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HomeMy WebLinkAbout062-710-011-44 �0 PERMIT#94-1807 HAIG, John & PAYNE, Deanne INS SD MH AND PERMITS 6�O COFFEY LN., BERRY CREEK MOBILEHOME UTILITIES r - ELECTRIC n h I - o GAS LINE Y COMPACTION TEST REQ SUPPORT STRUCT REQ 710-01 Q62. 299-i-38-- PERMIT#97-0248 GATHEROLE,'John W. 60 Coffey .L -n;.,; Berry Cre"k;, Mobilehome Utilities 4 ELECTRICs'• s�" �jf GAS LINE _ _�= a►_ COMPACTION TEST•' REQ SUPPORT STRUC,T REQ��� 062-71-0-011 99-2154 E' ' HIGGINS, Jere ' 60 Coffey Lane, Berry Creek (elec/well & fut lot dev) f 'i ..-....,.:��•----,•�,.. F � _. ,._.-.�-_ ter_-�.. �. _... a�.`:_-•=-, - __ _— r Iry ,alit a oft% w r 062-71-0-011 99-2154 E HIGGINS, Jere 60 Coffey Lane, Berry Creek (elec/well & fut lot dev) aao /V�6/bv �j ct{c,�� c dr— lLn qb -Al OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat�� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,,,California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIO14AND PERMIT ` �� � �� ~`•� ASSESSOR PARCEL NUMBER x,771-0 n1 ZONING BUILDING PERMIT OWNER T -"i" 'illy' TIC TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS•MANUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS. Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Z`T- SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others❑ Describe Work: �.' ' t+ "TSL .%.'NT I-.iri .. T,F-°' Tl I "r - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 1. S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee j0do Main Service zoo i oA v ss 23.00- . ( +� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0, 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 ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. I My workers' compensation insurance carrier and policy number are: Carrier Policy Number ' L (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. L _ X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required forrexcavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SG OR ADONS. ( 6 ACC. BIDS. 3.50FT: EW NON•R61D. T. MULTI -OUTLET 97.50 POWERAUTLET PPARATUS a SINGLE OCIR. EX. OCCLI OUTLET OR FIXTURES 20 @ 1'00 BAL @ .50 LNS Ex. Occup. ou. AEES16OEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 )"I'T'. 1—sp PERMIT FEE $ 67, _71— MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE 4e (y . Cl) HAZ. D. FEES IMP FLOOD COF PARCEL PD HD I ISSU 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. + r' Jr By �f 1. Date 7�• PERMIT EXPIRES ON / '• L 'I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 5 1 7 County Center Drive • Oroville, California %965 • Telephone (530) 538-7PERMIT tom. (Rev. 12/96) APPLICATION AND PERMIT r7 ASSESSOR PARCEL NUMBER 062-71-0-011 ZONING BUILDING PERMIT OWNER JERE HIGGINS TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS T O O CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Mling Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ B` nO't'fftEY LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ELEC SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)b Describe Work: ELEC FOR WELL AND FUTURE LOT DEVELOPk4ENT Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home s G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.AORtESS 23.00 3.00 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 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. KMy workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 9 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 f ith comply 't those provisions. r Date' Og�n_atureof Applicant ner ❑ Contractor [3 Agent An OSHA permit is req ' or excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00so Wo NEW CONST. DWFlUNO OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT. NEW pESID BRANCH CIRCUITS97.50 POWER APPARATUS & SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FORURES aAL @ 1.50 Ex. Occup. .7D s AE=.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD I HD I 6SU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ate PERMIT EXPIRES ON provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANXiw9hSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 7 / d — ©` L Z.N'NG BUILDING PERMIT OWNER e TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERSIUNOOyy,ADDRES S„ eo Y� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 11IFireelace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS (PC)Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other 11 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 Main Service p A OR LESS 23.00 ' I Main Service 200A TO IOWA 46.00 NEW CONST. DW -UNG OOCs OR ADDNS. ( a ACC. BIDS.UP. 3.50FT. NEW CUM . MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS a SWGLE OUTLET C'R OUTLET OR FIXTURES EX. OCCU BAL S0 Ex. Occup.°,,r�°TS qs,D.°�w 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Mi c. Wiring 23.00 -e'� PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee I $ Energy Inspection Fee $ °°NST. TYPE TOTAL FEE $ EocC HAZ. D. FEES IMP FLOOD COF pARCEI PD 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 Date PERMIT EXPIRES ON Pate) f, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. ` Please complete and return this information at your earliest opportunity' to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. (1 I I personally plan to provide th 4bor and materials for -construction of the property improveme : YES[ NO[ I HAVE j HAVE NOT[ signed an application for a building permit for the 3. I have contracted with the following person (firm) , to provide the: proposed construction: NAME: _ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: l SOCIAL SECURITY NUMBER: DATE: �4 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before' we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as Ahe 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 arenot 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 carryout 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. Sincerely, Michael 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. May 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: -5 ASSESSOR PARC NUMBER: (O,2 - V - 1 I Proposed Building Lis . Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to pe proces g . d/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- O 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 2. Encroachment Permit for iveway (construction approval prior to occupancy). ---------------------------- Pre -inspection for �, required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). -------------------------------- -- ❑22. Workers' Compensation carver and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows M Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at ffice. ❑ Deliver with inspector. Applican Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,, Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. B BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: Additional Comments from Inspector: , a VIOLATION CHECK LIST ��-7/-/� A.P. # Address tofir, Owner - e ,4, Owner's Address 9 PD. 13er U 33 !A G s` / Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. IMN s AQ of 1s'"'a Wto OGr;TS _ Specific Plot Plan with C/V Noted __yes no Penalties Required a -! 1st. Notice Sent X4, - �" 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) John W. Gatherole P.O. Box 218 Berry Creek, CA 95916 RE: Code Violation 60 Coffey Lane, Berry Creek Dear Mr. Gatherole: ' 'euite coun L A N D O F NATURAL WEALTH A N D BEAUTY BUILDING, DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 March 26, 1999 A.P.