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062-730-013
Orr - — - 0!�-%30 �.1 -'4130 Y_ �30-0� F-0- MONTGOMERY, EVE a b 3AP AG 01-222 .pCONTR : B.LAZ, ROLD„MONTGOMERY, STEVE & SUSAN b ERN�I E LN ,. BERRY REEK 'c7 -� MW UT IL �. ? �^ 46 ERNIE LN. BERRY CREEK EMPACTION EC "� AG EXEMPT PERMIT oV�. _e _. v) u.. S GP(•, /�, / i1 TEST REQ 0 6` ( SUPPORT STRUCT RE 3-ate- o IT a2 92-177MIII - 0(a9-1`230- Y (a9 73a- o 13 `- MONTGOMERY, Stev - -- 46 rnie Ln, rry Creek r- A; �J/ J (mhi ` OYQ -730-0392-3322B MONTGOMERY, Steve - 46 Ernie LN, Berry Creek f , contr: Executive HOmes q mh-i_existing site / o - o"Z 2 4 062-730-013 01-0850 ! MONTGOMERY, SUSAN " 46 ERNIE LN. BERRY CREEK COMPLAINT TO INSPECTOR CONT: OWNER ., COVERED PATIO MH Wq ~` p r4 13 V co CP c - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RIAJTaNO. �- Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricult al products are processed, treated, or packaged, nor shall it be a place used by the public. AMS SSOR PARCEL NO. _ 3 ZONING U ArgLi >�.. 6 OWNER s.� S /� PHON .� . OWNER'S ADDRESS�I 0 e - - V LOCATION OF BUILDING � e USE OF BUILDING o o l s alp". SIZE OF STRUCTURE X _ SQ. FT. TYPE OF CONSTRUCTION: � WOOD FRAME STEEL CONCRETE OTHER (SpecKy) TYPE OF SIDING ROOF COVERING FLOOR TYPE 4 a, ESTIMATE COST OF STRUCTION "CO $ &00 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I -3()l 0 Imo./ 5 M'I� SIDES �''� REAR FRONT AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date &OV �� , �,Da� Signature of Owner v�L� Permit Fee - $60.00 The above described AG Building is exempt from a building mit. A" Receipt No. 1 FL�b I PARP. V. ROOF G ISS White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date F� ._. fi.. , f t BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: :. t,: >'-v2}5227}:• ': Tv" 22<t2 :.55: t:' :t<S1: da5ay3233:. ............... :....:....:....,.,...:...:.,,.......::......... :............. .. 'c` -- :< ` ...:...........:..:.. .........:.,,,.. ,... ,..,:... �'he5crhave::n orma�ion:.�}iro�r�v�r�l`,�y�5 � �� �r�,. 2'>= � � ............. . ..,..+� ,�.2 22;;;f;::t«,;?��.22«22ffff,✓..>.m, ::';}T::S}:;-T:}5•••: .... Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2- t ,C l � r ♦, ,y o4 5� Tv.� � 'ij � � e��A r r ' - !-1 - i.•yj�,�,,�' ,�Gy 'n' R �'� A � -.�� t �� "sem Yid, ,yam xv4. �.rs' 1� . VIM ,�,� .�....r':tw.-a-.�t„ ...a.3•Tr s ,...s .t.&'hs,. _..�".,,au .r�,1ba.c �.ta�:t< r 4 w . "�? ��3...'. '.:rR I Yt � •k �rWIP°' . "r ire Nayv' • ♦ , k ^�• 9+3.__+V'rHv... .ZC'1z.+.tS'i4 . �.p- A_ _. F :�i"fri_.Ki M�lm . e9�-,g-x"•g,{ •rte -:T'' n=/,y r:'•. a_+.±, nw_.+�.r y�ky - N 'T�' ">t': i' . T+ '% . 1'Y ''{SVS i C +: .:i ;,_ � d«"y.' Lc •�i��a/i%' moo' ° r r ET WN WIN, kap -„ �' ,` aIm! ffw�m a`„�.j3`.•fi \ ..'in,5•<1Y Tyilesr..e.` w?a".4♦.. Y..... .. , P, � _fhCS,7x, rv[rY� . r^i'S��•.'��a�St��y+„'�i� i�`a n _•�Kt3�5�"..,.ef:_ '".�.3.'u«{�.ti� �` ���-' ^ - - rr.N,,„�r”. z�ys•G^.. . }��E }�: R1li�+i 4�7� � ;y'i'�t t '+.-,�;�,:. WO �'C� a•F'�*Kif^� S�b''q�•%f� .7'�.C_�rni,�t,. ��aa MA I 1,91A W11 a , . �.Fw "'].. .x Jk `=�' '1n,..;. �il�'.�`'r.•�^.` S. rrg,OR 7 s •`yh''�tP,•?.'♦'bat�wixrt'NFiK•.'�i.aUjJiG`0 . .•'.a^: R2♦r`Mma-2 wi •,��w g�th"y.13 ,�'r;YKS�'C'?{.��. ;r'�c�s�"'. ,;�'it0�"'�'i^<�y����` Mi�G��, ,`u'.'J'+++fi q, �� ;�.. i iw 0 0627230-059 1-4130 MONTGOMERY, TfVE CONTR: BLAZ, R OLD L� I ERN I E LN, BERRY REEK 16-19 / MH UT I L ELEC 0 GAS 6PA COMPACTION TEST REQ 7� r SUPPORT STRUCT RE 3-ate �a 62--Z -5a 92-177MHI MONTGOMERY, Stev 46 Ernie Ln rry Creek (mhi 92-377�2 MONTGOMERY, Steve 46 Ernie LN, Berry Creek contr: Executive HOmes mhi existing site / o-0 062-730-013 01-0850 MONTGOMERY, SUSAN 46 ERNIE LN. BERRY CREEK CONT: OWNER COVERED PATIO MH 062-230-059 AG 0 1 -222 MONTGOMERY, STEVE & SUSAN 46 ERNIE LN. BERRY CREEK AG EXEMPT PERMIT _ Complainant: _ Address: Phone Number: Other Comments: BUTTE COUNTY DEVELOPMENT SERVICES • - z Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 7.� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIF RNIA 95965-3397 PLo19, RETURN SERVICE REQUESTED STEVE & SUSAN MONTGOMERY 46 ERNIE LANE BERRY CREEK BERRY CREEK, CA 95916 �%2Z � � �- co �fi �� G� v � �o ti G' � L�� fc J �n Q S s L � v � .�J rr r � �= �/ JNTY COUNSEL .LE, CALIFORNIA 95965-3380 / (916) 538-7621 / FAX (916) 538-7120 NEIL H. McCABE CHIEF DEPUTY COUNTY COUNSEL DAVID M. McCLAIN CHIEF DEPUTY COUNTY COUNSEL ' r r Assessor Name MONTGOMERY STEVEN E &SUSAN Asmt # O� Fee # 062 730 013 000 Status ACTIVE Status Date Addrl jPO BOX 452 Tax 000 INORMAL OWNERSHIP, TRA 101 000 . Addr2 IBERRY CREEK CA 95916 - _ �.� Situs 46 ERNIE LN BERRY CREEK 1 Addr3 Base Dt Add14l Land 0, Timber Preserve Structure 0 ° AgPres Comments REMAP FROM 062.230.059-000 -10/24/97 �: Fixtures 0, r Eta[ Growing 0; Creating Doc# 1981 R2623599 Date J Notes Current Doc#,1991 R50265 Date 12/06!1991 ��_...�__ J Bonds Total L&I 0 Fix. R 0 Killing Doc# -- Date (�—�� 1-----� Multi Situs MH PP _ __ _ :_ 0, OJ Flag1 Asmt Desc 001.64 AC SEC 35 T21 N SuplCnt PJ Flag2 a PP . 0, Zoning U Dwell 1000 @ 910 MH Exempt Acres/Sq Ft f0_`� NIC 062 VA Asmt PP Pen Net JTax PP Pen RIC# J Appeal Pending T/R Dt i Li Split Pending RIC Stat _ PHY OWN EXP TAX HON 11. ATT SIT APR_ PCL ► l'^ _ � � Find 2003 sa, 07j22J2003 11:15:57 AM - { L/ ! Z 66,2- 230 - O S 7 U V[ dN FlrG � G'rtll�O T� k/A- 6PAy,ti 6,V�r d 5ctov1 -1 -�co to v.,(cpf -f �'C lelC Do, � SS 2. Introductions. 3. Approval of Minutes of October 19, 1990 as amende 4. CCAA Assignments and Updates: Les suggested that the TAC consider setting the N: have offsets. He felt that this proposal would help Bernie stated that the plan should not address PM - All District comments on the draft introduction, me NOVEMBER 30 so he can prepare a final draft fo: 5. AB 2588 "Hot Spots" Act: A sample of the Kern County prioritization worksh 6. CAPCOA Conference Update: Paul distributed information regarding the District': take before the Board of Supervisors in each Distri request up to $4 for nextyear in this resolution. 'I 2766 funding by December 15 in order to begin the fi- RESIDENTIAL 062-23-0-059 MONTGOMERY, STEVE ONTR: BLAZ, HAROLD ERNIE LN, BERRY CREEK MH UTIL 92-- 0177 /#//r, I 91-4130 6-� �� 0 X 6 /3-S OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat, JOB FINALE Signature V=OK.- O=Not OK ENot Applicable ReadMOBILE HOMES Not Ready �I Date MOB HOME UTILITIES Plans OK except #'s ing Requirements -Setbacks -Easements Soi ; Special MH Support Sketch + ewer; Location -Test -Fall -C/O Concrete 1j+1 ✓4V afer; Location -Test -Easement Needed (Sketch) Ele ''city; Location-Clearences-Grnd-/ mp-Concrete as; ocation-Test- ap: / /"L"ft. / at. o17/"L"ft.{ "LPG Well learance & Disconnect tility Clearance Date _4 , rLCard 8-1 *A 1• Date Card 8-1 Date Card -1 Date Card B-1 Date MOBUe6HOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks Easements 2 ootings; Size -Spacing -Marriage Line /;3' Gas; MH-Test-Demand-Valve—Connector 4. EI ricity; MH Test -Crossovers -Breakers -Clearances ra• Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Ater and Sewer Connected -C/O to Grade -HD Aooroval asp. -Sketch rt. of Occuoanc Date Card B-1 Date Card B-1 l Date3 a,2/-/idj'ZCard B-1 fLA'_ — Date Card B-1 iJ t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Nj Ready RESIDENTIAL (Sin .?. &Duplex) = Date UNDERFLOOR (Plans) OK except #'s Date 9 FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped --- ---- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --- - ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------ -------=-------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- -------- ----- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access ------------- - --------------------------- 20. - Test Tub & Shower, Second Floor -Tub Access ------------- -------------------- - --------- 21. Gas Pipe: Size & Anchors Date -- -- -Card B_1 --- Date - Card B-1 -- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection - - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -------------------------------------------- -------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------ -- ---- 25. Romex Installed Close to Edge of Studs & C.J. - - - -------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --- -------------------- --------------------------- -- -- - -- - ---- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sizer ! 