporary service 1 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.
qZ I shall not employ any person iri 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
9
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 co se uence of the granting of this permit.
Date
Signature of Applicant — caner 9L ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PE MIT FEE $
occuP-
at
coNST.T Pc
SCHOOL
FL.Ooo
PARCEL
Pn
H
9UE
This permit is hereby issued under
slons of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�-
BY �v��ate7-/17-
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Xf
Receipt No./�
WHITE-O.P.W., YELLOW -Z3.11.9.., PINK -INSPECTOR, GOLOENROO-APPLICANT
q
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORC; E"CALIFORNIA 95965': TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER iir �►,q�GQec�i��r��Jil� A. P. No.
Proposed Building Use Building Inspector / Date 77 /1-7lt^4'
— 1 t
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 submit --ed .....................................
2. Plot plans in duplicate/tripl.cate, signed by preparer of plans........
3. Complete plans in duplicat3/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check) -.-+- -z
8. Mobilehome installation data including manufacturer's installation�p--
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paic........................................
11. Park fees paid .....................................................
42. School District fees paid .................
-- 13. Sanitation approval from� Health Department ... V/ q
14. City of Chico plumbing permit ......................................
15. Plot plan and business liceise approval from City of
• (see City for other requirements) C
16. Planning approval for (A) Use: (B) Parking: +
17. Improvements may be required.
18. Driveway permit (construc-ion approval required prior to occupancy) .: n
19. Pre -Inspection for required • , , , Pre-Inspec. request to
l
p q • • Building Inspector / (Date)
20. Contractor's license information (No., Name Style, Classification) ....... �
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verificatior (Given to owner o, Mail to owner ❑) ........
23. Recorded copy of Agricul-ural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
K
Other
Applicant /YOB i��/� ut'ta/,�-rx Date J- F -7 -,?9
1 - '77-,
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be sibmitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above ite-ns No. { �1--�� N 0
2. Additional items required -
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was Edvised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by -S Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
V�
Lv �i
e0u&* 'f
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: kay jew� j / 7 d V %? g
ADDRESS: 1 g8) `t'Q/Y'%S l��, D ) ue, p
CITY & STATE: �y) I q-4IMPORTANT:
DATE OF CLAIM: - 17 -6 SEE INSTRUCTIONS
ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
I AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #1859-89P,E,
Receipt #41293, dated 5/22/89, A.P. #62-64-5).
Total fees paid----------------------------------- $80.00
Retain plumbing permit filing fee ------ $10.00
Retain electrical permit filing fee ----$10.00
Retain plan checking fee --------------- $15.00
Amount retained--------------------------------- $35.00
.TTOAL REFUND DUE------------------------------------------- $45.00
$45.00
I
f
TOTAL
$45.00
I. the undersigned, declare under penalty of perjury that the services or articles claimed have been Performed or delivered, and that this
claim is true and correct as stated. Q
Dated this ,�.�,�. day of U...�•� 1909 atc..,� v„�\.�.; Calif. r`�✓�. .../J.//��/�L. .:..
............ ........... ........ ......... fl...{G. LIG.(/ '
Signature of Claimant l//
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation or Specific Board Approval
. ❑ ❑ (Check one) [o the same
Dated this 27th ..... y of July 1tgq9 at Oroville
............................... de .......... ............. ......, .............................. ,Cell[. ..... ...............................................
apartment Head or Authorized Deputy
Dept.
..,,,,,,,,44Q-QO2..... Code ,,,,,,,42IO5OO PAYABLE FROM ...const- Permits
........... ............................................................................. FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -.Telephone: 916/538-7541
APPLICATION AND PERMIT
PE MIT NO.
7
%AA
ASSESSOR PA CEL NUMBERS
'!j/''
ZONINfa
BUILDING PERMIT
OWNER `
p�
•
TELEPHONE
(a7172310.
SO. FT. OCC. BUILDING VALUA ION
NE M D
v
ON RACT DD NA l
TELEPHONE
CONTRACTOR'S MAILING ADDREVS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
,$ ..0 OO
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1�^VV
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS �� /
(/,/"
Permit fee
$ �.�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
rr
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME U
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 HomeS G
[10-00 ea. 9 (i -
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities E�J' Installation Other ❑
Describe work: �Ywader
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
(� r
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
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)
9I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ei ,
New DCONSTR� A ) �z2sgft
ULTII-OUTLET
NON.RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES SAL 00t
E eAL030
FIXED AP❑as
Ex. OCCUp. OUT ETS P(RESIDLNSIREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 on
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
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 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 ' cons!;)4equence of the granting of this permit.
%-Z V 9
Date
Signature of Applicant — Ownjr Cont. or ❑ 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 $
^l
TOTAL PERMIT FEE $ dv
OCCuP.
COMST,TYPIIJ
1_,C...11P�P.11Pn
ND SUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above fo which
I CTO F PUBLIC
By
PLOWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date—
Receipt No.462
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY -OF BUTTE -'DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
.01 o 4.--•+° 'mss 't
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95465- -ELZP' NE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER VI . A. P. No,
Proposed BuildinUse 1 Building Inspector_ Dated.?=T
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 bee bmitted..................................... _.
2. Plot plans in uplicate triplicate, signed by preparer of plans........
3. Complete plan duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions ..................................... ................
9. Fees of $ .........�................ .
10. Chico Urban Area fees paid ....................................... .
..11. Park fees paid .....................................................
--��-- 12. School District fees paid ............ ::
�r13. Sanitation approval from f`f? Health Department '2
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ..._
19. Pre -Inspection for required .... Pre-Inspec. r quest to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................^
25.
26.