#062-71-0-011 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated February 17, 1998 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome in violation of the Mobile - home Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections Required for Mobilehome Installation The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Letter to John W. Oerole RE: Cbde Violation A.P 062-71-0-011 Page 2 march 26, 1999 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. MCV:dms ncerely, Mic ael C. Vieira, C.B.O. Man ger, Building Inspection 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROOF OF SERVICE BicWAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #062-71-0-011) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LEITER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 26TH. OF MARCH. 1999 and addressed as follows: JOHN W. GATHEROLE P.O. BOX 33 BERRY CREEK, CA 95916 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 3/26/99 at OROVILLE . California. Donna Sperling Office Assistant III John W. Gatherole P.O. Box 218 Berry Creek, CA 95916 RE: Code Violation 60 Coffey Lane, Berry Creek Dear Mr. Gatherole: LAND OF. NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 February 17, 1998 A.P. #062-71-0-011 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit four (4) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. •However, you should be advised. that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained: Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (3a days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or. telephone number listed above. S-ncerely, MCV:dms� Mic el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor • PROOF OF SERVICE John Douglas Haig, Etal Deanne Payne P.O. Box 33 Berry Creek, CA 95916 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 July 18, 1996 RE: Code Violations A.P.#062-23-0-138 60 Coffey Lane, Berry Creek Dear Mr. Haig & Ms. Payne: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated June 13, 1996 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome and construction of a cabana for mobilehome inviolation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections Required for Mobilehome Installation (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This ..is., your final .warning. Unless you .contact this ..office and make .the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. F-1 L John Douglas Haig, Etal.Deanne Payne Page 2 July 18, 1996 • RE: Code Violations A.P. #062-23-0-138 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV:dms Sincerely, Michel C. Vieira, C.B.O. Mana er, Building Inspection 2 3 4 s 6 7 8 9 10 11 12 13 14 15 16 17 1s 19 20 21 22 23 24 25 26 27 23 29 *PROOF OF SERVICE BYWAII, I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 I served the foregoing A.P. #062-23-0-138? by enclosing a true copy in a sealed envelope and depositing said envelope in the. United States mail with postage prepaid on 18TH. OF JULY, 1996 and addressed as follows:. JOHN DOUGLAS HAIG, ETAL DEANNE PAYNE P 0 BOX 33 BERRY CREEK CA 95916 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 7/18/96 at OROM-T,F , California. Donna Sperling Office Assistant III • 0 John Douglas Haig, Etal Deanne Payne P.O. Box 33 .Berry Creek, CA 95916 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 June 13, 1996 RE: Code Violations A.P. #062-23-0-138 60 Coffey Lane, Berry Creek Dear Mr. Haig & Ms. Payne: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome and construction of a cabana for mobilehome. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides .an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV:dms cc: Assessor , Sincerely Michael C. Vieira, C.B.O. Manager, Building Inspection RESIDENTIAL 5 0230-138 PERMIT#97-0248 GATHEROLE, John W. 60 Coffey Ln., Berry Creek Mobilehome Utilities w JOB FINALED (Date) Signature V=OK O = Not OK Not '=NotRepalidyyb1e• MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-DepthSpacing•ConnectorsSteel 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer, Location -Test -Fall -Q10 -Concrete Card B-1 Date Card B-1 4. Water, Location -Test -Easement Needed (Sketch) MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Electricity; Location-Clearances-Dmd-/ /Amp -Concrete 1. Zoning Requirements- Setbacks Easements 6. Gas; Location-TestWrap; / Mt. / /Nat. or/ /°L'tL/ /LPG 2. Footings; Size -.Spacing -Marriage Line 7. Well Clearance & Disconnect MISCELLANEOUS Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing•ConnectorsSteel 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 Date 9. Tie Downs-Type•Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 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; SoilsSize-DepthSpacing•ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.;Sils-AnchorsStuds-Rtts-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 -GA 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/S Circulating Equip. -Pool Lghtq. 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 o = OK RESIDENTIAL (Single & Duplex) - = Not Applicahln Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 48. 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth S. 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.F.I.)-Romex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GF] Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shdng: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.1279U�­ APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 1 62-�"-)-oil ZONING U BUILDINGPERMIT OWNER JOIRI W. GATHEROLE589—"65 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 218 BERT ~ n CONTRACTOR'S NAME TELEPHONE CONrRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER e Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHrrE TOR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS 60 QQFM Energy Plan Checking Fee $ BERRY CRE R, PERMIT FEE $2:3-UU LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome '0� Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 13 Installation ❑ Other ❑ Describe Work: N!ut� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S'o G :W @20.00 • PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo oa mss 23.00 • LWJ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P 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: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A '46.00 ' NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. s0 3.50FT. NEW CONST. MULTI.OUTLET NON•RESID. q I cu 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES 00 a4L x'.500 Ex. Qccu .ouF`Tx&Ts'RE.SID.OFR.A 5.00 Temporary Service "23.00 Mobile Home Facilities 20.00 7 Misc. Wirina 23.00 PERMIT FEE $ 63.00 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 PERMIT FEE S 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 tLhose provisions. `` ,, X =y � W Date 2- /�,2 �-- / Signature of Applicant - ❑ Owner ❑ ContractoIr ❑ AgeYemolition An OSHA permit is required for excavations over 5'0" deep and or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAY. (e FEES IMP FLOOD CDF PARCEL D HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , By �. / PERMIT EXPIRES ON�J the applicable provisions Resolutions to do work been paid. Date =f r �'U Q Date ReceiptNo.9 n419 Zi WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541 q PERMIT NO. (Rev.12/96) -' APPLIC ATION AND PERMIT `7 n5ilo ASSESSOR PARCEL NUMBER a �- ���1 o^OI I (�l nnZ�CT/0� ZONING U lJ B ILDINGPERMIT OWNER JOHN W. GATHEROLE TELEPHONE 589-4465 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 218 BERRY CREEK, 99916 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 60 COFFEY LIN Energy Plan Checking Fee $ BERRY CREEK PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: mull Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 0.00 PERMIT FEE S 80.0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service Z. n ow mss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. B.S. SO 3.50FT. NON CONS ANCIciRLUs @7.50 PSINGLE OUTLET OWER APPARAruCIR.s Ex. Occup. OUTLET OR F°cruREs 20 (9''0° BAL o .50 Ex. Occup. OFOC��R�ooEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 63.00 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 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.) XI 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 fortLith comply with those provisions. X _W Dated / L Signa u of Applicant - ❑Owner ❑ Contracto ❑ Agen / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HA2. F IMP Loo CD PARCEL HD SUE 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. Q By Date 7 PERMIT EXPIRES ON ci 1 1pg Receipt No. 9&9 -?Q 2i WHITE •D.D.S.