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-Mech. Equip. -------------------------------------------------------- - ---- 32 Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------- 33. ---------- ----------------------------- 33. Smoke Detector -------------------------I--------------- ------------------ ----------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except M's 34. A.C. Ducts Insulation & Support 35. Vent Fan Exhaust above insulation -------------------------------------------------------------- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - - ---------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Ir's 39. Sils. Proper Material & Anchors - ---- ------ -- ---------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------- ----- - -- -------------- ------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------ -------------------------------------------------------------------- 4�. Draft Stop in Walls (rat proof) ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------------------- ----------------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------------------------- _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- ----------- _ 55.- Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- - ------------------ Date Card B-1-- Date Card B-1 -------------------------- Date Card B-1 Dale Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector ------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------- ------------------- 64. Bedroom Exiting --------------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- ________ 66. Elec_ Trim & Subpanel_Breaker Sizes & Labels 67. 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 Gara a -Dam er 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------- -------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ----- ---- - 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------- ------------------ 78. - Guard -Rails & Deck -Const ruction -Post Caps ----------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes - ❑ No - ---------- - 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing ------------------------- 83. ---------------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 ---------------------------------------------- --- 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 ' PERMIT N0. x/27 - C) 12 2 Address or location of mob lehome y6 Fv A I,e L n /3 •C - Owner's name �� �� !�, H�n �► o v)i Owner's address �C� cvt P Insignia or hud number /r CH f fy"v Manufacturer's name Serial number of V.I.N. el) 13 Year of manufacture Z ial Approving Installation) (Date) IF THE MOBILEHOME IE MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL EECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. �.. 4 0 0 Eatte Count, A N D O F N A T U R A L W E A L T H A M D 6 E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE . OROVILLE, CALIFORNIA 95965 v Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director Works Plan Checking ` LT J, COUNTY OF� BUTTE DEPARTMENT OF PUBLIC WORKS .ti 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 0 OWNER PERW NO- -A O_'A routine inspection indicates that the fiollowing violations of Butte County Qrdmancese>dstat 'lthe;aliova address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, orneed additionalexplanation. please contact this office immediately. Date .3 . "/ % Z Inspector�%-.- REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Toad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE l�kl ...tii av (/ 5'a- OWNER 2— OWNER PERMIT NO. I- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be co•rected. Please notify this office when correction of wont iscomplgted. If you have any questio is pertaining to this matter, or need additional explanation, pleas contact this office immediatelly. Ir- it A C -4M; LA r" &-f Liy S=�t • �✓� �� Kw c v � ; s 1r. Date�Z Inspector w<. '� REV 11/81 ` CO'UNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO_ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be c xrected. Please notify this office when correction of work is completed. If you have any questi ins pertaining to this matter, or need additional explanation, please contact this office immedia-ely. /'C�AGL/�'G�/ Ge//���iN !,V �GLV_S' 4✓[�►2r� /Y7�irlR7t�/ �x „ X �✓ wt i �. S Dir c r e ��. v c Date, 3.LV•'�?2_ Irspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County penter Drive - Orovill,?, California 95965 - Telephone: 916;536-7541 AP,PLICATION•AND PERMIT PERMIT NO. 92-177 A SSESSO PARCEL NUMBER t ZONING BUILDING PERMIT OWNER qtpVpMnnta TELEPHONE SO. FT. OCC.1 BUILDING VALUATION S OWNER'MAILI ADD SS 97n6 Plgnt-qtjon Plare, Stockton CONTRACTOR'S NAME TELEPHONE CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 46 Ernie Ln, Berry Creel: Permit fee $ 5.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME _____TPARCEL MAP 37-87 Water piping 7.00 Each clas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeZ] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InStallation[X, Other ❑ Describe work: MHI (MHU#91-4130) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW M CONST. / DWELLING OCCUP3.64 sq.ft. OR AODNS. \ ACC. BLDGS. I NE w corvsTR ULTI.oUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS SINGLE OUTLET CIR.e ) Ex. OCCU S 20 76d Ep�OUTLETS OR FIXTURE FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 9 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a l liabilities, judgments, costs, and expenses which may in any way accrue 4a ainst P2 Countyin c nseq nce of the granting of this permit. X Date --?– signature of Applicant — Own r Co tractor ❑ Agent ❑ An OSHA permit is required for excavations aver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HA-DFE IMP FLOOD �. CDF PARCEL PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica ed ove for which fees have been pa�id.9 By I TO OF UBLIC WORKSDate PERMIT EXPIRE Date —� Receipt No. 109525 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ...., r �--.:',r. _ .-_ ...-.......��:�, ..,-•-"'�+Fkf p . ^ r .; w.r� Tyr, -i X (.�;� . ,��-,... n-.-.. r ..-.�....._v.-�• •� ,`:i:.3tR.:....��.;,�,�.� x .. -4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION 7 COUNTY DENTER DRIVE ;,PRe41'LLE C�IFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET a Permit No. � OWNER {l 43AAIf �I P. No. b:2 -23-5I C Proposed Building Use L4((' W= Building Inspector Date (—Z2 —9Z_ At time of permit application, I was Edvised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate,/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details End layout in duplicate (required prior to plan check) 9. Mobilehome installatio-i data including manufacturer's installation 2 instructions....................................................... TTS 10. Fees of $ 1.1. Chico Urban Area fees paid ....................................... Park fees Raid J ' �>2%/rG School District fees paid/(%e*, i�Jt�(C. 4. Sanitation approval fro -n Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (const-uction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workman:. Compensation Insurance .................. 23. Owner -Builder Verificat on (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ,,,25 Leser of sig_natur authorization ... /r�a q2i? ............... A ej� s rtes 3G 0 `' ( i L ZP When you issue the permit, process as follows: —Mail to owner. Mail to contractor. Telephone J��%`�33 and hold for pickup a' office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air PI on Date Copy of plans sent Hea th Dept. Fire Dept. —Other—&,i ther Date By The following data must be submitted prior to permit issuance: ( i e w item not checked above). 1. Index permit for above items No 2. Additional items required: Contractor, designer,wne , was aadoise a ove required data by_phone_maiI—counter by .date Z Contractor, designer, owner, was advised of above required data by—phone —mal I—counter by date Plans checked by � Date 7 Z Plans approved by &X) Date 71 !22 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. s 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 mat rials for construction of the proposed propert-y� improvement yes r no) 2. I (have/have not) signed an application for a building permit for the.proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4..,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work ' Signed: Property Owner Social Security Ifimber Date Loll NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 'PHONE: 538-7541. r��OBILEHO'I\E INSTALLATION SHEET 1. Owner's Name: S !c� viff14, IQAMS614,KkV f ..:..2. Installer's Name:. - A &f__1 3. Is the site currently under permit? Yes No L (If yes, furnish permit number ) OR Is the site an existing site? Yes A No 7 (If yes, furnish,two plot.pi•ans.) 4. Will the mobilehome be''located at least 5 ft. away from e f c tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify _ 11. What is the gas pipe length from meter or tank to the c � � mobilehome?---------------------------------------------'/ * 12. What is the mobilehome gas demand? ----------------------M OZ (BTU) *(This�nfo_rmation'not reQuired-if pipe length..less than.6 ft. ons .natural-gas or less than 50 ,f_t., on LPG.) BUTIE COUitl _ BUILD.QiNG ®:EPARTMENT APPROVED 5. What is the mobilehome electrical rating? --------------- AM Amps I 6.: What is the mobilehome site service rating? ------------- -4V Amps .7. 