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
Appl ica Date &-12 _00q
Copy of plans sent Health Dept., Fire Dept., Other Date
The tolVowing 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: v
J.�
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by otLte-5 Date
t .
Sets of plans odhold in - File cabinet AP folder
Copy—DPW
AO ..Sui?dinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Loc en.
plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for -�— bedroom mobile home. Other
A * * .....
Ap#
Water Supply
Water Supply
Water Supply
/ Date
sanitarian -._..
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
6,)i - d f
owner r� location AP #
Driveway permit e 4,91ele/has beenissued for the above property.
nub
sign re / date
ReLurn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Codi Z`1989
requires this acknowledgement be recorded
prior to issuance of a building permit.
All that real property situate in the 'County of Butte, State of- California, described as
follows:
Please see attached sheet for legal description of property
Assessor Parcel Number 62-64-5
SHEILLA GONZALES BRINGAS
NOTARY PUBLIC -CALIFORNIA
A COUNTY
MYOCOMMIISSSION EEVINRA RAES OCT. 0, 1992
Date: June 9, 1989 PROPERTY OWNERS:
William C. Young Karen S Ynung
aiz,�Xay-w e Qum,�a.
State of California ) On this the 10th day of June 19 89 before me,
SS. the undersigned Notary Public, personally appeared
County oiContra Cosa
William C. Young and Karen S. Young***
OFFICIAL SEAL
SHEILLA GONZALES WNGAS
P40TARY PUBLIG•GALIFOR JIA
CONTRA COSTA r( UV-1rY
MY COMMIssai EXPI9F: :'•�2
...vrfamr•r k
Personally known to me. Proved to me on
of satisfactory
be the person(s) whose name(s) are
bscribed to the within instrument and acknowledged that they__•_
ecuted the same for the purposes therein contained. IN WITNESS
EREOF, I hereunto set my.hand and official seal.
the basis
evidence.
Present A.P. No. 62-64-5 Not" y Public/
The property described herein is adjacent
to land or included within an area zoned
6�,Q
for agricultural purposes, and residents21`66
of. this property may be subject to incon-
veniences 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 agricul=
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be
prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the 'County of Butte, State of- California, described as
follows:
Please see attached sheet for legal description of property
Assessor Parcel Number 62-64-5
SHEILLA GONZALES BRINGAS
NOTARY PUBLIC -CALIFORNIA
A COUNTY
MYOCOMMIISSSION EEVINRA RAES OCT. 0, 1992
Date: June 9, 1989 PROPERTY OWNERS:
William C. Young Karen S Ynung
aiz,�Xay-w e Qum,�a.
State of California ) On this the 10th day of June 19 89 before me,
SS. the undersigned Notary Public, personally appeared
County oiContra Cosa
William C. Young and Karen S. Young***
OFFICIAL SEAL
SHEILLA GONZALES WNGAS
P40TARY PUBLIG•GALIFOR JIA
CONTRA COSTA r( UV-1rY
MY COMMIssai EXPI9F: :'•�2
...vrfamr•r k
Personally known to me. Proved to me on
of satisfactory
be the person(s) whose name(s) are
bscribed to the within instrument and acknowledged that they__•_
ecuted the same for the purposes therein contained. IN WITNESS
EREOF, I hereunto set my.hand and official seal.
the basis
evidence.
Present A.P. No. 62-64-5 Not" y Public/
DESCRIPTION
83-31206
ORDER NO. BU -101288-3
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF
THE WEST HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER
AND THE WEST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST
QUARTER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. &
M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 12, 1980,
IN BOOK 76 OF MAPS, AT PAGE(S) 23.
EXCEPTING THEREFROM ALL THAT PART OF PARCEL 4 OF PARCEL MAP
RECORDED AT BOOK 76, PAGE 23, WHICH LIES SOUTH OF THE NORTH LINE,
AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PINE CREST ESTATES",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 9, 1969, IN•BOOK 35
OF MAPS, AT PAGE(S) 46.
PARCEL II:
A 20 FOOT DRIVEWAY EASEMENT OVER PARCEL 3, AS SHOWN ON THAT
CERTAIN PARCEL MAP, BEING A PORTION OF THE WEST HALF OF THE
SOUTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE WEST HALF OF
THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 28,
TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., WHICH PARCEL MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON MARCH 12, 1980, IN BOOK 76 OF
MAPS, AT PAGE(S) 23.
PARCEL III:
AN EASEMENT OVER THE WESTERLY 30 FEET FOR DRIVEWAY .AND UTILITY
PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL:
ALL THAT PART OF 'PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP,
BEING A PORTION OF THE WEST HALF OF THE SOUTHEAST QUARTER OF THE
NORTHWEST QUARTER AND THE WEST HALF OF THE NORTHEAST QUARTER OF
THE SOUTHWEST QUARTER OF SECTION 28, TOWNSHIP 21 NORTH, RANGE 5
EAST,.M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
MARCH 12,' 1980, IN BOOK 76 OF MAPS, AT PAGE(S) 23, WHICH LIES
SOUTH OF THE NORTH LINE, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"PINE CREST ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 9,
1969, IN BOOK 35 OF MAPS, AT PAGE(S) 46.
�GUq�S
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
}vw� 13s WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE-OROVILLE, CALIFORNIA 95965
Telephone:
RONALD D. McELROY
Deputy Director
RE: Building Permit No.
Expiration Date
(A.P. No.
With reference to the above subject, our records indicate that your Building Permit.
on the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, -the
permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact the office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be cQmpleted.and signed by you where indicated and returned to this
office together with the fee shown. Please return all copies of the application
form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
Glander
JFG:ajChief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector -
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-6307
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