-B DD CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ���`:..: �'Fs4:Y ��(�''F?.v � "T±�,l=. ,. „ +. ,. ",�"�.k.i3S,%i�=-j.z� r,�y. �i^w-.a•:ta� w.'.:..-.�=`+:1'• F,. i —0 i COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUI ING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHON 16)1538-7541 PERMITAPPLICATION DATA SH � ET OWNER - 4.i' Go A. P. No. Proposed Building Use %� f� 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 All items hj 1/ been submitted. - � �Plot plans,.,,�G4 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 $ .......................................... Impact fees as shown on attached schedule . .............................. ECalifornia Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flo 3 d) by G lifornia Engineer ................. Sanitation and plot plan approval�t) Zf 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 E required. .. o e ";,a �9 redo (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ' 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... ►� 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Wt,p,n you issue the permit, process as follows: Mail to owner. Mail to contractor. (JI• TelephoneSaw'l `/`/6S and hold for pickup at Oxo office. Deliver with inspector. ' Other Parcel Creation 9� Acreage Npplicant 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 pho 1. Index permit for above items No. 2. Additional items required: new item not checked above). ` Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, own advised of above required data by _ phone —mail Counter by _ Date Plans checked by Dat '- % Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .: 1A TO:" Building Department FROM: Environmental Health SUBJECT: • Sanitation Clearance E.H. USE ONLY Plot Plan Attache Floor Plan Attached�� Sent to B. (CI LI ) U&,-). - -P- 36 - i3a I 1+,o &gr «_ (v0 06FFeY L,3. (td`f4�&,g -7/6 — Owner ocation 6.c, AP# Plan Approved for:: w eeiispD,saI Water Supply: Public Private Well Clearance for V g. DI Hold final for: Final cleara 0. K. for: NOTE: nvironmental Health Specia om Date F+i" UNY OF. BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -,BUILDING DIVISION 7 County'Center Drive Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO (Rev.T2/98)APPLICATION PERMIT Aa6E96ORPARMNUMSEIL 62-230-138 t ZONING _ U ... "`-- -... BUILDINGPERMIT owNER JOHN W ATHER TELilIgNE. - t SO. FT. OCC. BUILDING: VALUATION owitmv mum ADDRESS _ _ PO BOX 218 DERRY CREEK, gsgm CONTRACTOR'S NAME_ _- - - OWNER. TELEPHONE. - s .CONrRACTORs MAILING ADDRESS CONSTRUCTION LENDER Fireplace - - - - LENOER'S MAJU NG ADDRESS I Total Valuation S - ARCHITECT OR ENGINEER - LICENSE No. '. Filina Fee - S - _ 20.00 Permit Fee _• 5.., ARCMECT OR ENGINEERS MAILING ADDRESS .. i . - Plan Checkina Fec. 5, suLtDwGAooREss Energy Plan>CFecking Fee S. 60 COFFFY LN a PERMIT FEE _4:5 UU BERRIMEK LOT NO. sUBDIVISIONSNAME PARCEL MAP, PLUMBING PERMIT Filing'Fee 20,00 a . USEOFSTRUCTURE _ — -- V: •: heat um water heater SF ❑ Duplex O Mobllehome Other _i //� i in - i.00 23.00 •15.00 - y Y W heater or vent 15.00 TYPE OF WORK stein 1 - 5'0utiets New El Addition C3 Remodel ❑ tAlitles Installation ❑' sewer 15.00 a Mobile Home Q20.00 ... Describe Work: ��r - tri-- - - - - PERMIT FEE _5 , 80.0 , 80.0 ELECTRICAL PERMIT Fllin Fee .-20:00 - Main Service eowoRLEsa zowoRtEas 23.00 •. LICENSED_ ' CONTRACTOR'S DECLARATION I hereby affirm"under pennity of perjuryttiaf I am licensed under provisions of'Chapter 9 (commenting with Section 7000) of Division 3 of the,Business and Professions Code, and my license is in full force. and effect License Class Lk:. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Main Service:► To, i000A 48:00 NEW CONST. DWEl11J0 OCCUP, OR ADONs. a ACC. e'Da• SO. ' g•5¢FT. NONO 0, ' MULTFOLmEi" @7.50 POWER APPARATUS a ewGT OUTLET q0. - Ex. Occup. OUTLET OR FD(TUREB L ®1.50 eAl so FLED APPLNS. oR Ex. Occup. ounETs ESIo. EA 5.00 . Temporary Service 23.00 La 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 Mobile Home Facilities 20.00 Misc. Wiring 23.00 . to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this PERMIT FEE $ 63.00 reason. WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 Heating 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. I ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed N 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 Ith comply with those tovisions. X Date J Cooling Hood 8.50 Ventilation k , PERMIT FEES Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST. TrPE TOT L FEE $ 166:00 HA2. D. FEES IIP FLOOD CDF p PD HO 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. Sig11;01 Applicant - O Owner. O Contracto ❑ Agen An OSHA permit is required for excavations over 50" deep and 'molor construction res over 3 stories in height. By Date PERMIT EXPIRES ON y o,�CQ4QZ O.S.•B,D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t hprhs makeatheiop�an an „ b d r Cheng s ii t, S et# ods ms . °, an. Ca�on� Shall Be 1C� con fro_ terariodrt�Sr A f n5n��^�'. .�. ..j'.y Practices a he feU , t Oe on Sa .U� t �l�E,—; , ',pecltied use in vifho gad Ac�rMechanical des qUa Unlfiorn; ', ,...:.Ci1Ga1 Code the NationalNationalal REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted /approved with conditions per attached sheet: ;4l Signature V Date ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 O FT. FROM THE SIDE AND 30 FT. FROM T4 6F REAR PROPERTY LINES AND -.0 FT, FROM THE ROAD CENTERLINE SHAL!"BE CLEAR OF STRUCTURES .AND E-QUIPMEN7, EXG&?, ' FOR A 2 FT. EAVE 0'0/ sum WILOW P 'O D rev` ��dch ,6j, ,5;9, ars a��e O,�'�b' �Vst Shce r 14� be %► 1 _G1v wok � 1 o �y REVIEWED By F . FIRE DEPT. T. of FORESTRY as submittedLt) with conditionsed -;ieet.Cate 'Xv\ ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. _ A SET BACK OF -3O FT. FROM THE SIDE AND `j,p FT. mom TI`IE REAR PROPERTY LINES AND l p FT. FflO?JI T;"fF. ROAD CESHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 Fr. EAVE OVERHANG. CDF FIRE SAFE REQUIREMENTS 6 z 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. [N] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �(] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical.curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning ' radius of 40 feet from the center of the road. [�(] 1273.05. Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 19 feet along its entire length. Page 1 of .3-*, AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than .800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (�] 1273.10 Turnaround. A turnaround shall be.provided at all building sites on driveways over 300 -feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 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 f'_:ial inspection of a building permit. Page 2 of 3 61,23 —c38 AP # q_7 - Z�B PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D -Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer. Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 7- 4-1 v APPROVED Butte CounHe�r�w �jwl e lt! g :.+.r:S §-� hed 7\ie She cox\etsd �e aao ee�s Anat°0 CeQvspe6`%ed an byGo� r—2 !1 / A L 1 r e cJ �'1 ee Sra�� and tans nthe �d 0 NO�� dame �e`• o a sNe ,� be vs �o ndSQeGa�d . Moo5 o QJ�,G el°tpea�a o�� 05 e ps ;eft °rao� �a �enpelvn'N ° �o 00 r - 071— I ---- 7IL no cJ . � oo� I hePR�VFL c 0 ,� ^ yeast I� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # �' Z_ --23 b �_3 8 PROPOSED BUILDING USE '1401-1 DATE 2 REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -Revised Plan Checking Fee ....... $ ✓2. SCHOOL DISTRICT FEES Oro 14 it (paid at District Office) SHERIFF FEES (paid at Building Division) G o Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) t, SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES Battalion # ). $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees ar"e required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT A ALVe4DATE / ,— Original -Owner Copy -Building Div. (Rev. 12/96) z:j i _ - . _ ...._ — • --, � �� �----- - .. o . �'.p .tib � T � ` = Y ' 2 � �\ 062-230-138 PERMIT#94-1807 HAIG, John & PAYNE , Deanne ' �O COFFEY LN., BERRY CREEK 1 U MOBILEHOME UTILITIES V ELECTRIC GAS LINE n . ( COMPACTION TEST REQ r :r; £ �> z'. ` ., `° •' 5 l` SUPPORT STRUCT REQ- EQ , jt a`fti' CAT i� �''F+r'•� a 4v ( T�Yt'a�''%t7''�'{ L I� C31 0 / /9 C- ) Cl -2./_.e-) <- APPROVED Butte Co my Envi n nt He 31;,h Sin----- ------ k4?t4.�a�t0�_ ;uildlftg Division AGRICULTURAL ' STATEWENT .O.F ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT _ Section 26-8.1 of the Butte County Code requires this : acknowledgement be record prior to issuance of a building permit. i 9 -28769. 94-0287691 Rec Fee 9. 00 The property described herein is adjacent to land or included I Cash 9.00 within an area zoned for agricultural purposes, and residents Recorded I of this property may be subject to inconveniences or Official Records I discomfort arising from the use of agricultural chemicals, County of I including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs I including, but not limited to cultivation,. plowing, spraying, Recorder I r pruning, and harvesting which occasionally generate 10 : 15 a m 1.1 -Jul -94 I P U B L XX 2 dust,smoke, noise, and odor: Butte County has established - -- - --- - - - -- agricultural zones which have as a priority use for.producdve agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary Earn. operations. All that real property situate in the County of Butte, State of California, described as follows: ° " P •. SANDRA P. LAPRE' Z Ede: COMM. #1020935 i�® �* NOTARY PUBLIC CALIFORNIA -n • PLACERCOUNiY ° IF PNS My Comm. Expires MAR. 20,1998 Date: - State of California County of &0_0` .�.ERTY OWNERS: a4" i/ i On 9-7W before me, - C alld,-a 12 LAPYt;/�l D`�' 19�l ; personally appeared &.0A6C. � . A.41,)e e (or proved to me on the basis of satisfactory evidence) to be the person whose named is/p• subscribed to the within instrument and acknowledged to me that,)Wshe/tjm�y executed .the same inAK/her/jh* authorized capacityoW, and that by 0her/their signature' on the instrument, the person', or the entity upon behalf of which the person(.' acted, executed the instrument. WITNESS my hand and official seal.�/ 1 P E SANDRA P. LAPRE' COMM. #1020935 Z NOTARY PLACER COUNTY �1A31 • w Signature �� �� / Seal: I My Comm. Expires MAR 20,1998 1 A.P. N ;. 94-28769 ORDER NO. BU -142065-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN.PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 19, 1986, IN BOOK 103 OF MAPS, AT PAGE(S) 92. PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE WEST 30 FEET OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER AND OVER THE WEST 30 FEET OF THE SOUTHEAST QUARTER OF THE SAID SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN. WIDTH LYING 30 FEET ON EACH SIDE OF THE CENTERLINE, OF WHICH IS DESCRIBED AS- FOLLOWS : BEGINNING AT THE NORTHWEST CORNER OF THE. SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35, TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD AND THE END OF SAID CENTERLINE. PARCEL IV: A RIGHT OF WAY FOR ROAD PURPOSES OVER THE EAST 30 FEET OF THE NORTH HALF* OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL V• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES ON, OVER AND UNDER A STRIP OF LAND 30 FEET IN WIDTH LYING NORTHERLY OF, PARALLEL WITH AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: THE EASTERLY 705 FEET OF THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN A DEED TO JAMES B. COFFEY, ET UX, RECORDED APRIL 19, 1976, IN BOOK 2064, PAGE 155, OFFICIAL RECORDS. PARCEL VI: RIGHTS OF WAY FOR ROAD PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN. THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON OCTOBER 19, 1980, IN BOOK 79 OF MAPS, AT PAGE(S) 8, BUTTE COUNTY RECORDS. PARCEL VII: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2, AND 4 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 19, 1986, IN BOOK 103 OF MAPS, AT PAGE(S) 92. END OF DOCUIV(ENT �- - X03.37 APPROVED c Env' Co my 'i nt He a'lh9� . ----------- Sian � fN COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,'Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION PERMIT NO. 0 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, _ please contact this office immediately. µtµ'e ,`m Date— — � Inspector REV 10/92 c S INOWDING ALL STRUCTURES AND EQUIPMEN- F -AS ENT OVERHANGS SHALL BE CLEj�Fj OF ALL A SET BACK OF -2-:1-0 FT. FROM THE SIDE AND FROM REAR PROPEFi-TY UNES AND FT. vR. -jqE SHALL BE FT. �--RMA Hl-, -, --tNT ExcEPT ND ,0 C!EAROF 971 pucTi,iFIES Al, FOR A 2 Ft. EAVE OVERHANG. as subiT, ap per APPROVED' Butte County 6vironmen;$ Healte.7e, ----------- ----------- - Sianature r-2 10/ 19c ), Cil CDF FIRE SAFE REQUIREMENTS AP# PERMIT # WRE 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. [Y] 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 k] 1273.02 Surface. All driveway ni rfarnac =nri ..v . aai co \Ui 1l1yCC, 1273.07 culverts and other apF•-,rte-iant-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. [)4 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. 01 2. The length of verti^j�l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [xj 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 2 -z 3 -1 3 K gy-'407 AP # PERMIT # tNAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�q 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 ul] 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. [y`] 1276.02 Disposal of vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit. Page 2 of 3 z— L 3 --I 3 f 91-( --,eJv /,�f,- �� s%✓� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet .Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10 of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 o✓ ���'�!L C% — — -- � a.�P� t. RESIDENTIAL ol 062-230-138 PERMIT#94-180" HAIG, John & PAYNE, Deanne q�'�'� •6AFFB� BERRY CREEK C MOBILEHOME UTILITIES 4 11 V=OK O = Not OK t NotNo Applicable MOBILE HOMES Date/Initials 111111601111,11f HOME UTILITIES (Plans) OK except #'a i Hing Requirements -Setbacks -Easements a IV S s; Special MH Support Sketch S war; Location -Teat -Fall -C/O Concrete . ater, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Gr2d4 /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft.: / /"Nat. or/ P'L"ft./ /"LPG ell Clearance & Disconnect" (� Utility Clearance Date/Initials 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 S. 