'What.is tte mobilehome site circuit breaker rating? ----- v Amps 8'. ".Is. "there ariy other electric load to be served by the r,- mobilehome site service? -------------------------------- Ye No (If yes, identify the load and size: (Load) (Amps) -32// �.. 9. What is the mobilehome site as pipe size? g P P -------------- - (in. 10.,.i.What is ------------------- Natural LPG the type of gas service? u 11. What is the gas pipe length from meter or tank to the c � � mobilehome?---------------------------------------------'/ * 12. What is the mobilehome gas demand? ----------------------M OZ (BTU) *(This�nfo_rmation'not reQuired-if pipe length..less than.6 ft. ons .natural-gas or less than 50 ,f_t., on LPG.) BUTIE COUitl _ BUILD.QiNG ®:EPARTMENT APPROVED MOBILEHOME SUPPORT DATA gRG . If other than single wide,2, ... Mobilehome Mfr. 6rco -t � Q�C� _<'furnish Setup Model No.:' _' Year Width /0 (ft.) Box Length (ft.) Tagalong or Expando On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Tj1. Wood -pressure treated or foundation -grade. 2. Other (specify) SUPPORTS (check one) I Concrete block. a 2. Other (specify) I Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE COUNTY OF BUTTE � - - - - -- - — — — — — —• — — — s _ BUILDING DEPT Main Beams FEB X 1992 1 ine 1 ' — — — — — — —e 2— — — — — — — 'in, 2 t.1— 1 r M r'X �0 �Al Main Beams — — — — — — — Line_ Tag or SIL — ,.in - _ - -- � ince 1 Line 1 Piers: Line 1 Openings: Size -Mir -------------- „x Size -Min. ------------------ Spacing-Max - --------- ------------ Spacing -Max.--------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: =;.Size -Min. ------------ 12 'k24-" Z°Y 36�� Spacing -Max. --------- 5 10�-- � From Enda-Max.------- '-10 0- Line 3 Roof Loads: Size -Min. ------------ Location (From Fiont) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- X Spacing -Max.--------------- From Enda-Max .------------- Line 4 Piers. p2 Line 5 Piers: (Under Bearing Walls Only C A �� Size -Min--------- -- 2 �2 ax �Q,. Size -Min------------------- „x Spacing -Max ------ - 5 „ �1- q y Spacing -Mar.---------------- From End R.------- d „ It- O t' From Ends -Max .------------- Line 5 Roof Loads: Size -Min .------------ _ "X "X I tx "R "X "R " location (From Front) I, • I so • I This eeti. of plans and spaciflcatlons MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public v' Works, Doti my of Butte. Z �l0X40 - �f S t A eetback of S fti from the property lines and a -setback (�( SQ it. from the road interline shall be clear of r oturaa or equipment except r a 2 & eave overhang. c WIM NOWE: All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a Quality prescribed for the Speci$ed use to the Uniform Building, Plumbing & MechWcal Codes and the National electrical Code. OU.I t t CVUN I•Y. 'PROVEn MH( 1192-177 ssOvi 7, b1t i / E's ao of ) mon j S�� -e-A"i 'f' r' (a („�.;;Ic( syq -f-) Wi6?d, ./v o Q lvoi 41`x(-,14 V �lq-k/ vq s wJo l ©°1)5 ��� •^'u'v—ry"'��y`�':r�,_c�i--3'*C'rMiryar")^+^�Y'r!.j..n:"'Y."r•Ti�7,y/""..,a^".^.v.ys r�i.lie'MI�G!' •'_'.'T7z...,�,:ri'h�'-5„`- `' `iso`"�'�i.+•..rr"'"*®':•...w+e•'weaw"v`�.�Y�g''+4..MC:: n'V!•1w:*v.r .. r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One'Form per Building) A.P. Number (p _d3 S B ilding Lepartment No. School District > V �� City n County Jurisdiction Property Owner (/� /''1 Q 6M4C-,KL-r Project Location/Address 6 ca le• Subdivision Lot Number Residential Development: Sq., Footage _ = CO # of Living MHI Addition (Group R) suitor CDe0#7 Units �'1'- - Comme c1?/\kndustria1 a Sq. Footage New addition (Including Exterior .7\ Roofed Areas) *' Building Depart e•nt Representative Date. (Floor Plans reviewed by School District Personnel) rr • District Id No. 92042 (y1'lJ Sc_zool District certifies that eIE ty'( NT 1�71RI 5133 '(Applicant Name) ':4(Phone Number) (Street Address) 959116 � •y (City) `(State) (Zip Code) has complied with .the requirements. - of R=solution NA.�a5-90 (� 'by the payment of $ �or representing square feet. School'Distric= Representative' Date PAID BY CHECK NO. REMARKS:.. BANK NO PAID BY CASH !, y white -applicant, yellow -building department, pink -school district ',\ SCHOOL.FEE (8/88) if �`!w"„ i"y�%i�✓',C.+''����irH,'.�i.i v �7G!Fi'fi' .. . , �"s�"�C �'4."°'�F``�C�Yd�ty�i°'^a'y*'°�'""r=+"�,a1'�yT'SR""'-c i {.. . BUTTE COUNTY SCHOOLS DEVE14OPMENT FEE CERTIFICATION FORM (One form per Building) A.P. Number Qt0 0'� %1 D Building Department No. School District -0,42> dl City = County � Jurisdiction Property Owner Project Location/Address Subdivision Residential Development: f # of Living MHI Units _ Lot Number Sq. Footage ?0 Addition (Group,R) Commercial/Industrial: Sq. Footage New Addition (Including Exterior t Roofed Areas) BuildingDepartment Representative;.," tate • L (Floor Plans reviewed by School District Personnel') DistrictId No. lwo V dv) 1 (Applicant 46 (Street Ad (City) byfthe payments of AVV zo School District certifies that V l.t� I- e) (Phone Number) 7hA4 ess) F/ ( /, (State) (Zip,Code) of Resolution No.. epre-spp ing) 30.6 are feet. ve Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH a�4 /0 white -applicant, yellow -building d -par SCHOOL.FEE (8/88) 3 J t, � in�r-school�cl�lt,G� l' 3-18-92 Steve Montgomery 2706 Plantation Place Stockton CA 95209 RE: MHI Permit 92-177 i! A.P. #62-23-59 t 46 Ernie Lane, Berry Creek CA Dear Mr. Montgomery: �, With reference to the above subject and the permit which -was issued on March 18, 1992, this permit is;lhereby suspended. After issuance of this permit for a 10' X 40' mobile home, without an expando unit, it was discovered the school fee certificate form from Oroville High School District had been{Caltered. A call to the school dis11 trict revealed a fee payment for 200 sq. ft. living unit, rather than 400 sq' ft. as shown on the altered form. If you will resolve this problem to the satisfaction of the school district and this office within ten days of this letter, I will reinstate the permit. If not, the permit will be revoked. il No work may be done on the'MHI and no inspections will be made until the permit is reinstated. l Should you have any q 538-7541. JFG/eg concerning this matter, please contact this office, cc: 46 Ernie Lane, Berry Creek CA 95916 Building Inspector 11 Oroville High School District f IE Yours very truly, William Cheff Director of Public Works J.F. Glander Manager, Building Inspection 4 File No. _ BUTTE COUNTY (For Acti",l, 2, 3) Public Works Dept. (For Information o/ ) Director l 4 Sec. 4 File No. _ BUTTE COUNTY (For Acti",l, 2, 3) Public Works Dept. (For Information o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mopping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits _ Addr. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. (/ lA SSESSOR PARCEL NUMBER a ZON;NG BUILDING PERMIT OWNER r�- Na'AJ _J_fsoA,4 TELEP ON E � � OWNER'S MAII..INr. Anne -.SG lex %-elAn � Qni Q�i4C�_ S f� Cloy N CONTRACTOR' S NAMENe/L - TELEPHONE OGt/ SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L NOER ADDRESS VN KNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O�v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .416 ell/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. J SUBDIVISION NAME PARCEL MAP / Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF !_i Duplex❑ MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home JSl GJWJ 15.00 TYPE OF WORK New, Addition LJ Remodel utilities ❑ Instalati Other F1 Af(Describe work: �- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO IOOOAI 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 1 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.g) OR ACDNS. l ACC. BLDGS. 3.66 sq.ft. NEW CONSTRULT'-OUTLET NON-RESID BRANCH CIRC 'ITS @ 5.00 /POWER APPARATUS e (POWER OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 V 766 5AL 49&1 Ex. Occup. OUTLETS ED APPLNS R IRESID.)EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoi eheightlons over 5'0" deep and demolition or construct- Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT h Mobile Home Installation Fee S /� Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES lQ J �-- I HAz DFEES IMP I FLOOD CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916,538-7541 APPLICATION'AND PERMIT PERMI O. ASSESSOR FFARCEL NUMBER 62-23-59 ZONING U BUILDING PERMIT OWNER STEVE MONTGOMERY (209 TELEPHONE 474-7311 SO. FT. OCC. BUILDING TION OWNER'S MAILING ADDRESS 2706 PLANTATION PLACE STOCKTON 95209 CONTRACTOR'S NAME HAROLD BLAZ TELEPHONE CONTRACTOR'S MAILING ADDRESS 3070 LOUIS AVE OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ _r51p- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE S ERNIE LANE BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 3 7 �� Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeFN Other SPECIFY Gas piping system 1 - 5 outlets 4@ Building sewer E Mobile Home 15.00 45.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities] Installation❑ Other ❑ Describe work: MH 11 _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑FIXED I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. h\ 3,64 sq.rt. OR ADDNS. l ACC. BLDGS. II NEW RES'D, RANCH CIRCUITS)@ 5.00 NO N•R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 75 APLNS Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile me Facilities 15.00 Home 15-00 Misc. H g '15.00 Permit Fee $ 48. SU — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the' -County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. i' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expen s which may in any way accrue against said punt in consequenc fthe anting of this per '4, W��-��� ��� // X �4 Signature of Applicant — Owner Cont actor ❑ ent ❑ An OSHA permit is required for excavations over 5'0" ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOT. L F E $ 2$, �0 HAz FEES IMP FL O CDF PAR L PD HD SSU This permit is hereby issued under sions of the Butte County Code work inclicatMd abo or which IROF PUBLIC By ti7� PERMIT EXPIRES Date the applicable provi and/or resolutions to do fees have been paid. WORKS Z D e 2 �.L3 Receipt No. 103347 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ' ' i r 7 COUNTY CENTER DRIVE - ORO* UL&.,.WALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMfTAPPLICATION DATA SHEET L Permit No. OWNER A. P. No. tlJ.2 -Z.3- •��I Proposed Building Use l�rii Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have,been submitted. ........... 2. Plot,plans�in duplicate/-riplicate, signed by preparer of plans........ 3!Complete plans in dupl-cate/triplicate, signed ,by preparer of plans .. 4. Complete engineered pans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Complia-ice and supporting documentation ......... 7. Statement of Intent for Won -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) /v 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... J 12. Park fees paid .................................................... 13. School District fees paid .............. _ 14. Sanitation approval from 92Q�i/ Health Department -q �- 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of , (see City for other requila-ments) 17. Planning approval for (A; Use: (B) Parking: ...... 18. Improvements may be regUred. Contact Land Development Section DPW �-19. Driveway permit (constru-tion approval required prior to occupancy) 2 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... a 22. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verificatio-i (Given to owner ❑, Mail to owner 0). 24. Recorded copy of Agricultural Acknowledgment Statement ........Z 25. Letter of signature author.zation................................... 26. 27. When you issue the permit, process as follows: Mail to ow er. Mail to contractor. _Telephone 2401"Y7 and hold for pickup at office. Deliver w/inspector. Other 7�/ 10�17�x Applicant .Date 1/--27-1/ Copy of Haz-Mat form sent Health Dept. Fire Dept.Air POI IonDate Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri r it issuance: (Circle new item not checked above), (��� �f 1. Index permit for above items No. Z 2. Additional items required: \v � s: J Q t Contractor, designer, owner, was advised of abo a requiire�1.aata by_phone�naiI-counter by .date Contractor, designer, owner, was advised of above requ re data by -phone -mai l_counte�Eate date Plans checked by� �ateJzPlans approved by of plans on hold in File cabinet AP folder Copy -DPW TO: Building Department FROM: Encroachment Permit Section , RE: Driveway Clearance 23-s� owner location AP Driveway permit`4e- ate-.1.11104�lhas been issued for the above property. date 7t4 ure ,Z0 0 APPROVED Butte Count ronmental F v J � J APPROVED Butte Count ronmental F TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance 111,��A)16- 4Y b 6crm Y-6 _ .—Atbr Owner ati0A AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for � bedro m mobi ome. Other NOTE * * * row RESIDENTIAL ! 062-23-0-059 92-3322B MONTGOMERY, Steve 46 Ernie LN, Berry Creek contr: Executive Homes mhi existing site P 6 G zq3 1/v OFFICE COPY Address I I GAS ; Meter By Date D EC Mete JOB FINALED (Date) /-0 Z. Signature 92 - J=OK " O=Not OKNot = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements .2. Soils; Special MH Support Sketch • 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE_HOME INSTALLATION (Plans) OK except #'s LA-fo_nj4'Requirernents-Setbacks Easements o K gs; Size -Spacing -Marriage Line as' Test-Demand-Valve—Connector 4 ricity; MH Test -Crossovers -Breakers -Clearances Drai H Test -Fall -Flex Connector MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged Exits; Insp.-Sketch (10_.P,,(t. of Occupancy c Date award B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)0K,except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel *Nt. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK -=Not ApplReady le Not y RESIDENTIAL (; = Date r- UNDERFLOOR (Plans) OK except ti's 1:P Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main: Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- - ----------- 17. Water Pipe; Test & Anchor -Nail Protection --------------- ---------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- -- - ----------------- 19. Shower Pan; Test. First Floor -Tub Access --------- 20. Test -Tub &----- Shower. - Second Floor -Tub Access --------------- ------------------ - - 21. Gas Pipe: Size & Anchors ---------- ----- ---------------------------------------------- Date- - -Card B_1 ---- Date - Card B-1 --- - --------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------- ----------- ---------- ------ ------- ----- ------------------ --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ----------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------- - -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----- ---------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------ --------------------- 28. -------------------28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI - ----------- ---------------------------------------------- 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------- -------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------------ - -- - - - 32. Clothes Closet Light -Shower Light -Spa Light ---------- -- ----- -- -- ----- - -- ------------ - - - ----------- - --- - -- -- 33. Smoke Detector - ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -.A. -C.- Ducts Insulation & Support ---------------------------------------- ---- 35. Vent Fan Exhaust above insulation - --------------------------------------------------------------- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------- ------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Date Card B-1 Date Card B -1 ------------------------------------------------------------ ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sits. Proper Material & Anchors ------- ------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------ 41 Bearing Walls over Girders & Floor Nailing - - -- -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------- - ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Dingle & Duplex) Date FRAMING (Continued) r, 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- - Date ------ _--Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 621 Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting ---------- - - 65. G.F. 1. & Bath Fixtures & Tub Access -Spa ------ ------------------ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ----------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ -- --------------------------- --- -- - 71. - Elec.-Outlets & Receptacles at Kit. Counter --- ----- ----------------- --- 72. -Garage -Fire Door; Swing -Landing -Closer 73.-.A.C.-Duct in -Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----- ---------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location ---------------76.--Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------- - 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------- ---------- 80. Followinginstld.: 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 ------ ----------------------- ----------- --- 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO, ?2 3 Address or or location of mobi lehome yr 4 ✓ �' La /13 ' Owner's name (YC lac i��r,�..� . ..