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 t� v Z_f s� 9 . t MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plana) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Teat 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienuma & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -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/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing-Lighta & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuta in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walla (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlln=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Venta-Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Land Inge 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 6W Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE 4 i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER j' PERMIT f4o. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work 5 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t r Date // �z Inspector— ti REV 11 2 k IV COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OroviIle,' dal ifotnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-230-138 U ZONING BUILDING PERMIT OWNER JOHN HAIG DEANidE PAYNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS GENERAL DELIVERY BC 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER uCENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMrr FEE $ 23.00 BERRY CREEK- 99916 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 /O (- fe --.-Ile/ fie L Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUUBBDIVISION'S NAME PA CEL MAP 6 �`}�% Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome )p Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home r �20'�� 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)p Installation ❑ Other O Describe Work: 1 BEDROOM PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( 8 ACC. BLDS. ) So, 3.50 FT, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ,4 I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.000 Ex. Occup.UTEDAPPLNS. OR (OUTLETS (flESID.) EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHA2• Co un in consequence of th ranting of this permit. X Date Signature of Applicant Own O Contractor ❑ Agent An OSHA permit is required or excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ D. FEES IMP F100D CDF PARCEL PD >D LJSSUE lyl This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been �7 /Q By PERMITEXPIRESON tel provisions to do work paid. Date. /4 l/ 9 Receipt No. 167031 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �p�.�'"r'ix�'iq�`!'d1�5i115�'M�'Pgir��'i�'�l'K�6F"M�ili'.""f'fV""y�ys ItS���l�.' i�j1.i.%V�("'vt--".r'ma^v:. �.. ..,� ..,...,�>yxr9�T'?�'Y:7i.�—•+"+�.t�+a a»;:::..,...;., - 311.E;C®UNTYOF BUTTE - DEPARTMENTOI! DEVXLOPMENTSERVICES -BUILDING DIVISION w '•mss"$ •x 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ,-" PERMIT APPLICATION DATASHEET r / .D �I AiA/� �l7 �y�" OWNER #h16 A.,P,4 &� -'off Proposed Building Use . ,2�7 f/ 1-/ Building Inspector 7-2! S T Date T 41 5�� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY nwII items have been submitted . ........................................ Plof 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 . ............................................ tt 6. Energy Design Compliance and sur rting�docuaentation. 7. Statement of Intent for Non-Head-AfiCF$uTdings. j 8. ;Engineered truss details and layout in duplicate (required prior to plan check). ... 99 M bi ehome data and manufacturer's installation instructions, 2 sets. . 10 tes-uf$/ 4 u v e .......................................... pact .fees as shown on attached schedule. el2. California Department of Forestry plan approval/ 9 { loodelevation letter (100 year flood) by California Engineer ................ I 14. Sanitation and plot plan approval OA- C� 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: ontact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Pre Inspection requ 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). . 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ 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 . .................. '+ 5� 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... ' 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup at�//,CD office. Deliver with inspector. Other Parcel Creation Acreage Applicant /- Date / a� 9 Copy of Haz-Mat form sent Health Dept. Fire Depth Air Pollution Date -R, Copy of plans sent Health Dept. Fire Dept. Other Date By t The following data must be submitted prior to 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 'r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance d1416 //a--A/t4(/Y6r A- 7;V-ec- -�L� Z Xe O er Location -5 r -?-4,e /V Plan Approved for: Sewage Dis sal Water Supply: Public Clearance for bedroo mobile r Hold final -fef Final-ffearance O.K. for: Environmental 8/92 E.H. USE ONLY Plot PIM """"°�►�' Floor PLa Attached Sect to B.D. / AP# Private Well ,:�-'7 5,, 9�X NS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION" 7 County Center Drive : Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE RPARCEL NUMBER / ZONING BUILDING PERMIT ,OWNER O (�Anrl TELEPHO�N_E_. SQ. FT. OCC. BUILDING VALUATION /,9e��1 /yy 9/ OWNER'`/ CS ✓tG rESS j V- / ` ` ` 111 6 -el Q J CONTRACTOR'S N� � A TELEPHONE CONTWcToFrs MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 CIA Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities Installation O Other O Describe Work: _ / PERMIT FEE $ (, Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOov0RLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1:1I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) 7.50 / POWER APPARATUS ) 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APROR (OUTLETS IRESID ID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 r) Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 - O Owner O Contractor O Agent I An OSHA permit is required for excavations over 5"0" dee and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $166e4 HA2. D. FEES I IMP I FLOOD I CDF I PARCEL PD ND ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date !Date! Receipt No. I�,. WHITE-D.O.S. ANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete.and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) - signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City . Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner S Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Re=h o: AGRICULTURAL STATEMNT OF ACKNOWLEDGEMENT d! Division Division _ FOR RESIDENTIAL DEVELOPMENT _ Section 26-8.1 of the Butte County Code requires this acimowledgemenrbe rec rd prior to issuance of a building permit. The property described herein is adjacent to land or included NOT C:oMpARED WITH within an area zoned for agricultural purposes, and residents NZIGINAL. r)oC'i ►MFNT of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, 'Jut L 11 1994 including, but not limited to herbicides, pesticides, and v fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,. plowing, spraying, pruning, and harvesting which occasionally generate' C94-028769 dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for. productive agricultural purposes and residents within said zones. and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows:. T Date: State of California County of PlaC'Er' PR PERTY OWNERS: •- : a° . ti SANDRA P. LAPRE' Z Q = COMM. #1020935 i �* NOTARY PUBLIC CALIFORNIA 3) Z • PLACER COUNTY -4 CAQFOPN My Comm. Expires MAR. 20,1998 On i- 7 • qy before me, ��jGc1lCl�c. 12 LLtp/'L , /Vy7Ayt ( C nn v ' personally appeared ,�-Ct/l e- f'C.Z.t/.,0e, - -- _-- persexaUy-knowm.to-ne (or proved to me on the basis of satisfactory evidence) to be the person whose nameP4' is/fit subscribed to the within instrument and acknowledged to me that,)Wshe/tjbJ executed the same in `/her/pY authorized capacityok4, and that by `/her/lhei:r signatureo on the instrument, the person)W, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. Xr . •. SANDRA P. LAPRE' Z � »� COMM. #1020935 X NOTARY PUBLIC CALIFORNIA -n Signature ' � �G, -�/ Seal: y �q�• r * MY COMM. ExP res MMARR220, 19M A.P. # 94-18555 Jr ORDER NO. BU -142065-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 19, 1986, IN BOOK 103 OF MAPS, AT PAGE(S) 92. PARCEL II: A RIGHT OF WAY FOR ROAD -PURPOSES OVER THE WEST 30 FEET OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER AND OVER THE WEST 30 FEET OF THE SOUTHEAST QUARTER OF THE SAID SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL III• A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN. WIDTH LYING 30 FEET ON EACH SIDE OF.THE CENTERLINE, OF WHICH IS DESCRIBED AS' FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE NORTH ALONG THE WEST LINE OF THENORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35, TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD AND THE END OF SAID CENTERLINE. PARCEL IV• A RIGHT OF WAY FOR ROAD PURPOSES OVER THE EAST 30 FEET OF THE -NORTH HALF -OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL V: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES ON, OVER AND UNDER A STRIP OF LAND 30 FEET IN WIDTH LYING NORTHERLY OF, PARALLEL. WITH AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: THE EASTERLY 705 FEET OF THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN A DEED TO JAMES B. COFFEY, ET UX, RECORDED APRIL 19, 1976, IN BOOK 2064, PAGE 155, OFFICIAL RECORDS. PARCEL VI• RIGHTS OF WAY FOR ROAD PURPOSES AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED INTHE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA -ON OCTOBER 19, 1980, IN BOOK 79 OF MAPS, AT PAGE(S) 8, BUTTE COUNTY RECORDS. PARCEL VII: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2, AND 4 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 19,-1986, IN BOOK 103 OF MAPS, AT PAGE(S) 92. END OF DOCUMENT a00, r�. OQ COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: JOHN W. GATHEROLE ADDRESS: PO BOX 218 CITY & STATE: BERRY CREEK, CA 95916-0218 DATE OF CLAIM: 3/17/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SFRVlcFs IMPORTANT.• SEE INSTRUCTIONS nK1 orlt/r- M, DATE _.. ..�. DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) �. ..... .vim AMOUNT PERMIT EXPIRED. (A.P. #062-710-011, B.P. #97-0249, RECEIPT #209882, DATED 2/12/97, OWNER: JOHN W. GATHEROLE.) TOTAL AMOUNT PAID ON THIS PERMIT ....................$143.00 RETAIN REFUND PROCESSING FEE................$25.00 RETAIN BUILDING PERMIT FILING FEE ........... $20.00 TOTAL AMOUNT TO BE RETAINED TOTAL AMOUNT TO BE REFUNDED ..........................$ 98.00 TOTAL $98. 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. Dated this_day of 1922? at 0 Calif. Signa re of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or ai les specified abo a have een performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) f r t me. 17TH MARCH 98 OROVILLE Dated this day of 19at Calif. epartment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: 'Receipt- lhf8rmation-. , Number: Date: Issued To: Amount: e.1 - Fees Reta•i'ned ' ✓ Processing Fee t'Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE 1 t $ S`. GO $ a0 . CD CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL # RECEIPT NUMBER(S) Request a refund of fees �O1fv1n.�'t Q ac�n; rF REFUND CLAIM APPLICATION aid on the above receipt number(s) for the following reasons: 11 -- \r e cl k � ed -G, ' '1� Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. XTHEAITTACHED GNATURE DATE �� f PLEASE DATE AND SIG COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 4?17 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 62-230-138 ZONING U BUILDING PERMIT OWNER JOHN W. GATHEROLE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 218 BERRY CREEK, 95916 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 60 COFFEY LN Energy Plan Checking Fee $ $ BERRY CREEI: PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWE 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: J I, as owner of the property, or my employees with wages as their sole compensation, ' \ will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( d Acc. BUDS. SO 3.50, NF NON•RESI,DT ANCI OUTLC'RCET @7.50 PPA RATUS b SINGLE R AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .so Ex. Occup. DUIx s R=16.) EEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 fort ith comply with se p ovisions. X _ Date 1 Ll % 9 __ p of Applicant - ❑ Owner ❑ Contra or ❑ Age SignatiF An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 _—RAZ. "ES IMP I FLOOD I CDF PARCEL I PO HD LSSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNoQD9g9j;z_ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER -DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET , OWNER J. Oq L, co. L A. P. No,' b z 2---5 v- 139 Proposed Building Use /71�� Building Inspector �Al Date 2 /Z 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. . "14. Fees of $ .......................................... X1-1! 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). .. . . dest 20. Pre -inspection for to Buil Building Ins rago p required. .. co Bul�ding i�specto� (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 . ...................................... 321, Plan check list. .... .... . 34. _ Whew you issue the permit, pro ess as follows: Mail to�gwner. Mail to contractor. Telephone �SS� `/`/�S and hold for pickup at Uri 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 Contractor, designer, owner, was advised of above required data by _ phone _ mail ,,,,,-Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter by _ Date Counter by _ Date Date '✓ 'I.�rx"�1 y'yi�..'a+'1 •�V '�31�"r .4� ;�a rr°,%����`�1x . �"d� R"°`�JiE�'�� �``'�M tet%-:w�r'1�"tiiv�-'�„�T ��� '�.r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1,10 A/ 1. BUILDING PERMIT FEES Z -- Balance Due ............ $. -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES a, 44L (paid at District Office) ,C,�SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 34 6= - Units Commercial (sq.ft.).... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. . Amt: 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # Z Z- —/3 6 DATE REC # DATE REC At time of permit application, I- was advised the above fees are required to be paid prior to issuance of the building permit. These .fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) N COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9�n._5-qR p ASSESVMSMV@vA062—Q1-0-011 ZONING U BUILDINGPERMIT OWNERJOHN W GA7TYHElR�OLE TELEPHONE 589-3733 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME BERRY CREEK CA 95916 TELEPHONE 062—#10-011 PERMIT#98-0398, TINKNOWN GATHEROLE, John W. CONTRACTORS MAILING ADDRESS 60 Coffey Ln., Berry Creek Mobilehome•Installation CONSTRUCTION LENDER _ --- - - - --- -- LENDER'S MAILING ADDRESS Fireplace ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ ZO.00 Permit Fee $ -• ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINffR FFEY LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK g New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation © Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Describe Work: l i -11I / 97-0248 Mobile Home I S I G I W @20.00 j 1 ne �`ae eC. C� � 2 — 0 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service ZODA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIc. No. OWNER -BUILDER DECLARATION Main Service 200A TO 1000A 46.00 NEW CONST. OW EWNG OCCUP. SO OR ADDNS. ( a ACC. B.S. 3.5Q�: NON-RESIDT ANC' CIICUI UITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAI_ @ .so Ex. Occu . OUTLETS RE'D'S o.DEA 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: 1 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 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. Cooling Hood 6.50 Ventilation ❑ 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 PERMIT FEE $ Policy Number Mobile Home Installation Fee $ 100 00 (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 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 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 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall 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. fo hwith comply with those provisions. i `� X L Date I� _w_ Sign re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By Date PERMIT EXPIRES ON Receipt No. 236216 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif is 95965 - Telephone (916) 538-7541 n PERMIT NO. (Rev. 12/96) APPLICAIOV AND PERMIT ASSESS.JUt�Aj WJ%2JX@1Z 062—Q1-0-011 , ZONING 0 ' BUILDINGPERMIT OWNERJJOOHN W��GAATHEROLE TELEPHONE 589-3733 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CREEKp 0 BOX 91R, BERRY CA 95916 , CONTRACTOR'S NAME IINKNnWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER . LENDER'S MAIUNG ADDRESS 't Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINc� DR S bU�4�Fm LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME , PARCEL MAP PLUMBING PERMIT Fling Fee 1, 20.00 ` USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 % TYPE OF WORK g New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation © Other ❑ Describe Work: _ / MHI/97-0248 �1 C re ptaoPS - gr, �— Oor Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 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, 'All 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. ,r 'ti, ❑ 1 am exempt under Sec. Business and Professions Code for this reason I Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS.CONS- SO 3.S¢FT: r'EW ioN-RESIDT ANCMOi� I @7.50 PSINGLE OUOWER APPARATTLEr UCIR.S Ex. Occu OUTLET OR FocruREs 200 1.00 SAL @ .50 Ex. Occup. ouTtErs A=SIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 f PERMIT FEE $ Policy Number . ' " _ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any, person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fohwith comply with those provisio -s. 9 X ti t . ` a _ ___ Date I v / g _ Sig at re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 fs HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HDL This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dafe Receipt No. 236216 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Colfnty Center Drive - Oroville, Calif nia 95965 - Telephone (916) 538-75419 PERMIT NO. (Rev. 12/96) APPLICATION�AND PERMIT g-�X ASSES WdA.MMIX 062—Q1-0-011 ZONING U BUILDING PERMIT OWNERJJOH11 *,r GAIMOLE x Illjil 5LEPHr 33 9"', / SO. FT. OCC. BUILDING VALUATIONOWNERSMAILING ADDRESS 8 BERRY CREEK CA 95916 CONTRACTOR'S NAME WNINN TELEPHONE . CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23. 8UILDIN $'� DR nFFEY LANE, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 43. LOT NO. SUBD(VIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI/97"0248 `'/; C o ���� 8 A7- 0;)q 7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.d License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR AD DNS. ( 8 ACC. BUDS. s0 3.50FT. NEW NON -R NST AULTI-OUTLLET 97,50 SINGLE OUTPOWER APPARATLETUCSI Ex. Occup. OUTLET OR FOcruREs zo @ 1.00 BAL @ .50 NIS Ex. Occup. OUITEIFTSPRES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation r PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forlhwith comply with tho a provlsi S. W #r .,. / / ` 9 __ Date !7I X�_re�f_Applicant Sign - ❑ 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 $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP I F7 CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. l3o' to WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -. �... .,, "��•.. .,,. .y: ,r. Y ...f .s ^.;' yr e�;».r,*..wxs•,:..,,.,.-,..-...w..r •'-..t>;J..•,�': .'ze.�ai"�;K�a� ,�.,'+r:'.."r 3.h".rLr'Xar'tsr..., :1tA�h�,r'kd%�'a.� .��` r. .�Y �id�t �'4w.1� '•^Cf' 062=610-011 PERMIT#9870398 GATHEROLE, John W. 60 Coffey Ln., Berry Creek Mobilehome Installation �'7 - O Q40 COUNTY OF BUTTE -DEPARTMENT OF DEVLOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif is 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT` ASSESIMI ZIM 062-61-0-011 ZONING U BUILDING PERMIT OWNERJOW W GAS*LyKAO* Q lll:/R LK:� TELEPHONE 5$9-3733 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1? 0 WX 218, BERRY CREEK CA 6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ —Filing Permit Fee $2s ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINc,�gDWWR sbPPGI �y �♦ BERRY CRMX OOiU! Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK xx New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: / MHI/97-0248 j ( �� C F Lam : t,i�l C 7 0;) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A 1000A TOLING 46.00 NEW CONST. DWELLING OCCUP. CU OR ADONIS.( & ACC. BLDS. SO 3.50FT. NON-RESIDT MU . CIR UT 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 200 .00 aAL 9 I. 0 Ex. Occup. ouiLEETS RESIOOEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 complyawith those provisio s. �, / q X VJ ,.. Date 3 f ` / _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 HAZ. p -FEES IMP I FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date _ Da fa Receipt No. .JrJ,&G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: apqLw - qS_ SORPARCEL Proposed Building Use: Building Inspector: Date: f:F / 9 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 the preparer of plans. ------------ ------------------------------------------------ 03. ----------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------- ---------------------------- El 8. Hazardous Material Form. ----------------- Manufactured Home data and installation 010. Fees of $ ------------ Tie -Down Specifications. 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------------------------------- ------------------ ❑ 14. Sanitation and plot plan approval Health Department. ----------------------r-------------------- ❑ 15. City of Chico plumbing permit. -------------------------------------------------------------t -------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 6. Letter of intent on building use. ----------------------------------------------------------------------------------- 2 ❑ 2�7. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- D30. -------------- ❑30. Other: ------- Zu hyouissa t, process as follows C3 Mail to owner, []Mailtocontractor. Telephone 3 and hold for pickup at 4:0 office. ❑ eliver with inspector. Applicant: W , ate: ✓ ~ �� _ �� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Z i oZ % ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Dive. Ca �� ��. d,& -X_ ;&, OW PROPO COUNTY OF BUTTE u DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 r SCHEDULE OF FEES DUE BUILDING USE I 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - Revised Plan Checking Fee ....... $ `,,,.