+��� •/ �. -- Owner's address Insignia or hud ni Manufacturer's na ' � Serial number of V.I.N: �'t�1`/ 4/1L % ,. /u -�'>%{ S �Year of manufacture ial Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS ~ ��► 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OA ERukf PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. f you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. irc 9'i cw r cc� Date ( 2-2 Inspector — REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANO PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 062-23-0-059 ZONING U BUILDING PERMIT OWNER STEVE MONTGOMERY TEL PHOS E 589-5133 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 46 ERNIE LN BERRY CREEK 95916 , CONTRACTOR'S TEXECUTIVEM HOMES TELO PH0� 92 (J 1 6 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 46 ERNIE LN BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee ' 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeRR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instaliation[X Other ❑ Describe work: MHI-3BDRM EXISTING SITE X�KX�I��X��XXXXXXX Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ilicensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions de and my license is in full for a and effect. effect. License No. CO Classification f ,, / Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATo 1000A1 37.50 NEW CONST.( DWELLING OCCUP.&) 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00am (POWER APPARATUS &) SINGLE OUTLET cIR. 20 76 Ex. Occup(OUTLETS OR FIXTURES L. 0 464 FIXED Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ef have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen s, costs, and expenses which may in any way accrue aga t s id County in ons quence of the granting of this permit. Q Date % Signature o{ Applicant — Owner Contractor Agent ❑ An OSHA permit is required for exc 9ations over 5'0" deep and demolition or construct- of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105,00 IIAz OFE IMP ^ FLOOD cr PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of th tte C ty Code and/or resolutions to do for which fees have been paid. work in ca g2R OF PUBLIC WORKSion BY ;XCDate PERMIT EXPIRES Date 62 —/1J — Receipt No. —1-2 1251912 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I !--�...,yti,.J'�2r. '-.- •-v-'^^�•`t.i-+"►�"re�'h''S�'r`�`.`''tFi:• rCf.:'� t'v{3.•s---�t1�s'w�.,-'�va.r=.�l'4..+:.•,�-�,-h!'."''y,�'n�-�-f`..%� ^ .'hy:.�'. �""'"...n .. .. n COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DR VE - OROVILLE,. CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION. DATA SHEET OWNER U / rr Proposed Building Use A P. No. CAtlx.- Building Inspector Date _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, sig-ied by preparer of plans . .......................... 3. Complete plans, 3/4 seas, signed by preparer of plans . ..................... . 4. Engineered plans and Talcs, 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 rranufacturer's installation instructions, 2 sets. . 10. Fees of $ 11. Impact fees as shown on attached schedule.W- .00 ......... V , 12. California Department os Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood),by Calif99r (a Engineer. . 14. Sanitation and plot plan approval (' V lRealth Department. 15. City 'of Chico plumbing permit . ......................................... 16. Plot plan and business Icense approval from City of Biggs/Gridley. ............. 17. Planning approval for (A4 Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . st 20. Pre -inspection for to 80 ing Ins actor p required. . to Building Inspector (Date) 21. Contractor's license info-mation. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of AgricLltural Acknowledgement Statement . .................. 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed cf 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 Eccess......................................... 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 . ...................................... checklist......�/........................................... ' 10-144'k- e(, �/ SG�DD `Lr�s 0.1U -9-L 013 34. When u issue the er it, process as fellows: Mail to wner. Mail to contractor. VTelephone Z and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Ap Gcant 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 it issuance: (Circle new item not checked above). 1. Index permit for above items No. -7 2. Additional items required: Co tor, designer, owner, was advised cf above required data by _ phone _ mail Counter by"Q Date Z Contractor, designer, owner, was advised cf above required data by _phone _mail Counter by _Date Plans checked by Date Plans approved bye Date -2 f=7 2 - Sets Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 00 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Floor I'I:m nlmch Owner /Location Plan Approved for: Sewaoc Disposal Watcr Supply: I'ublic. _ Clearance for "?-- bedroom Other Hold final for: Final clearance O.K. for: NOTE Environmental Health Special] 8/92 A P#i t/ Private Well Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ' - ►SSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERd-resy G ff�,Qrcv&V�� TELEPHONE S�`i —S13 S0. FT. OCC. BUILDING VALUATION - D W N E R Ll ` R1 — LING ADDRESS 4Ll-, I'E `,,� . C.9- C-�C 1 � _ .....""• ' CONTRACTOR'G-�!S NAM I '� �c L TELEPHONE CONTRACTOR'S MAILING ADDRESS 3'0,q Z L55-9 ,A-4q1::FE 1 2.0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ U • U L�> ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ o_i PLUMBING PERMIT Filing Fee 15.00 12),k.0 09-7\xf- Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7,00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeq.., Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New Addition Remodel C Utilities ❑ Instal lation Other ❑ Describe work: cj ojyz! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 e�1 qa_ 177 Main service 2sOOAOR LESS 00V OR LESS 1 H.SO CONTRACTORS LICENSE LAW I dec are under penalty of P y perjury (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. �n�Z-1.O Classification _ ❑ 1, as the owner, or my employees with wages as their sole compen- sation. will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATOI000A1 37.501 NEW CONST, / DWELLING 0"U"a') 3.64sq•ft. OR ADONS. ACC. BLOCS. NEW CONSTR UL I.OVTLET NON-RESID• BRANCH IRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES20 7151 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to -the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 County Ordinances and State Laws relating to building construction. and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee . S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAz OGEES IMP FL000 COF PARCEL PO HD Issue This permit is hereby issued under sions of the Butte County Code work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS Date Receipt No. 12—S912— WNITL, O. P,W„ YELLOW-A!e(!l011, PINK -INSPECTOR. GOLDEN 1100-AP►lILANT 0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District f�/ f d �� �r� Building Department No. A.P. Number, Q6,91-2-5-0 — n�S9 Jurisdiction City P4 County Property Owner Property Location/Address 174 Subdivison 0 9 � a Residential Development 0 q ktCe e5c�5-ri No. of Living Units Commercial/Industrial •kri � Sq. Footage HI Addition COUNTY & BUILOIN of Sq. Footage New OCT IA4ddQ (Flooe Plans reviewed by School District Personnel) 9,41d (Group R) (Including Exterior Roofed Areas) la -lye Date District Identification No. 930584 Aid School District certifies that 1 (Appli ant) a. J i (Street Address) (City) , (State) has complied with the requirements of Resolution No. ;, I representing square feet. School District Repre Paid by Check Number Bank Number Paid by Cash (Phone Number) (Zip ` by payment of $ l�) 1-4,1 Date If, subsequent to the School Distri-.t Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the Califo�snia Environmental Quality Act (CEQA), this project may bg subject to White (applicant), Yellow (building department), Pink'(school district) (/� I feeform.wkf (4/92) . � .r�•y..v .. _.,.�;�:�ti .�y.�;1.-.,..r.,.w,..•-'-.-•f-w-.+.r�.�q...��--....yv.rrrP'�.✓-•rc��n'7�f...-,..•w�"9�!.�•t�-...-.. ten+.. ��ll, : .,.. ...y ��.i-'�.. �-- "`n`.,r SC'hoo ( 0 x-51— C411CO f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form "Per Building) :ol p School District—0 A.P. Number 60- 230' � !Jurisdiction 0 Property Owner SI -Cyt 224Aq60106r;W Z Property Location/Address Subdivison Building Department No. City 5/1 County Lot N 1� Res'dential Development 0u2r q. Footage I L110 P �AC�Mre.v� o. of Living H A ition (Group R) Units Commercial/Industrial 0 Sq. Footage w Addition (Including E erior 1 j Roofed Are s) 1 � 9 2i Building Dep ment Repres ive Date District Identifica n No. r t certifies that \ \ ( licant) (Street Address) / (City) ff (State) has complied with the requirements of Resolution No. representing 7iJ square feet., / School District Representative \ (Phone Number) /10 (Zip C de) by payment of $ -(!9— h `� Date Paid by Check Numbsf Remarks. Bank Number Paid by Cash i f If, subsequent to the School District Representative signing this-Buite County Schoolstlmpact Fee Certification Form, the School District,is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate itOmpact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) SS' Tqn �y� W 1 21,q 1 I jZcPlAc6 m L„r C NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes E the National Electrical Code. This set 'f plans and specifications 'OUST be ;pt on the job at all times and it is unlawful to ake any changes or alterations on same Without ritten permission from the Department of. Public forks, County of Butte• 0 WELL Location of structures & equipment shall be as shown & clear of all easements. Nhvi dIUKQ 5friae 5 ,S` , SC✓E !�� 2 APPROVED Envi on to Count l'nental Heath S -T tiv Lg f\ G 1D rYN Environmental Health SEP 211992, ��1=b � ice. ►`� E�-�.� C.�.���. Oroville, California - - --,-`' J w - BUTTE COUNTY DEPARTMENT OF 'PUBLIC WORKS, 7 County Center Drives Oroville� . .-...PHONE: .538 7541 MOBILEHOME INSTALLATION SHEET 1. Owner.s.Name:. / 2. Installers Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? Yes No. _........... OR Yes No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No U (If no, clarify 5. What is the mobilehome electrical rating? -------------'- Amps 6. What is the mobilehome site service rating? ------------- Amps 7, What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric. load to be served by t.tie � No mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: (Load) A (Amps) 9. What is the mobilehome site gas.pipe size? -------------- (in.) Natural LPG �� 10. What. is ------------------- the type of gas service. 11. What is the gas pipe length from meter or tank to the mobi.lehome?-------------------------------------------- (ft.). 12. What is the mobilehome gas demand? ----------------------- "" (BTU) (Th ft .information not required .if pipe length less than 6- f.E:.on :..... natural gas.or.less 'than 50 ft.!'on LPG,) µ z�. ... ........ MOBILER014E SUPPORT.DATA if.othef than single wide -7S Z-- I urn ish -Setu .14odel.:No Zbo �-v :Year mobilehome Mr. ......... ........... .... .. ...... 7 x LA Tagalong -Expando" Size.'��- jt.' WldLh3 (ft.) Box - Lengtik.. (ft-l-agilong " or On all mobilehomes manufactured af ter..,Pctober.. 7,. 1973, 1 urnish. manuf acturei's.:%ins tal lat ion.-, manual and structural setup sheets (if not .on*..fiie with `ttle.Co'unty of Butte).-.:0XINGS, (check one) 1. Wood -pressure treated or foundation grade.EY2.- other. (specify)- * SUPPORTS' (check one Concrete block.a2. other (specify) Pier'Footing Sizes and Locations LINGLE-WIDE .14ULTI-WIDE Line I Line I Line 2 Main Beams - Line Main Beams Tag or Triple Line I .1�1 n _r I Line 1 OpeninRB: Size -Min. Stze-Min . ............... Spacing -Max......."' Each Side of Openings Fr --Pi Ends -Max -------- With width over--.' .L.1 -is 2 Pk'rs Line 3 Piers* (Under Bearing Wall Only). Sive-Min ------------- Size -Min -------------------'k o Spac lze-Min------------------- SpacIng-Max---------- Spacing -Max.--------• ^ �_ „ From p.jcing-Max---------------- From Fnds-Max -------- From Ends -Max -------- ; ------- Line. 3 h,pf Wade: Size -Min ----•-------- location (From Front) n.--------- �k „ Spa, ----------- SP4, bq-Max---------- From Eads -Mex:------- �_ a fine f_ Koof nda-Maxi------- UIIeJKoof Loads: .. IA,C&tion (From Front) , .-0.- 1 . =.T I. Line 5 Piers: (Under BearingVa-Ile only) Size -Min. --_-•-.. Spacing -Max......._......__. From Ends -Max ---_- * ....... S�. rqn �y� 7 1 •. 2`lkyo �ZcPt,AG6 ® PN c •2 POL6 30 �l �l ® w6LL AR 9Sq At L4 J W Y))jVrv/ F/;/, 9,1,�1`171Wtiffi96 �%,� MODEL 34036 AA NN Gj STANDARD 20 Ib. roof load Springhill exterior Cathedral ceiling throughout 30 gallon electric water heater Vented range hood Side eaves on all 26' wides Attic ventilation Medicine cabinets - both baths Hardboard siding 4" kitchen backsplash 4" bathroom backsplash TT HH E E IR Shingle roof R14-7-7 insulation (The higher the R -value number the better the resistance and effectiveness of the material.) Base shelves in cabinets Porch lights front and rear Gypsum walls throughout factory select Carpet in all living and bedroom areas P.O.S. vent systems Mini blind throughout except bathroom Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION OPTIONS Outswing cottage front and rear doors Full house insulation Dual pane windows Dishwasher Garbage disposal Inswing front and rear door Sliding glass door Deluxe upgrade carpet 1/2" rebond carpet pad Skylight Removable hitch Refrigerator OTHER OPTIONS AND FEATURES MAY BE AVAILABLE. BE SURE TO ASK YOUR RETAILER. SPRIfIG HILL. -.-. BY nEET WCOD Springhill Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 SH/17/MAY91 Y. ?I 9 %� .. Flocorded at ttlo Roquost of Mid Valley Title 8 Escrow Company 1 -50165 � '�I Ordor No. _ escrow fto. 123523-3 Loan No. WHEN RECORDED MAIL TO: MR. 8 MRS. STEVEN E. MONTGOMERY c/o Bob Boschert 16310 Shannon Road Los Gatos, CA 95030 MAIL TAX STATEMENTS TO: same as above APN 62-23-59 91-050265 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8300am 6 -Dec -91 Rac Fee 7.00 STF 1.00 DOC 9.35 Check 17.35 CD 2 DOCUMENTARY TRANSFER TAX $9.35 Corrgmlue of No colslduraflon or value of property culvoyed; oA X Computed on the consl:lorallon or value less gene or oncurnhrnncos romalnhg of time of sale The undersigned Grantnr dee,.IareS Signature of Doclarant or Agent delorminhg tax - Firm Nnmo GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife hereby GRANT(S) to STEVEN E. MONTGOMERY and SUSAN MONTGOMERY, husband and wife the real property in the City of County of as unincorporated area BUTTE SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF State of California, described Dated _Deremhpr P 15191 7e,/ , J HENO T. RPJN STATE OF CALIFORNIA )ss. n COUNTY OF Butte ) - A on December 3, 1991 Ixoloro UYNTHIA A. RU me, Daniel F. Hunt porsonally appearod Henry T. Runge, JR. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Istare subscribed to the within instrument and acknowledged to me that he/sho/lhey executed the samo in his/her/their author' capacity(ios . d that by er/theft signature(s) on lho instru nl.lho persona or the Ity n 6ohalf of which the person(s) act execulod the iinslrumo . WITNESS my hand and official seal. Signature �"�'�����ea�aeaaaaaaaaaat „�DANIEL F. HUNT 'f N7rAFIY r'�;F;I.IC.CAI_IF ifu+l ORNIA Aly COTmq.S,Cn E>,pues Oct. 1. 1994 v 9 1 -50265 t� PARCEL I: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: THE NORTHERLY 357.23 FEET OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 28, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 87. PARCEL II: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF THE WESTERLY 30 FEET OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 28, 1977., IN BOOK 37 OF MAPS, AT PAGE(S) 87, LYING SOUTHERLY OF THE ABOVE DESCRIBED PARCEL I AND OVER THE EASTERLY 30 FEET OF PARCEL 2 AS 'SHOWN ON SAID MAP. a Return to DPW AGRICULTURAL STATEi`1E,NT OF ACLATOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte Coun— tv �Co'de requires this acknowledgement be recorded prior to issuance of a building permit. 92-04T0 1 I Rec Fee 5.00 1 Cash 5.00. I 1 I I I I PUBL XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established ag.ric.ul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property." -situate in the County of Butte, State of California, described as follows: I°cC,Lcd -T. S .ems, M C C lgao4 37 m4los tit I °AG E. e7 Date: ; — State of County of PROPERTY OWNERS: ,5 TEuEu E MO ArGoM V (1 1 1 1-16 SRN/4` 4l1/. Anggy CrFF k (Q 9.59/6' On this the y day of 19 ql , before me, the SS. undersigned Notary Public, personally appeared OFFICIAL SEAL .....�:°�_. The property described herein is adjacent NOTARY PUl31.IC —CALIFORNIA to land or included within an area zoned 92-004706 for agricultural purposes, and residents of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from 'the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation plowing 11:19am 4 -Feb -92 92-04T0 1 I Rec Fee 5.00 1 Cash 5.00. I 1 I I I I PUBL XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established ag.ric.ul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .property." -situate in the County of Butte, State of California, described as follows: I°cC,Lcd -T. S .ems, M C C lgao4 37 m4los tit I °AG E. e7 Date: ; — State of County of PROPERTY OWNERS: ,5 TEuEu E MO ArGoM V (1 1 1 1-16 SRN/4` 4l1/. Anggy CrFF k (Q 9.59/6' On this the y day of 19 ql , before me, the SS. undersigned Notary Public, personally appeared Personally known to me. Z Proved to me or, the basis of satisfactory evidence. to be the persons) whose name(s) /f subscribed to the within instrument and acknowledged that _ executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public END OF DOCUMENT OFFICIAL SEAL .....�:°�_. JANIE STEVENS 7.. w •-9!i .y$;.,""• ;. NOTARY PUl31.IC —CALIFORNIA '�:�• COUNTY OF BUTTE Comm. Exp. Sept. 11, 1992 .9l11111!!!