�'- 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division),'' Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ v u Commercial (sq.ft.) . x =$ 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A. P. #_J6 DATE REC # DATE-REC 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT 0 DATE Original -Owner Copy -Building Div. (Rev. 12/96) M COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET /9 / I OWNER J, (6,) , A. P. No. 47— -2-30-1-3-9 Proposed Building Use Building Inspector C Date 2-11 2n/i17 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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). Mobilehome data and manufacturer's installation instructions, 2 sets. A Fees of $ 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). 20. Pre -inspection for required. 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. (2�Letter of intent on building use. fig, `obilehome utility clearance. 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. �Plan check list. Whip you issue the permit, process as follows: Mail to owner. Mail to contractor. {'\Telephone v, gj? and hold for pickup at Ores office. Deliver with inspector. Other A - A, Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .- -{\Jj ZONING V BUILDINGPERMIT OWNER NE TELEPHO E _ 34 D� SO. FT. OCC. BUILDING VALUATION NF315 IUNG ADDRESS CONTRACTOR'S NAUE 1 �d w TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS LAI Energy Plan Checking Fee $ b a PERMIT FEE $ L� LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome J Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service �.. SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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. ❑ I am exempt under Sec. Business and Professions Code for this reason 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( A ACC. BLDS. 3.5¢FT. NpµpESID BRANCH MULTI -0 @7.50 POWER APPARATUS 6 SINGLE OVTLIET CIR. EX. OCCU . OUTLETORFIXTURES p®''00 eAL @ .eo FIXI Ex. Occup. oimt�s aE�SIO.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $�, G Energy Inspection Fee $ OCC CONST. TYPE , /_3`� TOTAL FEES y HAZ. p. FEES IMP FLOOD CDF PARCEL PD Ho LSSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. re Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. F 062-610-011 - -PERMIT#98-0398 ( :GATHEROLE, John W. 60 Coffey Ln., -Berry -Creek ( Mobilehome Installation PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite unoernoor viumDing Underfloor Electrical Underfloor Mechanical Underfloor Framing Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Do Not;lnsulate UntiyAbove Signed Insulation Do of . over;Uniif-AboveiSiane Fireplace Footing Do Not, Continue Fireplace;. Until.Above..Signed:... _ .: :. .:.:. :...... ......... Stucco Lath Scratch and Brown Do Not Cover Until: Above;Signed _ ........... Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildino or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses. Information 24=Hr lns Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Revised 7/94 1. Owner's Name: To _ U1 CTOL 61 �P_ l— G 6 2. Assessor's Parcel Number: 3. Installer's Name: te1.. �,�, j G�C•Vin -t, IA G LQ 1 eo 4. Is the site currently under permit? Yes[ No[ ] Permit No. q. ~j�.� of 5. Is the site an existing site? Yes[ J No[of (If yes, furnish two plot plans). 6.. What is'the electrical rating of the. mobilehome? rQ Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 5 C Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ].If it is, what is the rating? -/00 0 Amperes. 10. Is there any other electric load to be. served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[4 If yes, please identify the load and size: a) The mobile home site: Load- :/VQ' �! Amperes - b) The main service: Load- PY)IO Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ / None[ J 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? O 14. What is the mobilehome gas demand? 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 M.H.I. - 2 Mobilehome Manufacturer: rl,%ra. d n Manufacture Year: If other than single wide, furnish Setup Model Number: ,�' 0 --5 �;-"o Width: / 2., (ft.) Length: 5` 6 (ft.) Tagalong or Expando Size (:i.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ................................................................................................ Main Bea= Line2.............................................................................................. Line 1 ........................................................... Main Beams ........................................................... .............................................. Tag or Triple Line 1 Piers: Size minimum: r I x Spacing maximum: I I ` From ends -maximum: I` Line Z Piers: 30 Size minimum: [ z—) x ]. Spacing maximum: ` From ends -maximum: i ' ` 0 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): .ine 1 Live 2 .ive 2 line 3 Line 2 .................................... Line 2 ................................... Line 1 .ine S .ine 4 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ). Spacing maximum: E` From ends -maximum: ` OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n(nr�^ 7 / 6 — � [ ` /` mrrNG BUILDING PERMIT OWNER TE050NE SO. FT. OCC. BUILDING VALUATION OWNER'S NO ADDRES S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER U :ENSE NO. Filing Fee b 20.00 ARCHRECT OR ENGINEER'S MAILING ADDRESS ' Permit Fee S Plan Checking Fee $ BUILOINOADORESS �D Energy Plan Checking Fee $ IPERMIT b FEE t LOT NO. SUBONSION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.Ob USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome * Other SPECT FV Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Describe Work: ❑ Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS zooA D.RESS 23.00 c2WO /PL� i Main Service 200A TO IOWA 46.00 NEW CONST. DWELLING OCCUP. SO OR AOONS. 8 ACC. OCIS. 3.5¢FT. MW GUNS I. NON -RES D. MULTI.OUTLETRCUITS 87.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20 SAL .SO EX. OCCU FIxEO APPLNS. OR ovrLFrs RES10. E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mi C. Wiring 23.00 PERMIT FEE _ ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee S Occ CONST. TYPE TOTAL FEES � IIAZ. I D. FEES IMP I FWOO I COF PARCEL I PO ND I 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 Date PERMIT EXPIRES ON Pate) F 0 4./ v PRE -INSPECTION -INSPECTION REPORT OWNER: LOCATION: i, CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: PERMIT HISTORl :( ) NONE (049,F BUILDING INSPECTOR'S REPORT ZONING: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None +_ Currently On Off Obvious Problems: Sanitation: Plumbing Working s j., Well Working otable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: !/ Inspector: — r HOLD FOR Date Sketch buildings 'on reverse and indicate location on property. `i — : � �it`.�?:��' •;._ r ...s.�.� ..._. _+:'-' �Y"'`o.....{,�' _c'�--�..aa...."= R".,�`.'.�-�';"}K"'"-wyyi�'–•f. si - t 0 (0 i G9 t NOWI oa �,��f►I � � •. .O � S� o 0 1 Q IE t►► Fj� Inon to ��u i ti L'8L6 ^ h .4r © '©a m Q on _ m a� oa A N a 8L'b6ll j 1 Al � 00260 Q�h � s tu cc N-7 31NY-9 e i O ��i 4 r' ; nex I1 o�Arlotz N-7 .31ZN3Wif o _ tow yam• �c "� a ��c 1W 4� n N n '0 I �N •,�� N� p 4 � a • � � ^ � N � N u � � �' o I Id a a _ 8e se O Ih W °� ��.�va � �• �/s�� �` � Ft•- c-1417 Ci � w cc n _o � o�aL � fid- ai � ll6by _ z �'• . 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