(!!l1011!!9.l11iBG!!!!:!l999l:SlElS�lC:o306Cl9ltl�.Sdt:l99 Personally known to me. Z Proved to me or, the basis of satisfactory evidence. to be the persons) whose name(s) /f subscribed to the within instrument and acknowledged that _ executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public END OF DOCUMENT 1 10 AP # 42-- 23 _ o 57`/ OWNER PERMIT4 NH UT IL . CLEARANCE DATE - �'- INSPECTOR 'r ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load T e Pipe Size Length YESI NO ,YES NO i I BUTTE COUNTY'SCHOOLS-QEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P.Number. o2 3 Bpilding Department No.'.N �(=. County Jurisdiction School District city Property Owner 0 Project *Location/Addres s Z-A;(v� oz it Subdivision Lot Number Residential Development: Sq.-. Footage # of Living. MHI Addition (Group R) Units Commercial/hndustrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Depait%6nt Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 920420 0 School District certifies that 's Tl�-Yff /J 7r(" 5X9 S/ 33 (Applicant Name) hone. Number) (StreetAddress) 9 15 0 h� (City) (State-) (Zip Code) has complied withl.the requirement.sl of Resolution No. las- 90 'by the payment of $ 00 representing sq*uare feet. 0 k 3 -17 -gam School District Representativd Date.. ,.PAID BY,'CHECK NO REMARKS :.' BANK NO.& PAID BY CASH adepartment, ..pink-school yellow-buildir�g depar pink scl.i6ol SCHOOL FEE .(8/88) IM FIRE DAMAGE REPO OWNER 400W `e &—S 1-t �' ► If9/'T'f' LIQ 3'►'�G LOCATION: 4j, CONTRACTOR: DATE: 7lao� A.P. # Q &,?, —? cW—b 1 —5 ZONING: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( W,, FOLLOWS: M 9-1 ► , M /3 0kaL /Oa— Building Description: Electric: Gas: Commercial/Usage:_ Residential/# of Units: Currently Occupied AbandonedNacant Yes No Condition of Electric BUELDING INSPECTOR'S REPORT Electric currently On_ Off Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Description of Damaged Area: I Lo S S :22�- Estimate Valuation of Damaged Area: Condition of Foundation Mobile Home: Condition of Utilities: Inspector: rfil Date Sketch building on reverse and indicate area of damage. 0_.Z Dia - `730-0/3 DF/BUTTE COUNTY FIRE INCIDENT LOGI DATE 6111199 INCIDENT NUMBER 5216 REPORT TIME 12:56 LOCAL FIRE NUMBER 0 STATE FIRE NUMBER 263 CASE NUMBER 0 LOCATION 146 ERNIE LN RP ISUSAN HONE NUMBER 589-3419 COUNTY NOTIFICATIONS ❑ OES [:j EMD ❑ LOGGED BY TP RO COLBY STATION # 62 MEDICS:I i OFFICER IB2115 B 136 BRUSH WRA G21 AGENCYID BTU STATE WILDLAND FIRES ©STATE STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSA/OTHER STATE HAZ MAT ACRES 0 LOCAL WILDLAND FIRES LOCAL STRUCTURE FIRE! LOCAL OTHER FIRE LOCAL MEDICAL AID: LOCAL PSAIOTHEF LOCAL HAZ MI LOCAL ACRES INCIDENT NAME IMONTGOMERY START TIME: 1200 CAUSE DEBRIS BURNING LAND USE IDOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 LOCAL TYPE $ DAMAGE: SAVE 30000 DIAMOND #: 1.1-1.8 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES: CIVILIAN FATALITIES: � FF INJURIES: � FF FATALITIES �O FC 40 ❑ DATE OF FC40 INC I SEN FAX STATION 62 MM AGENCY INC #:1] INC P# LOG © INITIALS TP COMMENTS: STRUCTURE WI VEGITATION E PTN SE 1/4 SEC 35 T21N R5E M.D.B. 8 22 LPM 0 AC I 1 210.00 .80 AC 1� 9 O 7-87' I I 1' 9 200.00 ► 14 ( 82 A 3 U4% ------ PM 40-68' 4 12 1 200.19 90.88 14 \ �,4 .79 AC ($ f 1.67 AC ?2 PM 40-5 3 Oco b z5a 30PM 44 1.01 AC UNE 26 NUM, These parcels are for nssessnent purpose only and nay not cons Me legal parcels. NOTES RESIDENTIAL +062-730-013 01-0850 MONTGOMERY, SUSAN 46 ERNIE LN. BERRY CREEK CONT: OWNER I (COVERED PATIO MH �emcsL c_5, - _\A t *-/6b SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature t. t ✓ = OK 0 = Not OK - =.Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer: Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 3. 7. Well Clearance & Disconnect 4. 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date Electric Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 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 Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 6. Elec.; Enclosures; Conduit Entries -Terminals -listed Date 7. Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- 8lockouts-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. Plenums & 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 B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Battle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes C) No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills 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 Slops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss -Shting. -Ring. 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 Ht. & 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 Interior/Exterior 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 -Connector - In Garage; Above Floor-Ducts-Mech. 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 & Receptacles at Kit. Counte- 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 (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caos 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive j Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout 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 94. Address Posted Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CoIFX_4ty BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 Center Driwe 01-'Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) i. It APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ' 4 (%2-7.�0— 1 i' ZONINGi� BUILDING PERMIT OWNER 1 . SU TELEPHONE 4 SO. FT. OCC. BUILDING VALUATION 70 C Q . OWNER'S MAILING ADDRESS RIMY CA 95 6 Q CONTRACTORS NAME 0WM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , LENDERS MAILING ADDRESS Fireplace Total Valuation $ Gin nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $9q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee BUILDING ADDRESS � Energy Plan Checking Fee46 $ - - - $ PERMIT FEE $ • LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome N 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 New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: COVEM PORCH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W (9?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, 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.P 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. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING Dec UP. OR ADDNS. ( ACC. SO 3.5QFT; BLDS NEW CONS .T. M NOµgESID ia7.50 OWER APPARATUS 8 SINOLE OLmEr CIR. Ex. Occu OUTLET OR FIXTURES 20@'-0°FIXTURES BAL. p .w Ex. Occup.pU�T1EET5 pa,D,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner jo as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X flt� _ Cf �Date _�601 Signature of Applicant - ❑ Own$r' ❑ Con ctor ❑ Agens An OSHA permit is required for excavations offer 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 $ 66000 HAZ. G_,p, � IMP F» .-FLOOD CDF �PARCEL,]pp .✓ .:HD" S$UE• f ✓ This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have y� B4 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. jDaatte - I a � 6 r ^rB rReceiptNo. 31527R�fiFi. WHITE-D.D.S.•B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•A13PLICANT i w / - - & Y,Ifc Q. -4 AWD ECNJIpMENT WCLUDINW OVERHANCIS SHALL BE CLEAR OF ALL EASWENM A SET BA CX OF FT. FROM THE SIDE AMD 5FT. Pp ---010 THE FlEAR PROPERTY LINES AND F:T. FROM THE ROAD CENTERLINE SHALL BE CLEAI� OF STRUCTURES AND EQUIP-MEN'T A 2 FT. EAVIE 0%,MRHAN Ic 0 - d �� , tSUTTE OOUN I i- RUILDING D5PARTMEN p p 8 0 v -r ou' ING DEPARTMew C-1 7APPROV9D z z Q. -4 AWD ECNJIpMENT WCLUDINW OVERHANCIS SHALL BE CLEAR OF ALL EASWENM A SET BA CX OF FT. FROM THE SIDE AMD 5FT. Pp ---010 THE FlEAR PROPERTY LINES AND F:T. FROM THE ROAD CENTERLINE SHALL BE CLEAI� OF STRUCTURES AND EQUIP-MEN'T A 2 FT. EAVIE 0%,MRHAN Ic 0 - d �� , tSUTTE OOUN I i- RUILDING D5PARTMEN p p 8 0 v -r ou' ING DEPARTMew C-1 7APPROV9D z Q. -4 AWD ECNJIpMENT WCLUDINW OVERHANCIS SHALL BE CLEAR OF ALL EASWENM A SET BA CX OF FT. FROM THE SIDE AMD 5FT. Pp ---010 THE FlEAR PROPERTY LINES AND F:T. FROM THE ROAD CENTERLINE SHALL BE CLEAI� OF STRUCTURES AND EQUIP-MEN'T A 2 FT. EAVIE 0%,MRHAN Ic 0 - d �� , tSUTTE OOUN I i- RUILDING D5PARTMEN p p 8 0 v -r ou' ING DEPARTMew C-1 7APPROV9D V6 ,xX6 a� 2X6 Rauf t� b� G�,Iu�NeSF� SyFe� lib 4 ro Je 910,06 4-� 4, - ecO quit -DING PAR ,AJO . F5UTTE CWpqr* RUILDING DEPAFTTU� Ak v r NOTES: I. TYPICAL UNDERFLOOR FOOTINGS ARE 14"SQ X 6" THICK 2. FOOTINGS OVER 16" SQ MUST BE 12" DEEP J. ALL FOOTINGS ARE TO BE EXCAVATED INTO UNDISTURBED SOIL. 4. MAINTAIN CLEARANCES SHOWN UNLESS APPROVED WOOD OF NATURAL RESISTANCE TO DECAY OR PRESSURE TREATED IS USED. 5. MAINTAIN REQUIRED CONCRETE COVER PER MANUFACTURER AT POST BASE INSTALLED IN CONCRETE PEDESTAL F; S I I, VARIES PIER/FOOTING PIE BL 14 . so 9' MIN 6"THK TYPICAL UNDERFLOOR PIER/FOOTING OR UNDER DECK P/ER/FOOTING POST BASE PEDESTAL SEE IVO c �) (MONOLITHIC)' MIN 8" MIN 2' MIN 12" MIN 14"s(9, l --VARIES?--) F007ING WI7H POST BASE do MONOLITHIC PEDESTAL REDWOOD OR P. T. POST POST BASE I I TN-, mi ME PH I I.rmilo DERMTT POST FOOTING ON SLAB FLOOR ` P-_OS.T F65-TIN64 O LA FLOOR EXPOSED TO WEATHER OR WATER SPLASH OR IN BASEMENTS RESIDENTIAL POST AND PIER F0071NG DETAILS 2,o' i scuE i/z-r=o' IDATE:• 4/92 BUTTE COUNTY BUILDING DEPARTMENT DWG: SMFM2 I STD 12.2 - May 1995 9.13 c, 9 ! f l �'F1^:,,-►a a hall be clear of aT.apment axcept t Li4-� 4 �• 6Y If L.za L.i4QS ks $et Of plans and epsciacattoua MYT9TbQ on the Job at all ttm-Maliee and it is u UM'r to e a9 chargea or alterations on aam3'Mtaout �ortiZon per"-s'saion ficin the Department of Public County of Butte. S,�,-� ;`C fi� k NOTE: er:-3 �V T•�r a;��eb1p S`� Ba • '�.Ll Of 3 Quality h P° .:Jorma 7'rac'ie Ill �.�-rr''AIL,c a and •'� iri9 (Ttlif!I ^; � �•.i;., C- 't�:ao `Ll•1 tb9 l L=o C' �8CbzriCai Y �t'C nIL r 1'r ;P.i^d; CWS. APPROVED Butte County Environmental Health 0. tsu I CUUN I r 7U1 ING DEPARTMGW APPROVED (�( I • , f ii Z° 1 t _- o -- f ! f l �'F1^:,,-►a a hall be clear of aT.apment axcept t Li4-� 4 �• 6Y If L.za L.i4QS ks $et Of plans and epsciacattoua MYT9TbQ on the Job at all ttm-Maliee and it is u UM'r to e a9 chargea or alterations on aam3'Mtaout �ortiZon per"-s'saion ficin the Department of Public County of Butte. S,�,-� ;`C fi� k NOTE: er:-3 �V T•�r a;��eb1p S`� Ba • '�.Ll Of 3 Quality h P° .:Jorma 7'rac'ie Ill �.�-rr''AIL,c a and •'� iri9 (Ttlif!I ^; � �•.i;., C- 't�:ao `Ll•1 tb9 l L=o C' �8CbzriCai Y �t'C nIL r 1'r ;P.i^d; CWS. APPROVED Butte County Environmental Health 0. tsu I CUUN I r 7U1 ING DEPARTMGW APPROVED (�( A. ;cask of 5 R. 4rom the • , pr��er�f lines and a setback 11111 R ! f l �'F1^:,,-►a a hall be clear of aT.apment axcept t Li4-� 4 �• 6Y If L.za L.i4QS ks $et Of plans and epsciacattoua MYT9TbQ on the Job at all ttm-Maliee and it is u UM'r to e a9 chargea or alterations on aam3'Mtaout �ortiZon per"-s'saion ficin the Department of Public County of Butte. S,�,-� ;`C fi� k NOTE: er:-3 �V T•�r a;��eb1p S`� Ba • '�.Ll Of 3 Quality h P° .:Jorma 7'rac'ie Ill �.�-rr''AIL,c a and •'� iri9 (Ttlif!I ^; � �•.i;., C- 't�:ao `Ll•1 tb9 l L=o C' �8CbzriCai Y �t'C nIL r 1'r ;P.i^d; CWS. APPROVED Butte County Environmental Health 0. tsu I CUUN I r 7U1 ING DEPARTMGW APPROVED COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 'County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-730-013 ZONING U - BUILDING PERMIT OWNER MONTGOMERY TELEPHONE SO. FT. OCC. BUILDING VALUATION 70 r gio nn OWNERS MAILING ADDRESS 46 ERNIE LN. BERRY CREEK, CA 99916 CONTRACTOR'S � NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ Qin nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee bq on BUILDING ADDRESS' Energy Plan Checking Fee IF PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED PORCH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home r9T-6 W (9?20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 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.POSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law/or the following reason: 9 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. ( a ACC. BLOs. So 3.50x; REBID ' muLTI.OUTLET NEW a 7,50 a OUTLET CIR. WER APPARATUS Ex. Occu CUTLET OR FIXTURES 00 BAS @';50 Ex. Occup.. GurLEEDrs pEM.DF�.a 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 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 fo hwith comply with those provisions. a X ii T _ Date /gyp 1 2wl Sign tura of Applicant - ❑ Owrwf ❑ Con ctor ❑ Agen An OSHA permit is required for excavations dVer 5'0" 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 FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ IMP CD C U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date `T ate Receipt No. 315278/66.00 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 (530) 538-7541 PERMIT NO. (Rev. 12/96) �w APPLICATION AND PERMIT ASSESSORPKCEL NUMeERQ� -- ZONING OWNER / 7 TlllTgN! V S 0 11-VTacom{— S OWNERS MAILING DRE99 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION COMRACTOR'8 NAM!q CRJ TCLFPIpH! CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCWTECT OR ENGINEERS MAJUN0 ADDRESS Buwwo ADDRESS Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ S 00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE _ SF ❑ Duplex ❑ Mobilehome Other ePEcsv Each Trap7.00 Solar or pump water heater 23.00 Water piping 1S.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ stailation ❑ Other ❑ Describe Work: Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W 020.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 --••--• - --- •-- • i 1 *PERMIT FEE PAID SRA - SHERIFF $ OTHER � - RECEIVED IHAZ. . *RECEIPT NUMBER * TO BE PVT INTO COMPUTER Main Service 600V OR LESS zo*A OR LESS 23.00 Main Service 20" TO IDDOA 48.00 NEW CONST. DWELLING OCCUR s0 OR ADONS. L ACC. BLAS. 3.50FT: O MULTFOUnjEr NON•RESID. @7 50 POWER APPARATUS 8 SINGLE OUTLET 010. TES 200 1.00 Ex. Occup. OUTLET OR FMUR BAL @ .SO EX. OCCU LmEZSAPP�IDEs .DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $AMOVNT ECC _E 0. FEES IMP nAOD COF PMCFL PO NO 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 fo �. 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: %V 6 o_ ASSESSOR PARCEL NUMBER Proposed udding Use: uilding Inspector: Qi/ 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 Ell. All iiems have been submitted .------------------------------------------------------------------------------------- i- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ /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. — ------------------------------------------------------- 08. Hazardous Material Form. ----------------------- -2-----------------------------=------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. alifocnia Department of Forestry plan approval/fees-------------- ❑ 3. lood elevation certificate. --------------------------------------------- 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 ElImprovements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). - 1:120. -- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). -------------------- 0 22. Workers' Compensation carrier and policy number. ------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------- 024. 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. ------------------------------------------------------ D 29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Wh;'you issue a ermit, proses as follows ElMail to owner, ❑ ai contractor. 1 x Kelephon '�3 f and hold for pickup at office. ❑Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ er: 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 Di ' 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. t I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location E.H. USE ONLY Rot Plan Attached _ YL 'C Floor Ran Attached ft> Sent to B.D. LI 1 if I cwt (-eD.2 l AP# Plan Approved �for: � Sewage Disposal Water Supply: Public Private Well >< Clearance for dwelling. Other %C, -,- "T L en -Ir A Pte --c Hold final for: Final clearance O.K. for: NOTE: RE Environmental Health. Specialit Date 8/96 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 wM .,: be issued until this verification is received. 1. I personally plan to provide the major 1 or and materials for construction of the proposed pro� erty improvement : YESV NO[ ]. i 2. I HAVE[ n HAVE NOT[ ] signed an application for a budding permit .for. the proposed work.. u 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: NAM: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following$e'sons to provide the work indicated: NAME ADDRESS PHONE TYPE OF7W6kk SIGNED: PROPERTY OWNER: GGv S IBER: DATE: fi__10 1_c l /14' , 1-)-- C» / NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. y.n w� Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified ' For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. R If you plan to do your own ' the exception of various trades that you plan to'subcontract, you should be aware of the followin ' ormation for ur benefit and protection:. 0 If you employ or othe engage any perso other than your immediate family, and the work (mchtdnsg materials and other sts) is 00 or more or the entire project, and such persons are not licensed as contractors or subcon o en ou ma an employer. 0 If you are an employer, yo 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 sec urtty taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. j 0 There may be financial risks for -you if you do not carry out these obligations,'and these riskn s are especially serious with respect to worker's compensation insurance. ` 0 For more specific information about your obligations under Federal Law, contract the Inieiaal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific informarion`about your obligations under State Law, contact the Department of Benefit Payments and the Division'ot 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 ow'n' 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 Iy, ', C. Vi ira, C.B.O. r, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.